Adapted motivational interviewing (AMI) represents a category of effective, directive and client-centered psychosocial treatments for substance abuse. In AMI, patients’ attitudes towards change are considered critical elements for treatment outcome as well as therapeutic targets for alteration. Despite being a major focus in AMI, the role of attitudes towards change in AMI’s action has yet to be systematically reviewed in substance abuse research. A search of PsycINFO, PUBMED/MEDLINE, and Science Direct databases and a manual search of related article reference lists identified 416 published randomized controlled trials that evaluated AMI’s impact on the reduction of alcohol and drug use. Of those, 54 met the initial inclusion criterion by evaluating AMI’s impact on attitudes towards change and/or testing hypotheses about attitudes towards change as moderators or mediators of outcome. Finally, 19 studies met the methodological quality inclusion criterion based upon a Newcastle-Ottawa Quality Assessment Scale score ≥ 7. Despite the conceptual importance of attitudes towards change in AMI, the empirical support for their role in AMI is inconclusive. Future research is warranted to investigate both the contextual factors (ie, population studied) as well as deployment characteristics of AMI (ie, counselor characteristics) likely responsible for equivocal findings.
We have employed the shape frequency and shape-amplitude after-effects (SFAE and SAAE) to investigate: (i) whether the shapes of illusory and real curves are processed by the same or different mechanisms, and (ii) the carrier-tuning properties of illusory curvature mechanisms. The SFAE and SAAE are the phenomena in which adaptation to a sinusoidal-shaped contour results in a shift in, respectively, the perceived shape-frequency and perceived shape-amplitude of a test contour in a direction away from that of the adapting stimulus. Both after-effects are believed to be mediated by mechanisms sensitive to curvature (Gheorghiu & Kingdom, 2007a, 2009; see also Hancock & Peirce, 2008). We observed both shape after-effects in sinusoidally-shaped illusory contours defined by phase-shifted line-grating carriers. We tested whether illusory and real contours were mediated by the same or different mechanisms by comparing same adaptor-and-test with different adaptor-and-test combinations of real and illusory contours. Real contour adaptors produced after-effects in illusory contour tests that were as great as, or even greater than those produced by illusory contour adaptors. However, illusory contour adaptors produced much weaker after-effects in real contour tests than did real contour adaptors. This asymmetry suggests that illusory contour curves are encoded by a sub-set of mechanisms sensitive to real contour curves. We also examined the carrier-tuning properties of illusory-contour curvature processing using adaptor and test illusory contours that differed in the luminance contrast-polarity, luminance scale and orientation of the carriers. We found no selectivity to any of these dimensions for either even-symmetric or odd-symmetric line-gratings carriers, even though selectivity to these dimensions was found for real contours.
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