Exposure is a necessary condition for fear-reduction: a reply to de Silva and Rachman

de Silva and Rachman (1981) have recently suggested that although non-reinforced exposure of a fear-evoking stimulus constitutes a sufficient condition for unlearning fears, it does not represent a necessary condition. This conclusion was reached, in part, by examples they provide which appeared to them to suggest that fear-reduction can occur in the absence of exposure to the fear stimulus. They then call for an extended search for non-exposure types of intervention, especially those involving ‘sources of information’ and ‘expectations’. After reviewing in detail the arguments advanced, the present authors adopt the position that de Silva and Rachman's conclusions are premature and unwarranted. To abandon or lose sight of one of the most effective and perhaps most important therapeutic principles, CS exposure, would be myopic and detrimental to the advancement of effective behavior change. At this point in time what is needed is a more careful analysis of the extinction process especially at the stimulus level so the effectiveness of this principle can be maximized.     

New assessments of weight-related body image derived from extant instruments

A study of 79 female college students examined the reliability and validity of two new size/weight-related measures of body image. The Body-size Appraisal Scale and the Overweight Preoccupation Scale were derived from existing instruments. Analyses supported the internal consistency and 2-wk. test-retest reliability of both new scales. Correlations of scores on each scale with measures of anxiety about being fat, negative body-image affect and avoidance, restrained and bulimic eating, and depression support their concurrent and construct validity. Scores on the Overweight Preoccupation Scale were also related to the extent of investment in physical appearance. Regression analyses indicated that each new scale could be predicted from several other conceptually relevant body-image attitudes, even after actual body weight was controlled.     

Visual novelty preference as a measure of recognition memory in moderately, severely, and profoundly retarded persons

A novelty preference method was used to examine memory processes in profoundly, severely, and moderately retarded persons. After viewing a photograph of a face for 30 seconds, subjects were shown the study face and a new one after intervals ranging up to 3 minutes. Data were obtained from 30 of 56 subjects with this method. Of the 30 subjects, 20 showed significant preference for looking at the new face in the test. Recognition memory as indexed by novel looking declined over the retention interval. Memory was stronger but decayed more rapidly for higher memorable (distinctive) faces. With refinement, the novelty preference method holds promise for the study of cognitive processes in nonverbal persons. But, since memory is being inferred from response preferences which reflect an induced motivational state, satiation, the relationship between this state and memory must be established.     

Analysis of the AAMD Adaptive Behavior Scale: public school version

Many state agencies have ruled that assignment of students to special education classes for the mentally retarded must be determined by assessment of verbal, performance, and adaptive behaviors. The AAMD Adaptive Behavior Scale: Public School Version was subjected to a normative and validation study using 291 subjects from the southcentral area of Texas. Data were collected from groups of regular and special education students, both white and nonwhite, at 8, 10, and 12 yr. of age. Results were compared to the original normative data provided in the AAMD manual and indicated that (1) the instrument is effective in discriminating between regular and special education groups; (2) a shortened version may be feasible and more practical; and (3) the derived total score may be useful and effective when used as a cut-off score for placement in special education for the mentally retarded.     

Coping With Stress: Getting the Message Across

On a campus of 30,000 students there are many who will not have direct contact with the Personal Counseling Service; yet those students experience and must cope with numerous pressures, which may affect their personal lives and academic progress. To help these students become more aware of stress areas and coping skills we submitted an article to The Addition, the Division of Student Services' semester newspaper. The unusual format for the information was selected to be eye-catching and thus more likely to be read than a regular news-format article.     

Neutralizing sexist titles in Holland's Self-Directed Search: What difference does it make?

Sex-role stereotyping in the linguistic structure of Holland's Self-Directed Search (SDS) was examined. A revised SDS was constructed involving the removal of all masculine-toned terminology from the items and test-taking instructions, as well as the affixing of the letters M/F and F/M to all occupational titles and terms commonly perceived as gender specific. Subjects were 266 lower division female students at a large state university; 133 subjects completed the standard SDS and 133 completed the revised form. Following SDS assessment, subjects rated their inventory with respect to perceived sexual equality. Comparison variables included: daydreams, occupations' scores, summary codes, and subsequent occupational choices. Occupational choices at each stage of the assessment process were classified as nontraditional or traditional choices for women. Results indicated that across all indices derived from the standard and revised versions of the SDS, there were no significant differences in these subjects' performance. The subjects did perceive the two inventories differently, with subjects completing the standard SDS viewing it as slightly less equitable.     

Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men.

The availability of improved HIV treatments may prompt reduced concern about HIV and sexual risk. Gay and bisexual men (N = 554, 17% HIV-positive) completed measures of treatment attitudes, sexual risk, and assumptions regarding the infectiousness of sexual partners. A substantial minority reported reduced HIV concern related to treatment advances. Reduced HIV concern was an independent predictor of sexual risk, particularly among HIV-positive men. In response to hypothetical scenarios describing sex with an HIV-positive partner, participants rated the risk of unprotected sex to be lower if the partner was taking combination treatments and had an undetectable viral load, relative to scenarios with a seropositive partner not taking combination treatments. Prevention efforts must address attitudinal shifts prompted by recent treatment successes, stressing the continued importance of safer sex, and that an undetectable viral load does not eliminate infection risks.