Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

The advantages of selecting agoraphobic patients for treatment by group exposure according to their residential geographic neighbourhood were evaluated in terms of facilitation of ‘homework’ practice and increased social contact. Both ‘zoned’ and ‘unzoned’ groups showed gains in ability to perform hierarchy items after 11 sessions of exposure, relative to a no-treatment control group. However only zoned subjects showed significant reductions in experienced anxiety when executing such items. Self-ratings of overall phobic severity also suggested a zoned group was superior to unzoned while assessors' ratings indicated both groups as equally improved. Only zoned subjects showed a significant increase in social range. Improvements were maintained at 3-months follow-up. No effect of treatment was found on either the Zung measure of anxious mood or on social integration.These results suggest that, where practical, zoning might offer the means for desirable continuation of intensive clinic-based group treatment as well as the benefit of extending treatment into the patients' environment as in home-based treatments. Crucial levels of group cohesion might also be increased although therapists should be prepared to negotiate resistance to a socially demanding programme from patients with significant additional social phobias.     

Measurement of sexual arousal in several paraphilias: The effects of stimulus modality,instructional set and stimulus content on the objective

The effects of instructional set (become aroused or suppress arousal), stimulus modality (videotape, audiotape, slides, free fantasy) and stimulus content (paraphilic or non-paraphilic) on sexual arousal, as measured by penile plethysmograph, of six different groups of paraphilics, pedophiles, rapists, exhibitionists, homosexuals, sado-masochists and fetishists, were determined. The results showed significant main effects of instructional set and of stimulus modality (videotape was clearly more arousing) as well as several complex interactions of diagnostic group with the other independent variables.     

Client,Treatment, and Therapist Variables Related To Outcome in Brief,Systems-Oriented Family Therapy

Client, therapist, and treatment characteristics were examined with respect to how much of the variance they could account for in a variety of outcome measures. Multiple regression analyses were used to examine relationships among each of the client, therapist, and treatment characteristics studied and the various outcome measures. For the 219 families that were treated with brief family therapy, only a relatively low amount of variance in any of the outcome measures could be accounted for. The amount of explained variance, however, varied considerably from one outcome measure to the other. When the more homogeneous groups of clients (single parents or adolescent identified patients) were considered, the amount of explained variance generally showed an increase. Different sets of client, therapist, and treatment variables accounted for the variance in these outcome measures across client groups, demonstrating both the complexities of the relationships and the relative independence of various outcome measures. New variables are suggested for future research.     

Effects of target monitoring on understanding fluent speech

Phoneme monitoring and word monitoring are two experimental tasks that have frequently been used to assess the processing of fluent speech. Each task is purported to provide an “online” measure of the comprehension process, and each requires listeners to pay conscious attention to some aspect or property of the sound structure of the speech signal. The present study is primarily a methodological one directed at the following question: Does the allocation of processing resources for conscious analysis of the sound structure of the speech signal affect ongoing comprehension processes or the ultimate level of understanding achieved for the content of the linguistic message? Our subjects listened to spoken stories. Then, to measure their comprehension, they answered multiple-choice questions about each story. During some stories, they were required to detect a specific phoneme; during other stories, they were required to detect a specific word; during still other stories, they were not required to monitor the utterance for any target. The monitoring results replicated earlier findings showing longer detection latencies for phoneme monitoring than for word monitoring. Somewhat surprisingly, the ancillary phoneme- and word-monitoring tasks did not adversely affect overall comprehension performance. This result undermines the specific criticism that on-line monitoring paradigms of this kind should not be used to study spoken language understanding because these tasks interfere with normal comprehension.     

The effect of refractive error on central and peripheral motion sensitivity at various exposure durations

Pennsylvania State University, University Park, Pennsylvania 16802 The influence of refractive error on movement sensitivity was determined for a range of stimulus durations in the fovea and periphery. At short durations, threshold is determined by a constant displacement of the stimulus. At longer durations, a constant velocity is required. The correction of peripheral refractive error increases movement sensitivity in the displacement (short duration) component, but does not influence sensitivity in the velocity (long duration) component of the motion threshold. Implications concerning the mechanisms underlying motion perception are discussed.     

Apparent contrast of suprathreshold gratings varies with stimulus orientation

Human contrast sensitivity is known to vary with both stimulus spatial frequency and orientation. Previous research has indicated, however, that the apparent contrast of a sinusoidal grating is independent of spatial frequency at suprathreshold levels. We have found that the apparent contrast of suprathreshold gratings is not independent of its orientation. Observers adjusted the apparent contrasts of vertical and oblique gratings to match a 40% standard. Contrast match deviations were found at a number of spatial frequencies, indicating a lack of contrast constancy with stimulus orientation. The apparent contrast of gratings in different orientations could not be predicted in any simple fashion from either contrast threshold differences or ratios.     

Validation of the Differential Emotions Scale in 613 mothers

Mothers (N=613) with infants who took the Differential Emotions Scale (DES) were compared in a cross-validation study by factor analysis to 957 high school and college students. Despite differences in factor-analytic technique, similarities in factor structure suggested that the DES discriminates the majority of fundamental emotions as posited by Izard.Robert Emde is supported by Research Scientists Award No. 5 KO5 MH 36808 and NIMH Project Grant No. 2 RO1 MH 22803. The authors wish to acknowledge the critical support of the Developmental Psychobiology Research Group, Department of Psychiatry, University of Colorado Medical School, and wish to express their gratitude to Carroll Izard for allowing us to publish his factor-analytic results.     

Importance of the overall similarity of objects of adults' and children's classifications

Previous work has shown that adults and older children tend to classify multi-dimensional objects by identity on one dimension, whereas children under 8 years of age tend to classify these same objects by a relation of overall similarity. The present study investigated the hypothesis that this developmental trend is restricted to the classification of simple objects that differ only by limited amounts on a few dimensions. The specific hypothesis was that overall-similarity relations structure both adults' and children's classifications of heterogenous objects (objects that differ in a variety of ways). This hypothesis was suggested by the correspondence between the structure of young children's classifications and the structure of natural categories. The result of two experiments supported the hypothesis. When the to-be-classified objects varied simultaneously on relatively many dimensions, adults as well as children constructed classifications that maximized within-category similarity on all varying dimensions. The implications of these results for accounts of the perception of multidimensional relations and classificatory behavior are discussed.     

Postdecision evaluation of choice alternatives as a function of valence of alternatives,choice, and expected delay of choice consequences

The effects of valence of alternatives, choice, and expected delay of choice consequences on postdecision evaluations of choice alternatives were studied by either giving subjects a choice between two experimental tasks (both either pleasant or unpleasant) or assigning subjects their initially preferred task. Crosscutting valence and choice, subjects expected either no delay, 10-min delay, or 30-min delay before engaging in the task. All subjects evaluated both tasks immediately after the delay instructions but before experiencing the actual delay. Results confirmed the expected dissonance effect; that is, an upward evaluation of the chosen alternative and a downward evaluation of the rejected alternative, relative to no-choice conditions. Moreover, the relative upward evaluation of the chosen alternative increased as the expected delay decreased. Valence was not found to interact with other variables. The results are discussed in terms of differential salience of choice alternatives.