Anger-associated panic attacks in Cambodian refugees with PTSD; a multiple baseline examination of clinical data

Despite the increasing recognition of the importance of anger as a key aspect of post-traumatic stress disorder (PTSD), the presence of anger-induced panic attacks has been understudied in traumatized groups. The present investigation determines the prevalence of anger-associated panic attacks among Cambodian refugees suffering from PTSD. Specific characteristics of these episodes that were examined included frequency, symptoms, and cognitions (in particular, fear of death from bodily dysfunction). In a survey of 100 Khmer patients suffering PTSD, 58% reported anger-associated panic attacks in the last month. These attacks occurred at a mean rate of 6.2 attacks a month and were characterized by extreme arousal and in 81% of these cases, fears of death due to bodily dysfunction during the anger-induced panic. Mechanisms for this high rate of fear of death during anger arousal are discussed with a focus on culture-specific catastrophic cognitions.     

Factors differentiating successful versus unsuccessful malingerers.

Relatively little is known about the processes in which "successful" malingerers engage to avoid detection. This study summarizes the response strategies used by participants (N = 540) instructed to feign a specific mental disorder while completing various self-report instruments designed to detect faking. Postexperiment questionnaires indicated that those who were able to appear symptomatic while avoiding being detected as feigning (n = 60) were more likely to endorse a lower rate of legitimate symptoms, to avoid overly unusual or bizarre items, and to base their responses on their own personal experiences.     

A computerized slot machine simulation to investigate the variables involved in gambling behavior

The present paper describes a computerized slot machine simulation designed to examine many of the potential variables involved in gambling behavior. This program was created in Visual Basic Version 6.0 and is designed to run on any Windows 95 or higher equipped computer. The program allows for experimenter manipulation of probabilities of payoffs, visual display of potential winning symbols, exact sequences of wins and losses, as well as pose run time questions to the subject on prespecified trials. The program records data on a trial-bytrial basis to a text file for easy importation into many data analysis and statistical programs. Conceptual and experimental questions that may be addressed with the described program are also discussed.     

Refining the measurement of distress intolerance

Distress intolerance is an important transdiagnostic variable that has long been implicated in the development and maintenance of psychological disorders. Self-report measurement strategies for distress intolerance (DI) have emerged from several different models of psychopathology and these measures have been applied inconsistently in the literature in the absence of a clear gold standard. The absence of a consistent assessment strategy has limited the ability to compare across studies and samples, thus hampering the advancement of this research agenda. This study evaluated the latent factor structure of existing measures of DI to examine the degree to which they are capturing the same construct. Results of confirmatory factor analysis in three samples totaling 400 participants provided support for a single-factor latent structure. Individual items of these four scales were then correlated with this factor to identify those that best capture the core construct. Results provided consistent support for 10 items that demonstrated the strongest concordance with this factor. The use of these 10 items as a unifying measure in the study of DI and future directions for the evaluation of its utility are discussed.     

An overview of the treatment of severe narcissistic pathology

This paper provides an overview of narcissistic personality disorders as they present clinically along a spectrum of severity ranging from the best functioning forms of pathological narcissism to the most threatening to the patient's psychosocial and physical survival. It proposes a general interpretive psychoanalytic stance with all these clinical syndromes that range from standard psychoanalysis to a specific psychoanalytical psychotherapy for the most repressive and life threatening conditions that may not respond to standard psychoanalysis proper. This general psychoanalytic approach is placed into the context of related developments in contemporary psychoanalytic understanding of pathological narcissism and its treatment.     

Reward Allocation by Impartial Allocators to Friend or Stranger Co-workers under Equal and Unequal Ability and Performance

The effects of a relationship variable (friends, strangers), an ability variable (equal, unequal), and a performance variable (equal, unequal) were studied in 40 male and 40 female university students. Eight versions of a hypothetical vignette were prepared to manipulate the eight treatment combinations. After reading an assigned vignette, subjects were asked to allocate $90 between two stranger or friend co-workers. Among other effects, the Relationship by Ability by Performance interaction was significant. The stranger, unequal ability, unequal performance allocations to the lower ability co-worker were significantly higher than the stranger, equal ability, unequal performance allocations, and the stranger, unequal ability, unequal performance allocations were higher than the friends, unequal ability, unequal performance allocations; this difference approached significance (p < .06). The questionnaire data revealed that, despite having favored strangers, the impartial allocators expected strangers to be less satisfied with their distribution than friends with their distribution. In this study, impartial allocators tended to compensate strangers to a greater extent for low performance or ability than friends or, alternatively, were more likely to ignore performance and ability differences between strangers than between friends.     

The effects of physical exercise on psychophysiological reactions under stress

Abstract

The effects of moderate physical exercise during a 20-minute anticipation period of a public speech were investigated. Mood before the anticipation period was manipulated as an additional stress factor. As a third experimental factor the subjects were given the opportunity for task preparation or not. Besides cardiovascular variables and self-reports of bodily symptoms, mood reports served as dependent variables and as indicators of general well-being. Eighty female students took part in the study. Moderate exercise was associated with strongly increased activation and reports of related bodily symptoms. The reported mood changes as a function of exercise included a decrease in anxiety and an increase in self-reliance. This mood repair effect of exercise was especially apparent when the subjects entered the anticipation period in a negative emotional state. The exercised subjects spoke with greater calmness. The task preparation during anticipation led to slightly increased activation and to reports of bodily symptoms as well as increased anxiety and less self-reliance. The prepared subjects made fewer pauses in their speeches.