Hallucinations in the psychotic state: Psychoanalysis and the neurosciences compared

In this contribution, which takes account of important findings in neuroscientific as well as psychoanalytic research, the authors explore the meaning of the deep‐going distortions of psychic functioning occurring in hallucinatory phenomena. Neuroscientific studies have established that hallucinations distort the sense of reality owing to a complex alteration in the balance between top‐down and bottom‐up brain circuits. The present authors postulate that hallucinatory phenomena represent the outcome of a psychotic's distorted use of the mind over an extended period of time. In the hallucinatory state the psychotic part of the personality uses the mind to generate auto‐induced sensations and to achieve a particular sort of regressive pleasure. In these cases, therefore, the mind is not used as an organ of knowledge or as an instrument for fostering relationships with others. The hallucinating psychotic decathects psychic (relational) reality and withdraws into a personal, bodily, and sensory space of his own. The opposing realities are not only external and internal but also psychic and sensory. Visual hallucinations could thus be said to originate from seeing with the ‘eyes’ of the mind, and auditory hallucinations from hearing with the mind's ‘ears’. In these conditions, mental functioning is restricted, cutting out the more mature functions, which are thus no longer able to assign real meaning to the surrounding world and to the subject's psychic experience. The findings of the neurosciences facilitate understanding of how, in the psychotic hallucinatory process, the mind can modify the working of a somatic organ such as the brain.     

Sensory Modulation for People with Anxiety in a Community Mental Health Setting

Anxiety is a common mental health issue involving cognitive and physiological hypersensitivity to threat. It negatively affects occupational participation. Sensory modulation intervention aims to use calming sensory input to manage the hypersensitivity and physiological arousal associated with anxiety. The empirical evidence for using sensory interventions for anxiety, however, is limited. This mixed methods single subject case design explored the effectiveness of a 6-week sensory modulation intervention for reducing anxiety and improving occupational participation. Results showed significant reduction in anxiety and improved participation, providing further evidence that sensory modulation is an effective approach for the self-management of anxiety.     

Efficacy of the Wilbarger Therapressure Program™ to Modulate Arousal in Women with Post-Traumatic Stress Disorder: A Pilot Study Using Salivary Cortisol and Behavioral Measures

This pilot study assesses the efficacy of using the Wilbarger Therapressure Program? to modulate the arousal and influence the sensory symptoms seen in individuals with post-traumatic stress disorder. Salivary cortisol and behavioral measures were used in this single subject design study of four women with post-traumatic stress disorder. Significant positive changes were seen in three of the four the women. The exception was one woman whose post-traumatic stress disorder resulted from blast injuries.     

中文版父母报告高敏感儿童量表的修订

本研究修订编制适合测量学前儿童的中文版父母报告高敏感儿童量表,并在学前儿童家长群体中进行信效度检验。通过文献分析,建构了学前儿童高感觉加工敏感性的结构模型,在参考国外量表题目的基础上,编制了初始量表。按照量表编制流程先后对1633名3～6岁学前儿童家长进行问卷测试,通过项目分析、探索性与验证性因素分析对初始量表进行题目删减与维度确定,最终形成了包括易刺激性、审美敏感性和低感觉阈限三个维度的中文版父母报告高敏感儿童量表。进一步分析表明,中文版父母报告高敏感儿童量表信效度符合统计学要求,能够作为测量我国学前儿童感觉加工敏感性的有效工具。     

A FUNCTIONAL ANALYSIS OF HAIR PULLING

We experimentally assessed the functions of hair pulling and hair manipulation of a 19-year-old woman (Kris) with moderate mental retardation and cerebral palsy. In Phase 1 a functional analysis revealed that Kris pulled and manipulated hair for the greatest amount of time in the alone condition, suggesting that the behaviors were maintained by some form of automatic reinforcement (Vaughan & Michael, 1982). In Phase 2 we assessed the nature of the sensory stimulation that maintained hair pulling by providing continuous access to previously pulled or cut hair and, thereafter, by having Kris wear a rubber glove. The results suggested that hair pulling was maintained by digital-tactile stimulation (automatic positive reinforcement). These findings are discussed, and recommendations for further analyses of automatically reinforced habit behaviors are provided.     

First‐hand sensory experience plays a limited role in children's early understanding of seeing and hearing as sources of knowledge: Evidence from typically hearing and deaf children

One early‐developing component of theory of mind is an understanding of the link between sensory perception and knowledge formation. We know little about the extent to which children's first‐hand sensory experiences drive the development of this understanding, as most tasks capturing this early understanding target vision, with less attention paid to the other senses. In this study, 64 typically hearing children (M_age = 4.0 years) and 21 orally educated deaf children (M_age = 5.44 years) were asked to identify which of two informants knew the identity of a toy animal when each had differing perceptual access to the animal. In the ‘seeing’ condition, one informant saw the animal and the other did not; in the ‘hearing’ condition, one informant heard the animal and the other did not. For both hearing and deaf children, there was no difference between performance on hearing and seeing trials, but deaf children were delayed in both conditions. Further, within both the hearing and deaf groups, older children outperformed younger children on these tasks, indicating that there is a developmental progression. Taken together, the pattern of results suggests that experiences other than first‐hand sensory experiences drive children's developing understanding that sensory perception is associated with knowledge.     

Functional analysis and treatment of hair twirling in a young child.

A young child participated in a functional analysis and treatment of hair twirling, a frequently occurring precursor to hair pulling. The functional analysis showed that hair twirling occurred mostly when the child was alone at bedtime. Noncontingent application of mittens decreased hair twirling to near‐zero levels in two settings (home and day care).     

The role of spatial attention and other processes on the magnitude and time course of cueing effects

We are quite often exposed to multiple objects present in the visual scene, thus attentional selection is necessary in order to selectively respond to the relevant information. Objects can be selected on the basis of the location they occupy by orienting attention in space. In this paper, we review the evidence showing that attention can be oriented in space either endogenously, on the basis of central cues, predictive of the relevant location, or exogenously, automatically triggered by the salient properties of visual stimuli (peripheral cues). Several dissociations observed between orienting on the basis of the two types of cues have led to the conclusion that they do not represent just two modes of triggering the orienting of the very same attentional mechanism, but rather they modulate processing differently. We present a theoretical framework according to which endogenous predictive cues facilitate target processing by orienting attention, thus amplifying processing at the attended location. In contrast, apart from attentional orienting, peripherally presented discrepant cues might trigger additional cue-target event-integration and event-segregation processes, which modulate processing in a different way, thus leading to cueing effects that are exclusively triggered by peripheral cues.