The impact of visual flow stimulation on anxiety, dizziness, and body sway in individuals with and without fear of heights

Individuals with acrophobia experience anxiety and dizziness when exposed to heights. It may be that their balance system is disturbed and that they therefore have to rely more strongly on visual information.We tested this hypothesis by exposing 20 individuals with high fear of heights and 20 healthy control participants to nine different visual flow stimuli through a head mounted display, thereby inducing a conflict between visual input and somatosensory information. Anxiety and dizziness were assessed repeatedly by means of self-reports, while resultant body sway was measured continuously with a force plate individuals stood on.Individuals with fear of heights felt more anxious and dizzier, and also showed stronger body sway than healthy control participants.Merely receiving visual balance information contradictory to somatosensory balance information is sufficient to induce anxiety, dizziness, and body sway in individuals with fear of heights. An underlying balance dysfunction may contribute to the development of height phobia.     

Cognitions and courage in the avoidance behavior of acrophobics.

Fifty subjects (29 fearless and 21 fearful) were tested in a potentially acrophobia-inducing situation, and their avoidance behavior and self-reported fear were noted. Subjects also completed various scales intended to measure their fearfulness and thoughts in hypothetical height-phobic, social-phobic and nonphobic situations. Interviews conducted immediately after the behavioral test, evaluated their thinking, fearfulness and tactics designed to deal with any fear they experienced. Analyses indicated that catastrophic thinking is more evident than irrational thinking in height situations and that such thinking was the best predictor of behavior among the measures used. The results are discussed in terms of their relevance for cognitive views of acrophobia and in terms of their relevance for treatment.     

Augmenting In Vivo Exposure With Fear Antagonistic Actions: A Preliminary Test

The current study investigated the efficacy of an exposure augmentation strategy in which the phobic individual is encouraged to enact actions that are in direct opposition to the fear action tendencies associated with acrophobia. Participants (N = 88) meeting DSM-IV criteria for specific phobia (acrophobia) were randomized to (a) exposure with oppositional actions (E + OA), (b) exposure only (EO), (c) a credible placebo consisting of pulsed audio-photic stimulation (APS), or (d) a waitlist control (WLC). Treatment consisted of six, 6-min exposure trials. Participants were assessed with questionnaire, behavioral, and physiologic measures at pre- and posttreatment, and at a 1-month follow-up session. Participants receiving E + OA showed significantly greater improvement on behavioral and questionnaire measures than those in the other 3 conditions at both posttreatment and follow-up. Further, whereas treatment improvement generalized to an untrained context for those receiving E + OA, such was not the case for EO- and APS-treated participants. Findings suggest augmenting exposure with oppositional actions may enhance treatment outcome and thus warrant additional investigation with clinical samples.     

Virtual reality treatment versus exposure in vivo: a comparative evaluation in acrophobia

The aim of the present study was to evaluate the effectiveness of low-budget virtual reality (VR) exposure versus exposure in vivo in a between-group design in 33 patients suffering from acrophobia. The virtual environments used in treatment were exactly copied from the real environments used in the exposure in vivo program. VR exposure was found to be as effective as exposure in vivo on anxiety and avoidance as measured with the Acrophobia Questionnaire (AQ), the Attitude Towards Heights Questionnaire (ATHQ) and the Behavioral Avoidance Test (BAT). Results were maintained up to six months follow-up. The present study shows that VR exposure can be effective with relatively cheap hardware and software on stand-alone computers currently on the market. Further studies into the effectiveness of VR exposure are recommended in other clinical groups as agoraphobics and social phobics and studies in which VR exposure is compared with more emerging virtual worlds as presented in CAVE-type systems.     

Treatment of acrophobia in virtual reality: the role of immersion and presence

In this study the effects of virtual reality exposure therapy (VRET) were investigated in patients with acrophobia. Feelings of presence in VRET were systematically varied by using either a head-mounted display (HMD) (low presence) or a computer automatic virtual environment (CAVE) (high presence). VRET in general was found to be more effective than no treatment. No differences were found in effectiveness between VRET using an HMD or CAVE. Results were maintained at 6 months follow-up. Results of VRET were comparable with those of exposure in vivo (Cyberpsychology and Behavior 4 (2001) 335). In treatment completers no relationship was found between presence and anxiety. Early drop-outs experienced less acrophobic complaints and psychopathology in general at pre-test. They also experienced less presence and anxiety in the virtual environment used in session one as compared to patients that completed VRET.     

Differences in learning between hyperprolinemic mice and their congenic controls

These experiments expanded earlier work on hyperprolinemic mice which showed learning deficits. The following behavioral tasks were used: step-through, passive avoidance; T-maze acquisition; shuttlebox acquisition, and radial-arm maze. Mouse species included PRO/Re-bb (genetically hyperprolinemic mice) and PRO/Re-aa (congenic nonhyperprolinemic controls) obtained from the Jackson Breeding Laboratories. Hyperprolinemic mice were impaired in acquiring T-maze and shuttlebox footshock avoidance behavior. One-trial passive avoidance behavior did not clearly differentiate between the groups. Radial maze performance was poor in both groups due possibly to observed acrophobia and lack of exploratory behavior. The results of this study combined with previously published work suggest that high-brain proline in conjunction with other amino acid changes account for the learning deficits.     

Do self-statements enhance the effectiveness of virtual reality exposure therapy? A comparative evaluation in acrophobia.

There is a clear need for more detailed analysis of the role of cognitive self-statements in virtual reality exposure therapy (VRET). To date, no research on this topic has been done. The primary aim of this study was to investigate whether coping self-statements would enhance the effectiveness of VRET. In a randomized crossover design, 26 patients with acrophobia (DSM-IV diagnosis of specific phobia) were randomly assigned to two sessions of VRET followed by two sessions of VRET plus coping self-statements, or the other way around: first two sessions of VRET plus coping self-statements followed by two sessions of VRET. Results showed that VRET, regardless of addition of coping self-statements, decreased anxiety of heights, decreased avoidance of height situations, and improved attitudes towards heights. However, at 6-month follow-up, most gains during treatment were not fully retained.     

An investigation of various performance-based treatments with acrophobics

Five different performance-based treatments (participant modeling, participant modeling without therapist physical contact, modeling plus exposure, therapist-controlled exposure in vivo and rationale only) were compared to evaluate their relative effectiveness in the treatment of acrophobia. Ten subjects were assigned to each of the five groups. Avoidance behavior was assessed using a behavior test, self-report fear measures, heart-rate and self-efficacy expectation measures. Subjects were first submitted to two behavioral approach tests. These two pre-tests were administered 1 week apart, and no significant differences occurred between the evaluations. Analyses of variance for repeated measures at pre-test. post-test and follow-up revealed a significant improvement on all main outcome measures for the five groups. No significant differences among groups were observed. The total treatment time, which was also used as a dependent measure, did not yield any significant differences among treatment conditions. These findings have many implications. For instance, the need for induction aids, such as physical contact with the therapist and modeling, is questioned. Also, exposure per se whether therapist or self-controlled is shown to be effective in reducing avoidance behavior. Finally, the theoretical and clinical implications of these results are discussed.     

Self-directed desensitization for acrophobia

Acrophobic outpatients received therapist- or self-directed (tape-recorded) desensitization in a study of (a) treatment effectiveness with diminished therapist contact ; (b) subject characteristics ‘predicting’ outcome; and (c) generalization of change. At Post-test, treated Ss (N=16) had improved significantly more than Waiting List Ss (N=13) on self-report measures of acrophobia and general anxiety, while the treatment methods were equally effective. An 8-month follow-up found that self-directed Ss had attempted more specific behavioral situations than therapist-directed Ss, and showed additional gains on self-report measures while therapist-directed Ss maintained post-test levels. Results suggested: (a) desensitization provides effective treatment even with reduced therapist contact; (b) some subject characteristics relate to outcome and (c) treatment effects generalize to other anxiety indices.     

Symbiosis,Empathy, Suicidal Behavior,and the Family

ABSTRACT: This paper discusses the theoretical concept of symbiosis, as described by Mahler and her co-workers, and its clinical applications in suicidal situations. Symbiosis is defined as both a developmental phase characterized by a lack of differentiation between self and others and a relationship which is contingent upon the family and social network. A disturbed symbiosis is a major component in a suicide attempt. The destructive aspects of symbiosis are traced together with its relationship to empathy and the efforts to both restore and resolve a symbiotic conflict through suicidal behavior. In family therapy a repetition of older symbiotic relationships is frequently observed. These are repeated from one generation to the next in order to keep the old relationship alive. Finally, the practical implications of the concept of symbiosis for assessment and treatment are discussed.     

Constructs,inferences, and mental measurement

The ‘construct’ concept occupies a significant place in psychology and, yet its role is misunderstood. Psychologists think that theorising in the area of psychological testing involves conjuring constructs, which are operationally defined and measured via psychometric tests. However, the ‘construct’ concept is unworkable and laden with confused philosophical baggage accrued under the hegemony of logical empiricism, and its real function in psychology is obscured. Via an analysis of its history and logic, I expose its flawed conception of the relation between theoretical and observable concepts and the way in which it serves the myth of mental measurement. Finally, it is shown how the actual logic of theorising in science, which entails that theories are best inferred from relevant phenomena, not imaginatively constructed, oppugns this myth and promises to coordinate theoretical concepts with the phenomena to be explained.     

Nietzsche,intention, action

Nietzsche sometimes writes as if we are not in control—at least not in conscious control—of our actions. He seems to suggest that what we actually do is independent of our intentions. It turns out, though, that his understanding of both intention and action differs radically from most contemporary treatments of the issue. In particular, he denies that our actions are caused by their intentions, whose role is hermeneutical in a sense that this essay develops. How then is responsibility to be assigned, since its moral variety, at least, depends, on several views, on the intention with which an action is performed? Nietzsche, of course, is not interested in making attributions of moral responsibility. Still, his views on the relationship between an individual action, its intention, other actions by its agent, and the agent's character, as this essay presents them, provide a reasonable account of action generally and a different, broader account of responsibility for oneself.     

Race,Caste, and Christianity

Race and caste are two important historical and social categories that had a significant role during the European colonial period and in the colonies. Christian missionary activities during the colonial period often colluded with the colonial institutions in perpetuating certain accepted worldviews that benefited the colonial authorities. The central argument of this paper is to highlight the impact of a racialized worldview that was prevalent among European colonial powers, its transmission to the colonial context, and its continuing social legacy within Christianity. This paper, through a post-colonial analysis of British mission history and its work in a South Asian context, raises some pertinent questions regarding the tacit role of race and caste in the Christianizing mission. It also argues the need for careful post-colonial analysis of mission practices to challenge reactivation of entrenched structures of discrimination and prejudice.     

Ontology,Ontologies, and Science

Philosophers frequently struggle with the relation of metaphysics to the everyday world, with its practical value, and with its relation to empirical science. This paper distinguishes several different models of the relation between philosophical ontology and applied (scientific) ontology that have been advanced in the history of philosopy. Adoption of a strong participation model for the philosophical ontologist in science is urged, and requirements and consequences of the participation model are explored. This approach provides both a principled view and justification of the role of the philosophical ontologist in contemporary empirical science as well as guidelines for integrating philosophers and philosophical contributions into the practice of science.     

Empiricism,metaphysics, and voluntarism

This paper makes three points: First, empiricism as a stance is problematic unless criteria for evaluating the stance are provided. Second, Van Fraassen conceives of the empiricist stance as receiving its content, at least in part, from the rejection of metaphysics. But the rejection of metaphysics seems to presuppose for its justification the very empiricist doctrine Van Fraassen intends to replace with the empiricist stance. Third, while I agree with Van Fraassen’s endorsement of voluntarism, I raise doubts about the possibility of defending voluntarism without engaging in the kind of metaphysics Van Fraassen rejects.     

TWINNING, INORGANIC REPLACEMENT, AND THE ORGANISM VIEW

In explicating his version of the Organism View, Eric Olson argues that you begin to exist only after twinning is no longer possible and that you cannot survive a process of inorganic replacement. Assuming the correctness of the Organism View, but pace Olson, I argue in this paper that the Organism View does not require that you believe either proposition. The claim I shall make about twinning helps to advance a debate that currently divides defenders of the Organism View, while the claim I shall make about inorganic replacement will help to put the Organism View on a par with its rival views by allowing it to accommodate a plausible intuition that its rivals can accommodate, namely, the intuition that you can survive a process of inorganic replacement. Both claims, I shall also argue, are important for those who are interested in the identity condition of a human organism, even if they do not hold the view that you are essentially an organism.     

Affect,perceptual experience,and disclosure

A prominent number of contemporary theories of emotional experience—understood as occurrent, phenomenally conscious episodes of emotions with an affective character that are evaluatively directed towards particular objects or states of affairs—are motivated by the claim that phenomenally conscious affective experience, when appropriate, grants us epistemic access not merely to features of the experience but also to features of the object of experience, namely its value. I call this the claim of affect as a disclosure of value. The aim of this paper is to clarify the sort of assumptions about experience that we ought to avoid if we want to be able to argue that for the claim of affect as a disclosure of value. There are two core arguments in this paper. First, I argue that Mark Johnston’s account of affect as a disclosure of value, due to its naïve realist commitments, relapses into a position that is vulnerable to the same objection put forward by some naïve realists against intentionalist accounts of perceptual experience. Second, I argue that Michelle Montague’s account, due to its phenomenal intentionalist commitments, relapses into a position that is vulnerable to the same objections put forward against qualia theories of the phenomenal character of perceptual experience. The upshot of the paper is that the core assumptions embedded in the three dominant models of experience—namely naïve realism, different versions of intentionalism, and qualia theory—are problematic as found in contemporary accounts of affect as a disclosure of value.     

Texture and motion spreading,the aperture problem,and transparency

When a cross of either static or moving texture is inserted in the intersection of an Ehrenstein figure, we find that the texture and its motion appear to spread outside of the cross. We suggest that these phenomena are analogous to neon color spreading, wherein an interpretation of a transparent surface makes the properties of that surface, which are physically visible only inside the cross, appear to spread over its apparent extent. In our experiments, the texture and the motion of the cross are attributed to the transparent surface. In addition, the spreading changes the apparent aperture within which the texture and its motion are seen, leading to a corresponding change in the apparent direction of motion.