Body vigilance in nonclinical and anxiety disorder samples: structure, correlates, and prediction of health concerns

The Body Vigilance Scale (BVS) is a measure developed to assess one’s conscious attendance to internal cues. The present report investigated the structure, correlates, and predictive utility of the BVS in nonclinical (N = 442) and anxiety (N = 135) disorder samples. The findings of Study 1 suggest that the BVS is 1-dimensional in a nonclinical sample, and Study 2 replicated the factor structure of the BVS in an anxiety disorder sample. Correlations between the BVS and related (i.e., anxiety sensitivity) and unrelated (i.e., social anxiety) variables were consistent with predictions in both studies. Study 2 also showed that body vigilance is primarily elevated in patients with panic disorder relative to other anxiety disorders. Relative elevations in body vigilance were also observed for patients with hypochondriasis and generalized anxiety disorder. The BVS also demonstrated a specific association with medical utilization and health-related safety-seeking behaviors after controlling for related variables in nonclinical and anxiety disorder samples. The implications of our findings for the nature and measurement of body vigilance as a predictor of health concerns in anxiety disorders are considered.     

Reduced right hemisphere activation in severely abused violent offenders during a working memory task: An fMRI study

This study uses functional magnetic resonance imaging (fMRI) to address two important gaps in our knowledge of brain functioning and violence: (1) What are the brain correlates of adults in the community who have suffered severe physical abuse early in life and who go on to perpetrate serious violence in adulthood? (2) What characterizes those who experience severe physical abuse but who refrain from serious violence? Four groups of participants recruited from the community (controls, severe physical child abuse only, serious violence only, and severely abused, seriously violent offenders) underwent fMRI while performing a visual/verbal working memory task. Violent offenders who had suffered severe child abuse show reduced right hemisphere functioning, particularly in the right temporal cortex. Abused individuals who refrain from serious violence showed relatively lower left, but higher right, activation of the superior temporal gyrus. Abused individuals, irrespective of violence status, showed reduced cortical activation during the working memory task, especially in the left hemisphere. Brain deficits were independent of IQ, history of head injury, task performance, cognitive strategy, and mental activity during the control task. Findings constitute the first fMRI study of brain dysfunction in violent offenders, and indicate that initial right hemisphere dysfunction, when combined with the effects of severe early physical abuse, predisposes to serious violence but that relatively good right hemisphere functioning protects against violence in physically abused children. Aggr. Behav. 27:111–129, 2001. © 2001 Wiley‐Liss, Inc.     

Recognition of Facial Expressions of Emotion by Children with Emotional and Behavioral Disorders

Interpreting and responding appropriately to facial expressions of emotion are important aspects of social skills. Some children, adolescents, and adults with various psychological and psychiatric disorders recognize facial expressions less proficiently than their peers in the general population. We wished to determine if such deficits existed in a group of 133 children and adolescents with emotional and behavioral disorders (EBD). The subjects were receiving in-patient psychiatric services for at least one of substance-related disorders, adjustment disorders, anxiety disorders, mood disorders or disruptive behavior disorders. After being read stories describing various emotional reactions, all subjects were tested for their ability to recognize the 6 basic facial expressions of emotion depicted in Ekman and Friesen's (1976) normed photographs. Overall, they performed well on this task at levels comparable to those occurring in the general population. Accuracy increased with age, irrespective of gender, ethnicity, or clinical diagnosis. After adjusting for age effects, the subjects diagnosed with either adjustment disorders, mood disorders, or disruptive behavior disorders were significantly more accurate at identifying anger than those without those diagnoses. In addition, subjects with mood disorders identified sadness significantly more accurately than those without this diagnosis, although the effect was greatest with younger children.     

Ethical contexts of healing: Character and ritual

Conclusion Jesus was asked by what authority did he heal. I suggest that the authority of the healing ministry of Jesus occurred because his work was a part of the inbreaking of God's Reign, was consistent with call to covenantal obedience within the Jewish community and because his life was the incarnation of God's righteousnes. The authority of the contemporary Christian therapist is different in degree not in kind. Our authority emerges when healing occurs that is consistent with the Sermon on the Mount, when the people of God have blessed our service and when our lives approximate the ethic of the Reign of God. It is my hope that an ethic of God's Reign, a normative people and our personal character as disciples of Christ might more significantly shape the therapeutic process.This is the third article in a series published in Pastoral Psychology. The first two appeared in the previous two issues.     

Assertiveness,self-actualization,and locus of control in women

An intervention program designed to facilitate psychological growth in middle-aged women was implemented and evaluated. Specifically, the study examined the program's effects on the participants in the areas of assertiveness, externality, and self-actualization at the end of the program and five months later. The results showed significant increases in assertiveness and self-actualization in the women at the posttest and five months later. There was no change in locus of control; most of the women were internally oriented at the pretest and remained the same over time.     

Sex-related patient and therapist effects on clinical judgment

The purpose of this investigation was to submit the claim of sex-related bias in clinical judgment to more thorough empirical testing than had been the case in previous research. Patient sex and stereotypic sex-role were factorially varied in a clinical protocol that was sent with related materials to 640 sex-stratified, randomly selected Members and Fellows of APA Division 29 (Psychotherapy). Approximately 30% (N=182) of those contacted returned usable data, including information about their own sex-role traditionalism and evaluation of the hypothetical patients' psychological well-being. Results confirmed the effectiveness of the stereotypic sex-role manipulation. However, no consistent effects were found for any of the four variables of interest considered in isolation or in combination, thereby refuting allegations of covert sex-related discrimination perpetrated under the aegis of psychological appraisal. Favorableness of clinical impressions was not mediated by therapists' self-reported attitudes toward the patients. The study's generally unexpected outcome was tentatively attributed to enhanced professional sensitization to the sociocultural barriers to full psychological functioning in women.This report is based on a master's thesis written by the first author under the sponsorship of the second and submitted in partial fulfillment of the requirements for the MA degree at Vanderbilt University, 1974. The research was supported in part by the Vanderbilt University Research Council. The contributions of Stephen Amira and Joseph M. Schwartz are gratefully acknowledged.