Understanding Obsessive–Compulsive Disorder: Focus on Decision Making

Current approaches to obsessive-compulsive disorder (OCD) have suggested that neurobiological abnormalities play a crucial role in the etiology and course of this psychiatric illness. In particular, a fronto-subcortical circuit, including the orbitofrontal cortex, basal ganglia and thalamus appears to be involved in the expression of OCD symptoms. Neuropsychological studies have also shown that patients with OCD show deficits in cognitive abilities that are strictly linked to the functioning of the frontal lobe and its related fronto-subcortical structures, such as executive functioning deficits and insufficient cognitive-behavioral flexibility. This article focuses on decision making, an executive ability that plays a crucial role in many real-life situations, whereby individuals choose between pursuing strategies of action that involve only immediate reward and others based on long-term reward. Although the role of decision-making deficits in the evolution of OCD requires further research, the collected findings have significant implications for understanding the clinical and behavioral heterogeneity that characterizes individuals with OCD.     

Resistance to change of forgetting functions and response rates

This experiment examined the effects of reinforcement probability on resistance to change of remembering and response rate. Pigeons responded on a two-component multiple schedule in which completion of a variable-interval 20-s schedule produced delayed matching-to-sample trials in both components. Each session included four delays (0.1 s, 2 s, 4 s, and 8 s) between sample termination and presentation of comparison stimuli in both components. The two components differed in the probability of reinforcement arranged for correct matches (i.e., rich, p = .9; lean, p = .1). Response rates during the variable-interval portion of the procedure were higher in the rich component during baseline and more resistant to the disruptive effects of intercomponent food and extinction. Forgetting functions were constructed by examining matching accuracy as a function of delay duration. Baseline accuracy was higher in the rich component than in the lean component as measured by differences in the gamma-intercept of the forgetting functions (i.e., initial discrimination), rather than from differences in the slope of the forgetting function (i.e., rate of forgetting). Intercomponent food increased the rate of forgetting relatively more in the lean component than in the rich component, but initial discrimination was not systematically affected. Extinction reduced initial discrimination relatively more in the lean component than in the rich component, but did not systematically affect rate of forgetting. These results are consistent with our previous data suggesting that, as for response rate, accuracy and resistance to change of discriminating are positively related to rate of reinforcement. These data also suggest that the disruptability of remembering depends on the conditions of reinforcement, but the way in which remembering is disrupted depends on the nature of the disruptor.     

Priority Information Used for the Processing of Japanese Sentences: Thematic Roles,Case Particles or Grammatical Functions?

The present study investigated scrambling effects on the processing of Japanese sentences and priority information used among thematic roles, case particles and grammatical functions. Reaction times for correct sentence decisions were significantly prolonged for scrambled active sentences with transitive verbs in the first experiment and with ditransitive verbs in the second experiment. Errors were made with scrambled sentences more than canonical sentences in both experiments, which suggested that scrambling effects were apparent in active sentences. Passive sentences in the third experiment indicated that canonical order defined based on case particles, not thematic roles, was more quickly and accurately identified than scrambled order. Potential sentences in the fourth experiment and causative sentences in the fifth experiment indicated that the processing of scrambled sentences based on grammatical functions, but not on case particles, required longer reaction times and resulted in higher error rates than canonical sentences. Consequently, scrambling effects in the present study indicated that neither thematic roles nor case particles can provide fully-satisfactory information for canonical phrase order, and that only grammatical functions offer satisfactory information in all types of sentences.     

Performance and Private Speech of Children with Attention-Deficit/Hyperactivity Disorder While Taking the Tower of Hanoi Test: Effects of Depth of Search,Diagnostic Subtype,and Methylphenidate

We administered the Tower of Hanoi to demographically comparable samples of control participants (n = 34) and children with the Combined (n = 22) and Inattentive subtypes (n = 19) of Attention-Deficit/Hyperactivity Disorder (ADHD). Controls excelled over children with the Inattentive subtype, who outperformed patients with the Combined subtype. These results replicated findings of greater executive deficits in the Combined than in the Inattentive type of ADHD. Double-blind administration of methylphenidate improved task performance only for patients with the Inattentive subtype. In a drug-free Baseline session, children with both subtypes of ADHD made more private verbalizations than controls, particularly when failing puzzles. In later sessions, regardless of drug condition, the inattentive sample exhibited a smaller increase in self-regulatory utterances under failure. In contrast, the combined sample decreased self-regulatory verbalizations under failure only under methylphenidate. The results support some differences between the two subtypes of ADHD in executive functioning and in their response to stimulant therapy. Portions of these results were submitted as part of H. Theresa Chang's PhD dissertation (Chang, 2000) and Helena Kopecky's unpublished master's research, both conducted at the University of Rochester and supervised by Rafael Klorman.     

Is problem solving dependent on language?

There has been a long-standing debate in the fields of philosophy and cognitive science surrounding the relationship of language to cognition, but the exact nature of this relationship is still unclear (Sokolov, 1968/1972). In the current study, we explored the role of language in one aspect of cognition, namely problem solving, by administering the Wisconsin Card Sorting Test (WCST) to stroke patients with varying degrees of language impairment (Experiment 1) and to normal participants under conditions of articulatory suppression (Experiment 2). In Experiment 1, there was a significant correlation between performance on the WCST and language measures such as comprehension and naming. Demonstrating the specificity of this result, we also found a significant relationship between language performance and another test of problem solving, the Raven's Colored Progressive Matrices, but no relationship between language and a test of visuospatial functioning. In Experiment 2, normal participants were significantly impaired on the WCST under conditions of articulatory suppression, relative to a baseline condition. Together, these findings suggest that language plays a role in complex problem solving, possibly through covert language processes.     

Phonological–semantic flexibility and its role in reading for Chinese kindergarten children

The present study aimed to examine the role of phonological–semantic flexibility (PSF) in learning to read Chinese. PSF refers to a specific flexibility applied to process the dual linguistic dimensions of words (i.e., sound and meaning). A correlational study (Study 1) was conducted to determine the unique contribution of PSF to three aspects of early reading abilities, including word reading accuracy, word reading fluency and reading comprehension. A total of 190 Chinese kindergarten children were tested on a PSF task and a range of cognitive, linguistic and reading tasks. Results of hierarchical regressions showed that PSF uniquely and significantly contributed to the reading abilities beyond the effects of established cognitive factors (IQ, working memory, inhibition control, and cognitive flexibility) and linguistic factors (syllable skills, morphological skill and vocabulary skill). In the second part, an intervention study (Study 2) was conducted in which two groups of kindergarten children received explicit training on PSF (27 children) and colour–shape flexibility (26 children) respectively. Children in the PSF group showed significantly more improvement in PSF and word reading fluency than the control group. Overall, the present study demonstrated the theoretical and practical importance of PSF for learning to read Chinese.     

Theory of mind and its relationship with executive functions and emotion recognition in borderline personality disorder

Impaired social cognition has been claimed to be a mechanism underlying the development and maintenance of borderline personality disorder (BPD). One important aspect of social cognition is the theory of mind (ToM), a complex skill that seems to be influenced by more basic processes, such as executive functions (EF) and emotion recognition. Previous ToM studies in BPD have yielded inconsistent results. This study assessed the performance of BPD adults on ToM, emotion recognition, and EF tasks. We also examined whether EF and emotion recognition could predict the performance on ToM tasks. We evaluated 15 adults with BPD and 15 matched healthy controls using different tasks of EF, emotion recognition, and ToM. The results showed that BPD adults exhibited deficits in the three domains, which seem to be task‐dependent. Furthermore, we found that EF and emotion recognition predicted the performance on ToM. Our results suggest that tasks that involve real‐life social scenarios and contextual cues are more sensitive to detect ToM and emotion recognition deficits in BPD individuals. Our findings also indicate that (a) ToM variability in BPD is partially explained by individual differences on EF and emotion recognition; and (b) ToM deficits of BPD patients are partially explained by the capacity to integrate cues from face, prosody, gesture, and social context to identify the emotions and others' beliefs.     

The role of executive functions in bilingual children with reading difficulties

To explore the joint effect of reading difficulties (RD) and bilingualism on executive functions, 190 children of four groups of 9–12 year‐olds (41 bilinguals with RD, 45 monolinguals with RD, 45 bilinguals without RD, and 59 monolinguals without RD) were examined on the Concentration game, Tower of Hanoi, and Stroop as measures of executive functioning tapping into inhibitory/attentional control, working memory and planning ability. The most prominent finding was that in terms of RD, the speed of performances decreased dramatically. This general decrease was more pronounced for bilingual children with RD than for their monolingual counterparts. In conclusion, the findings suggest that while bilinguals gain more from executive functions in normal reading, they lose in terms of RD. Such an outcome confirms that executive functions are essential components of both reading and bilingualism, which depending on whether reading conditions are normal or difficult will produce cognitive advantages or disadvantages. Further, it is argued that dissimilarity between the Farsi and Swedish languages may complicate handling of such a situation.