Attention network test: Assessment of cognitive function in chronic fatigue syndrome

Information processing difficulties are common in patients with chronic fatigue syndrome (CFS). It has been shown that the time it takes to process a complex cognitive task, rather than error rate, may be the critical variable underlying CFS patients' cognitive complaints. The Attention Network Task (ANT) developed by Fan and colleagues may be of clinical utility to assess cognitive function in CFS, because it allows for simultaneous assessment of mental response speed, also called information processing speed, and error rate under three conditions challenging the attention system. Comparison of data from two groups of CFS patients (those with and without comorbid major depressive disorder; n = 19 and 22, respectively) to controls (n = 29) consistently showed that error rates did not differ among groups across conditions, but speed of information processing did. Processing time was prolonged in both CFS groups and most significantly affected in response to the most complex task conditions. For simpler tasks, processing time was only prolonged in CFS participants with depression. The data suggest that the ANT may be a task that could be used clinically to assess information processing deficits in individuals with CFS.     

Being and feeling liked by others: How social inclusion impacts health

This study examined the effects of perceived and actual social inclusion on health across and within individuals from a network perspective. During the first semester, 75 freshmen students provided bi-weekly ratings on their perceived social inclusion and health. To capture actual social inclusion, each student nominated liked and disliked fellow students. Perceived social inclusion mediated the effect of actual social inclusion on health. Specifically, students with more ‘likes’ perceived more social inclusion and those with higher perceived inclusion reported a better health status (between-person effect). In addition, at time points, when students received more ‘likes’ they also perceived more social inclusion. They reported better health at times when they felt more included (within-person effect). Thus, the perception of social inclusion is rooted in reality and actual social inclusion has an impact on health when passing the filter of perception.     

Decreasing student behavior problems and fostering academic engagement through function‐based support and fading of token reinforcement

This study examined the effects of function‐based behavior support plans (BSPs) on the persistent behavior problems and lack of academic engagement of three, 7‐ to 8‐year‐old, male students from two public schools in Iceland. Based on the results of functional behavioral assessments, BSPs were created for each participant. Each plan included a token system. The goal for all students was to foster independent functioning. A multiple baseline across participants showed that disruptive behavior decreased by 85% on average and academic engagement increased by 78% on average. Statistical analyses suggest significant positive effects were obtained. Findings suggest that persistent behavior problems can be reduced and independent academic engagement fostered in inclusive school settings through function‐based BSPs with gradual fading of token reinforcement.     

Modern Maṇḍala Meditation: Some Observations

In recent decades, Buddhist ma??alas have become increasingly popular. The creation of the Kālacakra (‘Wheel of Time’) ma??ala from coloured grains of sand by Tibetan monks can be seen in museums around the world. Ma??ala colouring books, part of the recent adult colouring book trend, are on display in many bookstores. Ma??alas are now perceived as ‘aids’ or ‘tools to meditation’ and designated as ‘meditation diagrams’ and ‘meditational art’. In this paper, I will discuss modern applications of (Buddhist) ma??alas in meditation practice. I will also highlight some aspects that set this modern usage apart from traditional functions of ma??alas in Buddhist tantric ritual.     

Dokumentation ambulanter Diagnostik in psychosomatischer Medizin und Psychotherapie

Zusammenfassung Das vorgestellte Dokumentationssystem vereint in sich die folgenden Anforderungen: Die zeitökonomische Abbildung der aktuellen Befunde, die Visualisierung der Biographie bzw. Lerngeschichte, die strukturierte Erfassung der Operationalisierten Psychodynamischen Diagnostik (OPD), die psychische und somatische Diagnostik einschließlich Rating des Beeinträchtigungsschwere-Score (BSS) und der Global Assessment of Functioning Scale (GAF) sowie die psychotherapeutisch-psychiatrischen Vorbefunde und die abschließende Indikationsstellung. Lediglich der Arztbrief, der beispielhaft dargestellt wird, wird diktiert. Eine so strukturierte Dokumentation ist patientennah, zeitökonomisch und bewährt sich an den Schnittstellen einer ambulant-stationär-ambulanten Behandlungskette. Sie ist eine ideale Basis für ein Qualitätsmanagement sowie Evaluation in der niedergelassenen Praxis, Ambulanz sowie im Konsiliardienst.      

Evidence of a shift from featural to configural face processing in infancy

Two experiments examined whether 4-, 6-, and 10-month-old infants process natural looking faces by feature, i.e. processing internal facial features independently of the facial context or holistically by processing the features in conjunction with the facial context. Infants were habituated to two faces and looking time was measured. After habituation they were tested with a habituation face, a switch-face, or a novel face. In the switch-faces, the eyes and mouth of the habituation faces were switched. The results showed that the 4-month-olds processed eyes and mouth by feature, whereas the 10-month-olds processed both features holistically. The 6-month-olds were in a transitional stage where they processed the mouth holistically but the eyes still as a feature. Thus, the results demonstrated a shift from featural to holistic processing in the age range of 4 to 10 months.     

Attention, heart rate, and startle response during exposure to trauma-relevant pictures: a comparison of recent trauma victims and patients with posttraumatic stress disorder

Victims of a recent trauma were compared with posttraumatic stress disorder (PTSD) patients and healthy controls to assess whether a specific anxiety response and an attentional bias were evident initially or only in chronic PTSD. Heart rate (HR) and startle response were measured, and a dot-probe task was carried out using trauma-relevant pictures. Severely affected recent trauma victims and chronic PTSD patients showed HR acceleration to trauma-related material, which was the only significant group difference. A bias away from trauma-related material was related to severity of intrusions in recent trauma victims, and the bias toward trauma-related material increased with amplitude of the HR response in PTSD patients. A specific anxiety reaction is present initially in severely affected trauma victims.     

Gratitude,revenge, and Mitleid: reading Nietzsche’s Daybreak 138

ABSTRACT

This paper analyses Daybreak 138 closely line by line in order to examine whether Nietzsche's conclusion that ‘there is something degrading in suffering and something elevating and productive of superiority in pitying (Mitleiden)’ truly holds. I shall argue that it does not. By way of objection to Nietzsche's conclusion, I am offering a counter example and also examine what, in the context of Daybreak 138, gratitude, revenge, and Mitleid have in common so that they can be used by Nietzsche to pursue together a common goal. I suggest that the feature gratitude, revenge and Mitleid have in common is their usefulness to establish or maintain equality.