Dietary restraint of bulimic subjects following cognitive-behavioral or pharmacological treatment

The pre and posttreatment self-monitored caloric intake of bulimic subjects treated with either cognitive-behavioral therapy or imipramine was compared. Results indicated that both groups equally and successfully reduced purged calories but that only cognitive-behaviorally treated subjects increased non-purged caloric intake. These results show that cognitive-behavioral treatment lessens dietary restraint whereas imipramine treatment of bulimia nervosa does not. These findings are discussed and it is suggested that they may account for the superior therapeutic maintenance following cognitive-behavioral treatment when compared with pharmacological treatment of bulimia nervosa.     

Utility of the MMPI in a geriatric population

Despite the popularity of the Minnesota Multiphasic Personality Inventory (MMPI), there exists a relative dearth of normative and validity research regarding its use with persons over the age of 60. Our investigation was designed to examine the MMPI performance of both a normal and a clinical sample of older men and women. Specifically, a nonpatient community sample of 204 subjects and an outpatient psychiatric sample of 30 subjects, between the ages of 60 and 90, were administered the MMPI as well as structured psychiatric interview, the Psychiatric Status Schedule (PSS). Results revealed that, on most of the MMPI scales, the mean scores were well above the norms (i.e., 5-10 t-score points). Through comparisons between the clinical and community subjects as well as between MMPI and PSS performance, the MMPI demonstrated substantial discriminative and concurrent criterion validity within this geriatric sample. The results of the study suggest that, with a few important exceptions, the MMPI, as generally utilized, is valid for use in the geriatric population.     

Comment on Holloway and McNally's (1987) "Effects of Anxiety Sensitivity on the Response to Hyperventilation"

Holloway and McNally (1987) found that normals with high scores on the Anxiety Sensitivity Index (ASI), an instrument developed to assess beliefs regarding the adverse consequences of anxiety, reported more anxiety and more frequent and intense somatic sensations following hyperventilation than did normals with low scores on the ASI. They concluded that this result provides support for the construct validity of the ASI and thus for the construct of anxiety sensitivity. Nevertheless, we argue that (a) the developers of the ASI have conflated beliefs regarding the adverse consequences of anxiety with fear of these consequences, (b) the accumulated evidence for the construct validity of the ASI is weak, and (c) Holloway and McNally's design and analyses do not permit them to exclude the more parsimonious explanation that trait anxiety accounts for their findings. Implications for research on anxiety sensitivity are discussed.     

The effect of brief restricted environmental stimulation therapy in the treatment of essential hypertension

This pilot project investigated the effects of controlled frequent brief REST relaxation sessions on the blood pressure of three subjects with borderline essential hypertension. A flotation REST system was used, and subjects had 2 or 3 sessions weekly for 2 months. All three subjects had blood-pressure reductions of a clinically significant magnitude across the treatment and follow-up periods.     

Initial response to rape: The impact of factors within the rape situation

The relationship between specific aspects of the rape situation and immediate post-rape measures of depression, fear, anxiety, and social and interpersonal functioning in 50 recent victims of sexual assault was examined. The data failed to reveal any significant relationships between rape situation variables (e.g., stranger vs. known assailant, weapon vs. no weapon) and the nature or severity of the victims' psychological response. It is emphasized that this negative finding contradicts previous and current clinical lore, and has a number of implications for the assessment and treatment of rape victims.This research was supported by a grant from the National Institute of Mental Health (MH#29692) to the first two authors.     

Marital therapy outcome measured by therapist, client, and behavior change

The present research examined marital therapy outcome, in a sample of 88 couples and 22 therapists, through the use of multidimensional criteria from multiple perspectives. Three paper-and-pencil patient self-report instruments were used to measure different aspects of the couple relationship. In addition, therapist post-therapy ratings and objective observer ratings of the couple behavior during therapy were obtained. Past debates about what the "right" criteria might be for measuring therapeutic change prompted our strategy. Special attention was focused on those criteria that could be classified as "inside" or "outside" of the couple relationship. Data analysis revealed a significant relationship between the couples' and therapists' ratings of improvement in therapy. Additionally, husband and wife negative acts (behaviors) in therapy were also significantly correlated with therapists' ratings of improvement. Both statistically significant and clinically significant criteria were employed to evaluate the therapy outcome. Improvement due to therapy as measured by the three self-report instruments varied from 38% to 58%. These differences appeared to stem from the different kinds of information yielded by the specific tests.     

Differential reinforcement of low rates of responding (DRL) to reduce dysfunctional social behaviors of a head injured man

Differential reinforcement of low rates of responding (DRL) is a technique in which a positive reinforcer is delivered at the end of a specific interval if a target behavior has occurred at a criterion rate. Traditionally, it has been used in educational settings to manage classroom behaviors. Recently, therapists have begun to use DRL to reduce the rates of a variety of behaviors in non-educational settings. In this study, DRL was part of a behavioral intervention to reduce dysfunctional verbal and physical behaviors of a head-injured young man. The complete intervention program included DRL, changing criteria, and token reinforcement. Over a period of 15 weeks, the intervention resulted in reductions in behaviors in both categories from high rates to near-zero rates.     

Three theories of nominalized predicates

By the term nominalization I mean any process which transforms a predicate or predicate phrase into a noun or noun phrase, e.g. feminine is transformed into feminity. I call these derivative nouns abstract singular terms. Our aim is to provide a model-theoretic interpretation for a formal language which admits the occurrence of such abstract singular terms.