Anxiety and motor performance: Where to from here?

Abstract

The purpose of this paper was to briefly review the traditional existing theories attempting to explain the relationship between anxiety and motor performance and then suggest some future directions for research. Specifically, a review of drive theory and the inverted-U hypothesis led to the conclusion that due to methodological, conceptual and interpretive problems, these explanations for the anxiety-performance relationship are overly simplistic and lack heuristic value. Future research should focus on the interaction of psychobiological states as they relate to motor performance. Some specific suggestions include more precision in the measurement of anxiety as a multidimensional construct which includes psychophysiological, cognitive, and affective components. In addition, individual differences need to be recognized with intraindividual comparisons replacing between-subject comparisons. Hanin's zone of optimal functioning is offered as one such approach. Finally, more sensitivity and precision is needed in the measurement of performance by employing both qualitative and quantitative methodologies.     

“Castration Anxiety” Revisited: Especially “Female Castration Anxiety”

ABSTRACT

I find the term castration anxiety a still relevant and important key body fearful fantasy in males, especially expressing fear of the father; as is female castration anxiety an equivalent key fear of the ablation of the sexual and reproductive organs of females, especially by the avenging mother. Freud’s and his followers’ version of the female anxiety, however, has repetitively been shown to be askew since the 1930s, yet it keeps appearing again, as if still worthy of serious argument. To demonstrate its utter blindness to an emotional or imaginative appreciation of female body reproductive functioning, a detailed critique is offered of the once classic paper, “The Body as Phallus” by Bertram Lewin (1933). I recommend that a straightforward sense of female castration is helpful in exploring female body anxieties as a more defined bodily referent than can be encompassed by separation anxieties that are currently more popular.     

What can we Learn from the Experience of Non-Responders to a Parent-Only Intervention for Childhood Anxiety?

Journal of Child and Family Studies - Following a parent-only intervention for childhood anxiety, we sought to understand the treatment experience of those parents who affected reductions in their...     

Is Clinical Anxiety a Risk or a Protective Factor for Executive Functioning in Youth with ADHD? A Meta-regression Analysis

Comorbidity rates between ADHD and anxiety disorders (AD) are high, but little is known about the nature of this co-occurrence. A dominant idea is that AD may intensify some (i.e., attention and working memory) and attenuate other (i.e., inhibition) ADHD symptoms. Results are mixed, potentially because of between-study differences. To investigate this further we performed a meta-regression analysis on 11 studies (n ‘ADHD-only’ = 695; n ‘ADHD + AD’ = 608), containing 35 effect sizes on attention, inhibition and working memory. Main results were: (1) no evidence of a negative effect of AD on attention and working memory; (2) better response inhibition in children with ADHD with AD than those with only ADHD (medium ES g = ? .40); (3) medication moderated this association: the effect seemed limited to studies that included medication-naïve participants; (4) the difference between the two groups increased with age for attention and with proportion of boys for working memory ability. There was no effect of comorbid disruptive behavior disorder. In conclusion, AD seems to be a protective factor for inhibition problems as assessed with laboratory tasks in ADHD, especially in children who are medication naïve. Further, AD may have a protective function for attention in older children, and for working memory in boys with ADHD. It is therefore important to screen for AD when diagnosing ADHD, and to educate those with comorbid AD about the possible positive function of feeling anxious. Potential negative effects of ADHD medication on inhibition in children with comorbid AD should be considered.     

The “Testing” Effect and Restricted Retrieval Rehearsal

Four experiments examined two alternative views of retrieval events. The results of Experiment 1 were equivocal because of an apparent “ceiling effect.” The results of Experiments 2, 3, and 4, in which changes were made in basic procedures, seemed to indicate that the act of retrieval itself had an effect on the memorability of words.

     

How Do Elements of a Reduced Capacity to Withstand Uncertainty Relate to the Severity of Health Anxiety?

Intolerance of uncertainty (IU)—a multidimensional cognitive vulnerability factor—is associated with a variety of anxiety disorders and health anxiety (HA). To date, few studies have assessed whether IU dimensions (prospective and inhibitory IU) are differentially associated with HA and whether their contributions are independent of anxiety sensitivity (AS). This study addressed these issues using independent community (n = 155; 81% women) and undergraduate (n = 560; 86% women) samples. Results indicated that prospective IU, but not inhibitory IU, had significant positive associations with HA in community dwellers and undergraduate students. AS somatic and cognitive concerns were also significant predictors among both samples. In addition, severity of IU dimensions among individuals reporting elevated HA were compared against individuals diagnosed with generalized anxiety disorder, social anxiety disorder, panic disorder, and obsessive–compulsive disorder. Results indicated minimal differences between those with elevated HA and each of the anxiety disorder diagnoses. Findings lend support to the unique transdiagnostic nature of IU and support commonalities between HA and anxiety disorders.     

Moving from “I” to “We”: A Grounded Theory Analysis of Couple Therapy with Liver Patients and Their Partners

Prior research indicates that couples who cope with chronic illness from a relational “we” orientation experience more positive outcomes than couples that cope individually; however, little prior research identifies clinical processes that promote reciprocity or how societal gender processes are involved. This grounded theory analysis of 25 videotaped therapy sessions with six heterosexual couples coping with chronic liver disease (LD) used a feminist-informed relational lens to focus on the clinical processes involved in shifting from an individual to a relational orientation. Findings identified three contextual barriers to attaining a “we orientation”: (a) autonomy discourse, (b) illness-related power, and (c) gendered power. Analysis detailed therapist actions that decreased the impact of barriers to reciprocity and fostered relational coping. Clinical implications attend to complex intersections among gender, caregiving, and contextual barriers to reciprocity.     

What Is a Nonresponder? A Qualitative Analysis of Nonresponse to a Behavioral Intervention

This study used qualitative methods to understand reasons for treatment nonresponse following a behavioral intervention for family caregivers of people with dementia. Caregivers and interventionists completed semistructured interviews about their experience of the treatment after completing a course of Resources for Enhancing Alzheimer’s Caregiver Health in VA (REACH VA). Treatment response from the 22 caregivers who completed the 12-session treatment was assessed using pre- to posttreatment change scores on measures of depression and caregiver burden. Interviews from the 14 nonresponder caregiver/interventionist dyads (28 total) were analyzed qualitatively to identify caregiver factors that negatively impacted improvement in depression and caregiver burden, such as emotional processing difficulties, wanting more support than structure, and limited support/difficulty asking for help. Ways nonresponders benefited from REACH VA beyond improvement on self-report symptom measures were also identified and included learning to problem solve more effectively, feeling understood and supported by another, and taking a different perspective on caregiving. The benefits of using qualitative methods to assess the experience of treatment nonresponders and identify individuals who may benefit from additional treatment or a different approach are discussed.     

A Psychometric Analysis of the Revised Child Anxiety and Depression Scale—Parent Version in a Clinical Sample

The Revised Child Anxiety and Depression Scale—Parent Version (RCADS-P) is a 47-item parent-report questionnaire of youth anxiety and depression, with scales corresponding to the DSM-IV categories of Separation Anxiety Disorder, Social Phobia, Generalized Anxiety Disorder (GAD), Panic Disorder, Obsessive-Compulsive Disorder, and Major Depressive Disorder (MDD). The RCADS-P is currently the only parent-report questionnaire that concurrently assesses youth symptomatology of individual anxiety disorders as well as depression in accordance with DSM-IV nosology. The present study examined the psychometric properties of the RCADS-P in a large (N = 490), clinic-referred sample of youths. The RCADS-P demonstrated favorable psychometric properties, including high internal consistency, convergent/divergent validity, as well as strong discriminant validity—evidencing an ability to discriminate between anxiety and depressive disorders, as well as between the targeted anxiety disorders. Support for the DSM-related six-factor RCADS-P structure was also evidenced. This structure demonstrated superior fit to a recently suggested alternative to the DSM-IV classification of anxiety and affective disorders—namely, the MDD/GAD “distress” factor.     

A Psychometric Analysis of the Revised Child Anxiety and Depression Scales—Parent Version in a School Sample

The Revised Child Anxiety and Depression Scale—Parent Version (RCADS-P) is a parent-report questionnaire of youth anxiety and depression with scales corresponding to the DSM diagnoses of separation anxiety disorder, social phobia, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and major depressive disorder. The RCADS-P was recently developed and has previously demonstrated strong psychometric properties in a clinic-referred sample (Ebesutani et al., Journal of Abnormal Child Psychology 38, 249–260, 2010b). The present study examined the psychometric properties of the RCADS-P in a school-based population. As completed by parents of 967 children and adolescents, the RCADS-P demonstrated high internal consistency, test-retest reliability, and good convergent/divergent validity, supporting the RCADS-P as a measure of internalizing problems specific to depression and five anxiety disorders in school samples. Normative data are also reported to allow for the derivation of T-scores to enhance clinicians’ ability to make classification decisions using RCADS-P subscale scores.     

The consciousness continuum: from “qualia” to “free will”

The consciousness continuum is seen as extending from simple sensory experiences to complex subjective constructions resulting in the apparent exercise of conscious will. The phenomena between these two extremes include spontaneously occurring mental contents, unintended perceptual experiences, memory retrievals, and problem solving including feedback of conscious contents. Two factors describe this continuum: The presence or absence of intention (psychologically defined) and the complexity of the cognitive construction involved. Among other benefits, such an analysis is intended to provide an alternative to metaphysical and vague concepts such as qualia, free will, and intentionality.     

“Coming Out” to Parents in a Christian Context: A Consensual Qualitative Analysis of LGB Student Experiences

Disclosures of same-sex attraction are some of the most difficult experiences for lesbian, gay, and bisexual (LGB) individuals. For LGB individuals of faith, disclosure to parents is often complicated by the intersection of religion/spirituality and sexuality. This study presents a grounded theory about a particular subgroup to address gaps in the literature concerning how LGB students on Christian college campuses describe and experience their parental disclosures. Consensual qualitative research analysis (Hill, Knox, Thompson, Williams, & Hess, 2005; Hill, Thompson, & Williams, 1997) revealed themes related to predisclosure influencing factors, the disclosure event experience, and longer term impacts of the disclosure. Implications for parents, counselors, and college faculty/staff are provided.     

An Environment Friendly God: Response to Nancy Hudson’s “Divine Immanence”

This paper is a response to Professor Nancy Hudson’s paper “Divine Immanence: Nicholas of Cusa’s Understanding of Theophany and the Retrieval of a ‘New’ Model of God,” (Nancy Hudson, “Divine Immanence: Nicholas of Cusa’s Understanding of Theophany and the Retrieval of a ‘New’ Model of God,” Journal of Theological Studies 56.2 (October 2005): 450–470). The global ecological crisis has spawned intensive reflection about living in right relationship with the earth. Western Christian thought has received special scrutiny since modern alienation from nature has been traced to Christian theology. Undiscovered within the mystical theology of Nicholas of Cusa lies an ecologically promising vision of nature. The concept of divine immanence presented by this medieval thinker provides a rich spirituality that is inclusive, rather than exclusive, of the natural world. It is also far more intimate than contemporary stewardship theology. Cusanus interprets theophany as divine self-expression. A series of striking metaphors, including God’s enfolding and unfolding, God as ‘Not-other’, and Christ as the contracted maximum, reveals a holistic spirituality. Nicholas of Cusa’s concept of divine immanence infuses the world with immeasurable value and gives rise to a Christian theology that can address the current ecological crisis. This paper was delivered during the APA Pacific 2007 Mini-Conference on Models of God in response to a presentation of Nancy Hudson’s “Divine Immanence.”     

“Strong” narrativity—a response to Hutto

This paper responds to Dan Hutto’s paper, ‘Narrative Self-Shaping: a Modest Proposal’. Hutto there attacks the “strong” narrativism defended in my recent book, ‘Self, Value and Narrative’ and in recent work by Marya Schechtman. I rebut Hutto’s argument that non-narrative forms of evaluative self-shaping can plausibly be conceived, and defend the notion of implicit narrative against his criticisms. I conclude by briefly indicating some difficulties that arise for the “modest” form of narrativism that Hutto defends.