Chest pain without coronary artery disease: An exploratory comparison with panic disorder

Recent reports have indicated similarities between patients with persistent chest pain of nonorganic origin and patients with panic disorder. In order to explore this association further, we administered a structured interview and three self-report measures (State-Trait Inventory, Beck Depression Inventory, and SCL90-R) to three subject groups: (1) a sample with persistent chest pain (CP; n=14) who had been screened and found to have normal coronary arteries, (2) a sample of patients with panic disorder (PD; n=14), and (3) a sample of matched normals (n=14). CP patients were considered to be free of coronary artery disease (CAD) following normal cardiac catheterization and/or normal thallium stress tests and were not diagnosed initially with panic disorder. PD patients were diagnosed with a standardized psychiatric interview and were free of organic causes of panic. Using an exploratory data analytic approach, the results indicated that both CP and PD samples reported increased levels of state and trait anxiety (p <.0001), depression (p <.01), and somatization (p <.0001) compared with normals. CP patients differed from PD patients in their less frequent use of anxiolytic medication (p <.01) and lower levels of reported panic anxiety and phobic avoidance (p <.0001). These data suggest that persistent chest pain in the absence of CAD shares some features with panic disorder, yet differs from panic in key ways as well. The results are discussed in light of the role of anxiety in contributing to symptom labeling.This research was supported by Grant 86G-491 from the American Heart Association, Texas Affiliate, to J.G.B. H.T. is the recipient of USPHS Research Career Development Award K04-HL-0122246.     

Age differences in the acculturation process

Age differences were assessed in a conceptual model that seeks to explain how acculturation affects psychological well-being among Mexican Americans. The data were from a national probability sample of 859 persons of Mexican decent. It was hypothesized that low acculturation creates financial stress. Moreover, low acculturation and financial stress were in turn predicted to erode feelings of personal control and self-esteem. Finally, diminished feelings of control and low self-esteem were hypothesized to exert a negative impact on psychological well-being. When data from respondents of all ages was assessed, empirical support was found for all of the hypotheses except the linkage between acculturation and financial stress. However, few age differences emerged in the model. The authors conclude that older Mexican Americans may not be more vulnerable to the stressors associated with acculturation.     

Violent Men In Intimate Relationships: An Analysis of Risk Markers1

In the family violence literature, a number of risk markers associated with men's use of violence against women have been identified. Using the 1975 National Family Violence Survey, a multivariate analysis was performed to examine which risk markers best differentiated among nonviolent men, verbally aggressive men, men who exhibit minor physical violence, and severely physically violent men. High levels of marital conflict, lower socioeconomic status, and greater exposure to violent role models in the home of origin emerged as primary correlates of levels of violence between intimates. Theoretical and research implications are discussed.     

Quantum mechanics as subjectivity and projective stimulus

In this paper I attempt to show that subjectivity, as an input to the creative core of physics, is a misunderstood, but crucial factor. Utilizing Rapaport's fundamental paper, Principles Underlying Projective Techniques which identifies the determinants of the projective technique as: 1. lack of organization, 2. undifferentiation, 3. closeness to the core of the personality, and 4. the meaning of the stimulus being unknown to the subject, a link is suggested to quantum mechanics. It is further suggested the revolutionary nature of quantum mechanics satisfies the projective criterion of the material being unorganized or unfamiliar so that the function of organization can become predominant (Rapaport 1942, p. 93).     

Developmental changes in the attribution of dispositional features

It was hypothesized (1) that with age children would rely increasingly upon information about intention, rather than overt behavior, when attributing dispositional features to others; and (2) that, developmentally, “restricted” dispositional attributions (i.e., those that assume the operation of highly specific situation-response relationships) would precede “generalized” dispositional attributions (which assume the operation of a dispositional concept between broad classes of situations and responses). An experiment is reported that provides support for the first, though not the second, of these hypotheses.     

The interactional teaching patterns of mothers and fathers with their popular,moderately popular,or unpopular children

The interactional teaching strategies of mothers and fathers toward their sociometrically determined popular, moderately popular, or unpopular children, and children's responses to them were examined during a structured puzzle task in a laboratory setting. Parents of popular children used more explanations in aiding their children to complete the puzzle task than parents of moderately popular or unpopular children. Mothers were more likely to offer suggestions, use explanations, and ask questions during the puzzle task than fathers. Analysis of children's responses revealed that popular children were more likely to ignore imperatives by their parents compared with unpopular children, while unpopular children showed a tendency to be more cooperative following imperatives by parents than popular children. Finally, popular children were less likely to ignore but were more likely to go off task following suggestions by parents than either unpopular or moderately popular children. The data are discussed with respect to the possible link between parental socialization patterns and children's popularity in the peer group and the need to consider the interaction patterns in both the peer and parent-child systems for intervention purposes.Portions of this paper were presented by the first author at the Banff International Conference on Behavioral Science, Banff, Alberta, Canada, 1984. The research was supported through the Western Regional Project W144, Development of Social Competencies in Children, with funding from Science and Education Administration/Cooperative Research of the USDA and Utah State University Agricultural Experiment Station. We would like to thank the parents and children for their participation, and Nina Mounts, Maria Norton, Carla Seamons, Soheila Sobhani, and Joan Wareham for their assistance with varying aspects of coding and data analysis.     

Anisomycin impairs long-term working memory in a delayed alternation task

A long-term temporal component of working memory of rats trained on the radial maze has been shown to be susceptible to disruption by the protein synthesis inhibitor, anisomycin. It is not clear whether protein synthesis played a role in working memory because accurate performance on the radial maze required the storage of a large amount of information, or because the information was to be held in store for relatively long periods of time. This experiment tested these hypotheses by assessing the effect of anisomycin on choice accuracy in a comparatively simple spatial delayed alternation task. Results indicate that under the present training conditions, protein involvement in working memory is related more to the length of the retention interval than to the amount of information retained.     

Irrational beliefs in the articulated thoughts of college students with social anxiety

Cognitive conceptualizations of social anxiety emphasize the role of negative self-statements, unrealistic expectations, and irrational beliefs in the development and maintenance of anxiety in social-evaluative situations. Research into these cognitive factors has entailed administration of questionnaires and instructions to subjects to write down their thoughts during a preceding or impending real-life encounter. These methodologies are criticized on several grounds, such as their assessment of abstract, generalized views by the subject of his/her typical way of thinking over a broad range of circumstances; constraints on responses because of experimenter-provided alternatives; and delays between the eliciting events and self-talk such that recall is subject to distortion and forgetting. Reported here is the use of a recently developed paradigm for uncovering thoughts in complex social situations. In the articulated thoughts during simulated situations method, subjects role-play participation in an audiotaped interpersonal encounter and, at predetermined points, verbalize thoughts elicited by a short segment of the fictitious event. The think-aloud data are taped for later content analysis. The purpose of this study was to explore the relationship between irrational beliefs and social anxiety. Results confirm those of two previous related experiments in that subjects articulated thoughts of greater irrationality when confronted with a stressful social-evaluative situation than with a neutral one. In addition, individuals with a tendency to become anxious in social situations articulated more irrational thoughts than did control subjects, confirming the basic assumption of cognitive-behavioral approaches that certain paterns of unrealistic thinking are associated with psychological distress.     

THE EFFECTS OF A CLASSROOM MANAGER ROLE ON THE SOCIAL INTERACTION PATTERNS AND SOCIAL STATUS OF WITHDRAWN KINDERGARTEN STUDENTS

We examined the effects of assigning a classroom manager's role on the frequency of social interactions and the sociometric standing of three withdrawn kindergarten students. Results showed that when the three socially withdrawn students were placed in the manager's role they substantially increased the frequency of their positive social initiations during free-play time, were the recipients of many more positive and significantly fewer negative social bids from their peers, were rated more favorably by their classmates on a sociometric rating scale, and were selected more frequently as best friends by their peers. In addition, follow-up data suggested partial maintenance of treatment effects when students no longer occupied manager positions.