Cognitive Behavior Therapy for Older Adults: Practical Guidelines for Adapting Therapy Structure

Cognitive behavioral therapy (CBT) has been shown to be an effective approach for a wide range of problems affecting older adults. While a variety of empirical and clinical papers have examined modifications to the content and delivery of CBT to enhance its efficacy with older adults, changes to the structure of therapy with this population have not been as widely discussed. Issues around optimizing the structure of CBT with older adults are presented, along with suggestions for realizing these changes within a clinical context.     

Immune disorders and handedness in dyslexic boys and their relatives

Thirty dyslexic and 30 control boys aged 7–11 years were compared for frequency of immune disorders and handedness as well as for family history of immune disorders and learning disabilities (dyslexia and stuttering). They were also compared for neurological status and for history of speech and language difficulties. There were no significant differences between the two groups in the frequency of immune disorders and in handedness. The results showed significantly more dyslexic boys with soft neurological signs and signs of speech and language disorders. The frequency of dyslexia was significantly higher in the relatives of the dyslexic boys. Also significantly more mothers of the dyslexic boys reported difficulties during pregnancy and complications at delivery. The results are discussed in terms of Geschwind's hypothesis and neuromaturational delay as possible determinants of developmental dyslexia.     

Vesper bells and penumbra awaiting shadow: Heidegger and Zhuangzi’s hermeneutics of words

In Heidegger’s thinking, a language is neither words nor expressions. The discussion of a language brings not the language itself but rather us into its essence, and makes us gather unto “the genesis of the very language itself.” With snows and vesper bells, Heidegger summoned both heaven and earth and gods and men, making them merge into a single world. Likewise, Zhuangzi used the words of Qixie to summon the fleeting clouds in an endless sky and a dusky earth populated by living beings and dust.     

The future is here: A review of foresight systems in anxiety and depression

Cognitive models of anxiety and depression have long suggested a central role for future-oriented thinking in these disorders. Experimental studies suggest that anxiety and depression are characterised by distinct future-oriented thinking profiles, and that these profiles are markedly different from those of asymptomatic adults. In this paper, we review these profiles and propose two explanatory models marked by two different neurocognitive systems. The Reconstructive Memory Model emphasises a role for emotionally driven learning and retrieval in episodic foresight (i.e., the construction of future-oriented scenarios), and the Valuation Model proposes that an overweighing of risk and uncertainty estimates can be invoked to explain the future-oriented thought patterns. We consider the effectiveness of interventions aimed at altering such thought patterns. We suggest that future research aimed at elucidating the neurobiological underpinnings of future-oriented thinking in anxiety and depression can play an important role in advancing development of effective biological and psychosocial interventions for these disorders.     

真实急病情境下共情对大学生慈善捐助的影响:有调节的中介效应

基于真实急病情境,采用道德强度、道德认同、共情和慈善捐助问卷对462名大学生进行调查,探讨了共情影响大学生慈善捐助的内在机制。结果显示:(1)女生在真实急病情境下比男生更容易对主人公的不幸事件产生共情反应;大学生真实急病情境下的共情反应随年级关系的疏远而逐渐降低;(2)共情在道德强度与慈善捐助的关系中具有部分中介作用,即道德强度通过共情对慈善捐助产生间接影响;(3)道德认同对共情的中介作用具有调节效应,具体而言,相对于低道德认同的个体,高道德认同的个体表现出更多的慈善捐助,并且共情对道德强度和慈善捐助的中介效应也显著增强。研究结论对于理解慈善捐助的内在机制具有理论价值,对于慈善捐助的教育和干预具有现实启示意义。     

Measuring episodic memory: A novel approach with an indefinite number of alternative forms

Both clinical practice and clinical research settings can require successive administrations of a memory test, particularly when following the trajectory of suspected memory decline in older adults. However, relatively few verbal episodic memory tests have alternative forms. We set out to create a broad‐based memory test to allow for the use of an essentially unlimited number of alternative forms. Four tasks for inclusion in such a test were developed. These tasks varied the requirement for recall as opposed to recognition, the need to form an association between unrelated words, and the need to discriminate the most recent list from earlier lists, all of which proved useful. A total of 115 participants completed the battery of tests and were used to show that the test could differentiate between older and younger adults; a sub‐sample of 73 participants completed alternative forms of the tests to determine test–retest reliability and the amount of learning to learn. Copyright © 2009 John Wiley & Sons, Ltd.     

Dysprosodic speech following basal ganglia insult: toward a conceptual framework for the study of the cerebral representation of prosody

Progress in understanding brain/behavior relationships in adult-acquired dysprosody has led to models of cortical hemispheric representation of prosodic processing based on functional (linguistic vs affective) or physical (timing vs pitch) parameters. These explanatory perspectives have not been reconciled, and also a number of neurobehavior syndromes that include dysprosody among their neurological signs have not yet been integrated. In addition to expanding the functional perspective on prosody, some of these syndromes have implicated a significant role of subcortical nuclei in prosodic competence. In this article, two patients with acquired dysprosodic speech following damage to basal ganglia nuclei were evaluated using behavioral, acoustic, cognitive, and radiographic approaches. Selective quantitative measures were performed on each individual's performance to provide detailed verification and clarification of clinical observations, and to test hypotheses regarding prosodic function. These studies, combined with a review of related clinical research findings, exemplify the value of a broader perspective on the neurobehavioral dysfunction underlying acquired adult dysprosodic speech, and lead to a new, proposed conceptual framework for the cerebral representation of prosody.