Issues in diagnosing anxiety disorders

Research progress in the anxiety disorders is predicated on a useful classification system. In this paper, we review the reliability and validity data for theDiagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III) anxiety disorders and discuss the salient issues associated with both the conceptualization of anxiety disorders and the diagnostic criteria offered in the DSM-III. It is concluded that the diagnostic reliability for these disorders is, overall, satisfactory. A dearth of validity data, however, hinders progress in both the diagnosis and the treatment of the anxiety disorders. Nevertheless, the DSM-III work group has proposed several changes in the diagnostic criteria for the anxiety disorders. We find some of these proposed changes helpful in that they clarify current diagnostic criteria; changes in diagnostic criteria that alter the basic classification schema, however, seem to be premature.Preparation of this paper was supported in part by MIMH Research Grant 1368.On sabbatical leave from Indiana State University.     

Psychopathology in anxiety disorders

Complaints of anxiety, often meetingDiagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III), criteria for anxiety disorder, are among the most common problems presenting to health practitioners. In spite of the frequency of anxiety and anxiety disorders, little is known about the basic psychopathology of these conditions that would lead to the development of more efficient and effective treatments and possible preventive efforts. Recently, there has been an increase in research on the psychopathology of anxiety disorders from biological, psychological, and social perspectives. The National Institute of Mental Health's Clinical Research Branch sponsored a 2-day workshop of investigators representing diverse research approaches to discuss emerging issues and research practices within the anxiety disorders. Discussions centered on a review of the general areas of classification, phenomenology, and etiology. A selective summary of this workshop is presented along with recommendations for specific research directions.     

Moral Development and Self-Regulation: Research and Intervention Planning

After reviewing the moral development and general developmental literature, the authors propose several practical guidelines for moral development training programs in the schools.     

Problem-Solving Training as Prevention with College Students

Problem-solving processes play an important role within remedial and human effectiveness models of development. This article discusses the use of preventive problem-solving training with college students.     

Sex differences in problems related to depression

The study investigated possible sex differences in the types of problems that are correlated with Beck Depression Inventory (BDI) scores, using a sample of college students. Problems related to assertiveness and feeling ill at ease were positively correlated with BDI scores for males, but not for females. In contrast, conflicts with parents, feelings of being boxed in and of boredom, lack of money, and chronic physical complaints were positively related to BDI scores for females, but not for males.     

Beliefs about and experiences with battering: Women and men in two populations

A questionnaire was developed to measure beliefs about and experiences with violence in the family. Two groups of persons in two different states who had attended conferences on battered women participated in this research. Of the 177 subjects (84% women, 16% men), none of the men had been battered, yet over one-third of the women had been; more older women reported having been adult battering victims than did younger women; the women had less formal education than the men; the women in the lower educational groups were more likely to have been battered and to report fear of becoming victims; and the social service workers reported little fear of battering.     

Perceived variability and symbol use: a common language-cognition interface in children and chimpanzees (Pan troglodytes)

Analysis of two chimpanzees' conversations with their teacher during a tool-use training task demonstrated that chimps use lexigrams, a humanly devised visual symbol system, selectively to encode perceived variability; that is, they generally used their symbols to differentiate alternative possibilities or to represent change or novelty in a situation. In contrast, they tended to leave unsaid what was unchanging, repetitive, or the unique possibility in a situation. Perceived variability influenced not only which symbols were selected but also utterance length: A single dimension of variability in a situation leads to single-lexigram utterances; multiple dimensions are associated with multi-lexigram utterances. This pattern of results indicates that the absence of formal grammatical structure in chimp language does not imply that utterances beyond one word in length are either rote strings or imitations. The chimps' tendency to mention the variable while leaving the constant or redundant unsaid is, moreover, strong support for the position that their use of a humanly devised symbol system is more than a series of conditioned responses.     

Persons and humans: refashioning ourselves in a better image and likeness

Abstract. This article argues that there are neither moral considerations that in principle forbid the development or use of recom-binant DNA technology, nor grounds to hold that its application is likely to cause more harm than good. A defensible moral position would enjoin a prudent assessment of consequences, rather than an absolute prohibition. The technology may remain controversial because it presupposes the difference between being a person, an entity who can evaluate and manipulate its own biological structure, and human-ness as a biological structure likely to be the subject of engineering over the long-range future.