Token-economy programmes with chronic psychotic patients: The importance of direct measurement and objective evaluation for long-term maintenance

Direct-observational data collected from 6 example patients over 5 yr on a token-economy ward are presented. Comparison of performance in baseline, contingent-token and non-contingent-token conditions revealed considerable variability within and between both patients and self-care behaviours. For 3 patients the Token-Economy Programme appeared to have a ‘therapeutic’ effect, producing behaviour change that was sustained after the termination of a contingent token regime. For the others, rates of behaviour change were exceptionally slow and the token economy functioned as an essential prosthetic environment. It is suggested that the longevity of the system was related to the conceptional framework and methodology employed. An example of behaviour becoming ‘token bound’ is included.     

The effect of an increased awareness of erectile cues on sexual arousal

The present investigation addressed two major issues. The first issue is the effect on sexual arousal of increasing a S's self-directed genital focus during different intensities of erotic stimulation. It was found that increasing one's focus on genital cues during low-arousing stimuli decreased physiological arousal, but actually facilitated genital arousal at high-intensity stimulation. This finding brings into question the previous assumption that increased focus on erectile responding or ‘spectatoring’ has universally negative consequences. The second issue concerns the extent of response-system concordance for the physiological and subjective measures of sexual arousal. Two methods of measuring such agreement are proposed. These methods allow for the assessment of response-system concordance for both intensity and direction. These two parameters of concordance were then examined under different levels of arousal and under the two attentiona! focus conditions to ascertain if situational factors would affect response-system agreement. The results indicate that the two measures of concordance are differentially affected by such manipulations. Implications for the measurement of sexual arousal are discussed.     

Musical performance anxiety: The three-systems model and self-efficacy theory

Two major developments in behavioural formulations of fear and anxiety, the three-systems model and self-efficacy theory, were contrasted for differential predictions in anxious and nonanxious pianists playing under stressful and nonstressful conditions. Forty competent pianists were assigned to Relatively Anxious and Nonanxious groups using a median split and played alone and before an evaluative audience. Self-report, behavioural and physiological measures were recorded throughout the session using videotaping and telemetry systems. The audience condition elicited intense emotional responses in the Anxious pianists, while the Nonanxious pianists were somewhat less reactive. In the audience condition, the Relatively Anxious group exhibited increased levels of anxiety in each of the response systems (i.e. synchrony), while desynchrony was observed in the Relatively Nonaxious group. Correlations among the dependent measures were generally weak, but concordance was most often observed when intense emotional responses were elicited. The results were consistent with formulations of anxiety which emphasize the relative independence of the different measures, thereby lending more support to the three-systems model.     

The relationship of role-play assessment of children's social skills to multiple measures of social competence

The present investigation evaluated the relationship of role-play performance of children's social skills with multiple measures of social competence. Thirty-eight psychiatric inpatient children (ages 7–13 yrs) completed measures to assess role-play performance, knowledge of social skills, self-efficacy and self-reported social behavior in diverse situations. Overt social interaction was directly but unobtrusively assessed in the hospital as well. Multiple measures of social skills were also completed by hospital staff, parents and teachers. The results indicated that role-play performance correlated significantly with child knowledge and self-efficacy but not with overt social behavior or self-reported social behavior in diverse situations. Role-play performance generally did not correlate with measures completed by staff, parents and teachers. Yet measures completed by these informants did converge and also were useful in delineating diagnostic groups of children whose social behavior would be expected to be problematic. The implications of the results for the use of role-play tests to evaluate social skills and to discriminate clinical populations are discussed.     

Type a personality: Correlations with personality variables and nonverbal emotional expressions during interpersonal competition

Facial and other nonverbal behaviors of 52 male and female participants in an interpersonal anagrams competition were correlated with a variety of self-report personality measures. Facial expressions suggestive of negative affect were significantly positively correlated with the Framingham Type A scale and the Job Involvement and Hard-Driving subscales of the Jenkins Activity Survey. A composite nonverbal index correlated significantly with Framingham Type A, Jenkins Job Involvement and the Extraversion scale of the Eysenck Personality Questionnaire. The pattern of correlations between the nonverbal and personality measures supported the view that Type A individuals are characterized by both self-reports of and facial expression of more anger/hostility than are Type B individuals.     

The treatment of sleep-maintenance insomnia with stimulus-control techniques

Sleep-maintenance insomniacs received either a stimulus-control (n = 7) or a credible placebo treatment (n = 8), administered in small groups for 4 weeks. Self-reports of time awake after sleep onset, total number of arousals and number of arousals exceeding 10 min were collected at baseline, at termination of treatment (post-treatment), and at a 3-month follow-up. Results showed a statistically- and clinically-significant reduction on all three dependent measures from baseline to post-treatment for both groups; these gains were maintained through the follow-up period. However, the results achieved with stimulus-control procedures were not significantly different from reductions found with a credible placebo condition. These findings compare favorably with other reports of behavioral treatments of both onset and maintenance insomnia.     

Abnormal and normal obsessions—A replication

A replication of previous work on the incidence and characteristics of intrusive cognitions in non-clinical populations was carried out. The results closely reflected those obtained previously, and further relationships between variables were found. The importance of distinguishing between- and within-S data is stressed.     

Can confidentiality of data pay off?

Ss were administered a self-report personality measure and a social desirability scale under conditions of Confidentiality, Anonymity or Nonanonymity alone. The tester's written assurance that the Ss' disclosures would be kept strictly confidential had a substantial moderating effect (when compared with Nonanonymity alone) on correlations between some subscales of the personality measure and the social desirability scale. In contrast to an earlier finding, there were no appreciable effects of Anonymity when compared with Nonanonymity alone. It appears that confidentiality of data can pay off in terms of increased predictive validity of some self-report personality measures by moderating the potential biasing effect of test response distortion due to socially desirable responding.     

The relationship of personality to antisocial and neurotic behaviours as observed by teachers

Eight hundred and eight children in normal schools between the ages of 7 and 16 yr were rated on Rutter's Teachers' Rating Scale, and completed the EPQ giving Psychoticism (P), Extraversion (E), Neuroticism (N) and Lie (L). The children also reported on their own misbehaviour and social attitudes. Children exhibiting Antisocial behaviours were markedly high on P; also scoring low on L, and reporting non-conforming behaviour and attitudes. Children showing Neurotic behaviours did not have particularly distinctive personality scores, but were rather extraverted and conforming (high L). There was no relationship between Neuroticism as a disorder and Neuroticism as a personality trait. It is suggested that the P scale might usefully assist in the detection of antisocially disturbed children or in the selection of ‘high risk’ groups.     

The acquisition of taste aversions in humans with eating and drinking disorders

A written questionnaire or interview concerned with acquisition of illness-induced (taste) aversions to foods and drinks was given to three groups of people with eating and drinking disorders. These groups consisted of 101 male and 1 female hospitalized alcoholics, 8 male and 8 female college-student heavy consumers of alcohol and 18 females with anorexia nervosa and/or bulimia. In most respects taste-aversion acquisition in these three groups was similar to taste-aversion acquisition in a general college-student population previously studied by Logue, Ophir and Strauss (1981), and to taste-aversion acquisition in other species. In all three groups the aversions were more likely to be reported as having been formed through forward rather than simultaneous or backward conditioning, and long-delay learning was frequent. The aversions usually formed to the tastes rather than to the appearance or other aspects of the foods and drinks. Extinction appeared more effective in decreasing the aversions than did forgetting. While the illness responsible for the aversions forming was usually attributed to the subsequently aversive food or drink, in at least one third of the cases subjects reported that something else might have caused their illness. Aversions were more likely to have formed to relatively less familiar and less preferred foods and drinks. However, the hospitalized alcoholics reported fewer aversions, less generalization of aversions, and stronger nausea as the cause of the aversions than did Logue et al.'s (1981) subjects. About 15% of these subjects reported taste aversions to alcoholic beverages. The college-student heavy consumers of alcohol reported no generalization of their taste aversions, but in other respects were similar to Logue et al.'s subjects. Thirty-one percent of these subjects reported taste aversions to alcoholic beverages. The anorexic and bulimic subjects were also similar to Logue et al.'s subjects with the exception that they, like the hospitalized alcoholics, reported stronger nausea as the cause of the aversions. These data may help to understand and treat people with eating and drinking disorders     

The treatment of nocturnal bruxism using contingent EMG feedback with an arousal task

Nocturnal electromyographic (EMG) recordings of masseter muscle activity were performed before and after treatment on 10 heavy bruxism subjects. Treatment consisted of giving the subjects an auditory feedback signal during sleep which occurred when they clenched with moderate force. Each subject additionally had to perform an arousal task every time the signal occurred. Nine of 10 subjects demonstrated a significantly decreased EMG activity using a contingent auditory feedback signal, combining it with an arousal task.     

Development of a rating scale to measure social skills in children: The matson evaluation of social skills with youngsters (MESSY)

The development of a scale for assessing social skills with children is reported. The Matson Evaluation of Social Skills with Youngsters (MESSY) was completed on 744 children between 4 and 18 years of age. A self-report form was completed on 422 children while 322 children were rated on a teacher-report measure using a 5-point Likert-type scale. Analyses included test-retest reliability conducted at a 2-week interval using Pearson correlations, factor-analytic procedures and selected analyses of variance and appropriate post-hoc tests. Implications of present findings and directions for future research are discussed.     

The development of reflection-impulsivity: further data

The MFF20 was administered to 617 children aged 7–12yr. The resulting development trends for latency and errors suggest errors decrease to about age 10 yr then level off while a corresponding, though less dramatic, increase in latency was observed. These results were obtained without evidence of ceiling or floor effects or any evidence of a decrease in the relationship between latency and errors after age 10 yr, in contrast to those obtained by Salkind and Nelson (1980).     

The assessment of depression in children: The internal structure of the child depression inventory (CDI)

In the present report three separate studies of childhood depression were conducted. First, the internal structure of the Child Depression Inventory (CDI), with 216 children representing various ethnic groups with equal numbers of boys and girls, was evaluated through a factor analysis and by various internal-reliability measures (e.g. split-half reliabilities, Pearson correlations of each item to the total score). Four factors were established and internal reliability of the scale proved to be high. The relationship of the factor structure of the CDI to Kendell's Type A and B categorization of depression are discussed. In Study 2 the relationship of demographic variables to the CDI using the same group of children described for Study 1 was employed. Evaluating the characteristics of depression across age, sex and so on in children has not been frequently studied, and was deemed appropriate for the present investigation. Age proved to be a significant factor in depression scores although race and gender did not. With respect to age, older children tended to display more symptomatology. Comparisons of depressed children to nondepressed children also showed that age was a factor in the obtained scores, and range of severity in both groups. Depressed children differed from nondepressed children on all 27 items indicating that all the items on the CDI seem to be measuring a unitary concept. Study 3 compared CDI scores to a measure of social behavior, the Matson Evaluation of Social Skills with Youngster (MESSY). Seventy-six children (36 girls and 40 boys), ages 4–10 yrs $\text{(}\text{X}\text{?}\text{= 7)}$ were evaluated. Appropriate Social Skills was negatively correlated with childhood depression, and Inappropriate Impulsive/Assertiveness was positively correlated with depressive features described under the factor Guilt/Irritability. The implications of these data for further research on assessment, differential diagnosis and evaluation of treatment research are discussed.     

Return of fear: The role of rehearsal

The assumption was made that return of fear could be brought about by recalling highly fear-provoking material. Two conditions were contrasted in the design, one of which was high- vs low-intensity treatment and the other rehearsal of phobic material vs distraction following treatment. The experimental conditions yielded no significant results at the end of the rehearsal/distribution period. However, a week later at retest, partial return of subjective fear was observed in the ‘distraction’ groups and elevated heart-rates in the high-intensity groups. It was concluded that rehearsal of fear-provoking material following treatment constituted a prolongation of the latter and was therefore therapeutic. Implications of results with regard to within and between-session habituation are discussed.     

The altruistic personality and the self-report altruism scale

This paper is divided into two parts. In the first, the rank order stability of individual differences in altruism across situations is examined and it is found that substantial consistency occurs when due regard is given to the principle of aggregation. In the second, a self-report altruism scale, on which respondents rate the frequency with which they have engaged in some 20 specific behaviors, is found to predict such criteria as peer-ratings of altruism, completing an organ-donor card, and paper-and-pencil measures of prosocial orientation. These data suggest there is a broad-based trait of altruism.     

The relationship between assertion and sociometric status of children

A correlational study was conducted in an effort to examine the relationship between children's level of assertive skill and their social (sociometric) status. The Ss were 15 male and 15 female elementary school children ranging in age from 9 to 11 yr. Each S was administered: (a) positive and negative peer nominations and roster and rating scale sociometrics; (b) self-report questionnaires concerning their assertive behavior; and (c) standardized interviews to assess knowledge of assertive behavior. In addition, teachers' ratings of children's interpersonal behavior were obtained. Results indicated some degree of correspondence between assertion indices and sociometric ratings. However, correlation coefficients generally were in the low-to-moderate range. Also, several scales from children's self-report and teacher's ratings of children's assertive behavior differentiated high- and low-popular children. Results are discussed in terms of: (1) the utility of employing multiple criteria in assessing social functioning of children; and (2) the need to determine empirically the relevance of assertive and other interpersonal skills in childrens' social repertoires.     

Processing of fearful and neutral information by obsessive-compulsives

Eighteen obsessive-compulsive and non-obsessive-compulsive outpatients provided data for a study of thinking processes in obsessive-compulsives. First we explored whether the concepts of obsessive-compulsives are excessively complex and over-specific (complex concepts) or, conversely, whether they are excessively ‘simple’, so that items that non-obsessive-compulsives would view as different from one another are classed together by obsessives. Secondly, we examined whether the cognitive mechanisms underlying obsessional fears are specific to the content of the fear, or whether they reflect a general deficit in information processing. To this end, obsessive-compulsive and non-obsessive-compulsive patients sorted four decks of cards into piles; two decks were sorted using ‘neutral’ principles, and two using ‘feared’ principles (contamination and serious mistakes). Results indicated that obsessive thinking is characterized by ‘complex concepts,’ and suggested that this deficit is general, not specific to obsessives' thinking about feared topics. Results also suggested the existence of an additional thinking deficit that is specific to fear-associated topics.