A Psychoneuroimmunologic Perspective on AIDS Research: Questions,Preliminary Findings,and Suggestions1

Starting with the premise that research questions emanating from the fields of psychoneuroimmunology and behavioral medicine may provide critical information for understanding and treating acquired immune deficiency syndrome (AIDS), we provide brief backgrounds on psychoneuroimmunology and on AIDS. Previously, Solomon had generated 25 hypotheses based on the thesis that the immune and central nervous systems are intimately linked. Eight hypotheses from his list are presented as particularly relevant to AIDS. From these hypotheses, we derived a set of 12 new questions to be addressed in research on AIDS. Evidence and illustrations from studies in the literature, from our own research on psychoimmunologic relationships and psychosocial factors related to outcome, and from clinical examples is discussed for each question. Finally, suggestions are offered to address some of the problems in conducting psychoneurologic research.     

Social reciprocity in handicapped and nonhandicapped children in a dyadic play situation

Social reciprocity behavior was compared for handicapped and nonhandicapped preschool children when they were in play situations with both handicapped and nonhandicapped partners. In a counterbalanced design, handicapped and nonhandicapped children were paired with both handicapped and nonhandicapped play partners, and the social initiation and response sequences of the dyads were observed. Types of initiation observed were friendly statements, friendly questions, mildly negative advances, and demanding statements. Friendly, ignoring, and negative responses were observed to these initiations. Handicapped and nonhandicapped children did not differ on overall number of initiations. However, they did differ on the types of initiation they made. Handicapped children asked fewer friendly questions and engaged in more demanding initiations than expected. Both groups made more initiations when paired with handicapped partners than when paired with nonhandicapped partners, but the groups did not differ on the types of initiation made to handicapped and nonhandicapped partners. The handicapped children made more ignoring and negative responses to friendly initiations than the nonhandicapped children. Behaving similarly, both groups tended to respond negatively to negative and demanding initiations.     

Lateral inhibition and echoic memory: Some comments on Crowder’s (1978) theory

Crowder (1978) has proposed a theory of the suffix effect based on lateral inhibition among echoic representations of the list and suffix items. The theory was prompted by, and derives its principal support from, the counterintuitive finding that the effect is smaller with multiple suffixes than with a conventional single suffix. In this paper, we describe four experiments, each of which fails to replicate this finding. In addition, we note a prediction of the theory and show that it is contrary to available evidence. It is argued that the details of the suffix effect are too complex to be captured by a theory of peripheral mechanism, even one as ingenious as Crowder’s.     

Persistence of simple and contingent motion aftereffects

Jones and Holding (1975) showed that orientation-contingent color aftereffects can persist for at least 3 months, but are depleted by repeated testing. We applied the same paradigm to a simple motion aftereffect (MAE) and found that it can persist for up to 1week and is only slightly diminished by testing. It was further found that simple MAEs appear to persist longer than color-contingent MAEs, although when procedures for inducing and measuring both kinds of aftereffect are equalized, contingent MAEs last longer. Finally, no tendency was found for color-contingent MAEs to diminish with repeated testing. Although both simple and color-contingent MAEs can be relatively persistent, there are certain differences between them. Furthermore, contingent aftereffects should not be considered interchangeable, as there appear to be large differences in the persistence of orientation-contingent color aftereffect and color-contingent MAEs.     

Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

Low-income families are more likely to have a child with an early-onset Behavior Disorder (BD); yet, socioeconomic strain challenges engagement in Behavioral Parent Training (BPT). This study follows a promising pilot to further examine the potential to cost-effectively improve low-income families’ engagement in and the efficiency of BPT. Low-income families were randomized to (a) Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003), a weekly, mastery-based BPT program that includes both the parent and child or (b) Technology-Enhanced HNC (TE-HNC), which includes all of the standard HNC components plus a parent mobile application and therapist web portal that provide between-session monitoring, modeling, and coaching of parent skill use with the goal of improved engagement in the context of financial strain. Relative to HNC, TE-HNC families had greater homework compliance and mid-week call participation. TE-HNC completers also required fewer weeks to achieve skill mastery and, in turn, to complete treatment than those in HNC without compromising parent satisfaction with treatment; yet, session attendance and completion were not different between groups. Future directions and clinical implications are discussed.     

Regression II. Development through regression

As shown in our previous paper (‘Regression I. Experimental approaches to regression’, JAP, 65, 2, 345-65), the common mechanism of regression can be described as reversible dedifferentiation, which is understood as a relative increase of the proportion of low-differentiated (older) systems in actualized experience. Experimental data show that regression following disease (chronic tension headache) is followed by adaptation and an increase in system differentiation in that experience domain which contains systems responsible for that adaptation. The results of mathematical modelling support the idea that reversible dedifferentiation can be one of the mechanisms for increasing the effectiveness of adaptation through learning. Reversible dedifferentiation, which is phenomenologically described as regression, is a general mechanism for restructuring the organism-environment interactions in situations where behaviours that were effective in the past become ineffective. Reversible dedifferentiation has evolved as a component of adaptation when new behaviours are formed and large-scale modifications in the existing behaviours are required in the face of changes in the external and/or internal environment. Thus, the authors believe that this article provides evidence for Jung’s view that regression is not only a ‘return’ to past forms of thinking, affects and behaviour, but that regressive processes provide a significant impetus for psychological growth and development.