Penn State Worry Questionnaire: Findings Form Normative and Clinical Samples in Denmark

Anxiety disorders are among the most prevalent psychiatric disturbances in childhood. None-the-less, they often go unrecognized and untreated, which puts the child at risk for developing additional difficulties, such as academic difficulties, depression, and substance abuse. Further knowledge and valid assessment tools are essential to identify at-risk children. The present study investigates (i) the factor structure of the Penn State Worry Questionnaire for Children (PSWQ-C) using a large Danish community sample (N?=?933), and (ii) its treatment sensitivity in clinically anxious children (N?=?30) treated with cognitive behavioral therapy. Results from the community sample replicated previous findings supporting the strong psychometric properties of the PSWQ-C, and yielded Danish norms and clinical cut-offs for the measure. Clinically anxious children with a generalized anxiety disorder (GAD; N?=?10) diagnosis reported significantly higher levels of worry than anxious children without GAD (N?=?20). At post treatment, worry levels in children with GAD but not in anxious children without GAD were normalized. Findings regarding worry in the community sample are discussed in light of normal child development. Implications for the use of the PSWQ-C as a useful and important tool in clinical assessment by psychiatrists and psychologists in their treatment of anxious children and adolescents are also discussed.     

Connecting Experience and Economy—Aspects of Disguised Positioning

The focus of this article is the use of experience made within the literature of the “new” economical discipline of experience economy. By combining a methodological individualism with a causal and dehumanising picture of the process of experience, this discipline conceives economic interactions as acts of autonomy. These acts, it is claimed, are part of economical instrumental reason restructuring itself by using experiences as tools in convincing consumers that they are free to pursue their respective paths of lives. Described through the use of positioning theory, however, this turns out to be a result of an effort of equipping consumers with a new economic norm of forced positioning disguised as deliberate self-positioning.     

Effect of a behavioral self-regulation intervention on patient adherence in hemodialysis.

The present study examined the efficacy of a behavioral intervention designed to increase adherence to fluid-intake restrictions among hemodialysis patients. Twenty intervention-group patients were compared with 20 matched control patients on an indicator of fluid-intake adherence at 3 time points. The Group x Time interaction was significant, indicating that patients in the 2 groups exhibited a differential pattern of change in fluid-intake adherence across the follow-up period. The intervention and control groups did not differ significantly in terms of adherence at the initial postintervention period but did differ at the 8-week follow-up. The observed group differences were, in part, due to a trend toward increasingly better adherence in the intervention group and poorer adherence in the control group across the follow-up period.     

Patient Adherence With Medical Treatment Regimens: An Interactive Approach

Inadequate patient adherence to treatment regimens is a ubiquitous problem in health care and carries a profound personal, societal, and economic cost. This article illustrates a general theoretical framework we believe to be useful for the interpretation, conception, and design of adherence research. The core tenet of this framework is that factors that influence adherence can be better understood by considering the interactive effects of patients' characteristics, type of adherence intervention, and characteristics of the illness and medical treatment context. This framework represents an extension and application of previous theory and research from personality, social, and clinical psychology concerning the value of an interactionalist perspective. We illustrate the framework using some of our past work involving treatment adherence among patients with chronic renal failure.     

Creative Fixation is No Laughing Matter: The Effects of Funny and Unfunny Examples on Humor Production

How do people come up with humorous ideas? In creative cognition research, exposure to good examples sometimes causes fixation (people get “stuck” on the examples) but other times sparks inspiration (people's responses are more creative). The present research examined the effects of funny and unfunny examples on joke production. A sample of 175 adults read scenarios that they completed with funny responses. All participants were instructed to be funny, but before responding they read (a) funny responses as examples of good responses to emulate, (b) unfunny responses as examples of poor responses to avoid, or (c) no examples. The participants’ own responses were rated for funniness and for similarity to the example responses, and response times were recorded. Reading either funny or unfunny examples, compared to no examples, caused people to come up with funnier jokes. Similarity to the examples was low in all conditions, so fixation was relatively modest, but people who saw unfunny examples spent more time coming up with their responses. Taken together, the findings support the growing literature showing that examples are often inspiring rather than constraining, and they imply that good and bad examples spark creative thought via different paths.     

Recalling a floor routine: the effects of skill and age on memory for order

Two studies were conducted to examine gymnasts' memory capabilities in relation to skill level (high and low) and age level (6–8 years and 14–16 years). The first experiment consisted of two trials performed 7 days apart. In the first trial, gymnasts were briefly exposed to a twelve‐element floor routine, and were then required to perform the routine in the same serial order. One week later they were again briefly presented the same sequence, but with the fifth and seventh elements missing. The task was to perform the sequence in order, including the missing elements. The second study involved three trials that were conducted on the same day. A ten‐element sequence was briefly presented on the first trial followed by an immediate test of that sequence. One hour later, participants were asked to perform the sequence again (delayed test). An hour following that, the sequence was again presented with two elements missing. The sequence had to be performed with the missing elements. The results indicate that serial position accuracy of a gymnastic floor routine improves with both age and experience, and that the older experienced gymnasts outperformed all the other gymnasts on all phases of the experiments. These results are interpreted within the Ericsson and Kintsch (1995) theory of Long‐term Working Memory. Copyright © 1999 John Wiley & Sons, Ltd.     

Self-directedness: A Process Approach to Cognition

Standard approaches to cognition emphasise structures (representations and rules) much more than processes, in part because this appears to be necessary to capture the normative features of cognition. However the resultant models are inflexible and face the problem of computational intractability. I argue that the ability of real world cognition to cope with complexity results from deep and subtle coupling between cognitive and non-cognitive processes. In order to capture this, theories of cognition must shift from a structural rule-defined conception of cognition to a thoroughgoing embedded process approach.