Chest pain without coronary artery disease: An exploratory comparison with panic disorder

Recent reports have indicated similarities between patients with persistent chest pain of nonorganic origin and patients with panic disorder. In order to explore this association further, we administered a structured interview and three self-report measures (State-Trait Inventory, Beck Depression Inventory, and SCL90-R) to three subject groups: (1) a sample with persistent chest pain (CP; n=14) who had been screened and found to have normal coronary arteries, (2) a sample of patients with panic disorder (PD; n=14), and (3) a sample of matched normals (n=14). CP patients were considered to be free of coronary artery disease (CAD) following normal cardiac catheterization and/or normal thallium stress tests and were not diagnosed initially with panic disorder. PD patients were diagnosed with a standardized psychiatric interview and were free of organic causes of panic. Using an exploratory data analytic approach, the results indicated that both CP and PD samples reported increased levels of state and trait anxiety (p <.0001), depression (p <.01), and somatization (p <.0001) compared with normals. CP patients differed from PD patients in their less frequent use of anxiolytic medication (p <.01) and lower levels of reported panic anxiety and phobic avoidance (p <.0001). These data suggest that persistent chest pain in the absence of CAD shares some features with panic disorder, yet differs from panic in key ways as well. The results are discussed in light of the role of anxiety in contributing to symptom labeling.This research was supported by Grant 86G-491 from the American Heart Association, Texas Affiliate, to J.G.B. H.T. is the recipient of USPHS Research Career Development Award K04-HL-0122246.     

The impact of drug screening on selection decisions

This paper discusses the use of drug screening for employee selection decisions. Common methods of drug screening are described, and a recent study of drug screening accuracy is summarized. It is argued that drug screening is subject to the same standards as are other selection procedures, and that human resource professionals must assume responsibility for understanding the potential problems associated with drug screening. Issues relevant to determining the benefits of drug screening are discussed, and an illustration of the impact of drug screening on decision accuracy is presented. It is suggested that, in many instances, the value of drug screening in the selection process may be low enough to warrant serious concern. Implications for human resource research and practice are noted.An earlier version of this paper was presented at the 95th Annual Convention of the American Psychological Association in New York; August 31, 1987. The authors would like to thank Michael Bramel for his assistance in locating and summarizing some of the medical literature cited, and two anonymous reviewers for their helpful comments.     

Frequency analysis of electromyographically measured covert speech behavior

Eleven subjects were asked to silently read slides of the letters “P” and “T,” and to view meaningless control slides similarly as they were presented visually. One-eighth-second electromyographic excerpts were sampled from the baseline and response periods. The data were then transformed into the frequency domain for inferential analyses. The mean power spectral frequencies for the response period were significantly lower than those for the base-line in the overall analysis. There were, however, no significant changes from baseline as a function of kind of stimulus (T, P, or Control) or muscle activated (lips or tongue). It was concluded that there was a generalized responding, not unique to the processing of the specific stimuli studied. Frequency analysis of EMG measures of covert behavior holds some promise of yielding unique information not available through traditional analysis procedures, but more sensitive methods than those used here would be required to demonstrate this.     

ACQUISITION,GENERALIZATION, AND MAINTENANCE OF QUESTION-ANSWERING SKILLS IN AUTISTIC CHILDREN

We conducted an investigation to evaluate the effects of a training strategy for teaching autistic students generalized responses to three forms of wh— questions (what, how, and why). Students were taught, using modeling and reinforcement procedures, to answer questions with magazine pictures as the referents. Each question form was divided into two or more subcomponents reflective of common social usage and was taught within the context of a modified multiple probe design across subcomponents. Following acquisition of each subcomponent, generalization to natural context and storybook questions was assessed; additional probes were conducted to assess responding over time and whether acquisition of responses to questions promoted question-asking skills. Results showed that the picture training procedure was effective in teaching a generalized response to questions for which the relevant cue was visible, whereas specific generalization programming was required for situations in which the relevant cue was not visible. All acquired responses were durable over time.     

Counting On Blood Donors: Increasing the Impact of Reminder Calls

Two experiments were conducted to see if blood drive attendance could be increased by altering the content of reminder calls. In Experiment 1 college students received either a standard reminder (the place, time, and necessity of eating beforehand) or a commitment-enhancing reminder in which they agreed to be "counted on". Those in the latter condition were significantly more likely (p <.007) to attend a blood drive. Experiment 2 demonstrated that an alternate wording for the commitment-enhancing message was possible; that a verbal response was necessary to ensure the commitment; and that a message enhancing altruism was not as effective. The studies suggest that asking for an additional commitment during a reminder call can appreciably increase blood drive participation rates.     

Reviews

H enderson , J oseph L. Cultural Attitudes in Psychological Perspective
C arotenuto , A ldo . The Vertical Labyrinth: Individuation in Jungian Psychology
K ugelmann , R obert . The Windows of Soul: Psychological Physiology of the Human Eye and Primary Glaucoma
D ryden , W indy (ed.). Individual Therapy in Britain
W elch , J ohn . Spiritual Pilgrims: Carl Jung and Teresa of Avila
T omlin , E. W. F. Psyche, Culture and the New Science: The Role of PN     

Spiritual support for caregivers of dementia patients

Dementia is considered the major psychiatric disorder of old age and affects over 4 million people in the United States. As Alzheimer's disease and other dementias progress, the patient can become increasingly dependent on the family for care. This dependency can place the caregiver in a role that is both difficult and demanding. In this study coping strategies used by family caregivers of dementia patients and caregivers' sense of burden were assessed. Burden scores were significantly correlated with spiritual support, an external coping strategy. When spiritual well-being is integrated with medical and psychosocial needs, the clergy and spiritual community can play an integral role in the care for families and dementia patients.     

Catastrophe theory applications in clinical psychology: A review

Catastrophe theory is a new mathematical science that permits some insight into the way in which sudden changes or discontinuities of behavior may occur even though the underlying causative forces are essentially continuous. This article aims to present a nonmathematician’s view of catastrophe applications in clinical psychology. Areas covered include anorexia nervosa, binge eating and drinking, affective disorders, schizophrenia, aggressiveness, and prison disturbances. Where appropriate, therapeutic implications and possible physiological correlates are offered. Examples are given of catastrophe theory’s ability to explain previously inexplicable findings. Attention is drawn to its refutability and predictive value, and hence its scientific respectability.     

Time perception and attention: The effects of prospective versus retrospective paradigms and task demands on perceived duration

This research was designed to compare time judgments obtained under prospective conditions (in which subjects are instructed to attend to time) and retrospective conditions (in which subjects are unaware that they will be required to judge time). In Experiment 1, subjects prospectively or retrospectively judged the duration of intervals spent performing a perceptual-motor task at different levels of difficulty. The results showed that subjects tested under both research paradigms tended to give increasingly shorter and/or more inaccurate time judgments with increases in nontemporal task demands. Experiment 2 was designed to test the effects of attentional deployment on perceived time by comparing prospective and retrospective judgments under control, selective attention, and divided attention conditions. Both types of time judgments became increasingly inaccurate as attention was more broadly deployed. The results of these experiments are consistent with an attentional allocation model, and they suggest that nontemporal task demands disrupt or interfere with timing in both prospective and retrospective situations.