Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

The advantages of selecting agoraphobic patients for treatment by group exposure according to their residential geographic neighbourhood were evaluated in terms of facilitation of ‘homework’ practice and increased social contact. Both ‘zoned’ and ‘unzoned’ groups showed gains in ability to perform hierarchy items after 11 sessions of exposure, relative to a no-treatment control group. However only zoned subjects showed significant reductions in experienced anxiety when executing such items. Self-ratings of overall phobic severity also suggested a zoned group was superior to unzoned while assessors' ratings indicated both groups as equally improved. Only zoned subjects showed a significant increase in social range. Improvements were maintained at 3-months follow-up. No effect of treatment was found on either the Zung measure of anxious mood or on social integration.These results suggest that, where practical, zoning might offer the means for desirable continuation of intensive clinic-based group treatment as well as the benefit of extending treatment into the patients' environment as in home-based treatments. Crucial levels of group cohesion might also be increased although therapists should be prepared to negotiate resistance to a socially demanding programme from patients with significant additional social phobias.     

TEACHING THE HANDICAPPED TO EAT IN PUBLIC PLACES: ACQUISITION,GENERALIZATION AND MAINTENANCE OF RESTAURANT SKILLS

This study examined classroom-based instruction in restauranting skills for handicapped persons. Three male students were taught each of four skill components in sequential order: locating, ordering, paying, and eating and exiting. Training was implemented in a multiple baseline design across subjects and consisted of modeling and role playing in conjunction with photo slide sequences and a simulated ordering counter. The use of a menu containing general item classes and a finger matching procedure for identifying errors in the delivery of change greatly reduced the reading and math skills necessary to enter and complete the program. Periodic probes were conducted in a McDonald's restaurant prior to, during, and up to one-year following the termination of training. In addition, two probes (overt and covert observation) were conducted in a Burger King restaurant to assess further generalization to a location different from the one depicted throughout training. Results showed that students' performance on restaurant probes improved as a result of training, generalized to novel settings, maintained over an extended period of time, and was comparable to that of a normative sample of nonretarded persons.     

The air gap phenomenon in children's landscape drawings

The “air gap” phenomenon was found to be very common in the free landscape drawings of middle and later childhood. Three experiments are reported in which the contextual cues for such drawings were systematically manipulated. When subjects were supplied with drawing sheets constructed to imply the absence of the air gap, the phenomenon was eliminated in most of their drawings. When supplied with sheets constructed to imply its presence, most subjects produced air gap drawings using contextually provided reference lines. There were no consistent transfer effects across different cuing orders. The susceptibility of the air gap phenomenon to modification by task manipulation suggests that it results from problems of production rather than from defects in the child's internal representation of the world.     

Evaluation of the relative effectiveness of methylphenidate and cognitive behavior modification in the treatment of kindergarten-aged hyperactive children

This study of kindergarten-aged hyperactive children evaluated the effects of three modes of treatment in relation to an untreated control group. The treatments were administered over a 3-month period and included cognitive behavior modification, methylphenidate, and the two treatments combined. A follow-up assessment was done approximately 1 year later at the end of the first grade. Analyses of psychological, rating scale observational, and interview data showed that hyperactive children became less symptomatic over time;the data did not provide evidence indicating that any of the treatments studied was more effective than any other or than no treatment at all.This research was supported by grants from the Ontario Mental Health Foundation (Grant No. 701-76/78) and The Hospital for Sick Children Foundation (Grant No. 77-22). The authors wish to thank Mr. Syl Sauro, of the Etobicoke Board of Education, and Mrs. M. Stijovic, of the Etobicoke Community Health Department, for their cooperation.     

The relationship of sex and sex role to trait and situationally specific anxiety types

While considerable research has investigated the relationship of sex and/or sex role to general or trait anxiety, little is known about their relationship to more specific anxiety types. Based on the postulate that sex and sex-role differences may depend on the extent to which an anxiety-producing situation represents a sex-stereotypic domain, the present study compared their relationships to four measures of anxiety: Math anxiety, test anxiety, and two measures of trait anxiety. Subjects were 180 undergraduate students enrolled in introductory psychology courses. Although females reported higher levels of anxiety on all four scales than did males, a discriminant function analysis indicated that math anxiety was the strongest contributor to the separation of the sexes. Significant score differences as a function of sex role were found using the STAI A-Trait scale, and a significant sex × sex-role interaction was found for scores on the S-R Inventory of Anxiousness. Feminine-typed males and undifferentiated females reported highest anxiety levels in comparison to same-sex individuals. Implications for the understanding and treatment of both general and situationally specific anxiety are discussed.     

Personality and the topography of the conditioned eyelid response

One-hundred and four women were tested on an eyelid conditioning paradigm in a 2 x 2 x 2 factorial design where two levels of US intensity (1 vs 3 p.s.i.) were balanced against two rest pause interpolations (after 25 and after 50 trials), and the presence or absence of a warning stimulus prior to CS-US presentation. Subjects were later classified as high, low or intermediate extraverts on the basis of a personality questionnaire. A very detailed analysis of conditioned responses was carried out, using both simple and composite measures including work-ratio, utility-ratio, CR frequency, peak latency, peak amplitude, response area and effective response area, degree of avoidance amplitude and latency, etc. Major findings related to similar effects of high intensity US vs low intensity US, and introversion vs extraversion; introverts react as if they were responding to more intense stimuli than extraverts. This finding cuts across other parameter variables, and supports Eysenck's formulation of personality-conditioning relationships in terms of higher cortical arousal in introverts as compared with extraverts.     

ISRO: A scale to measure sex-role orientation

Sex-role research has been hampered by a lack of valid and reliable research tools to measure the construct being studied. This article describes the development of a research scale (ISRO) to measure women's sex-role orientation. This 16-item questionnaire has been shown to be internally consistent and to have fairly high temporal stability over 30 days. The high sensitivity (96.2%) and specificity (95.5%) suggest that it differentiates feminist from traditional women. Three factors assess attitudinal domains of conflict between family responsibilities and having a career; male/female division of household responsibilities; and women's work roles outside the home. Education appears to be the strongest predictor of ISRO scores.This study was supported in part by a grant from the American Nurses Foundation.     

THE CLASS SPECIFIC EFFECTS OF COMPLIANCE TRAINING WITH “DO” AND “DON'T” REQUESTS: ANALOGUE ANALYSIS AND CLASSROOM APPLICATION

Two experiments are reported in which the relationship between compliance with “do” and “don't” requests was examined with developmentally disabled children. In Experiment 1, a multiple baseline design across subjects with counterbalanced treatment conditions was used to evaluate a compliance training program composed of four phases: (a) baseline, during which no consequences were delivered for compliance, (b) reinforcement for compliance with one targeted “do” request, (c) reinforcement for compliance with one targeted “don't” request, and (d) follow-up with reinforcement on a variable ratio schedule for compliance with any “do” or “don't” request. Results of probes conducted before and after training within each condition indicated that generalized compliance occurred only with requests of the same type as the target exemplar (“do” or “don't”). In Experiment 2, these results were replicated in a classroom setting. Following collection of baseline probe data on student compliance, a teacher training program was successfully implemented to increase reinforcement of compliance first with one “do” and subsequently with one “don't” request of a target student. Results of multiple baseline probes across “do” and “don't” requests indicated that the teacher generalized and maintained reinforcement of compliance with other requests of the same type and to other students, with a resulting increase in student compliance with the type of requests reinforced. The impact of treatment on both teacher and student behavior was socially validated via consumer ratings. Implications of these findings with respect to response class formation and compliance training programs are discussed.     

Acquiring conjunctive concepts: When and why does feature frequency affect feature identification?

According to frequency theories of concept attainment, acquisition of rule-governed concepts depends on discriminating relevant from irrelevant stimulus features on the basis of their respective frequencies of occurrence. Depending on the theorist, the critical frequency counts may be based on occurrence in all stimuli or on occurrence in positive instances only. Experiment 1 held frequency in positive instances constant and varied the frequency of irrelevant features in the negative category. High frequency was associated with impaired performance, but only when concept problems started with a negative instance. Experiment 2 demonstrated that some previous findings in the literature that were thought to support frequency theory also depended on problems starting with a negative instance. These findings are not easily reconciled with existing frequency theories. We attribute our results to high intercategory similarity, which is a correlate of high frequency of irrelevant features. In the context of a hypothesis-testing theory, we propose that a negative start stimulus proactively interferes with memory for information in the initial positive instance and that the extent of the interference depends on how similar negative instances are to positive instances.     

The importance of inhalation volume when measuring smoking behavior

Theoretical and technical considerations of measuring puff and inhalation volumes during cigarette smoking are reviewed. Measures of smoking behavior using a flowmeter and inductance plethysmography are described and demonstrated with seven subjects smoking over a 3-to 4-h period. Puff volume and duration, inhaled volume and duration, interpuff and intercigarette interval, and number of puffs varied for each individual over the session. The ratio of puff volume to inhaled volume changed with successive cigarettes. Smokers adjust the concentration of smoke by blending air with the smoke. Thus, to completely characterize smoking behavior, the volume of smoke and air inhaled into the lungs must be measured directly.