Self-reports of trauma and dissociation: An examination of context effects

To examine context effects in moderating the link between self-reported trauma and dissociation in undergraduate samples, we administered these measures either in the same or different experimental contexts. Trauma History Screen/THS (Carlson et al., 2011)-Dissociative Experiences Scale/DES-II (Bernstein & Putnam, 1986) correlations revealed a context effect (greater correlations in same test context), although multiple regression analyses did not confirm this finding. A context effect was supported in DES-Taxon scores using multiple regression for the THS but not the Modified Posttraumatic Stress Scale (MPSS-SR; Falsetti, Resnick, Resick, & Kilpatrick, 1993), an effect confirmed with correlation comparisons. Ethnicity influenced the association between measures of trauma and dissociation. Overall, the relation between measures of trauma and dissociation was small to medium, although high correlations were observed between the DES depersonalization/derealization subscale and the Multiscale Dissociation Inventory (Briere, Weathers, & Runtz, 2005) depersonalization and derealization subscales, supporting the construct validity of these measures.     

Visual perspective as a two-dimensional construct in episodic future thought

Visual perspective (first-person vs. third-person) is a salient characteristic of memory and mental imagery with important cognitive and behavioural consequences. Most work on visual perspective treats it as a unidimensional construct. However, third-person perspective can have opposite effects on emotion and motivation, sometimes intensifying these and other times acting as a distancing mechanism, as in PTSD. For this reason among others, we propose that visual perspective in memory and mental imagery is best understood as varying along two dimensions: first, the degree to which first-person perspective predominates in the episodic imagery, and second, the degree to which the self is visually salient from a third-person perspective. We show that, in episodic future thinking, these are anticorrelated but non-redundant. These results further our basic understanding of the potent but divergent effects visual perspective has on emotion and motivation, both in everyday life and in psychiatric conditions.     

A Process Model of Causal Reasoning

How do we make causal judgments? Many studies have demonstrated that people are capable causal reasoners, achieving success on tasks from reasoning to categorization to interventions. However, less is known about the mental processes used to achieve such sophisticated judgments. We propose a new process model—the mutation sampler—that models causal judgments as based on a sample of possible states of the causal system generated using the Metropolis–Hastings sampling algorithm. Across a diverse array of tasks and conditions encompassing over 1,700 participants, we found that our model provided a consistently closer fit to participant judgments than standard causal graphical models. In particular, we found that the biases introduced by mutation sampling accounted for people's consistent, predictable errors that the normative model by definition could not. Moreover, using a novel experimental methodology, we found that those biases appeared in the samples that participants explicitly judged to be representative of a causal system. We conclude by advocating sampling methods as plausible process-level accounts of the computations specified by the causal graphical model framework and highlight opportunities for future research to identify not just what reasoners compute when drawing causal inferences, but also how they compute it.     

Perceptual biases and metacognition and their association with anomalous self experiences in first episode psychosis

Anomalous self-experiences have been described as a prerequisite for anomalous perceptual experiences. Later, these anomalous perceptual experiences may then be metacognitively appraised as distressing, maintaining these experiences and later leading to anomalous (delusional) beliefs. This model of anomalous events may potentially be driven by perceptual biases and metacognitive deficits. This cross-sectional study explored the association between perceptual biases, metacognition and anomalous self- and perceptual experiences and delusional beliefs in First Episode Psychosis (FEP) and a matched healthy control sample. Fifty-eight individuals with FEP and seventy-two healthy controls were included in the main analysis. Increased auditory perceptual biases were significantly associated with increased state and trait anomalous self-experiences, in particular alienation from surroundings and emotional numbing. No significant associations were found between metacognitive efficiency and anomalous experiences. These findings may be consistent with the minimal self-disturbance model of schizophrenia spectrum vulnerability, particularly with the hyperreflexivity concept.     

Hyperarousal and dissociation: a study of novice skydivers

Peritraumatic dissociation describes alterations in awareness that occur during or immediately after a trauma. This study investigated a simulated form of peritraumatic dissociation by indexing the responses of skydivers (N=100) who were participating in their first skydive. Prior to jumping, participants completed the Beck anxiety inventory, the Tellegen absorption scale, and ratings of predictability and uncontrollability. Immediately after the jump, they completed the peritraumatic dissociative experiences questionnaire and the physical reactions scale. Responses indicated that the skydive elicited extreme anxiety, hyperarousal, and peritraumatic dissociation in a significant proportion of skydivers. Multiple regression analyses indicated that hyperarousal, and to a lesser extent anxiety, were strongly predictive of peritraumatic dissociative reactions. These results are discussed in terms of proposals that peritraumatic dissociation is mediated by hyperarousal.     

The relationship between acute stress disorder and posttraumatic stress disorder in severely injured trauma survivors

This prospective longitudinal study was designed to investigate the relationship between acute stress disorder (ASD) and the subsequent development of posttraumatic stress disorder (PTSD) in a population of severely injured hospitalised trauma survivors. Symptoms of ASD were assessed just prior to discharge in 307 consecutive admissions to a Level 1 Trauma Centre, with PTSD assessments completed at 3 and 12 months post-injury. A well-established structured clinical interview was adopted for both assessments. Only 1% of the sample met criteria for an ASD diagnosis (at a mean of 8 days post-injury), while the incidence of PTSD was 9% at 3 months and 10% at 12 months. Although all ASD symptom clusters contributed to the prediction of subsequent PTSD severity, logistic regression indicated that only re-experiencing and arousal predicted a categorical PTSD diagnosis. The dissociative symptoms that form the core of ASD were rarely endorsed and showed high specificity but low sensitivity, resulting in a high proportion of false negative diagnoses. Reducing the number of dissociative symptoms required for a diagnosis ameliorated, but did not resolve, the problem. In this particular population, the low sensitivity of the ASD diagnosis renders it a poor screening test for use in identifying high risk individuals for early intervention and prevention strategies.     

论中西医结合的过程与层次

中西医结合是一个长期困扰人们的难题。中医理论研究人体外部现象的变化规律,以古代哲学思想为指导,具有整体联系、动态把握的合理内核。而目前现代医学对人体结构和功能的认识,并不能完全揭示生命现象本质,因而也不能完全解释中医现象。这种认识有一个不断发展和深化的过程,自然辩证法观点认为层次越低、结合越紧密。分子导次是具有生物意义的最低层次。人类“基因组”计划的实现可能在一个新的高度阐明人体本质,也使中医现象     

Full statistical mediation of the relationship between trauma and depressive symptoms

Owing to the potentially devastating effects of trauma‐induced depression, explaining the relationship between trauma and depressive symptoms is important. In this study, we measured lifelong exposure to potentially traumatic events and depressive symptoms in 370‐female undergraduates. We also measured anxiety, past negative time perspective and dissociation as potential mediators. Trauma exposure and depressive symptoms were related with a small but significant effect size (r = .16). Trauma was not associated with dissociation. We found that past negative time perspective and anxiety were full statistical mediators of this trauma‐depressive symptoms relationship. These two mediators combined accounted for all of the variance in that association. Anxiety accounted for more of the variance than past negative time perspective. A proposed explanation is that trauma both affectively elevates anxiety and cognitively creates an enduring focus on the events. Chronic anxiety and a past negative time perspective may lead to depression over time. The clinical implications are possible explanations as to why some treatments work.     

A process ontology for persons and their development

Persons are socio-cultural emergents—emerging progressively in the bio-psychological development of the individual. Persons are special kinds of agents, crucially characterized by their abilities to participate in the constitution of emergent social ontologies. I will present a model of these special bio-cultural relationships, and argue that modeling these relationships requires revisions in conceptions about the ontology of social realities, the relationships between agency and cognition, and naturalism and normativity.     

Réflexions autour du processus de parentalité : quelles étapes et quelles spécificités dans l’adoption ?

Parenthood is a process lead by the desire of child and its project. The expectation of a child generates psychological reorganization but its reality will induce modification for the parental couple. We are questioning the process of parenthood amid the encounter of 18 couples divided according to crossed variables: nature of parenthood and its time. Childhood attachment patterns are questioned. The insecure attachment models with more perceived stress are frequent for new parents, the child being biological or adopted. This suggests the necessity to think the welcoming of the child and the couple's preparation to the welcoming together with an accompaniment for at least the first year of the child.