Voluntary attention and the spacing effect

Three experiments were done to test the hypothesis that the spacing effect results from a voluntary decision by the subject to pay little attention to the second presentation (P₂) of an item when it occurs shortly after the first (P¹)- In all three experiments, the spacing of repetitions was varied. In Experiment I, allocation of attention was manipulated by pairing P₂ of some pictures with a signal that indicated high payoff for later retention. In Experiment II, attention was controlled more directly by requiring the subject, in one condition, to recite words aloud. In both experiments, the dependent variable was judged frequency. In neither experiment did the effect of the attention manipulation interact with that of the spacing of repetitions. In Experiment III, the number of eye fixations given a picture was taken to be a measure of attention. The number of fixations dropped from P₁ to P₂ to P₃, but was unaffected by the spacing of repetitions. The experiments provide no support for a voluntary attention explanation of the spacing effect.     

The Alpha-1 Association Genetic Counseling Program: An Innovative Approach to Service

In an era of specialty medicine, genetic counselors are becoming increasingly focused in their service provision. The Alpha-1 Association Genetic Counseling Program, established in September 2007, specializes in confidential toll-free genetic counseling provided by a certified genetic counselor for Alpha-1 Antitrypsin deficiency, a co-dominant condition associated with lung and/or liver disease. The program received more than 600 callers in its first 2 years. Sixty-seven percent of new callers were family members, carriers, or health professionals. The number of callers increased between the first 2 years, with the greatest increases being family members and health professionals. Testing options and explanation of results encompassed 60% of initial reasons for calls. Seventy-two percent of referrals came from family and friends, test result letters, and the Alpha-1 Association. Between year 1 and 2 family member referrals showed the largest increase. This disease-specific genetic counseling program provides a model that may be useful for other rare disease communities.     

Group cohesion in cognitive-behavioral group therapy for social phobia

Cognitive-behavior therapy (CBT) for Social Phobia is effective in both group and individual formats. However, the impact of group processes on treatment efficacy remains relatively unexplored. In this study we examined group cohesion ratings made by individuals at the midpoint and endpoint of CBT groups for social phobia. Symptom measures were also completed at the beginning and end of treatment. We found that cohesion ratings significantly increased over the course of the group and were associated with improvement over time in social anxiety symptoms, as well as improvement on measures of general anxiety, depression, and functional impairment. In conclusion, findings are consistent with the idea that changes in group cohesion are related to social anxiety symptom reduction and, therefore, speak to the importance of nonspecific therapeutic factors in treatment outcome.