Orientation Effects in the Development of Linear Object Tracking in Early Infancy.

Infants' oculomotor tracking develops rapidly but is poorer when there are horizontal and vertical movement components. Additionally, persistence of objects moving through occlusion emerges at 4 months but initially is absent for objects moving obliquely. In two experiments, we recorded eye movements of thirty-two 4-month-old and thirty-two 6-month-old infants (mainly Caucasian-White) tracking horizontal, vertical, and oblique trajectories. Infants tracked oblique trajectories less accurately, but 6-month olds tracked more accurately such that they tracked oblique trajectories as accurately as 4-month olds tracked horizontal and vertical trajectories. Similar results emerged when the object was temporarily occluded. Thus, 4-month olds' tracking of oblique trajectories may be insufficient to support object persistence, whereas 6-month olds may track sufficiently accurately to perceive object persistence for all trajectory orientations.

Auditory information for spatial location and pitch-height correspondence support young infants' perception of object persistence.

Perception of object persistence across occlusion emerges at around 4 months of age for objects moving horizontally or vertically. In addition, congruent auditory information for movement enhances perception of persistence of an object moving horizontally. In two experiments, we examined the effect of presenting bimodal (visual and auditory) sensory information, both congruently and incongruently, for a vertical moving object occlusion event. A total of 68 4-month-old infants (34 girls) were tested for perception of persistence of an object moving up and down, passing at each translation behind a centrally placed occluder. Infants were exposed to these visual events accompanied by no sound, spatially colocated sound, or congruent or incongruent pitch-height correspondence sounds. Both spatially colocated and congruent pitch-height auditory information enhanced perception of trajectory continuity. However, no impairment occurred when pitch-height sound information was presented incongruently. These results highlight the importance of taking a multisensory approach to infant perceptual development.

Young infants' visual fixation patterns in addition and subtraction tasks support an object tracking account.

Investigating infants' numerical ability is crucial to identifying the developmental origins of numeracy. Wynn (1992) claimed that 5-month-old infants understand addition and subtraction as indicated by longer looking at outcomes that violate numerical operations (i.e., 1+1=1 and 2-1=2). However, Wynn's claim was contentious, with others suggesting that her results might reflect a familiarity preference for the initial array or that they could be explained in terms of object tracking. To cast light on this controversy, Wynn's conditions were replicated with conventional looking time supplemented with eye-tracker data. In the incorrect outcome of 2 in a subtraction event (2-1=2), infants looked selectively at the incorrectly present object, a finding that is not predicted by an initial array preference account or a symbolic numerical account but that is consistent with a perceptual object tracking account. It appears that young infants can track at least one object over occlusion, and this may form the precursor of numerical ability.

Limits of Object Persistence: Young Infants Perceive Continuity of Vertical and Horizontal Trajectories, But Not 45-Degree Oblique Trajectories.

Previous research indicated that 4-month-old infants perceive continuity of objects moving on horizontal trajectories but appear to have difficulty processing occlusion events involving oblique trajectories. However, because perception of continuity of vertical trajectories has not been tested, it is uncertain whether this indicates a specific deficit for oblique trajectories or a specific advantage for horizontal trajectories. We evaluated the contribution of trajectory orientation and the form of occlusion in three experiments with one hundred and forty-four 4-month-olds. Infants perceived continuity of horizontal and vertical trajectories under all conditions presented. However, they did not perceive continuity of an oblique (45°) trajectory under any condition. Thus, 4-month-olds appear unable to process continuity of a 45° trajectory. In a fourth experiment with forty-eight 6- and 8-month-old infants, we demonstrated that by 6 months, infants' difficulty with oblique trajectories is overcome. We suggest that young infants' difficulty with markedly oblique trajectories likely relates to immature eye movement control.

Measurement Issues: Neuropsychological assessment with children and adolescents; unlocking the mysticism, methods and measures with the help of Tom Swift.

BACKGROUND AND SCOPE: In this article, we provide a brief overview of the principles that guide paediatric neuropsychological assessment, the methods used and some examples of the measures available. FINDINGS: We explore intellectual, adaptive and social functioning from a neuropsychological perspective and describe suitable measures for use in paediatric neuropsychological assessment in each domain. CONCLUSIONS: We provide an example of assessment and interpretation using a fictional character (Tom Swift) to demonstrate that neuropsychological assessment is important in understanding the everyday questions that arise in children's services around risk, needs, level of understanding and capacity to engage with services.

Nine-month-old infants prefer unattractive bodies over attractive bodies.

Infant responses to adult-defined unattractive male body shapes versus attractive male body shapes were assessed using visual preference and habituation procedures. Looking behavior indicated that 9-month-olds have a preference for unattractive male body shapes over attractive ones; however, this preference is demonstrated only when head information is obscured. In contrast, 6- and 3.5-month-olds did not show a preference for unattractive or attractive bodies. The 6-month-olds discriminated between the two categories, whereas the 3.5-month-olds did not. Because unattractive body shapes are more common than attractive/athletic body shapes in our everyday environment, a preference for unattractive body shapes at 9 months of age suggests that preferences for particular human body shapes reflect level of exposure and familiarity rather than culturally defined stereotypes of body attractiveness.

Development of Recognition of Face Parts from Unfamiliar Faces.

The present study examined developmental changes in the ability to recognize face parts. In Experiment 1, participants were familiarized with whole faces and given a recognition test with old and new eyes, noses, mouths, inner faces, outer faces, or whole faces. Adults were above chance in their recognition of the eye and mouth regions. However, children did not naturally encode and recognize face parts independently of the entire face. In addition, all age groups showed comparable inner and outer face recognition, except for 8- to 9-year-olds who showed a recognition advantage for outer faces. In Experiment 2, when participants were familiarized with eyes, noses, or mouths and tested with eyes, noses, or mouths, respectively, all ages showed above-chance recognition of eyes and mouths. Thirteen- to 14-year-olds were adult-like in their recognition of the eye region, but mouth recognition continued to develop beyond 14 years of age. Nose recognition was above chance among 13- to 14-year-olds, but recognition scores remained low even in adulthood. The present findings reveal unique developmental trajectories in the use of isolated facial regions in face recognition and suggest that featural cues (as a class) have a different ontogenetic course relative to holistic and configural cues.

The effects of auditory information on 4-month-old infants' perception of trajectory continuity.

Young infants perceive an object's trajectory as continuous across occlusion provided the temporal or spatial gap in perception is small. In 3 experiments involving 72 participants the authors investigated the effects of different forms of auditory information on 4-month-olds' perception of trajectory continuity. Provision of dynamic auditory information about the object's trajectory enhanced perception of trajectory continuity. However, a smaller positive effect was also obtained when the sound was continuous but provided no information about the object's location. Finally, providing discontinuous auditory information or auditory information that was dislocated relative to vision had negative effects on trajectory perception. These results are discussed relative to the intersensory redundancy hypothesis and emphasize the need to take an intersensory approach to infant perception.

Brief daily exposures to Asian females reverses perceptual narrowing for Asian faces in Caucasian infants.

Perceptual narrowing in the visual, auditory, and multisensory domains has its developmental origins during infancy. The current study shows that experimentally induced experience can reverse the effects of perceptual narrowing on infants' visual recognition memory of other-race faces. Caucasian 8- to 10-month-olds who could not discriminate between novel and familiarized Asian faces at the beginning of testing were given brief daily experience with Asian female faces in the experimental condition and Caucasian female faces in the control condition. At the end of 3 weeks, only infants who received daily experience with Asian females showed above-chance recognition of novel Asian female and male faces. Furthermore, infants in the experimental condition showed greater efficiency in learning novel Asian females compared with infants in the control condition. Thus, visual experience with a novel stimulus category can reverse the effects of perceptual narrowing during infancy via improved stimulus recognition and encoding.

Young infants' perception of the trajectories of two- and three-dimensional objects.

We investigated oculomotor anticipations in 4-month-old infants as they viewed center-occluded object trajectories. In two experiments, we examined performance in two-dimensional (2D) and three-dimensional (3D) dynamic occlusion displays and in an additional 3D condition with a smiley face as the moving target stimulus. Rates of anticipatory eye movements were not facilitated by 3D displays or by the (presumably) more salient smiley face relative to the 2D condition. However, latencies of anticipations were reduced, implying that 3D visual information may have supported formation of more robust mental representations of the moving object. Results are interpreted in a context of perceptual constraints on developing cognitive capacities during early infancy.

Two- to eight-month-old infants' perception of dynamic auditory-visual spatial colocation.

From birth, infants detect associations between the locations of static visual objects and sounds they emit, but there is limited evidence regarding their sensitivity to the dynamic equivalent when a sound-emitting object moves. In 4 experiments involving thirty-six 2-month-olds, forty-eight 5-month-olds, and forty-eight 8-month-olds, we investigated infants' ability to process this form of spatial colocation. Whereas there was no evidence of spontaneous sensitivity, all age groups detected a dynamic colocation during habituation and looked longer at test trials in which sound and sight were dislocated. Only 2-month-olds showed clear sensitivity to the dislocation relation, although 8-month-olds did so following additional habituation. These results are discussed relative to the intersensory redundancy hypothesis and work suggesting increasing specificity in processing with age.

'Trails B or not Trails B?' Is attention-switching a useful outcome measure?

PRIMARY OBJECTIVE: Difficulties with attention contribute to behavioural and cognitive problems during childhood and may reflect subtle deficits in executive functioning (EF). Attention problems in early childhood have also been found to predict higher levels of anxiety and depression symptoms at 10 years old. It has also been reported that attention problems during childhood may be differentially related to later-emerging distinct EF difficulties. Many of these findings, however, rely on teacher-ratings of attention difficulties. METHODS AND PROCEDURES: This study administered neuropsychological tests of attention-switching and EF to 67 healthy children aged 9-15 years of age. It additionally measured socio-emotional behavioural functioning. MAIN OUTCOMES AND RESULTS: A critical phase of improvement was found at 10 years of age. Correlations were found between attention-switching skills and EF. Attention-switching skills were also correlated with socio-emotional functioning. CONCLUSIONS: Attention-switching skills have some interdependence with EF, but in paediatric assessment such skills are easier to routinely assess than many of the currently available tests of EF. It is suggested that attention-switching ability may prove to be a useful predictor of EF performance in understanding long-term outcome after a neurological event such as traumatic brain injury.

Resilience and the mediating effects of executive dysfunction after childhood brain injury: a comparison between children aged 9-15 years with brain injury and non-injured controls.

PRIMARY OBJECTIVE: Acquired brain injury (ABI) during childhood can be associated with enduring difficulties related to impairments to executive functioning (EF). EF impairments may detrimentally affect outcome by restricting an individual's ability to access 'resiliency' resources after ABI. RESEARCH DESIGN: The purpose of this study was to explore whether there is deterioration in children's resilience compared with peers after ABI and whether EF is influential in mediating relationships between resilience and behaviour. METHODS AND PROCEDURES: Measures of resilience, depression and anxiety were administered with 21 children with ABI and 70 matched healthy children aged 9-15 years. Parents completed measures of behaviour and EF. MAIN OUTCOMES AND RESULTS: Children with ABI were identified as less resilient and more depressed and anxious than controls. Resiliency measures were correlated with depression and anxiety in both groups. Relationships between resiliency and socio-emotional behaviour were mediated by EF. CONCLUSIONS: Assessment of resilience after ABI may be useful in supporting or defining the delivery of more individualized rehabilitation programmes according to the resources and vulnerabilities a young person has. However, an accurate understanding of the role of EF in the relationship between resilience and behavioural outcome after ABI is essential.

Eye tracking provides no evidence that young infants understand path obstruction.

In two experiments with 47 4-month-olds, we investigated attention to key aspects of events in which an object moved along a partly occluded path that contained an obstruction. Infants were familiarized with a ball rolling behind an occluder to be revealed resting on an end wall, and on test trials an obstruction wall was placed in the ball's path. In Experiment 1, we did not find longer looking when the object appeared in an impossible location beyond the obstruction, and infants did not selectively fixate the object in this location. In Experiment 2, after rolling one or two balls, we measured infants' fixations of a two-object outcome with one ball in a novel but possible resting position and the other in a familiar but impossible location beyond the obstruction. Infants looked longer at the ball in the possible but novel location, likely reflecting a looking preference for location novelty. Thus we obtained no evidence that infants reasoned about obstruction and identified a violation on that basis.

Pharmacological therapy for post-traumatic stress disorder: a systematic review and meta-analysis of monotherapy, augmentation and head-to-head approaches.

Background: Pharmacological approaches are widely used for post-traumatic stress disorder (PTSD) despite uncertainty over efficacy. Objectives: To determine the efficacy of all pharmacological approaches, including monotherapy, augmentation and head-to-head approaches (drug versus drug, drug versus psychotherapy), in reducing PTSD symptom severity. Method: A systematic review and meta-analysis of randomised controlled trials were undertaken; 115 studies were included. Results: Selective serotonin reuptake inhibitors (SSRIs) were found to be statistically superior to placebo in reduction of PTSD symptoms but the effect size was small (standardised mean difference -0.28, 95% CI -0.39 to -0.17). For individual monotherapy agents compared to placebo in two or more studies, we found small statistically significant evidence for the antidepressants fluoxetine, paroxetine, sertraline, venlafaxine and the antipsychotic quetiapine. For pharmacological augmentation, we found small statistically significant evidence for prazosin and risperidone. Conclusions: Some medications have a small positive effect on reducing PTSD symptom severity and can be considered as potential monotherapy treatments; these include fluoxetine, paroxetine, sertraline, venlafaxine and quetiapine. Two medications, prazosin and risperidone, also have a small positive effect when used to augment pharmacological monotherapy. There was no evidence of superiority for one intervention over another in the small number of head-to-head comparison studies.

Antecedentes: Los abordajes farmacológicos se usan ampliamente para el trastorno de estrés postraumático (TEPT) a pesar de su eficacia incierta.Objetivos: Determinar la eficacia de todos los abordajes farmacológicos, incluyendo monoterapia, potenciación y abordajes comparativos (droga versus droga, droga versus psicoterapia), en la reducción de la severidad de los síntomas de TEPT.Método: Se llevó a cabo una revisión sistemática y metanálisis de estudios controlados aleatorizados; se incluyeron 115 estudios.Resultados: Se encontró que los inhibidores selectivos de la recaptación de serotonina (ISRSs) fueron estadísticamente superiores a placebo en la reducción de los síntomas de TEPT, pero el tamaño de efecto fue pequeño (diferencia media estandarizada −0.28, IC 95% −0.39 a −0.17). Para agentes en monoterapia individuales comparados con placebo en dos o más estudios, encontramos para los antidepresivos fluoxetina, paroxetina, sertralina, venlafaxina y el antipsicótico quetiapina una evidencia estadísticamente significativa pequeña. Para la potenciación farmacológica, encontramos para prazosina y risperidona, evidencia estadísticamente significativa pequeña.Conclusiones: Algunos medicamentos tienen un efecto positivo pequeño en la reducción de la severidad de los síntomas de TEPT y pueden ser considerados como potenciales tratamientos en monoterapia; estos incluyen fluoxetina, paroxetina, sertralina, venlafaxina y quetiapina. Dos medicamentos, prazosina y risperidona, también tienen un efecto positivo pequeño cuando se usan para potenciar la monoterapia farmacológica. En el pequeño número de estudios comparativos, no hubo evidencia de superioridad para una intervención sobre otra.

Pharmacological-assisted Psychotherapy for Post-Traumatic Stress Disorder: a systematic review and meta-analysis.

Background: Pharmacological-assisted psychotherapies, using conventional and novel drug agents, are increasingly being used both in clinical and experimental research settings, respectively. Objective: To determine the efficacy of conventional and novel pharmacological-assisted psychotherapies in reducing PTSD symptom severity. Method: A systematic review and meta-analysis of randomised-controlled trials were undertaken; 21 studies were included. Results: MDMA-assisted therapy was found to statistically superior to active and inactive placebo-assisted therapy in reduction of PTSD symptoms (standardised mean difference -1.09, 95% CI -1.60 to -0.58). There was no evidence of superiority over placebo for any other intervention. Conclusions: MDMA-assisted therapy demonstrated an impressive effect size; however, it is difficult to have confidence at this stage in this intervention due to the small numbers of participants included, and more research in this area is needed. There was no evidence to support the efficacy of any other drug-assisted interventions.

Antecedentes: Las psicoterapias asistidas farmacológicamente, que utilizan fármacos convencionales y nuevos, están siendo cada vez más utilizadas tanto en contextos clínicos como de investigación experimental, respectivamente.Objetivos: Determinar la eficacia de las psicoterapias asistidas con fármacos convencionales y nuevos para reducir la severidad de los síntomas TEPT.Método: Se llevó a cabo una revisión sistemática y un metanálisis de estudios controlados aleatorizados; se incluyeron 21 estudios.Resultados: Se encontró que la terapia asistida por MDMA era estadísticamente superior a terapia asistida por placebo activo e inactivo en la reducción de los síntomas de TEPT (diferencia de medias estandarizada −1.09, IC del 95%: −1.60 a −0.58). No hubo evidencia de superioridad sobre placebo para ninguna otra intervención.Conclusiones: La terapia asistida por MDMA demostró un tamaño de efecto impresionante; sin embargo es difícil tener confianza en esta etapa en esta intervención debido al pequeño número de participantes incluidos, y se necesita más investigación en esta área. No hubo evidencia para apoyar la eficacia de ninguna otra intervención asistida por fármacos.

Preverbal infants' sensitivity to synaesthetic cross-modality correspondences.

Stimulation of one sensory modality can induce perceptual experiences in another modality that reflect synaesthetic correspondences among different dimensions of sensory experience. In visual-hearing synaesthesia, for example, higher pitched sounds induce visual images that are brighter, smaller, higher in space, and sharper than those induced by lower pitched sounds. Claims that neonatal perception is synaesthetic imply that such correspondences are an unlearned aspect of perception. To date, the youngest children in whom such correspondences have been confirmed with any certainty were 2- to 3-year-olds. We examined preferential looking to assess 3- to 4-month-old preverbal infants' sensitivity to the correspondences linking auditory pitch to visuospatial height and visual sharpness. The infants looked longer at a changing visual display when this was accompanied by a sound whose changing pitch was congruent, rather than incongruent, with these correspondences. This is the strongest indication to date that synaesthetic cross-modality correspondences are an unlearned aspect of perception.

Categorization, categorical perception, and asymmetry in infants' representation of face race.

The present study examined whether 6- and 9-month-old Caucasian infants could categorize faces according to race. In Experiment 1, infants were familiarized with different female faces from a common ethnic background (i.e. either Caucasian or Asian) and then tested with female faces from a novel race category. Nine-month-olds were able to form discrete categories of Caucasian and Asian faces. However, 6-month-olds did not form discrete categories of faces based on race. In Experiment 2, a second group of 6- and 9-month-olds was tested to determine whether they could discriminate between different faces from the same race category. Results showed that both age groups could only discriminate between different faces from the own-race category of Caucasian faces. The findings of the two experiments taken together suggest that 9-month-olds formed a category of Caucasian faces that are further differentiated at the individual level. In contrast, although they could form a category of Asian faces, they could not discriminate between such other-race faces. This asymmetry in category formation at 9 months (i.e. categorization of own-race faces vs. categorical perception of other-race faces) suggests that differential experience with own- and other-race faces plays an important role in infants' acquisition of face processing abilities.

Peer-relationship difficulties in children with brain injuries: comparisons with children in mental health services and healthy controls.

Positive peer relationships are essential in healthy development. The prevalence of peer-relationship problems in children after acquired brain injury (ABI) has yet to be explored, although ABI does inevitably impact upon peer interactions. We aimed to explore how peer-relationships and emotional distress after ABI may differ from the levels reported by healthy children or mental health controls. Parents of 214 children (137 "healthy" children, 27 children using mental health services and 40 children with ABI) aged 9-15 years participated. A questionnaire measure of peer-relationship functioning and emotional distress was completed. Children with ABI experienced a greater degree of peer-relationship difficulties and emotional distress than healthy controls. No difference was found in reported peer relationship difficulties or emotional distress between ABI children and the children accessing mental health services. We conclude that emotional distress and co-occurring peer-relationship difficulties are as prevalent in a population of children after ABI as may be expected in a population of children under the care of mental health services, yet, unlike the latter group, appropriate intervention services are not commonly available. Interventions that aim to enhance peer relationships after childhood ABI may provide an essential resource to the benefit of outcome.

"Must try harder." Is effort and performance validity testing a necessary part of pediatric neuropsychological assessment?

Neuropsychological assessments results have significant implications for pediatric populations, based upon the assumption that the young person has adopted an effortful approach and has engaged in assessment. There is a commonly-accepted risk to assuming the validity of neuropsychological assessment results with adults, and, therefore, performance validity testing (PVT) has become a major topic of research and investigation and has become an accepted part of routine assessment. The same approach has not been adopted in assessment with children and a paucity of studies has focused on PVT in children. We review studies that demonstrate that children are equal to adults in their ability to use deception and that clinicians cannot detect false-effort without use of validity tests. We explore how frequently such tests are used and how well they work in assessment with children, and the limits, complexities, and constraints of adapting adult tests. We advocate that adequate performance validity testing is essential in order to maximize confidence in the results and we hypothesize that assessment with pediatric populations should take into account a range of influences, such as neuro-developmental factors associated with age of the child and suitability of proposed measures according to the evidence-base.