Effects of imaginal exposure to feared disasters in obsessive-compulsive checkers

The combined effects of imaginal exposure to feared catastrophes and in vivo exposure to external stimuli were compared with the effects of in vivo exposure alone in 15 obsessive-compulsives with checking rituals. The first group received 90 min of uninterrupted exposure in imagination, which concentrated mainly on disastrous consequences, followed by 30 min of exposure in vivo to stimuli-situations which triggered rituals. The second group was given 2 hr of exposure in vivo only. Both groups were prevented from performing rituals. Treatment consisted of 10 daily sessions within a 2 week period.Assessments were conducted before and after treatment and at follow-up ranging from 3 months to 2.5 yr with a mean of 11 months. At post-treatment both groups improved considerably and did not differ. But at follow-up those who received imaginal and in vivo exposure maintained their gains, whereas the group who were treated by exposure in vivo alone evidenced partial relapse on four of the six dependent measures. The results tend to indicate that a closer match between a patient's internal fear model and the content of exposure enhances long term treatment efficacy.     

Reminder-induced recovery from blocking as a function of the number of compound trials

Conditioned lick suppression in rats was employed to examine changes in the associative status of a blocked stimulus as a function of the number of compound stimulus conditioning trials. In each of two experiments, prior tone-footshock pairings produced similar blocking of conditioned responding to the light element of a tone-light compound when either two or six compound trials were used. In experiment 1, two exposures to the light alone in a dissimilar context during the retention interval, i.e., a reminder treatment, resulted in a restoration of responding to the light which was complete and similar for animals receiving two or six compound trials. This indicated that latent acquisition with respect to the blocked stimulus was largely complete after two compound trials. Because of a potential ceiling effect for reminder-induced recovery from blocking, Experiment 2 employed an attenuated reminder (one light exposure). This reminder reversed the blocking when six, but not when two, compound trials were used. These results suggest that, after latent acquisition to the blocked stimulus is complete, the blocked stimulus continues to be processed during additional compound stimulus conditioning trials, with a consequent latent facilitation of retrieval of associations to the blocked stimulus.     

User rights and the frail aged

ABSTRACT There is a growing acceptance of user rights models with regard to dependent populations such as nursing home residents, but classic theories of rights presuppose levels of human rationality and human agency often lacking in the case of highly dependent populations. While user rights models have strong advantages at a rhetorical level, the reduced capacity for dependent groups to assert their rights constitutes a significant structural limitation. Policies, practices and regulatory strategies developed on the assumption that very dependent groups can indeed assert such rights thus proceed on a premise which is fatally flawed.     

Participatory Research's Contribution to a Conceptualization of Empowerment1

Empowerment has emerged in recent years as a popular strategy for addressing social issues. A potential intervention approach for applied researchers interested in studying empowerment is participatory research (PR). PR is a theory and intervention approach for involving oppressed people in the study of and solutions to social problems. It is a strategy that works to transform social structure to benefit oppressed people. This article examines PR's contribution to a conceptualization of empowerment on both a theoretical and applied level. First, PR literature and its conceptualization of empowerment are described. Following this, PR is proposed as an intervention approach for applied researchers interested in studying empowerment. A case study involving the formation of a Homeless Persons Union is provided as an example of applied PR.     

Heart rate—QT relationships during baroreceptor stimulation with diminished autonomic influence on the ventricles

The shortening of the QT interval of the electrocardiogram coincident with acceleration of heart rate and vice versa has been accepted for many years as evidence that the action potential duration and hence QT are necessarily dependant on heart rate. Exceptions to this rule have been attributed to the intervention of counteracting autonomic effects. In order to test this assumption, 26 conscious dogs divided into three groups were tested during baroreceptor stimulation by a bolus injection of phenylephrine. Seventeen dogs had been used in earlier studies in which they had undergone an experimental anterior myocardial infarction with apparent full recovery. A group of those dogs underwent beta-adrenergic blockade by intravenous atenolol 30 min prior to the baroreceptor activation. To test the intactness of the baroreceptor responses in the previously infarcted dogs, a third group of nine dogs that had had no prior myocardial infarction was included. All dogs were adapted to the laboratory environment and were not sedated during experiments. Simultaneous recordings of RR, QT interval, and phasic arterial pressure were made in all dogs before and during baroreceptor stimulation. In the normal group, and the previously infarcted group that received no atenolol, baroreceptor stimulation elicited a small (8/msec), but significant prolongation of the QT associated with a nearly 50% reduction in heart rate. The QT interval of the atenolol-treated dogs, although significantly more prolonged before stimulation, remained unchanged during the reflex. The data indicate that withdrawal of ventricular sympathetic tone may prolong the QT interval, thereby confirming the role of sympathetic innervation in the control of QT. This inference was strengthened by the complete absence of change of QT after atenolol block and the absence of any detectable influence of vagal activity on ventricular repolarization during the reflex. Therefore, in what appeared to be the absence of evidence of autonomic influence, no inverse relationship between heart rate and QT was observed.     

A computer-automated laboratory for studying complex perception-action skills

In this paper, we describe a computer-based laboratory for collecting and analyzing real-time performance and eye-movement data by using video game-like tasks. These tasks assess skills that require the integration of varying numbers of perception and action components. Customized hardware and software are described for configuring tasks, collecting data, reconstructing performance, and organizing, editing, and reducing data. General design considerations are emphasized for solving several of the problems encountered in constructing a real-time data collection system. The paper concludes with examples of data that illustrate the system’s usefulness for studying complex perception-action skills.     

Self-rated competence, current weight, and body-image among college women

125 female undergraduates (M age = 19.7 yr.) self-rated their academic, social, and psychological competence and were assessed with respect to current weight, weight concern, and body attitudes. Self-rated academic, social, and psychological competence were not related to current weight; however, less positive self-evaluations of social competence were related to weight concern, negative appraisals of appearance, and dissatisfaction with body parts. Subjective ratings of academic and psychological competence were not significantly associated with any of these variables.