The role of hyperventilation in panic disorder: a response to Ley (1991)

Ley (Behaviour Research and Therapy, 29, 301–304, 1991) provided a reinterpretation of experimental findings on the efficacy of breathing retraining plus cognitive restructuring in reducing the symptomatology of patients with panic disorder with agoraphobia which were presented in a 1989 article in this journal. On the basis of his reinterpretation, they concluded that our findings supported the central role of hyperventilation in panic attacks. Ley's arguments are discussed and we conclude that his reinterpretation provides new arguments against a hyperventilation theory of panic. Furthermore, recent evidence from empirical studies does not support a central role for hyperventilation in panic attacks.     

The utility of the PND statistic: A reply to Allison and Gorman

Quantitative synthesis (“meta-analysis”) of single-subject research has rarely been conducted, partly because of a lack of agreement on how study outcomes are to be quantified. This article provides a response to Allison and German (Behaviour Research and Therapy, 31, 621–631, 1993), who listed some problematic characteristics of use of the PND (percent of non-overlapping data) statistic for computing single-subject study outcomes, and recommended a regression-based solution to computation of effect sizes from single-subject research reports. Although Allison and Gorman are generally accurate in pointing out some limitations of the use of the PND statistic, they have been less thorough in identifying its relative strengths. Among these strengths is the fact that the PND statistic and its variations (a) have been shown to be strongly related to qualitative, “expert” ratings, (b) have been successfully employed in at least seven separate integrative reviews, and (c) have produced results which are complementary to more qualitative reviews of the same literature. In contrast, Allison and Gorman did not report results of applications of their procedure and, although their procedure has apparent theoretical support, it may be less useful in synthesizing existing single-subject literature.     

Responses to novelty in phobic and non-phobic cynomolgus monkeys: The role of subject characteristics and object features

In two previous studies it has been shown that most surrogate-reared cynomolgus monkeys became phobic of a harmless object (a big paper bag) while most mother-reared monkeys approached that object. Results of the first study seemed to indicate that the phobic reaction was restricted to the bag. Barnett and Cowan (Interdisciplinary Science Review, 1, 43–62, 1976) and Suomi (Anxiety disorder in childhood, pp. 1–23, 1986), however, reported that subjects (respectively rats and monkeys) that avoided a first novel object also avoided subsequent novel objects. In the present study we exposed phobic (bag-avoiding) and non-phobic (bag-approaching) monkeys from the study by Röder, Timmermans and Vossen (Behaviour Research and Therapy, 27, 221–231, 1989) to several big and small novel objects. Our results show that, irrespective of their rearing conditions, subjects that were phobic also avoided big novel objects while subjects that were non-phobic approached big novel objects. The reaction to small novel objects was independent of the previous reaction to the bag.     

Stronger renewal in human fear conditioning when tested with an acquisition retrieval cue than with an extinction retrieval cue

It was previously demonstrated in our laboratory that conditioned fear in humans can renew after extinction, when this procedure took place in a different context (ABA-renewal [Vansteenwegen et al. (2005). Return of fear in a human differential conditioning paradigm caused by a return to the original acquisition context. Behaviour Research and Therapy, 43(3), 323–336]). Using the same experimental design, we now tested the power of retrieval cues to interact with this contextual renewal phenomenon. Two groups went through acquisition and extinction (in a different context). They were then tested in the original acquisition context and in the presence of a retrieval cue. In the acquisition-cue group, this cue previously featured during the acquisition procedure; in the extinction-cue group, the cue previously featured during the extinction procedure. As expected, renewal of conditioned electro-dermal responding and retrospective expectancy ratings was strongest in the acquisition-cue group. Theoretical and clinical implications of this finding are discussed.     

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.     

Thought control strategies in schizophrenia: a comparison with non-patients

This study tested the hypothesis that patients with a diagnosis of schizophrenia would report the use of different thought control strategies in comparison with non-patients. The Thought Control Questionnaire [TCQ; Wells, A. & Davies, M. (1994). The thought control questionnaire: a measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871–878.] was administered to 22 patients who met DSM-IV criteria for schizophrenia and 22 non-patients. The results showed that schizophrenic patients used different thought control strategies (more worry and punishment-based strategies, less distraction-based strategies) in comparison with non-patients. The theoretical and clinical implications of these findings are discussed.     

Aetiology of spider phobia: classificatory differences between two origins instruments

The origins of fear of spiders was investigated in 33 spider phobic Ss entering a treatment study. All Ss completed Menzies and Clarke's (1993a) Origins Questionnaire (OQ) (Behaviour Research and Therapy, 31, 355–365) and Öst and Hugdahl's (1981) Phobic Origins Questionnaire (POQ) (Behaviour Research and Therapy, 19, 439–447). The results for the individual questionnaires were similar to those reported in previous studies. However a comparison of assignments of origin category for the two questionnaires showed widely discrepant results. The POQ returned 17 positive responses for classical conditioning, the OQ only 2. By contrast the OQ returned 10 origins as ‘non-conditioning traumatic event’, 9 of which returned positive responses for classical conditioning on the POQ. A further 15 Ss on the OQ were categorised as ‘always been this way’, the preponderance of these being classified as vicarious or informational in origin on the POQ. The POQ does not have a specific question or category for non-associative acquisition of phobias. The results of the origins assignments are detailed and their relation to the structure and questions of the questionnaires is outlined. Past studies using the POQ have produced results supporting acquisition of a substantial proportion of phobias by classical conditioning. The findings of this study suggest that such results mainly reflect inherent bias in that instrument.     

Social anxiety and self-impression: cognitive preparation enhances the beneficial effects of video feedback following a stressful social task

Negative and distorted images of the observable self are important in the development and maintenance of social phobia. Previous research has shown that video feedback has potential to correct the distorted self-perception [Rapee, R. M. & Hayman, K. (1996). The effects of video feedback on the self-evaluation of performance in socially anxious subjects. Behaviour Research and Therapy, 34, 315–322]. The present experiment investigated whether the construction of a self-image prior to viewing the video may enhance the therapeutic effects of video feedback. High and low socially anxious individuals gave a speech and then viewed the video of their performance. Half of the sample were given cognitive preparation prior to viewing the video. Cognitive preparation involved asking participants to (1) predict in detail what they will see in the video, (2) form an image of themselves giving the speech and (3) watch the video as though they were watching a stranger. Participants who received cognitive preparation prior to the video feedback made higher ratings of their overall performance and of specific aspects of their performance compared to those who were not given cognitive preparation and compared to the same ratings made prior to the video feedback. These results suggest that the therapeutic effects of video feedback can be enhanced by careful cognitive preparation which maximises the perceived discrepancy between self and video images.     

Identification and explanation of racial differences on contamination measures

Compared with published norms, African Americans endorse significantly more items intended to assess pathological anxiety about contamination on self-report instruments for obsessive–compulsive disorder. The current study suggests that this is not due to greater psychopathology in African Americans, but rather to differences in normal attitudes about cleanliness that also influence responses to items intended to assess anxiety pathology. Contamination items from obsessive–compulsive disorder (OCD) scales including the Padua Inventory [Sanavio E. (1988). Obsessions and compulsions: The Padua Inventory. Behaviour Research and Therapy, 26(2), 169–177] were supplemented with cleanliness attitude items and administered to Black and White participants (N=1483). An exploratory factor analysis suggested a three-factor solution: one factor that encompassed pathological anxiety, and two that expressed attitudes about cleanliness, grooming, and domestic animals. African Americans scored significantly higher on all three factors. A confirmatory factor analysis demonstrated that the difference between Black and White participants on the pathological anxiety factor was eliminated when differences on the attitude factors were controlled statistically.     

Worry and the suppression of imagery

This experiment investigates Borkovec's theory that the function of worry is to protect people from potentially distressing emotional imagery. The experiment builds on a previous one of Borkovec and Inz (Behaviour Research and Therapy, 28, 153–158, 1990) comparing the frequency of thoughts and images in imagery and relaxation. The present experiment confirms the previous finding that worry is associated with less imagery than relaxation, but shows that this is not distinctive to worry. Indeed, an additional control condition, ‘present-oriented mentation’, was associated with even less imagery than worry. The fact that other kinds of thinking are at least as effective as worry in suppressing emotional imagery indicates that this property of worry is not sufficient to explain its occurrence.     

Are we there yet? A review of gender comparisons in three behavioral journals through the 20th century

Despite overwhelming evidence that gender plays a significant role in the course of numerous psychological disorders, researchers have historically neglected to address gender similarities and differences in their research. Previous reviews of the psychological literature have indicated that personality, psychotherapy, and behavioral psychology journals have published few studies that focus on gender comparisons. The current review examined published articles in three prominent behavioral psychology journals—Behavior Therapy, Behavior Modification, and Behaviour Research and Therapy—from their inception through 2001. Raters coded each article (N = 4,635) for gender content in the title or abstract, analyses of gender differences, and discussion of gender. Overall, very few articles focused on gender content in the title, abstract, or discussion or analyzed data by gender. Implications of these results and suggestions for enhancing attention to gender comparisons are discussed.     

Discrimination of “W” and “V” shapes by goldfish

Goldfish were trained to discriminate between “W” and “V” shapes; different groups were trained with the shapes in different orientations. Transfer tests were given after training and the following conclusions were drawn. Animals learned to discriminate between the training shapes by detecting the difference in the number of points present in each; they learned the difference in the relative number of points rather than the absolute number present in each shape; the subjects transferred well to pairs of shapes bearing points facing in different directions from those on the training shapes; knobs were treated as practically equivalent to points; animals relied more heavily on differences at the tops of the shapes than on differences in the bottom halves.     

Intelligence tests on trial: An “interview” with judges Robert F. Peckham and John F. Grady

The issue of culturally biased intelligence tests has been heard in two federal courts. Judge Robert F. Peckham, in the Larry P., et al. v. Wilson Riles, et al. case, ruled that intelligence tests were culturally biased. In contrast, Judge John F. Grady, in the Parents in Action on Special Education, et al. v. Joseph P. Hannon, et al. case, ruled that intelligence tests were not culturally biased. A mock “interview” based on the judges' written opinions, shows similarities and differences in their approach to various issues involved in the trials.     

Learning history in fear of blushing

Two studies, investigating the learning history (i.e. traumatic conditioning experiences, vicarious learning, informational learning) of individuals with and without fear of blushing, are presented. In study 1, individuals high (n=61) and low (n=59) in fear of blushing completed the (revised) Phobic Origin Questionnaire [POQ; Öst, L. G., & Hugdahl, K. (1981). Acquisition of phobias and anxiety response patterns in clinical patients. Behavior Research and Therapy, 19, 439–447]. In study 2, individuals who applied for treatment for fear of blushing (n=31) and a nonfearful, matched control group (n=31) were interviewed with the same instrument, taking into account only specific memories. High fearful individuals reported more negative learning experiences in connection with blushing than low fearful individuals, irrespective of the type of questioning. Meanwhile, study 1 (written POQ) produced higher percentages of negative learning experiences for both high and low fearful individuals than study 2 (interview). It is concluded that the POQ interview showed a more realistic picture than the written POQ. The possible role of learning history in the acquisition of fear of blushing is discussed.     

One, two or three memories: some comments and new findings

Comments are presented on a paper by Tore Helstrup, ‘One, two or three memories? A problem-solving approach to memory for performed acts’ (Acta Psychologica, 1987, 66, 37–68). There he proposed that a monistic strategy-based explanation is sufficient to explain memory for performed acts and that a multi-code (e.g. Engelkamp and Zimmer 1985) is not necessary and raises a number of problems. We claim that his findings do not disconfirm our multi-code model. Using our model, we would predict the same results in nearly all of the experiments. Because there are some results which are contradictory to a strategy-free code redundancy model, and also further results which cannot be accounted for solely by a monistic model, we propose that a valuable approach would be to combine his assumption that subjects behave strategically with our multi-code approach.     

A comparison between “aware” and “naive” conditions in the suppression of GSR activity

“Aware” (A) and “naive” (N) groups received different instructional sets, the former being informed both of the nature of their task and the response-reinforcement contingency. Negative reinforcement was given to these groups whenever a spontaneous GSR was emitted during four 4-min trial periods. Two corresponding yoked-control groups, CA and CN, received non-contingent reinforcement over the same periods. The contingent reinforcement groups both showed learned suppression of spontaneous GSR activity, but comparison between the A and N groups revealed a significant interaction between Time and Instructional Set. It is suggested that the “aware” instructional set had an inhibitory effect upon learning.     

On “Naturalistic” Family Research

Much is made of the desirability of “naturalistic” research on the family. Indeed, experimental research is often rejected for not being “naturalistic.” The purpose of the present article is to draw out and to examine some of the assumptions underlying such a position. The assumptions behind criteria such as “real,”“relevant,” and “typical” for research topics and settings are held to be questionable, not least because they are inconsistent with a communicational, context-oriented approach to the family. Alternative assumptions more consistent with this approach are described.     

Cognitive intrusions in a non-clinical population. I. Response style, subjective experience, and appraisal

The present study identified distinctive response styles to unpleasant cognitive intrusions to further understanding of intrusive phenomena similar to those observed in obsessive-compulsive disorder and other anxiety disorders. Response styles were studied among 125 university students who completed a questionnaire describing and evaluating seven cognitive intrusions and inventories of depressive, anxious, and compulsive symptoms. Almost all subjects (99%) reported intrusions and 92% included effortful strategies in response to intrusions in their repertoire. Large differences were observed in the dominant strategy used. Three distinctive dominant response styles were identified including no effortful response (26%) and two effortful styles, attentive thinking (34%), and escape/avoidance (40%). The two groups using effortful strategies were more anxious and reported more difficulty removing intrusions. The group using escape/avoidance strategies reported more sadness, worry, guilt, and disapproval than subjects reporting no effortful response. The attentive thinking group reported more varied forms and more frequently triggered intrusions then the no effortful response group. Within subject analyses support the group comparisons and showed that intrusions eliciting escape/avoidance strategies were evaluated more disapprovingly than thoughts eliciting attentive thinking. The results are discussed in terms of Salkovskis' (Behavior Research and Therapy, 27, 677–682, 1985) formulation of obsessive-compulsive disorder and Borkovec's (Journal of Consulting and Clinical Psychology, 23, 481–482, 1985) and Barlow's (Anxiety and its disorders: The nature and treatment of anxiety and panic, 1988) discussions of worry and generalized anxiety.