Conceptualizing a less paranoid schizophrenia.

Schizophrenia stands as one of the most studied and storied disorders in the history of clinical psychology; however, it remains a nexus of conflicting and competing conceptualizations. Patients endure great stigma, poor treatment outcomes, and condemnatory prognosis. Current conceptualizations suffer from unstable categorical borders, heterogeneity in presentation, outcome and etiology, and holes in etiological models. Taken in aggregate, research and clinical experience indicate that the class of psychopathologies oriented toward schizophrenia are best understood as spectra of phenomenological, cognitive, and behavioral modalities. These apparently taxonomic expressions are rooted in normal human personality traits as described in both psychodynamic and Five Factor personality models, and more accurately represent explicable distress reactions to biopsychosocial stress and trauma. Current categorical approaches are internally hampered by axiomatic bias and systemic inertia rooted in the foundational history of psychological inquiry; however, when such axioms are schematically decentralized, convergent cross-disciplinary evidence outlines a more robust explanatory construct. By reconceptualizing these disorders under a dimensional and cybernetic model, the aforementioned issues of instability and inaccuracy may be resolved, while simultaneously opening avenues for both early detection and intervention, as well as for more targeted and effective treatment approaches.

Treating Multidimensional Presenting Problems with a Mutually Integrative Approach Using the Genogram.

The present article introduces a case study and describes a mutually integrative approach to treating a complex presenting problem. This article examines the specific issues surrounding integration when a supervisor and supervisee hold different theoretical perspectives. On occasion, such a relationship demands that the supervisee adhere to the model being taught by the supervisor. Examining integration in this format presents many advantages for both treatment and training. The key to the mutual integration is that two schools of psychotherapy can be combined in a way that creates a synergy; in that, together they are more powerful than either may be in isolation. A genogram with symbols from each model is incorporated to focus the treatment and create a format for the mutual integration.

Este artículo presenta un caso práctico y describe un enfoque mutuamente integrador para el tratamiento de un problema complejo motivo de consulta. Se analizan los problemas específicos en torno a la integración cuando un supervisor y una persona supervisada tienen diferentes perspectivas teóricas. Ocasionalmente, dicha relación exige que la persona supervisada se ajuste al modelo que le enseña el supervisor. El análisis de la integración en este formato presenta muchas ventajas tanto para el tratamiento como para la capacitación. La clave para la integración mutua es que puedan combinarse dos escuelas de psicoterapia de una manera que genere una sinergia; es decir, que juntas sean más poderosas de lo que puede ser cualquiera individualmente. Se incorpora un genograma con símbolos de cada modelo para centrar el tratamiento y crear un formato para la integración mutua. El caso se conceptualiza utilizando una fusión de la teoría de sistemas y la teoría psicoanalítica sobre la base del modelo estratégico de sistemas familiares y de un modelo psicoanalítico tradicional influenciado por la psicología del yo del modelo freudiano (Hall, 1999; Fenichel, 1945) y McWilliams (2011). El genograma sistémico tradicional (con símbolos interaccionales) se transforma en un genograma "integrado", con la incorporación de símbolos nuevos para representar los mecanismos psicoanalíticos de defensa. Los problemas presentados en el caso son preocupaciones relacionales y problemas de autoestima en un "paciente identificado" adolescente, obesidad y antecedentes de trauma sexual. Se proporcionan las razones para la integración mutua en este caso específico junto con las razones para la intervención.

What's so funny? Modelling incongruity in humour production.

Finding something humorous is intrinsically rewarding and may facilitate emotion regulation, but what creates humour has been underexplored. The present experimental study examined humour generated under controlled conditions with varying social, affective, and cognitive factors. Participants listed five ways in which a set of concept pairs (e.g. MONEY and CHOCOLATE) were similar or different in either a funny way (intentional humour elicitation) or a "catchy" way (incidental humour elicitation). Results showed that more funny responses were produced under the incidental condition, and particularly more for affectively charged than neutral concepts, for semantically unrelated than related concepts, and for responses highlighting differences rather than similarities between concepts. Further analyses revealed that funny responses showed a relative divergence in output dominance of the properties typically associated with each concept in the pair (that is, funny responses frequently highlighted a property high in output dominance for one concept but simultaneously low in output dominance for the other concept); by contrast, responses judged not funny did not show this pattern. These findings reinforce the centrality of incongruity resolution as a key cognitive ingredient for some pleasurable emotional elements arising from humour and demonstrate how it may operate within the context of humour generation.

Dissociating Cortical Activity during Processing of Native and Non-Native Audiovisual Speech from Early to Late Infancy.

Initially, infants are capable of discriminating phonetic contrasts across the world's languages. Starting between seven and ten months of age, they gradually lose this ability through a process of perceptual narrowing. Although traditionally investigated with isolated speech sounds, such narrowing occurs in a variety of perceptual domains (e.g., faces, visual speech). Thus far, tracking the developmental trajectory of this tuning process has been focused primarily on auditory speech alone, and generally using isolated sounds. But infants learn from speech produced by people talking to them, meaning they learn from a complex audiovisual signal. Here, we use near-infrared spectroscopy to measure blood concentration changes in the bilateral temporal cortices of infants in three different age groups: 3-to-6 months, 7-to-10 months, and 11-to-14-months. Critically, all three groups of infants were tested with continuous audiovisual speech in both their native and another, unfamiliar language. We found that at each age range, infants showed different patterns of cortical activity in response to the native and non-native stimuli. Infants in the youngest group showed bilateral cortical activity that was greater overall in response to non-native relative to native speech; the oldest group showed left lateralized activity in response to native relative to non-native speech. These results highlight perceptual tuning as a dynamic process that happens across modalities and at different levels of stimulus complexity.

Hemodynamic responses to speech and music in preverbal infants.

Numerous studies have provided clues about the ontogeny of lateralization of auditory processing in humans, but most have employed specific subtypes of stimuli and/or have assessed responses in discrete temporal windows. The present study used near-infrared spectroscopy (NIRS) to establish changes in hemodynamic activity in the neocortex of preverbal infants (aged 4-11 months) while they were exposed to two distinct types of complex auditory stimuli (full sentences and musical phrases). Measurements were taken from bilateral temporal regions, including both anterior and posterior superior temporal gyri. When the infant sample was treated as a homogenous group, no significant effects emerged for stimulus type. However, when infants' hemodynamic responses were categorized according to their overall changes in volume, two very clear neurophysiological patterns emerged. A high-responder group showed a pattern of early and increasing activation, primarily in the left hemisphere, similar to that observed in comparable studies with adults. In contrast, a low-responder group showed a pattern of gradual decreases in activation over time. Although age did track with responder type, no significant differences between these groups emerged for stimulus type, suggesting that the high- versus low-responder characterization generalizes across classes of auditory stimuli. These results highlight a new way to conceptualize the variable cortical blood flow patterns that are frequently observed across infants and stimuli, with hemodynamic response volumes potentially serving as an early indicator of developmental changes in auditory-processing sensitivity.

Linking behavioral and neurophysiological indicators of perceptual tuning to language.

Little is known about the neural mechanisms that underlie tuning to the native language(s) in early infancy. Here we review language tuning through the lens of type and amount of language experience and introduce a new manner in which to conceptualize the phenomenon of language tuning: the relative speed of tuning hypothesis. This hypothesis has as its goal a characterization of the unique time course of the tuning process, given the different components (e.g., phonology, prosody, syntax, semantics) of one or more languages as they become available to infants, and biologically based maturational constraints. In this review, we first examine the established behavioral findings and integrate more recent neurophysiological data on neonatal development, which together demonstrate evidence of early language tuning given differential language exposure even in utero. Next, we examine traditional accounts of sensitive and critical periods to determine how these constructs complement current data on the neural mechanisms underlying language tuning. We then synthesize the extant infant behavioral and neurophysiological data on monolingual, bilingual, and sensory deprived tuning, thereby scrutinizing the effect of these three different language profiles on the specific timing, progression, and outcome of language tuning. Finally, we discuss future directions researchers might pursue to further understand this aspect of language development, advocating our relative speed of tuning hypothesis as a useful framework for conceptualizing the complex process by which language experience works together with biological constraints to shape language development.

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This research demonstrates near-infrared spectroscopy (NIRS) as a flexible methodology for measuring cortical activity during overt speech production while avoiding some limitations of traditional imaging technologies. Specifically, language production research has been limited in the number of participants and the types of paradigms that can be reasonably investigated using functional magnetic resonance imaging (fMRI) - where a sensitivity to motion has encouraged covert (i.e., nonvocalized) production paradigms - and positron emission tomography (PET), which allows a greater range of motion but introduces practical and ethical limitations to the populations that can be studied. Moreover, for these traditional technologies, the equipment is expensive and not portable, effectively limiting most studies to small, local samples in a relatively few labs. In contrast, NIRS is a relatively inexpensive, portable, noninvasive alternative that is robust to motion artifacts associated with overt speech production. The current study shows that NIRS data is consistent with behavioral and traditional imaging data on cortical activation associated with overt speech production. Specifically, the NIRS data show robust activation in the left temporal region and no significant change in activation in the analogous right hemisphere region in a sample of native, English-speaking adults in a picture-naming task. These findings illustrate the utility of NIRS as a valid method for tracking cortical activity and advance it as a powerful alternative when traditional imaging techniques are not a viable option for researchers investigating the neural substrates supporting speech production.

Executive function in older adults: a structural equation modeling approach.

Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to study the organization of executive functions in older adults. The four primary goals were to examine (a) whether executive functions were supported by one versus multiple underlying factors, (b) which underlying skill(s) predicted performance on complex executive function tasks, (c) whether performance on analogous verbal and nonverbal tasks was supported by separable underlying skills, and (d) how patterns of performance generally compared with those of young adults. A sample of 100 older adults completed 10 tasks, each designed to engage one of three control processes: mental set shifting (Shifting), information updating or monitoring (Updating), and inhibition of prepotent responses (Inhibition). CFA identified robust Shifting and Updating factors, but the Inhibition factor failed to emerge, and there was no evidence for verbal and nonverbal factors. SEM showed that Updating was the best predictor of performance on each of the complex tasks the authors assessed (the Tower of Hanoi and the Wisconsin Card Sort). Results are discussed in terms of insight for theories of cognitive aging and executive function.

Streptococcus agalactiae myositis in a child with perinatally acquired human immnodeficiency virus.

Pyomyositis is a musculoskeletal infection with formation of an intramuscular abscess. Endemic in tropical climates, it is being reported with increasing frequency in temperate climates such as the United States. The most common causative organism is Staphylococcus aureus, present in greater than 90% of reported cases. Risk factors include underlying chronic illness, malnutrition, immunocompromised state, and muscle trauma. We present a case in which Streptococcus agalactae was the causative agent of myositis in a child with a history of perinatally derived human immunodeficiency virus infection.

Bilingual language lateralization: a meta-analytic tale of two hemispheres.

Two meta-analyses of 66 behavioral studies examined variables influencing functional cerebral lateralization of each language of brain-intact bilingual adults. Functional lateralization was found to be primarily influenced by age of onset of bilingualism: bilinguals who acquired both languages by 6 years of age showed bilateral hemispheric involvement for both languages, whereas those who acquired their second language after age 6 showed left hemisphere dominance for both languages. Moreover, among late bilinguals, left hemisphere involvement was found to be greater for those less proficient in their second language, those whose second language was English, and for studies involving dichotic listening paradigms; early bilinguals instead showed bilateral involvement in every condition. Implications of the observed differences in lateralization between early and late bilinguals are explored for existing theories of bilingualism and for neurocognitive models of brain functional organization of language.

Laterality and language experience.

A meta-analysis was conducted on studies that examined hemispheric functional asymmetry for language in brain-intact monolingual and bilingual adults. Data from 23 laterality studies that directly compared bilingual and monolingual speakers on the same language were analysed (n = 1234). Variables examined were language experience (monolingual, bilingual), experimental paradigm (dichotic listening, visual hemifield presentation, and dual task) and, among bilinguals, the influence of second language proficiency (proficient vs nonproficient) and onset of bilingualism (early, or before age 6; and late, or after age 6). Overall, monolinguals and late bilinguals showed reliable left hemisphere dominance, while early bilinguals showed reliable bilateral hemispheric involvement. Within bilinguals, there was no reliable effect of language proficiency when age of L2 acquisition was controlled. The findings indicate that early learning of one vs. two languages predicts divergent patterns of cerebral language lateralisation in adulthood.