Brief treatment with alprazolam and behavioral guidance in panic disorder

Abstract

Thirty-two patients with panic disorder, with or without agoraphobic limitations, were treated with alprazolam (mean dose 3.5 mg/d) plus brief behavioral guidance in an open study during eight weeks. The sample had a notorious severity in the frequency of panics and phobic avoidance but was only mildly depressed. Before starting treatment the presence of demoralized mood and extensive avoidance were significant indicators of clinical severity, whereas the presence of dizziness as a relevant somatic complaint was not related to higher severity. After eight weeks of treatment a clinical improvement equal to or exceeding 80% of change was obtained in all cases (29) who completed treatment. Ninety-two percent of the patients were panic free at the end of treatment. There were significant reductions in all the scales with comparable declines in the subgroups formed according to the presence or absence of agoraphobic avoidance and demoralization. The data suggested that moderate doses of alprazolam could be a quick and effective treatment for panic-agoraphobic patients in the short term. The behavioral guidance probably helped in reducing agoraphobic avoidance and in obtaining global good effectiveness although this awaits controlled tests. Finally, the similarity in the response to treatment regardless of the presence of extensive avoidance or demoralized mood argues in favor of not considering the different variants of panic-agoraphobic syndrome differently, at least in samples with similar severity to the present one.     

HOW INVESTMENT IN GENDER IDEALS AFFECTS WELL-BEING: THE ROLE OF EXTERNAL CONTINGENCIES OF SELF-WORTH

The present study examined the relationship between investment in gender ideals and well-being and the role of external contingencies of self-worth in a longitudinal survey of 677 college freshmen. We propose a model of how investment in gender ideals affects external contingencies and the consequences for self-esteem, depression, and symptoms of disordered eating. Specifically, we find that the negative relationship between investment in gender ideals and well-being is mediated through externally contingent self-worth. The model showed a good fit for the overall sample. Comparative model testing revealed a good fit for men and women as well as White Americans, Asian Americans, and African Americans.     

Exploring Divergent Patterns in Racial Identity Profiles Between Caribbean Black American and African American Adolescents: The Links to Perceived Discrimination and Psychological Concerns

Using cluster analyses, this study explored the relations among racial identity, perceived discrimination, and psychological concerns among 189 Caribbean Black American and African American adolescents. Findings showed that for all participants, less mature racial identity profiles were significantly related to perceived discrimination and psychological concerns. However, nuances in racial identity profiles between Caribbean Black American and African American participants suggest subtle ethnic group differences in racial identity development. Implications for practitioners and research are discussed. Usando análisis cluster, este estudio exploró las relaciones entre identidad racial, discriminación percibida y preocupaciones psicológicas en 189 adolescentes afroamericanos y americanos negros caribeños. Los hallazgos mostraron que, para todos los participantes, los perfiles de identidad racial menos maduros estaban significativamente relacionados con una discriminación percibida y preocupaciones psicológicas. Sin embargo, los matices de los perfiles de identidad racial entre los participantes afroamericanos y americanos negros caribeños sugieren unas diferencias sutiles entre ambos grupos étnicos en el desarrollo de la identidad racial. Se discuten las implicaciones para practicantes e investigadores.     

A validation of well-being and happiness surveys for administration via the Internet

Internet research is appealing because it is a cost- and time-efficient way to access a large number of participants; however, the validity of Internet research for important subjective well-being (SWB) surveys has not been adequately assessed. The goal of the present study was to validate the Satisfaction With Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985), the Positive and Negative Affect Schedule (PANAS-X; Watson & Clark, 1994), and the Subjective Happiness Scale (SHS; Lyubomirsky & Lepper, 1999) for use on the Internet. This study compared the quality of data collected using paper-based (paper-and-pencil version in a lab setting), computer-based (Web-based version in a lab setting), and Internet (Web-based version on a computer of the participant’s choosing) surveys for these three measures of SWB. The paper-based and computer-based experiment recruited two college student samples; the Internet experiments recruited a college student sample and an adult sample responding to ads on different social-networking Web sites. This study provides support for the reliability, validity, and generalizability of the Internet format of the SWLS, PANAS-X, and SHS. Across the three experiments, the results indicate that the computer-based and Internet surveys had means, standard deviations, reliabilities, and factor structures that were similar to those of the paper-based versions. The discussion examines the difficulty of higher attrition for the Internet version, the need to examine reverse-coded items in the future, and the possibility that unhappy individuals are more likely to participate in Internet surveys of SWB.     

The Romance of Self-objectification: Does Priming Romantic Relationships Induce States of Self-objectification Among Women?

Objectification theory suggests that women internalize an observer’s perspective on the body (self objectification; Fredrickson and Roberts, Psychol Women Q 22:173–206, 1997); however, certain contexts and thoughts may make self-objectification more likely. Because the pursuit of relationships is tied to attractiveness, the present study examines whether women have an automatic link between self-objectification and romantic relationships. Using a US undergraduate sample, women (N?=?86) of different relationship statuses were either exposed to relationship-related or neutral words in a lexical decision making task. Following relationship priming, single women showed greater self-objectification and women in relationships showed less self-objectification. These findings are discussed in terms of self-objectification theory and the importance of attractiveness and beauty in the pursuit of relationships.     

Husserl’s Way to Authentic Being

In a journal entry from 1906, Husserl complains of lacking “internal stability” and of his desire to “achieve” it. My claim in this paper is that the “phenomenological method,” which he made public in his 1907 lectures Die Idee der Phänomenologie was, and is, a means to achieve the inner harmony that Husserl longed for. I do not provide an analysis of why Husserl might have felt the way he did; my aim is to show what internal stability might be and how one might achieve it. I conclude that the phenomenological method is the means, the “how,” to internal stability, which I characterize as “clarity” and “harmony” regarding our beliefs and, and ultimately, our authentic comportment.     

Lip-read me now, hear me better later: cross-modal transfer of talker-familiarity effects

There is evidence that for both auditory and visual speech perception, familiarity with the talker facilitates speech recognition. Explanations of these effects have concentrated on the retention of talker information specific to each of these modalities. It could be, however, that some amodal, talker-specific articulatory-style information facilitates speech perception in both modalities. If this is true, then experience with a talker in one modality should facilitate perception of speech from that talker in the other modality. In a test of this prediction, subjects were given about 1 hr of experience lipreading a talker and were then asked to recover speech in noise from either this same talker or a different talker. Results revealed that subjects who lip-read and heard speech from the same talker performed better on the speech-in-noise task than did subjects who lip-read from one talker and then heard speech from a different talker.     

Identifying Substance Abuse Issues in High Schools: A National Survey of High School Counselors

High school students consistently report the use of substances such as alcohol, cigarettes, and marijuana. One of the people they would talk to about a substance use problem is their school counselor. A survey study was conducted with a national sample of 289 high school counselors. Results indicated that participants were clearly able to identify their practice limitations and future training needs in this area. Implications for training and recommendations for future research are discussed.