How does mindfulness-based cognitive therapy work?

Mindfulness-based cognitive therapy (MBCT) is an efficacious psychosocial intervention for recurrent depression ( [Kuyken et?al., 2008], [Ma and Teasdale, 2004] and [Teasdale et?al., 2000]). To date, no compelling research addresses MBCT’s mechanisms of change. This study determines whether MBCT’s treatment effects are mediated by enhancement of mindfulness and self-compassion across treatment, and/or by alterations in post-treatment cognitive reactivity. The study was embedded in a randomized controlled trial comparing MBCT with maintenance antidepressants (mADM) with 15-month follow-up (Kuyken et al., 2008). Mindfulness and self-compassion were assessed before and after MBCT treatment (or at equivalent time points in the mADM group). Post-treatment reactivity was assessed one month after the MBCT group sessions or at the equivalent time point in the mADM group. One hundred and twenty-three patients with ≥3 prior depressive episodes, and successfully treated with antidepressants, were randomized either to mADM or MBCT. The MBCT arm involved participation in MBCT, a group-based psychosocial intervention that teaches mindfulness skills, and discontinuation of ADM. The mADM arm involved maintenance on a therapeutic ADM dose for the duration of follow-up. Interviewer-administered outcome measures assessed depressive symptoms and relapse/recurrence across 15-month follow-up. Mindfulness and self-compassion were measured using self-report questionnaire. Cognitive reactivity was operationalized as change in depressive thinking during a laboratory mood induction.MBCT’s effects were mediated by enhancement of mindfulness and self-compassion across treatment. MBCT also changed the nature of the relationship between post-treatment cognitive reactivity and outcome. Greater reactivity predicted worse outcome for mADM participants but this relationship was not evident in the MBCT group.MBCT’s treatment effects are mediated by augmented self-compassion and mindfulness, along with a decoupling of the relationship between reactivity of depressive thinking and poor outcome. This decoupling is associated with the cultivation of self-compassion across treatment.     

Adaptation is automatic

Two experiments were used to test whether selective adaptation for speech occurs automatically or instead requires attentional resources. A control condition demonstrated the usual large identification shifts caused by repeatedly presenting an adapting sound (/wa/, with listeners identifying members of a /ba/-/wa/ test series). Two types of distractor tasks were used: (1) Subjects did a rapid series of arithmetic problems during the adaptation periods (Experiments 1 and 2), or (2) they made a series of rhyming judgments, requiring phonetic coding (Experiment 2). A control experiment (Experiment 3) demonstrated that these tasks normally impose a heavy attentional cost on phonetic processing. Despite this, for both experimental conditions, the observed adaptation effect was just as large as in the control condition. This result indicates that adaptation is automatic, operating at an early, preattentive level. The implications of these results for current models of speech perception are discussed.     

Social anxiety and the shame of psychosis: a study in first episode psychosis

Social anxiety disorder (SaD) or social phobia is a co-morbid affective disorder in schizophrenia, present in up to one in three individuals. We employ 'social rank' theory to predict that one pathway to social anxiety in schizophrenia is triggered by the anticipation of a catastrophic loss of social status that the stigma of schizophrenia can entail. A group of 79 people with a first episode of psychosis were assessed for social anxiety: hypotheses were tested comparing 23 socially anxious and 56 non-anxious patients on measures of cognitive appraisals of shame/stigma of psychosis and perceived social status, controlling for depression, psychotic symptoms and general psychopathology. Participants with social anxiety experienced greater shame attached to their diagnosis and felt that the diagnosis placed them apart from others, i.e., socially marginalised them and incurred low social status. We propose a stigma model of social anxiety that makes testable predictions about how the shame beliefs may contaminate social interaction and thereby exacerbate and maintain social phobia.     

Protecting Against Misleading Post‐event Information with a Self‐Administered Interview

Two studies investigated whether an early recall opportunity, in the form of a self‐administered interview (SAI), reduced forgetting and protected against the negative consequences of post‐event misinformation. In both studies, participants viewed a simulated crime on DVD after which half immediately recorded their statement by using the SAI, whereas control participants did not have an immediate recall opportunity. Following a delay, participants were presented with misinformation encountered either in a misleading news report (Study 1) or in the form of misleading cued‐recall questions (Study 2). Results showed that participants who had completed a SAI after witnessing an event were significantly less prone to forgetting and significantly more resistant to the negative consequences of misinformation. The SAI was able to protect both the quantity and quality of information about a previously witnessed event. Applied implications are discussed. Copyright © 2012 John Wiley & Sons, Ltd.     

Protecting and Enhancing Eyewitness Memory: The Impact of an Initial Recall Attempt on Performance in an Investigative Interview

Evidence‐gathering begins at the scene of an incident. Available witnesses may be asked to provide an account of what happened, either in response to an open request for information or, in some regions, by completing a Self‐Administered Interview (SAI©). In both cases, an investigative interview may be conducted at some later date. This study sought to determine the impact of an initial retrieval attempt on a subsequent interview. After exposure to a mock crime, participants completed an SAI© or a free recall (FR), or did not engage in an initial retrieval (Control). One week later, participants were interviewed with a Cognitive Interview. SAI© participants reported more correct information and maintained higher accuracy than FR and Control participants. Consistency analyses revealed that the SAI© was effective because it preserved more of the originally recalled items (Time 1) than did an initial FR, and not because it yielded new recollections at Time 2. Copyright © 2014 John Wiley & Sons, Ltd.     

“It’s Really No Big Deal”: The Role of Social Supply Networks in Normalizing Use of Cannabis by Students at Canadian Universities

Cannabis (marijuana) has undergone a normalizing process as indicated by high use rates, social tolerance, and broader cultural acceptance of its use in many countries. Users also maintain access through extended friendship networks that facilitate the cultural diffusion of the practice. The social nature of supply is herein theorized in terms of Goffman’s understanding of activities that function to preserve a sense of normalcy as a collective achievement enabling predictable constructions of reality. Based on in-depth interviews with undergraduate students, we explore how social networks of supply—characterized by casual access, reciprocity, and sharing—contribute to shared meanings about using marijuana as an unremarkable or “normal” thing to do.     

Information‐Theoretic Properties of Auditory Sequences Dynamically Influence Expectation and Memory

A basic function of cognition is to detect regularities in sensory input to facilitate the prediction and recognition of future events. It has been proposed that these implicit expectations arise from an internal predictive coding model, based on knowledge acquired through processes such as statistical learning, but it is unclear how different types of statistical information affect listeners’ memory for auditory stimuli. We used a combination of behavioral and computational methods to investigate memory for non‐linguistic auditory sequences. Participants repeatedly heard tone sequences varying systematically in their information‐theoretic properties. Expectedness ratings of tones were collected during three listening sessions, and a recognition memory test was given after each session. Information‐theoretic measures of sequential predictability significantly influenced listeners’ expectedness ratings, and variations in these properties had a significant impact on memory performance. Predictable sequences yielded increasingly better memory performance with increasing exposure. Computational simulations using a probabilistic model of auditory expectation suggest that listeners dynamically formed a new, and increasingly accurate, implicit cognitive model of the information‐theoretic structure of the sequences throughout the experimental session.     

Inhibition of return: A graphical meta-analysis of its time course and an empirical test of its temporal and spatial properties

Immediately after a stimulus appears in the visual field, there is often a short period of facilitated processing of stimuli at or near this location. This period is followed by one in which processing is impaired, rather than facilitated. This impairment has been termed inhibition of return (IOR). In the present study, the time course of this phenomenon was examined in two ways. (1) A graphical metaanalysis plotted the size of the effect as a function of the stimulus onset asynchrony (SOA) of the two stimuli. This analysis showed that IOR is impressively stable for SOAs of 300-1,600 msec. It also showed that the literature does not provide any clear sense of the duration of IOR. (2) An empirical approach was, therefore, taken to fill this gap in our knowledge of IOR. In three experiments, IOR was tested using SOAs between 600 and 4,200 msec. IOR was robust for approximately 3 sec and appeared to taper off after this point; the observed duration varied somewhat as a function of the testing conditions. In addition, for the first second, the degree of inhibition was inversely related to distance of the target from the original stimulus, but for the next 2 sec this spatial distribution was not observed. Theories of the mechanisms and function of IOR must conform to these spatial and temporal properties.     

Women’s Use of and Access to Illicit Cannabis: An Investigation of Gendered Norms among College Students in Canada

Sex Roles - In the present study, I investigate how often unacknowledged gendered norms shape young women’s use of and access to illicit cannabis. I apply a “doing gender”...