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 ethnicity,nationality, counseling orientation,and mental health standards on stereotypic beliefs about women: A pilot study

People vary in the extent to which they hold stereotypic beliefs about women. The recently developed Beliefs About Women Scale (BAWS) was used in five investigations to examine the following aspects of people's stereotypic beliefs about women: (Study I) the impact of ethnicity (Hispanics and Anglos) on women's endorsement of traditional beliefs about women; (Study II) the impact of national culture (Mexico and the United States) on women's responses to the BAWS; (Study III) the extent to which U.S. women define women's and men's mental health in terms of stereotypic beliefs about women; (Study IV) the extent to which preferences for counseling orientation influence the beliefs about women attributed to mentally healthy women and men; and (Study V) the impact of national culture (Mexico and the United States) on the beliefs about women ascribed to mentally healthy women and men. The results indicated that (a) U.S. Anglo females disagreed more strongly with traditional beliefs about women than did U.S. Hispanic females; (b) U.S. women expressed greater agreement with traditional stereotypes about women's interpersonal abilities and greater disagreement with traditional stereotypes about women's personal competencies than did women from Mexico; (c) the beliefs about women held by U.S. psychology trainees, and the beliefs about women that they attributed to mentally healthy females, were more nontraditional than those that they attributed to mentally healthy males; (d) particular counseling preferences were associated with the stereotypic beliefs about women that female counseling trainees imputed to mentally healthy males and females; and (e) similarities and differences exist on the beliefs about women that female psychology trainees from the United States and Mexico ascribe to mentally healthy females and males. The discussion focuses on mentally healthy beliefs about women, and the implications of these findings for the delivery of mental health services to women and men from various cultures.     

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     

Three-way metric unfolding via alternating weighted least squares

Three-way unfolding was developed by DeSarbo (1978) and reported in DeSarbo and Carroll (1980, 1981) as a new model to accommodate the analysis of two-mode three-way data (e.g., nonsymmetric proximities for stimulus objects collected over time) and three-mode, three-way data (e.g., subjects rendering preference judgments for various stimuli in different usage occasions or situations). This paper presents a revised objective function and new algorithm which attempt to prevent the common type of degenerate solutions encountered in typical unfolding analysis. We begin with an introduction of the problem and a review of three-way unfolding. The three-way unfolding model, weighted objective function, and new algorithm are presented. Monte Carlo work via a fractional factorial experimental design is described investigating the effect of several data and model factors on overall algorithm performance. Finally, three applications of the methodology are reported illustrating the flexibility and robustness of the procedure.We wish to thank the editor and reviewers for their insightful comments.     

Different methods of lexical access for words presented in the left and right visual hemifields

Right-handed adults were asked to identify by name bilaterally presented words and pronounceable nonwords. For words in the normal horizontal format, word length (number of letters) affected left visual hemifield (LVF) but not right visual hemifield (RVF) performance in Experiments 1, 2, 3, 5, and 6. This finding was made for words of high and low frequency (Experiment 6) and imageability (Experiment 5). It also held across markedly different levels of overall performance (Experiments 1 and 2), and across different relative positionings of short and long words in the LVF and RVF (Experiment 3). Experiment 4 demonstrated that the variable affecting LVF performance is the number of letters in a word, not its phonological length. For pronounceable nonwords (Experiment 7) and words in unusual formats (Experiment 8), however, length affected both LVF and RVF performance. The characteristics identified for RVF performance in these experiments also hold for the normal reading system. In this (normal) system the absence of length effects for horizontally formatted words is generally taken to reflect the processes involved in lexical access. Length effects in the normal reading system are thought to arise when lexical access for unusually formatted words and for the pronunciation of nonwords requires the short-term storage of information at a graphemic level of analysis. The characteristics of LVF performance indicate that horizontally formatted words presented to the right cerebral hemisphere can only achieve lexical access by a method that requires the short-term storage of graphemic information. This qualitative difference in methods of lexical access applies regardless of whether the right hemisphere is seen as accessing words in the left hemisphere's lexicon or words in a lexicon of its own.     

Autonomy as a Source of Pro-social Influence Among Incarcerated Adolescents1

Previous research has found that greater autonomy for incarcerated adolescents is associated with pro-social outcomes. The present paper interprets the pro-social impact of autonomy in terms of three established lines of research in social psychology: leadership style, coercive social control, and reactance. In addition, it attempts to clarify whether autonomy in this setting has a direct influence on residents' values or an indirect influence resulting from an increase in residents' acceptance of the treatment goals. Data were collected by questionnaires administered to 434 residents and 156 staff members at four residential institutions for adjudicated adolescents. The data were analyzed using a structural equation model with unobserved variables (LISREL). A model positing both direct and indirect influences of autonomy fit the data very well. Autonomy contributed to pro-social values both through greater acceptance of the treatment goals as well as through a direct influence on values.