One-session cognitive treatment of dental phobia: preparing dental phobics for treatment by restructuring negative cognitions

The purpose of this study was to investigate the effectiveness of a single session of cognitive restructuring in a sample of phobic dental patients. Fifty-two patients were randomly assigned to one of three conditions: cognitive restructuring (modification of negative cognitions), provision of information (about oral health and dental treatment), and a waiting list control condition. Both interventions maximally lasted one hour. In comparison with the waiting list control condition and the information intervention condition, the cognitive intervention condition not only showed a large decrease in frequency and believability of negative cognitions, but also exhibited a clear decline in dental trait anxiety. Analysis at a follow-up of one year demonstrated a further, drastic reduction in dental anxiety in both intervention conditions, wherein the difference among these conditions was not maintained. It is concluded that it is possible to obtain substantial reductions of dental trait anxiety through a single session of cognitive restructuring. Nevertheless, repeated exposure to the dental situation seems necessary for a further reduction of anxiety.     

The Effects of Street Noise and Field Independency on Police Officers' Shooting Behavior

Two studies examining the effects of street noise on police officers' emotion, perception, and performance in simulated shooting events are discussed. Compared to previous research, our studies had a higher ecological validity. In our studies, "relevant" noise was introduced, the subjects were police officers instead of students, and the behavior we examined was police behavior in simulated firearms incidents. Results revealed that noise resulted in increased emotion, a narrowed perception, and an impairment in performance on secondary tasks. In Study 2, the effects of field independency on emotion, perception, and performance were examined. The outcomes showed that high field-independent subjects compared to low field independent subjects obtained better results regarding perception and performance. Finally, some implications are discussed.     

Controlling the Ground Reaction Force During Lifting

The control of the ground reaction force vector relative to the center of gravity (CoG) was examined while subjects performed a back-lifting task. Six male subjects (aged 24.0 +/- 2.5 years) repeatedly lifted a barbell. A biomechanical analysis that used a linked segment model revealed that the summed rotations of body segments during lifting yielded a specific rate of change of the angular momentum of the entire body. This equaled the external moment provided by Fsubg; relative to CoG. This implies that multisegment movements involve control of the angular momentum of the entire body through an appropriately directed Fsubg;. Thus, in dynamic tasks Fsubg; is pointed away from rather than lined up with the CoG, as is the case in static tasks.     

Analysing and evaluating problem-solving discussions

In this article, the conceptual instrument that pragma-dialectical argumentation theory offers is elaborated for the analysis and evaluation of problem-solving discussions. The elaboration is aimed expressly at taking into account the discussion character of the discourse, in order to show how the developing process evolves and what the obstacles are therein. In addition, it focuses expressly on the verbal behaviour of the participants and on showing how this behaviour controls the evolving process. The analysis and evaluation is based on insights and methods of conversational analysis and discourse analysis. One fragment of a problem-solving discussion is analysed and evaluated.     

Children's capacity to agree to psychological research: knowledge of risks and benefits and voluntariness

A series of studies investigated the capacity of children between the ages of 7 and 12 to give free and informed consent to participation in psychological research. Children were reasonably accurate in describing the purpose of studies, but many did not understand the possible benefits or especially the possible risks of participating. In several studies children's consent was not affected by the knowledge that their parents had given their permission or by the parents saying that they would not be upset if the children refused. In contrast, other studies found that children were much more likely to stop their participation if the experimenter said explicitly that she would not be upset if they stopped. We suggest that experimenters should pay more attention to describing the possible risks and benefits of participation in research, and that they should also make it clearer to children that they are free to stop once they have begun.     

Conditional Control of Fluid Consumption in an Occasion Setting Paradigm Is Independent of Pavlovian Associations

Drug states, flavors, and contextual cues were each trained as conditional discriminative stimuli to control a saccharin-LiCl association. In transfer tests, drug states transferred control over consumption to other flavored solutions and to food. Contexts and flavors transferred control only to other flavored solutions. Pavlovian control groups given direct pairings of context-LiCl or flavor-LiCl did not show reliable transfer. However, these control groups did show greater or the same aversion to the specific context or flavor predicting LiCl compared to the context or flavor discrimination groups. The dissociation of the discrimination and Pavlovian groups on transfer versus preference tests suggests that performance on the occasion setting task cannot be due to simple excitation or learning about a unique compound cue. Data from extinction procedures provide further support for the dissociation between simple excitation and occasion setting.     

Are beliefs brain-states? And if they are what might that explain?

Philosophical Studies -     

Existentialism and postmodernism. Continuities,breaks, and some consequences for medical theory

Since existentialism lost its influence in philosophy in the 1960s, postmodern theory has taken over criticizing basic concepts of western thought. From a postmodern point of view, the main shortcomings of existentialism is that it criticizes traditional unitarian concepts, while re-inventing new unitarian models. Against these unitarian approaches postmodernism holds that the world can only be described in terms of difference. In this article the postmodern program and its differences from existentialism are explained in reference to three concepts of western philosophy: subject, truth, and ethics. Applying these concepts, the relevance of postmodernism for medical theory is illustrated.     

Communication in preterm infants: Why is it different?

The present paper selectively reviews the literature which compares full-term and preterm infants' communication with their mothers in the first year of life. The review is focused not only on what differences are found between full-term and preterm infants, but also why such differences exist. Particular emphasis is placed on the importance of interpreting the findings in the light of the developmental phase of the infants, the heterogeneity of the preterm population and the situation in which communication is studied. Most studies were not designed to consider these issues in any detail. Differences with respect to these factors can be found between studies, however, which may have contributed to the often contradictory findings. Consequently, comparisons between these studies provide clues about the effects of these factors on communicative development. The ultimate goal of this review is to point to important directions for future research on early communication in preterm infants.