Efficacy of telephone-administered cognitive behaviour therapy for obsessive-compulsive spectrum disorders: case studies

Cognitive behaviour therapy is effective for obsessive-compulsive disorder and for obsessive-compulsive spectrum disorders such as trichotillomania. Unfortunately, many people with these disorders, especially those living in rural areas, have limited access to treatment. Telephone-administered cognitive behaviour therapy may help address this problem. In a recent study of telephone treatment for obsessive-compulsive disorder, we found that such treatment was often effective (42% in remission at post-treatment, and 47% in remission at 12-week follow-up). This article presents 2 case reports of the same treatment, applied to obsessive-compulsive spectrum disorders (trichotillomania and compulsive skin picking). Treatment was associated with symptom reduction for both participants, although one subsequently relapsed. Possible reasons for relapse are discussed. The findings encourage further studies to identify the characteristics of people most likely to benefit from telephone treatment for spectrum disorders.     

That’s the way the ball bounces: infants’ and adults’ perception of spatial and temporal contiguity in collisions involving bouncing balls

Three experiments investigated the perception of collisions involving bouncing balls by 7- and 10-month-old infants and adults. In previous research, 10-month-old infants perceived the causality of launching collisions (events in which one object moves along a smooth horizontal trajectory toward a second object, apparently launching it into motion) in relatively simple event contexts. In more complex event contexts, infants failed to discriminate among the events or respond to changes in individual features. Experiments 1 and 2 of the present investigation revealed that 7- and 10-month-old infants attended to spatial and temporal contiguity, but not causality, in collisions involving the movement of bouncing balls. In Experiment 3, both spatiotemporal contiguity and general knowledge about movement trajectories influenced adults’ judgments of causality for these collisions. The present results add to a growing understanding of infants’ event perception as constructive and a function, in part, of the complexity of the event context.     

On near misses and completed tasks: the nature of relief

What is the nature and function of relief? Relief has been studied little in psychological science despite its familiarity and pervasiveness. Two studies revealed that relief can result from two distinct situations: the narrow avoidance of an aversive outcome (near-miss relief) and completion of an onerous or aversive event (task-completion relief). Study 1 found that recollections of near-miss relief were marked by more downward counterfactual thoughts and greater feelings of social isolation than recollections of task-completion relief. Study 2 experimentally elicited the two types of relief and found mediational evidence that relief following near misses elicits feelings of social isolation via its stimulation of counterfactual thinking. That near-miss relief is characterized by counterfactual thinking suggests that it prompts people to contemplate how to avert similar experiences in the future, whereas task-completion relief may serve to reinforce endurance during difficult tasks.     

What people desire, feel conflicted about, and try to resist in everyday life

In the present study, we used experience sampling to measure desires and desire regulation in everyday life. Our analysis included data from 205 adults, who furnished a total of 7,827 reports of their desires over the course of a week. Across various desire domains, results revealed substantial differences in desire frequency and strength, the degree of conflict between desires and other goals, and the likelihood of resisting desire and the success of this resistance. Desires for sleep and sex were experienced most intensively, whereas desires for tobacco and alcohol had the lowest average strength, despite the fact that these substances are thought of as addictive. Desires for leisure and sleep conflicted the most with other goals, and desires for media use and work brought about the most self-control failure. In addition, we observed support for a limited-resource model of self-control employing a novel operationalization of cumulative resource depletion: The frequency and recency of engaging in prior self-control negatively predicted people's success at resisting subsequent desires on the same day.     

Midlife Sexuality Among Thai Adults: Adjustment to Aging in the Thai Family Context

The objective of the study is to assess views of age related changes in sexual behavior among married Thai adults age 53–57. Results are viewed in the context of life course theory. In-depth interviews were conducted with 44 Thai adults in Bangkok and the four regions of Thailand. Topics covered include changing sexual behavior with age, adjustment to this change, gender differences in behavior, attitudes toward commercial sex and other non-marital sexual partners, and condom use. Most respondents were aware of this change and saw a decrease in sexual activity and desire more often among women compared to men. At the same time, many respondents viewed sexuality as important to a marriage. Some respondents accepted the decrease in sexual activity and focused more on work, family and temple activities. Thai Buddhism was seen as an important resource for people who were dealing with changes due to aging. Other persons turned to other partners including both commercial and non-commercial partners. The influence of the HIV epidemic that began in the 1990s was seen in concerns about disease transmission with extramarital partners and consequent attitudes toward condom use. The acceptability of extramarital partners in the family and community ranged from acceptance to strong disapproval of extramarital relationships.