A randomized trial of a representational intervention to decrease cancer pain (RIDcancerPain).

OBJECTIVE: Based on theories regarding cognitive representations of illness and processes of conceptual change, a representational intervention to decrease cancer pain (RIDcancerPain) was developed and its efficacy tested. DESIGN: A two-group RCT (RIDcancerPain versus control) with outcome and mediating variables assessed at baseline (T1) and 1 and 2 months later (T2 and T3). Subjects were 176 adults with pain related to metastatic cancer. MAIN OUTCOME MEASURES: Outcome variables were two pain severity measures (BPI and TPQM), pain interference with life, and overall quality of life. Mediating variables were attitudinal barriers to pain management and coping (medication use). RESULTS: One hundred and fifty subjects completed the study. Subjects in RIDcancerPain (T1-T2 and T1-T3) showed greater decreases in Barrier scores than those in control. Subjects in RIDcancerPain (T1-T3) showed greater decreases in pain severity than those in control. Change in Barriers scores mediated the effect of RIDcancerPain on pain severity. CONCLUSION: RIDcancerPain was efficacious with respect to some outcomes. Further work is needed to strengthen it.     

Retrieval processes that produce interference in modified forced-choice recognition tests

Recognition can suffer if the retrieval cues activate more than one trace (e.g., for Flower A and Flower A′). We found evidence for two retrieval processes by examining interference effects in forcedchoice tests (e.g., Did you see Flower A or Flower A″?). Experiment 1 provided evidence of a problem in discriminating between temporally and contextually similar traces that were formed in the study phase. A competitor (Flower A′) interfered more if it was shown in the study phase rather than in the test phase. Experiments 2 and 3 found evidence for a blocking process in recognizing pairs of words (child—apple). A competitor interfered more if it was recent, shown at test rather than at study. This pattern occurred regardless of whether the competitor was similar to the target (child—orange) or dissimilar to it (child—truck). The importance of a particular retrieval process may depend on an item’s representation as well as on the retrieval cues.     

Occupational Stress in Workers and Managers in Steelworks in China

Occupational stressors and strains of 121 Chinese steelwork employees and 122 managers were measured using the Chinese version of the Occupational Stress Indicator (OSI). It was found that factors intrinsic to the job, Type A behavior, logic, and organizational structure and climate were the main predictors of mental ill-health and physical ill-health in managers. Organizational structure and climate and relationships with other people were important predictors for workers. Management processes and organizational forces were the strongest predicting factors of job satisfaction in both samples. On certain OSI scales and subscales, managers scored statistically higher than workers. It is proposed that these results reflect the enormous economic and social changes currently taking place in China, together with certain features inherent in Chinese organizational and managerial processes.     

Spatial and physical frames of reference in positioning a limb

Splints attached to the right forearm were used to rotate the forearm’s physical reference frame, as defined by the eigenvectors of its inertia tensor, relative to its spatial reference frame. In two experiments, when subjects were required to orient the forearm parallel to, or at 45° to, the environmental horizontal, they produced limb orientations that were systematically deflected from the forearm’s longitudinal spatial axis in the direction of the forearm’s physical axes. The position sense seems to be based on inertial eigenvectors rather than on joint angles or gravitational torques.     

A comparison of attentional and control shift models of the performance of concurrent tasks

A concurrent verbal task was superimposed upon the performance of a practiced bimanual motor skill by right-handed Ss. Addition of the verbal task did not increase the total number of errors; however, a significant interaction between hands and conditions was observed. The right hand made significantly more errors under the verbal condition, while the left hand made non-significantly fewer errors under that condition. These findings were interpreted as supporting an attentional model rather than a model which proposes that addition of the verbal task causes control of the right hand to shift to the non-verbal right hemisphere.     

Mental search processes in problem solving

A new approach to problem solving was applied to multisolution problems in a memory search task. Subjects memorized a list of eight four-letter foods, and then searched mentally through the list for answers to questions. The times between successive answers (IRTs) were recorded along with the answers themselves. This allowed a comparison of two possible memory search strategies: (1) sampling with replacement, and (2) sampling without replacement. The results were largely in agreement with the sampling-without-replacement strategy. However, a more detailed breakdown of the data revealed that most subjects searched through the list in a rigid serial order. Further, an analysis of questions with identical answers showed that the IRTs were very nearly additive. This led to an additive time component model based on the independent summation of (a) read-in time, (b) memory-search time, (c) decision-making time, and (d)response-output time. This approach appeared generally more satisfactory than previous attempts to account for problem-solving behavior.     

APE: average potential evaluation software for the LAB-8 system

A paper-tape software system is described which allows the addition and/or subtraction of signal averaging data from the DEC advanced averager program. This pooled averaging data may be plotted, printed, or punched. A DEC LAB-8 system with 4K memory and high-speed reader/punch are required. Several examples of the application of the system to human evoked brain response data are presented, and the application of the system to other problems is discussed.     

Control of avoidance by a response-produced stimulus

Three pigeons were trained to press a foot pedal to postpone electric shock. The safety signal was a tone of 1000 Hz, which sounded for 5 sec following each press; silence therefore served as a warning signal. After the performance approached asymptote, test sessions were interspersed among the training sessions. Following a warm up, the shock was omitted (extinction), and no tone or a tone of 250, 500, 1000, 2000, or 4000 Hz was presented following each press for the remainder of the session. Gradients of generalization plotted in terms of the number of times the tone was produced on each test peaked at 1000 Hz, indicating that the performance was controlled by the frequency. Since this dimension is orthogonal to absence of tone, the gradient cannot be attributed to differences in the magnitude of change in the warning signal. It was concluded that response-produced stimuli reinforce avoidance behavior.