Previous studies of facial emotion processing in bipolar disorder (BD) have reported conflicting findings. In independently conducted studies, we investigate facial emotion labeling in euthymic and depressed BD patients using tasks with static and dynamically morphed images of different emotions displayed at different intensities. Study 1 included 38 euthymic BD patients and 28 controls. Participants completed two tasks: labeling of static images of basic facial emotions (anger, disgust, fear, happy, sad) shown at different expression intensities; the Eyes Test (Baron-Cohen, Wheelwright, Hill, Raste, & Plumb, 2001), which involves recognition of complex emotions using only the eye region of the face. Study 2 included 53 depressed BD patients and 47 controls. Participants completed two tasks: labeling of “dynamic” facial expressions of the same five basic emotions; the Emotional Hexagon test (Young, Perret, Calder, Sprengelmeyer, & Ekman, 2002). There were no significant group differences on any measures of emotion perception/labeling, compared to controls. A significant group by intensity interaction was observed in both emotion labeling tasks (euthymia and depression), although this effect did not survive the addition of measures of executive function/psychomotor speed as covariates. Only 2.6–15.8% of euthymic patients and 7.8–13.7% of depressed patients scored below the 10th percentile of the controls for total emotion recognition accuracy. There was no evidence of specific deficits in facial emotion labeling in euthymic or depressed BD patients. Methodological variations—including mood state, sample size, and the cognitive demands of the tasks—may contribute significantly to the variability in findings between studies. (JINS, 2015, 21, 709–721)
The relatives/carers of 23 traumatic brain injury patients were interviewed around one year after patients' discharge from postacute rehabilitation to determine the nature of the residual problems, the nature of the relatives' and carers' responses, and the strain on relatives and carers. Relatives were under very considerable strain. Some response styles were associated with increased stress, but there was little evidence for the effectiveness of positive coping strategies in reducing stress.
A prominent part in the development of the theory of visuo-spatial working memory has been played by techniques such as the Corsi Blocks task. A study on a wide variety of WM tasks using a patient group, bipolar patients in the euthymic stage, indicates that the group is relatively disadvantaged on the Corsi Blocks task. However, patients are also disadvantaged on tasks involving executive processes while visual task processes are spared. A number of regression analyses clearly indicates that the Corsi task disadvantage can be explained by the executive deficit and suggest that tasks that purportedly index spatial processes may be better considered to be dependent on the executive processes. Implications for the development of visuospatial working memory theory are discussed.
Self-monitoring deserves further investigation as a tool that may be helpful for patients with BD. Further exploration of the utility, generalisability, and stability of the effects of self-monitoring is needed.
Accommodation options are to purpose build, to use ready-made, or to rehabilitate. The paper argues that rehabilitation is the option most likely to provide for good fit between organization and building. The procurement process must be one which allows management to link decisions about the organization with decisions about the building, taking account of differing interest groups. It is suggested that a participatory form of postoccupancy evaluation is a managable basis for initiating environment/behavior change. The paper gives a step-by-step description of a touring interview method of evaluation in current use in New Zealand and summarizes the lessons learned from efforts to institutionalize postoccupancy evaluation as a normal part of building procurement. The paper concludes with the suggestion that participatory evaluation has utility as a way to involve different interest groups in reaching negotiated agreement in programming for rehabilitation and as a basis for improved overall performance of buildings.
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