Experimental manipulations of responsibility: An analogue test for models of Obsessive-Compulsive Disorder

Several authors attribute excessive responsibility a predominant role in Obsessive-Compulsive Disorder (OCD) [Salkovskis, P. M. (1985) Behaviour Research and Therapy, 23, 571–583; Rachman, S. (1993) Behaviour Research and Therapy, 31, 149–154; van Oppen, P. & Arntz, A. (1994) Behaviour Research and Therapy, 32, 79–87]. The present studies aimed at demonstrating the link between different levels of perceived responsibility and checking behaviors by experimentally manipulating responsibility in non-clinical Ss. In the first study, a sound recognition task was used to compare checking behaviors in Ss with high (HR) and low (LR) perceived responsibility. Only one variable was significantly different, Ss from the HR group reporting more anxiety during the task than Ss from the LR group. Results did not support a link between responsibility and checking behavior. In a second study HR and LR Ss were compared on a manual classification task. Subjects from the HR group hesitated and checked more, and reported more preoccupation with errors and anxiety during the task than Ss from the LR group. Since perceived severity of the outcome was the most variable affected by the manipulation, the implications for current models of OCD are discussed and an alternative explanation is attempted. Finally, clinical implications are examined and suggestions are made for future directions of research.     

Effects of endorphin blocking on conditioned SCR in humans

In order to test the hypothesis that low levels of endogenous opioids (endorphins) predispose to strong conditioning effects, female Ss (N = 36) were assigned to a placebo group, a low-dose naltrexone group, or a high-dose naltrexone group and then underwent a classical conditioning procedure. This procedure consisted of an acquisition phase in which all Ss received 5 pairings of a CS+ (neutral picture) and a UCS (100 dB white noise). The CS− (neutral picture) was never followed by a UCS. During extinction, Ss received 4 unreinforced presentations of CS+ and CS−. Throughout the experiment, skin conductance responses (SCRs) to the CSs and UCSs were recorded. Acquisition was successful in that CS+ slides elicited stronger SCRs than CS − slides. However, during acquisition, there was no interaction between drug and differential response (CS+ vs CS−). During extinction, there was no overall remaining effect of conditioning. Again, no evidence was found to suggest that (remaining) effects of conditioning were stronger in the naltrexone treated Ss than in the placebo S's. If anything, the opposite seemed to be true with especially high-dose naltrexone Ss showing relatively weak conditioning effects.     

Ways of acquiring phobias and outcome of behavioral treatments

The way of acquisition of phobias was studied in relation to different behavioral treatments for phobias. Ss (N = 183) were clinical patients belonging to six different phobic groups (agoraphobics, claustrophobics, social phobics, animal phobics, blood phobics and dental phobics), and the treatments were categorized as behaviorally focused (exposure in vivo and social-skills training), physiologically focused (systematic desensitization and applied relaxation) and cognitively focused (self-instruction training and fading). Results showed that both for patients with direct conditioning experiences and indirect acquisition those treated with behavioral and physiological methods improved more than those receiving cognitive methods when looking at the change-score data. Regarding the proportion of clinically improved patients there was no difference between treatments among the Ss with a background of conditioning experiences. In the group with indirect acquisition, on the other hand, the cognitive methods were more effective.     

Commonsense beliefs about depression and antidepressive behaviour: A study of social consensus

The present study examines consensus in endorsed beliefs about depression and antidepressive behaviour in a group of 100 psychologists. Ss were given 20 pairs of items and asked to indicate which member of each pair they felt was ‘nearer the truth’. The numbers (and percentages) of Ss choosing each item was examined for each pair. Consensus was found to span the range from 100% agreement to near-complete disagreement and to be distributed roughly normally within the sample of items. People tended to agree about propositions that could be verified by an individual's own firsthand experience and observation and to disagree about more abstract matters that the ‘experts’ are still debating. The congruence of these findings with previous results in the present series of studies is discussed and suggestions for further exploration in the realm of ‘what everybody knows’ about depression and how to deal with it are given.     

Learning history in fear of blushing

Two studies, investigating the learning history (i.e. traumatic conditioning experiences, vicarious learning, informational learning) of individuals with and without fear of blushing, are presented. In study 1, individuals high (n=61) and low (n=59) in fear of blushing completed the (revised) Phobic Origin Questionnaire [POQ; Öst, L. G., & Hugdahl, K. (1981). Acquisition of phobias and anxiety response patterns in clinical patients. Behavior Research and Therapy, 19, 439–447]. In study 2, individuals who applied for treatment for fear of blushing (n=31) and a nonfearful, matched control group (n=31) were interviewed with the same instrument, taking into account only specific memories. High fearful individuals reported more negative learning experiences in connection with blushing than low fearful individuals, irrespective of the type of questioning. Meanwhile, study 1 (written POQ) produced higher percentages of negative learning experiences for both high and low fearful individuals than study 2 (interview). It is concluded that the POQ interview showed a more realistic picture than the written POQ. The possible role of learning history in the acquisition of fear of blushing is discussed.     

Thought control strategies in schizophrenia: a comparison with non-patients

This study tested the hypothesis that patients with a diagnosis of schizophrenia would report the use of different thought control strategies in comparison with non-patients. The Thought Control Questionnaire [TCQ; Wells, A. & Davies, M. (1994). The thought control questionnaire: a measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871–878.] was administered to 22 patients who met DSM-IV criteria for schizophrenia and 22 non-patients. The results showed that schizophrenic patients used different thought control strategies (more worry and punishment-based strategies, less distraction-based strategies) in comparison with non-patients. The theoretical and clinical implications of these findings are discussed.     

Acquisition of blood, injury, and needle fears and phobias

The origins of fear and phobia of blood, injury, and injections were investigated in a sample of 128 fearful university students. Based on Mutilation Questionnaire scores, subjects were designated as common fear, high fear, or phobic. Ss reports of their onset experiences obtained from structured interviews were categorized into one or more acquisition pathways of conditioning, vicarious observation, and information. Of the 73% of Ss who recalled one or more onset experiences, 76% reported conditioning-like events as the primary pathway with the majority reporting fear-related UCSs. Vicarious experiences were reported as primary by 20% and 3% reported information as being primary in their fear onset. Severity of fear was unrelated to the pathway by which it was acquired, to whether the onset was recalled, and if recalled, whether it was due to a single or to multiple traumatic events. Results are discussed in terms of methodological problems of memory issues and means by which data are collected.     

An experimental analysis of delayed posttraumatic stress

Three self-report anxiety questionnaires were administered to a sample of Lebanese undergraduates shortly before the Israeli invasion of Lebanon in 1982. Six months after the disengagement of forces, the investigator located 20 Ss who had remained in West Beirut throughout the siege and 35 Ss who had evacuated to safer environs. The inventories were readministered to the Ss and the results revealed that: (1) there were no significant differences between the preinvasion scores of the evacuees and nonevacuees: (2) there were no significant differences between the postinvasion scores of the evacuees and nonevacuees: and (3) the aggregate scores of both groups vis-á-vis war-related stimuli were significantly lower at postassessment.     

Predicting treatment preferences for agoraphobia

Fifty-one university students completed two questionnaires: (1) The Millon Behavioral Health Inventory (MBHI) and (2) a questionnaire evaluating Ss' ratings of acceptability and effectiveness of five treatments for agoraphobia (Norton, Allen and Hilton, 1983a). The results showed that the Ss rated the three psychological treatments as more effective and acceptable than the two drug treatments. A discriminant function analysis, using the coping style measures of the MBHI and the Ss' ratings of acceptability and effectiveness of tranquilizers as predictor variables, correctly classified 78% of the Ss as to which psychological treatment they rated as more acceptable and effective for agoraphobia.     

Worry and the suppression of imagery

This experiment investigates Borkovec's theory that the function of worry is to protect people from potentially distressing emotional imagery. The experiment builds on a previous one of Borkovec and Inz (Behaviour Research and Therapy, 28, 153–158, 1990) comparing the frequency of thoughts and images in imagery and relaxation. The present experiment confirms the previous finding that worry is associated with less imagery than relaxation, but shows that this is not distinctive to worry. Indeed, an additional control condition, ‘present-oriented mentation’, was associated with even less imagery than worry. The fact that other kinds of thinking are at least as effective as worry in suppressing emotional imagery indicates that this property of worry is not sufficient to explain its occurrence.     

Conditioning experiences and phobias

A retrospective study was conducted to examine the extent to which phobias are associated with a conditioning pathway to fear. The Phobic Origin Questionnaire (Öst and Hugdahl, Behav. Res. Ther. 19, 439–477, 1981) was administered to a sample of 91 phobic outpatients (patients with panic disorder with agoraphobia, social phobics, simple phobies). Results show clearly that conditioning experiences occur more frequently than either vicarious or informational, learning experiences, which confirms the findings previously reported by Rimm, Janda, Lancaster, Nahl and Dittmar (Behav. Res. Ther. 15, 231–238, 1977) and by Öst and Hugdahl (1981; Behav. Res. Ther. 21, 623–631, 1983). Yet, conditioning experiences consist mainly of panic attacks in confined environments. The findings also suggest that a considerable number of phobias are based on a combination of different pathways to fear.     

Behavioral treatment of adult obesity: Attentional controls and a 2-year follow-up

This research included controls for both amount of extra-therapy attention focused on target behaviors and for quality and duration of attention provided during therapy. Two pairs of therapists each conducted one group for each of four experimental conditions: nonspecific therapy, nonspecific therapy + attention prompting, behavior therapy, behavior therapy + positive induction (procedures designed to maximize favorableness of expectancies). Sixty-five obese adults ( OVERWEIGHT = 52%) attended 12 weekly group sessions and 3-month and 2-yr follow-ups. Ratings of expectancies, credibility and therapist characteristics were equivalent in all experimental conditions. Attrition was low (9.7%) and Ss averaged 1–2 lb weight losses per week during treatment, while improving concurrently in eating habits, cardiovascular fitness and adjustment. However, only participants who were in groups conducted by the therapist pair which was rated especially ‘democratic’ maintained average weight losses at the 2-yr follow-up. These results demonstrate the potentially vital role of several ‘nonspecific’ factors in long-term outcomes associated with behavioral treatments for adult obesity.     

Predicting and remembering recurrent pain

Two groups of Ss suffering from recurrent episodes of pain (headache or menstrual) were studied over a period of weeks in order to determine if they tend to over-predict aversive events (pain in this instance). The results are consistent with earlier findings on fear pain. Contrary to earlier findings, however, after an under-predicted pain the menstrual Ss decreased their following prediction—suggesting the operation of a superordinate predictive pattern in this group. The Ss in both groups successfully predicted the qualities of their pain episodes, but tended to recall the episodes as being more painful than they had reported at the time of the pain episode. The explanation for the erroneous magnifications of predictions and reports of pain is not obvious. Over-predicting a potential pain, and remembering an episode as having been more painful than it was, may serve a protective function, but if so, these are not the most economical ways of achieving protection. The Ss who used medication expected to obtain moderate relief and they were not disappointed.     

Using drugs to modify the effect of response prevention on avoidance extinction

Amobarbital and chlordiazepoxide were administered during avoidance response prevention and the effect evaluated in the nondrugged state in a subsequent test for avoidance extinction. It was found that Ss administered 15 mg/kg and 30 mg/kg amobarbital, and 30 mg/kg chlordiazepoxide during response prevention differed significantly from the control Ss in extinction performance. Rather than showing either reduced avoidance performance or no difference with the nondrugged Ss, the Ss drugged during response prevention showed increased avoidance performance in the subsequent test of avoidance extinction. That is, preventing avoidance responding under a drugged (versus nondrugged) state produced increased resistance to extinction of the avoidance response.     

A short duration group treatment of smoking behavior by stimulus saturation

Two saturation procedures of different lengths were administered to Ss who desired to quit smoking. Ss chain-smoked for either 20 hr (group E₁) or 10 hr (E₂). Total abstinence was the main dependent measure. Both groups experienced relatively equal success on a short-term basis. Long-term abstinence was noted for group E₁ only. Sixty per cent of the E₁ Ss were not smoking 4 months after treatment.     

The application of reinforcement and participant modeling procedures in the treatment of snake-phobic behavior

In Experiment I, one group of snake phobic Ss was reinforced (with tokens) for approaching a harmless snake. A second group received token reinforcement on a non-contingent basis, in the same setting, with a third group serving as non-treated controls. Although slight improvement was noted for all three groups, the groups did not differ significantly with respect to an increase in approach behavior or a reduction in subjective fear rating. A fourth group of snake phobic Ss was reinforced with money for approaching the snake, but showed no more improvement than the other three groups. In Experiment II. Ss who had participated in Experiment I were assigned to a participant modeling (P-M) group, in which they observed a fearless model interact with a snake and were subsequently guided through similar interactions with the snake, or to a non-treated control group. The P-M Ss showed a very marked decrement in snake phobic behavior (which generalized to a non-treatment snake) following the 40-min treatment, in contrast to control Ss who showed virtually no change.     

Stimulus overselectiv1ty of autistic children in a two stimulus situation

Autistic and normal children were trained to respond to a complex stimulus involving an auditory component (white noise) and a visual component (red floodlight). After the Ss had acquired this discrimination, the individual components were presented singly to assess their control over the Ss' behavior. The autistic Ss' unlike the normals, demonstrated stimulus overselectivity in that seven out of nine Ss responded to only one of the components. These results were consistent with those of a previous study where autistics showed stimulus overselectivity in an experiment involving three modalities. In both experiments, the previously non-functional stimulus was made functional when trained separately.