No abstract

Psychological interventions are first-line treatments of depression. Despite a rich theoretical background, the mediators of treatment effects remain only partially understood: it has been difficult to precisely delineate the targets psychological interventions engage, and even more difficult to differentiate amongst the targets engaged by different psychological interventions. Here, we outline these issues and discuss a surprisingly understudied approach, namely the study of cognitive and computational tasks to measure psychological treatment targets. Such tasks benefit from substantial advances in cognitive neuroscience over the past two decades, and have excellent face validity. We discuss two candidate tasks for back-translation and conclude with a critical evaluation of potential problems associated with this neuro-cognitive approach.

No abstract

People often form polarized beliefs about others. In a clinical setting this is referred to as a dichotomous or ‘split’ representation of others, whereby others are not imbued with possessing mixtures of opposing properties. Here, we formalise these accounts as an oversimplified categorical model of others’ internal, intentional, states. We show how a resulting idealization and devaluation of others can be stabilized by attributing unexpected behaviour to fictive external factors. For example, under idealization, less-than-perfect behaviour is attributed to unfavourable external conditions, thereby maintaining belief in the other’s goodness. This feature of the model accounts for how extreme beliefs are buffered against counter-evidence, while at the same time being prone to precipitous changes of polarity. Equivalent inference applied to the self creates an oscillation between self-aggrandizement and self-deprecation, capturing oscillatory relational and affective dynamics. Notably, such oscillatory dynamics arise out of the Bayesian nature of the model, wherein a subject arrives at the most plausible explanation for their observations, given their current expectations. Thus, the model we present accounts for aspects of splitting that appear ‘defensive’, without the need to postulate a specific defensive intention. By contrast, we associate psychological health with a fine-grained representation of internal states, constrained by an integrated prior, corresponding to notions of ‘character’. Finally, the model predicts that extreme appraisals of self or other are associated with causal attribution errors.

No abstract