An example of cooperating compact data analysis programs

Some user-oriented compact data analysis programs are described. One program is useful for transforming and reformatting data, and the others perform analysis of variance and multiple regression. Along with other programs not described here, these form an adequate statistical package without sacrificing ease of use or computational power.     

Attention to important versus trivial tasks and salience of fatigue-related symptoms for coronary prone individuals

The present study tested the hypothesis that individuals with the Type A coronary prone behavior pattern focus their attention more on important tasks, and less on trivial tasks than do Type B's. The study used a paradigm in which some subjects worked on math problems (important task) and rated intervening mood items (trivial task), whereas others rated mood items they were to memorize (important task) and worked on intervening math problems (trivial task). All subjects were later tested on recall of mood items. Results indicated that Type A's performed better on math problems and recalled more fatigue-related mood items when the task was important than when it was trivial; for Type B subjects, there was no difference in the number of math problems solved correctly or number of mood items recalled between important and trivial task conditions. Moreover, Type A's reported greater fatigue when mood recall was the important task than when math was the important task, whereas fatigue ratings of Type B's did not differ across these conditions. The findings suggest that Type A's suppress their attention to fatigue-related symptoms only when symptoms are not the objects of focus.     

Pastoral intervention in a temporary burn unit

In February, 1978 a tank car exploded in Waverly, Tennessee. Nine of those severely burned in the fire were brought to Vanderbilt University Medical Center. The author describes his role as chaplain as defined by the patients' primary and secondary adaptive behaviors. Integrating this basic data in psychodynamics with his own understanding of ministry, he characterizes his ministry as both clinically and community based.He also serves as an adjunct faculty member of The Divinity School, Vanderbilt University.     

The treatment of epilepsies with Convulsofin

The testing of Convulsofin carried out in 220 patients at 14 clinics over a period of six months confirms the international experience gained with valproic acid and sodium valproinate. The main field of application of Convulsofin according to the experience gained will again be the treatment of fits in generalised primary epilepsy for which it permits to carry out a monotherapy to a remarkable extent. The favourable effect of the preparation in photosensitivity could be confirmed. Also in generalised secondary epilepsy and in fits of partial epilepsy. Convulsofin is partly effective, so that it can recommended as a co-medication in the treatment of therapy-resistant forms of these epilepsies which are difficult to treat. Decrease in thrombocytes, transient increase in serum transaminases, gastrointestinal disorders, loss of hair and undesired increases in body-weight were the more frequently occurring side-effects.     

Preferences for skill versus chance-determined activities: The influence of gender and task sex-typing

Three experiments tested the hypothesis that skill-chance activity preference by men and women is moderated by task sex relatedness. Men and women (total N = 368) opted to perform either skill or chance versions of masculine and feminine tasks, and then provided ratings of performance expectancy, importance of success, and perceptions of task characteristics. Results support the conclusion that men do not prefer skill and women chance as had been found previously, but rather that while men's skill preferences are higher than women's on a masculine taks, women prefer skill more than do men on a feminine task. Skill-chance preferences were primarily a function of the expectancy of success on skill tasks.     

Disintegrated experience: the dissociative disorders revisited

We present proposed changes to the dissociative disorders section of the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders and review the concept of pathological and nonpathological dissociation, including empirical findings on the relations between trauma and dissociative phenomenology and between dissociation and hypnosis. The most important proposals include the creation of two new diagnostic entities, brief reactive dissociative disorder and transient dissociative disturbance, and the readoption of the criterion of amnesia for a multiple personality disorder diagnosis. We conclude that further work on dissociative processes will provide an important link between clinical and experimental approaches to human cognition, emotion, and personality.     

Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population

This study aimed to clarify how manifestations and acquisition relate to diagnostic categories of dental fear in a population of self-referred dental fear patients, since diagnostic criteria specifically related to dental fear have not been validated. DSM III-R diagnostic criteria for phobias were used to compare with four existing dental fear diagnostic categories, referred to as the Seattle system. Subjects were 208 persons with dental fear who were telephone interviewed, of whom a subsample of 155 responded to a mailed Dental Anxiety Scale (DAS), State-Trait Anxiety Inventory and a modified FSS-II Geer Fear Scale (GFS). Personal interviews and a Dental Beliefs Scale of perceived trust and social interaction with dentists were also used to evaluate a subsample of 80 patients selected by sex and high dental fear. Results showed that the majority of the 80 patients (66%), suffered from social embarrassment about their dental fear problem and their inability to do something about it. The largest cause of their fear (84%) was reported to be traumatic dental experiences, especially in childhood (70%). A minority of patients (16%) could not isolate traumatic experiences and had a history of general fearfulness or anxiety. Analysis of GFS data for the 155 subjects showed that fear of snakes and injuries were highest among women; heights and injections among men. Fear of blood was rarely reported. Spearman correlations between GFS individual items and DAS scores indicated functional independence between dental fear and common fears such as blood, injections and enclosures in most cases. Only in specific types of dental fear did these results support Rachman and Lopatka's contention that fears are thought to summate.(ABSTRACT TRUNCATED AT 250 WORDS)     

Anxiety induced by cardiac perceptions in patients with panic attacks: a field study

In panic disorder bodily sensations appear to play an important role as a trigger for anxiety. In our psychophysiological model of panic attacks we postulate the following vicious circle: individuals with panic attacks perceive even quite small increases in heart rate and interpret these changes as being catastrophic. This elicits anxiety and a further increase in heart rate. To evaluate this model we conducted a field study of 28 subjects with panic attacks and 20 healthy controls. A 24 hr ambulatory ECG was recorded and the subjects were instructed to report any cardiac perceptions during this period and to rate the anxiety elicited by these perceptions. The incidence of cardiac perceptions was about the same in both groups, but only subjects with panic attacks reported anxiety associated with such perceptions. Analysis of the ECGs revealed that in both groups heart rate accelerations preceded cardiac perceptions. Following cardiac perceptions, the healthy controls showed a heart rate deceleration, whereas the subjects with panic attacks had a further acceleration. This heart rate increase after cardiac perceptions was positively related to the level of anxiety elicited by the perceptions. These results provide clear evidence in support of the vicious circle model of panic attacks.