Hostname: page-component-745bb68f8f-s22k5 Total loading time: 0 Render date: 2025-02-11T20:13:36.179Z Has data issue: false hasContentIssue false

Mental model construction, not just memory, is a central component of cognitive change in psychotherapy

Published online by Cambridge University Press:  08 June 2015

Ulrich von Hecker
Affiliation:
School of Psychology, Cardiff University, Cardiff CF10 3AT, United Kingdomvonheckeru@cardiff.ac.uk
Daniel N. McIntosh
Affiliation:
Department of Psychology, University of Denver, Denver, CO 80210dmcintosh@psy.du.edu
Grzegorz Sedek
Affiliation:
Interdisciplinary Center for Applied Cognitive Studies, University of Social Sciences and Humanities, 03-815 Warsaw, Poland. gsedek@swps.edu.pl

Abstract

We challenge the idea that a cognitive perspective on therapeutic change concerns only memory processes. We argue that inclusion of impairments in more generative cognitive processes is necessary for complete understanding of cases such as depression. In such cases what is identified in the target article as an “integrative memory structure” is crucially supported by processes of mental model construction.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2015 

We support the approach of Lane et al. in focusing on cognitive processes in understanding psychopathology and how to treat it. However, we believe a broader range of processes is necessary to address in particular cases. In our papers (McIntosh et al. Reference McIntosh, Sedek, Fojas, Brzezicka-Rotkiewicz, Kofta, Engle, Sedek, von Hecker and McIntosh2005; Sedek & von Hecker Reference Sedek and von Hecker2004; Sedek et al. Reference Sedek, Brzezicka, von Hecker, Gruszka, Matthews and Szymura2010; von Hecker & Sedek Reference von Hecker and Sedek1999; von Hecker et al. Reference von Hecker, Sedek and Brzezicka2013) and edited monographs (Engle et al. Reference Engle, Sedek, von Hecker and McIntosh2005; von Hecker et al. Reference von Hecker, Dutke and Sedek2000) we stress the specific role of limitations in mental model construction in cognitive psychopathology, especially in subclinical depression.

There are close parallels between aspects of cognitive functioning in depression and the state resulting from pre-exposure to uncontrollability. In line with the cognitive exhaustion model (Sedek & Kofta Reference Sedek and Kofta1990; von Hecker & Sedek Reference von Hecker and Sedek1999), we assume that some of the cognitive impairments observed in depression can be explained by experiences of unsolvable situations that lead to uncertainty. Such experiences may stem from past, irreversible life events, from subsequent rumination, or from counterfactual thinking. We hypothesize that uncontrollability and, in particular, ruminating thoughts about uncontrollable conditions, can lead to a depletion of those cognitive resources that support flexible, constructive thinking. Extended rumination by a victim of trauma, for example, may lead to cognitive states that impair building new cognitive models necessary for optimal functioning. Although constructive thinking may be initiated by depressive individuals, this cognitive limitation will impair the quality of new, integrative constructions or mental models related to a particular episode, a class of situations, or in more severe cases, about numerous aspects of life. Further, this may cause broader deficits given the central role of mental model construction for cognition in general (see Brewer Reference Brewer and Morris1987; Garnham Reference Garnham and Conway1997; Greeno Reference Greeno, Klahr and Kotovsky1989; Holland et al. Reference Holland, Holyoak, Nisbett and Thagard1986; Johnson-Laird Reference Johnson-Laird, Vega, Intons-Peterson, Johnson-Laird, Denis and Marschark1996).

Considering only memory processes provides an incomplete picture of cognitive targets for therapeutic change; there is compelling evidence for cognitive limitations in depression that go beyond just memory performance (Sedek et al. Reference Sedek, Brzezicka, von Hecker, Gruszka, Matthews and Szymura2010; von Hecker & Sedek Reference von Hecker and Sedek1999; von Hecker et al. Reference von Hecker, Sedek and Brzezicka2013). Indeed, depressed participants demonstrate these limitations across various paradigms tapping mental model construction: (a) mental models of interpersonal sentiment relations (social cliques models); (b) linear order reasoning (mental arrays); (c) evaluation of categorical syllogisms (mental models of logical relations); (d) situation models (inferences about the meaning of written text). Of these, we shall discuss (a) and (b) in greater detail.

Regarding (a), depressed individuals often exhibit compromised interpersonal behavior (e.g., Gotlib & Hammen Reference Gotlib and Hammen1992). Thus, we (von Hecker & Sedek Reference von Hecker and Sedek1999) studied how mental models of sentiment patterns are constructed, a crucial component of understanding one's social environment that might be affected by depression. (Participants were presented with series of pairwise sentiment relations (e.g., “Tom and Bill like each other,” “Tom and Joe dislike each other”) such that the complete set of relations formed subsets of people who like each other within cliques whilst disliking people in other cliques. Amongst all relations, a few diagnostic ones would always determine the actual number of cliques. Although depressed individuals did notice the diagnostic value of these particular relations, they were less accurate than non-depressed individuals in determining the number of cliques involved. We interpret this as a demonstration of the difficulties depressed people have with the construction of adequate social mental models (von Hecker & Sedek Reference von Hecker and Sedek1999, Experiments 2 and 3). They remembered the key elements, but they could not generate a mental model based on that information.

Regarding (b), we studied the symbolic distance effect (SDE; see Leth-Steensen & Marley Reference Leth-Steensen and Marley2000), the phenomenon that if people learn bits of information such as “Tom is older than Harry,” “Harry is older than Jack,” and “Jack is older than Bill,” they respond quicker and more accurately when later asked about the older one in pairs of persons wider apart in the ordered sequence (e.g., Tom and Bill) as compared with narrower pairs (e.g., Tom and Harry). We (Sedek & von Hecker Reference Sedek and von Hecker2004) found this effect reversed in depressed participants. Given that the SDE follows on the basis of discriminability assumptions (Holyoak & Patterson Reference Holyoak and Patterson1981) when people construct an integrated linear model of the order information (e.g., Tom>Harry>Jack>Bill), we think that depressed individuals may not readily construct such models but rather rely on the original piecemeal information when responding. Overall, mental models are a prime vehicle for individuals to determine their perspective in the world and in social contexts (Garnham Reference Garnham and Conway1997; Holland et al. Reference Holland, Holyoak, Nisbett and Thagard1986; Johnson-Laird Reference Johnson-Laird, Vega, Intons-Peterson, Johnson-Laird, Denis and Marschark1996; von Hecker et al. Reference von Hecker, Crockett, Hummert and Kemper1996) such that therapeutic intervention at this point seems essential.

Based on the above perspective and findings, we suggest that a crucial aspect of therapeutic change when dealing with depression (related to traumatic stress and other forms of emotional disturbances) may be to re-strengthen the ability to construct mental models, especially in the social domain. Concerning the therapeutic approaches to the above disturbances we also think that Lane et al.'s term “integrative memory structure” should be complemented by “construction of mental models.” Focusing on the creation of new mental models, especially for disorders such as depression, may be more consistent with the benefits seen from approaches, such as cognitive behavioral therapy, that deal with developing functional understandings and responses to current events in contrast to adjusting or understanding prior events.

Finally, we concur with Lane et al. on the importance of looking at cognitive processes as leverage points for therapeutic intervention. Cognitive processes are critical to how the internal and external world interact. We believe that as much as Lane et al. are right to stress the importance of interactions between emotion and memory content as a vantage point for therapeutic intervention, considering interactions between emotions and cognitive procedures is another useful vantage point. Moreover, our specific findings in depression underscore the importance of considering how there may be different foci for different disorders. This broader cognitive approach may have major relevance for future directions in developing therapeutic strategies.

ACKNOWLEDGMENT

The preparation of this paper was supported by the Mistrz Programme (Grzegorz Sedek, Foundation for Polish Science).

References

Brewer, W. F. (1987) Schemas versus mental models in human memory. In: Modelling cognition, ed. Morris, P., pp. 187–97. Wiley.Google Scholar
Engle, R. W., Sedek, G., von Hecker, U. & McIntosh, D. N., eds. (2005) Cognitive limitations in aging and psychopathology. Cambridge University Press.Google Scholar
Garnham, A. (1997) Representing information in mental models. In: Cognitive models of memory, ed. Conway, M. A., pp. 149–72. MIT Press.Google Scholar
Gotlib, I. H. & Hammen, C. L. (1992) Psychological aspects of depression: Toward a cognitive-interpersonal integration. Wiley.Google Scholar
Greeno, J. G. (1989) Situations, mental models, and generative knowledge. In: Complex information processing, ed. Klahr, D. & Kotovsky, K., pp. 285318. Erlbaum.Google Scholar
Holland, J. H., Holyoak, K. J., Nisbett, R. E. & Thagard, P. R. (1986) Induction: Processes of inference, learning, and discovery. MIT Press.Google Scholar
Holyoak, K. J. & Patterson, K. K. (1981) A positional discriminability model of linear order judgments. Journal of Experimental Psychology: Human Perception and Performance 7:1283–302.Google Scholar
Johnson-Laird, P. N. (1996) Images, models, and propositional representations. In: Models of visuospatial cognition, ed. Vega, M. de, Intons-Peterson, M. J., Johnson-Laird, P. N., Denis, M. & Marschark, M., pp. 90127. Oxford University Press.Google Scholar
Leth-Steensen, C. & Marley, A. A. J. (2000) A model of response time effect in symbolic comparison. Psychological Review 107:62100.Google Scholar
McIntosh, D. N., Sedek, G., Fojas, S., Brzezicka-Rotkiewicz, A. & Kofta, M. (2005) Cognitive performance after preexposure to uncontrollability and in a depressive state: Going with a simpler “Plan B.” In: Cognitive limitations in aging and psychopathology, ed. Engle, R. W., Sedek, G., von Hecker, U. & McIntosh, D. N., pp. 219–46. Cambridge University Press.Google Scholar
Sedek, G., Brzezicka, A. & von Hecker, U. (2010) The unique cognitive limitation in subclinical depression: The impairment of mental model construction. In: Handbook of individual differences in cognition: Attention, memory, and executive control, ed. Gruszka, A., Matthews, G. & Szymura, B., pp. 335–52. Springer Science+Business Media.Google Scholar
Sedek, G. & Kofta, M. (1990) When cognitive exertion does not yield cognitive gain: Toward an informational explanation of learned helplessness. Journal of Personality and Social Psychology 58:729–43.Google Scholar
Sedek, G. & von Hecker, U. (2004) Effects of subclinical depression and aging on generative reasoning about linear orders: Same or different processing limitations? Journal of Experimental Psychology: General 133:237–60.Google Scholar
von Hecker, U., Crockett, W. H., Hummert, M. L. & Kemper, S. (1996) Social cliques as mental models. European Journal of Social Psychology 26:741–49.Google Scholar
von Hecker, U., Dutke, S. & Sedek, G., eds. (2000) Generative mental processes and cognitive resources: Integrative research on adaptation and control. Kluwer.Google Scholar
von Hecker, U. & Sedek, G. (1999) Uncontrollability, depression, and the construction of mental models. Journal of Personality and Social Psychology 77:833–50.Google Scholar
von Hecker, U., Sedek, G. & Brzezicka, A. (2013) Impairments in mental model construction and benefits of defocused attention: Distinctive facets of subclinical depression. European Psychologist 18(1):3546.Google Scholar