An exploratory investigation of the origin and maintenance of phobias

Phobies were asked to relate past events which they believed caused or contributed to their fear, and to describe cognitive events experienced while imagining phobic interactions. Approximately half the subjects were able to recall relevant learning experiences, with direct experiences far more common than vicarious experiences or learning based on verbal instruction. Almost all of the subjects reported self-verbalizations while imagining the phobic situation, in every case phobic relevant. However, in a minority of instances were the verbalizations ‘catastrophic’ in nature. In only about half the cases did the phobies report that, in vivo, thoughts preceeded fear in the phobic situation (in contrast to a comparison group of less fearful subjects for which thoughts did preceed fear to a significant degree). Results are discussed in terms of possible limitations of a cognitive interpretation of phobic behavior.     

An experimental investigation of the relative effectiveness of two techniques for structuring multiattributed hierarchies

An experiment was performed to evaluate the relative effectiveness of a top-down approach and bottom-up approach to structuring multiattributed hierarchies. It was hypothesized that the top-down approach would result in both (1) a more accurate hierarchy and (2) a deeper hierarchy than the bottom-up approach. Although the latter hypothesis was supported, the former was not. Implications for further research are discussed.     

An investigation of the decrement of anxiety responses during systematic desensitization therapy

A clinical and psychophysiological study of the decrement of anxiety responses during systematic desensitization of six phobic patients revealed the phenomenon of spontaneous recovery. Quantitative results are presented and the relevance of these to relapse following therapy suggested.     

The psychoanalytic view of phobias. Part III: Agoraphobia and other phobias of adults.

This is the third part of a review and commentary on the psychoanalytic literature on phobias. This section takes up agoraphobia and other phobias of adults, and suggests further avenues for interpenetration of psychoanalytic and psychiatric approaches.     

The psychoanalytic view of phobias. Part IV: General theory of phobias and anxiety.

This is the final part of the work on the psychoanalytic view of phobias. Here we consider general views of phobias, developments and issues in the psychoanalytic theory of anxiety, as it relates to phobias, and take up aspects of some broader theoretical issues, including nosology.     

Brief report: Contact desensitization in the treatment of dog phobias in persons who have mental retardation

In comparison with the research done on phobias in non-retarded individuals, there is a paucity of research in the treatment of phobias in persons with mental retardation. In this study, contact desensitization was evaluated as a treatment for two individuals who have mental retardation and an intense fear of dogs. Following base-line assessment using a behavioral avoidance test (BAT) measuring actual approach behavior, treatment was implemented in a multiple base-line across subjects design. Contact desensitization resulted in the elimination of avoidance behavior in both subjects during the BAT. Measures of generalization in an outdoor setting, and maintenance during a two-month follow-up, showed that the clients continued to be free of avoidance behavior. The implications for further application and research are discussed.     

The psychoanalytic view of phobias. Part I: Freud's theories of phobias and anxiety.

This paper initiates a series of communications on psychoanalytic and current psychiatric approaches to the understanding and treatment of phobic syndromes with a review and discussion of Freud's evolving ideas on phobias and anxiety. A list of issues that any theory of phobic syndromes must address is compiled on the basis of Freud's work.     

An investigation of the relationship between self-efficacy and the communication effectiveness of product manual formats

Product manuals have been virtually ignored in published research despite their relevance to consumer satisfaction and marketplace safety. This study examines self-efficacy (perceptions of capabilities related to operating a product) and how it influences the effectiveness of and is also influenced by three safety message formats commonly used in product manuals (i.e., 1. safety messages presented in list format at the front of the manual; 2; safety messages presented by semantic similarity interspersed throughout the manual—chunked format, and 3. safety messages presented in a combined format—both list and chunked). As anticipated, pre-exposure self-efficacy was a significant covariate which was found to be positively related to post-exposure self-efficacy and negatively related to information evaluation. Further, controlling for pre-exposure self-efficacy, post-exposure self-efficacy was significantly lower in the combined (list plus chunked) condition. Findings of this research have important implications for the practice of repeating safety warnings and future research in the consumer information domain.Authors are listed in alphabetical order. This study was supported by an Illinois State University Research Grant.     

An investigation into the matching of specific agoraphobic anxiety response characteristics with specific types of treatment

Evaluations of behavioural treatments for agoraphobic clients have mainly focused on the efficacy of the method used. Client characteristics, however, have been largely ignored even though it is widely acknowledged that clients show their anxiety in different ways. The present study is an attempt to match clients' typical modes of anxiety responding with appropriate treatment. On the basis of their scores on the Lehrer and Woolfolk Symptom Questionnaire (1982), 14 agoraphobic clients were divided into cognitive responders and non-cognitive responders. A group treatment programme was varied to include either cognitive training or relaxation training, keeping exposure and the giving of psychological explanations for agoraphobia as constants. Half of the clients were matched for mode of responding to treatment while the other half were not. The evaluations of the efficacy of matched vs unmatched for mode of responding was tested in follow-ups up to 6 months. Although the matched group improved more than the unmatched group, the results were not entirely due to matching since the cognitive Ss, whether matched or unmatched, improved more than the non-cognitive Ss.     

Behavioral treatment of thunder and lightning phobias.

The use of four different behavioral techniques in the treatment of six female clients with thunder and lightning phobia is described. The techniques (Systematic desensitization. Covert reinforcement. Stress inoculation training, and Self administered desensitization with tape recorder) were evaluated in single-case experimental designs, using both self-report, behavioral, and physiological data.The immediate and follow-up results showed that five of the clients were completely recovered and the sixth markedly improved after their respective treatment (10–14 session). These results and the questions concerning continuous assessment in single-case design and external validity of laboratory assessment in phobic conditions are discussed.     

An investigation of two measures of career indecision

The present study compared two recent scales developed to measure career indecision, the Career Decision Scale and the Vocational Decision-Making Difficulty Scale. The subjects were 857 male and female undergraduates. The scales were factor analyzed, the total scores were correlated, and the factor structures were examined for similarities and differences. Test-retest correlations were performed on the items, the total scores, and the factor scores of both measures. Subjects who were satisfied with their career choices were compared with subjects who were unsure, dissatisfied, or undecided about their career choices using the items, total scores, and factor scores. The results are discussed along with the implications for the future development of the scales.