Electrical aversion therapy with alcoholics: An analogue study

Chronic alcoholic patients matched on age, education and length of problem drinking were assigned to one of three treatment conditions, with 10 subjects in each group: (1) Electrical Aversion Conditioning (high shock paired with alcohol sips); (2) Control Conditioning (very low shock paired with alcohol sips); and (3) Group Therapy (confrontation psychotherapy). Groups 2 and 3 were included to control for possible ‘attention-placebo’ and expectancy factors involved in the conditioning procedures. Subjects in each group were given instructions designed to produce high expectancy for therapeutic success. Pre-post measures of alcohol consumption and attitudes toward alcohol were obtained using an analogue ‘taste test’ assessment procedure. No statistically significant differences in reduced alcohol consumption or attitudes toward alcohol were found among the groups. Trends in the data support the contention that effects of electrical aversion may be more related to such factors as therapeutic instructions, expectancy, specificity of the procedure or experimental demand characteristics than to conditioning factors.     

Cognitive factors in the concurrent differential conditioning of eyelid and skin conductance responses

The objectives of the study were to (1) determine if differential conditioning of eyelid responses ocurs only among subjects who accurately report knowledge of the CS-UCS relations, (2) assess whether differentially conditioned eyelid responding occurs only after the initial accurate interrial report, and (3) explore characteristics of differentially conditioned skin conductance responses (SCRs) obtained in an eyelid conditioning paradigm, with special attention to whether eyelid and SCR conditioning are similarly related to the subjects’ knowledge of the stimulus relations. Fifty-one male subjects were administered 80 differential eyelid conditioning trials, the CSs consisting of the 1,200-msec illumination of slides containing either grammatically correct or grammatically incorrect phrases. Significant differential SCR and eyelid conditioning was obtained for both V- and C-form eyelid responders, but only for subjects who accurately reported the CS-UCS relations. The initial appearance of SCR and eyelid differentiation was related within the trial sequence to subjects’ recognition of the stimulus relations. Eyelid and SCR conditioning were related similarly to knowledge of the stimulus relations, the exception being that subjects who recognized the stimulus relations late in the trial sequence did not develop reliable eyelid differentiation.     

The relation of vicarious to direct instigation and conditioning of electrodermal responses

Abstract.— Three groups with 16 Ss each and run in pairs, participated in a differential, successive components, long interstimulus interval conditioning paradigm with the skin conductance response as dependent variable. For the problem solving group the task was described as guessing which of two lamps (CS₂s) would follow after two different tones (CS₁s). In the observer group they were further informed that the other subject in the pair, the model, would receive shocks at CS+ offset, which actually was the case for the model group. Skin conductance responses were scored in five intervals during and after the non-overlapping presentation of the two CSs with a duration of 8 sec each. The results indicated no differentiation in any interval for the problem-solvers, and parallel instigation to shock and threat of shock, and conditioning in the observer and model groups, with the exception of conditioning in the 1st interval for observers only. The results were interpreted as parallel instigation and conditioning between vicarious and direct learning, the reported difference being due only to different UCS-intensities causing a blocking of first-order conditioning in the model but not in the observer group.     

The effect of modification of expressive displays on vicarious emotional arousal

Several recent experiments have demonstrated that modulation of the facial expressive response is accompanied by changes in autonomic arousal and subjective response to painful stimuli. The present study asked whether facial self-regulation may also bring about changes in covert vicarious emotional experience. Three groups of subjects were exposed to a videotaped model displaying intermittent pain to shock in a differential vicarious autonomic conditioning paradigm. Subjects in the inhibit and amplify groups were asked, respectively, (a) to inhibit their facial muscles or (b) to pose a facial response of pain when the model was shocked. It was predicted that the inhibit group would show less autonomic arousal to the model's expressive display (empathy) and less conditioning (as measured by skin conductance and heart rate change), and the amplify group more empathy and conditioning, than a third group who was given no facial instruction. In fact, the amplify group showed more skin conductance arousal, heart rate acceleration, and activity in response to the model's expressive display of pain than did the other two groups (which were not different from each other), but no more autonomic or facial conditioning. The overall pattern of physiological data is interpreted as generally supportive of a facial feedback theory of emotion: where significant between-groups' differences were obtained in facial activity, as in vicarious instigation, autonomic arousal differences also emerged; where no expressive differences were obtained, as in vicarious conditioning, no differences in autonomic arousal were found.     

Aetiology of spider phobia: classificatory differences between two origins instruments

The origins of fear of spiders was investigated in 33 spider phobic Ss entering a treatment study. All Ss completed Menzies and Clarke's (1993a) Origins Questionnaire (OQ) (Behaviour Research and Therapy, 31, 355–365) and Öst and Hugdahl's (1981) Phobic Origins Questionnaire (POQ) (Behaviour Research and Therapy, 19, 439–447). The results for the individual questionnaires were similar to those reported in previous studies. However a comparison of assignments of origin category for the two questionnaires showed widely discrepant results. The POQ returned 17 positive responses for classical conditioning, the OQ only 2. By contrast the OQ returned 10 origins as ‘non-conditioning traumatic event’, 9 of which returned positive responses for classical conditioning on the POQ. A further 15 Ss on the OQ were categorised as ‘always been this way’, the preponderance of these being classified as vicarious or informational in origin on the POQ. The POQ does not have a specific question or category for non-associative acquisition of phobias. The results of the origins assignments are detailed and their relation to the structure and questions of the questionnaires is outlined. Past studies using the POQ have produced results supporting acquisition of a substantial proportion of phobias by classical conditioning. The findings of this study suggest that such results mainly reflect inherent bias in that instrument.     

Stimulus representations in human Pavlovian conditioning: Implications of missing negative transfer across response systems

Three Pavlovian conditioning experiments with human participants are reported, which investigated whether common or separate stimulus representations are involved in solving nonlinear discrimination tasks in different response systems. In our experiments we made use of a negative transfer effect between positive and negative patterning. Experiment 1 specified the conditions under which such a negative transfer effect occurs in human eyelid conditioning. Experiments 2 and 3 investigated whether a similar effect also occurs if two response systems- the eyelid and the skin conductance response system- are trained with trials of both types being randomly interleaved. The presence or absence of a negative transfer effect indicates whether or not the stimulus representations involved in the two conditioning processes overlap. The findings are discussed within the framework of a neuropsychological model of hippocampal function. The results suggest that the representations are distinct and thus support the idea of acquired equivalence and distinctiveness of stimulus representations.     

Sex differences in response to an observational fear conditioning procedure

The present study evaluated sex differences in observational fear conditioning using modeled “mock” panic attacks as an unconditioned stimulus (UCS). Fifty-nine carefully prescreened healthy undergraduate participants (30 women) underwent 3 consecutive differential conditioning phases: habituation, acquisition, and extinction. It was expected that participants watching a confederate display mock panic attacks (UCS) paired with a previously neutral stimulus (CS⁺) would learn to respond fearfully to the CS⁺, but not to the CS⁻ (i.e., a stimulus never associated with displays of panic). Women also were expected to report more distress and ratings of panic to the CS⁺ than the CS⁻ compared to men, but no sex differences were anticipated on autonomic indices of conditioning (i.e., electrodermal responses). Consistent with expectation, aversive conditioning was demonstrated by greater magnitude electrodermal and verbal-evaluative (e.g., subjective units of distress scale, panic ratings) responses to the CS⁺ over the CS⁻, with women reporting more distress to the CS⁺ over the CS⁻, but not greater autonomic conditioning, compared to men. Overall, the results support the notion that modeled panic attacks can serve as a potent UCS for both men and women. Discussion focuses on sex differences in observational fear conditioning and its relation to the clinical presentation of anxiety disorders.     

A behaviour modification technique for the hyperactive child

This paper describes a procedure for the conditioning of attending behaviour in a brain-injured hyperactive boy.

Observations of the behaviour of two hyperactive children were made in the classroom setting. These observations were made from an observation bootn adjoining the classroom and provided data on the frequency of occurrence of the following high rate responses: walking, talking, distraction, “wiggling”. Each child was observed for a minimum of ten minutes a day, four days a week. Following several weeks of baseline observation, the conditioning procedure was begun with the expel imental subject. The conditioning trials took place in the classroom setting. During each time interval in which one of the high rate responses did not occur, S received an auditory stimulus (secondary reinforcer). This auditory stimulus had previously been paired with the delivery of candy and pennies. The stimulus was dispensed by a radio device which activated an earphone worn by the subject. At the end of each conditioning trial, S received whatever candy or pennies he had “earned”.

The data show that the control subject showed no significant change in the frequency of occurrence of the high rate responses during the three month period. The experimental subject showed a significant decrease in non-attending behaviour. This reduction in rate was maintained over a four week extinction period.     

Panic attacks without fear: An overview*

‘Non-fearful panic disorder’ (NFPD) is a condition that meets DSM III-R criteria for panic disorder but lacks a report of subjective fear or anxiety. Presenting the first comprehensive overview of this issue, the authors describe studies investigating a wide range of apparently overlapping phenomena including NFPD, ‘somatically expressed panic’, ‘non-cognitive panic’, ‘alexithymic panic’, ‘non-clinical panic’, and ‘masked anxiety’. The review shows that such conditions account for from 20 to 40% of the panic disorder found in various medical populations, and that this group resembles conventional panic disorder in cross-sectional comparisons. We emphasize that a ‘triple-response’ model of anxiety is consistent with our conclusion that NFPD should be conceptualized as a panic disorder subtype. Finally, we discuss unresolved issues regarding the construct and predictive diagnostic validity of NFPD.     

A clinical trial of continuous, intermittent and overlearning ‘bell and pad’ treatments for nocturnal enuresis

Sixty-one enuretic children were allocated sequentially to ‘standard’, ‘intermittent’ or ‘overlearning’ bell and pad treatment. The results suggest that the ‘overlearning’ modification of standard treatment was successful in bringing about a reduction in the relapse rate. The present status and implications of research into nocturnal enuresis were discussed in the light of the results of the investigation.     

Simultaneous classical conditioning of two effector systems

The experiment reported here was an attempt to develop an experimental procedure for independent classical conditioning of two different response systems, the skin conductance response (SCR) and the eyelid response. In a differential conditioning design with human subjects (N = 50) two different unconditioned stimuli were used, a white noise (US1) and airpuff (US2). Two conditioned stimuli (CS11 and CS12) were paired with US1, and two other CSs (CS21 and CS22) were paired with US2. A special trial architecture was used to accomplish measurement of both anticipatory SCR and eyelid responses during each trial. Significant eyelid differentiation as well as significant SCR (especially second interval responses) differentiation developed.     

Simultaneous classical conditioning of two effector systems

The experiment reported here was an attempt to develop an experimental procedure for independent classical conditioning of two different response systems, the skin conductance response (SCR) and the eyelid response. In a differential conditioning design with human subjects (N=50) two different unconditioned stimuli were used, a white noise (US₁) and an airpuff (US₂). Two conditioned stimuli (CS₁₁ and CS₁₂) were paired with US₁, and two other CSs (CS₂₁ and CS₂₂) were paired with US₂. A special trial architecture was used to accomplish measurement of both anticipatory SCR and eyelid responses during each trial. Significant eyelid differentiation as well as significant SCR (especially second interval responses) differentiation developed.     

Cognitions related to anxiety: a pilot study of treatment

In general, where anxiety appears to have a specific external focus, such as the situations which are avoided by phobic patients, treatment involving systematic exposure to those situations seems to be effective. This is less appropriate, or even impossible, where anxiety is not dependent on any external circumstance, but is described by the patient as occurring at any time or place, either chronically over long periods, or acutely in the form of ‘panic attacks’. These patients with ‘generalised’ anxiety often describe internal cues for anxiety either in the form of thoughts (e.g. worry over a current problem) or somatic (e.g. chest sensations interpreted as possible heart disease). Beck et al. (1974) has suggested that on interview, all patients diagnosed as suffering from diffuse or generalised anxiety can report specific ideas or other cognitive cues which are associated with anxiety. These usually concern possible traumatic events, such as illness and death, or social rejection. Clearly Beck has in mind the possibility that these cognitions have the effect of inducing anxiety, although even if the validity of the subjective reports were to be accepted, the problem remains of whether the relationship between mood state and cognitions is causal and if so, in which direction it operates. Obviously a causal relationship may also operate in both directions simultaneously, to form a ‘vicious circle’ in which each exacerbates the other. To establish whether there is a sense in which particular cognitions contribute causally to anxious mood, it would be necessary to find a method of manipulating the type or frequency of cognitions thought to be operating in this way.

One obvious possibility is that of ‘thought-stopping’: that is, patients could be taught to identify thoughts which are associated with anxiety and stop them in the usual way (Wolpe, 1973, p. 211) e.g. by' shouting stop, and substituting an alternative thought. The present study was planned as a pilot experiment to determine (i) if appropriate anxiety related cognitions could be elicited from a series of patients with generalised anxiety, (ii) if the reported frequency of such thoughts could be modified by a thought-stopping technique, and (iii) if any changes in thought frequency were associated with improvements in mood.

Clearly there are many ‘non-specific’ features involved in thought-stopping which could also have therapeutic effects on mood. For this reason it was necessary to include an alternative procedure, not directed at reducing thought frequency, but having the same degree of plausibility to patients, and preferably to therapists. The control procedure chosen for this purpose was modelled on desensitisation, in which patients were encouraged to allow the supposedly anxiety-provoking thoughts into their mind and tolerate them, rather than attempt to stop them. In summary, the study employed a relaxation training phase as a base-line, followed by a cross-over design in which the two treatment phases of thought-stopping and ‘cognitive desensitisation’ were given to each patient, in balanced order.     

Measuring the quality of residential care

Administrative personnel require objective, reliable and valid information in order to monitor the effects of allocating resources to different components of the service that they are providing. The initial problem is to define and measure the dependent variable—the ‘quality of care’ —against which the effects of changing various independent variables can be evaluated. The paper describes an attempt to use the operant conditioning model as a basis for constructing such a measure of the quality of care provided in residential settings for severely mentally handicapped people. The rationale for adopting this model is described, against a background of other studies in which the same problem has been addressed. The hypothesis, the tasks generated, and the methodological problems encountered, are outlined and discussed.

A subsequent paper will present the results obtained when using the method to measure the quality of care, so defined, in two residential units for severely mentally handicapped children.     

Children''s self-initiated approach to spiders

Seventeen school children were invited to stay in the presence of a harmless spider for 4 minutes under instructions which were designed mildly to encourage touching the spider but which left open a clear alternative of not touching. Subjects confronted the spider in dyads which differed in composition in terms of fear-level and sex of subjects. The main finding was that boys did not show any more approach when paired with girls, thus confirming previous negative findings in this regard. Other findings were that boys showed more approach than girls, level of fear interacted with sex of subject, and ‘fearless’ but not ‘fearful’ subjects showed more approach with repeated experience.     

Operant reinforcement of an autonomic response: two studies

Two successive studies were conducted to determine the possibility of operant reinforcement of nonspecific galvanic skin resistance responses. In the first study, with five experimental and three control subjects who served for 20 to 30 min a day for 10 days, all experimental subjects learned to emit more nonspecific galvanic skin resistance responses than their ad hoc matched controls. In a second study, nine experimental and nine control subjects were matched for first-day levels of reactivity and yoked for operant reinforcement schedules. Significant differences between the two groups were found on the last day of conditioning and during extinction. Six of the nine experimental subjects showed higher cumulative rate curves than their matched and yoked controls. The concomitant measures (basal resistance, heart rate, etc.) all supported this finding. It was suggested that operant reinforcement of autonomic response tends to maintain a certain level of responding in contrast to persistent adaptation in the control group.     

Causing harm and allowing harm: a study of beliefs in obsessional problems

This study investigates two factors hypothesised as relevant to obsessional problems because of the way in which they influence decisions whether or not to act to prevent harm. These are (i) the way in which intrusive thoughts increase the internal awareness of harm, and confront the person with the possibility of taking action to prevent such harm and (ii) the extent to which there is some obvious external factor which increases awareness of the possibility of preventing harm. Obsessional patients, anxious and non-clinical controls completed a scale which systematically measured these factors across a wide range of situations. Results across all situations evaluated confirmed previous findings that both obsessionals and nonobsessionals were more likely to report acting to prevent harm when awareness of it is prompted by an intrusion than when it is not. It was also found that participants in all groups acted more ‘obsessionally’ when a scenario is described in ways which suggest that harm may be by ‘commission’ than when it is described in terms of an ‘omission’. When scenarios about which each individual is most disturbed were analysed, anxious and non-clinical controls continued to differentially rate omission and commission situations; as predicted, this differential was not present for obsessional patients.

It is concluded that obsessionals are more sensitive to omission than are nonobsessionals when considering scenarios about which they are concerned, and that this sensitivity is one factor influencing the decision whether to act to prevent harm.     

Needs met through computer game play among adolescents

Despite much research on video/computer game play, especially the relationship between such play and aggression, little attention has been directed at needs met through play. The aim of the present study was to extend Selnow’s (1984) needs’ scale, and to identify individual differences in needs among adolescents. Focus groups were conducted, followed by a content analysis, and items corresponding to emerging themes were added to reasons identified in previous research for use in a quantitative survey. Four factors emerged from a factor analysis of the results; ‘companionship’, ‘prefer to friends’, ‘fun challenge’, and ‘stress relief’, and these, with the exception of ‘companionship’, were found to be significant predictors of play.     

Behavioral treatment of adult obesity: Attentional controls and a 2-year follow-up

This research included controls for both amount of extra-therapy attention focused on target behaviors and for quality and duration of attention provided during therapy. Two pairs of therapists each conducted one group for each of four experimental conditions: nonspecific therapy, nonspecific therapy + attention prompting, behavior therapy, behavior therapy + positive induction (procedures designed to maximize favorableness of expectancies). Sixty-five obese adults ( OVERWEIGHT = 52%) attended 12 weekly group sessions and 3-month and 2-yr follow-ups. Ratings of expectancies, credibility and therapist characteristics were equivalent in all experimental conditions. Attrition was low (9.7%) and Ss averaged 1–2 lb weight losses per week during treatment, while improving concurrently in eating habits, cardiovascular fitness and adjustment. However, only participants who were in groups conducted by the therapist pair which was rated especially ‘democratic’ maintained average weight losses at the 2-yr follow-up. These results demonstrate the potentially vital role of several ‘nonspecific’ factors in long-term outcomes associated with behavioral treatments for adult obesity.     

More historical dimensions of commonsense knowledge: Spiritual consolation for the depressed

Ss were given 15 propositions derived from the neoclassical canon of advice on spiritual consolation for the depressed and were asked either to rate the extent of their personal agreement with each and to predict the average ratings for the group, or to say whether they regarded each proposition as ‘true’ or ‘not true’ and to predict the percentage of the group that would choose ‘true’ for each proposition. The observed and mean predicted rank orders were compared within and between methods; all correlations were high, positive, and significant. The results suggest that people's higher-order ideas about other people's ideas include notions about the intensity of beliefs as well as about the proportion of believers. Contemporary developments of those propositions which a clear majority of the present Ss endorsed are discussed.