EVALUATION OF BIOFEEDBACK IN THE TREATMENT OF BORDERLINE ESSENTIAL HYPERTENSION1

Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.     

USE OF A SELF-RECORDING AND SUPERVISION PROGRAM TO CHANGE INSTITUTIONAL STAFF BEHAVIOR

The use of a self-recording and supervision program to increase interactions between direct care staff and profoundly retarded persons in a state residential facility was investigated. Following baseline, staff were provided with instructions regarding what to self-record, criteria for how many interactions to record, and a prepared card on which to make the recordings. Throughout the study, the staff supervisor monitored intermittently staff-client interactions. Observations indicated that when the staff recorded their interactions with clients in a loosely structured dayroom setting, the rate of interactions increased noticeably for each staff person. Behavioral ecology measures indicated that other staff responsibilities, such as maintaining the cleanliness of residents and the physical area, were not affected detrimentally when social interactions increased and actually showed small improvements. Additionally, small decreases in resident self-stimulatory and disruptive/aggressive behaviors occurred when the rate of social interactions from staff persons increased. Follow-up measures indicated that the rate of staff self-recording was variable, but when staff did self-record, the increased rate of staff-client interactions maintained.     

Control of observing by antecedent stimuli

Five pigeons were run on a one-key discrete trials observing procedure. Trial onset was signaled by a white or yellow key light. Pecks in white or yellow intermittently produced S⁺ and S⁻, green and red key lights that signaled whether the trial would end with response-independent grain reinforcement or nonreinforcement. In the Redundant conditions, white and yellow were correlated with trial outcome, making S⁺ and S⁻ redundant. In the Informative condition, white and yellow were uncorrelated with trial outcome, so that S⁺ and S⁻ provided new information. During the Informative condition, all birds responded in the formerly positive, now uncorrelated color at higher rates than they did during the preceding or succeeding Redundant conditions, in which that same color was positively correlated with primary reinforcement. This result confirmed the prediction that an animal will observe at higher rates in the absence of reinforcement-correlated cues than in their presence.     

Profiles of stutterers' and nonstutterers' affective, cognitive, and behavioral communication attitudes

The purposes of this investigation were 1) to profile the affective, cognitive, and behavioral attitudinal dimensions of stutterers' and nonstutterers' communication attitudes and 2) to describe membership characteristics of each profile. To this end, 76 stutterers and 81 nonstutterers completed the Inventory of Communication Attitudes. This self-report inventory obtained ratings of different types of speaking situations, using five response scales reflecting behavioral, affective, and cognitive aspects of attitudes. Exploratory cluster analysis identified six attitudinal clusters or profiles. Some profiles were more typical either of stuttering respondents or of nonstuttering respondents, whereas one profile reflected attitudes of proportionately equal numbers of stutterers and nonstutterers. Examination of profile membership characteristics revealed two significant discriminators, classification as a stutterer or nonstutterer and an overall speech rating. Nondiscriminatory characteristics included sex, age, education, therapy experiences, stuttering severity self-rating, onset of stuttering, total therapy time, current therapeutic status, and familial history.     

Development and evaluation of an inventory to assess adult stutterers'' communication attitudes

The purpose of this study was to develop and evaluate a procedure to assess adult stutterers' communication attitudes. To this end, the investigation was divided into two phases. In Phase I, an assessment inventory based on a tripartite attitudinal model was developed and administered to 107 adult stutterers. Reliability and validity of these procedures were examined, and the inventory was refined. In Phase II, reliability and validity of the attitude assessment procedures were reassessed, and the attitudes of 26 stutterers and 56 nonstutterers were examined. Assessment procedures involved a self-report inventory, which obtained ratings of items in 13 situational subscales representing different speaking situations. These situations were rated using four response scales reflecting behavioral, affective, and cognitive aspects of attitude. Situational responding, response scale scores, and response scale interrelationships are examined. Findings are discussed in terms of the potential value of the inventory and future investigations.