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Does helplessness cause depression, or do only depressed people become helpless? Comment on Alloy and Abramson.

Alloy and Abramson reported that depressed people are accurate at assessing response-outcome contingencies, whereas normal people display various distortions. It is argued that such a finding causes problems for a learned helplessness theory of depression, because it suggests that people can only detect some of the conditions necessary for producing helplessness after they are already depressed. The presumed causal relation between helplessness and depression may be strengthened if one assumes that helplessness prevents the development of active hypothesis-testing strategies that would otherwise produced biased assessments of contingency.

Cognition

Twenty-four hour reality orientation: changes for staff and patients.

A 24-hour reality orientation programme was initiated in a long-stay geriatric ward. Nursing and occupational therapy routines were changed specifically to meet the needs of the 20 patients participating in the programme. The assessments included the Clifton Assessment Procedures for the Elderly, the Holden Communication Scale, the Holden Orientation Facilities Scale, and the Oberleder Scale (adapted by Holden et al.). These scales were administered before, during and after completion of a study lasting 4 months. The CAPE scales showed no significant results. However, the Holden Communication Scale indicated that there were significant differences for certain groups of patients. Those patients with high scores initially tended to continue to have high scores and showed no real change. However, patients who had scores in the medium range initially, showed improvement. This finding indicated that severity at onset of the experiment was an important variable when considering outcome of treatment. Expectations regarding the future of the very elderly must be realistic, and to anticipate a return to previous vitality and total independence should not be expected. However, to find a means by which functional levels can be maintained, and even slightly improved, is desirable. It would seem that the 24-hour reality orientation programme achieved this goal.

Aged

[The psychology of chronic rheumatism patients based on the Rorschach test].

The objective of this research was to try to see if it was possible to find in a population of chronic rheumatickies (a great majority of P.C.E.) some specific psychologie characteristics or constants among these sicks. So we have used Rorschach test. On the based of 19 persons inspected, we have found 84% who present a pathological inhibition and 68% a pathological anxiety. They are datums more strikingness, but we have found others interesting indications. For example: 47% persons presented symptoms of a affectivity no stabilize egocentric and impulsive and had a perturbed thought by their affectives problems. 21% a deficient valuation of reality. We have terminated trying to discuss two others questions from datums collected.

Adult

Use of non-verbal construing and metaphor in psychotherapy.

This article begins by looking at the way we try to construe or make sense of the world in which we live. How in the very nature of such sense-making there is the potential for sowing the seeds of self-deception by trying to fit our (relatively simplified) bipolar constructs to a complex unitary universe. Non-verbal and verbal construing are compared. Verbal construing enables us to reach an even more sophisticated level of self-deception, via myths created by limiting metaphors--such as "man-the-machine." The institutions which we create and the people who are invested in them tend to solidify in-group myths, often with the help of metaphor. It is argued that personal, constructivist, and eclectic approaches to psychotherapy can be envisaged as enterprises to begin the process of demythologising clients in the safety of the therapeutic setting. In therapy, clients can experiment with empowering themselves in reconstruing the problem areas of their lives and actively testing out these new constructions against personal experience. Clients can also learn to explore the meaning behind symptoms, i.e., to give cognitive form to feeling with the help of their intuitive sensitivity.

Concept Formation

Reading and visual memory: remembering scenes that were never seen.

In Experiment 1 (N = 16), under conditions of high memory load (60 pictures and 50 paragraphs) and a 1-week retention interval, undergraduate subjects reported their memory for photographs of scenes (cued recall and free-recall tasks). Subjects frequently reported memory for photographs that they had actually never seen, but had read about in a brief paragraph. In Experiment 2 (N = 40), the same pattern of results was obtained with immediate testing. Experiment 2 also demonstrated that the likelihood of subjects falsely attributing scene memory (based on reading) to actually having viewed a photograph was reduced when metacognitive awareness of imaging during reading was made salient. Awareness of image creation was induced by requiring subjects to rate the paragraphs with respect to imagery vividness. Although other measures of memory remained the same, subjects in the induced-imagery condition made 50% fewer confusion errors than subjects who read the paragraphs without imagery instructions. The results are discussed in the context of Johnson and Raye's (1981) reality monitoring model.

Adult

Followup of psychoanalysis five to ten years after termination: I. Stability of change.

Seven out of 17 patients interviewed in a long-term followup of psychoanalysis showed either improvement in psychological functioning or a retention of psychological gains they had made during the course of psychoanalysis. Six patients deteriorated in their psychological functioning, but their gains were restored with subsequent treatment. Four patients deteriorated in psychological functioning without restoration, whether or not treatment was reentered. Neither analysts' assessments at the time of termination nor patients' assessments of themselves or assessments based on psychological tests one year after termination predicted which patients would improve or retain psychological change. No causal generalizations about factors related to psychological change can be made from these data. Different factors in interaction are suggested to account for the stability and instability of psychological change.

Affect

New evidence on the development of the word big.

Previous studies of children's understanding of big suggest a curvilinear trend. 3-year-olds, like adults, interpret big as referring to area, while 5-year-olds take big to mean tall. The results of 6 experiments indicate that the curvilinear trend is not obtained in all stimulus contexts. When objects vary extremely, younger and older children take big to mean tall. The object to which big is applied also influences whether height, length, or area is attended to. Moreover, in a production task, adults rarely used the work big to describe the stimuli with which children's understanding of big is typically tested. Taken together, the results suggest that the meaning and use of big is complex and that big may not at any age refer simply to the larger object. It is proposed that the meaning of big is a dynamic system driven by a multiple of perceptual, conceptual, and semantic influences.

Adult

Reality orientation versus sheltered workshops as treatment for the institutionalized aging.

The effects of two psychosocial treatments, Reality Orientation and Sheltered Workshops, were evaluated against an assessment-only control. Thirty nursing home residents (mean age, 64.4 years) were randomly assigned to one of two groups in one of the three experimental conditions. Residents assigned to therapy conditions met for 15 group sessions led by trained nursing home personnel. Program effects were assessed before and after treatment using three variables: the Life Satisfaction Index-A, nurses' ratings, and behavior observations. The Sheltered Workshop treatment produced significant gains in Life Satisfaction Index-A scores and staff perceived social interest; Reality Orientation resulted in nonsignificant decrements in Life Satisfaction Index-A scores. Neither treatment produced effects on observer-rated on-ward behavior. The results underscore the importance of empirically evaluating therapy effects with the institutionalized aging and suggest that Sheltered Workshops may be more beneficial for this population than has previously been recognized.

Adult

Intellectual realism: the role of children's interpretations of pictures and perceptual verbs.

Intellectual realism refers to the tendency of young children to indicate incorrectly all that is present in an object array when asked to indicate only what they can see of it from a particular perspective. 3 experiments tested and confirmed the hypotheses that children's interpretation of (a) pictorial conventions and of (b) the expression "look like" may increase this tendency. The results of this and other studies suggest that young children's difficulties with adult pictorial conventions, with the wording of task instructions, and with the concept of a momentary, view-determined appearance can all lead to intellectual realism errors.

Child, Preschool

Paranoid and nonparanoid schizophrenia: drive dominated thinking and thought pathology at two phases of disorder.

A sample of acutely hospitalized paranoid and nonparanoid schizophrenics and another sample of paranoid and nonparanoid schizophrenics studied at follow-up were compared on measures of cognitive functioning, disordered thinking, and drive dominated thinking using the WAIS, the Rorschach test, the object sorting test, and an overall index of outcome functioning (N = 67). Results suggested that cognitive regression is related more to acute psychological disturbance than to the presence or absence of paranoia, that the presence of socialized drive dominated thinking during the acute phase is related to better posthospital adjustment at follow-up, and that paranoid schizophrenics show better cognitive functioning after the acute phase. Results did not support the theory that suggests an etiological relation between homosexual conflict and paranoia.

Adult

Small-scale deceit: deception as a marker of two-, three-, and four-year-olds' early theories of mind.

This research report summarizes the results of a study into the abilities of 2-, 3-, and 4-year-old children to deceptively lead others into false beliefs, and is intended to help arbitrate a growing controversy as to when young persons first acquire some theory-like understanding of other minds. Utilizing a novel hide-and-seek board game as a context within which to observe children's spontaneous use of deceptive strategies, a total of 50 subjects between the ages of 2 1/2 and 5 were tested. In contrast to the competing findings of others, which are claimed to establish that children younger than approximately 4 suffer a cognitive deficit that wholly blocks them from the possibility of entertaining any sort of contrastive beliefs about beliefs, the results of this study show that even 2 1/2-year-olds are capable of already successfully employing a range of deceptive strategies that both trade upon an awareness of the possibility of false beliefs and presuppose some already operative theory of mind.

Attention

Trance logic in hypnosis and imagination.

In 2 experiments we investigated trance logic, or the tolerance of logical incongruity, in age regression and hallucination. Experiment 1 tested 21 hypnotizable and 19 unhypnotizable subjects in an application of the real-simulating model of hypnosis. Experiment 2 tested 26 high and 19 low imagery ability subjects in an adaptation of the model to the imagination context. Subjects' experiences were investigated through the experiential analysis technique. More real than simulating subjects displayed trance logic during age regression, but they did not differ on the major measures of trance logic during hallucination. This pattern of responding occurred in both the hypnosis and the imagination contexts. Subjects' comments suggested that completeness of and belief in age regression or hallucination may play some role in trance logic. The importance of understanding trance logic from the subject's point of view is discussed.

Adolescent

Reality orientation therapy: a study investigating the value of this therapy in the rehabilitation of elderly people.

The Leeds Technique for Therapy with the Aged is described and evaluated. The purpose of the study was two-fold--to evaluate the therapy itself, and to examine it as a possible extra incentive for nurses working with the aged. Forty-six elderly patients were included in the study. Fourteen took part in a pilot study. Later, in a more carefully controlled investigation, the remaining 32 patients were divided into two groups, one of experimental subjects and one of control subjects. Improvement was assessed using the Clifton Assessment Schedule (CAS) and the Stockton Geriatric Rating Scale (SGRS). Twenty-five of the 30 experimental subjects improved and 10 were discharged. Eight of the 16 control subjects improved, but none was discharged.

Aged

Experiences of alien control in schizophrenia reflect a disorder in the central monitoring of action.

Twenty-three acute psychotic patients who were drug free at the time of testing performed a motor task designed to elicit many errors. Normal subjects and many of the psychotic patients were able to correct these errors in the absence of visual feedback. The ability to make such corrections depends on the subject knowing what response he has just made. Patients with experiences of alien control of their thoughts and actions who formed a subgroup of those classified as schizophrenic, were significantly less likely to make error corrections in the absence of visual feedback. This result is consistent with our previous suggestion (Frith, 1987) that these symptoms are a consequence of problems with the central monitoring of responses.

Affective Disorders, Psychotic

Cognitive therapy. A 30-year retrospective.

Several lines of investigation have evolved from the initial cognitive model of depression and other disorders. A large number of studies have tested the cognitive model using both clinical and laboratory-based strategies. In general, studies that most closely approximate the clinical conditions from which the theory was derived are supportive of the cognitive model of depression. Studies of anxiety and panic, although fewer, generally support the cognitive model of anxiety and panic. The application to the treatment of clinical problems has been promising and supports the concept of cognitive specificity. The cognitive therapy of depression has led to the utilization of specific cognitive strategies based on the specific conceptualizations of a given disorder to a wide variety of disorders. Study of abnormal reactions has also provided clues to the cognitive structure of normal reactions.

Anxiety Disorders

Young children's understanding of fact beliefs versus value beliefs.

Recent research on the development of children's knowledge about the mind has shown that young 3-year-olds have difficulty inferring that another person holds a false belief about a matter of verifiable fact, even when provided with considerable help. 4 studies tested the hypothesis that they would have less difficulty inferring that another person holds an odd, nonnormative belief about a matter of taste or value--one which, like the false fact belief, they themselves do not hold. On fact-belief tasks, an experimenter acted as if, or even explicitly stated that, she believed that the contents of a container were other than what the children knew to be the case. On value-belief tasks, she behaved as if she believed that a stimulus had a good or bad taste, smell, or appearance, whereas they thought it had the opposite. The results of all 4 studies confirmed the hypothesis.

Attention