The incremental validity of the MMPI-2: when does therapist access not enhance treatment outcome?

The present study examined whether therapist access to the Minnesota Multiphasic Personality Inventory (MMPI-2) predicted favorable treatment outcome, above and beyond other assessment measures. A manipulated assessment design was used, in which patients were randomly assigned either to a group in which therapists had access to their MMPI-2 data or to a group without therapist access to such information. Illness severity, improvement ratings, number of sessions attended, and premature termination were indicators of therapy outcome. Results indicated that therapist access to the MMPI-2 data did not add to the prediction of positive treatment outcome beyond that predicted by other measures in this setting. Findings from this initial study suggest that, compared with other resources, perhaps in clinical settings with an emphasis on diagnosis-based and evidence-based treatment, the MMPI-2 may not provide incrementally valid information. However, these effects warrant replication across different settings and samples. Guidelines for future studies are discussed.     

Automatic processing in spider phobia: implicit fear associations over the course of treatment

This study evaluates the cognitive model of anxiety by investigating treatment-related changes in automatic associations to evaluate schematic processing. Spider-phobic participants (n = 31) and healthy controls (n = 30) completed fear-based Implicit Association Tests (IATs), which are reaction-time measures that tap implicit associations without requiring conscious introspection. The specific tasks involved classifying pictures of snakes and spiders along with semantic categorizations (good vs.bad, afraid vs. unafraid, danger vs. safety, and disgusting vs. appealing). Phobic individuals were assessed before and after group-based exposure treatment and 2 months later, controls were assessed at matched time points. Results supported clinical applications for implicit fear associations, including prediction of phobic avoidance, and treatment sensitivity of the fear- and disgust-specific automatic associations.     

Common features of fluency-evoking conditions studied in stuttering subjects and controls: an H(2)15O PET study

We used H(2)15O PET to characterize the common features of two successful but markedly different fluency-evoking conditions -- paced speech and singing -- in order to identify brain mechanisms that enable fluent speech in people who stutter. To do so, we compared responses under fluency-evoking conditions with responses elicited by tasks that typically elicit dysfluent speech (quantifying the degree of stuttering and using this measure as a confounding covariate in our analyses). We evaluated task-related activations in both stuttering subjects and age- and gender-matched controls. Areas that were either uniquely activated during fluency-evoking conditions, or in which the magnitude of activation was significantly greater during fluency-evoking than dysfluency-evoking tasks included auditory association areas that process speech and voice and motor regions related to control of the larynx and oral articulators. This suggests that a common fluency-evoking mechanism might relate to more effective coupling of auditory and motor systems -- that is, more efficient self-monitoring, allowing motor areas to more effectively modify speech. These effects were seen in both PWS and controls, suggesting that they are due to the sensorimotor or cognitive demands of the fluency-evoking tasks themselves. While responses seen in both groups were bilateral, however, the fluency-evoking tasks elicited more robust activation of auditory and motor regions within the left hemisphere of stuttering subjects, suggesting a role for the left hemisphere in compensatory processes that enable fluency. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to: (1) compare brain activation patterns under fluency- and dysfluency-evoking conditions in stuttering and control subjects; (2) appraise the common features, both central and peripheral, of fluency-evoking conditions; and (3) discuss ways in which neuroimaging methods can be used to understand the pathophysiology of stuttering.     

Konzeptualisierung in inkrementell-integrativer Sprachverarbeitung

Conceptualization in incremental-integrative\hb language processing Summary. Language is a versatile instrument in co-operatively solving a construction task. In order to understand instructions given during such a task, objects have to be identified and the type of action to be performed has to be determined. The experiments presented show that the way in which objects and actions are conceptualized depends on the linguistic and the non-linguistic, visually available context. Both kinds of information are processed incrementally in an integrative way. The impact of relevant factors, such as the specificity of verbs and object namings, object properties such as color, size, location and the dynamically determined class to which the object belongs was studied. Conclusions for models of language understanding and language production are drawn and requirements for a grammatical formalism suitable for incremental and integrative processing are formulated. Zusammenfassung. Sprache ist ein wichtiges Instrument bei der kooperativen Lösung einer Konstruktionsaufgabe. Zum Verstehen von Handlungsanweisungen im Rahmen dieser Aufgabe müssen Objekte identifiziert und die Art der Handlung erkannt werden. Es werden empirische Untersuchungen vorgestellt, die zeigen, daß die Konzeptualisierung der Objekte und Handlungen vom sprachlichen und nichtsprachlichen, visuell verfügbaren Kontext abhängt. Beide Arten von Kontextinformation werden inkrementell und integrativ verarbeitet. Dazu wurde der Einfluß einzelner Faktoren wie die Spezifität von Verben und Objektbezeichnungen, Objekteigenschaften wie Farbe, Größe und Position sowie die dynamisch zugewiesene Objektklasse und die Wortstellung der benutzten Sprache untersucht. Es werden Folgerungen für die Modellierung von beiden Richtungen der Sprachverarbeitung, Rezeption und Produktion, gezogen und Anforderungen an einen Grammatikformalismus zur inkrementell-integrativen Satzverarbeitung dargestellt.     

Strategies to cope with negative social identity: predictions by social identity theory and relative deprivation theory

Predictions by social identity theory (SIT) and relative deprivation theory (RDT) concerning preferences for strategies to cope with a negative in-group status position were tested. The focus of the present research was a comparison of the theories regarding their differential patterns of prediction. For this purpose, a natural sample within a specific historical situation was investigated: East Germans after the German unification. First, the predictive power of SIT and RDT variables was tested separately. In a second step, a possible integration of the theories was addressed. Combining the SIT variables and RDT variables led to an integrated model indicating a differential pattern of prediction for intergroup strategies. The RDT components explained the collective responses, whereas SIT constructs were related to individual strategies.     

A Comparison of Least-to-Most Prompts and Progressive Time Delay on the Disruptive Behavior of Students with Autism

We compared the effects of two instructional strategies on the frequency of errors and episodes of disruptive behavior of 4 students with autism. In Phase I, easy and difficult tasks were presented to determine whether the tasks were associated with differential rates of disruptive behavior. Phase II compared the effects of a least-to-most prompting procedure (LTM) to a progressive time delay procedure (PTD) on errors and disruptive behavior when difficult tasks were presented. Observers sequentially recorded instructor instructions, response prompts, prompts for appropriate sitting, and feedback statements; and student disruptive, correct, error, and no responses during 1:1 sessions. Results showed PTD produced fewer errors than LTM for all 4 students, and lower rates of disruptive behavior for 2 students. When PTD was implemented as the final phase with 2 of the students, rates of disruptive behavior associated with the task previously taught with LTM immediately decreased. Conditional probability statements indicated that disruptive behavior occurred infrequently with all 4 students when effective response prompts were used.     

Ending social encouters

Certain classes of verbal behavior—content summary statements (S_c); affective summary statements (S_a); continuity (C), justification (J), and well-wishing (W) statements; and statements of positive affect (P)—were hypothesized to be constituents of interpersonal endings. These statements are shown to increase during the terminal phase of a social encounter as a function of whether the conversation is between friends or strangers and whether it is structured or unstructured. A hypothesis concerning the sequence in which these five classes of statements will occur during the ending of an interaction, namely, [S_c] → [J] → [_Sa^P] → [C] → [W], is tested and confirmed.     

The effect of vowel similarity and syllable length on acoustic memory

Darwin and Baddeley (1974) argue that the presence of recency, suffix, and modality effects are not attributable to the acoustic properties of the stimuli but, rather, to the acoustic distance between the items comprising the test series. The present study is designed to determine whether stimulus duration is a significant variable in acoustic memory. Eight different blocks of synthetic stimuli were prepared; one block each of 60 msec similar and dissimilar syllables and 190 msec similar and dissimilar syllables. The other four blocks consisted of these same vocabularies, but each list in the block had an eighth syllable suffix of the same duration as the syllables in the block. Significant recency and suffix effects are seen for dissimilar syllables of both durations. No effects are demonstrated for 60-msec similar syllables, but both of the effects are seen for 190-msec similar syllables. These results indicate that whether or not a speech sound is preserved in precategorical acoustic storage (PAS) depends upon not only the acoustic distance between the stimuli, but also on other characteristics intrinsic to the stimuli, e.g., stimulus duration.