Self-discrepancies and persecutory delusions: Evidence for a model of paranoid ideation.

The self-discrepancies of paranoid patients, depressed patients, and nonpatients were examined using a modified version of Higgins's Selves Questionnaire (E. T. Higgins, 1987). Nonpatients showed high consistencies between all domains of the self-concept, whereas depressed patients showed marked self-discrepancies. Paranoid patients alone displayed a high degree of consistency between self-perceptions and self-guides together with discrepancies between self-perceptions and the believed perceptions of parents about the self. Paranoid patients also believed that their parents had more negative views of them than did other participants. These findings are consistent with R. P. Bentall, P. Kinderman, and S. Kaney's (1994) model, which assumes that persecutory delusions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Causal attributions in paranoia and depression: Internal, personal, and situational attributions for negative events.

Causal attributions for positive and negative hypothetical social events made by paranoid patients, depressed patients, and nonpatient participants were examined via a novel measure of causal locus, the Internal, Personal and Situational Attributions Questionnaire. Depressed patients tended to attribute negative social events to internal (self-blaming) causes. Nonpatient participants and patients with delusions of persecution tended to avoid such self-blame. However, whereas nonpatient participants tended to choose situational or circumstantial external attributions, paranoid patients tended to choose external attributions that located blame in other individuals. These findings support R. P. Bentall, P. Kinderman, and S. Kaney's (1994) defensive attributional model of persecutory delusions, suggest some modifications to that model, and have implications for the understanding of the relationship between causal attributions and social and self-perception. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy.

Three studies investigated implicit biases, and their modifiability, against overweight persons. In Study 1 (N=144), the authors demonstrated strong implicit anti-fat attitudes and stereotypes using the Implicit Association Test, despite no explicit anti-fat bias. When participants were informed that obesity is caused predominantly by overeating and lack of exercise, higher implicit bias relative to controls was produced; informing participants that obesity is mainly due to genetic factors did not result in lower bias. In Studies 2A (N=90) and 2B (N=63), participants read stories of discrimination against obese persons to evoke empathy. This did not lead to lower bias compared with controls but did produce diminished implicit bias among overweight participants, suggesting an in-group bias. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social cognition and the manic defense: Attributions, selective attention, and self-schema in bipolar affective disorder.

Manic patients, depressed bipolar patients, and normal controls were compared on measures of social cognition. Manic patients showed a normal self-serving bias on the Attributional Style Questionnaire, but depressed patients attributed negative events more than positive events to self. On an implicit test of attributional style, both patient groups attributed negative events more than positive events to self. Both patient groups showed slowed color naming for depression-related but not euphoria-related words. Manic patients, like normal controls, endorsed mainly positive words as true of self but, like the depressed patients, recalled mainly negative words. Findings from the implicit tests indicate a common form of psychological organization in manic and depressed patients, whereas the contrasts between the scores on the implicit and explicit measures are consistent with the hypothesis of a manic defense. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The regulation of explicit and implicit race bias: The role of motivations to respond without prejudice.

Three studies examined the moderating role of motivations to respond without prejudice (e.g., internal and external) in expressions of explicit and implicit race bias. In all studies, participants reported their explicit attitudes toward Blacks. Implicit measures consisted of a sequential priming task (Study 1) and the Implicit Association Test (Studies 2 and 3). Study 3 used a cognitive busyness manipulation to preclude effects of controlled processing on implicit responses. In each study, explicit race bias was moderated by internal motivation to respond without prejudice, whereas implicit race bias was moderated by the interaction of internal and external motivation to respond without prejudice. Specifically, high internal, low external participants exhibited lower levels of implicit race bias than did all other participants. Implications for the development of effective self-regulation of race bias are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential effects of aging and Alzheimer's disease on conceptual implicit and explicit memory.

The effects of aging and Alzheimer's disease (AD) on conceptual explicit and implicit memory were examined. Three groups of participants patients with AD; age-matched, older control participants; and younger control participants made deep (semantic) or shallow (nonsemantic) judgments about low-dominant category exemplars. Explicit memory was measured by category cued recall and implicit memory was measured by priming on a category-exemplar generation task. Younger participants had enhanced cued recall and priming following deep, relative to shallow, encoding; this indicated that both memory measures were conceptually driven. Aging reduced explicit, but not implicit, test performance, and it did not reduce conceptually driven processes for either test. In contrast, AD reduced explicit and implicit test performance, and it impaired conceptually driven memory processes for both tests. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Secure and Defensive High Self-Esteem.

Long-standing theories have suggested high self-esteem (SE) can assume qualitatively different forms that are related to defensiveness. The authors explored whether some high-SE individuals are particularly defensive because they harbor negative self-feelings at less conscious levels, indicated by low implicit SE. In Study 1, participants high in explicit SE but low in implicit SE showed the highest levels of narcissism--an indicator of defensiveness. In Studies 2 and 3, the correspondence between implicit and explicit SE predicted defensive behavior (in-group bias in Study 2 and dissonance reduction in Study 3), such that for high explicit-SE participants, those with relatively low implicit SE behaved more defensively. These results are consistent with the idea that high SE can be relatively secure or defensive. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Comparison of Attentional Biases and Memory Biases in Women With Social Phobia and Major Depression.

Cognitive processes play an important role in the etiology and maintenance of anxiety and depression. Current theories differ, however, in their predictions regarding the occurrence of attentional biases and memory biases in depression and anxiety. To allow for a systematic comparison of disorders and cognitive processes, 117 women (35 with generalized social phobia, 27 with major depression, and 55 healthy controls) participated in a test of visual attention (visual search), an explicit memory test (free recall), and an implicit memory test (anagram solving). Both clinical groups exhibited attentional biases for disorder-related words, whereas only depressed participants showed clear evidence of explicit and implicit memory biases. The implications of these results for competing theories are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intact perceptual and conceptual priming in temporal lobe epilepsy: Neuroanatomical and methodological implications.

Explicit memory appears to be supported by medical temporal lobe structures, whereas separate neocortical regions may mediate perceptual and conceptual implicit memory. Children and adults with temporal lobe epilepsy (TLE) and matched controls were administered experimental verbal memory tests. Performance on implicit tests--word identification and word generation--was contrasted with explicit recognition and recall. Encoding conditions emphasized either conceptual or perceptual aspects of study words and were crossed with presentation modality. The priming performance of participants with TLE did not differ from controls, but participants with TLE did show deficits on recognition and recall measures. Thus, intact left temporal cortex does not appear to be necessary for normal implicit memory performance, even when conceptual processing is emphasized at study or test. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Unconscious mood-congruent memory bias in depression.

The purpose of this study was to investigate an unconscious or implicit mood-congruent memory (MCM) bias in clinical depression. Many studies have shown an explicit memory bias, but no study has yet found an implicit MCM bias in clinical depression. The authors compared depressed and control group participants on a conceptually driven implicit memory test. After studying words of positive, neutral, and negative affective valences, participants produced free associations to various cues. Implicit memory or priming was demonstrated by the production of more studied than unstudied words to the association cues. Depressed participants showed more priming of negative words, whereas controls showed more priming of positive words, thus supporting the MCM pattern. Also, no implicit memory deficit was found in depressed participants. These findings are discussed in the context of several prominent theories of cognition and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of divided attention on implicit and explicit memory performance following severe closed head injury.

This study investigated the relation between attentional limitations and memory impairments in patients with closed head injuries (CHI). Twenty-seven CHI participants ( > 1 year postinjury) and 27 matched controls rated their liking of target words under conditions of full and divided attention. Participants then completed an implicit test of tachistoscopic identification (TI) and an explicit test of recognition for the target words As expected, the results revealed impaired explicit memory but preserved perceptually driven implicit memory performance following a CHI. Contrary to what was hypothesized, a reduction in attention available at encoding did not disproportionately impair the recognition performance of the CHI patients. Finally, unlike controls, the CHI participants' priming scores on the TI task were significantly affected by dividing attention at encoding. However, this finding interacted with CHI participants perceptual processing rates, suggesting that nonmemory cognitive factors may influence measured performances on implicit memory tests. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Testing the continuum of delusional beliefs: An experimental study using virtual reality.

A key problem in studying a hypothesized spectrum of severity of delusional ideation is determining that ideas are unfounded. The first objective was to use virtual reality to validate groups of individuals with low, moderate, and high levels of unfounded persecutory ideation. The second objective was to investigate, drawing upon a cognitive model of persecutory delusions, whether clinical and nonclinical paranoia are associated with similar causal factors. Three groups (low paranoia, high nonclinical paranoia, persecutory delusions) of 30 participants were recruited. Levels of paranoia were tested using virtual reality. The groups were compared on assessments of anxiety, worry, interpersonal sensitivity, depression, anomalous perceptual experiences, reasoning, and history of traumatic events. Virtual reality was found to cause no side effects. Persecutory ideation in virtual reality significantly differed across the groups. For the clear majority of the theoretical factors there were dose–response relationships with levels of paranoia. This is consistent with the idea of a spectrum of paranoia in the general population. Persecutory ideation is clearly present outside of clinical groups and there is consistency across the paranoia spectrum in associations with important theoretical variables. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sentence verification and delusions: a content-specific deficit

BACKGROUND: A sentence verification task was developed to investigate semantic memory in schizophrenia. METHODS: The test consisted of three types of sentence (true, unlikely and nonsense) and seven different types of content (neutral, persecutory, grandiose, political, religious, relationships and somatic) representing common delusional themes present in schizophrenic patients. Sixty-three schizophrenic patients and 66 matched control subjects were asked to make true/false judgements to 143 sentences. RESULTS: Overall accuracy was similar across the two groups; sentences with some emotional themes and sentences of the unlikely type produced the most violations. Significant differences between the two subject groups were found specifically on nonsense sentences with persecutory and religious themes. Patients made significantly more incorrect responses (acceptance) to nonsense sentences that had an emotional content congruent with their delusional beliefs, past or present, and also on unlikely sentences (incorrect rejections) whose content was not congruent with their delusions. Further analysis of response bias in the patients showed, overall, that there were more incorrect rejections (a reflection of the large number of unlikely sentence errors) and more incorrect responses to sentences congruent with patients delusions. Furthermore, analysis of those patients currently experiencing delusions revealed more incorrect responses to sentences congruent with their delusional ideas compared with patients not currently deluded. CONCLUSIONS: These findings are indicative of cognitive bias in schizophrenia towards certain emotional themes that may underlie illogical semantic connections and delusions.     

Implicit and explicit measures of alcohol and smoking cognitions.

The present study tested convergent, discriminant, and incremental validity of implicit and explicit measures of alcohol and smoking cognitions. College-aged participants (n = 264) completed questionnaire measures of alcohol and smoking expectancies and behavior. Participants also completed the Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998) for alcohol and smoking on two occasions, approximately 1 month apart. Psychometric qualities of these IATs were evaluated. Modest associations were found between implicit and explicit measures for the same substance. Both implicit and explicit measures had unique associations with use. Discriminant validity was stronger for alcohol measures than for smoking measures. These results support the utility of the IAT as a technique for assessing implicit associations about alcohol and smoking. They also provide some evidence that smoking motivations may make unique contributions to alcohol use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Implicit memory for spatial context in depression and schizophrenia.

Deficits in explicit spatial memory, as well as abnormalities of the hippocampus and neighboring medial temporal structures, have been documented in schizophrenia and depression. Recent evidence relying on the contextual cueing paradigm has shown that integrity of these structures is crucial not only for explicit memory but also for implicit spatial memory. Using this paradigm, the authors show that implicit memory for spatial context is severely impaired in clinically depressed patients but reaches a normal level in schizophrenia patients, although in these patients, acquisition is slower than in controls. By contrast, implicit memory for isolated locations and colors is normal in both schizophrenia and depressed patients. These findings suggest an implicit memory impairment specific to spatial context in depression. The implications for research on the differences between schizophrenia and depression in abnormalities of the hippocampal system and for research on the neural correlates of contextual cueing are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The jumping to conclusions bias in delusions: Specificity and changeability.

There are indications that a jumping to conclusions bias (JTC) plays a role in the formation and maintenance of delusions and should be targeted in therapy. However, it is unclear whether (a) JTC is uniquely associated with delusions or simply an epiphenomenon of schizophrenia or impaired intellectual functioning and (b) it can be changed by varying task demands, motivational factors, or feedback. Seventy-one patients with schizophrenia spectrum disorders and either acute or remitted delusions and 68 healthy controls were included. Patients were assessed with self- and observer-rated symptom measures. All participants were assessed for intellectual ability and performed the classic beads task with a ratio of 80:20. They were then presented with task variations that involved increasing the difficulty of the ratio to 60:40, introducing a rule for which correct decisions were rewarded by monetary gains and false decisions led to financial losses, and providing feedback on the accuracy of the previous decisions. Participants with current delusional symptoms took fewer draws to decision (DTD) than did those in remission and healthy controls. DTD were associated with observer-rated delusions, but controlling for negative symptoms or intelligence rendered this association insignificant. DTD increased after the difficulty of the task increased and after feedback. The study demonstrated that JTC is linked to delusions but that this association is not unique. Patients with delusions are principally able to adapt their decisions to altered conditions but still decide relatively quickly even when decisions have negative consequences. These difficulties might stem in part from impaired intellectual functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intact implicit memory for newly formed verbal associations in amnesic patients following single study trials.

This study examines the ability of amnesic patients to recover newly formed associations implicitly after a single study trial. Fifteen amnesic patients with various etiologies studied pairs by forming a sentence containing both words. At test, all participants saw 40 intact pairs, 40 rearranged pairs, and 40 new words. All pairs appeared side by side both at study and at test. For the implicit lexical-decision task, 40 nonwords were intermixed with the other pairs, and participants indicated whether both items were words. For the explicit speeded recognition test, participants were asked to indicate whether both words had appeared at study. Despite being severely impaired on the explicit test, amnesic patients performed like healthy controls on the implicit test, with faster and more accurate responses to intact pairs than to recombined pairs. Contrary to existing theories, the results suggest that amnesic patients can form and retain new associations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The pathogenesis of persecutory delusions in the light of the attribution theory

Among the present pathogenetic hypotheses of delusions the cognitive model based on the attribution theory presents interesting assumptions. The attribution theory describes the ways in which we explain causes of events and human behaviour from the point of view of common sense psychology, as well as biases found in explaining everyday events, known as attribution errors. One of them is self-serving bias, which protects self-esteem and distorts attribution processes. Kaney, Bentall and co-workers revealed the defensive attributional style in the patients with persecutory delusions and after empirical research they suggested that delusions are the extreme forms of self-serving bias. After presenting the studies of Kaney-Bentall the authors of the article express their doubts regarding attributional hypothesis of persecutory delusions.     

Using the implicit association test to measure age differences in implicit social cognitions.

Two studies investigated the use of the Implicit Association Test (IAT; A. G. Greenwald, D. E. McGhee, & J. L. K. Schwartz, 1998) to study age differences in implicit social cognitions. Study 1 collected [AT (implicit) and explicit (self-report) measures of age attitudes, age identity, and self-esteem from young, young-old, and old-old participants. Study 2 collected IAT and explicit measures of attitudes toward flowers versus insects from young and old participants. Results show that the IAT provided theoretically meaningful insights into age differences in social cognitions that the explicit measures did not, supporting the value of the IAT in aging research. Results also illustrate that age-related slowing must be considered in analysis and interpretation of IAT measures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress responses and coping propensity among paranoid and nonparanoid, episodic, and remitted schizophrenics.

28 remitted and 28 episodic paranoid and nonparanoid schizophrenics performed a "coping task" consisting of a simple tapping response purported to affect the duration of stressing loud sounds. Cognitive appraisals of the effectiveness of the available response, and task-performance measures of propensity (vis-à-vis reticence) to engage in the response were monitored. Results indicate both paranoid and nonparanoid Ss appraised the available coping response as being less effective than did controls; behavioral measures indicated generally lower propensity to cope among the nonparanoid Ss; the paranoid Ss were similar to controls on selected coping-propensity measures. These differences remained constant across episodic and remitted stages of illness. Psychophysiological evidence of stress arousal (heart-rate acceleration) indicated elevated responsivity specifically among the episodic patients. Results were discussed in terms of current formulations concerning vulnerability to schizophrenic episodes and efforts to cope with environmental stressors. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)