Effects of signaling inescapable shock on subsequent escape learning: implications for theories of coping and "learned helplessness"

The present experiments reveal that shuttle-escape performance deficits are eliminated when exteroceptive cues are paired with inescapable shock. Experiment 1 indicated that, as in instrumental control, a signal following inescapable shock eliminated later escape performance deficits. Subsequent experiments revealed that both forward and backward pairings between signals and inescapable shock attenuated performance deficits. However, the data also suggest that the impact of these temporal relations may be modulated by qualitative aspects of the cues because the effects of these relations depended upon whether an increase or decrease in illumination (Experiment 2) or a compound auditory cue (Experiment 4) was used. Preliminary evidence suggests that the ability of illumination cues to block escape learning deficits may be related to their to reduce contextual fear (Experiment 3). The implications of these data for conceptions of instrumental control and the role of fear in the etiology of effects of inescapable shock exposure are discussed.     

Utility of the Millon Behavioral Medicine Diagnostic (MBMD) to predict adherence to highly active antiretroviral therapy (HAART) medication regimens among HIV-positive men and women

Psychosocial and behavioral factors may be strong predictors of adherence to medications in a wide variety of diseases. Newly emerging antiretroviral medications for HIV have been shown to be effective but require near perfect adherence to offer clinically significant benefits. There is currently great interest in deriving patient factors that may predict optimal medication adherence in HIV-positive persons. In this study, we examined the association of psychosocial and behavioral characteristics using the Millon Behavioral Medicine Diagnostic (MBMD; Millon, Antoni, Millon, Meagher, & Grossman, 2001) and adherence to highly active antiretroviral therapy (HAART) among 117 HIV-positive individuals on HAART regimens. Specific indexes of the MBMD were associated with HAART adherence as assessed through patient interview, at baseline assessment, and at 3-month follow-up at a point after which participants had received medication adherence training. As hypothesized, the Medication Abuse scale of the MBMD was uniquely associated with overall adherence at baseline assessment and also predictive of adherence at 3-month follow-up. Additional MBMD scales were also related to overall adherence as well as specific adherence behaviors such as missed doses, following specific instructions, and overmedicating, although the Medication Abuse scale emerged as the most consistent predictor of adherence in the study. These results suggest that the MBMD can be used to predict adherence to HAART medication in a sample of HIV-positive men and women and may subsequently be used to identify those in need of adherence counseling at the point when medications are initiated.     

The Parable of the Sower: a case study examining the use of the Godly Play® method as a spiritual intervention on a psychiatric unit of a major children’s hospital

This case study examines the use of Godly Play® as a pastoral intervention on a psychiatric unit at Children’s Health – Children’s Medical Center in Dallas, Texas. The chaplain adapts Godly Play®, more typically used as a programme of Christian formation in churches and schools, for this setting, leading a ‘Purpose and Meaning’ group weekly whose goal is to provide inpatients with a developmentally appropriate way of reflecting on and expressing their own sense of identity, purpose and meaning within the personal, social and spiritual milieu in which they identify themselves as members. The case study examines how the method is adapted as a spiritual intervention in a clinical setting, and analyses its effectiveness in meeting the stated goals of the group.     

A laboratory-based procedure for measuring emotional expression from natural speech

Despite dramatic advances in the sophistication of tools for measuring prosodic and content channels of expression from natural speech, methodological issues have limited the simultaneous measurement of those channels for laboratory research. This is particularly unfortunate, considering the importance of emotional expression in daily living and how it can be disrupted in many psychological disorders (e.g., schizophrenia). The present study examined the Computerized assessment of Affect from Natural Speech (CANS), a laboratory-based procedure that was designed to measure both lexical and prosodic expression from natural speech across a range of evocative conditions. The verbal responses of 38 male and 31 female subjects were digitally recorded as they reacted to separate pleasant, unpleasant, and neutral stimuli. Lexical and prosodic expression variables significantly changed across these conditions, providing support for using the CANS in further laboratory research. The implications for understanding the interface between lexical and prosodic expressions are also discussed.     

An Analysis of Significant Events in Counseling

Using an interview/questionnaire procedure, 19 clients reported 200 helpful, significant events that occurred in ongoing counseling. Each event consisted of one issue presented by the client, the counselor's response to that issue, and the immediate impact the client received from the counselor's response. With the use of qualitative analysis, 9 prominent patterns describing sequences of client change emerged from the data. These patterns were grouped into 3 superclusters of events: Dissonant, Question—Answer, and Congruent. These superclusters and the 9 prominent patterns were used to develop a model for counseling change. Implications for counseling theory and practice are discussed.     

Stimulus- and pellet-induced drinking during a successive discrimination

In three experiments, interim water drinking was examined in rats exposed to a multiple schedule whose two components were extinction and a variable-time 30-s schedule of food delivery. Two different drinking patterns were observed in Experiment 1. Pellet-induced drinking, characterized by high rates of postpellet drinking in the variable-time component, with little or no drinking in extinction, occurred when the acquisition of stable postpellet drinking preceded discrimination training. Stimulus-induced drinking, characterized by a burst of drinking at the onset of extinction, with no drinking during the variable-time schedule, occurred when discrimination training preceded all other experimental conditions. With extended training, stimulus-induced drinking eventually was accompanied by postpellet drinking. In Experiment 2, the rate of stimulus-induced drinking and the number of sessions during which it occurred without postpellet drinking were found to be inversely related to component duration. In Experiment 3, the rate of schedule-induced drinking was found to vary directly with component duration.     

Clarifying the Linguistic Signature: Measuring Personality From Natural Speech

In this study, we examined the viability of measuring personality using computerized lexical analysis of natural speech. Two well-validated models of personality were measured, one involving trait positive affectivity (PA) and negative affectivity (NA) dimensions and the other involving a separate behavioral inhibition motivational system (BIS) and a behavioral activation motivational system (BAS). Individuals with high levels of trait PA and sensitive BAS expressed high levels of positive emotion in their natural speech, whereas individuals with high levels of trait NA and sensitive BIS tended to express high levels of negative emotion. The personality variables accounted for almost a quarter of the variance in emotional expressivity.