Issues in diagnosing anxiety disorders

Research progress in the anxiety disorders is predicated on a useful classification system. In this paper, we review the reliability and validity data for theDiagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III) anxiety disorders and discuss the salient issues associated with both the conceptualization of anxiety disorders and the diagnostic criteria offered in the DSM-III. It is concluded that the diagnostic reliability for these disorders is, overall, satisfactory. A dearth of validity data, however, hinders progress in both the diagnosis and the treatment of the anxiety disorders. Nevertheless, the DSM-III work group has proposed several changes in the diagnostic criteria for the anxiety disorders. We find some of these proposed changes helpful in that they clarify current diagnostic criteria; changes in diagnostic criteria that alter the basic classification schema, however, seem to be premature.Preparation of this paper was supported in part by MIMH Research Grant 1368.On sabbatical leave from Indiana State University.     

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.     

A study of presidential assassins

Twenty-two people who were presidential assassins and other similarly dangerous persons were assessed from information contained in Secret Service files and in published accounts. These documents were studied in order to determine common characteristics as well as other clues to the identification of potentially dangerous persons. Although there was no single pattern of development, there was a pattern of maladjustment that embraced common feelings of inadequacy or persecution, which led to similar patterns of behavior when attempting to resolve frustration. In practical terms, these profiles show:

• 1 A systematic pattern of inadequacy in dealing with social, intellectual, and vocational challenges.
• 2 A corresponding absence of any positive channel for achieving satisfaction or a sense of accomplishment.

In uniquely personal ways, each of these chronically frustrated individuals came to view his or her target either as the personification of the oppressive system, or as the agent through whom he or she could achieve “one great act,” or otherwise gain instant attention and status.     

Presidential threats and the secret service in a free society

In September 1981, a symposium of distinguished mental health practitioners from various clinical, administrative, research, and legal disciplines was conducted on the topic of “Behavioral Science and the Secret Service,” under the sponsorship of the National Academy of Sciences, Institute of Medicine. The article combines a study of the symposium's written conference summary, the author's experience as legal counsel to a state security hospital, and research into federal cases that have interpreted the so-called “Presidential Threat Statute” (18 USC 871) in order to discuss the role of the Secret Service in protecting elected federal officials from physical harm. The potential for increasing practical cooperation between the Service and state mental health systems is also discussed.     

Postpartum and lactational estrus: a comparative analysis in rodentia

Virgin rodents exhibiting cycling estrus have traditionally been used for comparative studies of reproductive behavior. However estrus occurs in other life-history contexts, some of which differ from cycling estrus (CE) in that (a) the female is disposed to behave both maternally and sexually and (b) they result in litter overlap (i.e., the simultaneous gestation and lactation of two litters). In this report, two of these other modes of estrus are examined, with emphasis on their evolutionary and ecological implications. By means of a literature search of the order Rodentia, postpartum estrus (PPE) and lactational estrus (LE) were documented in 15 families, 71 genera, and 141 species. Analysis of these data showed that PPE and LE were nonrandomly distributed across taxa. They were statistically overrepresented in the family Cricetidae and underrepresented in squirrels (Sciuridae) and in pocket mice and kangaroo rats (Heteromyidae). Analysis of the phenotypes by which PPE and LE are achieved suggests important differences between them and CE in several parameters of female reproductive effort and breeding strategy, including maternal and copulatory behavior, optimal timing of litters, and hormonal control of heat and lactation.     

Perspectives on individual-family-social network interrelations

The author focuses on the trend in the family therapy field toward an expanded view of families in the context of their social environments. Within this broader eco-system perspective attention is given to individual-family-social network interrelations with implications for the family therapist.An earlier version of this paper was presented at the American Association for Marriage and Family Therapy, Dallas, Texas, October 29, 1982. Appreciation is expressed to Alice Lynn for her comments and suggestions on an earlier draft of this paper. The author has also benefitted from discussions with Douglas Sprenkle on paradigms and contexts.     

Follow-up of a full-scale network assembly

The authors conducted two full-scale network assemblies for the family network of a suicidal adolescent. Findings from the clinical follow-up and telephone interviews with 21 of 65 participants revealed benefits for the index family and the network members who participated in the meetings. A ripple effect in which the participants' own personal networks improved was also demonstrated. Benefits included resolution of a suicidal crisis, better understanding of depression and family stress, more adaptive responses to depression and suicidal risk, and improved personal relationships. No casualties from this intervention were discovered. This report is intended to stimulate future, more systematic outcome studies.     

The influence of flavor preexposure and test interval on conditioned taste aversions in the rat

The effects of flavor preexposure and test interval on conditioned taste aversions were examined in four experiments. In the first three experiments, prior experience with a flavor different from that used as a conditioned-stimulus (CS) produced attenuated aversions when testing occurred after a 1-day interval but not after a 21-day interval. Preexposure to the same stimulus used as a CS produced attenuated aversions at both 1- and 21-day intervals. In Experiment 4, a delay interval between flavor preexposure and conditioning eliminated the attenuating effect of preexposure, but only when different stimuli were used for preexposure and conditioning. These data could not be easily accounted for by contemporary interpretations of preexposure as an event that interferes with subsequent acquisition of a conditioned aversion. An alternative retrieval interference hypothesis was outlined.