The contributions of arousal and self-focused attention to avoidance in social anxiety

Abstract

Fear of blushing is a specific syndrome generally subsumed under the diagnostic category of social anxiety disorder (SAD). This study aims at gathering preliminary data about an intensive weekend intervention specifically designed for individuals with fear of blushing as the predominant complaint. Treatment consisted of a combination of attention training and behavioral therapy. Thirty-one blushing-fearful individuals meeting the criteria for SAD following the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) were treated in three groups. The study was conducted as an open trial. Full assessments were performed before treatment, six weeks after treatment, and at six-month follow-up. Only fear of blushing, the main outcome criterion, was assessed immediately before and after the treatment weekend. The intensive therapy program was well accepted. Fear of blushing and SAD were significantly reduced and reductions remained stable. At follow-up, nearly two-thirds of the participants achieved significant changes in fear of blushing. Despite the preliminary nature of this study, the condensed format of weekend therapy for treating fear of blushing calls for further investigation.     

Acceptance and Mindfulness Techniques as Applied to Refugee and Ethnic Minority Populations With PTSD: Examples From "Culturally Adapted CBT"

In this article we illustrate how we utilize acceptance and mindfulness techniques in our treatment (Culturally Adapted CBT, or CA-CBT) for traumatized refugees and ethnic minority populations. We present a Nodal Network Model (NNM) of Affect to explain the treatment's emphasis on body-centered mindfulness techniques and its focus on psychological flexibility. We explain the definition of mindfulness that guides our treatment, and we outline a typology of mindfulness states and show how many of the techniques in our treatment can be analyzed by these categories. We argue that acceptance and mindfulness are therapeutic for refugees and minority populations for several reasons. These include their increasing psychological flexibility, decreasing somatic distress, decreasing rumination, serving as emotion regulation techniques, decreasing the attentional bias to threat, and forming part of a new adaptive processing mode (which in CA-CBT centers on psychological flexibility). We describe the specific ways we teach acceptance and mindfulness with Latino and Southeast Asian refugee populations and present case examples of the treatment of a traumatized Latino and Cambodian patient.     

Slacking Off or Winding Down? An Experience Sampling Study on the Drivers and Consequences of Media Use for Recovery Versus Procrastination

Today's constant availability of media content provides users with various recreational resources. It may also challenge self‐control, however, once media exposure conflicts with other goals and obligations. How media users deal with these self‐regulatory chances and risks in their daily lives is largely unknown. Our study addressed the predictors and consequences of recreational and procrastinatory media use using experience sampling methodology (N = 215; 1,094 media use episodes). Results suggest that trait (self‐control, performance goal orientation) as well as state variables (exhaustion) are significant predictors of media use for recovery versus procrastination. Whereas recreational media use showed a positive effect on entertainment, which in turn enhanced subjective well‐being, negative self‐evaluation elicited by procrastinatory media use negatively affected well‐being.     

IN DEFENCE OF METAPHYSICAL ANALYTICITY

According to the so‐called metaphysical conception of analyticity, analytic truths are true in virtue of meaning (or content) alone and independently of (extralinguistic) facts. Quine and Boghossian have tried to present a conclusive argument against the metaphysical conception of analyticity. In effect, they tried to show that the metaphysical conception inevitably leads into a highly implausible view about the truthmakers of analytic truths. We would like to show that their argument fails, since it relies on an ambiguity of the notion of ‘independence of (extralinguistic) facts’. If one distinguishes between variation independence and existence independence, the unwelcome view about the truthmakers of analytic truths no longer follows. Thus, there is at best a challenge, but no conclusive argument. The door to the metaphysical conception of analyticity is still open. 1     

What would you have as a last supper? Thoughts about death influence evaluation and consumption of food products

Terror Management Theory posits that after thinking about their own deaths, people take sides with and defend their culture by either increasing their support for worldview-consistent examples, decreasing support for worldview-threatening examples, or both. We tested the hypothesis that mortality salience leads to an increased preference for products from one’s own culture as compared to products from a foreign culture in terms of evaluation and consumption. In a product test, participants sampled local and foreign soft drinks (Study 1) or local and foreign chocolates (Study 2). As expected, relative to a control condition, mortality salience led to more accentuated evaluative preferences for local as compared to foreign products. Furthermore, the preference for the local product in terms of actual consumption was greater under mortality salience. Independent from cultural worldview defense effects mortality salience led to more impulsive behavior as indicated by an increased correspondence between eating behavior and an implicit measure tapping into impulsive processes in Study 2.     

The Power of Expectation – Understanding the Placebo and Nocebo Phenomenon

Although placebo pills are supposed to have no pharmacological activity, people taking placebo pills describe a variety of positive (i.e., placebo phenomenon) and negative (i.e., nocebo phenomenon) reactions. This has major clinical implications. Placebo reactions account for a substantial part of improvement when treating patients with hypertension, mental disorders, and even after surgical procedures. The nocebo phenomenon on the other hand is responsible for non‐compliance and discontinuation of many pharmaceutical interventions. Mechanisms that underlie the placebo and nocebo effects may be related to expectation and/or classical conditioning, but some methodological issues should also be considered. Most experimental studies investigating the placebo effect have used paradigms to induce ‘placebo analgesia’, the reduction of pain perception after receiving an inert substance and an instruction that this medication would relieve pain. This paradigm allows investigators to examine the neurobiological circuitry of the placebo response using neuroimaging techniques.     

Counteractive control over temptations: Promoting resistance through enhanced perception of conflict and goal value

The present research explored people’s everyday practice of counteractive control. Experience sampling was used to test our prediction that strong temptations would promote self-control. Participants were 237 Japanese citizens with ages ranging from 18 to 69. Results indicated that perceived temptation prompted stronger resistance and restraint of behaviors, compared to those cases where no conflict was perceived. In addition, multilevel path analysis revealed the underlying process such that (a) a strong desire toward temptation intensified perception of conflict; (b) perceived conflict bolstered the value of goals that were in disagreement with the temptation; and (c) highly valued goals promoted self-control (i.e., stronger resistance and hence less yielding to temptation).     

TEMPORALLY LOCALISED FACTS AND THE PROBLEM OF INTRINSIC CHANGE

Hugh Mellor has proposed what appears to be a new solution to the problem of intrinsic change ( Mellor 1998 ). Assuming endurantism and a B‐theoretic, nonpresentist view of time, facts are supposed to have only enduring things and atemporal properties (or relations) as constituents, but no times. The having of properties and relations is not relativised to times. Instead, the whole of a fact is conceived of as temporally localised. It will be argued that this interesting and novel proposal does not succeed as an account of change in the intrinsic properties of things. The basic difficulty is that the view still leads into contradiction, since it makes it incomprehensible how one and the same thing can have both a property and some incompatible property. The having of these incompatible properties is treated as two facts. But to add that these facts have certain temporal locations is of no help for avoiding the contradiction.