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.     

Measuring the activity of severely and profoundly mentally-handicapped adults in ordinary housing

Earlier work on the quality of care in settings for severely and profoundly mentally-handicapped adults raised the question whether any useful purpose is served by promoting the extensive use of simple recreational materials to occupy people. Data were collected by direct observation on the activity of 6 adults living in a staffed house organized to promote engagement in household activities. Observations were taken over 5 weekdays from 07.00 to 10.00 and 15.00 to 23.00hr. The results showed that Ss spent between 22 and 67% of available time in purposeful activity. Between 27 and 65% of purposeful activity was engagement in domestic or housework tasks. Even the most handicapped people spent more time engaged in housework than in leisure and recreational tasks. The implications of these data are commented on and measurement issues which arise in ordinary housing as opposed to institutional settings are discussed.     

An experimental analysis of delayed posttraumatic stress

Three self-report anxiety questionnaires were administered to a sample of Lebanese undergraduates shortly before the Israeli invasion of Lebanon in 1982. Six months after the disengagement of forces, the investigator located 20 Ss who had remained in West Beirut throughout the siege and 35 Ss who had evacuated to safer environs. The inventories were readministered to the Ss and the results revealed that: (1) there were no significant differences between the preinvasion scores of the evacuees and nonevacuees: (2) there were no significant differences between the postinvasion scores of the evacuees and nonevacuees: and (3) the aggregate scores of both groups vis-á-vis war-related stimuli were significantly lower at postassessment.     

The empirical base of Trope's position on achievement-task choice: A critique

The empirical base of Trope's position on achievement-task choice is critiqued here. Attention is focused on Trope's earliest studies (Trope, 1975; Trope & Brickman, 1975) because they provide this position's most critical tests. Support for the following three propositions of the position is assessed: (1) diagnosticity information, rather than task difficulty information, is the basis of task selection; (2) desire for information about one's ability, not the wish for certain affective consequences, is what motivates achievement-task choice; and (3) the success of the Atkinson model is owed to the adventitious confounding existing between task diagnosticity and task difficulty, and the resulting confounding between ability-informational and affective consequences. The major findings are that (1) the tests of all propositions have such serious logical flaws that they cannot answer the questions they seek to answer, (2) the task choice situation containing the diagnosticity manipulation employed by Trope is so different from real-life task choice situations as to call into question the relevance of Trope's findings for the latter situations, (3) Trope's diagnosticity manipulation is a meaningless one as it gives rise to situations that are logical impossibilities (e.g., skill tasks that are performed equally well by high- and low-skilled people), and (4) the tests of Atkinson's position are invalidated by a serious misinterpretation of that position by Trope.     

A strategic assessment of deliberate self-harm

This paper describes how patients are interviewed in the context of a general hospital after they have been involved in an episode of self-harm. The interview schedule is structured upon the principles of brief therapy, and uses the 'neutral' approach of the Milan Team (Weakland 1974; Palazzoli et al. 1980). The schedule provides information for referring on and has proved to be 'therapeutic' in itself. The method of interviewing has been used in other hospital contexts with families where a member has been referred 'in a crisis' threatening, or indicating suicidal behaviour. It is suggested that the identification of who is involved systemically is of paramount importance, and that this may not involve 'the family' but significant others in the social network. The important systemic involvement of the general practitioner is recognized.