Extended problem solving treatment for depression

Introduction: Effective brief psychological approaches for depression that can be delivered by a variety of health professionals with minimal training increase access to treatment by patients. Problem Solving Treatment (PST) was developed for primary care and was modified for this study (EPST) to better meet the needs of mental health patients. Method: A total of 92 therapists from different professional backgrounds completed EPST workshops and treated 92 patients with major depression with interval clinical and treatment process assessments. Results: EPST achieved a significant reduction in depressive symptom scores, life problem scores, and there were few treatment non‐completers. Treatment outcome was predicted by process and therapist variables. Discussion: EPST is an effective and easy to teach treatment that can be delivered by a variety of practitioners and suitable for busy primary mental health care settings.     

Working in the Midst of Unfolding Trauma and Traumatic Loss

Abstract

Training developed for New York City social workers in the evolving aftermath of September 11, 2001 is introduced, offering a conceptual framework for clinical practice in the midst of unfolding trauma and traumatic loss. A focus is placed on the shared, collective process of learning and discussion among colleagues, as an effort parallel to work with clients, progressing together to establish meaning and hope through relationships. Professional training framing this catastrophe within trauma and traumatic loss perspectives, and addressing its impact on clinician, client, work, and treatment relationship, is needed. Also providing on-going support, a process of continuity, and a context of community, this training becomes a collective response to the profound impact and complex, evolving needs of this time.     

Rethinking ‘Don't Blame the Victim’

SUMMARY

The psychology of victims and the dynamics of victimhood have been largely ignored by scholars and clinicians. While in past years the tendency has been to blame victims, more recently the tide has turned. It is now politically incorrect to explore the role of victims in violent systems, as exploring the psychology of victims has become synonymous with blaming the victim. While shying away from blame, this article will explore the familial and cultural origins of victimhood, victims' characteristics, their relationships with the perpetrators, and it will offer a victim typology. As we move from btame to a more complex understanding of violent systems, the perpetuation of these systems in our culture, and the role victims play in these systems, we provide ourselves with better tools to predict and prevent further victimization.     

BOOK REVIEWS

No abstract available for this article.     

基于双加工理论解释下信念偏差效应的神经机制

信念偏差效应是指人们已有的知识信念对逻辑推理的影响现象.对此,双加工理论认为这是由于信念偏向系统和逻辑分析系统之间的冲突所导致的.近年来,该理论得到来自认知神经科学证据的有力支持:一方面,基于功能磁共振成像(fMRI)、近红外光谱(NIRS)以及重复性经颅磁刺激(rTMS)等技术的研究从不同角度证实右侧前额皮层与信念偏差抑制有关;另一方面,基于脑电(ERP)的研究表明,晚期正成分和晚期负成分可能参与了不同推理类型下信念偏差效应的认知加工.未来的研究可以从工作记忆、不同加工阶段、推理前提本身可信度、实验分析、实验材料生态学效度以及思维训练等方面对信念偏差效应作进一步探索.     

Belief–logic conflict resolution in syllogistic reasoning: Inspection-time evidence for a parallel-process model

An experiment is reported examining dual-process models of belief bias in syllogistic reasoning using a problem complexity manipulation and an inspection-time method to monitor processing latencies for premises and conclusions. Endorsement rates indicated increased belief bias on complex problems, a finding that runs counter to the “belief-first” selective scrutiny model, but which is consistent with other theories, including “reasoning-first” and “parallel-process” models. Inspection-time data revealed a number of effects that, again, arbitrated against the selective scrutiny model. The most striking inspection-time result was an interaction between logic and belief on premise-processing times, whereby belief – logic conflict problems promoted increased latencies relative to non-conflict problems. This finding challenges belief-first and reasoning-first models, but is directly predicted by parallel-process models, which assume that the outputs of simultaneous heuristic and analytic processing streams lead to an awareness of belief – logic conflicts than then require time-consuming resolution.     

Inhibiting beliefs demands attention

Research across a variety of domains has found that people fail to evaluate statistical information in an atheoretical manner. Rather, people tend to evaluate statistical information in light of their pre-existing beliefs and experiences. The locus of these biases continues to be hotly debated. In two experiments we evaluate the degree to which reasoning when relevant beliefs are readily accessible (i.e., when reasoning with Belief-Laden content) versus when relevant beliefs are not available (i.e., when reasoning with Non-Belief-Laden content) differentially demands attentional resources. In Experiment 1 we found that reasoning with scenarios that contained Belief-Laden content required fewer attentional resources than reasoning with scenarios that contained Non-Belief-Laden content, as evidenced by smaller costs on a secondary memory load task for the former than the latter. This trend was reversed in Experiment 2 when participants were instructed to ignore their beliefs when reasoning with Belief-Laden and Non-Belief-Laden scenarios. These findings provide evidence that beliefs automatically influence reasoning, and attempting to ignore them comes with an attentional cost.     

The distinction between tapping and circle drawing with and without tactile feedback: An examination of the sources of timing variance

An internal clock-like process has been implicated in the control of rhythmic movements performed for short (250–2,000 ms) time scales. However, in the past decade, it has been claimed that a clock-like central timing mechanism is not required for smooth cyclical movements. The distinguishing characteristic delineating clock-like (event) from non-clock-like (emergent) timing is thought to be the kinematic differences between tapping (discrete-like) and circle drawing (smooth). In the archetypal event-timed task (tapping), presence of perceptual events is confounded with the discrete kinematics of movement (table contact). Recently, it has been suggested that discrete perceptual events help participants synchronize with a metronome. However, whether discrete tactile events directly elicit event timing has yet to be determined. In the present study, we examined whether a tactile event inserted into the circle drawing timing task could elicit event timing in a self-paced (continuation) timing task. For a majority of participants, inserting an event into the circle drawing task elicited timing behaviour consistent with the idea that an internal timekeeper was employed (a correlation of circle drawing with tapping). Additionally, some participants exhibited characteristics of event timing in the typically emergently timed circle drawing task. We conclude that the use of event timing can be influenced by the insertion of perceptual events, and it also exhibits persistence over time and over tasks within certain individuals.     

Delayed auditory feedback in repetitive tapping: A role for the sensory goal

The open-loop model by Wing and Kristofferson has successfully explained many aspects of movement timing. A later adaptation of the model assumes that timing processes do not control the movements themselves, but the sensory consequences of the movements. The present study tested direct predictions from this “sensory-goals model”. In two experiments, participants were instructed to produce regular intervals by tapping alternately with the index fingers of the left and the right hand. Auditory feedback tones from the taps of one hand were delayed. As a consequence, regular intervals between taps resulted in irregular intervals between feedback tones. Participants compensated for this auditory irregularity by changing their movement timing. Compensation effects increased with the magnitude of feedback delay (Experiment 1) and were also observed in a unimanual variant of the task (Experiment 2). The pattern of effects in alternating tapping suggests that compensation processes were anticipatory—that is, compensate for upcoming feedback delay rather than being reactions to delay. All experiments confirmed formal model predictions. Taken together, the findings corroborate the sensory-goals adaptation of the Wing–Kristofferson model.