Effects of imaginal exposure to feared disasters in obsessive-compulsive checkers

The combined effects of imaginal exposure to feared catastrophes and in vivo exposure to external stimuli were compared with the effects of in vivo exposure alone in 15 obsessive-compulsives with checking rituals. The first group received 90 min of uninterrupted exposure in imagination, which concentrated mainly on disastrous consequences, followed by 30 min of exposure in vivo to stimuli-situations which triggered rituals. The second group was given 2 hr of exposure in vivo only. Both groups were prevented from performing rituals. Treatment consisted of 10 daily sessions within a 2 week period.Assessments were conducted before and after treatment and at follow-up ranging from 3 months to 2.5 yr with a mean of 11 months. At post-treatment both groups improved considerably and did not differ. But at follow-up those who received imaginal and in vivo exposure maintained their gains, whereas the group who were treated by exposure in vivo alone evidenced partial relapse on four of the six dependent measures. The results tend to indicate that a closer match between a patient's internal fear model and the content of exposure enhances long term treatment efficacy.     

Massed vs. spaced exposure sessions in the treatment of agoraphobia

The differential effects of massed and spaced sessions of exposure in vivo were investigated with 11 agoraphobics in a crossover design. Clients were randomly assigned to one of the following two groups: (a) 10 daily sessions followed by 10 weekly sessions, or (b) 10 once-weekly sessions followed by 10 daily sessions. The results indicated that both massed and spaced sessions of exposure in vivo effected changes in avoidance behavior and subjective anxiety of agoraphobics, massed practice being superior especially with respect to avoidance. It was suggested that the superiority of massed practice is due to the lack of opportunity to engage in avoidance or escape during short inter-session intervals. The relationship between subjective anxiety and avoidance were considered and the differences between clinical and statistical significance were discussed.     

Habituation of subjective anxiety during flooding in imagery

Patterns of habituation of subjective anxiety during flooding in fantasy are delineated for eleven obsessive-compulsive and six agoraphobic patients. The majority showed a curvilinear pattern of subjective anxiety response, while three patients showed a linear decelerating pattern. Habituation was found both within and across sessions. The results are compared with habituation patterns in physiological responses during flooding in fantasy and in vivo.     

Is horror a necessary component of flooding (implosion)?

Experimental results indicate that presentation of horrifying scenes is not necessary to obtain a favorable outcome in the treatment of phobias by flooding. Prolonged exposure to the feared object, even under relatively pleasant conditions is sufficient. Subjects were college students who rated highly fearful of rats. They were randomly assigned to one of three experimental groups and to a no treatment-control group. Treatment groups differed along the dimension of harshness of scene presentation. Control group subjects received no treatment but were assessed repeatedly as were experimental subjects. All experimental subjects showed improvement irrespective of treatment received-after treatment they were all willing to come closer to a live rat and experienced less anxiety at the closest point. However, subjects exposed to horrid scenes were judged by an independent evaluator as less likely to avoid fearful situations. The discussion centers on the discrepancy between rater's evaluation and other measures, implications of the results for treatment, and on the generalizability of findings to a patient population.     

Psychophysiological assessment of imagery in obsessive-compulsives: a pilot study

In a within-groups design, four obsessive-compulsive patients imagined four different types of scenes: (1) exposure to feared situations; (2) exposure to feared situations followed by engaging in ritualistic behavior: (3) engaging in ritualistic behavior without provocation; and (4) neutral situations. Each scene type was presented three times with order of presentation randomized. Beat-by-beat heart rate samples were taken during the visualization of each scene and converted to second-by-second heart rate. An examination of second-by-second heart rate for each scene type suggested that scenes involving exposure to feared situations elicited defensive responses (DR), whereas those that did not elicited orienting responses (OR). The implications of these results for compulsive behavior, the fear-reduction model and Sokolov's (1963) OR-DR model, are briefly discussed.     

Feedback during exposure to inescapable shocks and subsequent shock-escape performance

In two experiments, we assessed the ability of a feedback stimulus during helplessness training to reduce the performance deficits common to inescapable shock. In each experiment, four groups of rats were exposed to either escapable shock (E), inescapable shock with a feedback stimulus following shock termination (Y-FS), inescapable shock with no feedback stimulus (Y-NFS), or no shock (N). The feedback stimulus eliminated the interference effects of inescapable shock when tested with an FR-3 lever press escape task (Experiment 1) or on an FR-1 task with a 3-s delay between the response and shock termination (Experiment 2). These results suggest that stress-induced biochemical changes may mediate the interference effects seen in inescapably shocked rats.     

Across-reinforcement blocking effects in a mediational test of the CS's general signaling property

Rats received Pavlovian aversive (shock) conditioning in which white noise was established for independent groups as a CS+, CSo, or CS−. Then, in an easy (light-dark) T-maze discrimination, the CS was presented either immediately following choice (Locus 1) or at the food cup in the goal (Locus 3), contingent upon either a food-reinforced (right) or nonreinforced (wrong) response. When presented at Locus 3, the CS+ facilitated and the CS− retarded learning for CS/right subjects, with these effects being exactly reversed but somewhat less pronounced for CS/wrong subjects. However, when the CS was presented at Locus 1, the CS+ and CS− effects for both response contingencies were attenuated. These findings oppose an interpretation of the CS's function as a general cue or transformed signal for the presence or absence of the new appetitive reinforcer and argue instead for across-reinforcement blocking effects: By signaling in the presence of food reinforcement an outcome (safety or shock) which is consonant with or discrepant from the “good” outcome obtained, the CS− blocks (retards) and the CS+ counterblocks (enhances) the association of food reinforcement and the S^D; conversely, in the presence of nonreinforcement (a “bad” outcome), the CS− counterblocks and the CS+ blocks inhibitory conditioning to the S^Δ. As in Kamin's (1968) original research, such effects are attenuated when the CS is presented early in the compound, distal to the reinforcer.     

Pavlovian processes and response competition as determinants of avoidance response-prevention effects

Two experiments investigated the facilitation of avoidance extinction by exposure to lengthy (5-sec) shock during avoidance response prevention. In Experiment 1, animals exposed to light only or to light-shock pairings during response prevention showed equal facilitation of extinction relative to shock-only animals or to animals receiving no response prevention. Preshock rearing, directly antagonistic to the avoidance response, developed for shocked animals during response prevention and persisted during extinction for light-shock animals. Immediately before extinction, half of each group was permitted a single escape from a light-shock compound by means of the response previously required for avoidance. The only effect was upon the extinction performance of light-shock animals. Rearing was eliminated and extinction responding increased to a level far above that for any of the other animals. Experiment 2 demonstrated that the shock-only treatment affected the extinction performance and rearing of nonescape and escape animals in a manner entirely equivalent to the effects of the light-shock treatment of Experiment 1, provided stimulus conditions (light absent) were the same for all experimental phases. Thus, lengthy shock during avoidance response prevention simultaneously leads to the acquisition of competing behavior and enhances control by a warning signal or contextual stimuli over the avoidance response. Implications for the CS-only response-prevention treatment and the transfer of aversive control are discussed.     

Habituation during exposure treatment: Distraction vs attention-focusing

To investigate the effects of distraction and attention-focusing during in-vivo exposure to feared stimuli, the responses of 16 obsessive-compulsives with washing rituals were studied. A cross-over design was employed in which 6 of the subjects underwent exposure with attention focusing on the first day followed by exposure with distraction on the second day. The remaining subjects received the reverse order. Habituation of both heart rate and subjective anxiety was observed under both conditions, the rate of habituation tending to remain constant throughout the 90-min exposure. Greater between-session habituation and greater synchrony between the psychophysiological and the subjective measures of anxiety was observed when attention-focusing preceded distraction. Since habituation and synchrony have previously been found to be positively related to treatment outcome, the present results suggest that treatment by exposure to feared stimuli may be more effective if attention-focusing is promoted.     

Juror decision making: A case of attitude change mediated by authoritarianism

For a jury to reach a unanimous decision, certain individuals must change their attitudes with regard to the defendant's guilt during deliberations. Because these changers are the key to the group decision-making process, they were carefully scrutinized to ascertain demographic or personality characteristics which might be mediating their behavior. In three experiments, two using college students as subjects and one using Philadelphia Court of Common Pleas jury pool members, it was found that authoritarians changed their attitude with regard to the defendant's guilt more than equalitarians. Further, most of these “changers” were aware they had changed their attitude. There was no generalizable evidence for the proposition that authoritarians are more likely to favor a guilty verdict.     

Cognitive task effects on hemispheric blood flow in humans: Evidence for individual differences in hemispheric activation

Evidence from two indirect measures of hemispheric activity, EEG α and conjugate lateral eye movements, has pointed to the existence of individual differences in hemispheric activation. Results from a more direct indicator of hemispheric activity, regional cerebral blood flow as measured by the ¹³³Xe inhalation method, show that such individual differences can be detected in the distribution of blood in the two hemispheres and that the amount of increase in blood flow in the right relative to the left hemisphere is correlated with performance on a spatial task. These results corroborate and extend the findings from the EEG and eye movement studies and suggest that the dimension of individual differences in hemispheric activation may exert significant influence on cognitive performance and on problem-solving strategies.     

Conditional reasoning following contradictory evidence: A developmental analysis

Recent evidence suggests that young adults do not correctly understand the logical relationship of the conditional (if p the q) as it applies to hypothesis testing, and most training procedures have not been productive. However, the introduction of contradictory evidence following faulty inferences has led to accurate inferences with conditional statements. Third and seventh grade and college studients (9, 13, and 21 years of age, respectively) were tested to assess developmental differences in improvement following contradiction training and to test whether improved performance transfers to other conditional reasoning tasks. Significant improvement in conditional reasoning was found for the young adult group following the introduction of contradictory evidence, and the positive effect of the treatment transferred across tasks. The third grade students showed no effects from the introduction of the contradiction, but the seventh graders were often confused by the introduction of the contradiction. Seventh grade and college student performances were generally worse than that of the third graders for the positive instances (p · q), but while the contradiction training improved college studients' performance it did not affect the seventh graders. The results are discussed in terms of changes in cognitive structures.     

Irrelevant incentive learning revisited: Associating flavors and exteroceptive cues with positive incentives

In “irrelevant incentive learning” information stored about an incentive when it is not desired is used later when the incentive is desired. In “habit learning” responses learned under one motive state continue to be made under a new motive state even though they produce goal events that are not appropriate to that motive state. Experiment 1 showed that both types of learning occur simultaneously whether flavor or texture cues are used and whether or not position is also a relevant cue. Thus, contrary to previous suggestions, irrelevant incentive learning is not limited to interoceptive cues, nor is habit learning limited to exteroceptive cues. In both Experiments 1 and 2 it was also shown that motivation affects what is learned as well as affecting current performance. This contrasts with views of motivation as solely a determinant of performance.