Anxiety induced by cardiac perceptions in patients with panic attacks: a field study

In panic disorder bodily sensations appear to play an important role as a trigger for anxiety. In our psychophysiological model of panic attacks we postulate the following vicious circle: individuals with panic attacks perceive even quite small increases in heart rate and interpret these changes as being catastrophic. This elicits anxiety and a further increase in heart rate. To evaluate this model we conducted a field study of 28 subjects with panic attacks and 20 healthy controls. A 24 hr ambulatory ECG was recorded and the subjects were instructed to report any cardiac perceptions during this period and to rate the anxiety elicited by these perceptions. The incidence of cardiac perceptions was about the same in both groups, but only subjects with panic attacks reported anxiety associated with such perceptions. Analysis of the ECGs revealed that in both groups heart rate accelerations preceded cardiac perceptions. Following cardiac perceptions, the healthy controls showed a heart rate deceleration, whereas the subjects with panic attacks had a further acceleration. This heart rate increase after cardiac perceptions was positively related to the level of anxiety elicited by the perceptions. These results provide clear evidence in support of the vicious circle model of panic attacks.     

Dichotic listening during forced-attention in a patient with left hemispherectomy

A young left-handed girl with an extensive posttraumatic lesion in the left hemisphere was tested with dichotic listening (DL) under three different attentional instructions. The major aim of the study was to evaluate a structural vs attentional explanation for dichotic listening. As both her expressive and receptive language functions were intact after the lesion, it was assumed that the right hemisphere was the language-dominant one. In the free-report condition, she was free to divert attention to and to report from both ear inputs. In the forced-right condition, she was instructed to attend to and report only from the right ear input. In the forced-left condition, she was instructed to attend to and to report only from the left-ear input. Her performance was compared with data from a previously collected sample of normal left-handed females. Analysis showed that the patient, in contrast to the normal sample, revealed a complete right-ear extinction phenomenon, irrespective of attentional instruction. Furthermore, she showed superior correct reports from the left ear, compared with those of the normal sample, also irrespective of attentional instruction. It is concluded that these results support a structural, rather than attentional explanation for the right-ear advantage (REA) typically observed in dichotic listening. The utility of validating the dichotic listening technique on patients with brain lesions is discussed.     

Subliminal stimulation, choice behavior and some personality correlates of subliminal sensitivity

The aim of this study was to investigate the possible relations between specific personality variables and the effect of subliminal stimulation on choice behavior. It was hypothesized that subjects with low anxiety, less neuroticism, and external locus of control and the trait of extraversion would be more susceptible to subliminal stimulation. 38 undergraduate students were exposed to subliminal messages urging them to choose symbols instead of numbers or letters. Analysis showed that subliminal stimulation did not generate a preference for symbols over numbers or letters. No support was observed for the hypothesis of an association between susceptibility and personality variables. These results may be explained in terms of symbol choice being a neutral message that did not relate to the subjects' needs and motivation.     

Sensorimotor synchronization: motor responses to regular auditory patterns.

Subjects (N = 32) were asked to synchronize a motor response with tones in auditory patterns. These patterns were created from six tones and six intertone intervals of equal duration. The pitch of the first tone differed from the others. It was found that subjects used three types of timing in their motor response: (1) the first intertone interval was prolonged and the second interval was shortened, (2) the second intertone interval was prolonged and the first interval was shortened, and/or (3) the first interval and the second interval were of approximately the same length. The prolongation of the fifth interval was observed during all three types of timing. The results are explained using the concept of suprasegmental control of timing, which explains a prolongation of intervals at critical control point of the patterns. The occurrence of three different strategies of timing is discussed in connection with similar principles in musical performance.     

Two-stage model for order discrimination

Ulrich (1987), exploring the shapes of psychometric functions obtained in the ternary-response paradigm, indicated several inconsistencies between observed and predicted relationships providing evidence against most popular models of temporal-order judgment. In this paper, a new model is presented. It assumes that there are two mechanisms involved in the order discrimination task: one is responsible for the recognition of whether or not the stimuli are successive, and the second is able to determine their order. The model was tested using Allan's (1975a, 1975b) and Ulrich's (1987) data; the model predictions were found to be consistent with the experimental results.     

Idea and reality of training analysis. A plea for reforms (II)

Thom? pleads for a form of psychoanalytic training in which the critical appropriation of psychoanalytic and humanistic knowledge as well as therapeutic competence are the focus and in which the personal analysis (super-therapy) is no longer overvalued. It seems possible to limit the length of training analyses. Qualification for professional practice should be worked out exclusively within the training institute and in close collaboration with instructors.     

Impression management in behavior toward handicapped patients]

A previous study (Tr?ster, 1989) showed that nonhandicapped persons preferred a physically handicapped interaction partner to a nonhandicapped partner in an attributionally unambiguous situation. In order to test whether this "sympathy effect of physical handicap" is based on tendencies of impression management, 48 female subjects had to choose to sit next to either a physically handicapped or nonhandicapped female interaction partner in order to view a film together. Attributional ambiguity was varied by either confounding the choice of an interaction partner with a second, socially acceptable alternative (attributionally ambiguous situation: a choice between two films) or not confounding it (attributionally unambiguous situation: no choice between films). Public responsibility was manipulated by informing the subjects about their freedom to choose where they wished to sit either in public (public responsibility) or in private (no public responsibility). The results supported the impression management hypothesis: The handicapped interaction partner (in a wheelchair) was only preferred when the subjects had to anticipate that observers would deduce a preference of the chosen partner from the subjects' choices because of the attributionally unambiguous situation and the public announcement of their freedom of choice. Results suggest that the nonhandicapped strive to exhibit positive and nondiscriminative behavior toward the handicapped in order to avoid creating a disadvantageous impression in an observer.     

Affect and performance in simple problems

We investigate the effects of emotional mood states on solving simple pattern comparison tasks. It is assumed that the effects of mood are mediated through response biases as well as effort expenditure. Departing from these assumptions, trend hypotheses are derived for the response biases evaluated by means of a signal detection analysis, for the response latencies, and for an adequate index of the underlying ability. The data support the hypotheses, and in particular, a positive mood state is found to improve performance. The assumption of mood-dependent differences in effort expenditure provides a parsimonious and integrative account of our results, while a reduced-capacity view cannot explain the findings obtained under positive mood induction.     

Some problems of Wilson's disease

The Leipzig Center for Wilson's Disease in the GDR is charged with the registration and diagnosis of all homozygous Wilson gene carriers, the clarification of all suspected cases, including the heterozygote test, and the co-ordination of long-term treatment. At present, there are 78 recorded Wilson gene carriers living. On the basis of our own comprehensive observations and investigations over prolonged periods of time, questions concerning pathogenesis, genetics, diagnosis and therapeutic measures, including their side-effects, are dealt with.     

A new Visual Aesthetic Sensitivity Test (VAST): II. cross-cultural comparison between England and Japan

A comparison was made of the scores of 171 Japanese boys and 156 Japanese girls, and of 204 English boys and 165 English girls, on the Visual Aesthetic Sensitivity Test. Also compared were 145 male and 163 female Japanese students, with 38 male and 73 female English students. Japanese children had scores significantly higher than English children, while Japanese students had scores significantly lower than English students. There was little evidence of age increments in score for either group of children. Difficulty levels of the 42 item-pairs were very similar in the two cultures, as were internal (split-half) reliabilities. It is concluded that cultural differences between the two countries, as far as visual aesthetic appreciation is concerned, seem at best minimal.