Attention and memory for threat in panic disorder

Recently, information processing paradigms have been utilized to explore the role of attentional and memory processes in the maintenance of clinical anxiety disorders. The present study extended these data using a dual-task paradigm to assess attentional vigilance and a cued recognition task to evaluate short-term memory effects in Panic Disorder (PD). Twenty PD patients and 20 normal controls completed a computerized task wherein they read aloud one of a pair of rapidly presented words (primary task) while simultaneously attempting to detect a small probe that appeared adjacent to one of the words (secondary task). Eighty stimulus words were chosen to represent four categories: physical panic-related threat, social threat, positive-emotional, and neutral. Reaction time and accuracy in detecting the probe were assessed, as well as psychophysiological responding (heart rate, skin conductance, EMG). Following task completion, a cued recognition task was administered to examine short-term memory of task stimuli. Results indicated that PD patients exhibited slower reaction times relative to normal controls during presentation of physical panic-related threat and positive-emotional stimuli. A similar trend emerged for social threat stimuli, although the PD and control samples responded similarly to neutral stimuli. No group differences were found on the cued recognition measure or psychophysiological responding during task performance. The data are discussed in terms of possible implications for cognitive models of PD.     

Clarifying the role of shape in children's taxonomic assumption.

When asked to find a new referent of a novel label children tend to ignore thematic relations (e.g., the relation between a spider and its web) and focus instead on taxonomic relations (e.g., the relation between a spider and a snake). The precise nature of children's taxonomic assumption has not been clear, however. One possibility is that the taxonomic assumption reduces to a "similar-shape rule": perhaps children tend to select objects of the same taxonomic kind when asked to extend new labels simply because these objects are more similar in shape than objects which are only thematically related. Sixty children between 3 and 5 years of age participated in three studies which examined children's attention to thematic relations, similarity of shape, and taxonomic relations when extending novel object labels. The findings indicated that shape has some primacy in children's expectations about object label reference, yet when shape is not available as a guide, children also take taxonomic kind into consideration when searching for new referents of novel labels. Thus children make use of a relatively rich and somewhat varied set of expectations to guide their inferences about object label reference.     

Behavioral consequences of job-related stress among resident physicians: the mediating role of psychological strain

This study examined the correlations among stressors, psychological strain, and behavioral reactions in a national sample of 1785 resident physicians, 27 to 33 years old. Consistent with previous studies of resident physicians, analysis showed that those experiencing high job-related stressors experienced high psychological strain in both their personal and professional lives. Stressors were also correlated with behavioral reactions. Hierarchical regression suggested that psychological strain mediated the relations between two of the stressors and behavioral reactions to some extent. This was consistent with recent research suggesting that psychological reactions may mediate the relations between stressors and outcomes. Further research on both medical residency and the stressing process was suggested.     

Cross-cultural issues in the treatment of intractable anorexia nervosa

This paper presents a case of intractable anorexia nervosa in a child burdened beyond her capabilities by unresolved conflicts in a parent. The dynamics will be assessed in the context of open systems theory of family function to suggest that the mother's conflicts, fixated at the time she left her native country, and her attempts to adapt to a new one, combined with other family members' failure to understand or appreciate the mother's cultural roots, interrupted the patient's normal maturation/development. The paper also presents a successful course of treatment of the binational anorexic girl, using a comprehensive inpatient program, emphasizing intensive family therapy with an open systems theory framework.The earlier version of this paper was presented at the Sixth World Congress of the International College of Psychosomatic Medicine, Montreal, Canada, September, 1981. Helpful comments by Regina Casper, M.D., helpful discussion by Kenneth Calestro, M.A., and support and encouragement by Katharine N. Dixon, M.D. are greatly appreciated.     

Group performance as a function of group type,task condition and scholastic level

Studied performance on a multiple-solution anagrams task by two-member nominal, pseudo, quasi, and real groups in relation to task conditions (set versus nonset) and school grades (10th, 11th, and 12th). Nominal groups were made up of individuals working alone. Pseudo groups were made up of members sitting together but working independently for individual scores. Quasi groups were made up of members who were working together for a common or shared goal but were not allowed to communicate with each other. Real groups were the usual teams of freely interacting and mutually consulting members. Five words were presented to the subjects in the set condition (unlike in the nonset co ndition) in order to channelize their problem-solving activity in particular directions. The subjects were 192 male American high school students. The most important finding was that both nominal and pseudo groups produced more errors than real groups. Also the set condition generated more errors than the nonset condition. These and other findings were discussed and interpreted in the context of previous research.     

Gender differences in anger and fear as a function of situational context

Gender differences in the reported intensity of anger and fear toward hypothetical males and females were explored in three age groups (6–12 year olds, 14–16 year olds, and adults over 30) located in two different geographic areas. The samples were primarily Caucasian and included a wide range of socioeconomic groups. Subjects reported on the intensity of feelings elicited by characters in an emotion story task in which three aspects of situational context were varied: the gender of the story characters eliciting the feeling (all situations), the stereotypic gender-typed or cross-gender behavior of the eliciting character (four situations), and the affective quality of the situations (four situations). Across all three age groups, situations that were frightening, anger-provoking, or that depicted stereotypic male-negative behavior elicited the most consistent subject gender and character gender differences in reported fear and anger. Relative to males, females of all ages reported more fear in frightening, anger-producing, and male-negative stereotypic situations. Males were reported to be more frightening and anger-producing than were females in those same situations. The data also suggested that with development, females reported less intense fear of females, while males reported less intense fear of males.This research was supported by a Gender Roles grant from the Rockefeller Foundation. We appreciate their support. We would also like to thank the public school systems of Milton, Norwood, and Watertown, Massachusetts, and Saskatoon, Saskatchewan, Canada. Finally, we would like to thank Lance Davidow, John Houlihan, and Theodore Cross for statistical consultation and/or computer programming, as well as all the parents, children, and adolescents who participated in the study.     

Effects of Severity of Accident,Intent, and “Alcoholism is a Disease” Excuse on Judgments of a Drunk Driver1

One hundred fifty-five women and 122 men read scenarios of an accident caused by a male drunk driver. The severity of the accident was either high (death) or low (monetary damage). In addition, the driver either expressed or denied intent (he admitted or denied knowing he was drunk before deciding to drive) and the driver either accepted responsibility for the accident or used the excuse that alcoholism is a disease beyond his control. On trait ratings, the driver was evaluated as being more reckless and as feeling greater emotion when the accident was severe. The driver who used the “alcoholism is a disease” excuse was evaluated as being less sincere and more reckless than the driver who accepted responsibility for the accident. On attributional ratings, the driver was rated as deserving greater punishment when the accident was severe. On sanctions, only severity of the accident influenced recommended fines and prison sentences for the driver. This study was consistent with previous research showing that recommended punishment for a drunk driver who caused an accident is primarily a function of accident severity.     

Political Contacts: Analyzing the Role of Similarity in Theories of Prejudice

Over the last 50 years, many theories of prejudice reduction in social psychology have embraced the premise that intergroup contact allows people to recognize similarities between themselves, and that this perceived similarity overwhelms the social distance associated with intergroup antipathy. Given the mixed empirical evidence, however, we suggest that the positive effects of perceived similarity have been overemphasized. Although similarity may be sufficient for improved intergroup relations, the relationship between similarity and intergroup relations is far more complex than the literature usually suggests. Moreover, studying difference in intergroup contexts may yield new ways to resolve intergroup conflict and address group inequalities.     

A Survey of Genetic Counselors' Use of Informed Consent Documents for Prenatal Genetic Counseling Sessions

Thirty six members of the Prenatal Diagnosis Special Interest Group of the National Society of Genetic Counselors were interviewed about their use of informed consent documents for the genetic counseling component of their prenatal genetic counseling sessions and their perceptions of the utility and feasibility of such documents. Major findings include (1) None of the genetic counselors currently used a consent document describing the genetic counseling component of the session itself; (2) Only three participants stated that they had ever used an informed consent document for this component of the session; (3) They disagreed about the importance and usefulness of such a document; (4) There was variability in their reported likelihood of using a document if one were available; (5) There was a fair amount of agreement about the types of information to include on an informed consent document for genetic counseling; over half of the sample endorsed 8 of 10 topics; and (6) Participants identified 10 obstacles to using such a document. Recommendations for genetic counseling practice, policy, and research are given.