False physiological feedback and emotion: Experimenter demand and salience effects

Four experiments examined the hypothesis that the Valins (1966) false physiological feedback effect with attractiveness ratings of slides is due to experimenter demand. Experiments 1 and 2 showed significant feedback effects with 5-sec feedback periods, previously reported by Barefoot and Straub (1971) to be too brief a time to search the slides for a cause of the apparent physiological arousal. Experiments 3 and 4 had 17 variations of instructions (emotional, nonemotional), stimuli (slides of people, scenic tourist slides), and type of feedback information (heart rate, eyeblink, or none). The typical false feedback effect was found under many conditions that did not seem to meet the presumptive attributional requirements for the effect. In Experiment 4, only subjects who said they were supposed to rate feedback slides higher showed the effect, regardless of instructions, stimuli, or type of feedback. The overall results are interpreted in terms of experimenter demand and stimulus salience effects.     

The effects of therapist turnover in a training clinic: The core group phenomenon

Group psychotherapy conducted in training settings presents the membership with a unique opportunity to experience and work through loss. This paper describes the potentially problematic influence of predictable therapist turnover in these clinical settings. The core group phenomenon which emerges as a function of this anticipatory grief is described, as are the dynamics of core group members who are particularly vulnerable to the comings and goings of therapists in training. Finally, the importance of therapist attention to the impact of the turnover process in group psychotherapy training programs is underscored.     

Physiological and symptom responses to hyperventilation: A comparison of frequent and infrequent panickers

Ten subjects with panic disorder and ten subjects with infrequent panic attacks were assessed during 2 min of voluntary hyperventilation using four measures of physiological arousal (heart rate, upper trapezious EMG, skin conductance, and digital skin temperature). Immediately following hyperventilation, subjects were asked to rate their degree of distress on 13 panic symptoms, derived from DSM-III criteria for panic disorder. Results indicated that frequent panickers had significant overall elevations in trapezious EMG, relative to infrequent panickers, and demonstrated a slight increase in muscle tension following hyperventilation. In contrast, infrequent panickers showed a trend toward greater vasodilation preceding and during hyperventilation, with subsequent vasoconstriction upon resumption of normal breathing. Increases in skin conductance and heart rate were noted for both samples during hyperventilation, as reported in prior research. Symptom distress ratings indicated that the infrequent panickers reported significantly greater distress from dizziness and trembling in response to overbreathing, contrary to prediction. Implications of these findings are discussed in light of current accounts of cognitive and physiological factors in the etiology of panic attacks and panic disorder.This research was supported by Biomedical Research Support Grant #507RR07147, National Institutes of Health.     

Relationships between the Beck Depression Inventory and the Hamilton Psychiatric Rating Scale for Depression in depressed outpatients

The Beck Depression Inventory (BDI) and the Hamilton Psychiatric Rating Scale for Depression (HRSD) were used with 300 outpatients diagnosed with DSM-III major depression disorders. A principal-components analysis was performed on the intercorrelations among the 21 BDI and 24 HRSD symptoms. Three orthogonal components were found and interpreted as reflecting differences in self-report and clinical rating methods for measuring the severity of depression. The importance of using both self-reports and clinical ratings for evaluating depression in psychiatric outpatients was discussed.     

Classical conditioning model of panic disorder: response to Wolpe and Rowan

We refute Wolpe and Rowan's (1989) classical conditioning theory of panic disorder based upon several lines of evidence presented above. While there is no doubt that hyperventilation and conditioning are important factors in the production of panic attacks, Wolpe and Rowan's (1989) hypothesis is inconsistent with recent data concerning the limited role of hyperventilation and the importance of cognitive mediation in the production of panic attacks.     

A mathematical approach for establishing treatment priorities among patients

Medical decision making often utilizes subjective observations to arrive at concrete judgments. The decisions frequently affect who receives scarce medical treatments and, thus, who lives or dies. In this paper, a model health status index is described. It is specific for the problem of choosing patients for hemodialysis or transplantation. Such a health status index may be designed for any medical decision involving such issues as drug treatment priorities, identification of salvageable patients, and selection of patients for scarce medical treatment. This index (1) incorporates a physician's own medical criteria and values, (2) can be modified as the data base improves, (3) assures consistency from decision to decision, and (4) can be developed and used without the help of a mathematician or computer.     

Effects of real vs pretend shock on semantic differential judgments and the GSR in some classical conditioning paradigms

In two experiments subjects were shown different color 1-sec lights, one just before the end of a 4-sec UCS and the other coming 10 sec after UCS termination and 25 sec before the next UCS. For some groups the UCS was strong electric shock; for others it was a tone which subjects were instructed to imagine was a strong shock. The primary data were changes in semantic differential ratings of the lights before and after 12 “conditioning” trials. There were no differences among the groups. In a third experiment a 6-sec delay CS was used for GSR conditioning, some subjects receiving actual shock and others pretend shock. Only the former showed conditioning. The results are discussed in terms of a model of experimental demand.