Treatment of panic attacks using cognitive therapy without exposure or breathing retraining

Cognitive treatment of panic attacks is based on the hypothesis that panic results from the catastrophic misinterpretation of bodily sensations, and that changing such misinterpretations will block the occurrence of panic. The treatment normally involves an integrated set of cognitive and behavioural techniques. In a consecutive series of panic patients, a multiple baseline across subjects design was used to investigate whether a modified form of treatment involving only cognitive procedures could reduce panic attack frequency. The results provide preliminary evidence that cognitive procedures directed at changing misinterpretations of bodily sensations can reduce panic attack frequency, and also that cognitive procedures which do not target misinterpretations may not reduce panic.     

TEACHING SELF-ADMINISTRATION OF SUCTIONING TO CHILDREN WITH TRACHEOSTOMIES

We examined the effectiveness of using dolls to teach young children with tracheostomies to self-administer a suctioning procedure. Four children between the ages of 5 and 8 years, who had had tracheostomies for 6 months or longer, participated. After skills were taught via doll-centered simulations, in vivo skills were evaluated. All of the training and probe sessions were conducted in the participants' classrooms or homes. Results of a multiple baseline design across subjects and skill components indicated that the performance of all children improved as a function of training. Skill maintenance was demonstrated by all participants during follow-up assessments conducted 2 to 6 weeks posttraining. Results of a questionnaire completed by caregivers and interviews with the children revealed high levels of satisfaction with the training procedures and outcomes.     

Visible persistence following a brief increment in stimulus luminance

In previous studies, it has been demonstrated that visible persistence--the period for which the perceived duration of a stimulus exceeds its physical duration--can be extended by briefly incrementing the luminance of the stimulus immediately prior to offset. Using a two-component pattern integration task, we show that this effect is not an artifact of change in the total luminous flux within the stimulus. Visible persistence was unaffected by overall luminance of the stimulus. It was also time-locked to the luminance increment. Visible persistence is seen to result from a process that is initiated by stimulus onset and that can be either wholly or partially reinitiated by the onset of the luminance increment. The duration of this process (which determines the duration of stimulus visibility) can be modified in a graded fashion by stimulus events that occur after its initiation. We outline a single-process inhibitory feedback model of the persistence mechanism that accounts for the present findings.     

Effects of an intervention program for pregnant adolescents: Educational outcomes at two years postpartum

Examined postpartum effects of a school-based intervention program for pregnant adolescents. Interviews were conducted with 102 innercity black, low-income, school-aged mothers who had attended the program, and their academic and medical records were reviewed. For teenagers who had been poor students prior to becoming pregnant, a strong linear effect was found for duration of program attendance: with sufficient time in the program, poorer students became indistinguishable from better students in educational success. Most of the better students were educationally successful at 2 years postpartum, independent of their length of time in the program. For all students, longer durations of postnatal intervention were predictive of lower likelihood of subsequent childbearing. Numerous academic, medical, social, and demographic variables were ruled out as possible confounding factors that might have produced the positive educational outcomes for poorer students. The results suggest that adolescents who appear to have minimal academic promise prior to their pregnancy are nevertheless very responsive to school-based intervention.     

Personality factors in dysphoria: A psychometric refinement of beck's Sociotropy-Autonomy Scale

The Sociotropy-Autonomy Scale (SAS) was developed as a means of assessing two cognitive-personality constructs postulated as vulnerability factors in depression (Beck, 1983). While studies have confirmed the validity of the SAS Sociotropy Scale, the construct validity of the Autonomy Scale has not been well supported. The present study was conducted to improve on the measurement of autonomy by generating additional items which were added to the original questionnaire. This 93-item SAS was administered to 485 undergraduates along with the Beck Depression Inventory, Beck Anxiety Inventory, PRF Affiliation and Autonomy Scales, Positive and Negative Emotionality Measures, and Marlowe-Crowne Social Desirability Scale. Four factors labeled Sociotropy, Solitude/Interpersonal Insensitivity, Independence, and Individualistic Achievement emerged from a principal-factor analysis of the SAS item pool. Hierarchical multiple regression analyses indicated that positive emotionality and solitude/interpersonal insensitivity were specifically related to dysphoria, while negative emotionality and sociotropy had significant associations with both anxious and depressed mood states.This research was supported by University of New Brunswick Research Grant 22–51 awarded to the first author.     

“Double Trouble”: An Introduction

This piece sets the scene for the inaugural addresses by Rosi Braidotti and Selma Sevenhuijsen which follow and provides background information on the history of women's studies in the Netherlands.     

A faith for all seasons

A FAITH FOR ALL SEASONS:ISLAM AND WESTERN MODERNITY. By Shabbir Akhtar. London: Bellew Publishing, 1990. 251pp. Hb. £25.00. ISBN 0–947792–41–4.     

Within-compound associations between the context and the conditioned stimulus

Three experiments were conducted to test for the presence of associations between contextual cues and the nominal conditioned stimulus (CS) in fear conditioning. Rats were given tone-footshock pairings and were tested for their fear of the nominal CS, the tone, in a different context. Experiments 1 and 2 demonstrated that rats given nonreinforced exposure to the training context following conditioning were less fearful of the CS. Experiment 3 indicated that additional footshock presentations in the training context following conditioning produced greater fear of the CS. In both procedures postconditioning treatments designed to directly alter only the associative strength of the training context yielded parallel changes in the conditioned response to the CS. These data suggest that within-compound associations are formed between the context and the CS during classical conditioning.     

Mentally retarded individuals outperform college graduates in judging the nonconservation of space and perimeter

Most adults of average and superior intelligence incorrectly assume that in a two dimensional figure two attributes, area, and perimeter, are locked in a fixed relationship such that if one remains unchanged so does the other. Consequently, when they correctly conserve one attribute during shape transformation, they incorrectly conserve the other. Mentally retarded individuals assume no such fixed relationship but depend exclusively on perceptual information. Although this dependence adversely effects their judgment of conservation, it allows them to correctly judge the changed state of the nonconserved attribute.     

Letter naming time,digit span,and precocious reading achievement

In two 6-month longitudinal studies of intellectually advanced preschool children, letter naming time and backward digit span were moderately good predictors of concurrent reading achievement (PIAT Reading Recognition Score). None of the remaining measures in a battery of standard cognitive indices, including Stanford-Binet MA, was associated with reading achievement. The results of cross-lagged correlation analysis of data from one of the two samples suggested that individual differences in time to access name codes for visual stimuli predict, but are not a consequence of, individual differences in reading achievement. The results of the cross-lagged analysis for the second sample were inconclusive. As a whole, the results are consistent with findings from other populations indicating that both short term memory span and efficiency of retrieval from long term memory are related to reading ability. The results also indicate, however, that the relationship between retrieval efficiency and reading achievement in precocious readers cannot be described by extrapolation of threshold estimates from the performance of older, unselected groups of readers.