Interpersonal Subtypes in Social Phobia: Diagnostic and Treatment Implications

Interpersonal assessment may provide a clinically useful way to identify subtypes of social phobia. In this study, we examined evidence for interpersonal subtypes in a sample of 77 socially phobic outpatients. A cluster analysis based on the dimensions of dominance and love on the Inventory of Interpersonal Problems–Circumplex Scales (Alden, Wiggins, &; Pincus, 1990 Alden, L. E. and Phillips, N. 1990. An interpersonal analysis of social anxiety and depression. Cognitive Therapy and Research, 14: 499–513. [Crossref], [Web of Science ®] , [Google Scholar]) found 2 interpersonal subtypes of socially phobic patients. These subtypes did not differ on pretreatment global symptom severity as measured by the Brief Symptom Inventory (Derogatis, 1993 Derogatis, L. R. 1993. Brief Symptom Inventory: Administration, scoring, and procedures manual , (4th ed.), Minneapolis, MN: NCS Pearson Assessments, Inc.  [Google Scholar]) or diagnostic comorbidity but did exhibit differential responses to outpatient psychotherapy. Overall, friendly-submissive social phobia patients had significantly lower scores on measures of social anxiety and significantly higher scores on measures of well-being and satisfaction at posttreatment than cold-submissive social phobia patients. We discuss the results in terms of interpersonal theory and the clinical relevance of assessment of interpersonal functioning prior to beginning psychotherapy with socially phobic patients.     

Upright and left out: Posture moderates the effects of social exclusion on mood and threats to basic needs

Adopting a powerful posture leads individuals to feel more confident and dominant. Social exclusion can strongly impact individuals' mood and basic social needs. The current research combines these bodies of research, investigating the effects of dominant and submissive poses on responses to social exclusion and inclusion. In two experiments, participants held a slouching or upright pose and were either socially included or excluded using the Cyberball social exclusion manipulation. Social exclusion only affected participants' mood when individuals took a powerful posture: Excluded participants in powerful postures had more negative mood after exclusion than included power‐posing participants, but effects of exclusion and inclusion did not differ among submissive‐posing participants (Experiments 1 and 2). Similarly, it was also found that social exclusion affected basic needs only when participants' adopted powerful poses (Experiment 2). Copyright © 2013 John Wiley & Sons, Ltd.     

Interpersonal Functioning in Obsessive–Compulsive Personality Disorder

The core symptoms of obsessive–compulsive personality disorder (OCPD) often lead to interpersonal difficulties. However, little research has explored interpersonal functioning in OCPD. This study examined interpersonal problems, interpersonal sensitivities, empathy, and systemizing, the drive to analyze and derive underlying rules for systems, in a sample of 25 OCPD individuals, 25 individuals with comorbid OCPD and obsessive–compulsive disorder (OCD), and 25 healthy controls. We found that OCPD individuals reported hostile-dominant interpersonal problems and sensitivities with warm-dominant behavior by others, whereas OCPD+OCD individuals reported submissive interpersonal problems and sensitivities with warm-submissive behavior by others. Individuals with OCPD, with and without OCD, reported less empathic perspective taking relative to healthy controls. Finally, we found that OCPD males reported a higher drive to analyze and derive rules for systems than OCPD females. Overall, results suggest that there are interpersonal deficits associated with OCPD and the clinical implications of these deficits are discussed.     

The effects of perceived social norms on handwashing behaviour in students

Handwashing is widely considered the most effective method of preventing the spread of infectious illness. Exploring the determinants of handwashing is vital to the development of interventions to increase this behaviour. A survey based on Social Norms Theory assessed handwashing frequency and perceptions of peer handwashing in 255 university students. Participants reported their own handwashing frequency, and how often they thought their peers washed their hands in particular circumstances, to determine whether misperceptions around handwashing exist, and whether these influence the behaviour of individuals. Gender was found to be a significant determinant of handwashing frequency as females reported washing their hands significantly more often than males. Participants also believed they washed their hands significantly more frequently than their peers. Perceived peer handwashing frequency was significantly correlated with participants’ own behaviour. This effect was seen in overall handwashing and in food, waste and illness-related hand washing. These results suggest perceived social norms around hand washing have a clear association with individual behaviour. Future research might test the effectiveness of a social norms intervention in other settings which carry an increased risk of infection spread.     

Effortful control and externalizing problems in young adults

The present study evaluates the relationship between effortful control (EC) and externalizing psychopathology in young adults. EC, the capacity to delay immediate impulses in favor of long-term goals, has been robustly linked to externalizing behaviors in children and adolescents. However, such data is limited in adults, and mechanisms underlying this relationship have yet to be evaluated. We hypothesized that the effect of low EC on greater externalizing problems would be mediated by elevated psychological distress. In total 236 undergraduate students completed the EC subscale of the Adult Temperament Questionnaire, the Brief Symptom Inventory, and the Externalizing Spectrum Inventory (ESI). The ESI was found to have four factors representing Callous Aggression, Impulsive Urgency, prosocial control, and Substance Abuse. The degree to which low trait EC manifested in increased Callous Aggression, Impulsive Urgency and decreased prosocial behavior was mediated by elevated psychological distress. However, EC was not related to Substance Abuse. These data indicate that EC plays an important role in shaping psychological and social adjustment in adulthood.     

Effects of Response Blocking and Programmed Stimulus Control on Motor Stereotypy: A Pilot Study

We evaluated response blocking with programmed stimulus control, wearing tennis wrist bands, to reduce motor stereotypy in a student with autism. Response blocking was effective and subsequent analysis revealed that wearing the tennis wrist bands alone maintained low frequency stereotypy. Results suggest that controlling effects from a procedure such as response blocking can be transferred to a programmed stimulus in the absence of physical intervention.     

A Brief Group Intervention Using Video Games to Teach Sportsmanship Skills to Children With Autism Spectrum Disorders

Impaired social skills represent a fundamental deficit for children with Autism Spectrum Disorders (ASD). Despite the potential importance of “good sportsmanship,” this social skill has received relatively little attention in the literature. The current study utilized a Behavioral Skills Training (BST) approach to teach three sportsmanship skills (i.e., complimenting, turn taking, and being a good sport) during video game play (Wii Sports). Six children with ASD completed this study. Findings suggest BST can be used effectively to teach sportsmanship skills to children with ASD. The use of video-game technology as part of social skills intervention programs is also discussed.     

Vox clamantis in deserto: Rhetoric, Reproach, and the Forging of Ascetic Authority in Jerome's Letters from the Syrian Desert

In eight letters (Epp. 6–9, 11–13, 16) that Jeromesent from his monastic retreat in the Syrian desert betweenc.375 and c.377, he sharply criticized friends who were notas faithful in writing to him as he had been to them. John Kelly,in his influential biography of Jerome (1975), famously readthese letters as the petty outbursts of a neurotic curmudgeonwho was bitter and resentful about being snubbed; other scholarssince have followed suit with this face-value interpretation.The present article challenges this widely accepted psychologizingreading as being uncritical and unappreciative of the lettersas literary artefacts. It is demonstrated first that they arestylish specimens of the epistolary genre of reproach. It isthen argued that these letters, inasmuch as they portray Jeromeas being shunned by human society, were important componentsof a book of collected personal correspondence that Jerome releasedin Rome in the early 380s to promote himself as the consummatehermit and hero of desert asceticism.     

Adrenergic transmission facilitates extinction of conditional fear in mice

Extinction of classically conditioned fear, like its acquisition, is active learning, but little is known about its molecular mechanisms. We recently reported that temporal massing of conditional stimulus (CS) presentations improves extinction memory acquisition, and suggested that temporal spacing was less effective because individual CS exposures trigger two opposing processes: (1) fear extinction, which is favored by CS massing, and (2) fear incubation (increase), which is favored by spacing. We here report the effects of manipulating the adrenergic system during massed or spaced CS presentations in fear-conditioned mice. We administered yohimbine (5 mg/kg), an alpha(2)-receptor antagonist, or propranolol (10 mg/kg), a beta-receptor antagonist, systemically prior to CS presentation sessions and recorded both short- and long-term changes in conditional freezing. Yohimbine treatment facilitated extinction of both cue and context fear with massed protocols. When given before spaced CS presentations, propranolol led to a persistent incubation of cue fear, whereas yohimbine led to persistent extinction, compared with vehicle-treated animals, which showed no change in fear. These results suggest that norepinephrine positively modulates the formation of fear extinction memories in mice. They also provide clear evidence that spaced CS presentations trigger both fear-reducing (extinction) and fear-increasing (incubation) mechanisms.