Is there evidence for the use of art therapy in treatment of psychosomatic disorders,eating disorders and crisis? A comparative study of two different systems for evaluation

A comparative study of two different systems for evaluation. Scandinavian Journal of Psychology 53, 47-53. As with any type of treatment the requirement for evidence based practice (EBP) has also affected art therapy (AT) when used as an intervention. This review evaluates the available evidence for using AT for psychosomatic disorders, eating disorders and crisis. The search in Cochrane, Best Practice, AMED, CINAHL, PION, PsycINFO and PubMed from 1987 until now resulted in a huge number of articles but only 32 articles met our criteria for evaluations. The articles were assessed with two evaluation systems, the GRADE system used by the Swedish Council on Health Technology Assessment (SBU) and the US Preventive Services Task Force (USPSTF/Task Force). When comparing the results we found that the GRADE evaluation system rejected the quality in 84% of the 32 studies and the USPSTF/Task Force 41% of these studies. An evidence base for AT was found only according to the criteria of USPSTF/Task Force. Hence, the evidence concept is not explicit, which means that effective treatments run a risk of not being implemented in health care. We suggest a broader view of what constitutes evidence in order to make it possible to include different types of research designs and methods.     

Evaluation of "the incredible years" in Sweden: the transferability of an American parent-training program to Sweden

Structured parent training has been proven to be effective in reducing disruptive behavior problems (DBP) in children. Most of the programs that are used in Sweden have their origin in North America, and there is an ongoing debate over the transferability to Sweden of manual-based programs developed in other contexts. The goal of the present study was to study effectiveness of the Incredible Years parent-training program (IY), developed in the US, in regular clinical work in Sweden, using a randomized controlled design. Parents of 62 four to eight-year-old children diagnosed with Oppositional Defiant Disorder participated in the study. Parents of 38 children were assigned to parent training (PT) and 24 to a waiting list (WL). The results indicate that the IYS retains the positive effects on children's disruptive behavior problems when translated and transferred to Swedish. There was a statistically significant difference in reduction of DBP in children between the groups in favor of the PT. The improvement in the PT group was sustained at the one-year follow-up. The improvement also, at least to some extent, generalized over time to the school context. There was also a statistically significant difference in mothers' report of pre to post change in parenting alliance between the PT and WL groups. The IYS program was appreciated and well received by the participating mothers.     

How general is the “General Factor of Personality”? Evidence from the Texas Adoption Project

Using data from samples of 300 and 220 adoptive families from the Texas Adoption Project, aspects of generality of a “General Factor of Personality” (GFP) were examined: across different personality inventories, across different levels of analysis (items, scales) within an inventory, across self- and others’ judgments, and across sexes, ages, and generations. Considerable, though not complete, generality was found. The average correlation between GFPs from items and scales of a given inventory was .90; between GFPs from the scales of different inventories was .48. Also examined were the heritability of a GFP, its degree of correlation with a general cognitive factor, and its ability to predict real-life criteria such as educational level, marital stability, and substance abuse.     

Effects of speed of word processing on semantic access: the case of bilingualism

Bilingual speakers generally manifest slower word recognition than monolinguals. We investigated the consequences of the word processing speed on semantic access in bilinguals. The paradigm involved a stream of English words and pseudowords presented in succession at a constant rate. English-Welsh bilinguals and English monolinguals were asked to count the number of letters in pseudowords and actively disregard words. They were not explicitly told that pairs of words in immediate succession were embedded and could either be semantically related or not. We expected that slower word processing in bilinguals would result in semantic access indexed by semantic priming. As expected, bilinguals showed significant semantic priming, indexed by an N400 modulation, whilst monolinguals did not. Moreover, bilinguals were slower in performing the task. The results suggest that bilinguals cannot discriminate between pseudowords and words without accessing semantic information whereas monolinguals can dismiss English words on the basis of subsemantic information.     

Dissociating linguistic and non-linguistic gesture processing: electrophysiological evidence from American Sign Language

A fundamental advance in our understanding of human language would come from a detailed account of how non-linguistic and linguistic manual actions are differentiated in real time by language users. To explore this issue, we targeted the N400, an ERP component known to be sensitive to semantic context. Deaf signers saw 120 American Sign Language sentences, each consisting of a “frame” (a sentence without the last word; e.g. BOY SLEEP IN HIS) followed by a “last item” belonging to one of four categories: a high-close-probability sign (a “semantically reasonable” completion to the sentence; e.g. BED), a low-close-probability sign (a real sign that is nonetheless a “semantically odd” completion to the sentence; e.g. LEMON), a pseudo-sign (phonologically legal but non-lexical form), or a non-linguistic grooming gesture (e.g. the performer scratching her face). We found significant N400-like responses in the incongruent and pseudo-sign contexts, while the gestures elicited a large positivity.     

Neural correlates of audiovisual integration of semantic category information

Previous studies have found a late frontal-central audiovisual interaction during the time period about 150-220 ms post-stimulus. However, it is unclear to which process is this audiovisual interaction related: to processing of acoustical features or to classification of stimuli? To investigate this question, event-related potentials were recorded during a words-categorization task with stimuli presented in the auditory-visual modality. In the experiment, congruency of the visual and auditory stimuli was manipulated. Results showed that within the window of about 180-210 ms post-stimulus more positive values were elicited by category-congruent audiovisual stimuli than category-incongruent audiovisual stimuli. This indicates that the late frontal-central audiovisual interaction is related to audiovisual integration of semantic category information.     

Decomposing animacy reversals between agents and experiencers: An ERP study

The present study aimed to refine current hypotheses regarding thematic reversal anomalies, which have been found to elicit either N400 or - more frequently - “semantic-P600” (sP600) effects. Our goal was to investigate whether distinct ERP profiles reflect aspectual-thematic differences between Agent-Subject Verbs (ASVs; e.g., ‘to eat’) and Experiencer-Subject Verbs (ESVs; e.g., ‘to love’) in English. Inanimate subject noun phrases created reversal anomalies on both ASV and ESV. Animacy-based prominence effects and semantic association were controlled to minimize their contribution to any ERP effects. An N400 was elicited by the target verb in the ESV but not the ASV anomalies, supporting the hypothesis of a distinctive aspectual-thematic structure between ESV and ASV. Moreover, the N400 finding for English ESV shows that, in contrast to previous claims, the presence versus absence of N400s for this kind of anomaly cannot be exclusively explained in terms of typological differences across languages.     

Insights into spared memory capacity in amnestic MCI and Alzheimer's Disease via minimal interference

Impairment on standard tests of delayed recall is often already maximal in the aMCI stage of Alzheimer's Disease. Neuropathological work shows that the neural substrates of memory function continue to deteriorate throughout the progression of the disease, hinting that further changes in memory performance could be tracked by a more sensitive test of delayed recall. Recent work shows that retention in aMCI patients can be raised well above floor when the delay period is devoid of further material - 'Minimal Interference'. This memory enhancement is thought to be the result of improved memory consolidation. Here we used the minimal interference/interference paradigm (word list retention following 10 min of quiet resting vs. picture naming) in a group of 17 AD patients, 25 aMCI patients and 25 controls. We found (1) that retention can be improved significantly by minimal interference in patients with aMCI and patients with mild to moderate AD; (2) that the minimal interference paradigm is sensitive to decline in memory function with disease severity, even when performance on standard tests has reached floor; and (3) that this paradigm can differentiate well (80% sensitivity and 100% specificity) between aMCI patients who progress and do not progress to AD within 2 years. Our findings support the notion that the early memory dysfunction in AD is associated with an increased susceptibility to memory interference and are suggestive of a gradual decline in consolidation capacity with disease progression.     

Reducing the barriers to accessing psychological therapies for Bengali,Urdu, Tamil and Somali communities in the UK: some implications for training,policy and practice

The aim of this research was to investigate the feasibility of achieving Improving Access to Psychological Therapies (IAPT) for people from Black, Asian and Minority Ethnic (BAME) communities living in the UK, with specific reference to Bengali, Urdu, Tamil and Somali speaking communities. Focus groups were carried out with each of the communities to investigate how they conceptualise and experience ‘mental health issues’ and what they do when faced with what they regard as these issues. A thematic analysis of the data suggested that participants did not fully understand common conceptualisations about mental health issues, nor did they know how to seek mental health support. Implications of cultural barriers and recommendations for IAPT outcomes for the four communities are discussed.     

汉字字谜任务中限制解除的电生理机制

尽管“限制解除”作为一种顿悟问题解决的关键途径早在上世纪90年代就被德国心理学者Knoblich及其同事提出, 但学界对于“限制解除”所包含的信息加工程序、阶段以及相应的脑认知过程却并未有进一步的探讨和细化。本文从“限制解除”的理论角度出发, 以答案提示催化的“诱发式”字谜解决顿悟为例, 首次提出了一个关于“诱发式”限制解除过程的信息加工阶段初步构想。该构想认为：顿悟问题解决中的“诱发式”限制解除过程包含3个不同的信息加工阶段。第一阶段是以早期注意参与为特征的冲突信息的预警或预处理过程; 第二阶段是以新旧思路交替为特征的关键限制解除过程, 鉴于这个过程以基本问题表征空间的拓展为特征, 因此我们推测右脑的活动很有可能在这个过程中占据主导地位; 第三阶段是以自上而下的控制加工为特征的重新整合过程。脑电研究数据部分地支持了本研究的假设, 发现了上述第一阶段在脑电变化上体现为顿悟性限制解除所伴随的N100/P200复合体; 第二阶段体现为P300在300~400 ms的时间窗内的地形图分布及差异波; 而第三阶段则体现为N400在400~800 ms内的变化。脑电结果还证实：在第二阶段也就是限制解除的关键阶段, 右脑的活动明显强于左脑, 提示基本问题空间的拓展可能更多地依赖于右脑, 而在第三阶段也就是信息的重新整合阶段则表现出相反的半球偏侧化倾向。上述发现有可能为进一步认识和理解顿悟中“限制解除”的脑认知机理提供了新的见解。