BEHAVIOR THERAPY AND THE CONDITIONING MODEL OF NEUROSIS

The methods of applied science are usually based on the findings of pure science, and the discovery of successful methods of therapy for the neuroses is dependent on the formulation of appropriate theories for these disorders. It is argued that the only viable theory about neurosis at the moment is an adaptation of the Watsonian conditioning model, suitably altered to fit in with more recent discoveries in the fields of the formation and extinction of conditioned responses. Such a model has important relevance to behaviour therapy and the various methods for treating neuroses falling under that heading, and indeed for an explanation of the apparent effectiveness of psychotherapy, psychoanalysis, and whatever events mediate spontaneous remission.     

Accents in equitone sequences

Equitone sequences are defined as sequences of tones that are identical in all respects: frequency, spectral composition, intensity, and duration. The only parameter varied in these sequences is the time-interval between tones. In such sequences, clear accents are perceived. This paper describes accent perception in equitone sequences containing two alternating intervals; such sequences are perceived as consisting of repeating groups of two tones. An accent is heard on the first tone of a group if the difference between the intervals is about 5% to 10%. If the difference is made bigger, the accent is heard on the last tone of the group; this latter accent is considerably stronger than the accent previously heard on the first tone. In a number of experiments, the conditions under which the two types of accents occur were investigated. From these experiments, it was tentatively concluded that the accent on the last tone is heard because that tone, since it is followed by a longer interval, can be processed more completely. This “intervalproduced” accent indeed occurs only if the between-group interval is considerably longer than the within-group interval and if the latter does not exceed a duration of about 250 msec. The effect is slightly dependent on tone duration. The interval-produced accent can be balanced if the nonaccented tone is increased by about 4 dB in intensity. This shows that the effect is quite robust. The specific type of accentuation reported here might explain some rhythmical phenomena, examples of which are given.     

The influence of verbal specifications on ratings of relative properties of pictures

Summary Sixty subjects were shown pictures each containing two objects (A and B). The objects were unobtrusive with respect to relative properties such as long — short, big — small, etc. The pictures were preceded by sentences referring either to objects A and B or only to object A. Object A was dimensionally specified: The same object was called, e.g., long for one and short for a different subject. Ratings during a later test (without presentation of the pictures) revealed that not only were objects A remembered according to the verbal specification provided during the presentation but ratings of objects B also changed in line with the specification of A. This was true even when object B had not been mentioned verbally during the presentation. In this way, verbal specifications had an effect beyond the referential bond. It is concluded that models based on the assumption that the semantic interpretation of an event depends on the application of syntactic rules — rules indicating, e.g., to which object an adjective refers — lack an important clue.     

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.     

A characterization of stochastic independence by association,with an application to random utility theory

A characterization of stochastic independence in terms of association of random variables is given. The result is applied to yield a simple proof of the Sattath-Tversky inequality without continuity assumptions.     

Lesions of the basal ganglia, thalamus, and deep white matter: Differential effects on language functions

Forty-five patients with unilateral demarcated vascular lesions in the basal ganglia, the thalamus and the deep white matter were investigated with an "aphasia battery." Patients with basal ganglia lesions performed worse than both other groups in tests of articulation, syntax, and lexical functions. The deficit of patients with basal ganglia lesions on all expressive language modalities was lateralized to the left hemisphere. Patients with left thalamic lesions showed impairments of speech fluency and in the Token Test. Patients with white matter lesions alone showed no effect of laterality in tests of language functions. The results are discussed on the basis of a recent theory of the participation of the deep nuclei in language processing.     

Freud,Piaget and Macmurray: A theory of knowledge from the standpoint of personal relations

The following comparisons between Freud's and Piaget's concepts are proposed: eros drive = constructive assimilation = direction toward the object in the sense of love for newness and otherness; death drive = constrictive assimilation = direction away from or destruction of the object out of fear for self to preserve the system. Eros and assimilation drive combine in the developing object and symbol formation to transform personal relations and knowledge. These psychological theories are further confirmed by evolutionary considerations about human social relations and by Macmurray's philosophy of personal relations as the primary function of reason.     

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)