Psychiatry and Psychology Commons^™

Artificial Intelligence And Chatbots In Psychiatry, Kay T Pham, Amir Nabizadeh, Salih Selek

Faculty, Staff and Student Publications

The utilization of artificial intelligence (AI) in psychiatry has risen over the past several years to meet the growing need for improved access to mental health solutions. Additionally, shortages of mental health providers during the COVID-19 pandemic have continued to exacerbate the burden of mental illness worldwide. AI applications already in existence include those enabled to assist with psychiatric diagnoses, symptom tracking, disease course prediction, and psychoeducation. Modalities of AI mental health care delivery include availability through the internet, smartphone applications, and digital gaming. Here we review emerging AI-based interventions in the form of chat and therapy bots, specifically conversational …

Nonjudgmental Acceptance: Associations With Substance-Related Cue Reactivity In Adults With Substance Use Disorders And Posttraumatic Stress, Anka A Vujanovic, Heather E Webber, Margaret C Wardle, Charles E Green, Scott D Lane, Joy M Schmitz

Faculty, Staff and Student Publications

The present investigation examined the predictive utility of nonjudgmental acceptance, a facet of mindfulness defined as the ability to remain aware and nonevaluative about internal experience, in terms of substance-related cue reactivity among adults with substance use disorders (SUD) and posttraumatic stress (PTS) symptomatology. We hypothesized that higher nonjudgmental acceptance, indexed via self-report, would predict higher levels of self-reported control over oneself and safety 'in the moment', broadly, and lower levels of substance-related craving in response to substance script cues. Effects were expected after subtracting reactivity to neutral script cues from each outcome rating. PTS severity was included as a …

Does Anxiety Moderate The Relationship Between Adhd Inattention Symptoms And Cognitive Flow States?, Anna S. Hall, Dorthie Cross

Psychology: Faculty Presentations (2009-2022)

Georgia Southern University student, A. Shea Hall and faculty member Dorothie Cross co-presented Does Anxiety Moderate the Relationship Between ADHD Inattention Symptoms and Cognitive Flow States? in the Southeastern Psychological Association Annual Conference, March 2022.

Background

• Although some studies have found a positive correlation between ADHD symptoms and self-reported cognitive flow states, other studies do not find such a relationship.
• ADHD is commonly comorbid with anxiety, which has been found to be negatively correlated with flow states.
• It is possible that some of the inconsistencies across studies might be explained by level of anxiety.

Purpose

The purpose of the current …

Long-Term Safety And Efficacy Of Deutetrabenazine In Younger And Older Patients With Tardive Dyskinesia, Martha Sajatovic

Faculty Scholarship

Objectives: To assess long-term safety and efficacy of deutetrabenazine in younger (<55 years) and older (≥55 years) adult participants with tardive dyskinesia (TD). Design: Three-year, single-arm, open-label extension (OLE) study enrolling participants who completed the 12-week, pivotal ARM-TD or AIM-TD studies. Setting: Seventy-six centers in the United States and Europe. Participants: A total of 337 participants with TD (119 younger and 218 older). Intervention: Deutetrabenazine was initiated at 12 mg/day and titrated once weekly by 6 mg/day using a response-driven dosing regimen until adequate dyskinesia control was reached or a clinically significant adverse event occurred. Measurements: This post hoc analysis assessed change and percent change from baseline in total motor Abnormal Involuntary Movement Scale (AIMS) score, response rates for ≥50% AIMS improvement, Clinical Global Impression of Change (CGIC), Patient Global Impression of Change (PGIC), and safety in younger and older participants with TD. Results: After 3 years of open-label treatment, mean deutetrabenazine dose was ∼39.5 mg/day in both groups. Mean±SE changes from baseline in total motor AIMS score were –6.7 ± 0.62 and –6.5 ± 0.47 in younger and older participants, respectively (percent changes: –61.4% ± 4.10% and –54.6% ± 3.01%); 76% of younger and 62% of older participants achieved ≥50% AIMS response. Most younger and older participants achieved treatment success per CGIC (67% and 76%) and PGIC (64% and 63%). Deutetrabenazine was generally well tolerated in both groups. Conclusions: Deutetrabenazine treatment was associated with sustained improvements in total motor AIMS score, treatment success, and improved quality of life, and was well tolerated in younger and older adults with TD in this 3-year OLE study.

Hallermann-Streiff Syndrome And Psychosis: A Case Report, Tarvis Peacock, Ubaid Khokhar, Jaclyn Murphy, Zach Murphy

HCA Healthcare Journal of Medicine

Hallermann-Streiff syndrome is a rare genetic congenital disorder, with fewer than 200 cases reported to date, that is characterized by brachycephaly with frontal bossing, micrognathia, a “bird-like” beaked nose, microphthalmia with congenital cataracts, dental abnormalities, hypotrichosis, skin atrophy, and short stature. There is limited data on psychosis in individuals with Hallermann-Streiff syndrome; the information available depicts mania rather than psychosis. This case report reviews the presentation and treatment of psychosis in a 32-year-old male with Hallermann-Streiff syndrome who was involuntarily admitted to an inpatient psychiatric unit for persecutory delusions and hallucinations. The patient’s psychosis responded well to risperidone with a …

Editorial: Individual Differences In Cognition And Affects In The Era Of Pandemic And Machine Learning, Andrea Vranic, Yang Jiang, Xiaopeng Zhao

Behavioral Science Faculty Publications

No abstract provided.

Misinterpreted Orthodontic Procedure Leading On To Depression, Dr.Anusha Pogula, Dr.Kishor M Associate Professor, Psychiatry, Dr.Ashwini T.S

Digital Journal of Clinical Medicine

BACKGROUND: Oral health is an important issue that affects not only the teeth and mouth but also general health, appearance, and self-esteem. Risk of having infections including poor oral health and periodontal infections are the most proposed mechanisms of action of depression and anxiety on the human body by modification of the immune system function and increasing pro-inflammatory cytokines and induction of vascular inflammation. It is proposed that these two conditions can cause oral and dental problems since emotional changes can influence oral mucosa. Several researches have also shown a relationship between anxiety or depression and periodontal health.

CASE …

A Case Of Trichotillomania With Comorbid Depression And Anxiety, Rini Roy, Sudeep Pradeep Kumar, Kishor M

Digital Journal of Clinical Medicine

BACKGROUND:

Trichotillomania also called hair-pulling or compulsive hair-pulling disorder is a psychiatric condition that involves recurrent, irresistible urges to pull out hair from their scalps, eyebrows, or other areas of the body.[1] It is an uncontrollable urge that is present after an anxiety-provoking situation and which causes severe distress it can interfere with one’s social, occupational functioning.[6] The term trichotillomania was coined by the French dermatologist Francois Henri Hallopeou in the year 1889.[2] The lifetime prevalence of trichotillomania is estimated to be between 0.6% and 4.0% of the overall population with a 1% prevalence in gender-wise.[5] The mean age at …

Neural Correlates Of Inhibitory Control And Associations With Cognitive Outcomes In Bangladeshi Children Exposed To Early Adversities, Eileen F. Sullivan, Wanze Xie, Stefania Conte, John E. Richards, Talat Shama, Rashidul Haque, William A. Petri, Charles A. Nelson

Faculty Publications

There is strong support for the view that children growing up in low-income homes typically evince poorer performance on tests of inhibitory control compared to those growing up in higher income homes. Unfortunately, the vast majority of the work documenting this association has been conducted in high-income countries. It is not yet known whether the mechanisms found to mediate this association would generalize to children in low- and middle-income countries, where the risks of exposure to extreme poverty and a wide range of both biological and psychosocial hazards may be greater. We examined relations among early adversity, neural correlates of …

Therapeutic Processes In Clinical Interventions : A View Of Qualitative Methodological Approaches, Jennifer Denis, Marc Tocquet, François Guillemette, Stephan Hendrick

The Qualitative Report

This article examines several qualitative methods to capture and analyze processes in therapeutic and clinical interventions. The study of therapeutic processes provides an understanding of what leads to changes in clinical interventions. This is a goal of any therapeutic intervention. This interest should allow us to try to identify what the therapists do and think they are doing, how they do it, how they think about their interventions, and what happens during the session that might explain changes. These types of studies require that researchers provide clarifications about their epistemological and methodological choices. To meet that requirement, we propose to …

When “There Is” A Black: Levinas And Fanon On Ethics, Politics, And Responsibility, Leswin Laubscher

Middle Voices

This paper examines some of the ways in which the Black other, by Frantz Fanon’s articulation, complicates and challenges Emmanuel Levinas’s philosophies of ethics and justice. Additionally, it brings Levinas’s notion of the il y a, or “there is,” and Fanon’s “zone of nonbeing” into critical conversation with respect to the body and being of the Black other.

Emannuel Levinas, Fr. William Richardson, And The Return Of The Irresponsible Subject, Robert Manning

Middle Voices

This article revisits the famous encounter between Levinas and William Richardson to discuss the subject's ability to return to itself despite Levinas's arguments to the the contrary in OTB.

Ethics Of Interaction: Levinas And Enactivism On Affectivity, Responsibility, And Signification, Edward A. Lenzo

Middle Voices

In recent years, there have been a number of attempts to connect enactivism with the work of Emmanuel Levinas. This essay is such an attempt. Its major theme is the relationship between affectivity and ethics. My touchstones in enactivist thought are Giovanna Colombetti and Steve Torrances’ “Emotion and Ethics: an (inter-)enactive account” (2009) and the influential concept of participatory sense-making developed by Hanne De Jaegher and Ezequiel Di Paolo (2007). With respect to Levinas, I deploy major insights from Totality and Infinity and Otherwise than Being. I first show that enactivist thought (thus represented) and Levinas roughly agree on …

Revealing Levinas: Transcending Moral And Aesthetic Distinctions Between Form And Content Through Poetic Gamespersonship, Lori E. Koelsch, Alex Kranjec

Middle Voices

This poem was inspired by the confluence of two communications: An email regarding proposed changes to university workload policies, and a call for papers for a journal’s special issue on the work of Emmanuel Levinas. We used poetic form to reflect figuratively on academic integrity and what counts literally as good Levinas scholarship.

Ethics In The Breakdown: Levinas, Winnicott, And Schizoid Phenomena, Matthew J. Devine

Middle Voices

This article addresses the common concern that Emmanuel Levinas’ ethics amounts to a life-denying, moral masochism. To the contrary, I demonstrate close resonances between Levinas’ project and that of the psychoanalyst D.W. Winnicott, for whom the purpose of therapy is to feel alive. In the first section, I trace the Levinasian subject’s coming to be out of the impersonal Il y a. Exploiting the object-relations undertones, I emphasize that the Levinasian subject comes to be as fastened, riveted, or bound to existence, and thereafter seeks to loosen its bond to its existence. In the second section, I discuss Winnicott’s …

King, Levinas And The Interruption Of Love: The Alchemy Of The Fire Fable, Claire S. Lebeau, Kaleb Sinclair

Middle Voices

Levinas begins Totality and Infinity with a haunting allusion from the 19^th century French poet Arthur Rimbaud, “though the true life is absent”, we are in the world. This lamentation is a fitting beginning for his exposition of a radical reformulation of an Ethics that precedes all thought, language, or systematic attempts to cast morality as a Truth. Similarly, Martin Luther King Jr. presented a lamentation for a dream of a world where the transcendence of race, creed, or classification of any kind could allow children to grow up to be first ethical human beings in relation to one …

In Memoriam: George Kunz (1934-2019) / Levinas Issue Introduction, Claire S. Lebeau

Middle Voices

No abstract provided.

Treatment Preferences For Pharmacological Versus Psychological Interventions Among Primary Care Providers In Nepal: Mixed Methods Analysis Of A Pilot Cluster Randomized Controlled Trial., Anvita Bhardwaj, Dristy Gurung, Sauharda Rai, Bonnie N Kaiser, Cori L Cafaro, Kathleen J Sikkema, Crick Lund, Nagendra P Luitel, Brandon A. Kohrt

Psychiatry and Behavioral Sciences Faculty Publications

There is increasing evidence supporting the effectiveness of psychological interventions in low- and middle-income countries. However, primary care providers (PCPs) may prefer treating patients with medication. A secondary exploratory analysis of a pilot cluster randomized controlled trial was conducted to evaluate psychological vs. pharmacological treatment preferences among PCPs. Thirty-four health facilities, including 205 PCPs, participated in the study, with PCPs in 17 facilities assigned to a standard version of the mental health Gap Action Programme (mhGAP) training delivered by mental health specialists. PCPs in the other 17 facilities received mhGAP instruction delivered by specialists and people with lived experience of …

Effect Of Computer-Assisted Cognitive Behavior Therapy Vs Usual Care On Depression Among Adults In Primary Care: A Randomized Clinical Trial, Jesse H. Wright, Jesse J. Owen, Tracy D. Eells, Becky F. Antle, Laura B. Bishop, Renee Girdler, Lesley M. Harris, R. Brent Wright, Michael J. Wells, Rangaraj Gopalraj, Michael E. Pendleton, Shehzad Ali

Counseling Psychology: Faculty Scholarship

Importance Depression is a common disorder that may go untreated or receive suboptimal care in primary care settings. Computer-assisted cognitive behavior therapy (CCBT) has been proposed as a method for improving access to effective psychotherapy, reducing cost, and increasing the convenience and efficiency of treatment for depression.

Objectives To evaluate whether clinician-supported CCBT is more effective than treatment as usual (TAU) in primary care patients with depression and to examine the feasibility and implementation of CCBT in a primary care population with substantial numbers of patients with low income, limited internet access, and low levels of educational attainment.

Design, Setting, …

From Hemispheric Asymmetry Through Sensorimotor Experiences To Cognitive Outcomes In Children With Cerebral Palsy, Iryna Babik

Psychological Sciences Faculty Publications and Presentations

Recent neuroimaging studies allowed us to explore abnormal brain structures and interhemispheric connectivity in children with cerebral palsy (CP). Behavioral researchers have long reported that children with CP exhibit suboptimal performance in different cognitive domains (e.g., receptive and expressive language skills, reading, mental imagery, spatial processing, subitizing, math, and executive functions). However, there has been very limited cross-domain research involving these two areas of scientific inquiry. To stimulate such research, this perspective paper proposes some possible neurological mechanisms involved in the cognitive delays and impairments in children with CP. Additionally, the paper examines the ways motor and sensorimotor experience during …

A Virtual Reality Platform For The Measurement Of Drinking Topography, Victor Schneider, Nicholas Bush, Darya Vitus, Ryan Carpenter, Michael Robinson, Jeff Boissoneault

Psychology Faculty Works

BackgroundThe assessment of alcohol consumption during a drinking bout, known as drinking topography, may help improve understanding of biopsychosocial mechanisms underlying alcohol consumption. However, past studies have been limited by effort-intensive, time-consuming, and error-prone processes involved in collecting, organizing, and standardizing drinking topography data. Recent technologies allowing integrated data collection and greater environmental control, such as virtual reality (VR), could resolve these problems.MethodsIn this pilot project, we assessed alcohol consumption topography of participants in a VR drinking environment with a programmable virtual confederate (i.e., bar goer) during two testing sessions. In one, the confederate drank quickly (30-60 s sip interval). …

Early Exploration Of One’S Own Body, Exploration Of Objects, And Motor, Language, And Cognitive Development Relate Dynamically Across The First Two Years Of Life, Iryna Babik, James Cole Galloway, Michele A. Lobo

Psychological Sciences Faculty Publications and Presentations

Early exploratory behaviors have been proposed to facilitate children’s learning, impacting motor, cognitive, language, and social development. This study related the performance of behaviors used to explore oneself to behaviors used to explore objects, and then related both types of exploratory behaviors to motor, language, and cognitive measures longitudinally from 3 through 24 months of age via secondary analysis of an existing dataset. Participants were 52 children (23 full-term, 29 preterm). Previously published results from this dataset documented delays for preterm relative to full-term infants in each assessment. The current results related performance among the assessments throughout the first 2 …

A Feminist Challenge To Transgenderism. A Review Of Doublethink: A Feminist Challenge To Transgenderism By Janice G. Raymond, Esohe Aghatise

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Reducing Fear Overgeneralization With Safety Learning: Attention Bias As A Moderator, Boyang Fan

Dissertations, Theses, and Capstone Projects

Anxiety disorders are the most prevalent mental health condition and affect one out of nine individuals around the world. Fear generalization is a neurocognitive mechanism thought to maintain and exacerbate anxiety, and thus is an important target of therapeutic interventions. Yet, intervention research and practice place relatively little emphasis on its importance. Given that a significant proportion of individuals do not respond to extant treatments of anxiety disorders, a strengthened focus on fear generalization may inform the development and personalization of new treatment approaches. Recent notions have linked fear generalization to failures in distinguishing between signals that predict the occurrence …

Discrimination, Psychological Well-Being, And Racial Importance In U.S. Native-Born And Caribbean Black Americans, Jaime E. Mccaw

Dissertations, Theses, and Capstone Projects

Objective: The present study examines the experiences of perceived discrimination and psychological well-being among two non-Hispanic Black American ethnic groups, Black Americans whose sole known country of origin is the United States and Black Americans with Caribbean heritage. Lifetime and everyday discrimination, life dissatisfaction, low self-esteem, hopelessness, and psychological distress are explored for each group. The impact of racial identity importance on each of these experiences is explored through self-identification with an identity that is defined racially or nationally (e.g., Black, American, or both equally), and the interaction between ethnicity and sex is considered.

Methods: Data are from adults recruited …

Photography: A Culturally Sensitive Bereavement Aid?, Rebecca M. Reséndiz Rodriguez

School of Medicine Publications

No abstract provided.

Morphometric And Structural Analysis Of Florida Manatee Spermatozoa, Jonathan R Cowart, Danielle M Collins, Daniel L Stanton, Gerhard Van Der Horst, Iskande V Larkin

Staff and Researcher Publications

Sperm characteristics, such as sperm morphology and sperm morphometry are important in assessing sperm quality. This is especially important for the management and conservation of endangered and exotic species, like the Florida manatee, where information of this nature is extremely limited. In this study, we fill this knowledge gap to better understand the reproductive physiology of Florida manatees by conducting the first extensive analysis of sperm morphometry and ultrastructure. Sperm were retrieved from the vas deferens of nine recently deceased Florida manatees. Computer-aided sperm morphology analysis (CASMA) was used for morphometric analysis and laser-scanning confocal microscopy and electron microscopy were …

Mental Construal And Alterations In Emotional Memory, Olivia D. Beers

Dissertations

Psychological distancing refers to a shift from a psychologically immersed perspective that involves thinking about the details of an event (concretely) or stepping back from it and watching the event from an outside point of view (abstractly)––this can help individuals change how they feel about the experience. Investigating how construal levels affect emotional memories may provide more insight into how individuals may potentially alter the recall of their memories. The current study reflects a new examination of the effect of primed high and low construal levels on the recall of positive and negative arousing stimuli. This study included a pilot …

Mathematics For The Masses: Door-To-Door Missionaries Of Math And Twelve-Step Recovery Programs, Daniel S. Helman

Journal of Humanistic Mathematics

Conversion of strangers, or proselytizing, is a feature of a range of groups for religious, organizational and other aims. In twelve-step recovery programs, such as Alcoholics Anonymous, belief in a higher power is a requirement for working the steps to recovery. People are encouraged to find a higher power of their own understanding. This paper presents a model for using mathematics as a higher power, and shows how recovery works with mathematics in that role instead of a more traditional higher power such as God. A contemplative definition of math is given along with a description of a three-categoried epistemology: …

Applications Of Unsupervised Machine Learning In Autism Spectrum Disorder Research: A Review, Chelsea Parlett-Pelleriti, Elizabeth Stevens, Dennis R. Dixon, Erik J. Linstead

Engineering Faculty Articles and Research

Large amounts of autism spectrum disorder (ASD) data is created through hospitals, therapy centers, and mobile applications; however, much of this rich data does not have pre-existing classes or labels. Large amounts of data—both genetic and behavioral—that are collected as part of scientific studies or a part of treatment can provide a deeper, more nuanced insight into both diagnosis and treatment of ASD. This paper reviews 43 papers using unsupervised machine learning in ASD, including k-means clustering, hierarchical clustering, model-based clustering, and self-organizing maps. The aim of this review is to provide a survey of the current uses of …