Seeking and applying diagnostic information in a health care setting

Many studies have shown that people have difficulty judging the diagnostic value of conditional probability information with respect to one or more hypotheses. The present research addressed two aspects of performing the diagnostic task in a health care decision: (a) recognition of the information's importance, and (b) correct usage of that information. In experiment 1, health care providers, who are trained in, and regularly exposed, to conditional probabilities imparting diagnostic information, exhibited at least a rudimentary recognition of the need for this information in assessing diagnosticity. Experiment 2 indicated that health care and layperson subjects had difficulty in actually applying the information, however. This difficulty prompts a need for judgment aids and caution in using diagnostic information.     

Discrete-trial choice in pigeons: Effects of reinforcer magnitude

The preference of pigeons for large reinforcers which occasionally followed a response versus small reinforcers which invariably followed a response was studied in a discrete-trial situation. Two differently colored keys were associated with the two reinforcement alternatives, and preference was measured as the proportion of choice trials on which the key associated with uncertain reinforcement was pecked. A combination of choice and guidance trials insured that received distributions of reinforcement equalled the scheduled distributions. For five of six subjects, preference for the uncertain reinforcer appeared to be a linear function of the magnitude of the certain reinforcer. In addition, there was greater preference for the response alternative associated with uncertain reinforcement than would be expected on the basis of net reinforcer value.     

Psychophysiological adaptation: An investigation of multiple parameters

Heart rate (EKG), digital skin resistance level (SRL), and frontalis electromyography (EMG) of 20 undergraduate volunteers were monitored in three 30-min sessions to chart the course and magnitude of adaptation. As a group, 7, 13, and 13 min of adaptation were required for SRL, EMG, and EKG, respectively. High arousal levels in any of these measures at the session's outset resulted in longer adaptation times compared to low initial arousal. EMG showed the strongest variance across sessions. Females required longer adaptation periods than males in SRL and EKG. Self-reported trait anxiety levels bore little relationship to adaptation course. Methods were outlined for setting individualized adaptation periods by either the min 1 EMG level or regression equations for the initial values of each of the measures. Overall, psychophysiological adaptation proved to be an influential variable requiring experimental management to avoid confoundment with treatment effects.Portions of this research were presented at the meeting of the Southeastern Psychological Association, Washington, D.C., March 1980. We gratefully acknowledge statistical consultation given by Virginia Weymouth, Memphis State University Department of Computer Services, and Dr. Michael Lupfer.     

Peer popularity and peer communication patterns: Hyperactive versus active but normal boys

Classroom peer perceptions of 18 teacher-nominated hyperactive and 18 teacher-nominated active but normal elementary school-age boys, as revealed in two sociometric measures (Bower's Class Play, like-dislike nomination), were compared. Results indicated that hyperactives were significantly different from actives on all sociometric measures in that they were perceived more negatively. Peer communication patterns also were assessed. The communicative content, communicative quality, and attention to task instructions of hyperactive boys were compared to those of comparison boys. Limited support was found for the earlier finding that hyperactive boys were less likely than comparison boys to modulate behavior in response to changing external cues and to respond to subtle social learning opportunities. The communication task was found to be highly engaging for both groups of boys, and results suggest that hyperactive children may not lack the interpersonal skills necessary for referential communication, although they may be unable to use them consistently in all settings. The need to continue the study of peer relations of hyperactive children in naturalistic settings is stressed.     

An investigation of the interaural time difference threshold for speech

The interaural time difference threshold for speech has been reported to be approximately 35 μsec (Cherry & Sayers, 1956), a value substantially larger than the 6 ~sec reported for broadband noise signals by other experimenters (e.g., Tobias & Zerlin, 1959). In the two studies just mentioned, however, different subjects and psychoacoustical methods were employed; thus, it is unclear whether larger interaural time differences are needed to lateralize speech signals. The purpose of this experiment, therefore, was to compare lateralization performance for speech and nonspeech stimuli. Interaural time difference thresholds were obtained for speech, speech spectrum noise, speech multiplied noise, and 200-, 500-, and 1,000-Hz sinusoids for the same subjects using a 2 IFC experimental paradigm. Under these conditions, speech and speech-multiplied noise yielded essentially the same interaural time difference thresholds.     

Biofeedback and reinforcement to increase heterosexual arousal in homosexuals

Relatively few procedures exist for developing heterosexual arousal in the treatment of sexual deviation (Barlow, 1973) although several recent studies suggest this is a necessary component of treatment (Feldman and MacCulloch, 1971; Bancroft, 1970; Barlow, 1974).In recent years, biofeedback techniques have been applied to many types of disorders (Blanchard and Young, 1974). Basic to biofeedback technology is the notion that providing a person with feedback (or immediate information) of a bioelectric response enables him to learn (gain) self-control of that response. These responses traditionally have been considered involuntary and include heart rate (Scott et al., 1973a). blood pressure (Benson et al., 1971), stomach acid pH (Welgan. 1972), and electroencephalographic activity (Sterman, 1972), In the present experiments, biofeedback and its attendant technology was applied to the problem of generating heterosexual arousal in homosexual males.Frequently, in biofeedback research, reinforcement has been used in addition to feedback in attempting to teach self-control of a response. In fact, an alternate way of conceptualizing and describing the biofeedback research is in terms of operant conditioning (e.g., Weiss and Engel, 1971: Scott et al., 1973b). In one sense, however, feedback and reinforcement are inextricably confounded: the delivery or non-delivery of a reinforcer provides the S with information about the rightness or wrongness of his response and hence, binary feedback about it. Likewise, if feedback or knowledge of whether the response has reached a criterion level or not is effective in leading to a change in the response, then feedback functions as a reinforcer. Reinforcement, however, may be viewed as providing both information about the response (feedback) plus an incentive to change it in the desired direction in addition to any incentive provided by successful performance of a task. Thus, if one provides Ss with a separate, functionally defined reinforcer in such a way that no additional information about the response is conveyed, it becomes possible to detect additive effects of reinforcement over feedback effects. Such was the second purpose of this study.Several recent analogue experiments with volunteers have reported success in modifying erections through feedback and/or reinforcement. Price (1973) found that heterosexual volunteers who received analogue visual feedback as well as binary feedback, provided by a colored light once the needle had passed a pre-set criterion, showed a shorter latency to peak erection and maintained criterion erection longer than a control group receiving no feedback. Both groups were listening to erotic audio tapes. Rosen (1973) demonstrated significant suppression of tumescence in a group of heterosexual volunteers provided with response contingent signal lights. A group receiving non-contingent feedback did not show this effect. In a technical paper, Laws and Pawlowski (1973) have suggested audio feedback of tumescence as a treatment for deficits in sexual arousal.In the clinic, Harbison, Quinn and McAllister (1970), in an uncontrolled case study, reported increasing heterosexual responsiveness in homosexuals through reinforcement of erection. In one of their homosexual patients they were able, over a long series of trials, to increase erection to a heterosexual stimulus (female slide) through rewarding progressively larger responses with sips of iced lime after the patient was water deprived. In addition to the reinforcement, this S was given feedback, of sorts, in that a light was flashed for each successful trial. A second homosexual patient was similarly rewarded for maintaining progressively longer and clearer fantasies of heterosexual behavior. Since other treatments were also applied and no experimental analysis was performed, it is not possible to evaluate the effectiveness of the procedure.In the present experiment the separate effects of feedback and reinforcement to increase heterosexual arousal in homosexuals was experimentally evaluated using single case experimental design methodology (Barlow and Hersen, 1973). Since each experiment was somewhat different in design and purpose, each will be described separately.     

Vocational choice and values in adolescent women

The study investigated the relationship of values, internal-external locus of control, and two career maturity variables — career planning orientation and knowledge and use of resources for planning — and the occupational aspiration of 590 adolescent women. Significant value differences were found among females who chose innovative, moderately innovative, or traditional occupations for women. The values clean, forgiving, and helpful were ranked as more important by females aspiring to traditional occupations, while the values courageous, imaginative, and independent were ranked as more important by women aspiring to innovative occupations. No significant differences were found among the three groups on locus of control and career planning orientation. The mean of knowledge and use of resources for planning was found to be significantly higher for the moderately innovative group than the traditional group. The findings of this study are used to propose the utility of values as a representation of sex-role beliefs and the use of values in self-confrontation procedures to change occupational aspirations.The author gratefully acknowledges the comments of Milton Rokeach and Robert Tolsma on an earlier draft of this article.