Desired control,felt control,and dental pain: Recent findings and remaining issues

This paper reviews a series of studies examining how desire for control among dental patients affects their reaction to dental treatment. This research (across eight samples) indicates that low perceived control is associated with heightened stressful responding before and during dental treatment only among patients reporting high desire for control Thus, the impact of low perceived control appears to be moderated by desire for control. An additional finding is that manipulations of control (e.g., providing information, stress inoculation training) primarily impact patients reporting both a high desire for control (during treatment) and low initial perceived control. These data suggest that consideration of patients' desire for control in addition to their perceived control increases our ability to predict their level of dental stress. Additionally, these data provide initial support for the view that the discrepancy between high desire for control and low perceived control play a causal role in patient's perceptions of dental pain and fear.This research was supported by grant USPHS-NIH 5 RO1 DEO 9419-02 (H. L. and R. B. coprincipal investigators) and by BRSG/College of Dentistry seed money.     

Distraction,Control, and Dental Stress1

This study examined the efficacy of external distraction as a coping strategy. Thirty-eight dental patients were randomly assigned to one of three groups: incidental music during the dental procedure, music coupled with suggestions that music would help reduce stress, or a no-treatment control group. Patients in both music groups reported experiencing less stress (i.e., less pain. less discomfort, more control) than patients in the no-treatment group. Patient ratings made by dentists, blind to condition, provided converging evidence for the therapeutic effect of distraction. Thus, distracting music was found to be effective in reducing stress and increasing perceptions of control. The relative ease and simplicity of implementing external distraction compared to manipulating actual control in a medical setting may make this manipulation attractive to professionals involved with individuals experiencing stress.     

Factor analysis of responses to the WISC-R for gifted children

Several researchers have focused on the question of whether the traditional two-factor interpretation of WISC--R scores proposed by Wechsler (1974) is appropriate in selecting students to be admitted to gifted programs. Some researchers have suggested that the two-factor solution (Verbal and Performance) of Karnes and K. E. Brown provides the appropriate model, while others have proposed an alternative model based on exploratory research with gifted and average students. The current study expands exploratory findings of S. W. Brown with Rood in 1982 and Yakimowski in 1987, using confirmatory factor analytical procedures. The confirmatory factor analyses for selected groups of gifted (n = 158) and average (n = 195) students (M = 9.6 yr.) indicate that the alternative three-factor solution model may be a better system for interpreting the pattern of WISC--R subtest scores of gifted students than the conventional Verbal and Performance solution.     

Investigating the effect of stimulus range on attribute weight

Classic economic theories of choice assume that trade-offs are made consistently and are not swayed by irrelevant contextual variables. One possible source of trade-off inconsistency is investigated by asking whether attribute weights are affected by variations in the range of the stimuli presented. Ss should be influenced by the range of the stimuli only when distributional characteristics provide information about the value of the stimuli. In six experiments, Ss made judgments when the range (a) did not provide information about the value of the scores on the scales, (b) might provide such information, and (c) certainly provided this information. In Experiments 1-5, Ss were not influenced by the range of the stimuli. The only exception was Experiment 6, which required Ss to judge hypothetical job candidates on the basis of stimulus scales with which the Ss had no previous experience. In this experiment the meaning of the scales was determined entirely by the location of each stimulus within the presented distribution. In general, the results support the classical view of decision making: that attribute weights exist independent of situational demands, and that Ss' judgments are not influenced by irrelevant stimuli.     

THE ILLUSION OF MORALITY AS SELF-INTEREST:

Abstract— One reason for people's voluntary cooperation in social dilemmas, or altruistic behavior in general, may be their belief that altruism pays off in terms of long-run self-interest. Although this is often true, it is typically false in large-scale social dilemmas among strangers. In three questionnaire studies, subjects endorsed this self-interest illusion frequently for large-scale dilemmas, such as over-fishing and pollution, in which the benefits of cooperation are delayed.     

Aggression-inhibiting influence of sexual humor

Forty-eight undergraduate males participated in an experiment designed to investigate the hypothesis that prior exposure to sexual humor would reduce the level of aggression directed by angry individuals against the person who had previously provoked them. In order to examine this suggestion, subjects were first angered or not angered by a male confederate; next, exposed to either neutral, nonhumorous pictures or to one of two types of sexual humor (nonexploitative, exploitative); and finally, provided with an opportunity to aggress against this individual by means of electric shock. Results indicated that exposure to exploitative sexual humor, but not exposure to nonexploitative sexual humor, significantly reduced the strength of subjects' later attacks against the victim. These findings are discussed in terms of the results of a follow-up study suggesting that individuals are more likely to think or fantasize about exploitative than nonexploitative sexual humor following the removal of such stimuli.     

A new argument for skepticism

The traditional argument for skepticism relies on a comparison between a normal subject and a subject in a skeptical scenario: because there is no relevant difference between them, neither has knowledge. Externalists respond by arguing that there is in fact a relevant difference—the normal subject is properly situated in her environment. I argue, however, that there is another sort of comparison available—one between a normal subject and a subject with a belief that is accidentally true—that makes possible a new argument for skepticism. Unlike the traditional form of skeptical argument, this new argument applies equally well to both internalist and externalist theories of knowledge.

Attention-Deficit/Hyperactivity Disorder: A Neuropsychological Perspective Towards DSM-V

Neuropsychological methods and techniques have much to offer in the evaluation of the individual suspected as having Attention-Deficit/Hyperactivity Disorder (ADHD). After a review of the historical evolution of the ADHD concept, incidence and prevalence, and DSM-IV criteria for diagnosis, especially as regards omission related to gender differences, and other associated cultural, familial, socioenvironmental, and subject influences, this paper describes a number of dilemmas and obstacles encountered in clinical practice. Included are the confounds associated with the wide range of possible comorbidities, the insufficiency of current DSM-IV criteria, the emergence of subtype differentiation and its impact on diagnosis and treatment. The complex relationship between neuropsychological constructs and ADHD, and obstacles to valid assessment are also addressed. The complexities associated with a thorough ADHD evaluation are viewed within an impressive and expansive existing scientific framework and recommendations are made for future directions.