The application of reinforcement and participant modeling procedures in the treatment of snake-phobic behavior

In Experiment I, one group of snake phobic Ss was reinforced (with tokens) for approaching a harmless snake. A second group received token reinforcement on a non-contingent basis, in the same setting, with a third group serving as non-treated controls. Although slight improvement was noted for all three groups, the groups did not differ significantly with respect to an increase in approach behavior or a reduction in subjective fear rating. A fourth group of snake phobic Ss was reinforced with money for approaching the snake, but showed no more improvement than the other three groups. In Experiment II. Ss who had participated in Experiment I were assigned to a participant modeling (P-M) group, in which they observed a fearless model interact with a snake and were subsequently guided through similar interactions with the snake, or to a non-treated control group. The P-M Ss showed a very marked decrement in snake phobic behavior (which generalized to a non-treatment snake) following the 40-min treatment, in contrast to control Ss who showed virtually no change.     

An experimental analysis of chronic posttraumatic stress among adolescents

The Fear Survey Schedule (FSS), State Trait Anxiety Inventory (STAI), and the Lebanese Fear Inventory (FLI, an endemic index of war fears) were administered to a sample of Lebanese junior high school students 27 days before the Israeli invasion of 1982. Six months after the disengagement of forces, the investigator located 16 subjects who had been in West Beirut throughout the siege and 46 subjects who had evacuated to safer environs. The inventories were readministered to the subjects according to a counterbalanced regimen and no significant differences were noted between the preinvasion scores of the evacuees and nonevacuees or between the postinvasion scores of the evacuees and nonevacuees. No significant differences were observed when the aggregate FSS and STAI estimates that were recorded before and after the invasion were compared. On the other hand, the aggregate LFI scores were significantly lower after the invasion. The results are discussed from within the social learning framework of fear acquisition.     

Systematic desensitization in an experimental setting: A follow-up study

A follow-up study was done of female college student volunteers who had been treated for marked fear of snakes using systematic desensitization under four experimental conditions. In the original study four groups were differentiated on the basis of: (1) therapeutic instructions and praise; (2) therapeutic instructions alone; (3) praise alone; and (4) neither therapeutic instructions nor praise. At follow-up Ss were reassessed on a behavioral test of their ability to approach and handle a snake, and were interviewed to determine whether they had discerned the conditions of the original experiment.

Twenty-five of the original thirty-two Ss (78 per cent) were assessed a mean of 9.5 months after their experimental post-test. All four groups maintained their original gains and the inter-relationships of the groups remained stable: only instructions had a statistically significant added effect over systematic desensitization; the reinforcement and interaction factors did not attain statistical significance. From the interview data it could not be demonstrated that Ss were aware of either the instructional or reinforcement conditions of their respective groups.     

Effects of endorphin blocking on conditioned SCR in humans

In order to test the hypothesis that low levels of endogenous opioids (endorphins) predispose to strong conditioning effects, female Ss (N = 36) were assigned to a placebo group, a low-dose naltrexone group, or a high-dose naltrexone group and then underwent a classical conditioning procedure. This procedure consisted of an acquisition phase in which all Ss received 5 pairings of a CS+ (neutral picture) and a UCS (100 dB white noise). The CS− (neutral picture) was never followed by a UCS. During extinction, Ss received 4 unreinforced presentations of CS+ and CS−. Throughout the experiment, skin conductance responses (SCRs) to the CSs and UCSs were recorded. Acquisition was successful in that CS+ slides elicited stronger SCRs than CS − slides. However, during acquisition, there was no interaction between drug and differential response (CS+ vs CS−). During extinction, there was no overall remaining effect of conditioning. Again, no evidence was found to suggest that (remaining) effects of conditioning were stronger in the naltrexone treated Ss than in the placebo S's. If anything, the opposite seemed to be true with especially high-dose naltrexone Ss showing relatively weak conditioning effects.     

A short duration group treatment of smoking behavior by stimulus saturation

Two saturation procedures of different lengths were administered to Ss who desired to quit smoking. Ss chain-smoked for either 20 hr (group E₁) or 10 hr (E₂). Total abstinence was the main dependent measure. Both groups experienced relatively equal success on a short-term basis. Long-term abstinence was noted for group E₁ only. Sixty per cent of the E₁ Ss were not smoking 4 months after treatment.     

Bender Gestalt test performance as a predictor of differential reading performance

Sixty Ss (two groups of second graders, with differential reading skills and average or above intelligence, matched with regard to CA, IQ, and sex) were compared on Bender test performance. No significant differences were found for rotations, integrations, perseverations, sex, or number of errors on Designs A through 8. Although significant differences were found between groups for both Bender composite scores (p = <.05) and distortion errors (p = <.01), there was no significant difference in the number of students in each group above and below the mean Bender score for that age group.

Poor Bender performance was found as often for good readers as for poor ones. This strongly suggests that Bender performance should be used with extreme caution in predicting or diagnosing poor reading performance.     

Cognitive determinants of lactate-induced anxiety

The effects of lactate infusion on subjective mood change were studied in two differently instructed groups, in a double-blind, placebo-controlled, cross-over study. Ss who were told that infusions would produce anxiety reported a significant change in the expected direction after lactate but not after glucose. Ss who were told that infusions would produce a state of pleasant excitement showed no change after either infusion. The possible role of cognitive parameters in experimentally-induced anxiety is discussed.     

Predicting and remembering recurrent pain

Two groups of Ss suffering from recurrent episodes of pain (headache or menstrual) were studied over a period of weeks in order to determine if they tend to over-predict aversive events (pain in this instance). The results are consistent with earlier findings on fear pain. Contrary to earlier findings, however, after an under-predicted pain the menstrual Ss decreased their following prediction—suggesting the operation of a superordinate predictive pattern in this group. The Ss in both groups successfully predicted the qualities of their pain episodes, but tended to recall the episodes as being more painful than they had reported at the time of the pain episode. The explanation for the erroneous magnifications of predictions and reports of pain is not obvious. Over-predicting a potential pain, and remembering an episode as having been more painful than it was, may serve a protective function, but if so, these are not the most economical ways of achieving protection. The Ss who used medication expected to obtain moderate relief and they were not disappointed.     

Using drugs to modify the effect of response prevention on avoidance extinction

Amobarbital and chlordiazepoxide were administered during avoidance response prevention and the effect evaluated in the nondrugged state in a subsequent test for avoidance extinction. It was found that Ss administered 15 mg/kg and 30 mg/kg amobarbital, and 30 mg/kg chlordiazepoxide during response prevention differed significantly from the control Ss in extinction performance. Rather than showing either reduced avoidance performance or no difference with the nondrugged Ss, the Ss drugged during response prevention showed increased avoidance performance in the subsequent test of avoidance extinction. That is, preventing avoidance responding under a drugged (versus nondrugged) state produced increased resistance to extinction of the avoidance response.     

The relationship of attributional style to agoraphobia severity, depression, and treatment outcome

The present study examined the relationship of attributional style, as measured with a revised version of the Attributional Style Questionnaire (ASQ) and measures of agoraphobia severity, depression, and treatment outcome in 73 Ss who met DSM-III criteria for agoraphobia with panic attacks and participated in one of three 13-week treatment conditions: paradoxical intention, graduated exposure, or progressive deep muscle relaxation training. Subjects completed assessments at four periods: pretreatment, midtreatment, posttreatment, and at 3 month follow-up. In addition to the three dimensions typically examined on the ASQ, this revised version also measured Ss' estimates of the perceived importance, and future likelihood for both positive and negative events. Congruent with previous research, moderate but somewhat inconsistent associations were observed between attributional style and depression both within and across assessment periods. Predictions about associations between attributional style and agoraphobic severity were not supported; however, an interaction was observed between depression and attributional style with respect to severity of agoraphobia. There was no evidence of group differences across treatment types, although there were several significant changes in attributional style across time. Attributions for health related events were also examined. Conceptual, clinical, and research issues related to the findings are discussed.     

The effects of progressive relaxation on stress and diabetic control

Four insulin-requiring diabetic Ss were followed in single-S designs to measure the impact of progressive muscle relaxation training on blood glucose and stress levels. Measures of blood glucose, stress, activity and caloric intake were taken four times a day, along with a daily measure of anxiety. Two of the 4 Ss showed a significant decrease in blood glucose during treatment periods as compared to baseline measures. Similarly, 2 of the 4 Ss showed a significant decrease in stress levels during treatment. A multiple regression analysis revealed some significant relationships between blood glucose, stress, activity level and caloric intake. The results support previous studies that show relaxation techniques to be a viable aid in establishing greater diabetic control.     

Experimental manipulations of responsibility: An analogue test for models of Obsessive-Compulsive Disorder

Several authors attribute excessive responsibility a predominant role in Obsessive-Compulsive Disorder (OCD) [Salkovskis, P. M. (1985) Behaviour Research and Therapy, 23, 571–583; Rachman, S. (1993) Behaviour Research and Therapy, 31, 149–154; van Oppen, P. & Arntz, A. (1994) Behaviour Research and Therapy, 32, 79–87]. The present studies aimed at demonstrating the link between different levels of perceived responsibility and checking behaviors by experimentally manipulating responsibility in non-clinical Ss. In the first study, a sound recognition task was used to compare checking behaviors in Ss with high (HR) and low (LR) perceived responsibility. Only one variable was significantly different, Ss from the HR group reporting more anxiety during the task than Ss from the LR group. Results did not support a link between responsibility and checking behavior. In a second study HR and LR Ss were compared on a manual classification task. Subjects from the HR group hesitated and checked more, and reported more preoccupation with errors and anxiety during the task than Ss from the LR group. Since perceived severity of the outcome was the most variable affected by the manipulation, the implications for current models of OCD are discussed and an alternative explanation is attempted. Finally, clinical implications are examined and suggestions are made for future directions of research.     

The Bender-Gestalt test in differential diagnosis of adolescents with learning difficulties

This study assessed the efficiency of the Haine and Koppitz scoring systems used with the Bender-Gestalt Test (B-G) in terms of their ability to differentiate between adolescents with and without central nervous system (CNS) impairment who were achieving below age-expectations. Utilizing a population of 84 adolescents enrolled in a residential treatment center, both the Haine and Koppitz systems with the Bender-Gestalt differentiated 25 Ss with CNS impairment from 59 Ss wihout such impairment. The results indicated, however, that neither scoring system was useful in individual classification when the B-G was used alone or in combination with intelligence test results.     

Stimulus overselectiv1ty of autistic children in a two stimulus situation

Autistic and normal children were trained to respond to a complex stimulus involving an auditory component (white noise) and a visual component (red floodlight). After the Ss had acquired this discrimination, the individual components were presented singly to assess their control over the Ss' behavior. The autistic Ss' unlike the normals, demonstrated stimulus overselectivity in that seven out of nine Ss responded to only one of the components. These results were consistent with those of a previous study where autistics showed stimulus overselectivity in an experiment involving three modalities. In both experiments, the previously non-functional stimulus was made functional when trained separately.     

Predicting treatment preferences for agoraphobia

Fifty-one university students completed two questionnaires: (1) The Millon Behavioral Health Inventory (MBHI) and (2) a questionnaire evaluating Ss' ratings of acceptability and effectiveness of five treatments for agoraphobia (Norton, Allen and Hilton, 1983a). The results showed that the Ss rated the three psychological treatments as more effective and acceptable than the two drug treatments. A discriminant function analysis, using the coping style measures of the MBHI and the Ss' ratings of acceptability and effectiveness of tranquilizers as predictor variables, correctly classified 78% of the Ss as to which psychological treatment they rated as more acceptable and effective for agoraphobia.     

Ways of acquiring phobias and outcome of behavioral treatments

The way of acquisition of phobias was studied in relation to different behavioral treatments for phobias. Ss (N = 183) were clinical patients belonging to six different phobic groups (agoraphobics, claustrophobics, social phobics, animal phobics, blood phobics and dental phobics), and the treatments were categorized as behaviorally focused (exposure in vivo and social-skills training), physiologically focused (systematic desensitization and applied relaxation) and cognitively focused (self-instruction training and fading). Results showed that both for patients with direct conditioning experiences and indirect acquisition those treated with behavioral and physiological methods improved more than those receiving cognitive methods when looking at the change-score data. Regarding the proportion of clinically improved patients there was no difference between treatments among the Ss with a background of conditioning experiences. In the group with indirect acquisition, on the other hand, the cognitive methods were more effective.     

Cues to obsessive-compulsive symptoms: Relationships with other patient characteristics

The waxing and waning of symptoms in obsessive-compulsive disorder (OCD) suggests that environmental cues may impact on exacerbations of this disorder. Eighty-one Ss with OCD completed the Cues Checklist (CCL; Mackenzie, Ristvedt, Christenson, Lebow & Mitchell, 1992), a 339-item checklist of rationally-derived cues and circumstances that might be expected to elicit or worsen symptoms. Principal components analysis revealed four components: household order and organization, contamination and cleaning, negative affect, and prevention of harm and checking. Total number of cues endorsed and component scores were correlated with other characteristics of the disorder, and with the presence of other Axis I and II disorders. Patterns of cue endorsement related to standard measures of obsessive-compulsive content but not to symptom severity. Early-onset Ss endorsed a greater number of cues. History of depression, anxiety disorders and Axis II pathology related most strongly to scores on the negative affect component. The values and limitations of this approach are discussed.     

Body size estimation in eating disorder patients: Testing the video distortion method on a life-size screen

The video distortion method on a life-size screen is a new method for studying eating disordered patients' estimations of their own body width. Testing this method in female patients (53 with anorexia nervosa, 38 with bulimia nervosa) and 36 normal females, yielded high to very high reliability scores (consistency and test-retest stability). A careful analysis of the ‘just noticeable difference’ showed that a 5% deviation from the undistorted image should be considered as within the range of accuracy. Taking this into account, anorectic patients appear to score below, above, as well as within the normal range. Bulimia nervosa patients are either accurate in their body estimations or overestimate their body width. All control Ss are correct in their estimations. With this method no significant differences were found between the anorectic patients and the controls. Bulimics differ significantly from anorectics and controls on their optative responses (i.e. what they wanted to look like) and their affective responses (i.e. what they felt they looked like).