Acceptance and Commitment Therapy and Habit Reversal Training for the Treatment of Trichotillomania

Trichotillomania is a behavioral problem, and is often referred to as a habit disorder, but it is important to consider the cognitive and emotional components of the behavior. Current treatment recommendations include a traditional behavioral approach (Habit Reversal Training; HRT) combined with an approach that addresses the cognitive and emotional components of the behavior (Acceptance and Commitment Therapy [ACT] or Dialectical Behavior Therapy [DBT]). Current evidence indicates a combination of ACT and HRT is an effective treatment for trichotillomania. The goal of this article is to replicate the effectiveness of the ACT/HRT treatment package for trichotillomania and to provide practical clinical guidance on how to deliver the treatment. This guidance is presented in the context of an empirical study in which 5 participants demonstrating high levels of pulling at pretreatment were treated with 8 sessions of a combination of ACT and HRT. Treatment resulted in an 88.87% reduction in pulling across participants from pretreatment to posttreatment, and all 5 responded to the treatment. At 3-month follow-up, 2 participants maintained the treatment gains, 2 lost half of the treatment gains, and 1 was at pretreatment levels. A discussion of the results is presented along with implications for clinical practice and future directions for research.     

Recycling gone bad: When the option to recycle increases resource consumption

In this study, we propose that the ability to recycle may lead to increased resource usage compared to when a recycling option is not available. Supporting this hypothesis, our first experiment shows that consumers used more paper while evaluating a pair of scissors when the option to recycle was provided (vs. not provided). In a follow-up field experiment, we find that the per person restroom paper hand towel usage increased after the introduction of a recycling bin compared to when a recycling option was not available. We conclude by discussing implications for research and policy.     

Lost in the crowd: Entitative group membership reduces mind attribution

This research examined how and why group membership diminishes the attribution of mind to individuals. We found that mind attribution was inversely related to the size of the group to which an individual belonged (Experiment 1). Mind attribution was affected by group membership rather than the total number of entities perceived at once (Experiment 2). Moreover, mind attribution to an individual varied with the perception that the individual was a group member. Participants attributed more mind to an individual that appeared distinct or distant from other group members than to an individual that was perceived to be similar or proximal to a cohesive group (Experiments 3 and 4). This effect occurred for both human and nonhuman targets, and was driven by the perception of the target as an entitative group member rather than by the knowledge that the target was an entitative group member (Experiment 5).     

Alternative measures of cognitive complexity as predictors of communication performance

Two studies were conducted to compare the predictive validity of the two of the most popular measures of cognitive complexity: Bieri et al.'s (1966) grid-based measure (elicited and provided versions) and Crockett's (1965) Role Category Questionnaire (RCQ). Two other grid-based measures of construct system quality also were included. Criterion measures included indices of the accommodative, person-centered quality of communication behavior and social reasoning in a variety of contexts.

Results of both studies consistently show Crockett's measure to be a significant predictor of all criterion measures. Bieri et al.'s measures were generally unrelated, although the elicited construct version performed best as a predictor. The two measures of complexity were essentially unrelated in both studies. Implications of the findings for future use of the RCQ and grid-based measures of complexity are discussed. For those interested in the relation of constructs and communication behavior, the RCQ is recommended.     

Two-category place representations persist over body rotations

We explored a system that constructs environment-centered frames of reference and coordinates memory for the azimuth of an object in an enclosed space. For one group, we provided two environmental cues (doors): one in the front, and one in the rear. For a second group, we provided two object cues: a front and a rear cue. For a third group, we provided no external cues; we assumed that for this group, their reference frames would be determined by the orthogonal geometry of the floor-and-wall junction that divides a space in half or into multiple territories along the horizontal continuum. Using Huttenlocher, Hedges, and Duncan’s (Psychological Review 98: 352-376, 1991) category-adjustment model (cue-based fuzzy boundary version) to fit the data, we observed different reference frames than have been seen in prior studies involving two-dimensional domains. The geometry of the environment affected all three conditions and biased the remembered object locations within a two-category (left vs. right) environmental frame. The influence of the environmental geometry remained observable even after the participants’ heading within the environment changed due to a body rotation, attenuating the effect of the front but not of the rear cue. The door and object cues both appeared to define boundaries of spatial categories when they were used for reorientation. This supports the idea that both types of cues can assist in environment-centered memory formation.     

Distraction shrinks space

Research investigating how people remember the distance of paths they walk has shown two apparently conflicting effects of experience during encoding on subsequent distance judgments. By the feature accumulation effect, discrete path features such as turns, houses, or other landmarks cause an increase in remembered distance. By the distractor effect, performance of a concurrent task during path encoding causes a decrease in remembered distance. In this study, we ask the following: What are the conditions that determine whether the feature accumulation or the distractor effect dominates distortions of space? In two experiments, blindfolded participants were guided along two legs of a right triangle while reciting nonsense syllables. On some trials, one of the two legs contained features: horizontally mounted car antennas (gates) that bent out of the way as participants walked past. At the end of the second leg, participants either indicated the remembered path leg lengths using their hands in a ratio estimation task or attempted to walk, unguided, straight back to the beginning. In addition to response mode, visual access to the paths and time between encoding and response were manipulated to determine whether these factors would affect feature accumulation or distractor effects. Path legs with added features were remembered as shorter than those without, but this result was significant only in the haptic response mode data. This finding suggests that when people form spatial memory representations with the intention of navigating in room-scale spaces, interfering with information accumulation substantially distorts spatial memory.     

Mad and glad: Musically induced emotions have divergent impact on morals

Moral judgments can be positive or negative: we can judge action as good or wrong. Here we show that good judgments and wrong judgments are influenced by incidental emotions. Using instrumental music as an induction method, we show that anger, but not happiness, increases the tendency to judge actions as wrong (Experiment 1). We also show that happiness increases the tendency to praise actions as both good and obligatory, while anger reduces these judgments (Experiment 2). These findings extend the literature on emotions and moral judgment by demonstrating impact of anger and happiness, and by contrasting goodness and wrongness in their emotional valence. The findings also show that music can have a significant impact on moral judgment. This is important because music is a highly prevalent situational variable. The use of instrumental music may have advantages over other induction techniques because it does not carry specific semantic cues that might encourage people to think about morality.