Analyses of mental contamination: Part I,experimental manipulations of morality

The fear of contamination is thought to be comprised of two separate but related fears: those pertaining to physical and mental contamination. Previous research on mental contamination involved studies in which more than one independent variable was manipulated simultaneously. In particular, an immoral act (e.g., a non-consensual kiss) had been coupled with an immoral man (e.g., the person who forces the kiss) in each manipulation. The purpose of this study was to separate manipulations of the immorality of the man from the immorality of the act. Female undergraduate students (n = 148) listened to an audio recording and imagined that they were experiencing either sharing a consensual kiss with a man described as moral or immoral, or receiving a forced, non-consensual kiss from a man described as moral or immoral. Participants indicated the presence and degree of mental contamination and then completed a behavioural task for which spontaneous washing was recorded. Results indicated that a non-consensual kiss evoked greater feelings of mental contamination than a consensual kiss. In particular, participants who imagined a non-consensual kiss from a man described as either moral or immoral reported the greatest feelings of mental contamination, whereas participants who imagined a consensual kiss from a man described as moral reported the least. Results are discussed in terms of cognitive–behavioural conceptualizations of and treatments for contamination fears.     

Analyses of mental contamination: Part II,individual differences

Recent research on mental contamination (internal, psychological feelings of dirtiness) has focused primarily on examining the experimental variables necessary to provoke contamination-related thoughts, feelings and behaviour; yet, relatively little is known regarding the individual differences among participants' mental contamination responses to these situational and experimental characteristics. The purpose of this study was to determine whether variables associated with symptoms, beliefs and appraisals could predict the experience of mental contamination after an established provocation. Female undergraduate students (n = 70 from Part I of this study; Elliott & Radomsky, 2009), completed a series of questionnaires then listened to an audio recording and imagined that they were receiving a forced, non-consensual kiss from a man described as moral or immoral. Participants indicated the presence and degree of mental contamination and appraisals of the man and act, then completed a behavioural task for which spontaneous washing was recorded. Results indicated that, although symptoms of physical contamination were able to predict feelings of mental contamination, appraisal variables emerged as unique predictors of feelings of mental contamination. Results are discussed in terms of cognitive-behavioural conceptualizations of and treatments for contamination fears.     

The Treatment of Mental Contamination: A Case Series

The recommended treatment for obsessive-compulsive disorder (OCD) is cognitive behavior therapy (CBT) incorporating exposure and response prevention (ERP), which is effective for approximately 50% of patients. However, there has been little advance in treatment outcomes since the introduction of ERP in 1979. It has been suggested that some progress can be made in treating contamination obsessions and washing compulsions by addressing feelings of dirtiness and contamination that arise without physical contact with a tangible contaminant. To date, the treatment of these “mental contamination” fears in OCD has not been systematically explored. This paper reports on a case series of 12 participants with OCD who received 10 to 20 sessions of a CBT-based treatment for mental contamination. At the end of treatment, 7 participants no longer met the diagnostic criteria for OCD and mental contamination and these gains were maintained at 6-month follow-up. The clinical implications of these findings are discussed.     

Disgust sensitivity and contamination fears in spider and blood-injection-injury phobias

Disgust has been implicated in the onset and maintenance of blood-injection-injury (BII) and animal phobias. Research suggests that people with these phobias are characterized by an elevated sensitivity to disgust-evoking stimuli separate from their phobic concerns. The disgust response has been described as the rejection of potential contaminants. Disgust-motivated avoidance of phobic stimuli may therefore be related to fears of contamination or infection. The present study compared BII phobics, spider phobics and nonphobics on two measures of disgust sensitivity and two measures of contamination fears. Positive correlations were found between disgust sensitivity and contamination fear. Specific phobics scored higher than nonphobics on all scales and BII phobics scored higher than spider phobics on contamination fear measures. Furthermore, the contamination fear scales were correlated with the blood phobia measure, but not correlated with the spider phobia measure. The results suggest that while both phobias are characterized by elevated disgust sensitivity, contamination fear is more prominent in BII than spider phobia.     

Vulnerability to mental contamination

Mental contamination refers to feelings of contamination that arise without physical contact with a contaminant. Mental contamination has been documented among sexual assault victims, some of whom report feeling dirty and wanting to wash in response to memories of the assault. This study examined variables associated with increased vulnerability to mental contamination. Female undergraduates (n=100) filled out a series of questionnaires and listened to an audiotape that instructed them to imagine experiencing a forced kiss by an undesirable male. Controls (n=20) imagined a consensual kiss by a desirable male. Women in the non-consensual condition reported stronger feelings of dirtiness and urge to wash than those in the consensual condition. Twenty-seven women in the non-consensual condition spontaneously rinsed in order to alleviate physical sensations evoked by the tape. Regression analyses revealed that significant predictors of dirtiness included contact contamination fear and disgust sensitivity, and there was a trend for anxiety sensitivity to predict dirtiness. Contact contamination fear was also a significant predictor of urge to wash. Prior experience with unwanted sexual contact was a significant predictor of rinsing, and there was a trend for fear of negative evaluation to predict rinsing. Discussion focuses on the implications of these findings for our understanding of mental contamination.     

A test of a disease-avoidance model of animal phobias

This study examined the relationship between disgust/contamination sensitivity and fear of animals. The results suggested that sensitivity to disgust and contamination was directly related to scores on the animal phobia and fear of illness and death sub-scales of the Fear Survey Schedule (FSS). Further analysis suggested that disgust/contamination sensitivity was related only to fear of certain groups of animals: namely those animals that are not considered to attack and harm human beings but are considered fear-evoking (e.g. rat, spider, cockroach), and those animals that are normally considered to evoke revulsion (e.g. maggot, snail, slug). Disgust/contamination sensitivity was not related to fear of animals that are considered highly likely to attack and harm human beings (e.g. tiger, lion, shark). These results are discussed as support for a disease-avoidance model of common animal fears.     

Spirituality promotes better health outcomes and lowers anxiety about aging: The importance of spiritual dimensions for baby boomers as they enter older adulthood

Baby boomers present unique challenges to aged care service provision. Like previous generations, baby boomers will face challenges of ageing. Spirituality in later life, understood largely as meaning in life, is crucial to well-being. Little has been studied about this dimension of ageing for baby boomers. This mixed methods study used survey and focus groups methods to investigate spirituality in a sample of baby boomers (N = 143). Participants comprised staff, children of adults in care, and Uniting Church congregational members. We examined associations between physical and mental health, and ageing anxiety with spirituality and whether baby boomer spirituality buffered the impact of negative life events. Focus groups revealed fears of future frailty, loss, and fears of dementia. Religious affiliation in study was lower, yet spirituality was important, even with those without religious affiliation. Closeness of association of staff with older people in their care seemed to account for lower levels of fear of older people amongst staff, but higher fears of future loss compared with the other groups. Higher levels of spirituality were related to better mental and physical health and lower anxiety about and fear of ageing, and buffered the impact of negative life events where they occurred.     

The Effect of Neighborhood Recorded Crime on Fear: Does Neighborhood Social Context Matter?

A number of individual and neighborhood‐level factors may influence the relationship between recorded crime in one’s neighborhood and fear of crime. Understanding these factors may assist in reducing fear, which has been associated with poorer physical and mental health. The aim of this study was to evaluate whether the effect of recorded crime rates on fear differs based on the neighborhood social context (social fragmentation) using hierarchical regression modelling, with separate analyses by crime type. Recorded crimes (2008–2010) and national (New Zealand) survey data were used. Higher crime in a neighborhood was associated with higher fear of crime, with only small effect size differences in feelings of fear by recorded type of crime. However, when stratified, the associations between violent and drug/alcohol crimes and fear of crime were larger for those living in highly fragmented neighborhoods compared with less fragmented neighborhoods. Efforts to alleviate fear of crime should focus on the broader neighborhood social context in which these feelings are espoused.     

同性恋者的内化同性恋嫌恶：形成及影响机制

内化同性恋嫌恶是同性恋者经历对外界偏见的内化过程后,所形成的对自身性取向的负性态度。本文在回顾和分析内化同性恋嫌恶形成及影响机制相关研究的基础上,尝试提出整合性的内化同性恋嫌恶形成/影响机制假设模型。最后,本文提出进一步验证和发展内化同性恋嫌恶形成/影响机制模型、考察缓解内化同性恋嫌恶影响的保护因素及加强内化同性恋嫌恶的本土化研究是未来的研究方向。     

Relationships between psychoevolutionary fear of evaluation,cognitive distortions,and social anxiety symptoms: A preliminary structural equation model

Social anxiety disorder is a mental health condition that affects 4.7% of Australians each year. The complex interplay between psychoevolutionary and cognitive models has become the focus of research in recent years, particularly with the development of the bivalent fear of evaluation model (i.e., negative and positive evaluation fears). The present study aimed to test a model of social anxiety symptoms using structural equation modelling, integrating previously fragmented evidence. A sample of 255 participants (75.3% female; M_age = 31.9, SD = 10.3) undertook an online survey, including Social Phobia Scale, Brief Fear of Negative Evaluation—Straightforward, Fear of Positive Evaluation, Concerns of Social Reprisal, and Disqualifications of Positive Social Outcomes measures. The hypothesised model for social anxiety symptoms described the data reasonably well (χ²(1) = 4.917, p = .027, CFI = .995, GFI = .992, SRMR = .017), explaining 57.1% of social anxiety variance. Study hypotheses were supported with bivalent fear of evaluation accounting for unique variance in cognitive distortions, which in turn accounted for unique variation in social anxiety symptoms. Effect sizes indicate bivalent fears of evaluation and disqualification of positive social outcomes as important predictors of social anxiety symptoms. Although replication in a clinical cohort and experimental confirmation are needed, the findings suggest a focus on disqualification of positive social outcomes to alleviate social anxiety symptoms.     

Does 'mental kinesiophobia' exist?

In this study the relevance of the concept of mental kinesiophobia (respectively cogniphobia or fear of mental exertion) for clients with chronic stress problems was explored. It was hypothesized that cognitive, chronic stress complaints, such as concentration problems or decreased problem solving abilities, could be catastrophized as signs of heightened personal vulnerability, with a chance of becoming permanent. As a consequence, mental exertion is avoided. This line of reasoning comes from the existing concept of kinesiophobia. This concept describes the avoidance behavior in chronic benign pain patients and refers to their fear of inflicting irreversible bodily damage due to physical exertion.An illustrative case of cogniphobia is presented. In an explorative pilot-study it was demonstrated that chronically stressed clients scored significantly higher on an experimental questionnaire measuring avoidance tendencies for mental exertion, compared with actively working employees. Consequences for treatment and suggestions for further study are discussed.     

认知评价与心理控制感在中年人对社会政策变化感受与心理健康之间的作用

采用自编问卷以714名城镇中年人为被试,考察了认知评价与心理控制感在中年人对社会政策变化感受与心理健康之间的作用。结果发现:(1)总体上,社会政策变化对中年人造成的心理感受以及对心理健康的影响都是积极的。(2)认知评价、心理控制感在中年人对社会政策变化感受与心理健康之间起中介作用。     

认知评价对主观情绪感受和生理活动的作用

围绕认知评价对情绪的作用, 针对传统认知评价实验方法的缺陷, 本研究改进认知评价的操作方法, 以情绪片段为实验材料, 以事先的评价背景替代与观看同步的评价策略, 以生理指标与情绪自评反映情绪变化, 考察41名大学生的认知评价对负性情绪的影响。结果发现, 持有利于情绪调节评价的个体, 负性情绪感受降低, 皮肤电反应减弱, 但心率无变化。研究表明, 认知评价影响个体的主观情绪体验, 并在一定程度上抑制负性情绪所致的生理唤起的增高。     

The longitudinal relationship between fear of positive evaluation and fear of negative evaluation

Available research suggests that fear of negative evaluation and fear of positive evaluation are related but distinct constructs that each contribute to social anxiety, implying a need to focus on these fears in treatment. Yet, this research is almost entirely based on cross-sectional data. We examined the longitudinal relationship between fears of positive and negative evaluation over three time points in a sample of undergraduate students. We tested competing models consistent with two basic positions regarding these fears: (1) that fear of positive evaluation only appears to affect social anxiety because it arises from the same, single underlying trait as fear of negative evaluation, and (2) fears of positive and negative evaluation are correlated, but clearly distinct, constructs. The best-fitting model was an autoregressive latent-trajectory model in which each type of fear had a separate trait-like component. The correlation between these trait-like components appeared to fully account for the relationships between these constructs over time. This investigation adds to the evidence in support of the second position described above: fear of positive evaluation is best interpreted as a separate construct from fear of negative evaluation.     

Behavioral avoidance tests and disgust in contamination fears: distinctions from trait anxiety

Much of the existing literature examining the role of disgust is limited to specific phobia. Recent research has begun to examine the role of disgust in contamination fear, a subtype of obsessive-compulsive symptoms. Through the use of behavioral avoidance tasks (BATs), the current study was designed to examine the role of disgust in people with contamination fears, with attention to distinguishing high and low trait anxiety. From a large screening of undergraduate students, three groups were formed based on their level of contamination fear and level of trait anxiety: contamination fearful ( n = 12 ), high-trait anxiety ( n = 11 ), and low trait anxiety ( n = 15 ). Subjects were asked to engage in six different BATs corresponding to six domains of disgust (food, animals, body products, body envelope violations, death, and sympathetic magic). One-way analysis of variance (ANOVA) showed significant differences between the contamination fearful group and the high trait anxiety group on the animal and sympathetic magic BATs. Significant differences on the food, animal, body envelope violations, and death BATs were also found between the contamination fearful group and the low-trait anxious group. The findings modestly support the importance of disgust in contamination fears. Implications for the study of disgust in contamination fear are provided.     

Cross-US reinstatement of human conditioned fear: Return of old fears or emergence of new ones?

Re-exposure to the unconditioned stimulus (US) following fear extinction in the laboratory produces reinstatement of fear. Similarly in clinical situations, anxiety patients may experience adverse events that reinstate fear following successful exposure therapy. The current study employed two USs, shock and loud noise, to examine whether a US that is qualitatively different but of the same valence as the original acquisition US can produce reinstatement in human fear conditioning. Both standard and cross-US reinstatement manipulations led to elevated fear as indexed by skin conductance. However, cross-US reinstatement was accompanied by elevated expectancy of the US that had been presented during the reinstatement manipulation, not the US that had been used to establish fear in acquisition. This result implies that reinstatement may involve the development of new fears. Context conditioning and cognitive processes were implicated as possible mechanisms. The current findings suggest that clinical relapse attributed to reinstatement may not always reflect the reactivation of old fears but may instead represent new fears worthy of clinical examination.     

Perceived self-efficacy domains as predictors of fear of the unknown and fear of dying among older adults

Using a sample of 167 women and 121 men, aged 65-87, this study tested the hypothesis that self-efficacy beliefs of older persons are significantly stronger predictors of death fears than are demographics, social support, and physical health variables used in earlier predictor models. Standard self-report measures were used to assess all predictor variables, including perceived self-efficacy in 8 different domains. Findings from a series of hierarchical regression analyses that were conducted separately for men and women supported the hypothesis concerning the superiority of self-efficacy variables as predictors of fear of the unknown after death and fear of dying, with spiritual health efficacy and instrumental efficacy being the most potent predictors of death fears for women and men, respectively.     

The primacy of affect: Some theoretical implications

The major parts of Zajonc's analysis of the relations between thinking and feeling are stated and elaborated. Some of the implications for abnormal psychology are drawn out and new questions posed. If affective judgements are precognitive, instantaneous, automatic, irrevocable, primary, mainly non-verbal, inescapable, holistic and poorly related to cognition, what follows? The list of implications includes references to the three-component analysis of fear, the irrational element in abnormal behaviour, perplexity in the face of one's irrational behaviour, delusional moods. Bandura's therapeutic paradox, the slow development of cognitive therapies, prepared fears, attribution and helplessness, and direct approaches to mood modification.