Midi-level measurement of social anxiety in psychiatric and non-psychiatric samples

This paper reports the development and assessment of midi-level behavioral measures of social anxiety in the context of two experiments, one studying an analog student sample, the other a psychiatric sample. Judgments on nine categories of clinically practical midi-level behaviors (e.g. Facial Expression, Orienting, Sense of Timing), based on a review of the literature on human ethology and on pilot research, were compared to global judgments of social anxiety and social skill and to physiological arousal. Intraclass correlations exceeded 0.80 for judgments of the global and midi-level behavioral ratings on both samples. Results of correlational analyses indicated that while there were several significant predictors of global skill and anxiety among the midis, the magnitude of the relationship between midis and globals was stronger for the patient than the student sample. Further analyses based on S's heart rate (HR) reactivity suggested that while global ratings did not significantly predict H R in a high social anxiety situation, one midi-level behavioral rating (self-manipulations) did. The clinical utility of the newly developed measures is discussed with particular attention to their practicality for behavior therapy.     

Treatment of psychological distress following mastectomy: an initial report

A behavioural programme to treat psychological distress following mastectomy for breast cancer is described. The first 10 patients to be treated were randomly allocated to two treatment groups: Behavioural Programme Only or Behavioural Programme + Drugs (antidepressant medication). Both groups showed improvement over treatment, but the Behavioural Programme + Drugs group appeared to maintain their improvement better.     

Generalization of treatment effects in training public speakers

Three studies compared the efficacy of various treatments for public-speaking incompetence. These effects were evaluated for the target behavior as well as for generalization effects across situations (conversations), settings (different sizes and types of audiences) and time (6-month follow-up). The first study showed that Self-instructional Training, either alone or in combination with other procedures, produced little or no benefits. The second study demonstrated the superiority of a Skills Training program over flooding therapy, while the final study failed to detect any enhancement of treatment benefits for the addition of home-practice to the Skills Training. In the first two studies generalization occurred across the three dimensions (settings, situations and time), while in the final study it was shown that the program was effective for a clinical population as well as recruited volunteers.     

Coping behavior in depression: report on a new scale

The Coping Strategies Scales (COSTS) were developed to provide a means of measuring how depressed persons cope with depression and to identify the behavior which they find to be most or least helpful. Items were rated by eight psychologists, psychiatrists and social workers. Those items achieving 75% level of agreement on scale assignments were included. The COSTS was then administered to 100 depressed outpatients and inpatients currently in psychotherapy. A replication study of 64 patients was also completed. Nine of the 10 scales had acceptable internal reliability, ranging from 0.70 to 0.86. An initial factor analysis of the 10 scale scores showed there to be three primary factors. Internal reliability coefficients for these three factorially-derived scales ranged from 0.86 to 0.91.     

Comprehension of directly and indirectly stated main ideas and details in discourse by brain-damaged and non-brain-damaged listeners

Aphasic, right-hemisphere-damaged, and non-brain-damaged subjects heard short narrative paragraphs. Each paragraph contained four main ideas and one or more details related to each main idea. After each paragraph was presented, subjects' comprehension and retention of main ideas and details from the paragraph were tested. Some of the test items directly restated information from paragraphs and others paraphrased information from paragraphs. All groups of subjects remembered main ideas better than they remembered details, and no group of subjects was significantly affected by whether test items directly or indirectly stated information from paragraphs. Disfluent aphasic and right-hemisphere-damaged subjects' overall paragraphs comprehension scores were not significantly poorer than those of non-brain-damaged subjects. Fluent and mixed aphasic subjects' overall paragraph comprehension scores were significantly worse than those of non-brain-damaged and right-hemisphere-damaged subjects. Token Test and Boston Diagnostic Aphasia Examination auditory comprehension scores did not predict aphasic subjects' paragraph comprehension scores. right-hemisphere-damaged subjects' overall paragraph comprehension scores were not significantly those of non-brain-damaged and right-hemisphere-damaged subjects. Token Test and Boston Diagnostic Aphasia Examination auditory comprehension scores did not predict aphasic subjects' paragraph comprehension scores.     

Comprehension of main ideas and details in coherent and noncoherent discourse by aphasic and nonaphasic listeners

Aphasic and nonaphasic listeners' comprehension of main ideas and details within coherent and noncoherent narrative discourse was examined. Coherent paragraphs contained one topic to which all sentences in the paragraph related. Noncoherent paragraphs contained a change in topic with every third or fourth sentence. Each paragraph contained four main ideas and one or more details that related to each main idea. Listeners' responses to yes/no questions following each paragraph yielded the following results: (1) Nonaphasic listeners comprehended the paragraphs better than aphasic listeners. (2) Both aphasic and nonaphasic listeners comprehended main ideas better than they comprehended details. (3) Coherence did not affect comprehension of main ideas for either group. (4) Coherence did not affect comprehension of details by nonaphasic subjects. (5) Coherence affected comprehension of details by aphasic subjects, and their comprehension of details in coherent paragraphs was worse than their comprehension of details in noncoherent paragraphs. There was no significant correlation between Token Test scores and measures of paragraph comprehension.     

Awareness of the response after feedback training for changes in heart rate and sudomotor laterality

What is the relation between the ability to control visceral responding on a biofeedback task and the ability to report behaviors actually contributing to this performance? Subjects received biofeedback training for unidentified visceral responses and then gave written reports about what they had done to control the feedback displays. Independent judges were given these reports and, on the basis of knowledge about activities known to contribute to visceral activity, were asked to determine the visceral responses for which the subjects had been trained. The reports of subjects who succeeded at bidirectional control of heart rate (Experiment 1) or sudomotor laterality (Experiment 2) showed awareness of behaviors related to feedback as assessed by this procedure, whereas the reports of subjects who failed at bidirectional control did not. Subsequent experiments indicated that these results did not depend on a learning strategy that might have been specific to the initial studies. These findings call into question the view that people are unaware of what they have done to produce the response after training on biofeedback tasks. Earlier studies reporting lack of awareness in biofeedback are discussed in light of factors that affect the measurement of biofeedback learning and response awareness.     

Individual differences in loudness processing and loudness scales

Parameters of the psychophysical function for loudness (a 1000-Hz tone) were assessed for individual subjects in three experiments: (a) binaural loudness summation, (b) temporal loudness summation, and (c) judgments of loudness intervals. The loudness scales that underlay the additive binaural summation closely approximated S. S. Stevens's (1956) sone scale but were nonlinearly related to the scales that underlay the subtractive interval judgments, the latter approximating Garner's (1954) lambda scale. Interindividual differences in temporal summation were unrelated to differences in scaling performance or in binaural summation. Although the exponents of magnitude-estimation functions and the exponents underlying interval judgments varied considerably from subject to subject, exponents computed on the basis of underlying binaural summation varied less. The results suggest that interindividual variation in the exponent of magnitude-estimation functions largely reflects differences in the ways that subjects use numbers to describe loudnesses and that the sensory representations of loudness are fairly uniform, though probably not wholly uniform, among people with normal hearing. The magnitude of individual variation in at least one measure of auditory intensity processing, namely, temporal summation, seems at least as great as the magnitude of the variation in the underlying loudness scale.     

How normal and retarded individuals monitor and regulate speed and accuracy of responding in serial choice tasks

These experiments investigate whether or not differences in the way that retarded and nonretarded individuals monitor and regulate speed and accuracy of responding contribute to the slower and more variable performance of retarded subjects on choice reaction time (RT) tasks. Rabbitt (1979, 1981) suggested that efficient choice RT performance is mediated by subjects tracking increasingly faster RT bands on successive trials until, by making and recognizing errors, they discover those very fast RT levels that should be avoided and those safe bands, just above typical error levels, that should be tracked. Experiments 1A and 1B established that most retarded subjects detect their errors as efficiently as nonretarded controls, a finding that excludes the possibility that retarded subjects do not monitor accuracy efficiently but achieve comparable levels of accuracy by consistently responding within very slow RT bands that minimize likelihood of errors. Experiment 2 showed that while a qualitatively similar trial-by-trial tracking mechanism mediates the performance of both groups, retarded subjects are less efficient at constraining RTs within very fast, but safe, bands. Increasing error probabilities at longer RTs suggest that momentary fluctuations in stimulus discriminability and/or attention are factors affecting RT variability in retarded subjects. The RT patterns for various sequences of correct responses initiated and terminated by errors suggest that the effective past experience (EPEX) guiding trial-by-trial RT adjustments of retarded subjects is short and inadequate, and it was argued that this can account for much of the remaining RT variability contributing to retarded-nonretarded differences. Not only does a short EPEX increase variability by giving rise to long error-free sequences of slower than average RT but also, when combined with occasional specified random fluctuations, it suggests why retarded subjects can achieve, but not sustain, RT levels maintained by nonretarded subjects.