Seeing Is Believing: Using Video Feedback in Cognitive Therapy for Social Anxiety Disorder

Distorted negative self-images and impressions appear to play a key role in maintaining Social Anxiety Disorder (SAD). In previous research, McManus et al. (2009) found that video feedback can help people undergoing cognitive therapy for SAD (CT-SAD) to develop a more realistic impression of how they appear to others, and this was associated with significant improvement in their social anxiety. In this paper we first present new data from 47 patients that confirms the value of video feedback. Ninety-eighty percent of the patients indicated that they came across more favorably than they had predicted after viewing a video of their social interactions. Significant reductions in social anxiety were observed during the following week and these reductions were larger than those observed after control periods. Comparison with our earlier data (McManus et al., 2009) suggests we may have improved the effectiveness of video feedback by refining and developing our procedures over time. The second part of the paper outlines our current strategies for maximizing the impact of video feedback. The strategies have evolved in order to help patients with SAD overcome a range of processing biases that could otherwise make it difficult for them to spot discrepancies between their negative self-imagery and the way they appear on video.     

奖赏对海洛因成瘾者执行功能的影响机制

一些研究发现海洛因成瘾者奖赏失调表现为:对海洛因相关线索的注意偏向、渴求感增加,对金钱奖赏表现出"即时收益优先"的高风险决策模式和对长时收益的敏感性降低。另一些研究发现海洛因成瘾者的执行功能存在障碍。奖赏失调和执行功能障碍在成瘾物质使用的维持和复吸中起着重要作用。双重竞争模型认为奖赏和执行功能的交互作用决定着行为的结果,但是奖赏对海洛因成瘾者执行功能的影响机制还不清楚。因此,拟使用事件相关电位技术来考察海洛因相关线索和金钱奖赏对不同戒断期成瘾者执行功能的影响机制,短期(1~3个月)、长期(18个月以上)海洛因戒断者和健康对照组被比较。这不仅有助于构建完善的成瘾理论体系,还有助于确定临床戒断后复吸的风险因素和不同戒断期的治疗目标。     

The effect of feedback on children’s metacognitive judgments: a heuristic account

In three experiments, we investigated whether the feedback effect on the accuracy of children’s metacognitive judgments results from an improvement in monitoring processes or the use of the Anchoring-and-Adjustment heuristic. Experiment 1 revealed that adding feedback increased the accuracy of young children’s (aged 4, 6, and 8 years) memory prediction. In Experiment 2, the influence of an external anchor on children’s metacognitive judgment was established. Finally, in Experiment 3, two memory tasks that differed in terms of difficulty were administered. Participants were randomly assigned to an anchoring (high/low/no anchor) and a feedback (feedback/no feedback) condition. Results demonstrated that children in the feedback condition adjusted their predictions toward the feedback, regardless of the task’s difficulty. These findings are consistent with the hypothesis that external information provided by feedback is used as an anchor for judgment. This interpretation is strengthened by the correlation found between the two scores computed to assess participants’ susceptibility to anchoring and feedback effects, which indicates that children who are more sensitive to the anchoring effect are also more sensitive to the feedback effect.     

Effects of student pairing and public review on physical activity during school recess

The purpose of this study was to evaluate the effects of student pairing and feedback during recess on children's step counts. During baseline, participants wore a sealed pedometer during recess. During intervention, we paired participants with higher step counts with participants with lower step counts. We encouraged teams to compete for the highest step count each day and provided feedback on their performance during each recess session. Results showed a large mean increase in step count from baseline to intervention. These results suggest that children's steps during recess can be increased with a simple and cost‐effective intervention.     

Do kinematic metrics of walking balance adapt to perturbed optical flow?

Visual (i.e., optical flow) perturbations can be used to study balance control and balance deficits. However, it remains unclear whether walking balance control adapts to such perturbations over time. Our purpose was to investigate the propensity for visuomotor adaptation in walking balance control using prolonged exposure to optical flow perturbations. Ten subjects (age: 25.4 ± 3.8 years) walked on a treadmill while watching a speed-matched virtual hallway with and without continuous mediolateral optical flow perturbations of three different amplitudes. Each of three perturbation trials consisted of 8 min of prolonged exposure followed by 1 min of unperturbed walking. Using 3D motion capture, we analyzed changes in foot placement kinematics and mediolateral sacrum motion. At their onset, perturbations elicited wider and shorter steps, alluding to a more cautious, general anticipatory balance control strategy. As perturbations continued, foot placement tended toward values seen during unperturbed walking while step width variability and mediolateral sacrum motion concurrently increased. Our findings suggest that subjects progressively shifted from a general anticipatory balance control strategy to a reactive, task-specific strategy using step-to-step adjustments. Prolonged exposure to optical flow perturbations may have clinical utility to reinforce reactive, task-specific balance control through training.     

Consistency between verbal and non-verbal affective cues: a clue to speaker credibility

Listeners are exposed to inconsistencies in communication; for example, when speakers’ words (i.e. verbal) are discrepant with their demonstrated emotions (i.e. non-verbal). Such inconsistencies introduce ambiguity, which may render a speaker to be a less credible source of information. Two experiments examined whether children make credibility discriminations based on the consistency of speakers’ affect cues. In Experiment 1, school-age children (7- to 8-year-olds) preferred to solicit information from consistent speakers (e.g. those who provided a negative statement with negative affect), over novel speakers, to a greater extent than they preferred to solicit information from inconsistent speakers (e.g. those who provided a negative statement with positive affect) over novel speakers. Preschoolers (4- to 5-year-olds) did not demonstrate this preference. Experiment 2 showed that school-age children's ratings of speakers were influenced by speakers’ affect consistency when the attribute being judged was related to information acquisition (speakers’ believability, “weird” speech), but not general characteristics (speakers’ friendliness, likeability). Together, findings suggest that school-age children are sensitive to, and use, the congruency of affect cues to determine whether individuals are credible sources of information.     

4～6岁幼儿经济博弈中的信任行为及其影响因素

本研究通过两个实验考察幼儿是否在博弈任务中表现出对陌生人的信任行为,同时考察可能对幼儿的信任产生影响的因素,包括个体认知因素(观点采择)和环境因素(负性反馈和代际传递)。研究对189名4~6岁幼儿及其家长进行多种任务的测量。实验一通过修订Evans和Krugger(2011)的信任博弈任务,考察幼儿在匿名信任博弈中的信任行为,结果发现与4岁幼儿相比,6岁幼儿对他人的信任更低;实验二考察了幼儿信任的影响因素,结果发现,幼儿在得到负性反馈结果后再次进行信任博弈任务时,他们对他人的信任比前次有所降低,6岁幼儿对他人返还数量的预期比4岁幼儿下降程度更大;6岁幼儿的信任行为(第一次给出意愿)与观点采择能力显著相关;6岁幼儿的信任水平与家长的信任水平显著相关。     

情绪感染的发生机制

原始性情绪感染理论认为, 情绪感染是一个“情绪觉察-无意识模仿-生理反馈-情绪体验”的过程, 情绪感染是一个由生理诱发情绪的过程。早在1884年, 詹姆士和兰格就提出了情绪外周学说, 同样描述了从身体变化到情绪变化的关系路径, 但没有描述从刺激事件到外周身体变化的发生机制。对情绪感染的发生机制的研究能揭示这一“自下而上”的情绪产生机制。研究选取有效大学生被试62名, 参与下列研究：(1) 在眼动实验中使用情绪图片作为感官情绪信息, 以考察觉察者的情绪觉察水平。(2) 在生物反馈实验中, 使用仿真课堂教学视频作为感官情绪信息, 以考察觉察者的无意识模仿水平和生理反馈水平。使用路径分析证实了情绪感染的路径机制, 在真实情境的诱发下, 这种通过生理唤醒而诱发情绪的机制是可能的。