Virtual reality exposure therapy and standard (in vivo) exposure therapy in the treatment of fear of flying

This controlled clinical trial tested virtual reality exposure (VRE) therapy for the fear of flying (FOF), a relatively new and innovative way to do exposure therapy, and compared it to standard (in vivo) exposure therapy (SE) and a wait list (WL) control with a 6- and 12-month follow-up. Eighty-three participants with FOF were randomly assigned to VRE, SE, or WL. Seventy-five participants, 25 per group, completed the study. Twenty-three WL participants completed randomly assigned treatment following the waiting period. Treatment consisted of 4 sessions of anxiety management training followed either by exposure to a virtual airplane (VRE) or an actual airplane at the airport (SE) conducted over 6 weeks. Results indicate that VRE was superior to WL on all measures, including willingness to fly on the posttreatment flight (76% for VRE and SE; 20% for WL). VRE and SE were essentially equivalent on standardized questionnaires, willingness to fly, anxiety ratings during the flight, self-ratings of improvement, and patient satisfaction with treatment. Follow-up assessments at 6 and 12 months indicated that treatment gains were maintained, with more than 70% of respondents from both groups reporting continued flying at follow-up. Based on these findings, the use of VRE in the treatment of FOF was supported in this controlled study, suggesting that experiences in the virtual world can change experiences in the real world.     

A computerized task for investigating the relation between attentional and emotional processes in children

The authors' goals in this article are to (a) describe a new task for the assessment of shifting attention between different affective stimuli, The Children's Attentional Shifting Task (CAST); (b) present the theoretical background for the development of the CAST; and (c) report initial information on the developmental appropriateness and validity of the CAST. The task was tested using a sample of kindergarten and 1st-grade children, 50% of whom had social and conduct problems. Preliminary analyses showed that the CAST was not subject to problems arising from fatigue or loss of interest. Moreover, children's ability to shift attention away from angry facial expressions was positively related to teachers' ratings of their ability to shift attention and parents' reports of children's emotion regulation. Shifting away from negative affect also predicted children's academic performance as reported by teachers.     

Expect the unexpected: ability, attitude, and responsiveness to hypnosis

Participants' expectancies and hypnotic performance throughout the course of a standardized, individually administered hypnotic protocol were analyzed with a structural equation model that integrated underlying ability, expectancy, and hypnotic response. The model examined expectancies and ability as simultaneous predictors of hypnotic responses as well as hypnotic responses as an influence on subsequent expectancies. Results of the proposed model, which fit very well, supported each of the 4 major hypothesized effects: Expectancies showed significant stability across the course of the hypnosis protocol; expectancies influenced subsequent hypnotic responses, controlling for latent ability; hypnotic responses, in turn, affected subsequent expectancies; and a latent trait underlay hypnotic responses, controlling for expectancies. Although expectancies had a significant effect on hypnotic responsiveness, there was an abundance of variance in hypnotic performance unexplained by the direct or indirect influence of expectation and compatible with the presence of an underlying cognitive ability.     

Windows into nothingness: terror management, meaninglessness, and negative reactions to modern art

Why do people dislike art that they find meaningless? According to terror management theory, maintaining a basic meaningful view of reality is a key prerequisite for managing concerns about mortality. Therefore, mortality salience should decrease liking for apparently meaningless art, particularly among those predisposed to unambiguous knowledge. Accordingly, mortality salience diminished affection for modern art in Study 1, and this effect was shown in Study 2 to be specific to individuals with a high personal need for structure (PNS). In Studies 3 and 4, mortality salient high-PNS participants disliked modern art unless it was imbued with meaning, either by means of a title or a personal frame of reference induction. Discussion focused on the roles of meaninglessness, PNS, and art in terror management.     

Direct selection by color for visual encoding

In two experiments, we used rapid serial visual presentation tasks to examine the usefulness of color for the direct selection of visual information for perceptual encoding. The participants' task was to make a discrimination as to whether a target letter within a rapid sequence appeared in its upper- or lowercase version, and an advance cue indicated the color in which the target letter was most likely to occur. To maximize the usefulness of the cued color, in validly cued trials, we used sequences in which the target was the only item appearing in the cued color. In both experiments, accuracy was highest for validly cued trials. A cost-benefit analysis revealed a facilitory effect of valid cues and an inhibitory effect of invalid ones. These results support the idea that color cuing allows the direct selection of objects for further perceptual processing.     

The Context of Caretaking in Rural Areas: Family Factors Influencing the Level of Functioning of Seriously Mentally Ill Patients Living at Home

After the deinstitutionalization of psychiatric hospitals, many families became primary caregivers for seriously mentally ill individuals. Mental health services became further reduced with the advent of managed care and reductions in health and mental health care. The dearth of community-care options often results in psychiatric patients being quickly stabilized in hospital units and discharged to live with their families. The lack of community resources is particularly acute in rural areas. Given these realities the current study sought to determine if family caretaking variables are related to patient outcomes. Family factors including the perception of burden, expressed emotion (EE), and primary caregivers’ social support were tested in a model of caretaking that examines the relationship between these factors and patients’ symptom expression and social and occupational functioning. The sample includes 49 predominantly African American families living in a rural area and with a chronically ill family member who had been previously diagnosed with a psychotic disorder. Primary caregivers and patients were interviewed using adapted measures of burden, EE, and social support. Patients were administered a revised version of the Brief Psychiatric Rating Scale. Results suggest less perceived burden, increased caregiver support and, to a lesser extent, EE explain approximately one-fifth of the variance in patient functioning. These results support previous research demonstrating the importance of family factors for seriously mentally ill patient outcomes. Results are discussed in terms of implications for assisting families in the current era of diminished resources.     

Illuminating the dark side of creative expression: assimilation needs and the consequences of creative action following mortality salience

Previous research indicates that mortality salience and creative behavior combine to increase feelings of guilt, presumably over the disruption to social connection elicited by the call for innovative expression. The present studies examined whether satiating assimilation motives by highlighting conformity to others reduces this effect (Study 1) and facilitates positive psychological engagement (Study 2). Study 1 used a 2 (conformity vs. neutral feedback)x2 (mortality salience vs. control)x2 (creative task vs. noncreative task) design and had participants complete a self-report measure of guilt. Study 2 used a 2 (mortality salience vs. control)x2 (other goal task vs. self-goal task) design, and after a creativity exercise, had participants complete measures of positive mood, vitality, and creative problem solving. Results indicated attending to assimilation needs reduced the elevated guilt that follows the juxtaposition of mortality salience and creative behavior and also increased a sense of positive engagement. Implications are briefly discussed.     

Why do women underperform under stereotype threat? Evidence for the role of negative thinking

This study investigated the role of negative thinking as a potential mediator of performance deficits under stereotype threat. After being assigned to a stereotype-threat or a no-threat condition, 60 female participants were asked to complete a difficult math task. Using the thought-listing technique, women under stereotype threat reported a higher number of negative thoughts specifically related to the test and to mathematics compared with women in the no-threat condition. Moreover, women under stereotype threat also showed a sharp decrease in performance that (a) was most pronounced in the second half of the test and (b) was mediated by the increase in negative thinking.     

The least likely of times: how remembering the past biases forecasts of the future

Atypical events are both memorable and unrepresentative of their class. We tested the hypotheses that (a) people tend to recall atypical instances of events, and (b) when they are unaware of this, they rely on these atypical instances in forecasting their affective reactions to future events. In three studies, participants who were asked to recall an instance of an event and participants who were asked to recall an atypical instance of an event recalled equally atypical instances. However, only the former participants made extreme forecasts about their reactions to future events. The results suggest that the impact bias (the tendency to overestimate the affective impact of future events) may be due in part to people's reliance on highly available but unrepresentative memories of the past.     

An oscillator model of the timing of turn-taking

When humans talk without conventionalized arrangements, they engage in conversation—that is, a continuous and largely nonsimultaneous exchange in which speakers take turns. Turn-taking is ubiquitous in conversation and is the normal case against which alternatives, such as interruptions, are treated as violations that warrant repair. Furthermore, turn-taking involves highly coordinated timing, including a cyclic rise and fall in the probability of initiating speech during brief silences, and involves the notable rarity, especially in two-party conversations, of two speakers’ breaking a silence at once. These phenomena, reported by conversation analysts, have been neglected by cognitive psychologists, and to date there has been no adequate cognitive explanation. Here, we propose that, during conversation, endogenous oscillators in the brains of the speaker and the listeners become mutually entrained, on the basis of the speaker’s rate of syllable production. This entrained cyclic pattern governs the potential for initiating speech at any given instant for the speaker and also for the listeners (as potential next speakers). Furthermore, the readiness functions of the listeners are counterphased with that of the speaker, minimizing the likelihood of simultaneous starts by a listener and the previous speaker. This mutual entrainment continues for a brief period when the speech stream ceases, accounting for the cyclic property of silences. This model not only captures the timing phenomena observed in the literature on conversation analysis, but also converges with findings from the literatures on phoneme timing, syllable organization, and interpersonal coordination.