Somatic complaints in anxious children

Although stomachaches and headaches are considered characteristic of children with anxiety disorders, there is converging evidence that a broader range of somatic symptoms may be associated with children's expressions of anxiety. The purpose of this study was to determine the prevalence of somatic complaints in anxious children. The results indicated that children with anxiety disorders endorsed the presence of many different somatic complaints, and that contrary to clinical intuition, stomaches and headaches were not among the most commonly reported symptoms. In addition, the anxious children endorsed significantly more somatic complaints when compared to normal controls. Furthermore, the symptom pattern reported by anxious children indicated the presence of both the somatic and cognitive components usually associated with panic attacks, although none of the children met diagnostic criteria for panic disorder. The results are discussed in terms of the contribution of somatic symptoms to the understanding of anxiety disorders in children.     

Response-contingent stimulation as a treatment for developmental failure in infancy

An 8-month-old infant with a developmental quotient of $\text{1}\text{1}\text{2}$ months was given response-contingent stimulation using a pressure-sensitive pillow which turned an overhead mobile. The subject learned to control the mobile by kicking the pillow, and concurrently began smiling at both the mobile and her mother for the first time. After mastering three contingencies on arm, head, and leg movement, she displayed what appeared to be a Piagetian coordinated secondary circular reaction, in which one response provided 4 seconds of access to another contingency. Although the subject remains severely retarded, the results suggest that some forms of developmental delay may be treated at least in part as a failure to develop contingency awareness.     

Salt taste detection: an R-index approach to signal-detection measurements

The R-index approach to the signal-detection P(A) index of sensitivity was used to measure taste sensitivity to NaCl solutions. The R-index is the predicted probability of the correct choice of a signal, for a given signal-noise pair. For flow-wise and sipwise presentation, R-indices did not fluctuate significantly, provided subjects could not see the stimuli yet to be presented, indicating a lack of systematic sensitivity drift. The simultaneous measurement of more than one signal strength with reference to a common noise stimulus was seen to be a viable and sensitive procedure. Comparison of flow-wise and sipwise presentation of stimuli using R-indices, indicated that the former elicited greater subject sensitivity to NaCl taste.     

A Peer Assertiveness-Training Program

The demand for assertiveness-training groups and the effective use of paraprofessionals in skills training were influential factors in the authors' decision to develop a peer assertiveness-training program. This program extends the availability of assertiveness training to students through the use of paraprofessionals as group leaders. This article describes a format for developing a peer assertiveness-training program and is based on the authors' experience conducting this program during the 1977–78 academic year at Pennsylvania State University.     

Divided attention, order of report and responses to immediately successive signals

Two effects, “divided-attention” and “order of report”, are operationally denned. Their relative contributions to the reduction in efficiency which accompanies the recognition of difficult nonverbal signals, presented simultaneously, is considered. Experiment I evaluated the two effects in the absence of a fixed order of report and emphasis instructions, confounding features of previous studies. The results showed: an overall impairment of performance with simultaneous signals; a contribution of both effects to the decrement, with a suggestion of the primacy of the “order of report” effect; and a significant interaction between the latter effect and modality, such that visual signals showed the greater effect. Experiment II using similar signals tested the assumption that simultaneity of presentation is a necessary condition for obtaining reduced efficiency with multiple signals. The assumption was only partially confirmed, a significant decrement in performance occurring only for the second of two successively presented signals. Similarities between the two sets of results are noted, as well as between these and modality differences obtained with verbal materials. Two possible accounts of the data are proposed, one based on “input”, the other on “storage” models of divided-attention. The hypothesis that subjects report the most clearly perceived signal first is rejected as an independent explanation.     

Personality Characteristics of Women of Distinction

Eight hundred and sixty-three women psychologists, scientists, artists and writers, and politicians were compared on the Sixteen Personality Factor Questionnaire through a multiple discriminant analysis. The four groups were set apart by personality characteristics adaptive to their professional role expectations. Politicians were more sociable, conscientious, self-controlled, and group-dependent; artists and writers were more affected by their feelings, spontaneous and natural, and inclined to follow their own urges; scientists were the more reserved, serious, and tough-minded; and psychologists were more flexible, liberal, and accepting. When contrasted with women in the general population, the four groups of career women were all found to be brighter, more assertive, more adventurous, and less conservative.     

Internet-Based Acceptance and Commitment Therapy: A Transdiagnostic Systematic Review and Meta-Analysis for Mental Health Outcomes

Internet-based acceptance and commitment therapy (iACT) primarily targets the process of psychological flexibility. Its accessibility and low-intensity delivery are applicable across different treatment and prevention scenarios. This transdiagnostic meta-analysis reviews the effectiveness of iACT on anxiety, depression, quality of life, and psychological flexibility across individuals with different psychological and somatic conditions/complaints, or undiagnosed complaints. Seven databases were searched for randomized controlled trials that reported on anxiety, depression, quality of life, and psychological flexibility outcomes from iACT in any adult population. Engagement with iACT was summarized and methodological and population-related variables were investigated as potential moderators of effectiveness. Across 25 studies, small pooled effects were found for all outcomes at post-assessment and maintained at follow-up time-points. Interventions with therapist guidance demonstrated greater effectiveness in improving depression and psychological flexibility outcomes compared to nonguided iACT, and populations defined by a psychological condition or symptoms (e.g., depressed samples) demonstrated greater improvements in anxiety compared to nonclinical or somatic populations (e.g., chronic pain samples or students). Participants completed on average 75.77% of iACT treatments. While we found iACT to be effective in improving and maintaining mental health outcomes across diverse populations, there was limited evidence of reliable, clinically significant effects. PROSPERO registration number: CRD42020140086.     

The Role of Emotional Content and Perceptual Saliency During the Programming of Saccades Toward Faces

Previous studies have shown that the human visual system can detect a face and elicit a saccadic eye movement toward it very efficiently compared to other categories of visual stimuli. In the first experiment, we tested the influence of facial expressions on fast face detection using a saccadic choice task. Face-vehicle pairs were simultaneously presented and participants were asked to saccade toward the target (the face or the vehicle). We observed that saccades toward faces were initiated faster, and more often in the correct direction, than saccades toward vehicles, regardless of the facial expressions (happy, fearful, or neutral). We also observed that saccade endpoints on face images were lower when the face was happy and higher when it was neutral. In the second experiment, we explicitly tested the detection of facial expressions. We used a saccadic choice task with emotional-neutral pairs of faces and participants were asked to saccade toward the emotional (happy or fearful) or the neutral face. Participants were faster when they were asked to saccade toward the emotional face. They also made fewer errors, especially when the emotional face was happy. Using computational modeling, we showed that this happy face advantage can, at least partly, be explained by perceptual factors. Also, saccade endpoints were lower when the target was happy than when it was fearful. Overall, we suggest that there is no automatic prioritization of emotional faces, at least for saccades with short latencies, but that salient local face features can automatically attract attention.