Multimodal therapy in an inpatient setting

Inpatient Multimodal Therapy (imt) is a residential treatment program, lasting a maximum of 36 weeks, for patients with severe neurotic symptoms. A group of 44 chronic obsessive-compulsive patients and a group of 40 chronic phobic patients were treated in order to assess the outcome and the process of treatment and to identify prognostic factors associated with the effect. At follow-up—on average, eight months after discharge—it was found that 60% had improved, 32% had remained the same, and 8% had deteriorated, indicating that, in general, the treatment was beneficial. That these effects were long-lasting is supported by the fact that, at follow-up, 78% of all patients were no longer receiving treatment, 18% were receiving outpatient or day treatment, and 4% were receiving inpatient treatment. Phobic patients appear to have gained more from the multimodal approach than did obsessive-compulsive patients, as indicated by the fact that the severity of symptoms decreased as they improved in rational thinking, assertiveness, and arousal. By contrast, obsessive-compulsive patients relapsed more than phobic patients did. This was attributed to the fact that the former gained less from the rational-emotive training, denied problems with assertiveness, and did not practice the acquired relaxation skills. It further appeared that a favorable outcome could be induced in patients who (1) expressed relatively mild symptoms in this otherwise severe group, (2) reported relatively few additional complaints, (3) could clearly indicate interpersonal problems, and (4) did not use psychotropic drugs. These prognostic factors are so widespread that not much weight can be ascribed to them. Yet they are useful for indication ofimt until better predictors are found.     

Computing stress

This article is based on a review of recent literature on “computing stress”; that is, on the psychological stress effects of working with computer systems. Current research into the sources of computer-related stress has tended to concentrate on those employees who operate Visual Display Units (VDUs), either on a full-time professional basis as word-processor (WP) operators, data-entry clerks, secretaries, or those dealing with enquiries from the public; or employees who use the VDU irregularly as part of their other duties. A few studies have looked at specific occupation groups, such as printers (Kalimo & Lepp?nen, 1985), information technology professionals (programers and analysts), process workers, and college students (Sproull, Kiesler, & Zubrow, 1984). Generally, however, research has been carried out on office workers, more often women, carrying out administrative tasks. An attempt is made to identify those potential work-related stressors that have been isolated by these studies, and also included are criticisms of the general methodologies used in many of them. The terms “visual display unit,” “visual display terminal,” VDU, VDT, and “terminal” are used interchangeably.     

The relative contributions of rods and cones in sensory memory under photopic and scotopic conditions

Brief presentations of letter arrays were probed by bar markers within or outside the fovea after various time delays. Figural information presented to the foveal region was retained better under a photopic condition than information in the parafoveal region, but under a scotopic condition parafoveal information demonstrated superior retention. However, decay rates over time of all functions were similar, demonstrating that figural information in the rods and cones decays at similar rates.     

Induction by reinforcer schedules.

Traditional strategies for determining whether a reinforcer schedule enhances the occurrence of an activity are reviewed and critically evaluated. A basic assumption underlying these strategies is that it is possible to isolate the effect of reinforcer intermittency on schedule induction. It is concluded that this is not, in fact, possible. An alternative approach is proposed that emphasizes the inductive effects of the reinforcer schedule as a unit and the effects of particular aspects of the reinforcer schedule (e.g., interreinforcer interval, repetition of the reinforcer, reinforcer magnitude).     

Smoking and academic performance

Smokers and nonsmokers were compared on three aspects of academic achievement. Although exactly the same percentage of smokers and nonsmokers passed the first-year university examination, smokers obtained significantly higher marks. Similarly, smokers achieved significantly higher marks in their final year examinations in comparison with nonsmokers. Finally, a comparison of the tutorial essay marks of the smokers and nonsmokers again showed that smokers obtained significantly higher marks than nonsmokers. These data are consistent with the idea that ambitious students adopt smoking in the belief that it will help them study and sustain concentration.     

The detection of visual intensity differences by pigeons

Pigeons were trained in a conditional discrimination procedure to discriminate between visual stimuli that varied in intensity. The magnitude of the intensity difference ranged from 0.80 to 0.05 logarithmic units. Psychometric functions were calculated from the data and the mean difference threshold for the 11 subjects was approximately 0.12 logarithmic units. A signal-detection analysis of the data suggested that stimuli that were below the calculated threshold were detectible to the subjects.     

An extinction-induced increase in an aggressive response with humans

Nine subjects, 14 to 18 yr old, pulled a knob on a schedule of monetary reinforcement. Concurrently, they escaped or avoided periodic presentations of a tone by pressing a button that required 1.5 lb (6.67 N) of force or by punching a padded cushion that required 20 lb (88.96 N) of force. The punching response was designated as an aggressive response because the force of this response together with its topography was comparable to responses of humans that deface objects and produce escape or counter aggression from other humans. It was found that button pressing was the preferred concurrent avoidance response and there were few punches. However, when the monetary reinforcer was discontinued (extinction) punching increased for seven of the nine subjects, but there was no consistent change in the rate of button pressing. When the punching response was replaced by another non-preferred but non-aggressive response, neither this response nor button pressing increased during extinction. Hence, the increase in punching during extinction cannot be attributed solely to the fact that it was a concurrent response or a non-preferred response.     

Punishment of shock-induced aggression

Squirrel monkeys were restrained in a chair equipped with a tail-shock apparatus and a pneumatic bite hose located in front of the subject's face. An aggressive response was recorded when the monkey bit the hose. Initial sessions in which no shocks were delivered produced some biting. When biting during these sessions stabilized at a near-zero level, regularly scheduled shocks were delivered to the monkey's tail, causing a consistently higher rate of biting. After several sessions under these conditions, a punishment phase was introduced in which the previous shock conditions were maintained, and every bite was followed immediately by another, more intense shock. Biting under these conditions was suppressed to a near-zero level. When the punishment contingency was removed, biting increased. With one subject, two additional bite-contingent stimuli were examined: (1) a milder shock that, when made contingent upon hose biting, also suppressed that response, and (2) a contingent tone that had no obvious suppressing or facilitating effect. Individual differences among subjects were extreme, but the effect of bite-contingent shock was consistent. Observations of the subjects during the punishment sessions indicated the existence of certain side effects that resulted from the use of punishment to suppress shock-induced aggression.     

Disruption of a temporal discrimination under response-independent shock

The responding of rats was reinforced on one key after a 1-sec auditory stimulus and on a second key after a 5-sec stimulus. With errors punished by a short timeout, all subjects achieved a high level of accuracy. A chain of responses during the stimuli mediated the performance so that when the auditory signals were omitted accuracy decreased only slightly. Response-independent aversive stimulation superimposed upon this procedure both suppressed the total amount of behavior and reduced the accuracy of the discriminative performance, the intensity of the stimulus determining the error rate. The increase in errors under these conditions may have depended in part upon differential suppression of members of the response chain, but such suppression was not necessary, since error rate increased even in its absence. Furthermore, the locus of response disruption within the chain was not consistent from day to day either for any individual animal or across animals.