Controlled comparison of aversive therapy and covert sensitization in compulsive homosexuality

Ethical objections to the use of behaviour therapy in homosexuality are discussed. It is pointed out that these objections were often based on a limited view of the aims of the therapy. The need for evaluating such therapy, as it is currently used, is elaborated.Twenty subjects requesting behaviour therapy to reduce compulsive homosexual urges were randomly allocated, half to receive aversive therapy using electric shocks and half to receive covert sensitization. Both groups were studied for one year. There was no consistent trend for one therapy to be more effective than the other in reducing the strength of compulsive homosexual urges, and the response to both was similar to that reported in previous studies. It was considered that aversive therapies in homosexuality do not act by establishing a conditioned aversion, nor by altering the subjects' sexual orientation. They reduce aversive arousal produced by behaviour completion mechanisms when subjects attempt to refrain from homosexual behaviour in response to stimuli which have repeatedly provoked such behaviour in the past.     

Sex differences in the time course of emotion

Conventional wisdom holds that women are more "emotional" than men. However, research evidence suggests that sex differences in emotion are considerably more complex. The authors tested hypotheses about sex differences in the engagement of the approach and avoidance motivational systems thought to underpin emotional responses. The authors measured reported emotional experience and startle response magnitude both during the presentation and after the offset of emotional stimuli that engage these motivational systems to assess whether men and women differ in their patterns of immediate response to emotional stimuli and in their patterns of recovery from these responses. Our findings indicated that women were more experientially reactive to negative, but not positive, emotional pictures compared to men, and that women scored higher than men on measure of aversive motivational system sensitivity. Although both men and women exhibited potentiation of the startle response during the presentation of negative pictures relative to neutral pictures, only women continued to show this relative potentiation during the recovery period, indicating that women were continuing to engage the aversive motivational system after the offset of negative emotional pictures.     

A note on erotic arousal value of moving and stationary human forms

For subhuman vertebrates there already exists a huge body of information on male and female courtship behaviour and in many instances the impact of movement patterns on the prospective partner has been assessed. However, little information is available on the erotic impact of human movement patterns.In analysing erotic preferences by means of the phallometric method, moving vs. still pictures has been a factor in a variety of studies. Kolá?ský and Madlafousek (1973) compared the erotic responses of normal and sexually deviant males to filmed courtship behaviour, non-erotic activities and stills of the same female. They found that dynamically presented filmed courtship patterns were more arousing for normal heterosexual males than stills on which no particular activity was shown, and that these stills were more arousing than movie pictures of nonerotic activities.In a study of classical conditioning, McConaghy (1970) found he could not condition positive penile responses to geometric figures when using still pictures of nude females as unconditioned stimuli, but that this was possible when using movies. He concluded that the movie pictures had a greater impact on his Ss than the stills and supported this impression with another study in which he compared responses to movies and stills of nude females (McConaghy, 1973). However, the persons on the movies were not identical with those on the stills and the depicted behavioural configurations varied widely. In the following study, results are reported on the erotic value of a relatively simple movement pattern, namely walking towards the viewer and smiling, vs. a still picture of the same person smiling.     

Gender and sexual orientation differences in sexual response to sexual activities versus gender of actors in sexual films

In this study, the authors investigated the hypothesis that women's sexual orientation and sexual responses in the laboratory correlate less highly than do men's because women respond primarily to the sexual activities performed by actors, whereas men respond primarily to the gender of the actors. The participants were 20 homosexual women, 27 heterosexual women, 17 homosexual men, and 27 heterosexual men. The videotaped stimuli included men and women engaging in same-sex intercourse, solitary masturbation, or nude exercise (no sexual activity); human male-female copulation; and animal (bonobo chimpanzee or Pan paniscus) copulation. Genital and subjective sexual arousal were continuously recorded. The genital responses of both sexes were weakest to nude exercise and strongest to intercourse. As predicted, however, actor gender was more important for men than for women, and the level of sexual activity was more important for women than for men. Consistent with this result, women responded genitally to bonobo copulation, whereas men did not. An unexpected result was that homosexual women responded more to nude female targets exercising and masturbating than to nude male targets, whereas heterosexual women responded about the same to both sexes at each activity level.     

A learning approach to the treatment of homosexuality

‘Aversive’ techniques in the treatment of homosexuality provide practical and ethical difficulties for the therapist. A technique involving ‘imaginary’ aversive therapy and a discrimination learning task is described. It is felt that such an approach following on classical desensitization of neurotic disturbances which may underly the homosexual disorder, offers hope of early symptom removal and lasting improvement.     

Emotion and motivation II: sex differences in picture processing

Adhering to the view that emotional reactivity is organized in part by underlying motivational states--defensive and appetitive--we investigated sex differences in motivational activation. Men's and women's affective reactions were measured while participants viewed pictures with varied emotional and neutral content. As expected, highly arousing contents of threat, mutilation, and erotica prompted the largest affective reactions in both men and women. Nonetheless, women showed a broad disposition to respond with greater defensive reactivity to aversive pictures, regardless of specific content, whereas increased appetitive activation was apparent for men only when viewing erotica. Biological and sociocultural factors in shaping sex differences in emotional reactivity are considered as possible mediators of sex differences in emotional response.     

Attention control: Relationships between self-report and behavioural measures,and symptoms of anxiety and depression

Previous research has demonstrated differences in processing between fear-relevant stimuli, such as snakes and spiders, and non-fear-relevant stimuli. The current research examined whether non-fear-relevant animal stimuli, such as dogs, birds and fish, were processed like fear-relevant stimuli following aversive learning. Pictures of a priori fear-relevant animals, snakes and spiders, were evaluated as negative in affective priming and ratings and were preferentially attended to in a visual search task. Pictures of dogs, birds and fish that had been trained as CS+ in an aversive conditioning design were evaluated more negatively and facilitated dot probe detection relative to CS? pictures. The current studies demonstrated that stimuli viewed as positive prior to aversive learning were negative and were preferentially attended to after a brief learning episode. We propose that aversive learning may provide a mechanism for the acquisition of stimulus fear relevance.     

Behavioral approaches to weight control: An updated review

Recent developments in the behavioral treatment of obesity were surveyed. Since the earlier review (Abramson, 1973) no studies of aversive therapy have been published. Three studies of covert sensitization have yielded discouraging results. Any positive effects of this technique appear to be the result of non-specific demand characteristics rather than aversive conditioning. Several demonstrations of the effects of therapist controlled reinforcement indicate that this technique can promote weight loss while the contingencies are in effect. The weight is rapidly regained, however, after the contingencies are withdrawn. It is concluded that self-control treatments, especially complex self-control, are the most consistently successful treatment approaches. Several methodological problems are presented and unresolved issues are discussed.     

Cognitive avoidance,positive affect,and gender as predictors of the processing of aversive information

The study investigated the influence of cognitive avoidance, positive affect, and gender on the evaluation of and memory for threat-related information varying in degrees of aversiveness and ambiguity. Stimulus material consisted of threatening, nonthreatening, and ambiguous pictures. First, valence ratings of the stimuli were collected. This phase was followed by a first memory test. A second memory test was administered three days later. Memory for aversive information was influenced by cognitive avoidance, positive affect, and gender. Avoiders exhibited a comparatively good memory for aversive information in the first (immediate) test and a very poor memory in the delayed testing. A similar pattern was obtained for individuals high in positive affect. Compared to men, women gave more negative ratings to aversive and ambiguous pictures and had a better memory for ambiguous information in the immediate test. Results are discussed within the framework of the repressive discontinuity hypothesis proposed by Hock and Krohne [Hock, M., Krohne, H. W. (2004). Coping with threat and memory for ambiguous information: Testing the repressive discontinuity hypothesis. Emotion, 4, 65–86].     

Aversive and appetitive electrodermal classical conditioning using pictures as stimuli

The principal goal of this study was to verify whether it was possible to obtain both aversive and appetitive electrodermal classical conditioning, using pictures as conditioned stimuli (CS), and unconditioned stimuli (US). Additionally, we tried to verify whether, as a consequence of such conditioning, diminution of the unconditioned response (UR) was observed. With this aim, IAPS (?International Affective Picture System?) pictures were selected as stimuli. A picture showing a burnt face was used as the aversive US (USav), and a picture showing a scene with erotic content was used as the appetitive US (USap). As the aversive CS (CSav), and appetitive CS (CSap), two images with intermediate values of valence and arousal showing male faces were selected. In the experimental group, 10 CSav/USav and 10 CSap/USap trials were presented. In the control group 10 CSav, CSap, USav, and USap trials were presented in pseudorandom order. Skin conductance response (SCR) elicited by both the CSs and the USs was scored. Results showed aversive conditioning, but neither appetitive conditioning nor UR diminution. Problems to obtain conditioning using pictures as stimuli and possible options to overcome them in future research are discussed.     

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.     

Social anxiety, reasons for drinking, and college students

Recent research suggests that social anxiety may be associated with higher rates of alcohol problems in women, yet may be associated with lower levels of drinking in men. The current study investigated putative mechanisms that may underlie potential gender differences in the social anxiety-alcohol relationship. One hundred and eighteen college students (61.0% women) completed an interview assessing drinking behaviors and questionnaires measuring social anxiety, drinking motives, and drinking situations. Although college men and women both reported similar frequencies of drinking in positive situations and to enhance positive emotions, women reported drinking more often in negative situations and to cope with aversive emotions than men. Mediated moderation analyses suggested that women with social anxiety may be at greater risk of encountering adverse consequences because of their likelihood to drink to conform or to cope with the aversive affect they experience in negative situations. Conversely, when men experience high rates of adverse consequences, it may be due to drinking greater quantities of alcohol in positive situations. Highly socially anxious college men may drink less alcohol and experience fewer adverse consequences than their nonanxious or mildly anxious counterparts because they may find themselves in positive situations and drinking to enhance positive feelings less often, potentially due to avoidant behavior. These findings may help to explain why social anxiety serves as a potential risk factor for alcohol-related problems for college women, but a protective factor for college men.     

Cognitive manipulation of GSR extinction: Analogues for conditioning therapies

Cognitive determinants of GSR activity during extinction trials were examined following conditioning. Conditioned GSRs extinguished rapidly when subjects were informed the UCS would not again be administered, compared to subjects not given this information. Of greater interest was the finding that (false) high feedback concerning subjects’ responsivity to the Cs+ during extinction served to maintain GSR activity at a higher level than subjects receiving (false) low feedback. The relationship was observed within both information conditions. Implications are drawn for both aversive conditioning therapy and systematic desensitization.     

Fading to increase heterosexual responsiveness in homosexuals

Heterosexual responsiveness, measured by penile responses and reports of behavior, was strengthened in three homosexuals through a fading procedure. Using two slide projectors, colored slides of nude females were superimposed on colored slides of nude males. As the sexual response was emitted, the nude male was faded out and the nude female faded in. Heterosexual arousal decreased when the fading procedure was reversed or stopped and increased once again when fading was resumed. Homosexual arousal remained high during this experiment but had decreased in two subjects at follow-up. The results suggest that fading was responsible for altering stimulus control of sexual arousal and that aversive techniques may not be necessary in the treatment of sexual deviation.     

Cognitive Manipulation of GSR Extinction: Analogues for Conditioning Therapies

Cognitive determinants of GSR activity during extinction trials were examined following conditioning. Conditioned GSRs extinguished rapidly when subjects were informed the UCS would not again be administered, compared to subjects not given this information. Of greater interest was the finding that (false) high feedback concerning subjects' responsivity to the Cs+ during extinction served to maintain GSR activity at a higher level than subjects receiving (false) low feedback. The relationship was observed within both information conditions. Implications are drawn for both aversive conditioning therapy and systematic desensitization.     

Expectancy-learning and evaluative learning in human classical conditioning: affective priming as an indirect and unobtrusive measure of conditioned stimulus valence

It has been argued that in classical conditioning two processes might be operative. First, one may learn that the conditioned stimulus (CS+) is a valid predictor for the occurrence of the biologically negative or positive event (US; expectancy-learning). Second, one may learn to perceive the conditioned stimulus itself as a negative or positive stimulus, depending on the valence of the event it has been associated with (evaluative learning). Until the present, however, both forms of learning have been investigated using rather different conditioning procedures. Using a differential aversive conditioning preparation with pictures of human faces as CSs and an electrocutaneous stimulus as US, we were able to demonstrate that both forms of learning can co-occur. Moreover, the extent of evaluative learning in this aversive conditioning procedure did not significantly differ from the amount of evaluative learning in an evaluative conditioning procedure with positive and negative adjectives as USs, which was administered to the same participants. In the present study evaluative learning was not only indexed by direct evaluative ratings, but we introduced affective priming as an indirect and unobtrusive, reaction time based measure of stimulus valence. Finally, imagery instructions during acquisition did not facilitate expectancy-learning nor evaluative learning.     

Sex role self schema and psychological adjustment in coupled homosexual and heterosexual men and women

This study examined the relation between dimensions of sex role self schema (assessed by four factor scores of the Bem Sex Role Inventory: Instrumentality, Expressiveness, Autonomy, and Masculinity-Femininity) and psychological adjustment (assessed by the Symptom Checklist-90-R) in 366 homosexuals (230 males and 136 females) and 241 heterosexuals (124 males and 117 females). All subjects were in a cohabitating relationship. Homosexuals and heterosexuals did not differ in psychological adjustment, but men were found to be more distressed by paranoid symptoms than women. Dimensions of sex role self schema varied by an interaction between gender and sexual orientation. Gender differences on Instrumentality, Expressiveness, and Masculinity-Femininity were more pronounced for heterosexuals than for homosexuals. Further, homosexual women were more Instrumental than heterosexual women, while homosexual and heterosexual men were equivalent; homosexual men were more Expressive than heterosexual men, while homosexual and heterosexual women were equivalent; and the discrepancy between homosexual and heterosexual women's Masculinity-Femininity score was greater than that between homosexual and heterosexual men. Hierarchical regression analyses indicated that only education and the Autonomy dimension of sex role self scheme were the best nonredundant predictors of psychological adjustment, although the relations were weak. Findings are discussed in terms of current theory and research on sex role self schemas.     

Primary relationships affect the psychological health of homosexual men at risk for AIDS.

Less is known about the effects of primary relationships on psychological health for homosexual men and women than for heterosexual men and women. Given the HIV/AIDS epidemic, the primary relationships of homosexual men are especially important to examine at the present time. Using questionnaire data collected from 259 homosexual men, this study examined the effects of status and quality of relationship on psychological health. Analysis indicated that homosexual men who are in primary relationships experience fewer depressive symptoms and greater well-being than other homosexual men but that being in a relationship does not predict changes in these outcomes over time. Men who report high quality of relationship show improvements over time in psychological health. These findings are discussed in light of the HIV/AIDS epidemic.     

Music Hath Charms … And Can Influence Helpfulness1

Eighty university students, half men and half women, were distributed evenly among 4 conditions in a one-way design. Three of the groups heard a seven-minute-long musical selection, either soothing, stimulating, or aversive in nature, while the remaining subjects were not exposed to any music and sat still. Ratings indicated that the soothing and stimulating music created some- what different positive moods while the aversive music tended to arouse negative feelings. Those who heard the soothing music were most apt to be helpful immediately afterwards, significantly more so than the aversive music or no music subjects, perhaps because of the ideas evoked by this selection.     

Stimulating the creativity of elderly institutionalized women through works of art

The present article reports a controlled intervention study concerning the effects of a nondirected use of pictures of works of art as a way of stimulating creativity in elderly institutionalized women. Participants were randomly allocated either to the intervention (n = 20) or to the control (n = 20) group. After the intervention significant improvement in ratings between the groups was measured, with the intervention group more open and flexible and with a stronger deposition to a creative behavior than subjects in the control group. They also showed greater freedom and variation than the control group in drawing circles and making pictures. In puzzle tests the intervention group constructed increasingly imaginative, irregular, and open alternatives with colored patterns. The control group constructed closed and black forms. Importantly, the status of increased creativity continued to exist four months after the intervention. No changes were seen in the control group. This group showed a rational and precautious personality.