Cognitive-behavioural interventions in a patient with an anxiety disorder related to diabetes

This study extends the data on the efficacy of cognitive interventions for patients with chronic medical problems and describes the case of a 37-year-old woman with an anxiety disorder related to diabetes. The effects on panic frequency, use of safety behaviour and related beliefs were investigated after the introduction of two main cognitive-behavioral interventions. The results are consistent with predictions from the cognitive model of panic. This case demonstrates the usefulness of directly challenging the 'meaning' of the feared situation in order to produce clinically significant improvements in the management of physical disease.     

Australian lawyers' views on competency issues in older adults

Lawyers are often called upon by their older clients to draft contracts, make up wills or powers of attorney, or provide other forms of legal advice or service. With the increasing numbers of older people in the population, the numbers of older clients for legal practitioners is likely to increase. Older people are also at increased risk for impaired cognitive processes that can affect their ability to make reasoned judgements in civil contracts and other legal arrangements. Here we report on the results of a survey of 302 Australian solicitors as to their experience and practices in determining the capacity of older clients to make legal decisions. The responses, reflecting a 20.7% return rate, showed a wide range of experience in conducting capacity assessments, with a mean of 15.7 years (SD = 10.59). There was a very wide range of practices in determining capacity with no consensus. The most frequent form of questions older clients were asked related to personal and family history. Less than one-quarter asked for the rationale of the decision: the most appropriate form of question in the literature. The results suggest a need for further training of solicitors in the assessment of the capacity of older clients to make legal decisions.     

Functional analysis and treatment of inappropriate sexual behavior

The results of a functional analysis showed that inappropriate sexual behaviors exhibited by a 9-year-old boy who had been diagnosed with traumatic brain injury were maintained by positive reinforcement in the form of social attention. An intervention consisting of functional communication training and extinction resulted in reduced levels of inappropriate sexual behaviors.     

Put your money where your mouth is! Explaining collective action tendencies through group-based anger and group efficacy

Insights from appraisal theories of emotion are used to integrate elements of theories on collective action. Three experiments with disadvantaged groups systematically manipulated procedural fairness (Study 1), emotional social support (Study 2), and instrumental social support (Study 3) to examine their effects on collective action tendencies through group-based anger and group efficacy. Results of structural equation modeling showed that procedural fairness and emotional social support affected the group-based anger pathway (reflecting emotion-focused coping), whereas instrumental social support affected the group efficacy pathway (reflecting problem-focused coping), constituting 2 distinct pathways to collective action tendencies. Analyses of the means suggest that collective action tendencies become stronger the more fellow group members "put their money where their mouth is." The authors discuss how their dual pathway model integrates and extends elements of current approaches to collective action.     

Attitude formation through exploration: valence asymmetries

The formation of attitudes toward novel objects was examined as a function of exploratory behavior. An initial experiment, in which participants played a computer game that required them to learn which stimuli, when sampled, produced favorable or unfavorable outcomes, demonstrated learning, attitude formation, and generalization to novel objects. The findings also revealed 2 interesting valence asymmetries: a learning asymmetry involving better learning for negatively valenced than positively valenced objects and a generalization asymmetry involving stronger generalization as a function of negative than of positive attitudes. Findings from 4 experiments led to an explanation of the learning asymmetry in terms of information gain being contingent on approach behavior and related the generalization asymmetry to a negativity bias that weighs resemblance to a known negative more heavily than resemblance to a positive.     

Shame Conflicts as Dream Instigators: Wish Fulfillment and the Ego Ideal in Dream Dynamics

Understanding of the instigatory dynamics of the dream is essential to the understanding of the dream as a fulfilled wish. Both the meaning and the function of the dream can be understood only in relation to the instigating disruption that drives the dream into being. It is the instigator of the dream that connects the working of the inner world with events in the external world. The literature on the process of dream instigation is scant, still deriving from Freud's metaphor of "capitalist and entrepreneur." Hidden shame conflicts that react to the dreamer's anticipation of danger of exposure and shame are significant factors in the instigation of the dream. Clinical material in support of this view is presented in the form of a verbatim session that included a dream.     

An MMPI-2 scale to identify reported history of emotional abuse

A 42-item MMPI-2 scale classified 97.5% of 201 clinic outpatients into groups reporting or not reporting prior emotional abuse.     

Task-effector asymmetries in a rhythmic continuation task

Variability in rhythmic movements has been interpreted as a signature of internal or peripheral noise processes. Grounded in an oscillator interpretation, this study hypothesized that period variability and drift arises from the asymmetry between target period and the limb's intrinsic dynamics. Participants synchronized to 7 target periods, swinging 1 of 3 pendulums in a continuation paradigm; 3 periods were longer, 3 shorter, and 1 identical to the preferred period. Results supported 5 predictions: Drift toward the preferred period was observed that scaled with the asymmetry. Variability was lowest for symmetry conditions and increased with the asymmetry. Variability decreased concomitant with the approach toward the preferred period. Periods exponentially approached the preferred period with positive autocorrelations up to 10 cycles.     

Dynamical concurrent schedules

Previous work on the matching law has predominantly focused on the molar effects of the contingency by examining only one reinforcer ratio for extended periods. Responses are distributed as a function of reinforcer ratios under these static conditions. But the outcome under a dynamic condition in which reinforcer ratios change continuously has not been determined. The present study implemented concurrent variable-interval schedules that changed continuously across a fixed 5-min trial. The schedules were reciprocally interlocked. The variable interval for one key changed continuously from a variable-interval 15-s to a variable-interval 480-s, while the schedule for the other key changed from a variable-interval 480-s to a variable-interval 15-s. This dynamical concurrent schedule shifted behavior in the direction of matching response ratios to reinforcer ratios. Sensitivities derived from the generalized matching law were approximately 0.62, the mean absolute bias was approximately 0.11, and r2s were approximately 0.86. It was concluded that choice behavior can come to adapt to reinforcer ratios that change continuously over a relatively short time and that this change does not require extensive experience with a fixed reinforcer ratio. The results were seen as supportive of the view that all behavior constitutes choice.