Collateral effects of response blocking during the treatment of stereotypic behavior

The collateral effects of response blocking were evaluated while treating stereotypic behavior in a woman diagnosed with autism. Blocking stereotypic behavior (head and tooth capping) was associated with decreases in leisure-item interaction and increases in another stereotypic response (hand wringing). Results suggested that the reduction in item interaction was due to adventitious punishment. Prompts to access an alternative source of reinforcement attenuated the side effects somewhat, but results suggested that the undesirable effects of response blocking may be fairly durable.     

Effects of reinforcement magnitude on spontaneous recovery.

Extinction of operant behavior has been associated with a number of undesirable effects. One such effect is the temporary reappearance of behavior after responding appears to be completely extinguished, known as spontaneous recovery. In this report, the occurrence of spontaneous recovery and its attenuation with large amounts of reinforcement were examined during the treatment of disruption.     

The Three Domains of Disgust Scale: factor structure, psychometric properties, and conceptual limitations

This investigation examined the measurement properties of the Three Domains of Disgust Scale (TDDS). Principal components analysis in Study 1 (n = 206) revealed three factors of Pathogen, Sexual, and Moral Disgust that demonstrated excellent reliability, including test-retest over 12 weeks. Confirmatory factor analyses in Study 2 (n = 406) supported the three factors. Supportive evidence for the validity of the Pathogen and Sexual Disgust subscales was found in Study 1 and Study 2 with strong associations with disgust/contamination and weak associations with negative affect. However, the validity of the Moral Disgust subscale was limited. Study 3 (n = 200) showed that the TDDS subscales differentially related to personality traits. Study 4 (n = 47) provided evidence for the validity of the TDDS subscales in relation to multiple indices of disgust/contamination aversion in a select sample. Study 5 (n = 70) further highlighted limitations of the Moral Disgust subscale given the lack of a theoretically consistent association with moral attitudes. Lastly, Study 6 (n = 178) showed that responses on the Moral Disgust scale were more intense when anger was the response option compared with when disgust was the response option. The implications of these findings for the assessment of disgust are discussed.     

Unpacking cognitive reappraisal: goals, tactics, and outcomes

Studies of emotion regulation typically contrast two or more strategies (e.g., reappraisal vs. suppression) and ignore variation within each strategy. To address such variation, we focused on cognitive reappraisal and considered the effects of goals (i.e., what people are trying to achieve) and tactics (i.e., what people actually do) on outcomes (i.e., how affective responses change). To examine goals, we randomly assigned participants to either increase positive emotion or decrease negative emotion to a negative stimulus. To examine tactics, we categorized participants' reports of how they reappraised. To examine reappraisal outcomes, we measured experience and electrodermal responding. Findings indicated that (a) the goal of increasing positive emotion led to greater increases in positive affect and smaller decreases in skin conductance than the goal of decreasing negative emotion, and (b) use of the reality challenge tactic was associated with smaller increases in positive affect during reappraisal. These findings suggest that reappraisal can be implemented in the service of different emotion goals, using different tactics. Such differences are associated with different outcomes, and they should be considered in future research and applied attempts to maximize reappraisal success.     

Effects of experienced disgust on habituation during repeated exposure to threat-relevant stimuli in blood-injection-injury phobia

Despite growing evidence implicating disgust in the etiology of blood-injection-injury (BII) phobia, the relevance of disgust for exposure-based treatment of BII phobia remains largely unknown. Individuals with BII phobia were randomly assigned to a disgust (view vomit videos) or neutral activation (view waterfall videos) condition. They were then exposed to 14 videotaped blood draws, during which fear and disgust levels were repeatedly assessed. Participants then engaged in a behavioral avoidance test (BAT) consisting of exposure to threat-relevant stimuli. Examination of outcome comparing the identical first and last blood-draw clips revealed that fear and disgust toward blood draws was significantly reduced in both groups. Disgust levels were also found to be more intense for the video stimuli relative to fear levels whereas the opposite was true for BAT stimuli. Contrary to predictions, the disgust induction did not enhance reductions in negative responses to the target video or reduce behavioral avoidance. Growth curve analyses did show that individuals with BII phobia exposed to the disgust induction showed greater initial fear levels during repeated exposure than those in the neutral condition. However, this effect was not consistently observed across different analytic approaches. Changes in fear during exposure were also found to be independent of changes in disgust but not vice versa, and greater initial fear levels during repeated exposure to threat was associated with fear and disgust levels during the BAT. The implications of these findings for conceptualizing the role of disgust in etiology and treatment of BII phobia are discussed.     

Developing procedural flexibility: Are novices prepared to learn from comparing procedures?

Background. A key learning outcome in problem‐solving domains is the development of procedural flexibility, where learners know multiple procedures and use them appropriately to solve a range of problems (e.g., Verschaffel, Luwel, Torbeyns, & Van Dooren, 2009 ). However, students often fail to become flexible problem solvers in mathematics. To support flexibility, teaching standards in many countries recommend that students be exposed to multiple procedures early in instruction and be encouraged to compare them. Aims. We experimentally evaluated this recommended instructional practice for supporting procedural flexibility during a classroom lesson, relative to two alternative conditions. The alternatives reflected the common instructional practice of delayed exposure to multiple procedures, either with or without comparison of procedures. Sample. Grade 8 students from two public schools (N= 198) were randomly assigned to condition. Students had not received prior instruction on multi‐step equation solving, which was the topic of our lessons. Method. Students learned about multi‐step equation solving under one of three conditions in math class for about 3 hr. They also completed a pre‐test, post‐test, and 1‐month‐retention test on their procedural knowledge, procedural flexibility, and conceptual knowledge of equation solving. Results. Novices who compared procedures immediately were more flexible problem solvers than those who did not, even on a 1‐month retention test. Although condition had limited direct impact on conceptual and procedural knowledge, greater flexibility was associated with greater knowledge of both types. Conclusions. Comparing procedures can support flexibility in novices and early introduction to multiple procedures may be one important reason.     

It has been said that, “There are three degrees of falsehoods: Lies,damn lies,and statistics”

Applied behavior analysis (ABA) researchers have historically eschewed population-based, inferential statistics, preferring to conduct and analyze repeated observations of each participant's responding under carefully controlled and manipulated experimental conditions using single-case designs (SCDs). In addition, early attempts to adapt traditional statistical procedures for use with SCDs often involved trade-offs between experimental and statistical control that most ABA researchers have found undesirable. The statistical methods recommended for use with SCDs in the current special issue represent a welcome departure from such prior suggestions in that the current authors are proposing that SCD researchers add statistical methods to their current practices in ways that do not alter traditional SCD practices. Further refinement and use of such methods would (a) facilitate the inclusion of research using SCDs in meta-analyses and (b) aid in the development and planning of grant-funded research using SCD methods. Collaboration between SCD researchers and statisticians, particularly on research that demonstrates the benefit of these methods, may help promote their acceptance and use in ABA.     

Anxiety,Immigration, and the Search for Information

In this article, we use the issue of immigration to explore the role of anxiety in responses to political appeals. According to previous literature, anxiety motivates citizens to learn and pay more attention to news coverage. Literature in psychology demonstrates that anxiety is associated with a tendency to pay closer attention to threatening information. We predict that anxious citizens will seek more information but that they will seek out and be attracted to threatening information. In an experiment, we induce anxiety about immigration and then subjects have the opportunity to search for additional information in a website designed to mimic online news sources. The website has both immigration and nonimmigration stories, and the immigration stories are split between threatening coverage and nonthreatening coverage. We find that anxious subjects exhibit biased information processing; they read, remember, and agree with threatening information.     

An internet survey of emotional health,treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia

The present internet survey examined the demographic characteristics of Chinese-speaking international students in Australia, psychological distress levels as measured by the Kessler-10 (K-10) Item scale, help-seeking history and preferences, as well as treatment barriers. Of the 144 respondents, 54% reported high psychological distress (mean K-10 score?=?23.96; SD?=?9.03). However, only 9% of those who were highly distressed reported they had sought mental health services in the past year. While the majority preferred help from informal social networks, they tended to favour mental health services over traditional culture-specific forms of help. Common barriers to accessing mental health services reported by respondents with high psychological distress included costs or transportation concerns, limited knowledge of available services, time constraints, the perception that symptoms were not severe enough to warrant treatment, language difficulties and lack of knowledge of symptoms of psychological distress. Although the majority preferred face-to-face treatments over internet treatments, a considerable percentage of respondents were willing to try either treatment modality. Chinese-speaking international students are a high risk group for developing psychological distress, yet they tend to underuse mental health services. Education about the effectiveness of face-to-face and online treatments may increase treatment seeking by this population.     

Augmenting treatment efficiency in exposure therapy for PTSD: a randomized double-blind placebo-controlled trial of yohimbine HCl

The alpha-2 adrenergic receptor antagonist, yohimbine, can facilitate fear extinction in animals and humans. One potential mechanism is increased noradrenergic activity and associated arousal in the presence of conditioned stimuli. Accordingly, yohimbine might augment prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD), where heightened exposure-oriented arousal is a theorized driver and empirical predictor of treatment success. A double-blind placebo-controlled randomized trial (NCT 01031979) piloted yohimbine augmentation in 26 males with combat-related PTSD. Participants were given one-time dose of yohimbine or placebo prior to the first imaginal exposure. Subsequently, both arms completed standard PE. The primary outcome was trauma-cued heart-rate reactivity a week after the drug/exposure visit, a highly specified, objective measure sensitive to incremental change. Secondary outcomes included arousal during the drug/exposure visit and slope of distress, PTSD, and depression over the course of PE. Consistent with hypothesis, yohimbine led to higher objective and subjective arousal during the drug/exposure visit and to lower trauma-cued heart-rate reactivity one-week later. One dose of yohimbine also led to greater between-session habituation and more rapid improvement on depression, but not PTSD, over the course of care. Results of this controlled pilot indicate support for continued investigation of yohimbine-augmented exposure therapy for PTSD.