Assessment of the hypochondriasis domain: the multidimensional inventory of hypochondriacal traits (MIHT)

Although hypochondriasis is associated with the costly use of unnecessary medical resources, this mental health problem remains largely neglected. A lack of clear conceptual models and valid measures has impeded accurate assessment and hindered progress. The Multidimensional Inventory of Hypochondriacal Traits (MIHT) addresses these deficiencies with scales that correspond to a 4-factor model. The MIHT was built with construct validity as a guiding principle and began with an item pool that broadly assessed dimensions identified in the literature. The items were administered to large samples; factor analyses of the responses led to item pool revisions and scale refinements. Multiple studies validated the final MIHT scales and 4-factor model; these findings suggest that the MIHT will contribute to theory and research.     

Assessment and treatment of adult acute responses to traumatic stress following mass traumatic events

Assessment and treatment of acute responses to traumatic stress has received much attention since September 11, 2001. This article elucidates principles of early intervention with adults in the immediate (within 48 hours) and early recovery phase (within the first week). The principles have been drawn from research on risk and recover factors, stress and traumatic stress theory, and expert consensus recommendations. The debriefing model is discussed, and principle interventions of psychological first aid, pharmacology, and mass trauma systems are described. This article concludes with brief guidelines for longer-term interventions and recommendations for future research.     

Intuition and autism: a possible role for Von Economo neurons

Von Economo neurons (VENs) are a recently evolved cell type which may be involved in the fast intuitive assessment of complex situations. As such, they could be part of the circuitry supporting human social networks. We propose that the VENs relay an output of fronto-insular and anterior cingulate cortex to the parts of frontal and temporal cortex associated with theory-of-mind, where fast intuitions are melded with slower, deliberative judgments. The VENs emerge mainly after birth and increase in number until age 4 yrs. We propose that in autism spectrum disorders the VENs fail to develop normally, and that this failure might be partially responsible for the associated social disabilities that result from faulty intuition.     

Adjustment to chronic low back pain--the relative influence of fear-avoidance beliefs, catastrophizing, and appraisals of control

The present study investigated the relative extent to which patients' adjustment to chronic low back pain (CLBP) was influenced by their fear-avoidance beliefs, their tendency to catastrophize, and their appraisals of control. Eighty-three CLBP patients completed a series of self-report measures before participating in a physical therapist-led intervention. Hierarchical multiple regression analyses revealed that patients' perceptions of their ability to decrease pain explained a small, but statistically significant, proportion of the variance in pain intensity. In addition, patients' levels of catastrophizing, as well as their fear-avoidance beliefs about both work and physical activity, were independently associated with levels of disability. Interestingly, however, when exploring the relative predictive utility of these three psychological factors, it became evident that fear-avoidance beliefs about physical activity (FABs-PA) were the only significant predictor of patients' disability. Specifically, those patients who exhibited higher levels of FABs-PA tended to report greater levels of disability, even after adjusting for age, sex and pain intensity.     

Relating distinctive orthographic and phonological processes to episodic memory performance

Three experiments examined the role of three distinctive perceptual factors in recognition and recall memory. Using a subject-paced presentation rate, the first two experiments (recognition and recall) examined (1) the number of phonological-to-orthographic neighbors, (2) phonological-to-orthographic consistency, and (3) orthographic-to-phonological consistency. The third experiment (recall) reexamined the number of phonological-to-orthographic neighbors, using an experimenter-paced presentation rate of 2 sec per item. In both recognition and recall memory tasks, the number of phonological-to-orthographic neighbors influenced memory performance, whereas the two types of consistency did not. The results indicate that having fewer phonological-to-orthographic neighbors (i.e., having distinct mappings between orthography and phonology, and between phonology and orthography, e.g., pulp) relieve words from interference in episodic memory tests for such words. Furthermore, words that are indistinct in terms of these mappings (e.g., tuck) are subject to interference from words with similar representations (e.g., luck, buck, stuck), and this weakens the memory trace for a particular word.     

Attempting to avoid false memories in the Deese/Roediger—McDermott paradigm: Assessing the combined influence of practice and warnings in young and old adults

On each of five study-test trials, young and old adults attempted to memorize the same list of 60 words (e.g., bed, rest, awake), which were blocked according to their convergence on four corresponding associates. Half of the participants in each age group were given an explicit warning about the DRM paradigm prior to encoding and were asked to attempt to avoid recalling any associated but nonpresented words (e.g., sleep). Lists were presented auditorily at either a fast (1,250 msec/word) or a slow (2,500 msec/word) rate. Without a warning, the probability of veridical recall across trials increased for both age groups; however, the probability of false recall across trials decreased only for young adults. When a warning about false recall was provided, young adults virtually eliminated false recall by the second trial. Even though old adults also used warnings to reduce false recall on Trial 1, they were still unable to decrease false memories across the remaining four study-test trials. Old adults also reduced false recall more with slow than with fast presentation rates. Taken together, these findings suggest that old adults have a breakdown in spontaneous, self-initiated source monitoring as reflected by little change in false recall across study-test trials but a preserved ability to use experimenter-provided warnings or slow presentation rates to reduce false memories.     

Holography does not account for goodness: a critique of van der Helm and Leeuwenberg (1996)

P. A. van der Helm and E. L. J. Leeuwenberg (1996) outlined a holographic account of figural goodness of a perceptual stimulus. The theory is mathematically precise and can be applied to a broad spectrum of empirical data. The authors argue, however, that the account is inadequate on both theoretical and empirical grounds. The theoretical difficulties concern the internal consistency of the account and its reliance on unspecified auxiliary assumptions. The account also makes counterintuitive empirical predictions, which do not fit past data or the results of a series of new experimental studies.     

The predictive strength of personal constructs versus conventional constructs: self-image disparity and neuroticism

Idiographic personal construct (PC) measures of self-image disparity were hypothesized to be stronger than nonidiographic conventional construct (CC) measures in predicting neuroticism. Ninety-six college students completed PC and CC measures of real self, ideal self, social self, and ideal social self; the NEO Five-Factor Inventory; and the Marlowe-Crowne Social Desirability Scale. Content analysis showed that individuals' PC measures were unique. The disparity between real self and ideal self and the disparity between social self and ideal social self were computed for PC and CC; test-retest reliabilities were .76 to .81. Results of simultaneous multiple regression analyses supported the hypothesis. Also, the two-variable PC self-image disparity scores were stronger than one-variable PC esteem scores in predicting neuroticism. Implications were discussed for research method, self-concept theory, personal construct theory, neuroticism, and psychotherapy.     

Visual marking in moving displays: feature-based inhibition is not necessary

Visual marking is a mechanism by which new visual stimuli can gain a selection advantage by the top-down attentional inhibition of stimuli already in the field. Previous work (Olivers, Watson, & Humphreys, 1999) has shown that, for moving stimuli, there must be a unique feature difference between the old items and the new items for marking to occur. The present study shows that this constraint is not necessary if the local spatial relationships between the old moving items remain constant. It is proposed that, with a fixed configuration, the old moving items can be grouped to form a single object. An inhibitory template set up to represent the object then coordinates the application of inhibition to the individual stimuli. Implications for the theory and ecological flexibility of visual marking are discussed.     

Further Support for a Hierarchical Model of Affect: Reply to Green and Salovey

Green and Salovey agree with us that happiness and sadness are strongly bipolar, and that Positive and Negative Activation are not. However, Green and Salovey subscribe to the two-dimensional circumplex, a model we find wanting. Actually, the problems they discuss arise from the limitations of the circumplex rather than from issues fundamental to affective structure. And they do not consider the evidence, reported in our target article, that supports an alternative to the circumplex: a three-level hierarchical model. In this reply, we take a closer look at the empirical findings supporting this model, and we emphasize its heuristic promise.