Assessing the process of desensitization therapy: Five practical measures

Assessment of phobic behavior has included self-report, physiological, and in vivobehavioral measures. While self-report measures are convenient, they suffer from subject bias and a low predictive validity. Physiological and in vivobehavioral measures are often too cumbersome to implement in standard clinical practice. The current study investigated the validity of five convenient measures of phobic behavior during the process of desensitization therapy. Responses of 14 clinically phobic patients were compared on phobic and neutral scenes presented within the context of systematic desensitization therapy. Phobic scenes resulted in less clarity of scene visualization, a longer latency to clear scene visualization, higher subjective units of discomfort (SUDs) at clear visualization, a longer latency to relaxation, and higher SUDs at relaxation. The measures seemed to reflect accurately the process and stages of desensitization therapy and showed low to high intercorrelations. The pragmatic value of these measures is discussed, as well as suggestions for future validational research.     

Axiomatizing Jaśkowski’s Discussive Logic $$\mathbf {D_2}$$

We outline the rather complicated history of attempts at axiomatizing Ja?kowski’s discussive logic \(\mathbf {D_2}\) and show that some clarity can be had by paying close attention to the language we work with. We then examine the problem of axiomatizing \(\mathbf {D_2}\) in languages involving discussive conjunctions. Specifically, we show that recent attempts by Ciuciura are mistaken. Finally, we present an axiomatization of \(\mathbf {D_2}\) in the language Ja?kowski suggested in his second paper on discussive logic, by following a remark of da Costa and Dubikajtis. We also deal with an interesting variant of \(\mathbf {D_2}\), introduced by Ciuciura, in which negation is also taken to be discussive.     

Leadership Perspectives on Integrating Psychologists into Specialty Care Clinics: An Evolving Paradigm

Integration of health psychologists into specialty care is a shift in the tertiary care construct that addresses all aspects of a patient’s presentation, including psychiatric/social history, psychological well-being, and behavioral contributions to the disease process, assuring both optimal health outcomes and cost-effectiveness in a financially challenging healthcare environment. In this paper, we discuss leadership perspectives (physician and psychologists) on the factors involved in integrating a health psychologist into a busy tertiary care environment. Ultimately, we hope that this information provides a primer on how to frame a proposal for an integrated health psychologist emphasizing the elements important to senior medical leadership and administration. First, we briefly discuss the current payer framework, providing support for integration emphasizing costs and other metrics. Second, we introduce organizational structure models and strategies for integration. Lastly, we will discuss the unique skillset psychologists possess, and additional skills necessary, to be effective in the changing landscape of healthcare. We think this information is important both for leaders attempting to integrate a health psychologist into specialty care and for the early career health psychologist embarking on his/her first senior staff position.     

Can Bayesianism Solve Frege’s Puzzle?

Philosophia - Chalmers (Mind, 125, 499–510, 2016), responding to Braun (Mind, 125, 469–497, 2016), continues arguments from Chalmers (Mind, 120, 587–636, 2011a) for the conclusion...     

Feedback functions, optimization, and the relation of response rate to reinforcer rate

The present experiment arranged a series of inverted U-shaped feedback functions relating reinforcer rate to response rate to test whether responding was consistent with an optimization account or with a one-to-one relation of response rate to reinforcer rate such as linear system theory's rate equation or Herrnstein's hyperbola. Reinforcer rate was arranged according to a quadratic equation with a maximum at a unique response rate. The experiment consisted of two phases, during which 6 Long Evans rats lever pressed for food. In the first phase of the experiment, the rats responded on six fixed-interval-plus-quadratic-feedback schedules, and in the second phase the rats responded on three variable-interval-plus-quadratic-feedback schedules. Responding in both phases was inconsistent with a one-to-one relation of response rate to reinforcer rate. Instead, different response rates were obtained at equivalent reinforcer rates. Responding did vary directly with the vertex of the feedback function in both phases, a finding consistent with optimization of reinforcer rate. The present results suggest that the feedback function relating reinforcer rate to response rate imposed by a reinforcement schedule can be an important determinant of behavior. Furthermore, the present experiment illustrates the benefit of arranging feedback functions to investigate assumptions about the variables that control schedule performance.     

Exploring the process of progressive disorientation

While an increasing number of behavioral studies examining spatial cognition use experimental paradigms involving disorientation, the process by which one becomes disoriented is not well explored. The current study examined this process using a paradigm in which participants were blindfolded and underwent a succession of 70° or 200° passive, whole body rotations around a fixed vertical axis. After each rotation, participants used a pointer to indicate either their heading at the start of the most recent turn or their heading at the start of the current series of turns. Analyses showed that in both cases, mean pointing errors increased gradually over successive turns. In addition to the gradual loss of orientation indicated by this increase, analysis of the pointing errors also showed evidence of occasional, abrupt loss orientation. Results indicate multiple routes from an oriented to a disoriented state, and shed light on the process of becoming disoriented.     

Effects of adding a second reinforcement alternative: implications for Herrnstein's interpretation of r(e)

Herrnstein's hyperbola describes the relation between response rate and reinforcer rate on variable-interval (VI) schedules. According to Herrnstein's (1970) interpretation, the parameter r(e) represents the reinforcer rate extraneous to the alternative to which the equation is fitted (the target alternative). The hyperbola is based on an assumption that extraneous reinforcer rate remains constant with changes in reinforcer rate on the target alternative (the constant-r(e) assumption) and that matching with no bias and perfect sensitivity occurs between response and reinforcer ratios. In the present experiment, 12 rats pressed levers for food on a series of 10 VI schedules arranged on the target alternative. Across conditions, six VI values and extinction were arranged on a second alternative. Reinforcer rate on the second alternative, r2, negatively covaried with reinforcer rate on the target alternative for five of the six VI values on the second alternative, and significant degrees of bias and undermatching occurred in response ratios. Given covariation of reinforcer rate on the second and target alternatives, the constant-r(e) assumption can be maintained only by assuming that reinforcer rate from unmeasured background sources, rb, covaries with reinforcer rate on the second alternative such that their sum, r(e), remains constant. In a single-schedule arrangement, however, r(e) equals rb and thus rb is assumed to remain constant, forcing a conceptual inconsistency between single- and concurrent-schedule arrangements. Furthermore, although an alternative formulation of the hyperbola can account for variations in bias and sensitivity, the modified equation also is based on the constant-r(e) assumption and therefore suffers from the same logical problem as the hyperbola when reinforcer rate on the second alternative covaries with reinforcer rate on the target alternative.     

Group Session Rating Scale: Preliminary psychometrics in substance abuse group interventions

Background: Although ultra‐brief outcome and process measures have been developed for individual therapy, currently there are no ultra‐brief alliance measures for group therapy. Method: The current study examined 105 clients in group therapy for issues related to substance abuse or with issues related to the substance abuse of a significant other. We tested whether a newly developed group therapy alliance measure – the Group Session Rating Scale would be related to other commonly used group process measures (Working Alliance Inventory, Group Cohesion, Group Climate) and early change (change over the first four sessions of group therapy). Results: The findings provided support for reliability based on Cronbach alphas and test‐retest coefficients. Additionally, the GSRS was a one‐factor measure that was related to other group process measures as well as predicted early change. Discussion: Clinical implications for how to utilise ultra‐brief outcome and alliance measures are provided.