Extinction of a phobia of physical examination in a seven-year-old mentally retarded boy—A case study

Counterconditioning is a process in which aversive stimuli that ordinarily evoke emotional or avoidance responses are paired with positive stimuli which evoke incompatible activities. Several sets of operations have been employed to induce these incompatible activities (e.g. food, Jones, 1924; relaxation. Grossberg, 1964; positive imagery, Lazarus and Abramowitz, 1962; pharmacological agents, Friedman, 1966; laughter, Ventis, 1973).Although the Counterconditioning process has been successfully applied to a wide variety of emotional disorders, special problems arise when the procedure is applied to the mentally retarded. First, because of the limitations in cognitive abilities, it is generally impossible to train the subject in either relaxation or positive imagery processes. Consequently, it is necessary to place the child in direct contact with the anxiety-inducing situation. Secondly, it is often difficult to find an anxiety-free situation which is incompatible with the anxiety-arousing situation and which can be practically implemented, particularly when the phobia involved is complex.The purpose of this paper is to describe a case whereby a phobic response of physical examination by male doctors in a 7–yr-old mentally retarded boy was extinguished by pairing the examination with an anxiety-free situation, i.e. an extremely comfortable relationship between the patient and a nurse on the ward. Previous research had indicated that parents and people who have positive relationships with a person might possibly serve as effective anxiety reducers in fear-provoking situations (Jersild and Holmes, 1935).     

A further note on freeman's measure of association

This note extends and elaborates Hubert's attempt to provide an interpretation of Freeman's measure of association,. The measure is used in a a contingency table when observations are ordered on one variable and unordered on the other. No attempt is made explore the distribution of.     

Reversible effects of ambient housing stimulation upon stimulation-seeking in rats

Two types of housing condition, low and high ambient stimulation, were alternated. The effects of this treatment upon rats' subsequent stimulation-seeking behaviour were assessed in a multiple-choice head-input apparatus. The aim of the experiment was to determine whether adult animals would adapt and re-adapt to varying periods of upward and downward shifts in the levels of housing stimulation. A given housing-stimulation had a lawfully cumulative effect which could be completely reversed when housing conditions altered. The most sensitive measures were latency and response rate in the first 5 min of the test. One measure, relative preference for illuminated stimuli over a dark stimulus, gave an indication of the time-lag involved in adaptation to a new housing condition.     

A comparison of the predictive validity of typical and maximal personality measures

Most personality tests are based on concepts assessing typical performance, and tests of this sort have not been generally successful in predicting criterion behaviors with useful levels of efficiency. Ability tests, which call for maximal performance, have been much more successful as predictors of criterion outcomes. Following a model derived from ability tests, predictors requiring separate typical and maximal self-reports of emotional expressivity were compared to measures of typical and maximal emotional expression in the laboratory. For angry expression, self-reports of maximal expressivity tended to outpredict self-reports of typical expressivity for both typical and maximal laboratory measures of angry expression. Although similar trends were observed for elation, the advantage of maximal self-report measures over typical self-report measures was negligible. Results were discussed in terms of both experimental and clinical implications.     

Patterns of self-disclosure in homosexual and heterosexual college students

Two hypotheses concerning self-disclosure were investigated and confirmed in the present study, comparing homosexual and heterosexual college students. The first hypothesis was that self-disclosure, as measured by the Jourard Self-Disclosure Questionnaire, would be positively correlated with psychological femininity. The second hypothesis was that homosexual males and heterosexual females would exhibit similar patterns of high disclosure and femininity. No significant differences were found in total disclosure between homosexuals and heterosexuals, although homosexuals disclosed less to father, and more to friends than to parents. The conclusion was that psychological femininity and masculinity are more important than biological sex in determining self-disclosure.     

Visual timing in hitting an accelerating ball

To investigate the timing of actions relative to events in the environment, we observed subjects leaping to punch a falling ball. We analysed their knee and elbow angles as functions of time for three ball-drop heights, finding that the differences in the functions for the different heights could be explained on the basis that the subjects were gearing their actions to a particular optic variable. This variable specifies the time remaining before contact with an object if the closing velocity is constant; for the falling ball it gives an increasingly accurate estimate of the time-to-contact. Our visuo-moto control model incorporates a delay parameter, the value of which was estimated from the data. In addition, correlations indicated that the knee and elbow were generally quite tightly coupled. The relationship of this task to laboratory tracking tasks and to the timing of actions in everyday life is described.     

Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists

This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting.     

Estimated Intelligence Moderates Cognitive Processing Therapy Outcome for Posttraumatic Stress Symptoms

Although patient intelligence may be an important determinant of the degree to which individuals may comprehend, comply with, and ultimately benefit from trauma-focused treatment, no prior studies have examined the impact of patient intelligence on benefit from psychotherapies for PTSD. We investigated the degree to which educational achievement, often used as a proxy for intelligence, and estimated full scale intelligence quotient (FSIQ) scores themselves moderated treatment outcomes for two effective psychotherapies for PTSD: Cognitive Processing Therapy (CPT) and Written Exposure Therapy (WET). Participants, 126 treatment-seeking adults with PTSD (52% male; mean age = 43.9, SD = 14.6), were equally randomized to CPT and WET; PTSD symptom severity was measured at baseline and 6-, 12-, 24-, 36-, and 60-weeks following the first treatment session. Multilevel models revealed that participants with higher FSIQ scores experienced significantly greater PTSD symptom reduction through the 24-week assessment in CPT but not WET; this effect did not persist through the 60-week assessment. Educational achievement did not moderate symptom change through either 24- or 60-weeks. Individuals with higher FSIQ who are treated with CPT may experience greater symptom improvement in the early stages of recovery.