Active-imaginal exposure: examination of a new behavioral treatment for cynophobia (dog phobia)

The aims of this study were to investigate exposure-based treatments for cynophobia (dog phobia) and to test a newly developed hybrid imaginal exposure treatment that we have named active imaginal exposure. The treatment introduces an in vivo coping component to imaginal exposure whereby the patient physically performs coping responses to an imagined feared stimulus. Eighty-two participants meeting DSM-IV criteria for specific phobia (animal subtype) were randomly assigned to one of three 30-min. treatments: (a) active-imaginal exposure (AI), (b) imaginal exposure alone (IE), or (c) graduated in vivo exposure (IV). Participants completed a behavioral approach test at pre, post, and four-week follow-up. Significant pre- to posttreatment improvement was observed in all three treatment conditions. Response rates at posttreatment were 51.9, 62.1, and 73.1% for the IE, AI, and IV groups respectively. Likewise, effect sizes at posttreatment were 0.76, 1.41, and 1.55 for the IE, AI, and IV groups respectively. Although in the predicted direction, the between group differences were not significant. A similar pattern of results was observed at follow-up. Further, safety behavior utilization during treatment was associated with less improvement--particularly in the two imaginal treatment conditions. Exposure treatments of dog phobia appear feasible and effective in reducing phobic fear and avoidance associated with dog phobia. Furthermore, preliminary evidence suggests that our active-imaginal exposure treatment may be a viable alternative to in vivo exposure.     

The "what" and "where" of object representations in infancy

Four-month-olds' memory for surface feature and location information was tested following brief occlusions. When the target objects were images of female faces or monochromatic asterisks infants showed increased looking times following a change in identity or color but not following a change in location or combinations of feature and location information. When the target objects were images of manipulable toys, the infants showed increased looking times following a change in location but not identity or the binding of location and identity information. This evidence is consistent with the idea that young infants are unable to maintain the information processed separately in both the dorsal and ventral visual streams during occlusions. Our results suggest that it is the target's affordance for action that determines whether the dorsal or ventral information is selectively maintained during occlusion.     

The construct validity of depressive personality disorder

This study examined the construct validity of depressive personality disorder (DPD: American Psychiatric Association, 1994). Adult psychiatric outpatients (N = 900) underwent comprehensive Axis I and II evaluations and provided data on 4,768 of their 1st-degree relatives. Despite modest overlap, DPD was not redundant with any Axis I or II disorder. Participants with DPD exhibited more Axis I and Axis II comorbidity, and greater psychosocial dysfunction, than participants without DPD. Relatives of participants with DPD had higher rates of mood disorders, alcohol abuse, and antisocial personality. Results are consistent with findings of several other similar investigations. The authors argue that DPD is a valid construct and should be conceptualized as a personality disorder as opposed to a mood disorder.     

Functional analysis and treatment of verbal perseverations displayed by an adult with autism

The function of perseverative speech for an adult man who had been diagnosed with autism and mental retardation was examined. Results showed that verbal perseverations were maintained by social attention. An intervention consisting of differential reinforcement of appropriate verbal responses and extinction of perseverative verbal responding was effective in decreasing verbal perseverations.     

Brief training to promote the use of less intrusive prompts by nursing assistants in a dementia care unit

We evaluated the efficacy of a brief staff-training procedure to increase the use of graduated prompting by 2 certified nursing assistants (CNAs) while they helped to dress 3 persons with dementia in a seven-bed dementia care unit. The multiple baseline design across participants showed that CNAs dressed residents with minimal resident involvement during baseline observations. Following brief in-service training, CNAs provided graduated prompts and praise appropriately, suggesting that CNAs can promote active involvement in personal care routines by older adults with dementia.     

Drivers' compliance with speed limits: an application of the theory of planned behavior

The theory of planned behavior (TPB; I. Ajzen, 1985) was applied to drivers' compliance with speed limits. Questionnaire data were collected for 598 drivers at 2 time points separated by 3 months. TPB variables, demographic information, and self-reported prior behavior were measured at Time 1, and self-reported subsequent behavior was measured at Time 2. In line with the TPB, attitude, subjective norm, and perceived control were positively associated with behavioral intention, and intention and perceived control were positively associated with subsequent behavior. TPB variables mediated the effects of age and gender on behavior. Prior behavior was found to moderate the perceived control-intention and perceived control-subsequent behavior relationships. Practical implications of the findings for road safety and possible avenues for further research are discussed.     

Infants perceiving and acting on the eyes: tests of an evolutionary hypothesis

It has been hypothesized that an evolutionarily ancient mechanism underlies the ability of human infants to detect and act upon the direction of eye gaze of another human face. However, the evidence from behavioral studies with infants is also consistent with a more domain-general system responsive to the lateral motion of stimuli regardless of whether or not eyes are involved. To address this issue three experiments with 4-month-old infants are reported that utilize a standard face-cueing paradigm. In the first experiment an inverted face was used to investigate whether the motion of the pupils elicits the cueing effect regardless of the surrounding face context. In the second experiment pupil motion and eye gaze direction were opposed, allowing us to assess their relative importance. In a third experiment, a more complex gaze shift sequence allowed us to analyse the importance of beginning with a period of mutual gaze. Overall, the results were consistent with the importance of the perceived direction of motion of pupils. However, to be effective in cueing spatial locations this motion needs to be preceded by a period of direct mutual gaze (eye contact). We suggest that evolution results in information-processing biases that shape and constrain the outcome of individual development to eventually result in adult adaptive specializations.     

Power in stereotypically masculine domains: a Social Influence Strategy X Stereotype Match model

This work examines the hypothesis that stereotypes of groups to which low-power people belong should influence the perceptions and behavior of powerful people only when those stereotypes are both contextually relevant (e.g., women in masculine domains) and provide information of relevance given powerful people's beliefs about the relation between subordinates and goal attainment. Findings across two studies supported predictions. In a masculine domain, when high-power men were attentive to subordinate weaknesses that may produce thwarts to goal attainment, stereotypes of women defined the contextually relevant shortcomings of women, and stereotype-consistent high-power behaviors ensued. In contrast, when powerful men were attentive to subordinate strengths that may enhance goal strivings, stereotypes of women were uninformative (i.e., did not contain information about relevant strengths); female and male employees were responded to and, in turn, performed and reacted similarly. The implications of these findings for theorizing on the relation between power and stereotyping are discussed.     

Secure and defensive high self-esteem

Long-standing theories have suggested high self-esteem (SE) can assume qualitatively different forms that are related to defensiveness. The authors explored whether some high-SE individuals are particularly defensive because they harbor negative self-feelings at less conscious levels, indicated by low implicit SE. In Study 1, participants high in explicit SE but low in implicit SE showed the highest levels of narcissism--an indicator of defensiveness. In Studies 2 and 3, the correspondence between implicit and explicit SE predicted defensive behavior (in-group bias in Study 2 and dissonance reduction in Study 3), such that for high explicit-SE participants, those with relatively low implicit SE behaved more defensively. These results are consistent with the idea that high SE can be relatively secure or defensive.     

Four studies extending the utility of the Schwartz Outcome Scale (SOS-10)

The Schwartz Outcome Scale (SOS-10; Blais et al., 1999) is a brief, cost free, and easy to administer assessment device designed to measure a broad domain of psychological health. The 4 studies using the SOS-10 reported here extend the initial reliability and validity studies beyond psychiatric patients in a hospital setting to examine (a) test-retest reliability in a college student population, (b) concurrent validity with college students using an indirect technique assessing maladjustment, (c) concurrent validity with college counseling center clients using a self-report measure of client distress, and (d) sensitivity to treatment changes with outpatient clients. These studies lend further support for using the SOS-10 as a measure of psychological well-being and as an outcome measure in varied settings.