Interfaces: toward a new generation of systemic models in family research and practice

After reviewing Engel's bio-psycho-social proposal and Kandel's "principles for an integration between mind and brain," the author introduces a set of akin propositions that aim at integrating neurosciences, genetics, the mind, and the social world into a succinct set of systemic formulations focusing on interlevel interfaces, with profound implications for the training, practice, and research in the field of family processes and therapy.     

培养科学的临床思维——由一例延误诊治病例引发的哲学反思

临床工作中,误诊误治在所难免,重要的是我们能否对其进行反思,从中积累经验教训提高诊疗水平。本文首先从哲学的角度分析了造成误诊的原因,然后指出防止或减少误诊的途径是培养科学的临床思维,并提出了在临床过程中培养科学临床思维应注意的8个方面。     

Interactivism: A manifesto

The interactivist model has grown over the last several decades from a narrower initial beginning into an evolving systematic theory and underlying philosophy. It has been induced to do so because the underlying assumptions that framed the beginnings of the model were fundamentally different from those that are dominant throughout psychology, cognitive science, and philosophy. Consequently, the model faced multiple instances of attempting to integrate with literature in neighboring fields, discovering that such integration was not possible because the basic assumptions were not compatible, and having to either give up on the model thus far constructed, or else extend it in a way consistent with those assumptions into those neighboring (and foundational) domains. This manifesto outlines the resultant interactivist framework, presents some of the arguments for its underlying assumptions, and argues that these avoid problems that are fatal for many standard approaches in the literature.     

Clients’ in-session acceptance and cognitive defusion behaviors in acceptance-based treatment of tinnitus distress

Cognitive-behavioral treatment (CBT) is considered to be an effective treatment of distress associated with tinnitus (perception of internal noises without any outer auditory stimulation), but the processes by which the therapy works remain unclear. Mindfulness and acceptance is receiving increased attention in the treatment literature for chronic medical conditions. However, few studies have examined these and related processes with behavioral or observer measures. In the present study 57 videotapes (a total of 1710 min) from 19 clients who participated in a controlled trial of an acceptance-based treatment for tinnitus distress, were coded for frequency and peak level of verbal behaviors expressing either acceptance or cognitive defusion. Frequency of cognitive defusion behaviors and peak level of cognitive defusion as well as peak level of acceptance rated in Session 2, predicted symptom reduction 6 month following treatment. These relationships were not accounted for by the improvement that had occurred prior to the measurement point of the process variables. Moreover, prior symptom changes could not predict process variables rated later in therapy (after most of the improvement in therapy had occurred). Thus, clients’ in-session acceptance and cognitive defusion behaviors appear to play an important role in the reduction of negative impact of tinnitus.     

A process-based model for an interactive ontology

The paper proposes a process-based model for an ontology that encompasses the emergence of process systems generated by increasingly complex levels of organization. Starting with a division of processes into those that are persistent and those that are fleeting, the model builds through a series of exclusive and exhaustive disjunctions. The crucial distinction is between those persistent and cohesive systems that are energy wells, and those that are far-from-equilibrium. The latter are necessarily open; they can persist only by interaction with their environments. Further distinctions, developed by means of the notions of self-maintenance and error detection, lead to the identification of complex biological organisms that are flexible learners, some of which are self-conscious and form themselves into social institutions. This model provides a non-reductive model for understanding human beings as both embodied and yet emergent. In particular, it provides a way of characterizing action as ‘metaphysically deep’, not an ontological embarrassment within an otherwise physicalist world.     

Synchronicity and moments of meeting

Abstract :  The paper ¹ considers the role of synchronicity in the establishment of meaning in analysis, and links it to the notion of moments of meeting proposed by the Boston Process of Change Study Group. In so doing, the paper proposed to view synchronicity as an element in developmental processes, wherein attributions of meaningfulness are made in relation to patterns of action that do not have intrinsic meaning, but which have evolved in an environment of meaning, thereby bootstrapping the infant into the world of meaning. Jung's paradigmatic example of synchronicity—the scarab beetle event—is examined in this context and the argument is made that the event was primarily meaningful for Jung and carried with it important countertransference implications that Jung did not consider. The paper concludes with some suggestions for further investigation into the relationship between synchronicity and clinical practice.     

No Time, No Wholes: A Temporal and Causal-Oriented Approach to the Ontology of Wholes

What distinguishes a whole from an arbitrary sum of elements? I suggest a temporal and causal oriented approach. I defend two connected claims. The former is that existence is, by every means, coextensive with being the cause of a causal process. The latter is that a whole is the cause of a causal process with a joint effect. Thus, a whole is something that takes place in time. The approach endorses an unambiguous version of Restricted Composition that suits most commonsensical intuitions about wholes.     

Systemic and local administration of estradiol into the prefrontal cortex or hippocampus differentially alters working memory

The influence of estradiol on learning and memory is dependent on a number of factors. The effects of physiological levels of estradiol on the acquisition of a spatial working memory task mediated by the prefrontal cortex (PFC) and the hippocampus were examined in Experiment 1. Ovariectomized Long-Evans rats received daily injections of estradiol or vehicle were tested on the win-shift version of the radial arm maze. A high dose of estradiol benzoate (5 microg) enhanced acquisition of the task, whereas a low dose of estradiol (0.3 microg) increased the number of errors committed over 17 days of testing. Experiment 2 was conducted to examine site-specific influences of estradiol on spatial working memory in well-trained rats. Saline and estradiol cyclodextrin (0.1 and 0.9 microg) were infused into the prelimbic region of the PFC or dorsal hippocampus 40 min prior to testing on the win-shift task. Infusions of estradiol into both brain areas attenuated saline-infusion disruptions in working memory. Specifically, the higher dose of estradiol facilitated working memory when infused into the PFC, whereas the lower dose of estradiol facilitated performance when infused into the dorsal hippocampus. Moreover, working memory was significantly impaired 24 h after infusions of estradiol into the dorsal hippocampus but not the PFC. These data provide further evidence for the notion that estradiol can dose-dependently alter memory processes and suggest that facilitation or disruptions of working memory by estradiol are site- and time-specific.     

Controlled and automatic uses of memory in depressed patients: effect of retention interval lengths

The present study examines controlled and automatic uses of memory in clinically depressed patients by applying the Process Dissociation Procedure developed by Jacoby (1991) to a stem completion memory task with short and long retention intervals. The results show that the contribution of controlled processes is lower in depressed patients than in controls, especially for the longest retention interval, whereas the contribution of automatic processes is equivalent in both groups and unaffected by the length of the retention interval. These findings are discussed in a cognitive control framework.     

Methodological issues in judgment and decision-making research: Concurrent verbal protocol validity and simultaneous traces of process

This paper examines two dimensions of concurrent verbal protocol validity. First, whether verbalization affects process and outcome (reactivity) was examined by comparing concurrent verbal protocol traces with those from a computer search process tracing method, the latter being a complete trace of information acquisition from experimental materials. Earlier findings that verbalization affects time were confirmed. However, verbalization did not affect amount and pattern of acquisition or accuracy of judgments. Second, whether concurrent verbal protocols are complete was examined by comparing concurrent verbal protocol and computer traces that were simultaneously obtained in a treatment in which subjects verbalized as they acquired information from the computer. The verbal traces less completely captured information acquisition behavior than computer search. This suggests that, although concurrent verbal protocols provide greater insight into decision behavior than computer search, the latter is a more reliable information-acquisition trace. Thus, if information acquisition is of primary interest and if computer search activities can be naturally integrated into performing the primary task, computer search is preferred to concurrent verbal protocols. However, if information use or retrieval from long-term memory is of primary interest, concurrent verbal protocols are preferred to computer search. Finally, this paper examined whether the simultaneous use of concurrent verbal protocols and computer search provides traces of information acquisition and use that are as complete as when each method is independently applied. Although computer search tended to limit subjects verbalizations of evaluative operators, this effect may be eliminated by practice on the computer prior to collecting data.