Acceptability,Feasibility, and Effectiveness of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in New York

Cognitive-behavioral therapy (CBT), consisting of exposure and response prevention (EX/RP), is both efficacious and preferred by patients with obsessive–compulsive disorder (OCD), yet few receive this treatment in practice. This study describes the implementation of an Internet-based CBT program (ICBT) developed in Sweden in individuals seeking OCD treatment in New York. After translating and adapting the Swedish ICBT for OCD, we conducted an open trial with 40 adults with OCD. Using the RE-AIM implementation science framework, we assessed the acceptability, feasibility, and effectiveness of ICBT. The Yale–Brown Obsessive Compulsive Scale (Y-BOCS) was the primary outcome measure. Of 40 enrolled, 28 participants completed the 10-week ICBT. In the intent-to-treat sample (N = 40), Y-BOCS scores decreased significantly over time (F = 28.12, df = 2, 49, p < . 001). Depressive severity (F = 5.87, df = 2, 48, p < . 001), and quality of life (F = 12.34, df = 2, 48, p < . 001) also improved. Sensitivity analyses among treatment completers (N = 28) confirmed the intent-to-treat results, with a large effect size for Y-BOCS change (Cohen’s d = 1.38). ICBT took less time to implement than face-to face EX/RP and participants were very to mostly satisfied with ICBT. On a par with results in Sweden, the adapted ICBT program reduced OCD and depressive symptoms and improved quality of life among individuals with moderate to severe OCD. Given its acceptability and feasibility, ICBT deserves further study as a way to increase access to CBT for OCD in the United States.     

Strategies in probabilistic categorization: results from a new way of analyzing performance

The "Weather Prediction" task is a widely used task for investigating probabilistic category learning, in which various cues are probabilistically (but not perfectly) predictive of class membership. This means that a given combination of cues sometimes belongs to one class and sometimes to another. Prior studies showed that subjects can improve their performance with training, and that there is considerable individual variation in the strategies subjects use to approach this task. Here, we discuss a recently introduced analysis of probabilistic categorization, which attempts to identify the strategy followed by a participant. Monte Carlo simulations show that the analysis can, indeed, reliably identify such a strategy if it is used, and can identify switches from one strategy to another. Analysis of data from normal young adults shows that the fitted strategy can predict subsequent responses. Moreover, learning is shown to be highly nonlinear in probabilistic categorization. Analysis of performance of patients with dense memory impairments due to hippocampal damage shows that although these patients can change strategies, they are as likely to fall back to an inferior strategy as to move to more optimal ones.     

Deficits on the Continuous Performance Test within the schizophrenia spectrum and the mediating effects of family history of schizophrenia

Individuals with schizophrenia spectrum personality disorders (SSPD) and schizophrenia show similar cognitive impairments. The authors examined the contributions of SSPD symptoms and familial risk for schizophrenia to impairments on the Continuous Performance Test--Identical Pairs Version. Participants included 103 schizophrenia patients, 66 first-degree relatives (29 SSPD), and 103 community controls (26 SSPD) screened for family history of psychosis. Patients and SSPD relatives performed significantly worse than non-SSPD relatives and SSPD and non-SSPD community controls. No differences in performance were observed among non-SSPD relatives and SSPD and non-SSPD community controls. Results suggest a continuum in which risk for schizophrenia-related cognitive impairments is highest among patients and SSPD relatives, intermediate among non-SSPD relatives, and lowest among SSPD and non-SSPD community controls. Results suggest that SSPD in the absence of a family history of psychosis may be a phenocopy.     

Consider the situation: Reducing automatic stereotyping through Situational Attribution Training

The present research investigated the effectiveness of a new technique for reducing automatic biases rooted in attribution theory - the Situational Attribution Training Technique. The goal of this strategy extends previous work by targeting the fundamental attributional pillars underlying automatic stereotyping. We aimed to circumvent the well-documented tendency for individuals to be overly reliant on dispositional attributions when perceiving negative stereotype-consistent behaviors performed by outgroup members. By teaching participants to consider situational attributions for such behaviors, we expected a reduction in outgroup stereotyping. Specifically, White participants were trained extensively to choose situational over dispositional explanations for negative stereotype-consistent behaviors performed by Black men. Across two experiments, participants who completed Situational Attribution Training demonstrated reduced automatic racial stereotyping on a person categorization task, relative to control participants who exhibited substantial automatic stereotyping. The implications of these findings for the nature and reduction of intergroup biases are discussed.     

Scientific language inside out

The Scientific Voice, by Scott L. Montgomery, (New York and London: Guilford Press, 1996), 460 pages, $44.50 (cloth); $19.95 (paper)     

Chain letters: Players and their accounts

Even though it is unlawful to send chain letters through the mails, thousands of Americans send them to friends, acquaintances, and strangers in hopes that their names will move to the top of the pyramid, and they will receive the influx of tax‐free dollars from those at the bottom of the chain. This paper analyzes the content and structure of the chain letter and also describes the accounts which chain letter players (N=129) provide for their participation. Differences between male and female accounts and participation strategies are provided. The implications for these differences for understanding participation in the underground economy are discussed.     

The Social Psychology of Sustainability

The earth cannot support humanity's increasing population and consumption. Concerned scientists and citizens are therefore wondering how we might work toward a sustainable, survivable human future. Sustainability involves increased technological efficiency and agricultural productivity, but also incentives and attitudes that moderate consumption. Social psychology contributes to changing attitudes and behavior with evidence that a) materialism exacts psychic as well as environmental costs, and b) economic growth has failed to improve human morale. Two principles-the adaptation level phenomenon and social comparison-help explain why materialism and increasing affluence fail to satisfy.