Treatment of antisocial personality disorder: Development of a practice focused framework.

There is little to no evidence of effective treatment methods for patients with an antisocial personality disorder (ASPD). One of the reasons could be the fact that they are often excluded from mental healthcare and thus from studies. A treatment framework based on 'state of the art' methods and best practices, offering guidelines on the treatment of ASP and possibilities for more systematical research, is urgently needed. This research involved a literature search and an international Delphi-study (N = 61 experts in research, management and clinical practice focused on ASPD). The results suggested important preconditions with regard to organization of care, healthcare workers and therapy. Conclusions are that there are many ways to coordinate effective treatment and management and work toward the increased availability of evidence based care for persons with ASPD.

The representational basis of syllable categories.

Two hypotheses concerning the relation between phoneme and syllable categories are contrasted. The phonological hypothesis holds that phoneme categories are perceptually basic, whereas syllable categories are abstract and specify the phonological rules operating on phoneme categories. The integrative routine hypothesis suggests that whereas phoneme categories are basic, syllable categories are not entirely abstract but are represented at least partially on the basis of higher order perceptual information, specifying the dynamics of coarticulating phoneme categories. Three experiments used a primed naming task in which subjects had to name the entire syllable (consonant-vowel and vowel-consonant; Experiment 1), the syllable-initial phoneme category (Experiment 2), or the syllable-final phoneme category (Experiment 3). The results supported the integrative routine hypothesis.

Testing the speech unit hypothesis with the primed matching task: phoneme categories are perceptually basic.

The basic speech unit (phoneme or syllable) problem was investigated with the primed matching task. In primed matching, subjects have to decide whether the elements of stimulus pairs are the same or different. The prime should facilitate matching in as far as its representation is similar to the stimuli to be matched. If stimulus representations generate graded structure, with stimulus instances being more or less prototypical for the category, priming should interact with prototypicality because prototypical instances are more similar to the activated category than are low-prototypical instances. Rosch (1975a, 1975b) showed that, by varying the matching criterion (matching for physical identity or for belonging to the same category), the specific patterns of the priming x prototypicality interaction could differentiate perceptually based from abstract categories. By testing this pattern for phoneme and syllable categories, the abstraction level of these categories can be studied. After finding reliable prototypicality effects for both phoneme and syllable categories (Experiments 1 and 2), primed phoneme matching (Experiments 3 and 4) and primed syllable matching (Experiments 5 and 6) were used under both physical identity instructions and same-category instructions. The results make clear that phoneme categories are represented on the basis of perceptual information, whereas syllable representations are more abstract. The phoneme category can thus be identified as the basic speech unit. Implications for phoneme and syllable representation are discussed.