Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications

We review psychometric and other evidence relevant to mixed anxiety-depression. Properties of anxiety and depression measures, including the convergent and discriminant validity of self- and clinical ratings, and interrater reliability, are examined in patient and normal samples. Results suggest that anxiety and depression can be reliably and validly assessed; moreover, although these disorders share a substantial component of general affective distress, they can be differentiated on the basis of factors specific to each syndrome. We also review evidence for these specific factors, examining the influence of context and scale content on ratings, factor analytic studies, and the role of low positive affect in depression. With these data, we argue for a tripartite structure consisting of general distress, physiological hyperarousal (specific anxiety), and anhedonia (specific depression), and we propose a diagnosis of mixed anxiety-depression.     

An instrumented method for assessment and remediation of stuttering: A single-subject case study

A single-subject experimental design was used to investigate the feasibility of applying non-invasive laboratory instrumentation for examining speech physiology to assessment and biofeedback-based remediation of stuttering. Physiologic assessment facilitated the development of behavioral goals directed at changing respiratory and phonatory behaviors for this subject. Visual biofeedback therapy produced reduction in respiratory discontinuities and increased phonatory continuity, concomitant with reduced perceivable molar dysfluency. Methods used in this case illustrate a variety of options and problems related to clinical use of instrumentation. Results suggest that signals which represent respiratory, phonatory, and articulatory physiologic events may be clinically practical for evaluating and altering perceivable dysfluency.     

Response-contingent stimulation as a treatment for developmental failure in infancy

An 8-month-old infant with a developmental quotient of $\text{1}\text{1}\text{2}$ months was given response-contingent stimulation using a pressure-sensitive pillow which turned an overhead mobile. The subject learned to control the mobile by kicking the pillow, and concurrently began smiling at both the mobile and her mother for the first time. After mastering three contingencies on arm, head, and leg movement, she displayed what appeared to be a Piagetian coordinated secondary circular reaction, in which one response provided 4 seconds of access to another contingency. Although the subject remains severely retarded, the results suggest that some forms of developmental delay may be treated at least in part as a failure to develop contingency awareness.     

Discriminative infant smiling to orientations of talking faces of mother and stranger.

Thirty-two infants aged 14 and 20 weeks were presented with a live face in each of eight conditions, which consisted of all combinations of (a) a 0° or 90° orientation; (b) familiar face (the infant's mother) or distinctively unfamiliar face; and (c) talking or silent context. The previous findings that younger infants smile longer at 0° than at 90° faces and that this differential responsiveness to orientation wanes with increasing age were replicated; the hypothesis that older infants would smile longest at their mothers' talking faces in the 0° orientation was confirmed. In addition, infants of both ages smiled more at their mothers than at the stranger, although this effect interacted with orientation and sex of the infant.