The etiology of specific fears and phobias in children: a critique of the non-associative account

The non-associative account of phobic etiology assumes that a number of specific fears (e.g., fear of heights, water, spiders, strangers, and separation) have an evolutionary background and may occur in the absence of learning experiences (e.g., conditioning). By this view, these specific fears pertain to stimuli that once posed a challenge to the survival of our prehistoric ancestors. Accordingly, they would emerge spontaneously during the course of normal development and only in a minority of individuals, these specific fears would persist into adulthood. While the non-associative approach has generated interesting findings, several critical points can be raised. First, it capitalizes on negative findings, i.e., the failure to document learning experiences (e.g., conditioning, modeling) in the history of phobic children. Second, it largely ignores factors that have been found to be crucial for the acquisition of early childhood fears (e.g., the developmental level of the child, stimulus characteristics such as novelty, aversiveness, and unpredictability, and early experience with uncontrollable events). As an alternative to the non-associative account, we briefly describe a multifactorial model of childhood fears and phobias.     

Strong phenomenal wholes are associated with fast “same” and slow “different” responses and superior overall performance

“Same” and “different” responses to stimuli that result in strong and weak single phenomenal wholes were investigated. Present and also previous results indicate that strong phenomenal wholes tend to be associated with a fast “same” and slow “different” response pattern. This result suggests that the parts of strong phenomenal wholes are perceived as more similar (e.g., because it should be easier to respond “same” to more similar stimuli). This suggestion is consistent with results based on other measures of perceived similarity. Present and also previous results additionally indicate that strong phenomenal wholes are frequently associated with superior overall (“same” plus “different”) performance. This result is consistent with evidence that the identification of simultaneously occurring multiple targets improves when they belong to the same phenomenal whole. The present results also hint that attention can affect whether two or three objects form the effective (functional) whole and support the assimilation explanation of the Müller Lyer illusion.     

S-R associations, their extinction, and recovery in an animal model of anxiety: a new associative account of phobias without recall of original trauma

Associative accounts of the etiology of phobias have been criticized because of numerous cases of phobias in which the client does not remember a relevant traumatic event (i.e., Pavlovian conditioning trial), instructions, or vicarious experience with the phobic object. In three lick suppression experiments with rats as subjects, we modeled an associative account of such fears. Experiment 1 assessed stimulus-response (S-R) associations in first-order fear conditioning. After behaviorally complete devaluation of the unconditioned stimulus, the target stimulus still produced strong conditioned responses, suggesting that an S-R association had been formed and that this association was not significantly affected when the outcome was devalued through unsignaled presentations of the unconditioned stimulus. Experiments 2 and 3 examined extinction and recovery of S-R associations. Experiment 2 showed that extinguished S-R associations returned when testing occurred outside of the extinction context (i.e., renewal) and Experiment 3 found that a long delay between extinction and testing also produced a return of the extinguished S-R associations (i.e., spontaneous recovery). These experiments suggest that fears for which people cannot recall a cause are explicable in an associative framework, and indicate that those fears are susceptible to relapse after extinction treatment just like stimulus-outcome (S-O) associations.     

Individual differences in speech fusion: Methodological and theoretical explorations

Day (Note 1) constructed pairs of speech sounds such as “lanket” and “banket” from words (e.g., blanket) by omitting either the first or second consonant. When these two components were presented about the same time, one to each ear, some people appeared to fuse them, reporting they heard the word. Other people rarely fused. Moreover, if asked to report the first letter they heard, a judgment of temporal order, subjects that tended to fuse also reported what would be the first consonant of the word, even when it was not first in the pair of components. From this and other evidence, Day concluded that the perception of some individuals might be “language-bound.” We tested a strong version of the language-boundness view of fusion and were able to reject it. We also examined several other possible causes of individual differences in fusion rate. Our second experiment provides evidence that a more general failure to discriminate temporal order of even nonlinguistic material may be involved.     

The problem of switching in conditional behavior

This article reviews studies of various authors on the phenomenon of “switching,” which is observed in both classical and instrumental conditioning and consists in elicitation of different responses to the same conditional stimulus (CS) when it is applied in an environment different than the original one. The different responses include a decrease or an absence of the previously trained conditional response (CR), elicitation of an appetitive response instead a defensive one, or vice versa, as well as elicitation of two different instrumental CRs in the same trial. The studies suggest that, due to the repeated occurrence of CS in the same environment (E), also called “situation” or “context,” associations are formed between CS and E. Consequently, the CR is elicited to a compound CS+E rather than to CS alone. When the CS is applied alone in a different E than the original one, the previously formed associations are inactive and the CR cannot be elicited; this leads to switching. Studies also suggest that E plays a dominant role in conditioning compared with that of CS alone, which often appears to be only a trigger for eliciting the response. However, CS tested in a different E may still produce some components of the previously acquired CR, such as a general fear behavior to an originally defensive CS or an approach behavior to an originally alimentary CS. The environmental stimuli can be considered the “determining” stimuli that determine the kind of reaction to be elicited, or “tonic” stimuli that increase the tonus in the brain but do not elicit the CR. The “determining” or “tonic” stimuli do not seem to be a special class of stimuli. Instead, they are stimuli that initially can produce the CR (e.g., intertrial CRs), but by being not reinforced they become partly inhibited; nevertheless, due to associations with the reinforcement, they still can produce some excitement related to it, thus facilitating the CR.     

Symptoms of Specific and Generalized Social Phobia: An Examination of Discriminant Validity and Structural Relations With Mood and Anxiety Symptoms

Current models divide social phobia into specific (SSP) and generalized (GSP) subtypes and suggest strong overlap between GSP and avoidant personality disorder (APD). Meanwhile, other research suggests reclassifying anxiety and mood disorders as fear and distress disorders. To unify these separate lines of research, this study was designed to test the hypothesis that SSP is more related to fear disorders (e.g., panic and phobias), whereas GSP and APD are more related to distress disorders (e.g., depression and generalized anxiety). Confirmatory factor analysis suggested the best-fitting model had symptoms of GSP, APD, and depression loading on one factor, and symptoms of SSP, panic, and specific phobias loading on a second factor. Key components of this model were (a) the inclusion of GAD symptoms reduced model fit and (b) GSP and APD symptoms significantly predicted SSP symptoms; this is consistent with conceptualizations of individuals with both GSP and SSP reporting performance anxiety.     

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.     

Behavioural approaches to bereavement

Persons who get “hung up” in an unresolved grief reaction appear to be similar in many ways to those who develop phobias. As behaviour therapy approaches to phobias have been highly successful, similar tactics have been tried out with persons involved in pathological grief, with gratifying success. The characteristics of grief reactions are briefly described, as is Eysenck's theory on the development and maintenance of phobias. This theory is applied to explain how and why some people develop pathological grief reactions. A modified flooding technique of confrontation with pain-evoking stimuli is described and some results are presented. The psychoanalytic literature gives indications as to what kinds of emotional reactions the therapist can expect.     

Are crossmodal correspondences relative or absolute? Sequential effects on speeded classification

Crossmodal correspondences have often been demonstrated using congruency effects between pairs of stimuli in different sensory modalities that vary along separate dimensions. To date, however, it is still unclear the extent to which these correspondences are relative versus absolute in nature: that is, whether they result from pre-defined values that rigidly link the two dimensions or rather result from flexible values related to the previous occurrence of the crossmodal stimuli. Here, we investigated this issue in a speeded classification task featuring the correspondence between auditory pitch and visual size (e.g., congruent correspondence between high pitch/small disc and low pitch/large disc). Participants classified the size of the visual stimuli (large vs. small) while hearing concurrent high- or low-pitched task-irrelevant sounds. On some trials, visual stimuli were paired instead with “intermediate” pitch, that could be interpreted differently according to the auditory stimulus on the preceding trial (i.e., as “lower” following the presentation of a high pitch tone, but as “higher” following the presentation of a low pitch tone). Performance on sequence-congruent trials (e.g., when a small disc paired with the intermediate-pitched tone was preceded by a low pitch tone) was compared to sequence-incongruent trials (e.g., when a small disc paired with the intermediate-pitch tone was by a high-pitched tone). The results revealed faster classification responses on sequence-congruent than on sequence-incongruent trials. This demonstrates that the effect of the pitch/size correspondence is relative in nature, and subjected to trial-by-trial interpretation of the stimulus pair.     

How serious are common childhood fears? II. The parent's point of view

In an earlier study [Muris, P., Merckelbach, H., Mayer, B., & Prins, E. (1999). How serious are common childhood fears? Behaviour Research and Therapy, in press.], the severity of common childhood fears was explored by means of a structured child interview measuring specific phobias as defined by the Diagnostic and Statistical Manual of Mental Disorders. It was found that in a substantial minority of the children, specific fears reflect clinically significant phobias. The present study examined further the connection between childhood fears and specific phobias by interviewing children's parents. The Diagnostic Interview Schedule for Children was administered to the parents of 160 children aged 4-12 years. In line with our previous study, results indicate that a sizable proportion of children (i.e. 17.6%) met the full criteria for specific phobia.     

Identification and categorization in visual search

Seven experiments were addressed to the general question of whether the identification of letters and numbers is a more rapid process than the categorization of such stimuli. Subjects were required to make a single response if a target stimulus specified by name (e.g., “A,” “2”) or designated by category class alone (e.g., “letter,” “number”) was presented in a trial. The principal findings were: (1) identification reaction times (RTs) were faster than categorization RTs: (2) RTs for targets shown without a context were faster than RTs for targets shown in the context of other stimuli; (3) identification RTs for targets shown in the context of stimuli from a different conceptual-taxonomic category were faster than RTs for targets shown in the context of stimuli from the same category only when target-context stimulus discriminability differencet were optimized. The results were interpreted in terms of a two-stage processing model in which context face,ors affect the duration of an initial encoding-scanning stage and search instruction (effective memory size) factors affect the duration of the memory comparison stage.     

Comparative judgments with numerical reference points

A model of subjective magnitude comparisons is explored, which assumes that subjects compare symbolic stimulus magnitudes with respect to a reference point. The reference point may be established implicitly by the question (e.g., “Which is larger?” vs “Which is smaller?”) or be presented explicitly (e.g., “Choose the stimulus closer to X.”). The model was tested in five experiments in which subjects judged which of two comparison digits was closer to (or further from) a reference digit. Regression analyses in three experiments revealed that reaction time depended on the ratio of the distances from the comparison items to the reference point. The other two experiments provided evidence that subjects can strategically vary the processes by which they compare stimuli to a reference point. The results indicated that subjects can perform various types of “analog arithmetic” using either the linear number scale or a nonlinear scale of subjective digit magnitude.     

Emotionality,distinctiveness, and recollective experience

Two experiments investigated the effects of emotional stimuli on recollective experience in recognition memory. In Experiment 1, words judged to evoke a positive emotional response (e.g., warmth, freedom) or a negative emotional response (e.g., mucus, corpse) were associated with more “remember” responses than emotionally neutral words (e.g., crate, border) when presented in mixed lists. This effect was stronger with negative words than with positive words. In Experiment 2 the effects of emotional stimuli were eliminated when participants studied pure lists of either all emotional or all neutral words. These findings are discussed in relation to Rajaram's (1996) distinctiveness account of recollective experience.     

Disgust sensitivity, trait anxiety and anxiety disorders symptoms in normal children.

There is evidence to suggest that disgust sensitivity plays a role in the development of small animal fears and phobias. Recently, Phillips, Senior, Fahy, and David (1998) [Phillips, M. L., Senior, C., Fahy, T., & David, A. S. (1998). Disgust: the forgotten emotion of psychiatry. British Journal of Psychiatry, 172, 373-375.] suggested that disgust sensitivity is also involved in various other anxiety-based symptoms (e.g. obsessive-compulsive complaints, social phobia). The present study sought to test this suggestion in a large sample of normal school children (N = 189). Children completed a measure of disgust sensitivity, the trait anxiety version of the Spielberger State-Trait Anxiety Inventory for Children and the Screen for Child Anxiety Related Emotional Disorders, an instrument that measures DSM-defined anxiety disorders symptoms. Disgust sensitivity was indeed found to be correlated with a broad range of anxiety disorders symptoms. However, results also indicated that these correlations were predominantly carried by trait anxiety. That is, when controlling for levels of trait anxiety, only specific phobia symptoms (including animal phobia, blood-injection-injury phobia and situational-environmental phobia) and separation anxiety disorder symptoms were significantly related to disgust sensitivity, although correlations were rather modest. Taken together, these findings cast doubts on the claim that disgust sensitivity is an unique and independent factor that contributes to a broad range of anxiety disorders.     

Human and Global Identities: Different Prototypical Meanings of All-Inclusive Identities

The impact of identities encompassing all human beings (e.g., human and/or global identities) on intergroup relations is complex, with studies showing mostly positive (e.g., less dehumanization), but also negative (e.g., deflected responsibility for harm behavior), effects. However, different labels and measures have been used to examine the effects of these all-inclusive superordinate identities, without a systematic empirical examination of the extent to which they overlap or differ in their sociopsychological prototypical content. This study examined whether different labels activate the same contents in laypeople's conceptualization. Two hundred and forty-eight participants openly described one of six labels: “All humans everywhere”; “People all over the world”; “People from different countries around the world”; “Global citizens”; “Citizens of the world”; and “Members of world community.” Results from quantitative content analyses showed that the different labels activated different thematic attributes, representing differences in their core prototypical meaning. We propose that a general distinction should be made between labels that define membership based on human attributes (e.g., biological attributes) and those that evoke attributes characteristic of membership in a global political community (e.g., attitudinal attributes), as their effect on intergroup relations may vary accordingly.     

Nasal,retronasal, and gustatory perception: An experimental comparison

Four odor substances (lemon aroma, rum aroma, ethyl butyrate, and amyl acetate) in different concentrations were presented nasally and orally (retronasally) in a four-alternative forced-choice procedure (detection tasks). In a further experimental condition, sucrose was added to the stimuli. Finally, the taste properties of the (nonsugared) odor stimuli were judged on seven semantic scales. In the detection of odor-containing stimuli, there were no significant differences between nasal and retronasal stimulation. In the taste conditions, however, there was a significant decline of “hits” when the stimuli contained sucrose in addition to the odor substances. Furthermore, in semantic scaling of the taste stimuli, a new variant of the taste-smell illusion was observed, namely, a tendency to attribute “suited” basic taste categories (e.g., “sweet”) to pure (nongustatory) odor stimuli.     

Attentional biases in PTSD: More evidence for interference

Attentional biases to trauma-related stimuli have been widely demonstrated in individuals with posttraumatic stress disorder (PTSD). However, the majority of these studies used methods not suited to differentiating difficulty disengaging attention from threatening stimuli (interference) from facilitated detection of threat. In the current study, a visual search task (VST) with a lexical decision component was used to differentiate between attentional interference and facilitation. Forty-six sexual assault survivors with High PTSD or Low PTSD symptoms completed the VST with three types of stimuli (trauma-related, general threat-related, and semantically-related neutral words), to examine the specificity of attentional biases associated with PTSD symptoms. High PTSD participants showed increased interference to trauma-related words relative to Low PTSD participants. Furthermore, the increased attentional interference in High PTSD participants was specific to trauma-related stimuli. No evidence was found for facilitated detection of threatening stimuli in PTSD. These results provide additional support for attentional biases in PTSD relating to attentional interference with trauma-related cues rather than facilitated detection of threat. The implications for this pattern of results are discussed in relation to anxiety disorders that are characterized by rumination and/or intrusions (e.g., PTSD, GAD) rather than those more circumscribed to fight or flight response (e.g., phobias).     

A simple LSI-11 system for real-time control,interevent time storage,and data analysis

A simple laboratory computer system based on a Digital Equipment Corporation LSI-11, floppy disk, DRV11 parallel input-output board, and the RT-11 operating system is described. Interface to experimental devices is provided through a lab-built relay driver and relay closure sensing interface. An extensive high-level software package provides an easy-to-use control language (e.g., stimuli can be controlled with a simple “TURN ON” or “TURN OFF” instruction) and easy-to-use FORTRAN subroutines for data exploration (e.g., “IFIND” searches a data file for a particular event). The control software automatically generates, codes, and stores a complete log of every input and output event and its time of occurrence in each of five simultaneously running experiments. This provides the capability to reanalyze data in light of hypotheses not available when the experiment was designed. The FORTRAN subroutine library for data exploration provides a conditional and iterative search facility to sift out events or sets of events from the data file for analysis. Standard FORTRAN statements perform arithmetic operations on the resulting data.     

The dimensional arrow: Agreement in directional mapping of dimensions among Mandarin Chinese- and English-speakers

We present evidence that English- and Mandarin-speakers agree about how to map dimensions (e.g., size and clarity) to vertical space and that they do so in a directional way. We first developed visual stimuli for four dimensions—size, clarity, complexity, and darkness—and in each case we varied the stimuli to express a range of the dimension (e.g., there were five total items expressing the range covering big, medium, and small). In our study, English- and Mandarin-speakers mapped these stimuli to an unlabelled vertical scale. Most people mapped dimensional endpoints in similar ways; using size as a standard, we found that the majority of participants mapped the clearest, most complex, and darkest items to the same end of the vertical scale as they mapped the biggest items. This indicates that all four dimensions have a weighted or unmarked end (i.e., all are directional or polar). The strong similarities in polarity across language groups contrasted with group differences on a lexical task, for which there was little cross-linguistic agreement about which comparative words to use to describe stimulus pairs (e.g., “bigger” vs. “smaller”). Thus, we found no evidence in this study that the perception of these dimensions is influenced by language.