Acquisition of phobias and anxiety response patterns in clinical patients

The ways in which phobic patients (N = 106; animal-, social- and claustrophobics) acquired their phobias were investigated in the present study. The results showed that a large majority (58%) of the patients attributed their phobias to conditioning experiences, while 17% recalled vicarious experiences, 10% instructions/information and 15% could not recall any specific onset circumstances. There was no clearcut relationship between the ways of acquisition and anxiety components (subjective, behavioral, physiological), nor did the conditioning and indirectly acquired phobias differ in severity. However, some interesting trends emerged in the data, showing that animal phobics who recalled conditioning experiences to a larger extent also responded physiologically. For patients with indirect onset experiences (for all three types of phobias) the reverse was true, i.e. they responded to a larger extent in a cognitive-subjective way, rather than with increased physiological arousal.     

Individual response patterns and the effects of different behavioral methods in the treatment of claustrophobia

The importance of individual response patterns in claustrophobic patients was examined in the present study. Thirty-four psychiatric outpatients with a phobia of enclosed spaces were assessed in a small test chamber. During the test their overt behavior was video-taped, heart-rate was measured continuously, and self-ratings of experienced anxiety were made at certain intervals. On the basis of their reactions in the test situation, the patients were divided into two groups showing different response patterns—behavioral and physiological reactors. Within each group the patients were randomly assigned to one behaviorally-focused method (exposure), one physiologically-focused method (applied relaxation) and a waiting-list control group. The patients were treated individually in eight sessions. The between-group comparisons showed that both exposure and applied relaxation were significantly better than the waiting-list condition. Furthermore, exposure yielded better results than applied relaxation for the behavioral reactors, while applied relaxation was better than exposure for the physiological reactors. The improvements were maintained at a follow-up assessment 14 months after the end of treatment. The results support the hypothesis that greater effects are achieved when the method used fits the patient's response pattern than when it does not.     

A reconstructive-processing interpretation of the recognition failure phenomenon

The generality of the recognition failure phenomenon was the primary basis for the present research. It was hypothesized that the phenomenon obtains whenever an insufficient degree of compatibility exists between the task demands at recognition and those present during study. Experiments 1 and 2 demonstrated that, despite a recognition task that was incompatible to conditions of encoding, subjects could actively reconstruct aspects of the initial situation, and hence recognition failure was minimized. It was assumed that the stimulus material — categorized word pairs — facilitated this reconstructive process. Experiment 3 was designed specifically to examine further the reconstructive process as well as recognition failure. The results indicated that (a) the nature of this process could be mathematically predicted, and (b) subjects seldom failed to recognize words they recalled. The results of the present study strongly suggest an important boundary condition of the phenomenon of recognition failure. Moreover, Tulving and Wiseman's (1975) quadratic function could not predict accurately the obtained magnitude of recognition failure.     

Channel capacity and processing of modality specific information

The synthesis model, designed to explain effects of modality specific information on retention, is presented and tested. The model encompasses qualitative and quantitative components. The qualitative characteristics reflect the physiological properties of the auditory and visual channels. Three parameters are assumed to affect the quantitative efficiency of the channels. Each channel is assumed to have a certain capacity, and processing of information in the channels is determined by situational demands. Furthermore, processing in a channel is regarded as superficial. Increased allocation of processing to the superficial level was manipulated by the use of modality specific distractors and conditions of ‘supracapacity load’. Transformation of information from the visual to the auditory channel was controlled by the use of one mixed-mode and one single-mode experiment. Thirty subjects participated in the mixed-mode experiment and 60 in the single-mode experiment. Both experiments employed an identical distraction task, intervening presentation and free recall of the to-be-remembered items. The results confirmed the predictions of (a) modality specific distraction, (b) supracapacity performance decrement, (c) a larger distraction effect for the auditory channel and (d) transformation effects in the single-mode experiment.     

Nonreaders' awareness of the basic relationship between spoken and written words

One hundred children, in four groups, were presented with 72 word pairs (spoken and written). Each pair consisted of one short and one long word. The subjects were requested to indicate a target word on a card and explain their choice. The basis for a correct nonreading solution was attention to the surface aspects of words and recognition of the relation between sound duration and number of graphemes. A main experimental variable was the relationship between number of graphemes and the size of the denoted object. In the youngest age group (4-year-olds) irrelevant and nonlinguistic solutions predominated. Older children were guided by semantic content. Proper understanding of the relationship between spoken and written words was observed among some of the oldest children (7-year-olds).     

Behavioral contrast and generalization across settings in the treatment of autistic children

Previous research on the generalization of treatment gains across settings has typically focused on the question of whether generalization occurs or does not occur. However, the experimental literature suggests another possibility: that behavioral contrast may occur in extra-therapy settings if the reinforcement procedures in the therapy setting are highly discriminable from those in other settings. Therefore, this investigation was designed to systematically assess whether: (1) a highly discriminable treatment procedure in one setting would produce a behavioral contrast effect in other unmanipulated settings; and (2) such contrast-like trends could be eliminated if initially different reinforcement procedures in two settings were subsequently made similar. The results for the eight autistic children who participated in this investigation showed that: (1) When very different reinforcement procedures (primary rewards or punishment in therapy settings, and no rewards or punishment in extra-therapy settings) were in effect, the children showed contrast-like behavior changes in the untreated extra-therapy settings; and (2) such trends in responding could be eliminated, resulting in generalization of treatment gains, if the reinforcement procedures were subsequently made relatively similar in the two settings, even if the procedures consisted essentially of noncontingent reinforcement.     

‘Preparedness’ and ‘arousability’ as determinants of electrodermal conditioning

‘Arousability’, as defined through spontaneous electrodermal responses, has been empirically linked to anxiety, phobic symptoms and outcome of systematic desensitization. Previous data from our laboratory indicate that ‘preparedness’, as defined through potentially phobic vs. fear-irrelevant or ‘neutral’ conditioned stimuh, is an important determinant of electrodermal conditioning. The present experiment compared groups selected to be high or low in spontaneous responding during differential conditioning to potentially phobic or neutral stimuh. It was found that the effects of these two factors were essentially additive, i.e. conditioning and resistance to extinction were better for phobic stimuli and for high-arousal groups. The high-aroused group with phobic stimuh showed diffuse responding during acquisition, not differentiating between reinforced and unreinforced cues. However, it was the only group that failed to extinguish during 20 trials, which indicates that high arousal gives superior resistance to extinction particularly for phobic stimuli.     

Cerebral hemispheres and selective attention

The present paper is intended to discuss critically the integration model of the functional interhemispheric relation that has become dominant in neuropsychology with the development, in the last two decades, of split-brain studies.While the split-brain research has undoubtedly produced new experimental methodologies, the current theorizing in this area has been contrastingly conservative. The present paper examines some of its basic assumptions, in particular that the corpus callosum is an association pathway devoted to interhemispheric transmission of information, and that the disconnected cerebral hemispheres function in a parallel way. It is shown that these assumptions have only low consistency both with split-brain behavior and with the normal organization of the fore-brain connectivity.In the early seventies, theoretical novelty has emerged from another research field with Kinsbourne's interpretation of laterality effects in normal man. His concept of asymmetrical hemispheric arousal is shown to be supported, with some reservations, by evidence in this field. But this dynamical concept has a more general value and there are signs that current ideas about the functional relation between the cerebral hemispheres are presently deeply transformed.     

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.     

The role of contextual cues in mediating transfer

An experiment was conducted with sceond-grade children to test the hypothesis that contextual (task format) changes limit the transfer of learning. The Ss learned two problems employing different formats concurrently and were then given a single transfer problem similar in format to one of the training problems. The transfer data were predictable from a consideration of the similar format training problem and independent of the different format training problem. This indicated that contextual cues were stored during training and played a role in determining transfer.     

Children's interpretation of adult nonreaction: A trial-by-trial self-report assessment and evidence for contrast effects in an observational context

The study investigated children's interpretation of blank reaction (nonreaction) from one adult to another as a function of its pairing with positive or negative overt feedback. Each child watched through a one-way mirror as an evaluating adult provided feedback to a second adult who was performing on a two-choice discrimination task. After six initial blank reaction trials, children observed one of four types of feedback combinations over 60 experimental trials: (a) right feedback on some trials and blank reactions on others, (b) wrong feedback on some trials and blank reactions on others, (c) right, wrong, and nonreaction on different trials, or (d) nonreaction on all trials. There was little evidence that children consistently interpreted blank reaction as meaning right independent of feedback combination. In contrast, in the Right-Blank and Wrong-Blank feedback combinations, children interpreted blank as meaning the opposite of the overt feedback it was paired with on over two-thirds of the trials, with no sex differences or test anxiety effects.     

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.     

Observations on the development of reaching for moving objects.

How infants come to master reaching for moving objects was studied in a situation where the distance to and the velocity of the moving object varied. Eleven infants participated in the study. They were from 12 to 24 weeks old at the first session, were seen at 3-week intervals until 30 weeks old, and were finally seen once at 36 weeks old. The following behaviors were observed from video recordings: frequency of fixated and followed motions, latency to first goal-directed behavior, type of goal-directed behaviors, and type of reaches. It was found that by the time the infant masters reaching for stationary objects he will also successfully reach for moving ones. Eighteen-week-old infants caught the object as it moved at 30 cm/sec. The results suggest a basic human capacity to time-coordinate one's behavior with external events, and to foresee in one's actions future positions of moving objects.     

A controlled outcome study of phobias in mentally retarded adults

Twenty-four mentally retarded adults in the mild and moderate range based on American Association on Mental Deficiency criterion were assessed for excessive fear of participating in community based activities. Persons were matched into pairs on degree of fear and sex and then one member of each pair was randomly placed into one of two experimental conditions: no-treatment controls or those who received participant modeling for their fear. The latter condition consisted of having a trainer rehearse going into stores and related activities with the mentally retarded person at a sheltered workshop. In the next step of training, the therapist accompanied the subjects to a community grocery store where they performed the tasks of shopping through successive approximations. Treatment was conducted for a period of three months. Fear level of the mentally retarded persons was assessed on target behaviors prior to and at the conclusion of training. Follow-up assessment of treatment effects and the continued status of the control subjects was assessed four months after the conclusion of treatment. Participant modeling proved to be significantly more effective than no treatment.