Behavioral treatment of obsessive-compulsive neurosis

Three chronic and severe obsessive-compulsive neurotics were treated with behavioral intervention strategies and psychotropic medication. The effects of treatment were evaluated in three separate experiments with single case experimental designs. The results suggest that response prevention was effective in reducing ritualistic behavior while the effects of flooding and antidepressant medication added little to outcome. The results also suggest that strategies aimed only at reducing compulsive behavior per se are insufficient in eliminating other associated difficulties (e.g., depressive symptoms, interpersonal problems) and that a comprehensive approach to treatment is needed.     

An existential interpretation of success neurosis

The fear of success is typically interpreted as a neurosis in which the fear of change plays a central role. In spite of agreeing with the existence of this syndrome in clinical practice. this author holds that a similar ambivalence about change lurks within ourselves as well. We are especially like patients in that, in spite of their often unique conflicts, they also run away, like us, from true success. In defining the latter, the author interprets it as synonymous with living an ethical life filled with reverence and respect for all.Grateful acknowledgement is made to Stephen Getsinger, Ph.D., for having read and made numerous cogent remarks on this paper.     

Problems with stimulus/response equivalence and reactivity in the assessment and treatment of obsessive-compulsive neurosis

Self-recording was used as part of a comprehensive package of interventions to treat a case of obsessive-compulsive neurosis. The discrepancy between the self-recording data and other indices of improvement provoked consideration of the value of self-monitoring in light of Rachman's (1976) typology of obsessive-compulsives and the three major theoretical explanations of the reactivity of self-monitoring (Nelson and Hayes, 1981). It is hypothesized that self-monitoring may be countertherapeutic and misleading when there is stimulus/response equivalence or a checker type of obsessive-compulsive client.     

Marketing in the bus industry: A psychological interpretation of some attitudinal and behavioural outcomes

This paper presents a rare example of an experimental study investigating the effects of persuasive messages on real-life behaviour. The research aimed to explore the extent to which the low and declining use of bus services reflected overly negative public perceptions of buses and whether, if key misperceptions could be “corrected” by persuasive messages, people might change their attitudes towards bus travel and increase their use of bus services.Two controlled trials were conducted. Each comprised a before survey, delivery of marketing material to randomly selected respondents, and a follow-up survey to ascertain any changes in the attitudes and behaviour within the treated or control samples. The marketing material in the first trial was designed to “correct” common misperceptions of the bus services in the study area and to overcome perceived barriers to its use. Analysis suggests that the marketing material encouraged bus use among habitual bus users, people positively disposed towards bus and females but caused a significant decrease in bus use among males, previously infrequent users and people negatively disposed towards bus.Potential explanations for these findings were found in the Theory of Planned Behaviour (Ajzen, I. (1991). The Theory of Planned Behaviour, Organizational Behaviour and Human Decision Processes, 50, 179–211) and the Elaboration Likelihood Model (Petty, R.E., Cacioppo, J.T. (1986). The Elaboration Likelihood Model of persuasion. In: L. Berkowitz (Ed.), Advances in experimental social psychology (Vol. 19). San Diego: Academic Press). A second trial was conducted using marketing material designed in light of these theories. The material, which was targeted at people who did not typically travel by bus but were apparently willing to consider doing so, acknowledged that the car is probably a first choice but highlighted occasions when the bus could be more convenient. Subsequent interviews suggested that the marketing had resulted in a significant increase in bus use by recent bus users and by males. The inclusion of a free travel offer for some recipients seemed to be particularly effective for frequent travellers and people already positively disposed towards bus.These findings are explored through a psychological lens using cognitive theories relating to individual differences in information processing, attention and memory.     

Solutions to neurosis: A theology of self

For Karen Horney neurosis is a serious impediment to health and wholeness and has the power to place a person in bondage. Yet the situation is far from hopeless, for strivings and anxieties contain intrinsic value and can be directed positively to the purpose of human maturity. The theory lends itself to a strong theology of the self, and thus encourages the pastoral counselor who cooperates with the inherent strengths of the person in his or her drive toward health.     

A neurocomputational approach to obsessive-compulsive disorder

A recent article shows that a change in a single parameter in a neural-network model of brain dynamics leads to repetitive behaviors that resist termination and towards which the network tends. These findings may have implications for obsessive-compulsive disorder and are consistent with evidence of glutamatergic hyperactivity in this disorder.     

A five-factor measure of obsessive-compulsive personality traits

This study provides convergent, discriminant, and incremental validity data for the Five-Factor Obsessive-Compulsive Inventory (FFOCI), a newly developed measure of traits relevant to obsessive-compulsive personality disorder (OCPD) from the perspective of the Five-factor model (FFM). Twelve scales were constructed as maladaptive variants of specific FFM facets (e.g., Perfectionism as a maladaptive variant of FFM competence). On the basis of data from 407 undergraduates (oversampled for OCPD symptoms) these 12 scales demonstrated convergent correlations with established measures of OCPD and the FFM. Further, they obtained strong discriminant validity with respect to facets from other FFM domains. Most important, the individual scales and total score of the FFOCI obtained incremental validity beyond existing measures of the FFM and OCPD for predicting a composite measure of obsessive-compulsive symptomatology. The findings support the validity of the FFOCI as a measure of obsessive-compulsive personality traits, as well as of maladaptive variants of the FFM.