Öst's (2008) methodological comparison of clinical trials of acceptance and commitment therapy versus cognitive behavior therapy: Matching Apples with Oranges?

Öst (2008) recently compared the methodological rigor of studies of acceptance and commitment therapy (ACT) and traditional cognitive behavior therapy (CBT). He concluded that the ACT studies had more methodological deficiencies, and thus the treatment did not qualify as an “empirically supported treatment.” Although Öst noted several important limitations that should be carefully considered when evaluating early ACT research, his attempt to devise an empirical matching strategy by creating a comparison sample of CBT studies to bolster his conclusions was itself problematic. The samples were clearly mismatched in terms of the populations being treated, leading to differences in study design and methodology. Furthermore, reanalysis showed clear differences in grant support favoring CBT compared with ACT studies that were not reported in the original article. Given the actual mismatch between the samples, Öst's methodological ratings are difficult to interpret and provide little useful information beyond what could already be gathered by a qualitative review of ACT study limitations. Such limitations are characteristic of the earlier randomized controlled trials of any emerging psychotherapeutic approach.     

REFRAINING AND THE EXTERNAL

It is usually taken for granted that the necessary and sufficient conditions for refraining are with respect to mental or behavioral states of agents. Let us call such accounts internalist conceptions of refraining. In this paper, I argue that internalist conditions are insufficient for refraining; and so internalist conceptions of refraining are inadequate. I conclude that a proper account of refraining must contain an externalist condition – i.e., a condition that makes reference to an agent's environment.     

Symbolic self‐completion in academia: evidence from department web pages and email signature files

Symbolic self‐completion theory proposes that individuals use symbols of attainment to define themselves as accomplished in self‐defining areas and to communicate their accomplishments to others. The goal of the present research was to examine whether individual professors and academic departments strive for symbolic self‐completion when communicating through the Internet. We hypothesized that publications, citations, and departmental rankings by the National Research Council (NRC) represent important indicators of attainment for professors, whereas professional titles (i.e., “doctor,” “professor,” or “Ph.D.”) may serve as alternate symbols of attainment. We predicted that a lack of important indicators of attainment would motivate the display of professional titles in web pages and email signature files. In Study 1, academic departments with less prestigious NRC rankings listed more professional titles on their departmental web pages compared to departments with more prestigious rankings. In Studies 2 and 3, professors with lower annual rates of publications and citations displayed more professional titles in their email signatures compared to professors with higher publication and citation rates. These results suggest that self‐completion motives help to shape naturalistic Internet communications. The results further suggest that analyses of Internet communications can provide externally valid tests of theories concerned with motivation and self‐processes. Copyright © 2008 John Wiley & Sons, Ltd.     

An evaluation of recollection and familiarity in Alzheimer’s disease and mild cognitive impairment using receiver operating characteristics

There is a need to investigate exactly how memory breaks down in the course of Alzheimer’s disease (AD). Examining what aspects of memorial processing remain relatively intact early in the disease process will allow us to develop behavioral interventions and possible drug therapies focused on these intact processes. Several recent studies have worked to understand the processes of recollection and familiarity in patients with mild cognitive impairment (MCI) and very mild AD. Although there is general agreement that these patient groups are relatively unable to use recollection to support veridical recognition decisions, there has been some question as to how well these patients can use familiarity. The current study used receiver operating characteristic (ROC) curves and a depth of processing manipulation to understand the effect of MCI and AD on the estimates of recollection and familiarity. Results showed that patients with MCI and AD were impaired in both recollection and familiarity, regardless of the depth of encoding. These results are discussed in relation to disease pathology and in the context of recent conflicting evidence as to whether familiarity remains intact in patients with MCI. The authors highlight differences in stimuli type and task difficulty as possibly modulating the ability of these patients to successfully use familiarity in support of memorial decisions.     

California Unnatural: On Fine's Natural Ontological Attitude

Abela accepts Fine's account of realism and instrumentalism, but thinks that we can reject the Natural Ontological Attitude by distinguishing the theoretical attempt to make sense of scientific practice from choosing the attitude we bring to the debate, or to science itself. But Abela's attitudes are vulnerable to Fine's criticisms of the philosophical positions. However, if we take attitude as contrastive and as full-blooded enough to lead to different behaviour we can see a gap in Fine's position. He cannot tell us why it is science that he trusts. When we look more widely, the philosophical positions might be seen as ways of justifying that trust.     

Fear assessment in a dental analogue setting

An analogue setting for assessing dental fear involving a videotaped simulated dental operation was evaluated in terms of its capability of eliciting differential physiological arousal (Palmer Sweat Index) between high- and low-fear subjects, identified by self-reports of dental fear. Results showed high-fear subjects to exhibit significantly greater palmar sweating than did low-fear subjects, females to respond more than males, and a differential response across groups at different points during the simulated operation. High-fear subjects also gave verbal reports of greater physiological arousal and general anxiety while viewing the operation than did low-fear subjects.     

BEHAVIOR ANALYSIS IN CONSUMER AFFAIRS: ENCOURAGING DENTAL PROFESSIONALS TO PROVIDE CONSUMERS WITH SHIELDING FROM UNNECESSARY X-RAY EXPOSURE

An unobtrusive observation system was developed to determine the extent to which dental professionals in two communities provided lead shielding to patients during X-ray exams. A lengthy baseline revealed low and irregular provision of shielding among half of these professionals. Subsequently, a program was undertaken by a consumer's group in which these professionals were requested to provide shielding and were given confidential feedback regarding its use during the baseline period. The provision of shielding dramatically increased at all offices and was maintained throughout a follow-up period extending to more than 9 months after the program's implementation. Little or no generalized effect was observed in the occurrence of three collateral behaviors that were also assessed throughout the study.     

AN ANALYSIS AND REDUCTION OF DISRUPTIVE BEHAVIOR ON SCHOOL BUSES

Thousands of children are injured or killed each year in school bus accidents. A significant number of these tragic incidents is precipitated by disruptive child behavior that distracts the drivers from their difficult task. Two experiments were conducted which addressed this problem. For both experiments an automated sound recording device (referred to as a Noise Guard) selectively responsive to frequencies above 500 Hz (i.e., unresponsive to bus drone) recorded both the duration and frequency of noise outbursts above a tolerable threshold. Additionally, an observer made in situ measurements of other disruptions including roughhousing and getting-out-of-seat. In the first experiment, following baseline measurements of these behaviors, middle-school students received feedback for noise outbursts. That is, when “Noise Guard'” was activated, it in turn operated one of several lights on a panel visible to all passengers. Each day students were allowed to listen to high-appeal taped music while riding the bus and to participate in a raffle for prizes, provided the number of outbursts on the preceding day remained below a specified criterion indicated on the light panel. This intervention resulted in drastic reductions of noise outbursts with a concomitant reduction in other disruptive behaviors. Comparable results were obtained in the second experiment which eliminated the raffle from the intervention.     

Spatial and relational frameworks for free recall in young and older adults

Previous studies have demonstrated that older adults can use visually distinctive cues to enhance their spatial memory performance and their recall of the identities of items located in space. Other research has shown that older adults can also use relational information to enhance recall. The relationship between relational and visuospatial support for memory across the adult lifespan is complex and has been little explored. In the present study, this relationship was examined in tasks that measured free recall for item sets possessing different degrees of visuospatial and relational support for recall. It was predicted that both types of support would enhance older adult recall relative to that of the young, and that the two types of support would synergize. The results were generally consistent with these predictions. These findings show that older adults can use relatively simple relational or visuospatial support systems to enhance free recall significantly. This research was supported by Grant AGI 1605, National Institute on Aging.