Anxiety, learning, and memory: A reconceptualization

A new theoretical framework for work on anxiety and memory is proposed. Anxious subjects engage in task-irrelevant processing which preempts processing resources and some of the available capacity of working memory. They typically attempt to compensate for the adverse effects of this task-irrelevent processing on task performance by increased effort. It follows from these theoretical assumptions that anxiety will have differential effects on performance efficiency (i.e., the quality of performance) and on processing effectiveness (i.e., performance efficiency/effort). Anxiety will always reduce processing effectiveness, but will not impair performance efficiency if there is sufficient effort expenditure. Consequently, reliance on measures of performance efficiency will often obscure the detrimental effects of anxiety on processing effectiveness.     

How young children pour equal quantities: A case of pseudocompensation

Two experiments are reported on how 3- to 4.5-year-old children pour equal liquid quantities. An apparent precocity and a decline with age in the ability to judge correctly when different-sized glasses contain the same amount of liquid is demonstrated in Experiment 1. Children of different ages use different strategies to make judgments of equality and this is revealed in Experiment 2. The most primitive strategy fortuitously led the youngest children to make a correct response in Experiment 1 but led to incorrect responses in Experiment 2. Possible explanations of these results are discussed.     

Psychoticism and response to treatment in neurotic patients

A study is reported of neurotic patients at St. Bartholomew's Hospital, London, who were given the Eysenck Personality Questionnaire and who were rated by their doctors for prognosis and final assessment after treatment. The results indicated that those patients who had elevated psychoticism scores took longer to improve and that doctors rated them harder to treat at final assessment. It is suggested that early knowledge of patients with a poor prognosis, in the form of their Psychoticism score, might prove helpful to psychiatrists and psychologists, both for diagnosis and (primarily) for choice of appropriate treatment.     

Development of speech and language following bilateral frontal lesions

Language and speech were studied in a young child with perinatally acquired bifrontal lesions. Bilateral frontal pathology seriously interfered with the development of intelligible speech and resulted in a persistent expressive aphasia. Analysis of the neuropsychological profile indicated impairments in intelligence and language comprehension. These deficits, however, were considered secondary to the profound speech programming disorder. The findings indicate that, despite the plasticity of the immature central nervous system, bilateral frontal injury sustained at an early age precludes the development of intelligible speech. Furthermore, structurally intact cortical regions outside the territories of the speech zones fail to mediate normal speech and language development.     

A reappraisal of the relation between performances of quantitative identity and quantitative equivalence conservation tasks

Previous studies of children's performance on quantitative identity and equivalence conservation problems in the number domain are suggested to be flawed because of the low numbers of items in the arrays. In Experiment 1, children were tested on three different number versions of identity and equivalence conservation tasks. Their performance varied with the number of items and no child was found to pass a large number version of an equivalence conservation task and fail the corresponding version of an identity conservation task. In Experiment 2 the notion that the contextual effect of asking two similar questions might underlie the difference in performance on the two tasks was tested and rejected. The results are discussed in relation to recent analyses of conservation problems.     

A clinical trial of continuous, intermittent and overlearning ‘bell and pad’ treatments for nocturnal enuresis

Sixty-one enuretic children were allocated sequentially to ‘standard’, ‘intermittent’ or ‘overlearning’ bell and pad treatment. The results suggest that the ‘overlearning’ modification of standard treatment was successful in bringing about a reduction in the relapse rate. The present status and implications of research into nocturnal enuresis were discussed in the light of the results of the investigation.     

Academic examinations and anxiety: The interaction model empirically tested

The person-by-situation interaction model of anxiety was tested in the reallife setting of an academic examination. Twenty-eight male and 79 female university students served as subjects. State anxiety (A-State) was assessed just prior to the examination (Trial 2) and approximately 1 week before (Trial 1) and after (Trial 3) the examination. Five facets of trait anxiety (A-Trait) were measured in a nonstressful situation 1 week prior to the examination. The subject's cognitive appraisal of the various situations was assessed by a self-report index of the type and degree of threat involved in the situation just experienced. As predicted, a significant A-Trait-by-situation interaction in eliciting A-State was observed for social evaluation A-Trait. There were no interactions for the other, noncongruent facets of trait anxiety. The results also indicated that individuals' perception of situations may be the most important factor affecting reactions to stressful situations. In general, the results were interpreted as providing support for the multidimensionality of A-Trait and further validation of the interaction model of anxiety.     

Cognitions related to anxiety: a pilot study of treatment

In general, where anxiety appears to have a specific external focus, such as the situations which are avoided by phobic patients, treatment involving systematic exposure to those situations seems to be effective. This is less appropriate, or even impossible, where anxiety is not dependent on any external circumstance, but is described by the patient as occurring at any time or place, either chronically over long periods, or acutely in the form of ‘panic attacks’. These patients with ‘generalised’ anxiety often describe internal cues for anxiety either in the form of thoughts (e.g. worry over a current problem) or somatic (e.g. chest sensations interpreted as possible heart disease). Beck et al. (1974) has suggested that on interview, all patients diagnosed as suffering from diffuse or generalised anxiety can report specific ideas or other cognitive cues which are associated with anxiety. These usually concern possible traumatic events, such as illness and death, or social rejection. Clearly Beck has in mind the possibility that these cognitions have the effect of inducing anxiety, although even if the validity of the subjective reports were to be accepted, the problem remains of whether the relationship between mood state and cognitions is causal and if so, in which direction it operates. Obviously a causal relationship may also operate in both directions simultaneously, to form a ‘vicious circle’ in which each exacerbates the other. To establish whether there is a sense in which particular cognitions contribute causally to anxious mood, it would be necessary to find a method of manipulating the type or frequency of cognitions thought to be operating in this way.

One obvious possibility is that of ‘thought-stopping’: that is, patients could be taught to identify thoughts which are associated with anxiety and stop them in the usual way (Wolpe, 1973, p. 211) e.g. by' shouting stop, and substituting an alternative thought. The present study was planned as a pilot experiment to determine (i) if appropriate anxiety related cognitions could be elicited from a series of patients with generalised anxiety, (ii) if the reported frequency of such thoughts could be modified by a thought-stopping technique, and (iii) if any changes in thought frequency were associated with improvements in mood.

Clearly there are many ‘non-specific’ features involved in thought-stopping which could also have therapeutic effects on mood. For this reason it was necessary to include an alternative procedure, not directed at reducing thought frequency, but having the same degree of plausibility to patients, and preferably to therapists. The control procedure chosen for this purpose was modelled on desensitisation, in which patients were encouraged to allow the supposedly anxiety-provoking thoughts into their mind and tolerate them, rather than attempt to stop them. In summary, the study employed a relaxation training phase as a base-line, followed by a cross-over design in which the two treatment phases of thought-stopping and ‘cognitive desensitisation’ were given to each patient, in balanced order.     

Selective attention and changes in clinical state

Thirty inpatients of a psychiatric unit were given the Mini-Mult and a series of auditory selective attention tasks in order to test the hypotheses that (1) impaired attention is related to degree of pathology, and (2) improvement in clinical state leads to improved ability to selectively attend. The results showed that the relationship between the Mini-Mult and the listening tasks is significant only when the subjects had to exclude irrelevant stimuli (interference condition). The results also indicated that the relationship between clinical changes and changes in attentional performance is significant. The findings were discussed in terms of a quantitative theory of attention.     

Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

The advantages of selecting agoraphobic patients for treatment by group exposure according to their residential geographic neighbourhood were evaluated in terms of facilitation of ‘homework’ practice and increased social contact. Both ‘zoned’ and ‘unzoned’ groups showed gains in ability to perform hierarchy items after 11 sessions of exposure, relative to a no-treatment control group. However only zoned subjects showed significant reductions in experienced anxiety when executing such items. Self-ratings of overall phobic severity also suggested a zoned group was superior to unzoned while assessors' ratings indicated both groups as equally improved. Only zoned subjects showed a significant increase in social range. Improvements were maintained at 3-months follow-up. No effect of treatment was found on either the Zung measure of anxious mood or on social integration.These results suggest that, where practical, zoning might offer the means for desirable continuation of intensive clinic-based group treatment as well as the benefit of extending treatment into the patients' environment as in home-based treatments. Crucial levels of group cohesion might also be increased although therapists should be prepared to negotiate resistance to a socially demanding programme from patients with significant additional social phobias.     

A self-administered program for public speaking anxiety.

Therapist-administered desensitization was compared with a take-home manual for self-administering desensitization, where the self-administering subjects had varying degrees of contact with therapists. These treatments were compared with an attention-placebo procedure and no-treatment controls. None of the treatment procedures had any effect on behavioural manifestations of anxiety in public-speaking phobics, but all treatment subjects showed greater reductions in subjective anxiety than either of the control groups. The drop-out rate was greatest for the no-contact manual group indicating the value of brief supervision in its use. The implications of the failure to change overt behaviour in view of Paul's (1966) earlier findings, are discussed.     

Effect of thought-stopping on thoughts,mood and corrugator EMG in depressed patients

The immediate effects of thought-stopping applied to depressive thoughts were compared to those of a control procedure in a group of depressed psychiatric day-patients. Thought-stopping had only a weak effect on average in reducing the frequency of depressive thoughts, and no significant effects on depressed mood or corrugator EMG. A small significant effect on anxious mood appeared related to non-specific factors. The results raise the possibility that thought-stopping may have little specific effect in reducing the frequency of unwanted thoughts. Corrugator EMG was significantly related to the frequency of spontaneously occurring depressive thoughts both between and within subjects.     

When children write nonwords to dictation

Skill in written spelling of simple, monosyllabic nonwords was investigated in 9- to 11-year-old English children. Two aspects of their spellings were of interest: first, could they spell these nonwords so that they sounded correct (nonword spelling accuracy), and second, did their spellings show evidence of biasing from words heard earlier in the test sequence? Nonword spelling was poorer for children of this age than for tested adults. Nevertheless, significant biasing occurred in these children's spellings, though not to the same extent as in adults' nonword spellings, and significant correlations emerged between reading age, nonword spelling skill, susceptibility to biasing, and real word spelling skill. Children with a reading age greater than 11 years showed biasing from word spellings that was within range of that reported for adults, and, for these more skilled readers, word spelling accuracy correlated significantly with both susceptibility to biasing and with nonword spelling accuracy. These children were not as accurate as tested adults at spelling nonwords. Children with a reading age below 11 years were poorer at nonword spelling and showed no overall biasing, yet they also showed a significant correlation between word spelling skill and nonword biasing. Together with evidence from the same task from adults with specific spelling disorders, these results suggest that word knowledge had a direct (biasing) and an indirect (general word spelling knowledge) effect on the performance of the nonword spelling task. But although skill in word spelling may be a necessary prerequisite for nonword spelling, it need not always be sufficient.     

Memory scanning,introversion-extraversion,and levels of processing

Individual differences in information processing were studied in the form of the hypothesis that arousal, as indexed by a personality measure of introversion-extraversion, affects the speed with which certain kinds of processing are completed. The Sternberg paradigm was used, and the results suggested that introverts and extraverts scanned for physical features equally rapidly, but that introverts were slower than extraverts at scanning for the semantic features of category membership. There was limited support for the hypothesis that introverts, thought to be more aroused than extraverts, are less able to engage in shared or parallel processing. It was concluded that information processing in introverts and extraverts may differ qualitatively as well as quantitatively.