The behavioral treatment of insomnia an alternative to drug therapy.

The use of hypnotic drugs to treat insomnia is criticized because of (a) tolerance effects, (b) carry-over effects, (c) alterations in sleep patterns, (d) rebound effects, and (e) attributional effects. Behavioral treatments represent a more viable alternative and are reviewed under four headings: (a) systematic desensitization: (b) applied relaxation; (c) attribution-based therapies; and (d) classical conditioning therapies. The behavioral therapies are predicated upon three views of insomnia: first, that insomnia results from excessively high levels of arousal prior to and during sleep; second, that insomnia occurs when the sleep environment lacks sufficient stimulus control over sleeping; and finally, that insomnia is often enhanced and maintained by exacerbation cycles in which worries about not falling asleep interfere even further with one's sleep.     

Suppression and substitution in the treatment of nailbiting

The effectiveness of a package treatment for reducing nailbiting was studied. The package was composed of both positive procedures aimed at teaching adaptive behavior to substitute for nailbiting and negative procedures aimed at advancing skills for suppressing nailbiting. The design of the study permitted an analysis of the contributions of both positive and negative components of the package. Subjects assigned to combined, positive, negative and placebo groups received four weekly treatment sessions, and changes in their nailbiting behavior were compared with untreated controls. As in previous studies, nonspecific factors such as demand and attention to ones nails were found to be important determinants of outcome. In addition, positive procedures were found to be substantially more important than negative procedures in the maintenance of reductions in nailbiting over a 4-month follow-up period.     

Facilitating cognitive performance in children: A comparison of strategy modeling and strategy modeling with overt self-verbalization

Children, 3, 4, 5, 6, 8, and 10 years old, were randomly divided into three training conditions—a strategy modeling condition, a strategy modeling with overt self-verbalization condition, and a control condition. The subjects in the two modeling conditions were given training on four cognitive tasks, a signal task, a match-to-standard task, a paired-associates task, and a twenty-questions task. A 6 (age) × 2 (sex) × 3 (treatment) × 2 (trial) analysis of variance was performed on each of the dependent variables associated with each of the four tasks. The results of these analyses indicate that both modeling conditions facilitated performance on the signal and match-to-standard tasks for all six age groups. However, the two modeling procedures facilitated performance on the paired-associates and twenty-questions tasks only in the three older age groups. Since the two modeling procedures did not differ in effectiveness, it was suggested that strategy modeling without overt self-verbalization is the more practical and efficient procedure for facilitating cognitive performance in normal children.     

Effects of instructions, biofeedback, reward, and cognitive mediation on the control of heart rate and the application of that control in a stressful situation

Subjects in Phase 1 of this experiment were (a) instructed to try to either increase or decrease their heart rate, (b) with or without the use of biofeedback, and (c) with or without the promise of money for successful performance, whereas no-treatment subjects were given no instructions, no biofeedback, and no promise of reward. Results indicated that (a) when simply instructed to do so, subjects could increase but not decrease their heart rates relative to no treatment controls, (b) the promise of money for good performance aided subjects in increasing but not decreasing heart rate, and (c) biofeedback did not aid subjects in either increasing or decreasing heart rate. Various cognitive strategies employed by subjects in controlling their heart rates are discussed.In Phase 2, subjects in a stress condition were told that they would receive a series of painful electric shocks, whereas subjects in a no stress condition were not told about shocks. All subjects were instructed to try to decrease their heart rates during the “shock” period. Heart rate and self report data revealed that (a) the manipulation was successful in increasing stress, and (b) previous training in decreasing heart rate, with or without biofeedback, did not aid subjects in decreasing their heart rates in the face of the stress.     

Perceived difficulty,energization, and the magnitude of goal valence

This paper examines the proposition that the mobilization of energy and consequent magnitude of valence of a potential outcome (e.g., goal) is a function of what the individual perceives can and must be done in order to attain or avoid the outcome. An outcome that is difficult to attain or avoid requires a relatively high level of energization and will be relatively attractive, if positive, or unpleasant, if negative. Outcomes that are easy or impossible to attain or avoid require little or no energization and will be relatively low in attractiveness, if positive, or low in unpleasantness, if negative. This formulation was supported by four experiments that demonstrated (a) attractiveness of a goal is a nonmonotonic function of perceived difficulty of attaining it; (b) unpleasantness of a potential negative outcome is a nonmonotonic function of perceived difficulty of avoiding it; (c) the nonmonotonic effect of perceived difficulty on goal attractiveness disappears once instrumental behavior has been completed; and (d) the nonmonotonic effect of perceived difficulty on unpleasantness of a potential negative outcome occurs in immediate but not distant anticipation of initiating instrumental behavior. Alternative explanations, theoretical problems, and implications are discussed.     

A model of cognitive development across the life span

A model of cognitive development across the life span was proposed. A distinction was drawn between an individual's unexercised potential, which refers to the level of performance that would be expected if the individual had no exercise and/or training on the ability in question, and an individual's optimally-exercised potential, which refers to the level of performance that would be expected if the individual had optimal exercise and training. Both unexercised and optimally-exercised potential levels were proposed to increase with age up to early adulthood and decrease gradually thereafter. The region between the two types of potential, which was also suggested to increase during childhood and decrease during later adulthood, indicates the extent to which exercise and/or training can affect performance. This model was shown to be consistent with a number of different types of empirical findings.     

Anxiety management and applied relaxation in reducing general anxiety

Sixty-three generally anxious subjects were assigned to anxiety management training, applied relaxation training, relaxation-only, placebo and untreated control conditions. After 6 weeks of treatment, anxiety management training led to reductions on a variety of self-report measures of state and trait anxiety and decreases in maladaptive cognitions during a laboratory stress procedure. On several measures, subjects in anxiety management training differed from relaxation-only and placebo subjects as well as untreated controls. However, treatment effects did not extend to performance and physiological measures of anxiety. Applied relaxation training, which in contrast to anxiety management training lacks structured rehearsal involving the recognition and reduction of tension cues during the treatment sessions, resulted in less consistent decreases in measures of general anxiety.     

Reducing stress by counterattitudinal advocacy

In one condition, subjects were made apprehensive by being threatened with shock and then were induced to publicly argue that they were not apprehensive about the situation. It was hypothesized that the subjects who were induced to advocate a position contrary to their feelings about the situation would experience dissonance. To reduce dissonance, these subjects were expected to redefine the situation as less threatening and thereby experience less apprehension regarding the situation than subjects in a control threat condition. Results of physiological measures and a postexperimental questionnaire supported the expectations. Implications of the study for psychotherapy were mentioned.     

Self-focused attention and the placebo effect: Fooling some of the people some of the time

An experiment tested the hypothesis that mirror-induced self-awareness would minimize a “placebo” effect. Some subjects were led to believe that a drug that they were about to ingest would produce arousal symptoms as a side effect. Self-aware subjects in this condition subsequently reported experiencing less arousal from the placebo, and fewer of the side effects ascribed to it, than did less self-aware subjects. Discussion centered on the implications of these findings for placebo research and implications for two common alternative interpretations of self-awareness effects.     

The effects of retention interval on preschool children's short-term memory of verbal items

The short-term recall of word-triads was tested, comparing retention over three types of intervals within 24 preschoolers. Retention was significantly lower in the 16 sec unfilled interval condition than in the immediate test condition. This result, predicted from preschoolers' rehearsal deficiency, differs from those obtained in previous adult and child studies. A filled interval condition, requiring irrelevant verbal activity during the 16 sec period, significantly reduced recall from that of the unfilled interval condition. Recognition of the word items on a subsequent recognition test was greater than chance and was not affected by interval condition. This suggests that the condition effects in short-term recall did not disrupt the long-term storage of the items.     

The effectiveness of attentional diversion and situation redefinition for reducing stress due to a nonambiguous Threat

After receiving a sample shock, subjects in a Threat Condition were told that they would receive additional painful shocks while subjects in a Nonthreat Condition were not threatened with additional shocks. Subjects in an Attentional Diversion Condition were then instructed to read and think about an amusing story, subjects in a Situation Redefinition Condition were instructed to write down reasons why they should not be afraid in this situation, and subjects in a Control Condition were not given any instructions for coping with stress. (Coping Conditions were factorially crossed with Threat Conditions and 192 subjects were employed.) Physiological measures (pulse rate, finger pulse volume, skin resistance) indicated that unlike the results of previous research, attentional diversion was effective in reducing stress but situation redefinition was not. Discussion was focused on the parameters which determine whether or not a coping strategy will be effective.     

Multiple sessions of systolic blood pressure biofeedback: Its effects on ability to control systolic pressure during training,after training,and its effects on pulse rate

Seventy-one normotensive subjects participated in four training sessions in which they were either (a) instructed to increase their blood pressure, (b) instructed to decrease their blood pressure, or (c) not instructed to change their blood pressure. The subjects either (a) were provided with biofeedback concerning systolic blood pressure or (b) were not provided with biofeedback concerning systolic blood pressure. After the last training session, subjects participated in a transfer session in which they were again instructed concerning changes in pressure but were not provided with biofeedback. Analyses conducted on data from the training and transfer sessions indicated that subjects who were instructed to increase pressure and given biofeedback to aid them showed higher pressure than subjects in other conditions and that there were no differences among those other conditions; that is, biofeedback was effective for teaching subjects to increase pressure but was not effective for teaching subjects to decrease pressure. Additional training sessions did not add to the effect achieved in the first training session. During training sessions, subjects who were instructed to increase pressure showed higher heart rates than subjects in other conditions. The results raise questions concerning the interpretation of earlier experiments that did not include no-treatment, instructions-only, and attention control conditions.     

The fantasy-reality distinction in televised violence: Modifying influences on children's aggression

Fifth-grade and kindergarten boys and girls were exposed to a violent televised episode that was introduced as a fictional portrayal (fantasy condition) or as a news broadcast (reality condition). Additional groups were given no information (no-instructional-set condition) about the violent stimulus or were not exposed to the violent episode (no-TV condition). Aggressive responses and helping responses were recorded immediately following exposure. Boys were most aggressive in the reality and no-TV conditions. They were less aggressive in the noinstructional-set condition and least aggressive in the fantasy condition. In almost direct contrast, girls were most aggressive in the fantasy and no-instructional-set conditions and least aggressive in the reality and no-TV conditions. A posteriori analyses of this interaction effect revealed that girls were less aggressive than boys in the no-TV condition and in the reality condition, but not in the fantasy condition nor the no-instructional-set condition. These effects held for both older and younger children.     

The self-serving attributional bias: Beyond self-presentation

An experiment was conducted to provide empirical support for the notion that asymmetrical causal attributions for favorable and unfavorable outcomes result from a self-serving attributional bias that occurs independently of self-presentational concerns. Subjects did either well or poorly on an ego-involving test for which their performance, attributions, and evaluations of the test were either public or private. A pattern of self-serving responses for subjects' attributions and evaluations of the test was found in the private conditions, thus providing evidence of the influence of outcome favorability on individuals' perceptions of causality. Theoretical and practical implications of these finding are discussed and suggestions for future research are offered.     

Effects of instructions and biofeedback on EEG-alpha production and the effects of EEG-alpha biofeedback training for controlling arousal in a subsequent stressful situation

In Phase One, 44 subjects participated in a 2 (instructions to increase alpha, no instructions to increase alpha) × 2 (alpha biofeedback, no alpha biofeedback) factorial experiment. Results indicated that increases in alpha production were due to instructions to increase alpha and that biofeedback had no effect on alpha production. In Phase Two, the 44 subjects from Phase One were exposed to a threat of shock whereas 11 additional subjects in a control condition were not. The design employed in Phase Two was a 2 (previous instructions and stress, no previous instructions and stress) × 2 (previous biofeedback and stress, no previous biofeedback and stress) plus 1 (no previous instructions/no previous biofeedback, no stress). Results indicated that the threat of shock was effective in increasing arousal (as measured by heart rate and skin resistance) but previous EEG-alpha biofeedback training was not effective in helping subjects decrease arousal while in the stressful situation. The results indicate that it is the instructions (and related information concerning alpha) rather than the biofeedback that is critical in alpha biofeedback training and that this training does not appear to have utility for controlling arousal under stress.     

The effect of instruction with relational and item-specific elaborative strategies on young children's organization and free recall

One hundred and sixty second-grade children were assigned on the basis of a free recall pretest to four instruction conditions and were given a series of lists of pictures for free recall. For three groups, the instructions were directed at encoding either (a) list organizational information, (b) item-specific semantic information, or (c) organizational and individual item information, while the fourth group constituted a “No-training” control with standard free recall instructions. The subjects received either related or unrelated lists during the training phase and related or unrelated lists during two post-tests, immediately following and 1 week after training. For both types of lists, instructions emphasizing list organization were more effective than those emphasizing item-specific elaboration. Subjects given individual item elaborative instructions showed levels of recall which were comparable to those of the control subjects. While the combined effect of organizational and individual item processing did not exceed the performance produced by organizational instructions alone, the degree of generalization was greater for subjects processing both kinds of information, especially when subjects received related lists during training.     

On the relationship between empathy and the actor versus observer hypothesis

Subjects listened to a tape recording of a dyadic interaction. It was predicted that the observational set instructions received by the subjects (to empathize with one member of the dyad or not to empathize with this person) would create evaluation effects similar to those created for attributions of responsibility by actor-observer differences: The actor would receive credit for his positive outcome and blame for his negative outcome more when evaluated by nonempathizing observers, and the social environment would receive credit and blame for the actor's outcomes more when evaluated by empathizing observers. The predicted three-way interaction was obtained. Additional results are discussed in terms of previous empathy research.     

The effects of instructional variables on young children's organization and free recall

The relationship between verbal instruction and children's free recall was examined. Sixty first-grade children (mean age 84 months) were trained to categorize pictures of common objects. Half were given organizational instructions emphasizing categorization, and half were given instructions emphasizing the individual objects. Similarly, half were given detailed verbal instructions and encouraged to listen, and half were taught using a question type format that encouraged participation. Immediately and after a 2- to 3-week delay, children who were shown an organizational strategy categorized the materials during study and attained higher recall scores than children who were shown a specific strategy. After the 2- to 3-week delay, children in the explanation groups out-performed children in the question-asking groups. The child's competence as measured by intelligence and performance in school did not contribute to amount recalled when subjects were given instructions emphasizing the general strategy. However, children of high competence benefited more from specific training by recalling more items than did children of low competence. These findings point to the importance of instructional variables in studying changes in children's processing capabilities.