Effects of anxiety sensitivity on emotional response to a stress task

The purpose of this investigation was to further define the role of anxiety sensitivity, in relation to physiological arousal and the cognitive perception of anxiousness, as a determinant of anxiety. One hundred and thirty-two undergraduates at an urban university served as subjects. Two physiological measures of arousal and two cognitive measures of anxiety were used following an anxiety inducing task (mental arithmetic). The general expectation, which was supported, was that individual differences in anxiety sensitivity levels are more closely related to subjects' reported anxiousness in stressful conditions than are the actual physiological changes. Additionally, anxiety sensitivity was related to poststress levels of anxiety whereas trait anxiety was only related to pre- and postrelaxation levels of anxiety. Implications of the findings are addressed.     

Dual diagnosis: Clinical issues in the treatment of substance abuse,and affective,personality, and psychotic disorders

Co-morbidity of alcohol and substance with the spectrum of other psychiatric diagnoses is examined with specific emphasis on diagnostic indicators for anxiety and mood disorders. Diagnostic issues for the chemically dependent person are examined with the context of borderline personality disorder, schizophrenia and other psychiatric disorders. Clinical research related to the dually-diagnosed patient is explored     

Religious aspects of bereavement

The purpose of this study was to learn more about the role of religious beliefs and practices in bereavement. Subjects were 312 adults each bereaved approximately one year. They were interviewed at the rate of about 50 per year over a 6 year period. Conclusions include: a) The opportunity to say goodbye to the deceased was significantly related to positive coping and outlook; (b) 47% of our subjects reported contact with the deceased following the death but such contact was not related to coping or outlook; c) grieving people are much more likely to turn to women than men for help; d) 77% said their religious beliefs were of considerable help in their grief.     

The Search for Employment: Motivation to Engage in a Coping Behavior1

The search for employment was examined as coping through engagement in motivated behavior. A model predicting social networking and employer contact behavior was tested with a sample of persons anticipating college graduation. Proposed relations among behavioral antecedents were primarily drawn from Ajzen's (1985) theory of planned behavior, with the addition of cognitively appraised challenge. Structural equations analysis revealed general support for hypothesized relations among attitude, norms, perceived behavioral control, intentions, and behaviors. Cognitively appraised challenge partially mediated the effects of perceived behavioral control on job search intentions. Significant variance in job search attitude was attributed to a valence by outcome expectancy interaction. Findings may be useful in promoting job search efforts, as well as furthering theoretical delineation of the search process.     

Treatment of traumagenic beliefs among sexually abused girls and their mothers: An evaluation study

The objective of this study was to evaluate and compare the efficacy of two short-term individual therapy interventions for sexually abused girls and their nonoffending female caretakers. Thirty-two girls, ages 8 to 13, and their caretakers from primarily low-income, African-American families were randomly assigned to a theoretically based, structured experimental treatment program or to a relatively unstructured comparison intervention. Measures of child outcome were completed before and after the treatment program by each parent and child, and by a clinician blind to treatment condition. Pre- and postmeasures of maternal outcome were completed by the caretaker and a clinician not involved in the treatment. Both treatment programs yielded decreases in children's posttraumatic stress disorder symptoms and traumagenic beliefs reflecting self-blame and powerlessness, and increases in children's overall psychosocial functioning. The experimental intervention was more effective than the comparison program in increasing abuse-related caretaker support of the child and in decreasing caretaker self-blame and expectations of undue negative impact of the abuse on the child. Clinical impfications of these findings include the development of interventions targeting sexually abused children's traumagenic beliefs and nonoffending parents' support of their victimized children.This research was supported by the Emory Medical Care Foundation and the Children's Trust Fund of Georgia. Preliminary findings were presented at the Society for Research in Child Development, New Orleans, March 1993.The authors thank the clinic families, volunteer therapists, and project staff members whose work together made this research possible. Core project staff members other than the authors include Milonne Ambroise, Mary Lynn Dell, Sherry Dey, Beth Dreelin, Jenny Gould, Katherine January, Suzann Lawry, Marie Simmons, and Lisseth Rojas.     

Media use and political commitment: The 1992 U.S. presidential election

This study explores the relationship between media use and political commitment. Undergraduate participants answered an extensive political background questionnaire, which included measures of media use, perceived importance of information sources regarding the 1992 presidential election, and various political behaviors as an index of political commitment. Correlational analyses revealed that those who are more politically committed tend to select a variety of media sources regarding a presidential candidate. This study also investigated how informational and commitment variables were related to attitudes towards the major presidential candidates. Results observed for people expressing positive attitudes toward Perot are discussed in terms of the modern day “third party voter.”     

Cognitive processing therapy for chronic PTSD from childhood sexual abuse: A case study

This paper describes a case of chronic Post-traumatic Stress Disorder (PTSD), as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 4th edn; American Psychiatric Association, 1994). The client has a long history of childhood sexual abuse (CSA), as well as repeated sexual victimization as an adult and addiction issues. She presented with significant avoidance symptoms, including a highly restricted range of affect and distinct feelings of detachment from others. These symptoms had been greatly reduced by the end of the 17-week therapy including both individual and group modalities. The paper elaborates on theoretical issues, the Cognitive Processing Therapy model (Resick & Schnicke, 1993) as it was adapted for use with survivors of childhood sexual abuse, the various phases of the therapeutic process, and specific examples of therapeutic change with this particularly complicated case.     

Disputing clients' irrational beliefs

This paper describes and illustrates a conceptual framework developed to assist novice REBT therapists with enlarging their disputational repertoire. First, four disputational strategies are described and illustrated. Then four disputational styles of presenting the strategies to the client are also described and illustrated. Then the disputational strategies and the disputational styles are combined within a conceptual framework to assist the developing REBT therapist in generating a variety of disputes for a single IB. Finally, the conceptual framework is applied to the IB of the case of Karen from Dryden and Digiuseppe'sPrimer on Rational Emotive Therapy to yield thirty-two separate disputes (sixteen disputes for the premise of the IB, and sixteen disputes for the derivative) of the IB.