NEGATIVE SIDE EFFECTS OF NONCONTINGENT REINFORCEMENT

Noncontingent reinforcement (NCR) has emerged as a treatment package for severe behavior problems. Although concerns about potential side effects (such as incidental reinforcement) have been raised, there have been few reported negative side effects in published studies to date. In this article, we report an NCR treatment evaluation for severe aggression that produced (a) an extinction burst and (b) incidental reinforcement. These side effects were evaluated by examining within-session response patterns and response distributions. As a solution, a brief omission contingency was added to the reinforcement schedule. The omission contingency resulted in decreased aggression rates.     

Effective—and Tolerable: Acceptance and Side Effects of Intensified Exposure for Anxiety Disorders

Despite striking empirical support, exposure-based treatments for anxiety disorders are underutilized. This is partially due to clinicians’ concerns that patients may reject exposure or experience severe side effects, particularly in intensive forms of exposure. We examined acceptance and side effects of two randomly assigned variants of prediction error-based exposure treatment differing in temporal density (1 vs. 3 sessions/week) in 681 patients with panic disorder, agoraphobia, social anxiety disorder, and multiple specific phobias. Treatment acceptance included treatment satisfaction and credibility, engagement (i.e., homework completion), and tolerability (i.e., side effects, dropout, and perceived treatment burden). Side effects were measured with the Inventory for the Balanced Assessment of Negative Effects of Psychotherapy (INEP). We found treatment satisfaction, credibility, and engagement to be equally high in both variants of exposure-based treatment, despite higher treatment burden (β = 0.25) and stronger side effects (β = 0.15) in intensified treatment. 94.1% of patients reported positive effects in the INEP. 42.2% reported side effects, with treatment stigma (16.6%), low mood (14.8%) and the experience to depend on the therapist (10.9%) being the most frequently reported. The mean intensity of side effects was low. We conclude that prediction error-based exposure treatment is well accepted by patients with different anxiety disorders and that patients also tolerate temporally intensified treatment, despite higher perceived treatment burden and stronger side effects. Clinicians should be aware of the most frequent side effects to take appropriate countermeasures. In sum, temporal intensification appears to be an acceptable strategy to achieve faster symptom reduction, given patients’ well-informed consent.     

The effects of extinction,noncontingent reinforcement and differential reinforcement of other behavior as control procedures

Several techniques have been used in applied research as controls for the introduction of a reinforcement contingency, including extinction, noncontingent reinforcement (NCR), and differential reinforcement of other behavior (DRO). Little research, however, has examined the relative strengths and limitations of these "reversal" controls. We compared the effects of extinction with those of NCR and DRO in both multi-element and reversal designs, with respect to (a) rate and amount of response decrement, (b) rate of response recovery following reintroduction of reinforcement, and (c) any positive or negative side effects associated with transitions. Results indicated that extinction generally produced the most consistent and rapid reversal effects, with few observed negative side effects.     

Unerwünschte und schädliche Wirkungen von Psychotherapie

Unwanted effects or even damage due to psychotherapy are largely neglected issues within psychotherapy research as compared to other fields. On the other hand, it is reasonable to assume that unwanted effects of a treatment which intends to influence patients into a positive direction are very likely. The rate of negative effects of psychotherapy (the deterioration effect according to Bergin) is consistently estimated to be 10% of all cases and shows this same rate in a variety of studies. This review highlights side effects of psychotherapy both on the part of the patients and of the therapists. It reports unwanted effects related to different psychotherapeutic methods, i.e. psychoanalysis, cognitive behaviour therapy, client-centered psychotherapy and – beyond these basic orientations – group psychotherapy. The paper also reports on negative effects of psychotherapy on an untreated partner. Finally, some proposals are given on how negative effects of psychotherapy could be diminished. The authors especially highlight the possibilities of changing the therapist, the treatment technique, or the theoretical treatment approach as a way to reduce negative effects.     

Contingent electric shock (SIBIS) and a conditioned punisher eliminate severe head banging in a preschool child

We report a case in which a Self‐Injurious Behavior Inhibiting System (SIBIS) device and a conditioned punisher were utilized to decrease and maintain suppression of severe head hitting/banging in a preschool child. After an experimental evaluation conducted at the hospital, SIBIS was implemented at home. The originality of this particular SIBIS case study is that programmed and systematic effort at establishing conditioned punishment was included in the intervention. Results indicate that a zero‐level response was rapidly reached, and that the conditioned punisher (i.e. verbal prompt + movement towards the place where SIBIS was kept) was sufficient to maintain treatment effects. Continuous assessment after treatment and formal observation session at 7 months follow‐up revealed that SIBIS could be removed from the natural environment of the child while maintaining a therapeutic effect. These results were interpreted as the effects of the explicit pairing between the delivery of electric stimulations and previously neutral stimuli, which were initially ineffective to elicit any response, or to suppress SIB. Close and extended monitoring during and after treatment failed to reveal the presence of negative side effects associated with SIBIS, whereas a number of positive effects were observed. Copyright © 2004 John Wiley & Sons, Ltd.     

Cannabinoid receptors activation and glucocorticoid receptors deactivation in the amygdala prevent the stress-induced enhancement of a negative learning experience

The enhancement of emotional memory is clearly important as emotional stimuli are generally more significant than neutral stimuli for surviving and reproduction purposes. Yet, the enhancement of a negative emotional memory following exposure to stress may result in dysfunctional or intrusive memory that underlies several psychiatric disorders. Here we examined the effects of stress exposure on a negative emotional learning experience as measured by a decrease in the magnitude of the expected quantity of reinforcements in an alley maze. In contrast to other fear-related negative experiences, reward reduction is more associated with frustration and is assessed by measuring the latency to run the length of the alley to consume the reduced quantity of reward. We also examined whether the cannabinoid receptors agonist WIN55,212-2 (5 μg/side) and the glucocorticoid receptors (GRs) antagonist RU-486 (10 ng/side) administered into the rat basolateral amygdala (BLA) could prevent the stress-induced enhancement. We found that intra-BLA RU-486 or WIN55,212 before stress exposure prevented the stress-induced enhancement of memory consolidation for reduction in reward magnitude. These findings suggest that cannabinoid receptors and GRs in the BLA are important modulators of stress-induced enhancement of emotional memory.     

SUPPRESSION OF SELF-STIMULATION: THREE ALTERNATIVE STRATEGIES

Four boys with autistic-like behavior were treated for self-stimulatory behavior with three different treatment procedures—time-out, differential reinforcement of other behavior (DRO), and overcorrection. All four boys showed a rapid response to the overcorrection procedure. Three boys demonstrated some evidence of decrement in responding with time-out. During the DRO procedure, one showed a modest decrease, two showed no change, but one exhibited a consistent increase in responding under this condition. A multiple baseline applied to one of the subjects failed to reveal any generalization of suppression from one setting to another. A strong but not perfect relationship was found between a frequency and a duration measure of self-stimulation. There was some evidence of negative side effects for one boy during overcorrection and for another during time-out. None of these negative side effects was enduring. There was also some indirect evidence that overcorrection facilitated appropriate play.     

Concern for Appropriateness Scale and Behavioral Conformity

The validity of the Concern for Appropriateness Scale (CFA; Lennox & Wolfe, 1984) as a measure of tendencies to conform to group conformity pressures was investigated. Thirty-four high and 28 low scorers on the CFA were placed in a conformity situation designed to modify previously expressed values. Pressures to conform were exerted on four critical questions that had been identified by subjects as either personally important or unimportant. A repeated measures analysis of variance (ANOVA) revealed statistically significant effects for concern and personal importance, as well as the interaction of both. Subjects scoring low on the CFA showed, little conformity regardless of value importance, whereas those scoring high on the CFA conformed more overall, and much more on unimportant than important issues. Results confirm that the CFA assesses individual differences in susceptibility to peer pressure.     

Predictors and impact of psychotherapy side effects in young adults

What should we tell our younger clients—who may or may not have chosen to come to therapy—about possible risks of engaging in psychotherapy? To explore this question, we examined psychotherapy side effects in 366 young adults with a history of psychotherapy or counselling. Psychotherapy side effects were common, with 41% of participants reporting at least one. Perceived lack of control over the decision of when and how to engage in therapy was the strongest predictor of experiencing therapy side effects. Of the different kinds of side effects, feeling that therapy had gone on too long and experiencing worsening of existing symptoms were the most strongly predictive of poor therapy outcomes such as dissatisfaction with care and lower perceived improvements. Finally, there was a significant association between reporting side effects of psychiatric medications and side effects of psychotherapy, suggesting common factors that contribute to side effect experience across treatment modalities. These findings highlight the need to monitor possible side effects during psychotherapy and counselling, and to have an open dialogue with our youngest clients and their families about the likelihood for negative outcomes when they are compelled to engage in therapy.     

A telehealth intervention for veterans on antiviral treatment for the hepatitis C virus

The standard treatment for chronic hepatitis C (pegylated interferon and ribavirin) causes challenging physical and psychological side effects. The current pilot study evaluated the efficacy of a brief, telephone-based, cognitive-behavioral self-management intervention designed to address mood and quality of life within a sample of veterans on antiviral treatment for hepatitis C. Results from this pilot study support the feasibility of this telehealth intervention, showing that veterans were highly satisfied with the content of the intervention and compliant with the telephone calls. Findings further indicate that symptoms of depression and anxiety and mental health quality of life either remained stable or improved in those participants who received the brief telephone intervention, while those receiving usual care showed significant declines in mood and mental health quality of life. The findings from this study provide evidence that a brief, clinician-administered phone intervention may help individuals on antiviral therapy for hepatitis C to cope more effectively with the negative treatment side effects.     

An Exploration of the Dishonest Side of Self‐Monitoring: Links to Moral Disengagement and Unethical Business Decision Making

The majority of research on self‐monitoring has focused on the positive aspects of this personality trait. The goal of the present research was to shed some light on the potential negative side of self‐monitoring and resulting consequences in two independent studies. Study 1 demonstrated that, in addition to being higher on Extraversion, high self‐monitors are also more likely to be low on Honesty‐Humility, which is characterized by a tendency to be dishonest and driven by self‐gain. Study 2 was designed to investigate the consequences of this dishonest side of self‐monitoring using two previously unexamined outcomes: moral disengagement and unethical business decision making. Results showed that high self‐monitors are more likely to engage in unethical business decision making and that this relationship is mediated by the propensity to engage in moral disengagement. In addition, these negative effects of self‐monitoring were found to be due to its low Honesty‐Humility aspect, rather than its high Extraversion side. Further investigation showed similar effects for the Other‐Directedness and Acting (but not Extraversion) self‐monitoring subscales. These findings provide valuable insight into previously unexamined negative consequences of self‐monitoring and suggest important directions for future research on self‐monitoring. Copyright © 2013 European Association of Personality Psychology     

积极领导的消极效应：研究主题、分析视角和理论机制

在领导力研究领域, 积极领导力通常被视为提升组织、团队和下属产出的关键因素之一。近年来, 上述观点却不断受到质疑。在此背景下, 积极领导力潜在的消极效应日益引起关注, 并逐渐演变成为一个前沿课题。从现有的41项实证研究来看：(1)在研究主题上, 现有研究主要考察了变革、授权、道德、包容和仁慈等行为导向和领导-下属交换等关系导向领导风格的消极效应, 涉及对下属、团队和领导自身三类主体的消极作用; (2)在分析视角上, 主要包括两大类——构建兼具“积极效应”和“消极效应”的模型和单纯只考虑某一领导风格潜在的“消极效应”, 前者可以细分为三类双刃剑效应和两类非线性效应; (3)在理论机制上, 积极领导风格的消极效应可以用社会认定、社会交换、精神分析、认知加工和资源相关理论进行解释。未来研究可着重: (1)形成一个系统解释积极领导消极效应的整合性理论、框架或模型; (2)从领导类型、消极效应表现和作用机制方面进一步进行实证探讨; (3)挖掘积极领导消极效应的边界条件和破解因素, 为实践应用提供启示; (4)开展跨群体和针对特定群体的探讨。     

Reducing aversion to side effects in preventive medical treatment decisions

Laypeople tend to be overly sensitive to side effects of treatments that prevent illness, possibly leading them to refuse beneficial therapies. This Internet-based study attempted to reduce such side effect aversion by adding graphic displays to the numerical risk probabilities. It also explored whether graphics reduce side effect aversion by making it easier for respondents to determine how the treatment might change their net cancer risk. Participants (N=4,248) were presented with a hypothetical preventive treatment situation that was or was not accompanied by a small side effect. In both conditions, the net absolute risk reduction was 12%. Adding an array of stick figures to risk probabilities reduced side effect aversion substantially, but adding a bar graph was not beneficial. The ability of arrays to reduce side effect aversion was not attributable to greater accuracy in evaluating the treatment's net benefit.     

THE NEGATIVE SIDE EFFECTS OF REWARD

The negative side effects of aversive control have been extensively discussed in clinical literature and textbooks. The symmetry between aversive and appetitive control in basic experimental research implies that parallel negative side effects of reward exist. These negative side effects are described and their implications for clinical practice and research are discussed.     

The Experiences of Rural VhaVenda Women Involved in Polygamous Marriages

The study explored the experiences of five rural VhaVenda women involved in polygamous marriages aged between twenty seven and sixty four years. The five participants were selected through snowball sampling method from four villages in Vhembe District (Limpopo Province). Data were analysed qualitatively using Mostyn's (1985) four phases of content analysis. Participants considered polygamous marriage among the vhaVenda to be a cultural phenomenon that has both positive and negative effects. On the positive side, the participants found polygamy to provide social support and to minimise divorce and promiscuity. On the negative side, polygamy was found to lower the quality of life for women involved in such a marriage arrangement. Other negative consequences associated with polygamy included feelings of distress and entrapment, the lack of control that these women have over their sexuality, the humiliation that they experience due to constant conflicts with co-wives, favouritism and neglect by husbands, and the risk of contracting HIV/AIDS because of the multiple relationships.     

Alleviation of Side Effects and Distress in Breast Cancer Patients by Cognitive-Behavioral Interventions: A Systematic Review and Meta-analysis

Cognitive and behavioral interventions (CBI) have been used for breast cancer patients with various stages of the disease or undergoing different treatments. However, no quantitative review has summarized their efficacy on the side effects of treatment, distress, and quality of life in the acute treatment setting after diagnosis. This meta-analysis synthesizes data from 19 randomized clinical trials in order to: (a) provide an estimation of overall effect of CBI in breast cancer patients during treatment for breast cancer, i.e., neo-adjuvant and adjuvant treatment; (b) provide average effect sizes on side effects of treatment, distress, and quality of life; and (c) test possible moderators of effect size. The results show that CBI yielded a small effect size overall, specifically on general side effects of treatment, nausea, vomiting, distress, and quality of life. Individual and behavioral interventions seem to elicit better results on distress and on general side effects of treatment, respectively. While more studies are needed with regard to specific side effects (i.e., fatigue, pain, and sleep disturbance), the overall results clearly support the use of CBI in breast cancer patients during treatment.     

Locus of inhibition in the masked priming of response alternatives

Masked prime stimuli presented immediately before target stimuli in a choice reaction task give rise to behavioral costs when the primes and the target stimuli are mapped to the same response and result in benefits when they are mapped to opposite responses. Researchers assume that this negative compatibility effect reflects inhibitory processes in the control of perceptuomotor links. The authors investigated whether the inhibition operates at the level of abstract central codes or at effector-specific motor stages. In 2 experiments (N = 8 participants in each), left or right hand or foot responses were required to target stimuli that were preceded by masked arrow primes mapped to the same response side as the target stimuli in compatible trials and to the opposite response side in incompatible trials; the primes were irrelevant in neutral trials. In Experiment 1, when the masked primes determined both response side and modality, there was no transfer of negative compatibility effects across response modalities. That finding is inconsistent with a central abstract locus of inhibition and suggests that inhibition operates at effector-specific motor stages. In Experiment 2, primes conveyed only response side information but left response modality uncertain, and negative compatibility effects were elicited for both hand and foot responses, suggesting that partially informative masked primes can trigger a parallel activation and subsequent inhibition of response processes within separate effector systems.     

情绪智力的负面效应及机制

情绪智力是知觉、使用、理解与管理情绪的一组能力。既有研究常将情绪智力与其亲社会性联系起来, 却忽视了它可能存在的负面效应。工作场所中情绪智力的负面效应体现为对内有损身心健康和工作绩效, 对外导致情绪操控和消极行为, 其内在机制可结合自我损耗效应与情绪智力策略模型进行探讨。未来研究应进一步探讨情绪智力负面效应的内在心理机制和特定情境机制, 以及开展群体层次的情绪智力负面效应研究。     

Unilateral Facial Contractions Produce Mood Effects on Social Cognitive Judgements

Abstract

This study demonstrates that left and right unilateral facial contractions have similar effects on the expression of ethnic stereotypes as do negative and positive moods induced by more conventional means. Subjects who con tracted the left side of their face (negative mood inducer) were more likely to express negative stereotypes of ethnic groups than were subjects who contracted the right side of their face (positive mood inducer). This parallels previous findings obtained using two standard mood inductions: the Veltens mood induction procedure; and a musical mood induction procedure. Given that unilateral facial contractions manipulate mood without cognitive involvement, this mood induction may have advantages over previously used procedures, the effects of which are subject to cognitive mediation explanations. In addition, these results suggest that, at least for the expression of ethnic stereotypes, mood's influence on cognition does not depend on a cognitive component of mood induction.