The role of cognitions in OCD treatment: toward rapprochement

The authors of the papers in this special issue have underscored the efficacy of both psychological and pharmacological treatments for OCD. Despite the potency of these interventions, complete symptom remission rarely occurs. Furthermore, problems related to treatment drop-out, the persistence of residual symptoms despite adequate therapy, patients' vulnerability to relapse and recurrence, and the lack of a clear method for managing co-morbidity or treating OCD subtypes remain incompletely addressed. This response to the authors' papers evaluates their positions and extends their papers by examining issues such as how cognitive therapy and exposure and response prevention can best be integrated, the role of medication in OCD treatment, factors that impact treatment readiness and/or resistance, and the need for effectiveness research.     

The problem of measurement model misspecification in behavioral and organizational research and some recommended solutions

The purpose of this study was to review the distinction between formative- and reflective-indicator measurement models, articulate a set of criteria for deciding whether measures are formative or reflective, illustrate some commonly researched constructs that have formative indicators, empirically test the effects of measurement model misspecification using a Monte Carlo simulation, and recommend new scale development procedures for latent constructs with formative indicators. Results of the Monte Carlo simulation indicated that measurement model misspecification can inflate unstandardized structural parameter estimates by as much as 400% or deflate them by as much as 80% and lead to Type I or Type II errors of inference, depending on whether the exogenous or the endogenous latent construct is misspecified. Implications of this research are discussed.     

When scientific knowledge becomes scientific discovery: the disappearance of classical conditioning before Pavlov

In the nineteenth century, scientific materials in experimental physiology changed dramatically. In this context, phenomena that had been widely accepted were lost, sometimes to be reintroduced later as "discoveries." I describe the loss of the phenomenon of classical conditioning, later rediscovered by Ivan Pavlov. In 1896, Austrian physiologist Alois Kreidl demonstrated experimentally that animals anticipate the occurrence of food that is cued by a variety of stimuli. Kreidl stated, moreover, that the fact that animals can be called to food had been widely known to science since the 1830s. I describe Kreidl's work and discuss several factors that may have led to the disappearance of conditioning prior to its rediscovery by Pavlov.     

Are cognitive symptoms of schizophrenia mediated by abnormalities in emotional arousal?

We tested 28 individuals with schizophrenia (SZ) and 16 healthy individuals on a test of logical reasoning and "cognitive gating," defined as the ability to discriminate between relevant and irrelevant information in confirming or disconfirming a given belief. The Logical Reasoning and Cognitive Gating Task tests both processes under neutral and affect-laden conditions. This is done by presenting formally identical constructs using benign and emotionally arousing language. When separated by symptom profiles, we found statistically significant differences for performance and arousal response between patients with delusions, patients with formal thought disorder, and patients with neither delusions nor formal thought disorder, as well as between patients and healthy controls. When analyzed by error type, we found that nearly all errors by delusional patients were caused by overly restrictive information choice, a pattern that may be related to a delusional patient's tendency to "jump to conclusions" on Bayesian probabilistic tasks. This is in contrast to patients with formal thought disorder, whose low performance resulted also from overly extensive information choice. The tendencies towards restriction were exacerbated by arousal, which is consistent with studies on cognition and arousal in healthy individuals. After briefly examining research on emotional arousal and SZ, and the interaction between emotional arousal and restriction of perceptual cues in healthy individuals, we conclude by suggesting a model which accounts for the distinctive cognitive characteristics of delusional patients by their possessing distinct vulnerabilities to emotional arousal. Specifically, these results suggest the possibility that delusional patients process information in a manner that is essentially intact. However, delusional patients may possess an acute vulnerability to emotional arousal that might cause delusional individuals to behave cognitively as if they were healthy individuals under significantly more severe forms of stress.     

Relations among age, visual memory, and resting cerebral metabolism in 40 healthy men

Visual memory, as measured by the Benton Visual Retention Test (BVRT), and resting regional cerebral metabolic rates for glucose (rCMRglc), as measured by positron emission tomography (PET) and [18-F]fluorodeoxyglucose, were examined in 40 very healthy men, aged 21 to 83 years. Age-related differences in visual memory were found but were significantly smaller than differences reported in the general population. This discrepancy is attributable to our rigorous health screening. The age-related differences found in this sample are estimates of the lower limit of population differences unconfounded by disease. Age-related differences on undistracted delayed visual memory were greater than differences on immediate visual memory, suggesting age-related differences in spontaneous elaborative visual information processing. No relation between visual memory and resting rCMRglc was found, supporting the hypothesis that mental abilities are unrelated to resting brain metabolism unless both functions are influenced by disease.     

Perceptions of Peer Sexual Harassment Among High School Students

Perceptions of peer social–sexual interactions were examined in a group of high school students (N=150). Participants were presented with six brief vignettes that described three types of sexual harassment between adolescent peers: physical, verbal/visual, and derogatory. Two vignettes were written for each type of behavior to reflect either a sexually explicit or implicit behavior. Participants responded to Rosenberg's Self-Esteem Scale and the Attitudes toward Women Scale for Adolescents (AWSA), and then rated the sexually harassing nature of the behaviors. Sexual harassment ratings varied as a function of the type of behavior and the sexual explicitness with which it was displayed. Although consensus was reached regarding the sexually harassing nature of both the sexually implicit and explicit physical forms of behaviors, only when the verbal/visual behavior was explicitly displayed was it perceived as sexually harassing. Interactions among self-esteem, gender attitudes, and type of behavior were also noted. Irrespective of the explicitness with which it was displayed, rater characteristics were influential for both the verbal/visual and derogatory forms of harassment.     

Investigations of HPA function and the enduring consequences of stressors in adolescence in animal models

Developmental differences in hypothalamic–pituitary–adrenal (HPA) axis responsiveness to stressors and ongoing development of glucocorticoid-sensitive brain regions in adolescence suggest that similar to the neonatal period of ontogeny, adolescence may also be a sensitive period for programming effects of stressors on the central nervous system. Although research on this period of life is scarce compared to early life and adulthood, the available research indicates that effects of stress exposure during adolescence differ from, and may be longer-lasting than, effects of the same stress exposure in adulthood. Research progress in animal models in this field is reviewed including HPA function and the enduring effects of stress exposures in adolescence on sensitivity to drugs of abuse, learning and memory, and emotional behaviour in adulthood. The effects of adolescent stress depend on a number of factors, including the age, gender, the duration of stress exposure, the type of stressor, and the time between stress exposure and testing.     

The Trajectory of Counseling in China: Past,Present, and Future Trends

This article surveys the past, present, and future trends of counseling in China. Historically, mental health problems were addressed within the family. Currently, psychotherapy from trained practitioners is available on a limited basis, at least in urban settings. The challenge of mental health in China is tremendous, and the efforts to meet that challenge are encouraging. The authors recommend that in the future, prevention and intervention services be offered that are ecosystemic, strengths‐based, and culturally appropriate.     

Children’s Perceived Social Support After a Parent Is Diagnosed with Cancer

This study examined perceived social support among children of parents diagnosed with cancer. Twenty-nine participants, ages 18–38, who had been children when one of their parents was diagnosed with cancer provided demographic information and participated in an interview about the impact of their parent’s illness on their lives. Five common themes characterized participants’ perceived social support received during their parent’s illness: (a) listening and understanding; (b) encouragement and reassurance; (c) tangible assistance; (d) communication about cancer and treatment; and (e) engaging in normal life experiences. Depending on the circumstances, however, a given type of social support was perceived to be helpful to some, while perceived by others as ineffective or detrimental. Differences in respondents’ perceptions of the effects of specific forms of received social support speak to the need for individualized support for children of cancer patients based upon each child’s specific needs and circumstances.     

Detecting racial identification: The role of phenotypic prototypicality

Little is known about what cues are used to infer the racial identification of others and whether or not identification inferences are accurate. Three studies provide evidence that phenotypic prototypicality (PP), the degree to which an individual looks like a prototypical member of his or her racial group, shapes inferences about racial identification. Participants assumed that high PP Blacks were more racially identified than low PP Blacks. In addition to serving as an identification cue for observers, PP was related to self-perceptions, as Blacks and Latinos who were higher in PP were in fact more identified with their racial group than minorities who were lower in PP. Furthermore, unacquainted judges accurately detected Black and Latino targets' racial identification based on PP. The results are discussed in terms of their implications for intergroup relationships.