Conceptual,methodological, and clinical issues in the assessment of anxiety disorders

Many conceptual, methodological, and clinical issues remain unresolved in the assessment of anxiety disorders. Despite the prevalence, incidence, chronicity, and severity of anxiety disorders, research efforts and funding have fallen behind with regard both to other disorders and to addressing critical issues in the field. The primary objective of this paper is to provide a scientific critique regarding a number of often ignored yet salient considerations in anxiety-disorders assessment. Critical analyses of and recommendations regarding the multidimensional nature of anxiety, comorbidity, uniformity myths, synchrony, normative comparisons, psychometric properties of measures, and treatment integrity are offered. Finally, promising areas of clinical research are presented to enhance further the current understanding of the complexities inherent in assessing anxiety disorders.Preparation of this paper was supported in part by NIMH Grant MH36299.     

Moral Development and Self-Regulation: Research and Intervention Planning

After reviewing the moral development and general developmental literature, the authors propose several practical guidelines for moral development training programs in the schools.     

Problem-Solving Training as Prevention with College Students

Problem-solving processes play an important role within remedial and human effectiveness models of development. This article discusses the use of preventive problem-solving training with college students.     

Beliefs about and experiences with battering: Women and men in two populations

A questionnaire was developed to measure beliefs about and experiences with violence in the family. Two groups of persons in two different states who had attended conferences on battered women participated in this research. Of the 177 subjects (84% women, 16% men), none of the men had been battered, yet over one-third of the women had been; more older women reported having been adult battering victims than did younger women; the women had less formal education than the men; the women in the lower educational groups were more likely to have been battered and to report fear of becoming victims; and the social service workers reported little fear of battering.     

Variables related to reported learning in brief experiential groups held at professional meetings

Reports of learning from 119 participants of 18 general psychodynamic groups from the 1981 and 1982 annual meetings of the Canadian Group Psychotherapy Association were investigated. Two main learning factors emerged from a factor analysis of participant ratings, learning about oneself in a small group (factor one) and learning how to be an effective leader with professional skills (factor two). Participants reported moderate to considerable learning for both factors even though the stated task of the groups did not emphasize the learning of professional skills. Relationships between several classes of variables (group, leader, demographic) and reported learning were studied. Results that were consistent with several previous investigations were found. The discovery of a participant, sex-difference finding, i.e., greater reported learning by the women, generated a number of questions that may be addressed in future investigations.This article was derived from a paper presented at the Fourth Annual Meeting of the Canadian Group Psychotherapy Association, October 27, 1983, Banff, Canada.     

Process and content in an outpatient schizophrenic group

Process and content issues were evaluated during the first six months of an outpatient schizophrenic group. Compared with groups composed of neurotic and characterological patients, the schizophrenic group scored higher in the Avoiding dimension of the Group Climate Questionnaire (GCQ-S). There was more cohesion and less interpersonal conflict as time went on. Although topics related to engagement and differentiation were discussed, there was no obvious GCQ-S evidence of these first two stages of group development. However, the data supported the presence of stage 3 (individuation) during sessions 20–26. Interpersonal topics dominated the group discussions, followed by issues involving reality-testing, expression of emotions, and advice-giving.The authors wish to thank Dr. K. Roy MacKenzie for his helpful comments on a draft of this paper.     

Perceived variability and symbol use: a common language-cognition interface in children and chimpanzees (Pan troglodytes)

Analysis of two chimpanzees' conversations with their teacher during a tool-use training task demonstrated that chimps use lexigrams, a humanly devised visual symbol system, selectively to encode perceived variability; that is, they generally used their symbols to differentiate alternative possibilities or to represent change or novelty in a situation. In contrast, they tended to leave unsaid what was unchanging, repetitive, or the unique possibility in a situation. Perceived variability influenced not only which symbols were selected but also utterance length: A single dimension of variability in a situation leads to single-lexigram utterances; multiple dimensions are associated with multi-lexigram utterances. This pattern of results indicates that the absence of formal grammatical structure in chimp language does not imply that utterances beyond one word in length are either rote strings or imitations. The chimps' tendency to mention the variable while leaving the constant or redundant unsaid is, moreover, strong support for the position that their use of a humanly devised symbol system is more than a series of conditioned responses.     

Smoking and academic performance

Smokers and nonsmokers were compared on three aspects of academic achievement. Although exactly the same percentage of smokers and nonsmokers passed the first-year university examination, smokers obtained significantly higher marks. Similarly, smokers achieved significantly higher marks in their final year examinations in comparison with nonsmokers. Finally, a comparison of the tutorial essay marks of the smokers and nonsmokers again showed that smokers obtained significantly higher marks than nonsmokers. These data are consistent with the idea that ambitious students adopt smoking in the belief that it will help them study and sustain concentration.     

Active-interactional cotherapy

In the literature on cotherapy, little attention has been focused on maximizing the effectiveness of two therapists working in tandem with families and couples. While cotherapists may at times share their ideas and feelings with their clients, and after the therapeutic session exchange views between themselves, generally little interaction occurs between them during the session. In this paper, a case is presented for more active interactions between cotherapists during the session, in order to expedite and facilitate change and growth in their clients. Anecdotal examples are provided to illustrate the approach.