Behavioral treatments of primary dysmenorrhea: A review

Behavioral interventions for primary dysmenorrhea are reviewed under four categories: hypnotherapy; Lamaze exercises; biofeedback training; and desensi found in only the last category and even here, the extent to which positive results stem from desensitization-based treatments themselves as opposed to nonspecific factors associated with these treatments is unresolved. Additional issues that bear upon behavioral treatments for primary dysmenorrhea are: (a) the need for further taxonomic refinement; and (b) the need to incorporate pathophysiological findings within the treatment of this disorder.     

Three-mode factor analytic reference curves for concept identification

Tucker's three-mode common factor analysis is used to explore the intrinsic individual differences in a figural, disjunctive conceptual behavior task. The results reveal differential shifts in the structure of the individual differences during concept identification. Individual patterns can be described by five factors, each of which specifies the parameter vales for the shape of the individual performance functions. A three-way core further identifies the nature of the individual differences factors. These results indicate that averaged curves for the separate response measures would not have adequately reflected the individual data in this sample. The present findings are consistent with earlier work and suggest that a better approach to the study of complex human behavior is to identify the individual differences intrinsic to the situation before mapping antecedent influences on the dimensionality of the behavior.     

Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

The advantages of selecting agoraphobic patients for treatment by group exposure according to their residential geographic neighbourhood were evaluated in terms of facilitation of ‘homework’ practice and increased social contact. Both ‘zoned’ and ‘unzoned’ groups showed gains in ability to perform hierarchy items after 11 sessions of exposure, relative to a no-treatment control group. However only zoned subjects showed significant reductions in experienced anxiety when executing such items. Self-ratings of overall phobic severity also suggested a zoned group was superior to unzoned while assessors' ratings indicated both groups as equally improved. Only zoned subjects showed a significant increase in social range. Improvements were maintained at 3-months follow-up. No effect of treatment was found on either the Zung measure of anxious mood or on social integration.These results suggest that, where practical, zoning might offer the means for desirable continuation of intensive clinic-based group treatment as well as the benefit of extending treatment into the patients' environment as in home-based treatments. Crucial levels of group cohesion might also be increased although therapists should be prepared to negotiate resistance to a socially demanding programme from patients with significant additional social phobias.     

Independence training as a method of enhancing self-help skills acquisition of the mentally retarded

This study examined the effectiveness of independence training which involved using social reinforcement, information feedback, modeling and evaluation of self and others in teaching showering behavior to institutionalized mentally retarded adults. A treatment and a non-treatment group of 36 subjects each were used to assess training and maintenance of the target behavior. Analysis of results showed that treatment and no-treatment groups did not differ on baseline scores. However, residents in the treatment group performed significantly better than no-treatment subjects on post-test and three-month follow-up. Staff were of the opinion at post-test that treatment was perceived to be acceptable and nonpunitive.     

Psychophysiological effects of noxious imagery: Prevalence and prediction

Research suggests that people who generate psychophysiological arousal in emotive imagery therapies are likely to show the largest therapeutic gains. This study investigated the frequency of occurrence and methods of predicting this imagery skill. The effects of five fearful imagery themes on 95 undergraduate volunteers were evaluated in individual sessions by psychophysiological (SRL, EKG and EMG), self-report (anxiety and clarity ratings) and behavioral (motoric expression) measures. Additionally, four questionnaires (Betts, Gordon, APQ and STAI) were administered in a group session. EKG arousal occurred in 66% of our subjects, SRL arousal in 38% and EMG arousal in 16%. Only 9% of our subjects experienced arousal in all three psychophysiological responses and 24% experienced arousal in neither. Motoric expression (overt behavioral emoting) best predicted psychophysiological arousal, self-report ratings were a distant second, and the questionnaires were worthless in this regard. Imagery-induced psychophysiological arousal appears to be a fairly common phenomena, though it eludes convenient prediction. Some training strategies were discussed, (response proposition instructions, biofeedback and motoric coaching), which could be employed with persons deficient in psychophysiological imagery skills prior to their commencing an emotive imagery therapy.     

The treatment of tension headache—I. Muscular abnormality and biofeedback

The specificity and efficacy of a short EMG biofeedback treatment were assessed in a selected group of chronic tension-headache cases—those having significantly elevated levels of muscle tension. The effects of training patients to raise/maintain EMG levels were compared to those obtained from patients who were trained to lower tension levels. The results showed little evidence of increased self-control of the muscle despite successful EMG control during six bio-feedback sessions. A progressive and significant reduction in resting level was found only in the groups trained to reduce EMG levels. The treatment proved ineffectual in reducing headache. The implications of the dissociation of muscle tension and headache are discussed both with respect to current views of tension headaches and the role of biofeedback in their treatment.     

Learning and reminiscence in the pursuit rotor performance of normal and depressed subjects

Ten depressed in-patients were compared, after careful age- and sex-matching, with 12 normal controls on a pursuit tracking task which was performed for two 5-min periods, separated by a 10-min rest. The depressives performed significantly worse than the controls, but both groups showed within and between session improvements. This suggests that the depressive state adversely affects the performance but not the learning of a motor skill. Analysis of performance into high and low frequency components showed that the patients had specific difficulty in following high frequency target movements. This inability to follow high frequency movements was significantly correlated with tapping rate for the patient group, implying that both these measures reflect slowed motor responsivity. The result suggests that factors which interfere with the execution of a motor skill (i.e. motor retardation) do not necessarily interfere with the learning of that skill.     

The treatment of tension headache—II. EMG ‘normality’ and relaxation

A selected group of patients complaining of severe and chronic tension headache (without muscular abnormality) were given a short 3-week course of relaxation treatment. Half of the subjects received progressive relaxation instructions, while the other half received relaxation plus calming imagery. Both groups showed substantial improvements in pain behaviour and in pain experience. The improvements were synchronous and still present at the 6–8 week follow-up assessment. Although no significant differences were found between the groups, the addition of imagery appeared to produce larger improvements on a number of measures. These results were compared with those reported obtained in a previous biofeedback study and the implications of both the studies were discussed with respect to tension headache and its treatment.     

Self-control of smoking—I. effects of experience with imposed,increasing, decreasing and random delays

A test of a passive self-control training procedure suggested by Skinner was performed. After smoker's tolerance for delay of smoking was assessed, they were exposed to either an increasing, decreasing or random sequence of imposed delay of smoking and were then tested for tolerance to delay. Increasing delay significantly improved subjects' smoking inhibition while decreasing and random sequences had no significant effect. The results are attributed to either frustration extinction or rehearsal of coping responses to the aversiveness of delay.     

Self-control of smoking—II effects of cue salience and source of delay imposition on the effectiveness of training under increasing delay

Imposed increasing delay of cigarette puffs has been shown to facilitate smoking inhibition. Hypothetical mechanisms involved (frustration extinction or rehearsal of coping responses) imply that increased temptation cue salience and decreased degree of external control in increasing delay training, should facilitate smoking inhibition. After three pre-test delay tolerance trials, all subjects were cued to pace their smoking in an increasing sequence of delay. During treatment the cigarette temptation cues were either visible or hidden. Delays were either self-imposed but cued by the experimenter or the delays were physically imposed by the experimenter. Post-test consisted of three delay tolerance trials. Pre-test to post-test improvement was significantly facilitated by cue salience and reduced external control. No significant interaction effects were obtained. Cue salience significantly reduced the self-reported aversiveness and GSRs during self-control trials. Implications for treatment were advanced.     

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.     

Biochemical correlates of personality traits in normals: An exploratory study

This study attempted to identify biochemical systems associated with the personality dimensions of Extraversion (E), Neuroticism (N), Psychoticism (P), Sensation Seeking (SS) and Impulsivity (Imp). The subjects were 43 normal volunteers who volunteered to take a battery of psychological tests and allow investigators to obtain samples of blood, urine and cerebrospinal fluid (CSF) for biochemical assessment.Substantial positive correlations were found between CSF norepinephrine (NE), MHPG (the principal metabolite of NE), DBH (an enzyme involved in the production of NE) and plasma MHPG and DBH; all of these are regarded, in some part, as putative indicators of central noradrenergic activity. After partialling out the influences of age, height and weight, a number of significant relationships were found between psychological traits and biochemical variables. Extraversion correlated positively and introversion and neuroticism correlated negatively with CSF Ca. Neuroticism also correlated negatively with plasma MHPG. Ego Strength (inversely related to Neurotic Introversion), P and Disinhibitory SS correlated negatively with CSF cort. General SS correlated negatively with CSF NE and plasma DBH, and these correlations were significant in both males and females, as well as in the total group. The results are consistent with some biological models of personality, but suggest the need for modification in others.     

A critique of top-down independent levels models of speech production: Evidence from non-plan-internal speech errors

A number of speech errors are examined which are difficult to account for by top-down serial processing models of speech production which hove independent levels of processing. In particular, most of these errors are characterized by the presence of an interfering element which is external to the utterance under current construction. This paper has two main aims: to classify these errors, and to examine the constraints upon them. It is found that phonological similarity between the target and intrusion is a major determinant of error occurrence. The consequences for models of speech production are discussed in a framework consisting of the architecture and control structure of those models. A particular model to account for these data is proposed, consisting of a spreading activation lexical network.     

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.     

Assessment of social anxiety: a controlled comparison among social phobics,obsessive-compulsives,agoraphobics, sexual disorders and simple phobies

The construct validity of the Willoughby Personality Schedule (WPS) as an index of social anxiety was established in the present study. The WPS correctly identifies social phobics from controls in 88% of the cases.     

Instructed versus pharmacological effects of alcohol in alcoholics and social drinkers

Twelve alcoholics and 12 social drinkers were studied in an experiment where instructions about alcohol or placebo were orthogonally crossed with administration of alcohol or placebo in a Balanced Placebo Design. Three subjects were simultaneously observed while watching soccer games on the TV together and having free access to a mixed drink, which in the alcohol conditions contained 150ml of 80% proof vodka. The assessment procedure included several aspects of drinking behavior, behavioral observations during the session, psychiatric ratings and nurse observations before and after each session, ratings for craving, self-reported state anxiety and physiological changes (heart rate and blood pressure). In general, the results showed the alcoholic's behavior to be controlled by instruction-induced expectancies rather than by the actual beverage given, whereas the social drinkers showed tendencies in the opposite direction. The implications of these results for the traditional disease conception of alcoholism and for learning theory approaches are discussed.     

Heterosocial-skills training and covert sensitization. Effects on social skills and sexual arousal in sexual deviants

There are few experimental investigations of the effects of social-skills training (SST) on sexual deviation. This study used a multiple baseline across 4 subjects with undesired sexual arousal to investigate the effects of heterosocial-skills training and covert sensitization on heterosocial skills and sexual-arousal patterns. SST produced large increases in heterosocial skills but it had unclear effects on sexual arousal. Subsequently, covert sensitization tended to reduce remaining deviant arousal but did not increase appropriate arousal significantly. These data generally support the view that individual components of sexual arousal require separate assessment and intervention.     

Self-monitoring and self-reinforcement processes in a pre-transsexual boy

Young boys with normal male physical status who manifest feminine gender-role behavior and verbalize a cross-gender identity are high-risk for later adult sexual adjustment problems, e.g., transsexualism and homosexual conflicts (Bakwin, 1968; Lebovitz, 1972; Stoller, 1968; Zuger, 1966). In the only published experimental treatment studies on child gender disturbance in which replication procedures were used, Rekers and his colleagues empirically demonstrated external stimulus control and reinforcement control over pronounced feminine behavior in young boys with serious gender identity and behavior disturbance (Rekers and Lovaas, 1974; Rekers, Lovaas and Low, 1974; Rekers, Willis, Yates, Rosen and Low, in press; Rekers, Yates, Willis, Rosen and Taubman, 1976). To potentially minimize the previously reported stimulus specificity of the extrinsic reinforcement effects, this study introduces, for the first time, behavioral self-control strategies to decrease feminine behavior in a cross-gender identified boy. A 6-year-old boy was taught to self-monitor his own sex-role behavior, and then to self-reinforce gender-appropriate responding. A behavioral cueing procedure was used during the initial phases of the training of self-monitoring.     

Individual differences in self-reinforcement style and performance in self-and therapist-controlled weight reduction programs

Thirty-seven overweight subjects were recruited from the staff of a V. A. Hospital for a weight reduction program. A self-reinforcement (SR) test was administered prior to treatment and subjects were classified as high or low self-reinforcers. Subjects were then exposed to one of two behavioral weight-reduction programs or a minimal treatment control condition. One treatment program emphasized self-control (SC) and the other incorporated a therapist controlled financial contingency for weight loss (EC). A significant interaction was found between SR group and treatment condition. High SR subjects lost weight at the rate of 1.49 pounds per week in the SC condition and only 0.37 pounds per week in EC. Low SR subjects lost at the rate of 1.06 and 1.01 pounds per week respectively in SC and EC. Implications for treatment and future research were discussed. The financial contingency had either neutral or negative effects. Caution was advised for any future use of that procedure.