When interpretation masquerades as explanation

The principal goal of the clinical interpretation (and of the larger clinical narrative) is to bring about insight and change in the patient, and not to present a reasoned argument that relies on public data and shared rules of evidence and logic. When the clinical account is transposed to the public domain and presented as a form of explanation, it is no longer designed for the benefit of one individual but must now be accessible to all. We are still under the shadow of Freud's five famous cases which are literary landmarks of exposition and persuasion. As a result, we are less sensitive to what happens when interpretations are substituted for explanations. The time has come to develop a new genre and a new mode of clinical reporting that would allow the reader to participate in the argument, allow him to evaluate the proposed links between evidence and conclusion (instead of relying on the authority of the analyst-author), and open up the clinical report to the possibilities of refutation, disconfirmation, and falsification.     

Contiception: A program to study the effects of contingency parameters on judgments of control

Little is known about the heuristics people use in evaluating the degree to which they control events. The DOS-basedContiception program allows users to independently set the extent to which subjects’ actions are necessary and sufficient (the two components of contingency) to cause a change in an animated display. Up to four subject actions (keypresses) can each cause up to four dimensions of the display to change according to independently set contingencies. The task within which subjects judge their control involves interacting with the display in real time. To facilitate modeling of the possible algorithms used by different groups of subjects or under different conditions, the program provides several calculations of contingency magnitude and algebraic rules upon which the literature suggests subjects might base their control judgments. The program also allows sessions (trial sequences) to be saved and provides raw and summarized data output.     

Social skills, social outcomes, and cognitive features of childhood social phobia.

Social skills, social outcomes, self-talk, outcome expectancies, and self-evaluation of performance during social-evaluative tasks were examined with 27 clinically diagnosed social phobic children ages 7-14 and a matched nonclinical group. Results showed that, compared with their nonanxious peers, social phobic children demonstrated lower expected performance and a higher level of negative self-talk on social-evaluative tasks. In addition, social phobic children showed social skills deficits as assessed by self- and parent report, an assertiveness questionnaire, and direct behavioral observation. Furthermore, compared with the control group, social phobic children were rated by themselves and others as significantly less socially competent with peers and were found to be less likely to receive positive outcomes from peers during behavioral observation. Implications for the assessment and treatment of childhood social phobia are discussed.     

Spaced Retrieval Enhances Memory in Older Adults with Probable Alzheimer's Disease

We used the spaced retrieval method to improve recall of everyday objects in older adults with probable Alzheimer's Disease. Three training sessions were administered on alternate days over a week. On each training trial, participants selected a designated object from an array of items at increasingly longer retention intervals. Implicit and explicit memory for the target item was assessed after each session. Results indicated that spaced-retrieval training enhanced retention of the target item within and across sessions for all participants. Implications of these findings for current views on memory interventions for cognitively impaired older adults are discussed. affiliated with the Menorah Park Center for the Aging     

On measuring selective attention to an expected sensory modality

Perceptual judgments can be affected by expectancies regarding the likely target modality. This has been taken as evidence for selective attention to particular modalities, but alternative accounts remain possible in terms of response priming, criterion shifts, stimulus repetition, and spatial confounds. We examined whether attention to a sensory modality would still be apparent when these alternatives were ruled out. Subjects made a speeded detection response (Experiment 1), an intensity or color discrimination (Experiment 2), or a spatial discrimination response (Experiments 3 and 4) for auditory and visual targets presented in a random sequence. On each trial, a symbolic visual cue predicted the likely target modality. Responses were always more rapid and accurate for targets presented in the expected versus unexpected modality, implying that people can indeed selectively attend to the auditory or visual modalities. When subjects were cued to both the probable modality of a target and its likely spatial location (Experiment 4), separable modality-cuing and spatial-cuing effects were observed. These studies introduce appropriate methods for distinguishing attention to a modality from the confounding factors that have plagued previous normal and clinical research.     

Cognitive-behaviour therapy in the treatment of chronic, occupational pain of the upper limbs: a 2 yr follow-up.

Nineteen Ss who experienced chronic, occupational pain of the upper limbs and who had previously completed a programme of either individual or group cognitive-behaviour therapy were followed up 2 yr later. Significant improvements on measures of depression, anxiety, coping strategies and interference in daily living were found following treatment. Such improvements were not evident for the waiting list control Ss and no difference was found between group vs individual applications of therapy. A 2 yr follow-up, significant improvements from pre-treatment levels were evident for depression, coping strategies, significant other report of disability, self monitored pain and distress caused by pain. While there was generally little evidence of relapse, a significant decline from post-treatment levels was found for the individual therapy condition compared to the group therapy condition on measures of self monitored pain and interference caused by pain. Since post-treatment levels tended to be somewhat superior for the individual therapy condition, the overall finding at 2 yr follow-up was of minimal difference in outcome for group vs individual forms of cognitive-behaviour therapy. Despite improvements from pre-treatment levels, the vast majority of Ss still reported significant and distressing levels of pain at 2 yr follow-up.     

What is the revised Fear Survey Schedule for Children measuring?

This study was designed to investigate parameters of children's fear in terms of frequency of fearful thoughts and avoidance behaviour. It is suggested that current measures such as the Fear Survey Schedule for Children--Revised (FSSC-R) do not assess fearful behaviour in the sense of the occurrence of fearful responding in daily life, but rather reflect a negative affective response to the thought of occurrence of specific events. A modified version of the FSSC-R examined the frequency of fearful thoughts/feelings and avoidance activities amongst 376 children aged 7-12 yr. Contrary to predictions, it was found that children reported high levels of fearful thoughts and avoidance behaviour to those items identified as the greatest fears on the FSSC-R, namely fears of injury, illness, death and danger. These events were typically of low probability (e.g. earthquakes) and the question was raised as to what children are responding to when they are asked to rate their fearful responses. The same pattern of results was reflected in older compared to younger children. It is suggested that even when children are asked to rate frequency of fearful thoughts or avoidance behaviour, they tend to respond to fear questionnaire items according to their affective response to the image or thought of the stimulus situation rather than their actual fear responses. Both the FSSC-R and the modified version were found to discriminate between teacher nominated high and low fearful children and to correlate significantly with a self report measure of anxiety.     

Psychological determinants of health and performance: the tangled web of desirable and undesirable characteristics.

Correlations were determined for male (n = 225) and female (n = 242) college students between sets of undesirable personality traits (anxiety, stress reactivity, anger, and alienation) and desirable personality traits (instrumentality, achievement strivings, and optimism measured by the Scheier-Carver [1987] Life Orientation Test), and a series of outcome variables related to health (self-reported health complaints and health maintenance behaviors and beliefs) and academic performance (academic expectations and actual grade point average). Significant correlations were found between many of the personality variables and the outcome variables. However, partial correlations revealed different relationships for the various criteria. With other variables held constant, health complaints were related to several undesirable characteristics, whereas health maintenance behaviors and beliefs were related to several desirable attributes. Only achievement strivings made an independent contribution in both sexes to the 2 measures of academic performance. The theoretical and methodological wisdom of using measures of multiple personality constructs and outcome variables is discussed.     

"DEVELOPING A SCALE TO MEASURE THE DIVERSITY OF FEMINIST ATTITUDES"

This article reports two studies aimed at developing a new scale of attitudes toward women, incorporating six theoretically derived perspectives: conservative; liberal, radical, socialist, and cultural feminist; and women of color (womanist). In Study 1, an initial pool of 306 items was given to 117 respondents. Selection of 10 attitudinal and 3 behavioral items from each perspective for the final scale was based chiefly on item-total correlations. In Study 2, the Feminist Perspectives Scale was administered to 344 respondents and showed reasonable reliability and validity. For Femscore, a composite of five feminist attitudinal subscales, Cronbach's alpha was .91; test-retest correlations were .91 at 2 weeks and .86 at 4 weeks. Empirical data provided generally good support for the six perspectives, and factor analysis produced partial support for the six-perspective structure.