The effect of reappraisal on the emotional regulation of shame in young adults with ASD and typical peers.

Young adults with ASD experience shame in social interactions, and if poorly mishandled, it may interfere with their attempts to participate in their social environment. One strategy to reduce shame is cognitive reappraisal, yet the efficacy of this strategy was not examined in ASD. Here, we investigated the effect of reappraisal in reducing feelings of shame in ASD and the thematic contents used. Young adults with high-functioning ASD and typical participants were shown shame-arousing pictures. They imagined themselves as the primary character in each scenario and rated their feelings of shame. Then, they were trained to reappraise shame-arousing pictures less negatively. Finally, they viewed other shame-arousing photos, reappraised them, stated aloud their new interpretations, and rated their feelings. We found lower shame ratings in participants with ASD than in typical participants. In addition, we found a similar reduction in shame ratings after reappraising these pictures in both groups. Qualitative analysis revealed that participants with ASD used fewer positive narratives and more neutral and unrealistic descriptions than their typical peers. These findings highlight shame-regulation abilities in individuals with ASD while pointing to their unique narratives. We recommend that clinical interventions in ASD emphasize generating positive reappraisals of social situations.

Long-Term Effects of Intensive Rehabilitation on Memory Functions in Acquired Brain-Damaged Patients.

OBJECTIVE: Memory difficulties after brain injury are a frequent and concerning outcome, affecting a wide range of daily activities, employment, and social reintegration. Despite the importance of functional memory capacities throughout life, most studies examined the short-term effects of memory interventions in brain-damaged patients who underwent a rehabilitation program. In the present study, we investigated the long-term outcomes and intensity of memory interventions in acquired (traumatic brain injury [TBI] and non-TBI) brain-damaged patients who participated in an intensive cognitive rehabilitation program and either suffered or did not suffer from memory impairments. METHOD: We measured pre-post-treatment memory performance of patiients (N = 24) suffering from memory deficits in four common and validated memory tasks (e.g. ROCFT). We compared them to other acquired brain injury patients treated at the same rehabilitation facility who did not suffer from memory impairments (N = 16). RESULTS: Patients with memory deficits showed long-term improvements in three out of four tasks, while patients without memory deficits showed memory enhancements in only one task. In addition, rehabilitation intensity and type of brain damage predicted the extent of the memory change over time. DISCUSSION: Long-term improvements in objective memory measures can be observed in patients suffering from brain injury. These improvements can be enhanced by intensifying the treatment program. Findings also suggest that these memory improvements are more pronounced in non-TBI than TBI patients. We discuss the implications of these results in designing optimal memory rehabilitation interventions.

Exploring the role of the self in disgust-related psychopathologies.

While clinical research on disgust relies on nonclinical research, the framework of disgust as an immune mechanism is not as central in clinical research. The immune framework for disgust may be integrated into clinical research by acknowledging the role of the self as the critical element protected by the immune system. In this review, we offer the premise that at the center of all disgust-related behaviors, thoughts, and cognitions is an attempt to protect the self (i.e., "disgust is self-centered" or DISC). We offer evidence in support of DISC and explore the relevance of DISC to clinical research for several disgust-related psychopathologies (obsessive-compulsive disorder, posttraumatic stress disorder, anorexia nervosa, and self-disgust). We then offer future directions for DISC research into disgust-related psychopathologies.

Social Anxiety and Shame Among Young Adults with Autism Spectrum Disorder Compared to Typical Adults.

Social anxiety (SA) is common among young adults with autism spectrum disorder (ASD). While shame feelings predict SA among typical adults, the relationship between shame and SA in ASD remains unclear. The current study compared the relationship between SA and shame in ASD. SA, shame, and autistic self-assessment questionnaires were administered to 33 young adults with ASD (28 M/5F) and 38 typical young adults (32 M/6F, Mage = 24 years, range = 20-28 in both groups). Results showed higher SA levels in ASD than typical adults, but lower levels of shame characteristics in the former than in the latter group. Moreover, a significant moderation model showed that some aspects of shame were related to SA only in the typical group but not in ASD.

The Relationship Between Self-Compassion, Concern for Others, and Parental Burnout in Child's Chronic Care Management.

OBJECTIVES: Parental burnout is a construct that reflects the exhaustion and emotional distancing of parents from their children due to the growing demands of caring for them. Research has pointed to a heightened risk for parental burnout among parents of children with special needs. Additional research has indicated that parents' personality traits and relational dynamics serve as resiliency factors regarding parental burnout. METHODS: In the present study, 91 primary parental caregivers of children receiving ongoing treatment at a pediatric ambulatory care unit were recruited. A theoretical model proposing the specific ways in which self-compassion and concern for others complement each other in predicting parental burnout was examined. In this model, the relationships between self-compassion, concern for others, and burnout respectively are mediated by different basic psychological needs, detailed in self-determination theory. Participants completed various questionnaires measuring these constructs. Regression and mediation analyses were used to examine our hypotheses. RESULTS: Results indicated that self-compassion and concern for others predicted levels of parental burnout. The covariance between concern for others and burnout was mediated by the psychological need of relatedness. CONCLUSIONS: The findings support the extension of a three-layered conceptual model of (a) self-compassion and concern for others, (b) psychological needs, and (c) burnout. The present study highlights self-compassion and concern for others as potential resilience factors regarding the risk of burnout in parental caregiving. These findings point to promising avenues for burnout prevention and preemptive facilitation of parental caregiving. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12671-021-01752-z.

Predicting health behavior in response to the coronavirus disease (COVID-19): Worldwide survey results from early March 2020.

The current pandemic outbreak of the novel COVID-19, which originated from Wuhan in China in late 2019, has eventually spread to six continents with a rising toll of death cases. No vaccine has yet been developed for COVID-19. The compliance of the general public with the advice and regulations of the health authorities and the adoption of effective health behavior regimens are currently the only weapons to effectively cope with the disease. Here we report the results of a worldwide survey (n = 953) conducted between March 2 and March 14, 2020 that sought (a) to identify critical proximal predictors of health behavior relevant to the current situation, (b) to examine their relationships to various demographic characteristics of the population, (c) and to provide a model of health behavior specific to COVID-19. We found that the perceived severity of the disease and susceptibility to it, emotional reactions, and attitudes toward COVID-19 predicted one-third of the preventive behavior variance. Various demographic variables influenced these predictors. Based on the data collected, we constructed, using path analysis, a theoretical model of health behavior. Our results emphasize the need to consider the impact of antecedent variables on actual precautionary behavior and the influence of demographic factors on these antecedent variables. Understanding the complex interplay of these precursors in health behavior will maximize their beneficial role, eliminate maladaptive prevention patterns, and facilitate the eradication of the disease.

The Role of Self-compassion, Concern for Others, and Basic Psychological Needs in the Reduction of Caregiving Burnout.

Objectives: Compassion is the beneficial response of an individual to the sufferings and difficulties of others. Self-compassion refers to feelings of concern an individual feel towards oneself. Both may serve as potential buffers in a hospital setting where caregivers attending to patients in critical condition experience emotional distress, which may lead to burnout. However, the unique contribution of compassion, both to self and others, to the decrease of burnout is unclear. Methods: In the present study, we recruited 109 professional caregivers working in a hospital's intensive care and rehabilitative units. We explored a theoretically driven mediation model in which the relationship between compassion for self and others and burnout is mediated by different basic psychological needs, detailed in the self-determination theory. Results: Results indicated that self-compassion and concern for others were associated with reduced levels of burnout. Each of these buffers against burnout was mediated by a unique psychological need, thereby supporting a three-layered model of (a) compassion and self-compassion, (b) basic psychological needs, and (c) burnout. Conclusions: Our study highlights compassion and self-compassion as potential resilience factors against the challenge of burnout in healthcare. It points to promising avenues for preemptive clinical interventions.

Self-compassion as a buffer against concrete but not abstract threat.

Terror management theory posits that validation of self-esteem is a major defense mechanism in keeping mortal concerns at bay. Yet, self-esteem often leads to devaluation of others. Self-compassion (SC) is an alternative, more inclusive construct than self-esteem. We explored among 125 university students whether SC serves as a defense mechanism from abstract and concrete threats responses, utilizing a dot-probe task and mortality salience priming. Although SC was not associated with avoidance of abstract threats, it was associated with avoidance of concrete threats. These findings underscore the potential role of SC in coping with trauma and in shielding from developing post-traumatic symptoms.

Normal Performance in Non-Visual Social Cognition Tasks in Women with Turner Syndrome.

Turner syndrome (TS) is a chromosomal disorder in women resulting from a partial or complete absence of the X chromosome. In addition to physical and hormonal dysfunctions, along with a unique neurocognitive profile, women with TS are reported to suffer from social functioning difficulties. Yet, it is unclear whether these difficulties stem from impairments in social cognition per se or from other deficits that characterize TS but are not specific to social cognition. Previous research that has probed social functioning in TS is equivocal regarding the source of these psychosocial problems since they have mainly used tasks that were dependent on visual-spatial skills, which are known to be compromised in TS. In the present study, we tested 26 women with TS and 26 matched participants on three social cognition tasks that did not require any visual-spatial capacities but rather relied on auditory-verbal skills. The results revealed that in all three tasks the TS participants did not differ from their control counterparts. The same TS cohort was found, in an earlier study, to be impaired, relative to controls, in other social cognition tasks that were dependent on visual-spatial skills. Taken together these findings suggest that the social problems, documented in TS, may be related to non-specific spatial-visual factors that affect their social cognition skills.

The semantic distance task: Quantifying semantic distance with semantic network path length.

Semantic distance is a determining factor in cognitive processes, such as semantic priming, operating upon semantic memory. The main computational approach to compute semantic distance is through latent semantic analysis (LSA). However, objections have been raised against this approach, mainly in its failure at predicting semantic priming. We propose a novel approach to computing semantic distance, based on network science methodology. Path length in a semantic network represents the amount of steps needed to traverse from 1 word in the network to the other. We examine whether path length can be used as a measure of semantic distance, by investigating how path length affect performance in a semantic relatedness judgment task and recall from memory. Our results show a differential effect on performance: Up to 4 steps separating between word-pairs, participants exhibit an increase in reaction time (RT) and decrease in the percentage of word-pairs judged as related. From 4 steps onward, participants exhibit a significant decrease in RT and the word-pairs are dominantly judged as unrelated. Furthermore, we show that as path length between word-pairs increases, success in free- and cued-recall decreases. Finally, we demonstrate how our measure outperforms computational methods measuring semantic distance (LSA and positive pointwise mutual information) in predicting participants RT and subjective judgments of semantic strength. Thus, we provide a computational alternative to computing semantic distance. Furthermore, this approach addresses key issues in cognitive theory, namely the breadth of the spreading activation process and the effect of semantic distance on memory retrieval. (PsycINFO Database Record

Context processing in adolescents with autism spectrum disorder: How complex could it be?

The ability of individuals with Autism Spectrum Disorder (ASD) to process context has long been debated: According to the Weak Central Coherence theory, ASD is characterized by poor global processing, and consequently-poor context processing. In contrast, the Social Cognition theory argues individuals with ASD will present difficulties only in social context processing. The complexity theory of autism suggests context processing in ASD will depend on task complexity. The current study examined this controversy through two priming tasks, one presenting human stimuli (facial expressions) and the other presenting non-human stimuli (animal faces). Both tasks presented visual targets, preceded by congruent, incongruent, or neutral auditory primes. Local and global processing were examined by presenting the visual targets in three spatial frequency conditions: High frequency, low frequency, and broadband. Tasks were administered to 16 adolescents with high functioning ASD and 16 matched typically developing adolescents. Reaction time and accuracy were measured for each task in each condition. Results indicated that individuals with ASD processed context for both human and non-human stimuli, except in one condition, in which human stimuli had to be processed globally (i.e., target presented in low frequency). The task demands presented in this condition, and the performance deficit shown in the ASD group as a result, could be understood in terms of cognitive overload. These findings provide support for the complexity theory of autism and extend it. Our results also demonstrate how associative priming could support intact context processing of human and non-human stimuli in individuals with ASD. Autism Res 2017, 10: 520-530. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.

Face perception in women with Turner syndrome and its underlying factors.

Turner syndrome (TS) is a chromosomal condition that affects development in females. It is characterized by short stature, ovarian failure and other congenital malformations, due to a partial or complete absence of the sex chromosome. Women with TS frequently suffer from various physical and hormonal dysfunctions, along with impairments in visual-spatial processing and social cognition difficulties. Previous research has also shown difficulties in face and emotion perception. In the current study we examined two questions: First, whether women with TS, that are impaired in face perception, also suffer from deficits in face-specific processes. The second question was whether these face impairments in TS are related to visual-spatial perceptual dysfunctions exhibited by TS individuals, or to impaired social cognition skills. Twenty-six women with TS and 26 control participants were tested on various cognitive and psychological tests to assess visual-spatial perception, face and facial expression perception, and social cognition skills. Results show that women with TS were less accurate in face perception and facial expression processing, yet they exhibited normal face-specific processes (configural and holistic processing). They also showed difficulties in spatial perception and social cognition capacities. Additional analyses revealed that their face perception impairments were related to their deficits in visual-spatial processing. Thus, our results do not support the claim that the impairments in face processing observed in TS are related to difficulties in social cognition. Rather, our data point to the possibility that face perception difficulties in TS stem from visual-spatial impairments and may not be specific to faces.

Restoring one's language edifice: A case study of long-term effects of intensive aphasia therapy employing cognitive modifiability strategies.

NG is an architect who suffered a left occipital-parietal hemorrhage cerebral vascular accident (CVA) in 2000, resulting in aphasia of Wernicke and conduction types. He was characterized with fluent paraphasic speech, decreased repetition, and impaired object naming. Comprehension was relatively preserved but reading and writing were severely compromised, as well as his auditory working memory. Despite a grim prognosis he underwent intensive aphasia therapy, lasting from 2001 to 2010, at the Center for Cognitive Rehabilitation of the Brain Injured at the Feuerstein Institute. The tailored-made interventions, applied in NG's therapy, were based upon the implementation of the principles of the Structural Mediated Learning Experience (MLE) and the Feuerstein Instrumental Enrichment (FIE) Program, to optimize his rehabilitation. As a result NG improved in most of his impaired linguistic capacities, attested by the results of neuropsychological and linguistic assessments performed throughout the years. More importantly, he was able to manage again his daily functions at a high level, and to resume his occupational role as an architect, a role which he holds to this day.

Processing of unconventional stimuli requires the recruitment of the non-specialized hemisphere.

In the present study we investigate hemispheric processing of conventional and unconventional visual stimuli in the context of visual and verbal creative ability. In Experiment 1, we studied two unconventional visual recognition tasks-Mooney face and objects' silhouette recognition-and found a significant relationship between measures of verbal creativity and unconventional face recognition. In Experiment 2 we used the split visual field (SVF) paradigm to investigate hemispheric processing of conventional and unconventional faces and its relation to verbal and visual characteristics of creativity. Results showed that while conventional faces were better processed by the specialized right hemisphere (RH), unconventional faces were better processed by the non-specialized left hemisphere (LH). In addition, only unconventional face processing by the non-specialized LH was related to verbal and visual measures of creative ability. Our findings demonstrate the role of the non-specialized hemisphere in processing unconventional stimuli and how it relates to creativity.

Investigating the structure of semantic networks in low and high creative persons.

According to Mednick's (1962) theory of individual differences in creativity, creative individuals appear to have a richer and more flexible associative network than less creative individuals. Thus, creative individuals are characterized by "flat" (broader associations) instead of "steep" (few, common associations) associational hierarchies. To study these differences, we implement a novel computational approach to the study of semantic networks, through the analysis of free associations. The core notion of our method is that concepts in the network are related to each other by their association correlations-overlap of similar associative responses ("association clouds"). We began by collecting a large sample of participants who underwent several creativity measurements and used a decision tree approach to divide the sample into low and high creative groups. Next, each group underwent a free association generation paradigm which allowed us to construct and analyze the semantic networks of both groups. Comparison of the semantic memory networks of persons with low creative ability and persons with high creative ability revealed differences between the two networks. The semantic memory network of persons with low creative ability seems to be more rigid, compared to the network of persons with high creative ability, in the sense that it is more spread out and breaks apart into more sub-parts. We discuss how our findings are in accord and extend Mednick's (1962) theory and the feasibility of using network science paradigms to investigate high level cognition.

Faces in the face of death: effects of exposure to life-threatening events and mortality salience on facial expression recognition in combat and noncombat military veterans.

Soldiers in war zones often experience life-threatening events that put their lives at stake. The present study examined how these exposures shape soldiers' social behavior, manifested by recognition of facial expressions. In addition, we investigated how explicit awareness of one's eventual death affects sensitivity to facial expressions. Veterans of elite military combat units were exposed to conditions of mortality or pain salience and later requested to label the emotions depicted in threatening and nonthreatening faces. Combat veterans were more accurate than noncombat veterans in identifying threatening expressions, both in mortality or pain salience induction (experiment 1) or under no induction at all (experiment 2). In addition, noncombat veterans primed with mortality salience identified fear expressions more accurately than those primed with pain salience. Finally, mortality salience improved accuracy for nonthreatening expressions for all veterans. The present results demonstrate that fear of death, resulting from exposure to concrete life-endangering perils or from thoughts on human's inevitable death, influences perception of facial expressions, which is critical for successful interpersonal communication.

Neural correlates of temporal integration in face recognition: an fMRI study.

Integration of temporally separated visual inputs is crucial for perception of a unified representation. Here, we show that regions involved in configural processing of faces contribute to temporal integration occurring within a limited time-window using a multivariate analysis (partial least squares, PLS) exploring the relation between brain activity and recognition performance. During fMRI, top and bottom parts of a famous face were presented sequentially with a varying interval (0, 200, or 800 ms) or were misaligned. The 800 ms condition activated several regions implicated in face processing, attention and working memory, relative to the other conditions, suggesting more active maintenance of individual face parts. Analysis of brain-behavior correlations showed that better identification in the 0 and 200 conditions was associated with increased activity in areas considered to be part of a configural face processing network, including right fusiform, middle occipital, bilateral superior temporal areas, anterior/middle cingulate and frontal cortices. In contrast, successful recognition in the 800 and misaligned conditions, which involve analytic and strategic processing, was negatively associated with activation in these regions. Thus, configural processing may involve rapid temporal integration of facial features and their relations. Our finding that regions concerned with configural and analytic processes in the service of face identification opposed each other may explain why it is difficult to apply the two processes concurrently.

Automatic aspects in face perception: evidence from mandatory processing of distractor facial components.

We examined the perceptual dependency of local facial information on the whole facial context. In Experiment 1 participants matched a predetermined facial feature that appeared in two sequentially presented faces judging whether it is identical or not, while ignoring an irrelevant dimension in the faces. This irrelevant dimension was either (a) compatible or incompatible with the target's response and (b) same or different in either featural characteristics or metric distance between facial features in the two faces. A compatibility effect was observed for upright but not inverted faces, regardless of the type of change that differentiated between the faces in the irrelevant dimension. Even when the target was presented upright in the inverted faces, to attenuate perceptual load, no compatibility effect was found (Experiment 2). Finally, no compatibility effects were found for either upright or inverted houses (Experiment 3). These findings suggest that holistic face perception is mandatory.

Familiarity effects on categorization levels of faces and objects.

It is well established that faces, in contrast to objects, are categorized as fast or faster at the individual level (e.g., Bill Clinton) than at the basic-level (e.g., human face). This subordinate-shift from basic-level categorization has been considered an outcome of visual expertise with processing faces. However, in the present study we found that, similar to familiar faces, categorization of individually-known familiar towers is also faster at the individual level than at the basic-level in naïve participants. In addition, category-verification of familiar stimuli, at basic and superordinate levels, was slower and less accurate compared to unfamiliar stimuli. Thus, the existence of detailed semantic information, regardless of expertise, can induce a shift in the default level of object categorization from basic to individual level. Moreover, the individually-specific knowledge is not only more easily-retrieved from memory but it might also interfere with accessing more general category information.

Does lateral parietal cortex support episodic memory? Evidence from focal lesion patients.

Although neuroimaging and human lesion studies agree that the medial parietal region plays a critical role in episodic memory, many neuroimaging studies have also implicated lateral parietal cortex, leading some researchers to suggest that the lateral region plays a heretofore underappreciated role in episodic memory. Because there are very few extant lesion data on this matter, we examined memory in six cases of focal lateral parietal damage, using both clinical and experimental measures, in which we distinguished between recollection and familiarity. The patients did not have amnesia, but they did show evidence of disrupted recollection on an anterograde memory task. Although the exact mechanisms remain to be elucidated, lateral parietal damage appears to impair some aspects of episodic memory.