Biofeedback and reinforcement to increase heterosexual arousal in homosexuals

Relatively few procedures exist for developing heterosexual arousal in the treatment of sexual deviation (Barlow, 1973) although several recent studies suggest this is a necessary component of treatment (Feldman and MacCulloch, 1971; Bancroft, 1970; Barlow, 1974).In recent years, biofeedback techniques have been applied to many types of disorders (Blanchard and Young, 1974). Basic to biofeedback technology is the notion that providing a person with feedback (or immediate information) of a bioelectric response enables him to learn (gain) self-control of that response. These responses traditionally have been considered involuntary and include heart rate (Scott et al., 1973a). blood pressure (Benson et al., 1971), stomach acid pH (Welgan. 1972), and electroencephalographic activity (Sterman, 1972), In the present experiments, biofeedback and its attendant technology was applied to the problem of generating heterosexual arousal in homosexual males.Frequently, in biofeedback research, reinforcement has been used in addition to feedback in attempting to teach self-control of a response. In fact, an alternate way of conceptualizing and describing the biofeedback research is in terms of operant conditioning (e.g., Weiss and Engel, 1971: Scott et al., 1973b). In one sense, however, feedback and reinforcement are inextricably confounded: the delivery or non-delivery of a reinforcer provides the S with information about the rightness or wrongness of his response and hence, binary feedback about it. Likewise, if feedback or knowledge of whether the response has reached a criterion level or not is effective in leading to a change in the response, then feedback functions as a reinforcer. Reinforcement, however, may be viewed as providing both information about the response (feedback) plus an incentive to change it in the desired direction in addition to any incentive provided by successful performance of a task. Thus, if one provides Ss with a separate, functionally defined reinforcer in such a way that no additional information about the response is conveyed, it becomes possible to detect additive effects of reinforcement over feedback effects. Such was the second purpose of this study.Several recent analogue experiments with volunteers have reported success in modifying erections through feedback and/or reinforcement. Price (1973) found that heterosexual volunteers who received analogue visual feedback as well as binary feedback, provided by a colored light once the needle had passed a pre-set criterion, showed a shorter latency to peak erection and maintained criterion erection longer than a control group receiving no feedback. Both groups were listening to erotic audio tapes. Rosen (1973) demonstrated significant suppression of tumescence in a group of heterosexual volunteers provided with response contingent signal lights. A group receiving non-contingent feedback did not show this effect. In a technical paper, Laws and Pawlowski (1973) have suggested audio feedback of tumescence as a treatment for deficits in sexual arousal.In the clinic, Harbison, Quinn and McAllister (1970), in an uncontrolled case study, reported increasing heterosexual responsiveness in homosexuals through reinforcement of erection. In one of their homosexual patients they were able, over a long series of trials, to increase erection to a heterosexual stimulus (female slide) through rewarding progressively larger responses with sips of iced lime after the patient was water deprived. In addition to the reinforcement, this S was given feedback, of sorts, in that a light was flashed for each successful trial. A second homosexual patient was similarly rewarded for maintaining progressively longer and clearer fantasies of heterosexual behavior. Since other treatments were also applied and no experimental analysis was performed, it is not possible to evaluate the effectiveness of the procedure.In the present experiment the separate effects of feedback and reinforcement to increase heterosexual arousal in homosexuals was experimentally evaluated using single case experimental design methodology (Barlow and Hersen, 1973). Since each experiment was somewhat different in design and purpose, each will be described separately.     

Maintaining disulfiram ingestion among outpatient alcoholics: a security-deposit contingency contracting procedure

Disulfiram is frequently prescribed to alcoholic patients as a deterrent to drinking. Although ingestion of ethanol by a disulfiram patient quickly results in an intense dysphonc reaction, the drug is not generally credited with significant value in alcoholism treatment (Mottin, 1973). It is suggested that most alcoholics simply stop taking the medication (Gerrein et al., 1973). and review articles conclude that motivation for abstinence is the crucial variable involved in successful disulfiram treatment (Ditman, 1966: Mottin, 1973).Motivation may be a characteristic of environmental contingencies rather than of individuals. If so, environmental contingencies should permit one to design into a disulfiram treatment progrim the requisite motivation to achieve therapeutic success. Contingency management procedures supporting disulfiram ingestion reported to date (Liebson et al., 1973: Haynes, 1973) have been of the sort to be imposed upon difficult populations rather than offered to general treatment applicants. Contingency contracting may represent a technique for supporting disulfiram ingestion appropriate to the broader general population of voluntary alcoholism treatment applicants. Contingency contract treatment (Homme, 1969; Stuart, 1971) is a procedure in which client and therapist mutually agree to establish an incentive for the client to achieve a behavioral goal. Contingency contracts can be viewed as a form of self-control therapy, and have been applied in a wide variety of problem areas, including school problems (Homme, 1969: Cantrell, et al., 1969). delinquency (Stuart, 1971),weight control (Mann, 1972). smoking reduction (Elliott and Tighe, 1968: Winett, 1973), drug abuse (Boudin, 1972), and alcoholism (Miller, 1972).Frequently contingency contracting involves the client's posting of a financial security deposit to serve as his incentive for achieving the agreed-upon therapeutic goal (Tighe and Elliot, 1968). This security deposit can be earned back consequent upon achieving specific goals, or sacrificed consequent upon failure. Controlled studies by Mann (1972) and by Winett (1973) have demonstrated this security-deposit procedure to be effective in enhancing weight loss and smoking reduction, respectively.We report here on our experience with application of the security deposit contracting procedure to maintaining routine disulfiram ingestion among outpatients in an alcoholism treatment program.     

A comparison of the differential effects of three different baseline conditions within an ABA1B1 experimental design

The use of the ABA₁B₁ design over recent years in applied behavioural research has prompted many researchers to comment on its strengths and weaknesses (Kazdin, 1973; Kazdin and Bootzin, 1972; Liberman, 1972; Peck and Thorpe, 1971). One major problem is that many different types of non-contingent or no-reinforcement conditions have been used and that different types of baseline conditions may produce different effects. Despite the volume of research using a derivative of this design, surprisingly little is known about the effects of different baseline conditions.The baseline conditions most frequently used include the following: 1. No reinforcement (O'Leary and Becker, 1967; Hall et al., 1972; Aitchison and Green, 1974). 2. Threats (Phillips et al., 1971). 3. Reinforcing other types of behaviour (Ayllon and Azrin, 1965). 4. Equivalent amounts of reinforcement given in baseline and experimental conditions with all baseline reinforcement given non-contingently at the beginning or end of the phase (Wincze et al, 1972; Fernadez et al., 1973; Burchard, 1967). 5. Equivalent amounts of reinforcement in baseline and experimental conditions with baseline reinforcement given non-contingently at regular intervals or randomly throughout the phase (Foxx and Azrin, 1973; Baer and Wolf, 1970).Baer and Wolf (1970) have stated that: ‘Non-contingent reinforcement as a method of extinction has certain characteristics which may make it the method of choice for some experimental designs: especially those designs in which the adult offers reinforcers to a child’. They feel that this method is to be preferred because the total amount of reinforcement can be held constant over all conditions and thus will not be a confounding variable between conditions. However, as Skinner (1948) demonstrated, rate of behaviour can be changed by non-contingent reinforcement when ‘superstitious’ causal relations appear between behaviour and presentation of reinforcement. In effect the rate of behaviour increases because it has accidentally occurred before the presentation of reinforcement and so a connection is established whereby the probability of the behaviour is increased despite the fact that it is not causally related to reinforcement. Morse and Skinner (1957) have said about superstitious conditioning ‘Such effects must always be allowed for in designing experiments on complex behaviour’. Catania and Cutts (1963) and Yelen (1971) have shown that such superstitious conditioning can occur with human subjects.The present experiment employed three groups each trained under the same conditions but with different baseline conditions—1, 4 and 5 above. A multiple baseline design was used in which all possible responses were recorded in a four choice situation so that any accidental contingencies established would be evident.     

Dystonien

A fruitless debate as to whether dystonias are an organic or psychogenic condition has dominated the scientific approach to psychiatric issues in dystonias. E.g., spasmodic torticollis (ST) was once considered “neurotic”, whereas today rather the notion of reactive psychiatric disorders in ST prevails. In our review current clinical and etiological findings in this area are presented focussed on spasmodic torticollis in order to discuss the extent and quality of psychiatric comorbidity as well as the interaction between psychological and somatic factors. Finally, typical clinical cases are presented and discussed within a multidimensional psychotherapeutic and a psychoanalytically-oriented treatment approach.     

Contingent reinforcement of lowered blood-alcohol levels in an outpatient chronic alcoholic

Recently. the proposition that alcohol abuse is an operant behavior and thus functionally related to its consequences has been investigated under experimental conditions. In controlled laboratory settings, in which inpatient chronic alcoholics are allowed access to alcoholic beverages, alcohol consumption has been markedly altered via operant strategies. Monetary rewards (Cohen et al., 1971), the opportunity to participate in an enriched environment (Cohen et al., 1971). and visits to a girlfriend (Bigelow et al., 1973) have been used as reinforcers for decreased drinking.Other investigators (Sulzer, 1965; Miller, 1972: Hunt and Azrin, 1973) have successfully applied similar contingency management techniques to alcoholics in the natural environment. However, failure to control for the influence of extraneous therapeutic variables (e.g., attention-placebo factors, job counseling) together with reliance on self-report measures of drinking behavior seriously limit the conclusiveness of these results. Objective assessment is particularly essential with operant techniques since consequent events must be systematically scheduled upon the occurrence or non-occurrence of drinking. Documentation of drinking in the natural environment is a difficult task since the alcoholic frequently consumes alcohol when he is alone. In lieu of direct observation, blood alcohol concentrations are an obvious means of objective assessment. Such data are most conveniently obtained via breath tests similar to the ones that law enforcement officers utilize to identify intoxicated motorists.The purpose of the present study was to investigate the influence of reinforcement contingencies on lowering blood alcohol concentrations obtained in an alcoholic's natural environment.     

The effects of instructional set on physiological response to stressful imagery

Centrally mediated or cognitive variables have received considerable attention in clinical research. With the establishment of the effectiveness of such specific treatment techniques as systematic desensitization (Paul. 1969a. 1969b). a question arises as to the influence of cognitions on process and outcome variables in such learning based treatments (Lang. 1971). Research investigating the influence of demand characteristics and subject expectancies has demonstrated such centrally mediated variables can significantly influence overt, behavioral and self-report measures of fear, stress, or anxiety (cf. Borkovec. 1972: Marcia. Rubin and Efran. 1969; McGlynn. Maelia and Nawas. 1969: McGlynn. Reynolds and Linder. 1971: Oliveau. Agras. Leitenberg and Wright. 1969; Rappaport. 1972: Rosen. 1974).However. Borkovec (1972) and Rappaport (1972) failed to obtain expectancy effects on physiological measures of anxiety. Neither investigation provided for an independent assessment of subjects' actual expectancies, or belief in the instructions, as recommended by Davison and Wilson (1973). Borkovec administered clinical procedures over four sessions and varied the information communicated about the ‘purpose’ of the treatments (physiological versus therapeutic instructions). Differential rationales for differential expectancies of physiological reactivity were not provided. After each session, subjects reviewed the same false physiological records depicting reductions in fear responses. Although these changes were explained either physiologically or therapeutically. the fact that such reductions were emphasized should have attenuated differences between groups. Rappaport (1972) exposed subjects to a fearful stimulus and varied the suggestion and rationale for the pseudotreatment: no expectancy (stress research): therapeutic expectancy (fear reduction); and negative expectancy (fear increase). The lack of an independent assessment of the expectancy manipulation, as well as the exclusion of a specific therapeutic procedure, make it impossible to interpret the results in relation to expectancy effects on physiological fear responses during the administration of therapeutic procedures. There is other evidence, however, that suggestion and instructional set can significantly influence somatic and autonomic response systems (Barber. 1961. 1965; Sternbach. 1964. 1965).The primary purpose of this study was to evaluate the effects of instructional set on physiological responses to stressful imagery. This was an early step in a research program investigating the effects of instructional and informational variables on physiological responses of clinical interest. One half of the subjects received abbreviated live relaxation training (R) as described m a manual by Bernstein and Borkovec (1972) and based upon the original work of Jacobson (1938). The other half received an inert placebo pill and undertook a target detection task (P). The latter procedure was similar to that used by Paul (1966). Although both procedures had previously been shown to have relaxing effects, the P task was included as an additional control for any potential effects specific to the tension-release procedure of R. In order to evaluate the effects of instructional set, one half of each of the above two groups received instructions designed to lead to an expectancy of response inhibition to stressful imagery by the respective procedure (Decrease Stress Response. DSR). while the other half received instructions designed to lead to an expectancy of an increased response to stressful imagery by the respective procedure (Increase Stress Response. ISR). Each subject visualized three individually specified items that were the most frightening scenes imaginable prior to training and four times after training visualized the scene producing the largest response. Considerable effort was devoted to eliciting from each subject the most frightening items possible for her. and it was clear from subject comments that the items did elicit negative emotional responses.Since previous research (Barber. 1961. 1965; Sternbach. 1964. 1965) indicated that instructional set can influence physiological reactivity, it was hypothesized the DSR) subjects should exhibit a greater reduction in emotional response from pre- to posttraining than ISR subjects.     

A note on the effects of anonymity,response consequence information,and sex on the self-assessment of fear

Despite an increasing emphasis on the direct observation and measurement of behavior in the assessment of fear (e.g. Bernstein, 1973. Goldfried and Sprafkin, 1974: Hersen, 1973). the Fear Survey Schedule (FSS; Geer, 1965: Wolpe and Lang, 1964) has remained popular as a paper-and-pencil instrument for screening large populations of potential treatment subjects prior to behavior avoidance tests (BATs; e.g. Bernstein and Nietzel, 1973). The utility of the FSS for this purpose is largely dependent upon its ability accurately to predict avoidance behavior in the presence of specific fear targets (Hersen, 1973) but. unfortunately, correlations between self-reported fear intensity on the FSS and overt behavior during BATs usually range from low to moderate (Lang, 1968; Schroeder and Craine, 1971). There is evidence that this disparity between FSS reports of fear and subsequent avoidance behavior are due in part to the operation of situational and contextual variables within the BAT which affect overt responses (Bernstein, 1973). and it seems reasonable to suspect that procedural variations in the self-assessment situation (e.g. method of test administration, instructions regarding the nature and purpose of testing, test form. and physical/interpersonal context) could modify FSS responses in a similar fashion. While research on projective and other assessment instruments has clearly established the influence of such variables on test responses (e.g. Azrin, Holz and Goldiamond, 1961; Henry and Rotter, 1956; Page and Yates, 1975). it is presently unknown to what extent ‘impression management’ strategies (Braginsky, Grosse and Ring, 1966) based upon cues in the testing situation bias verbal reports of fear. Preliminary investigation of this problem was undertaken in the present experiment by directly manipulating (a) the degree to which subjects could be identified with and held ‘accountable’ for their reported levels of fear and (b) the amount of information provided about the probable consequences of their responses.     

Subjective responses to alcoholic and non-alcoholic beverages by alcoholic respondents

Changes in the subjective response to alcohol following electrical aversive conditioning have been studied through the use of the semantic differential (Costello, 1974; Costello et al., 1974a, 1974b; Hallam et al., 1972; Miller et al., 1974; Miller et al. 1973). As pointed out by the Costello group and by Kaplan (1972) there are several problems with this technique. The midpoint of the 7-point scale may be psychologically impossible to define if the subject does not perceive the adjectives pairs as mutually antagonistic. It is frequently assumed that the adjective pairs are bipolar, based on the original work of Osgood et al. (1957). Recent evidence (Costello, 1974; Costello et al., 1974a, 1974b) has demonstrated that the scales used by Hallam et al. (1972) were in fact, not bipolar.The stimuli used by Costello and coworkers were an alcoholic and a non-alcoholic slide, following the work of Hallam et al. (1972). Recent studies (Miller et al., 1974; Miller et al., 1973; Wilson, 1973) have utilized rating the taste of real alcohol, as opposed to slides, in order to measure the effectiveness of behavioral therapies in alcoholism. The subject is asked to taste several beverages, some of which have alcohol, and rate the taste of each drink on a set of semantic differential adjective pairs. Miller et al. (1974), found that while the actual amount of pre-therapy alcoholic beverage consumed predicted which subjects did better at 6 months outcome, the semantic differential ratings did not. One reason might have been that the scales were not bipolar and thus the semantic measurement was highly unreliable.The purpose of the present study was to replicate the Costello studies, using real beverages, alcoholic and non-alcoholic as the stimuli.     

A comparison of systematic desensitization and reinforced practice procedures in fear reduction

At least two strategies of behavior modification seem possible in the treatment of neurotic disorders. In the first, systematic desensitization is used to reduce the anxiety associated with the avoidance behavior, thus reducing avoidance of the feared stimulus. In the second, anxiety is ignored and approach behavior is shaped by direct reinforcement according to operant conditioning principles. Each procedure enjoys a literature of successful application in both laboratory and clinical settings. Systematic desensitization has been effective in treating fears of small animals (Lang and Lazovik, 1963) interpersonal anxieties (Paul, 1966), and classic phobias (Lazarus, 1961). Operant approaches involving reinforced practice have proved successful in treating agoraphobia (Agras et al., 1968), anorexia nervosa (Bachrach et al., 1965), and various types of behavior of psychotic patients (Risley and Wolf, 1967; Ayllon and Azrin, 1968).The present study was designed to examine the relative therapeutic effectiveness of systematic desenzitization and reinforced practice in the treatment of snake phobia. Although Barlow et al. (1970) have suggested that “shaping” is more effective than systematic desensitization in the reduction of avoidance behavior, Ss in their “shaping” condition were given more experience with the aversive stimulus than desensitization Ss. The present study avoids such confounding.     

Short-term effects of behaviour therapy and hospital treatment of chronic alcoholics

Conditioning therapies, including electro-aversion treatment, of advanced states of alcoholism have not yielded an impressive record. There are probably several reasons for this state of affairs. Many studies have neglected the concurrent training of socially acceptable behaviour in the place of heavy drinking (Sobell and Sobell, 1972), and few studies have taught patients' relaxation or other anxiety-relieving methods (Blake, 1965). It may also be that treatment attempts have focused on conditioning fear or disgust to drinking stimuli themselves rather than covert, cognitive associations to various drinking situations (Claesson and Malm, 1973). The elements of electro-aversion therapy of alcoholism are little known and a number of problems remain to be investigated (Rachman and Teasdale, 1969; Hallam and Rachman, 1972). Among these problems are: how do we account for the different effects of electro-aversion therapy for different clients? How long-lasting are the effects of electro-aversion therapy?     

Effects of vicarious reward and punishment on social imitation in chronic psychotics

Despite considerable evidence that modeling procedures provide effective methods for the acquisition and change of behavior, there is very little research on the effects of vicarious reward, and none on the effects of vicarious punishment, on social imitation in chronic psychotics. Two studies (Goldstein et al., 1973: Gutride, Goldstein and Hunter, 1973) demonstrated the superiority of vicarious reward over no-treatment with adult psychotics. However, in neither study was a model no-consequences group included in order to control for the effects of observation per se; therefore, such findings cannot be clearly attributed to vicarious reinforcement (Thelen and Rennie, 1972). The only other study known to bear on this issue revealed no differences in initial learning between a model-rewarded and a model no-consequences group (Olson, 1971).The present study included model no-consequences control groups in an attempt to examine the effects of vicarious reward and punishment on subsequent interview behavior in chronic psychotics. Drawing on the larger body of vicarious learning research (Bandura, 1969). it was hypothesized that such patients demonstrate higher levels of socially appropriate behavior after observation of a model who is (a) rewarded for appropriate behavior or (b) punished for inappropriate responses, and lower levels of appropriate behavior after exposure to a model who is (c) rewarded for inappropriate behavior or (d) punished for appropriate responses, relative to conditions in which the same modeled behaviors elicit no contingent consequences.     

Continued Evolution of Family Therapy: The Last Twenty Years

There have been numerous accounts of the history and major trends and issues in family therapy during the field's first three decades in the literature (see for example: Broderick & Shrader, 1981; Framo, 1972; Guerin, 1976; Kaslow, 1973, 1977, 1980; Nichols, 1986, 1999 for some varied depictions, written from each respective author's unique lens). Viewed as a set, packaged with different, yet interrelated contents, they offer a multihued portrait of the emerging field during its infancy, childhood, and adolescence. Now it is time to move on and look at the adulthood era as it has unfolded.     

Auditory intensity as a variable in the conditioning treatment of enuresis nocturna

Auditory intensity in the conditioning treatment of enuresis nocturna was examined in a study by Young and Morgan (1973a). In their study of three alarm intensities, no significant differences either in terms of treatment efficacy or of subsequent relapse were found. For both theoretical and practical reasons, the finding of no differences in treatment parameters as a function of varying alarm intensities is puzzling. In learning theory terms, a very intense UCS (bell or buzzer) would be expected to lead to more rapid acquisition of dryness (conditioned response) than a less intense UCS. Learning theory notwithstanding, the depth of somnolence of the enuretic child is legend. Not only are testimonials from parents regarding difficulty in arousal of their bedwetting child commonly elicited, but the literature on causes and treatment of bedwetting is replete with evidence of a deep-sleep enuresis syndrome (Bostock, 1962). It has been demonstrated by Finley (1971) and Di Perri and Meduri (1972) that the arousal threshold of enuretic children is abnormally high compared to nonenuretic children. The failure of the enuretic to awaken to the presentation of a bell (UCS) is frequently cited as responsible for unsuccessful bell-and-pad conditioning (Browning, 1967). Young and Morgan (1973b) in their study on rapidity of response to the conditioning treatment for enuresis found that one treatment problem most significantly related to slow responders was failure of the alarm stimulus to awaken the child. For those unfamiliar with the literature, the Young and Morgan (1973b) finding appears particularly surprising when one considers that they employed as their alarm UCS “...a powerful auditory stimulus...” (p. 490).Because of these important theoretical as well as practical concerns, an attempt was made to examine the effect of two auditory intensities on treatment and relapse parameters in the conditioning of enuresis nocturna.     

Menstrual symptom questionnaire: further psychometric evaluation

Novak, Jones, and Jones (1975) state that menstrual distress (dysmenorrhea) is the greatest cause of lost work hours among women, and Kistner (1970) estimate this to be 140 million annual work hours. Thirty-five percent of female adolescents. 25% of college women, and 60–70% of single females in their 30's and 40's are said to be invalid during menstruation (Green, 1971). Treatment procedures for primary dysmenorrhea have included hypnosis (Lackie, 1964), physical exercises (Golub. 1959). natural childbirth techniques (House, 1969), and oral contraceptives.

Though hormones are the most recent, frequent and effective treatment approach (Novak et al. 1975). Tyler (1973) cautions against their use because of possible adverse side effects. Recently, systematic desensitization (SD) has been used to relieve menstrual distress (Mullen, 1968, 1971; Reich, 1972; Tasto and Chesney, 1974) without risk of such side effects. Although SD has been effective, considerable response variability has been noted.

Becuase of this variability. Chesney and Tasto (1975a) developed the Menstrual Symptom Questionnaire (MSQ) to psychometrically identify two types of primary dysmenorrhea: spasdomic dysmenorrhea which designates distress during the flow period associated with excessive muscle tension, and congestive dysmenorrhea referring to premenstrual tension related to water retention. This instrument was designed to define types of menstrual symptoms and not symptom severity. Test-retest reliability was 0.87 and discrimination between spasdomic and congestive dysmenorrhea was highly significant. Of 48 women tested. 29 were identified as spasdomic with MSQ scores between 82 and 102, while 19 scored in the congestive range (46–68). Interestingly, no women scored in the median range (69–81), suggesting that there exists two unique types of primary dysmenorrhea identifiable by the MSQ. Subsequently, Chesney and Tasto (1975b) reported that congestive women did not respond to SD, while spasdomic symptoms were significantly reduced. It was hypothesized that the relaxation training component of SD was effective with spasmodic muscle tension symptoms and ineffective with congestive water retention symptoms. Consequently, the MSQ was thought capable of accounting for previously reported response variability of primary dysmenorrhea to SD.

The present study was intended to replicate Chesney and Tasto's (1975a, 1975b) findings. The following Null hypotheses were tested; (a) the MSQ does not have significant test-retest reliability; (b) the congestive-spasmodic symptom dimension of the MSQ is not dichotomous; and (c) the MSQ does not predict SD effectiveness     

Attentional effects of negative faces: Top-down contingent or involuntary?

Recent research has substantiated that schematic negative faces are found more efficiently than positive faces among crowds of distractor faces of varying set sizes. The present study asks whether this relative search asymmetry (RSA) is intention driven or due to involuntary attentional capture. To that aim, participants were first tested in a condition in which negative and positive faces were searched for, and then in a condition in which negative or positive schematic faces appeared at chance level at the position of the target (valid trials) or of a distractor (invalid trials), the faces thus being task irrelevant (the 1/n paradigm). The expected search benefit for valid negative-face target trials most clearly occurred when participants searched for a target defined by a conjunction of color and position; when the target was defined either by an orientation or color singleton, we found rather weak or no evidence for involuntary attention capture by negative faces. We see the results as being (1) evidence that the RSA is partly based on stimulus-driven factors that occur independently of the intention to search for a positive or negative face, and (2) consistent with the assumption that the effects are mainly due to a more efficient rejection of positive-face than of negative-face distractors, rather than being due to attentional capture by the target     

THE GOOD TOOTHBRUSHING GAME: A SCHOOL-BASED DENTAL HYGIENE PROGRAM FOR INCREASING THE TOOTHBRUSHING EFFECTIVENESS OF CHILDREN

There has been a serious lack of experimentally verified, effective dental hygiene programs in the schools. In and of themselves, the instruction-alone programs which comprise children's dental education do not produce proper toothbrushing skills. In the present study, a school-based contingency dental hygiene program designed to increase the effectiveness of children's toothbrushing skills at home was implemented with grade one and two classes. Each class was divided into teams and participated in the “Good Toothbrushing Game.” Each day four children from each team had the cleanliness of their teeth assessed according to the Simplified Oral Hygiene Index (Greene & Vermillion, 1964). The team with the lowest mean oral hygiene score was declared the daily winner. Winning teams received stickers and had their names posted. A multiple baseline across classrooms single-subject group design (Hersen & Barlow, 1976, pp. 228–229) established that the good toothbrushing game greatly increased the effectiveness of children's oral hygiene skills. The treatment terminal level for the grade one scores was 2.0 as compared to a baseline terminal level of 5.0, and for the grade two's was 2.3 compared to 5.7 at the end of baseline. A 9-mo follow-up indicated that these results were maintained. The data strongly suggest that proper implementation of behavioral principles is essential to the success of oral hygiene programs.     

Focal dystonia: current theories.

Dystonia is a syndrome characterised by abnormal involuntary sustained muscle contractions that often result in twisted and abnormal positions. Focal dystonia affects only a single body part with symptoms varying from permanent (e.g., torticollis) to task-specific (e.g., musician's cramp). The exact causes of focal dystonia have yet to be determined. Possible causative factors have been identified at all levels along the sensorimotor pathway, including anatomical constraints of the hand (musicians), abnormal co-contractions of the muscles due to reciprocal inhibition in the spinal cord, subcortical and cortical remapping, deficiencies in sensorimotor integration and perceptual deficits. A review of the current literature on these topics is provided with a special focus on musicians with focal dystonia. Also reviewed are current treatments of focal dystonia in musicians. On the basis of the currently available evidence, certain risk factors are identified for the development of task-specific focal dystonia, including number of practice hours, personality, genetic predisposition, performance factors and sensory effects. In addition, it is highlighted that dystonic movements occur predominantly in the context of perceptual-motor tasks involving emotions. When emotional and motor traces have become associated, they are difficult to change; it is suggested that this mechanism plays an important role in the preservation of dystonic symptoms.     

Handling negative inputs: On the plausible equity formulae

Equity research has been based on defining formulae that do not necessarily imply the hypotheses thought to have been derived from them and that are not consistent with empirical data cited as supporting equity theory. Neither Adams' (1965) ratio definition nor Walster et al.'s (1970, 1972, 1973) formula satisfy the fundamental criterion that, when equity holds, outcome should be an increasing function of input. Six formulae that do satisfy this fundamental criterion (including Adams' ratio definition restricted to positive ratios, Walster et al.'s revision of their formula, three formulae generated by a simple constructive procedure, and an exponential definition) are compared with respect to 11 other criteria and with respect to their predictions of the results of two thought experiments.     

Perceived Control,Family Environment,and the Etiology of Child Anxiety—Revisited

In 1998, Chorpita, Brown, and Barlow published a now seminal study in Behavior Therapy examining the development of anxiety in children and adolescents using Barlow’s 1988 model of the development of anxiety in adults. Mindful of developmental considerations, parental control and children’s perceptions of control were considered key factors in this revised model. Since that study, mixed support has accumulated for the role of control, both parental control and children’s perceptions of that control, in the development of childhood anxiety. As a result, the measurement of these constructs has been critically examined and refined in recent years and encouraging findings have been obtained. Unfortunately, however, the Chorpita and colleagues study as well as the studies that have followed have used cross-sectional designs and the directionality of effects has not been clearly established. Longitudinal studies are required. Here, we present a qualitative review of these developments and provide directions for future research.