Thoughts and feelings and things: A new psychiatric epistemology

Epistemology — the study of knowledge — is a philosophical discipline with close ties to psychiatry. When epistemologists address specific questions about how knowledge is actually realized by human beings, their philosophy must be informed by empirical studies of the sort psychiatrists now take up in a variety of forms. As this paper describes, psychiatrists can likewise improve their understanding of human psychology through a deeper appreciation of philosophical analysis in epistemology.The aim of this article is to introduce a unifying framework within which the experience from different approaches to psychiatry — (1) the conceptual schemas of cognitive psychiatry, (2) the mental structures of psychoanalytic psychiatry, (3) the categorical forms of existential psychiatry, and (4) the neural pathways of biological psychiatry — can all be applied productively to the central question of epistemology. By establishing a broad understanding of the problem of knowledge, this new view of epistemology is developed within the idiom of each psychiatric approach. In addressing themselves to a unitary problem, these diverse psychiatric approaches are themselves revealed, not as competing points of view, but as complementary views of a single subject. The result is a new epistemology that can not only bring the insights of psychiatry to philosophy, but can also contribute to the care of patients when psychiatrists bring this broader view to their clinical work.     

Excessive Object Attachment in Hoarding Disorder: Examining the Role of Interpersonal Functioning

Excessive attachment towards possessions can be maladaptive because it can lead individuals to excessively acquire and save objects. Little is known about how attachment to objects develops and changes over time; however, interpersonal factors have been theorized to play a role. The current study examined whether interpersonal factors, specifically interpersonal attachment style and empathy, moderate changes in object attachment over time. A total of 145 participants with excessive acquiring and discarding difficulties rated their level of attachment to a novel object just after receiving it, and 1 week later. Participants also completed measures of interpersonal anxious attachment and interpersonal functioning. We found that changes in object attachment over time were moderated by interpersonal anxious attachment. Also, our findings suggested that individuals with hoarding problems are likely not impaired in their ability to empathize with others, but rather have difficulty displaying empathy in tense social situations and also have more empathy for fictional characters. Further, greater discomfort in tense social situations and greater empathy for fictional characters interacted to predict greater object attachment. Taken together, these findings indicate that individuals with an interpersonal anxious attachment style may be those at risk of forming greater attachments to objects over time. A learning history that includes inconsistent support from caregivers may result in individuals experiencing more empathy for fictional characters and discomfort in tense social situations, which may produce a vulnerability for becoming excessively attached to objects. Our results are in line with theories of hoarding which propose that individuals use objects to compensate for unmet interpersonal needs and suggest that treatment may need to target interpersonal functioning to reduce hoarding symptoms.     

Ecumenism as Encounter

This article is a personal testimony of the encounter between Orthodox and Anglican traditions in the 20th and the 21st centuries. It offers an overview of more than 40 years of experience in ecumenical work with Orthodox churches, beginning with an experience of Orthodoxy in Serbia in 1974 and a meeting with Fr Justin Popovi?. It continues with an account of the Fellowship of St Alban and St Sergius, which has enabled Anglicans to meet and worship with Orthodox. It concludes with a discussion of the ways in which these relationships matured after the fall of communism with the creation of the Institute for Orthodox Christian Studies in Cambridge as an example of shared theological education. The article also highlights how traditions from the East of spiritual fatherhood, the Jesus Prayer, and icons have become familiar parts of Anglican church life.     

Mission and reconciliation from a Christian-Muslim relations perspective

The encounter between Islam and Christianity in the mission field has created shocks that have left indelible scars across the ages. These two religions, which have never hidden their missionary intentions, have at times engaged in the struggle for supremacy on the religious chessboard, not hesitating to encroach on each other. This state of affairs has led to frustrations and conflicts between the two religious systems that the passage of time has not been able to erase. Various organizations have attempted to bring Christians and Muslims together, among these the Programme for Christian-Muslim Relations in Africa. Reconciliation is possible. Although the path to reconciliation is still long, one who has already travelled on it gives us signs of hope. Only God can clear the path to effective reconciliation. This, however, must be combined with a new understanding of mission in both religious systems as well as a commitment on the part of both to embark on a new dynamic.     

Electrophysiological analysis of stimulus variables in equivalence relations

Recently, electrophysiological measures have been used to evaluate the functional overlap between semantic relations and laboratory-defined equivalence relations with abstract stimuli. Several studies using semantic judgment procedures have shown that accompanying EEG-measured neural activity for stimulus pairs from equivalence classes is very similar to that of word pairs from participants' native language. However, those studies often included pronounceable elements (e.g., written nonsense syllables) as at least one member of the experimentally defined classes. The present study conducted EEG studies that contrasted classes with and without such elements. Two groups of undergraduate students completed a matching-to-sample procedure to establish 3 4-member equivalence classes. For Group 1, samples and comparisons were pronounceable pseudowords and abstract figures. For Group 2, the matching-to-sample stimuli were abstract figures only. EEG data recorded during the semantic judgment tasks showed waveform patterns compatible with prior studies of semantic relations in Group 1 but not in Group 2.     

Murray Sidman: fostering progress through foundational choices

The contributions of Murray Sidman to the field of behavior analysis have helped to put the field on a progressive path. In this paper we describe three areas as examples, drawn from the larger set of his notable contributions: the analysis of stimulus equivalence in a way that has fostered a behavior-analytic approach to derived stimulus relations and symbolic meaning; the observation and measurement of individual behavior through time; and his stance against punitive applied methods. In each of these areas Sidman was a dedicated behaviorist, avoiding appeals to mentalistic or transcendental forces, opposing hypothetical mediational accounts, and taking a functional and contextual approach. Clarity of assumptions was at the heart of Sidman's effective scientific practices and there is no reason to think that those same assumptions will not carry us further, as evidence mounts in support of these views on psychological research and practice.     

Expectations in Romantic Relations and Psychological Well-Being of Adolescents in Pakistan: Moderating Role of Parental Support

The objective of the current study was to investigate the role of perceived parental support as a moderator in the association between adolescents’ expectations in romantic relations and their psychological well-being. The sample consisted of 647 adolescents (boys = 285, girls = 362). Their age ranged from 16 to 18 years (M = 17.19 years, SD = .77) and they were regular students in different colleges of Islamabad and Rawalpindi. They completed the Perceived Parental Support Scale, the Well-being Questionnaire-W-BQ12 and the Romantic Relations Scale for Adolescents. The results showed that there were significant gender differences on expectations in romantic relations and psychological well-being with girls scoring higher than boys on expectations in romantic relations while boys scoring higher than girls on psychological well-being. The results also indicated that there was a significant negative association between expectations in romantic relations and psychological well-being. Findings of the moderation analysis showed that perceived parental support moderated the association. Simple slope analysis indicated that there was a significant negative slope for low and medium levels of perceived parental support while the slope was non-significant for high levels of perceived parental support. These results indicated that perceived parental support counters the negative effect of expectations in romantic relations on psychological well-being during adolescence. It is suggested that perceived parental support is important in planning interventions to improve the well-being of adolescents.     

Training sequence effects on emergent conditional discriminations: Replication and extension to selection-based training

We examined the replicability and generality of a previously reported training sequence effect on emergent conditional discriminations in the intraverbal naming task. In Experiment 1, a tact–intraverbal (TI) group learned first to vocally label 6 visual patterns and then to intraverbally relate pairs of verbal labels, whereas an intraverbal–tact (IT) group received the same training in the opposite sequence. Emergent conditional discriminations among pattern stimuli were assessed in match-to-sample (MTS) format. Experiment 2 was identical, except vocal tact and intraverbal training were replaced with selection-based training in which the verbal labels were text stimuli. Compared to the IT sequence, the TI sequence resulted in greater mean accuracy at test (Experiment 1), higher yields (Experiment 2), and shorter reaction times (Experiment 2). Experiment 2 data suggested the TI group's performance might be less dependent on intact intraverbal relations relative to the IT group, but related to participants' reports of visualization during intraverbal training. The results suggest the sequence effect is replicable and occurs in experimental preparations commonly used to study derived stimulus relations. They also provide novel support for the hypothesis that participant behavior during training alters sources of stimulus control available at test.     

青少年早期抑郁和自伤的联合发展轨迹：人际因素的作用

通过对859名初中生历时3年的3次追踪测量, 考察了抑郁和自伤的独立与联合发展轨迹, 并对3种重要人际关系(亲子关系、同伴关系、师生关系)在二者联合发展中的作用进行检验。结果发现, 青少年早期抑郁和自伤分别呈现4条和3条异质性发展轨迹; 二者的联合发展轨迹包含“低抑郁-低自伤-稳定”、“低抑郁-低自伤-增长”、“中抑郁-中自伤-降低”三类; 父母心理控制和同伴接纳分别为青少年早期抑郁和自伤的风险与保护性因素。     

Factors associated with the socioemotional development of preterm infants

Preterm birth is a risk factor for problems in interactions with others. We compared the difference in socioemotional development between hospital discharge and at six months of corrected age of infants born ≤32 weeks and assessed the impact of maternal and infantile factors on socioemotional development rate within a 6 month’s period. Mother-child dyads (n = 144) were assessed by the Mother-Baby Observation Protocol 0–6 months through a video microanalysis. Multivariate model was built. Neonatal, maternal and child factors were associated with interactive gaze, initiate contact, responsiveness, infantile vocalization, and thus contributed to the socioemocional development of preterm infants with their mothers.