Cognitive-behavioral treatment of agoraphobia: paradoxical intention vs self-statement training

Twenty-six agoraphobics were randomly assigned to either Paradoxical Intention (PI) or Self-Statement Training (SST) which consisted of 12 weekly 90-min group sessions with 4–5 patients per group. Major assessments were carried out at pre-treatment, 6th week and 12th week of treatment, and at 1- and 6-month follow-ups. Measures included clinical ratings of severity of condition, phobia, anxiety and depression. Furthermore, a behavioral test was administered during which changes in subjective units of discomfort and cognitions were assessed. The results indicated statistically-significant improvement over time with both treatments. ANCOVAs performed revealed superior effects on several agoraphobia measures for the PI condition at post-treatment. However, by the 6-month follow-up assessment, the groups were equivalent due to marked improvement during the follow-up phase in the SST condition. Cognitive changes were marked by a decrease in self-defeating statements without concomitant increase in coping statements. These results and recommendations for future research are discussed.     

Selective attention to multidimensional auditory stimuli

Event-related brain potentials (ERPs) elicited by multidimensional auditory stimuli were recorded from the scalp in a selective-attention task. Subjects listened to tone pips varying orthogonally between two levels each of pitch, location, and duration and responded to longer duration target stimuli having specific values of pitch and location. The discriminability of the pitch and location attributes was varied between groups. By examining the ERPs to tones that shared pitch and/or locational cues with the designated target, we inferred interrelationships among the processing of these attributes. In all groups, stimuli that failed to match the target tone in an easily discriminable cue elicited only transitory ERP signs of selective processing. Tones sharing the "easy" but not the "hard" cue with the target elicited ERPs that indicated more extensive processing, but not as extensive as stimuli sharing both cues. In addition, reaction times and ERP latencies to the designated targets were not influenced by variations in the discriminability of pitch and location. This pattern of results is consistent with parallel, self-terminating models and holistic models of processing and contradicts models specifying either serial or exhaustive parallel processing of these dimensions. Both the parallel, self-terminating models and the holistic models provide a generalized mechanism for hierarchical stimulus selections that achieve an economy of processing, an underlying goal of classic, multiple-stage theories of selective attention.     

Lateral asymmetries in electrodermal responses to nonattended stimuli: a response to Dawson and Schell

Recently, Dawson and Schell (1982) provided convincing evidence that words presented to the nonattended ear during a dichotic-listening task undergo automatic semantic analysis in the absence of intention or awareness. Because of its methodological rigor, this finding is important in the context of the long-standing controversy surrounding the preattentive processing phenomenon. However, we challenge the authors' suggestion of a right-hemisphere locus for this phenomenon. We offer a methodological basis for the findings and propose a countersuggestion of a left hemisphere, or at least bilateral, processing locus.     

Overt and covert parental conflict and adolescent problems: observed marital interaction in clinic and nonclinic families.

When adolescents behave in socially unacceptable ways, overt interparental conflict is widely held to be the cause. Empirical studies, however, have been inconsistent in supporting this assumption. Some researchers therefore have speculated that covert conflict also plays a role. In the current observational study, evidence was found that both overt parental conflict and some forms of covert conflict play roles. During problem-solving family discussions, parents of adolescents whom they had brought into an outpatient clinic for treatment overtly disagreed with each other significantly more often than did parents with adolescents who did not require treatment. Families of clinic adolescents also exhibited significantly more silence during their discussions, and mothers spent significantly less time talking than did their nonclinic counterparts. The implications that both the overt and covert conflict may have for adolescent behavior are discussed.     

Similarity ratings and confusability of lipread consonants compared with similarity ratings of auditory and orthographic stimuli.

Similarity ratings of pairs of lipread consonants were obtained using a 5-point scale. Matrices were constructed showing mean similarity ratings and confusions among stimuli. Both the similarity and the confusion data provide normative data useful for researchers in many areas. Lipread data collected here are compared with similarity ratings of orthographically and auditorily presented consonants collected by Manning (1977). These comparisons provide information about how stimulus similarity both within and between presentation formats may affect information processing of the three types of stimuli. These data are of special interest to researchers studying the visual processing of speech and the effect of format of presentation on recall.     

Responses to depression and their effects on the duration of depressive episodes.

I propose that the ways people respond to their own symptoms of depression influence the duration of these symptoms. People who engage in ruminative responses to depression, focusing on their symptoms and the possible causes and consequences of their symptoms, will show longer depressions than people who take action to distract themselves from their symptoms. Ruminative responses prolong depression because they allow the depressed mood to negatively bias thinking and interfere with instrumental behavior and problem-solving. Laboratory and field studies directly testing this theory have supported its predictions. I discuss how response styles can explain the greater likelihood of depression in women than men. Then I intergrate this response styles theory with studies of coping with discrete events. The response styles theory is compared to other theories of the duration of depression. Finally, I suggest what may help a depressed person to stop engaging in ruminative responses and how response styles for depression may develop.     

Some values guiding community research and action

The dual purposes of applied research-contributing to understanding and improvement-are only partially served by method systems that encourage studying (with increasing precision) a narrow range of questions of modest societal importance. To optimize contributions to challenging societal problems, a field's cherished standards should be adapted to support more adventuresome forms of community research and action. This paper outlines 10 values for community research and action, based on insights from the fields of behavioral and community psychology. These values-reflect the goals and challenges of establishing collaborative relationships with research participants, determining research goals and methods, designing and disseminating interventions, communicating research findings, and advocating for community change. Critical challenges are outlined, and implications for the field and its clients are discussed.