Brief Acceptance and Commitment Therapy and Exposure for Panic Disorder: A Pilot Study

Cognitive and biobehavioral coping skills are central to psychosocial therapies and are taught to facilitate and improve exposure therapy. While traditional coping skills are aimed at controlling maladaptive thoughts or dysregulations in physiology, newer approaches that explore acceptance, defusion, and values-based direction have been gaining interest. Acceptance and Commitment Therapy (ACT) involves creating an open, nonjudgmental stance toward whatever thoughts, feelings, and bodily sensations arise in a given moment, experiencing them for what they are, and moving toward them while inner experiences such as anxiety are present. This approach can be seen as consistent with exposure therapies and may be utilized to organize and facilitate engagement in exposure exercises. This study examines the feasibility and efficacy for combining a brief ACT protocol with traditional exposure therapy. Eleven patients with panic disorder with or without agoraphobia received 4 sessions of ACT followed by 6 sessions of exposure therapy, with data collected on a weekly basis. Acquisition of ACT skills and their application during exposure was monitored using a novel “think-aloud” technology. Treatment was associated with clinically significant improvements in panic symptom severity, willingness to allow inner experiences to occur, and reductions in avoidant behavior. Although preliminary, results suggest that our brief training in ACT only (as assessed prior to exposure exercises) and in combination with exposure therapy was acceptable to patients and offered benefits on the order of large effect sizes. Clinical and research implications are discussed.     

The role of optimism and pessimism in chronic pain patients adjustment

This study analyses the relationships between patients' dispositional optimism and pessimism and the coping strategies they use. In addition, the coping strategies repercussions on adjustment to chronic pain were studied. Ninety-eight patients with heterogeneous chronic pain participated. The assessment tools were as follows: Life Orientation Test (LOT), the Vanderbilt Pain Management Inventory (VPMI), the McGill Pain Questionnaire (MPQ), Hospital Anxiety and Depression Scale (HADS), and the Impairment and Functioning Inventory for Chronic Pain Patients (IFI). The hypothetical model establishes positive relationships between optimism and the use of active coping strategies, whereas pessimism is related to the use of passive coping. Active coping is associated with low levels of pain, anxiety, depression and impairment and high levels of functioning. However, passive coping is related to high levels of pain, anxiety, depression and impairment and low levels of functioning. The hypothetical model was empirically tested using the LISREL 8.20 software package and the unweighted least squares method. The results support the hypotheses formulated regarding the relations among optimism, pessimism, coping and adjust of chronic pain patients. By analysing optimism among chronic pain patients, clinicians could make better predictions regarding coping and adjustment.     

Different recognition cues reveal the decision rules used for egg rejection by hosts of a variably mimetic avian brood parasite

Brood parasitism imposes several fitness costs on the host species. To reduce these costs, hosts of avian brood parasites have evolved various defenses, of which egg rejection is the most prevalent. In the face of variable host-parasite mimicry and the costs of egg discrimination itself, many hosts reject only some foreign eggs. Here, we experimentally varied the recognition cues to study the underlying cognitive mechanisms used by the Chalk-browed Mockingbird (Mimus saturninus) to reject the white immaculate eggs laid by the parasitic Shiny Cowbird (Molothrus bonariensis). Immaculate eggs are the only parasite eggs rejected by this host, as it accepts all polymorphic, spotted eggs laid by cowbirds. Using a within-breeding pair experimental design, we tested for the salience of spotting, UV reflectance, and brightness in eliciting rejection. We found that the presence of spotting significantly decreased the probability of rejection while increments in brightness significantly increased rejection frequencies. The cognitive rules underlying mockingbird rejection behavior can be explained by a decision-making model which predicts changes in the levels of rejection in direct relation to the number of relevant attributes shared between host and parasite eggs.     

The Effect of Mental Practice and Goal Setting as a Transfer of Training Intervention on Supervisors' Self-efficacy and Communication Skills: An Exploratory Study

Mental practice, where goal setting was either implicit or explicit, was investigated in a pulp and paper mill as a post-training intervention with regard to self-efficacy and the transfer of newly taught communication skills to the work setting. Six months after the supervisors had been trained, a 2×2 ANCOVA showed that self-efficacy was significantly higher for the supervisors who engaged in either mental practice or in mental practice combined with goal setting than for those in the goal setting only or control conditions. Self-efficacy correlated significantly with goal commitment and communication skills on the job. Hierarchical regression analysis indicated that the supervisor's imagery skills moderated the effect of mental practice on self-efficacy. Both the supervisors in the mental practice and in the goal setting and mental practice conditions were observed by peers to have improved their communication behaviour on the job. No change in communication behaviour was observed on the part of supervisors who set goals but did not engage in mental practice or were assigned to the control group.     

The effects of young children's affiliations with prosocial peers on subsequent emotionality in peer interactions

Preschoolers’ (60 boys and 64 girls, M age = 50.73 months) affiliations with prosocial peers were observed in naturally occurring interactions and then examined in relation to positive and negative emotionality within their peer interactions one semester later. Greater affiliation with prosocial peers in the fall was related to enhanced positive emotionality (especially for girls) and decreased negative emotionality (especially for boys) in later peer interactions. These findings held when initial levels of the emotion were controlled and were found above and beyond variations in classroom levels of prosociality. The findings suggest that peers exert influence in early childhood and that these effects can positively affect the quality of young children's later peer interactions.     

Alien worlds,alien laws,and the Humean conceivability argument

Monism is our name for a range of views according to which the connection between dispositions and their categorical bases is intimate and necessary, or on which there are no categorical bases at all. In contrast, Dualist views hold that the connection between dispositions and their categorical bases is distant and contingent. This paper is a defence of Monism against an influential conceivability argument in favour of Dualism. The argument suggests that the apparent possibility of causal behaviour coming apart from categorical bases is best explained by Dualism. We argue that Monism can explain the apparent possibility as well, if we take metaphysically alien laws – namely, laws whose metaphysical nature is alien to the actual world – into account.     

The Effect of Verbal Self-Guidance Training for Overcoming Employment Barriers: A Study of Turkish Women

Women over the age of 40 were trained in verbal self guidance, a methodology for training people to identify dysfunctional self-statements and translate them into positive self-talk. Subsequently, they ( n = 27) had significantly higher self-efficacy with regard to re-employment than their counterparts who had been randomly assigned to a control group ( n = 28). In addition, they persisted in job search behavior significantly more so than those in the control group. Job search self-efficacy completely mediated the effect of the training program on job search behavior. Consequently, they were more likely to find a job in their area of interest within 6 months and 1 year of training than were those women in the control group.
Des femmes de plus de 40 ans d'une société musulmane, ont été formées à l'auto-régulation verbale, une méthode pour former les personnes à identifier les auto-évaluations dysfonctionnelles et à les traduire en un dialogue intérieur positif. En conséquence, elles ( n = 27) ont une auto-efficacité significativement plus élevée en ce qui concerne le retour à l'emploi que leurs homologues du groupe contrôle ( n = 28). De plus, elles persistent significativement plus dans le comportement de recherche d'emploi que celles du groupe contrôle. L'auto-efficacité dans la recherche d'emploi influence complètement l'effet du programme de formation sur le comportement de recherche d'emploi. En conséquence, elles étaient plus susceptibles de trouver un emploi en accord avec leur centre d'intérêts en moins de 6 mois et 1 an de formation que les femmes du groupe contrôle.