Counterconditioning in the treatment of spider phobia: effects on disgust, fear and valence

From the perspective that disgust is a core feature of spider phobia, we investigated whether the treatment efficacy could be improved by adding a counterconditioning procedure. Women with a clinically diagnosed spider phobia (N = 34) were randomly assigned to the regular one-session exposure condition (EXP) or to the exposure with counterconditioning condition (CC). In the CC-condition tasty food-items were used during the regular exposure exercises and the participants' favourite music was played. Both treatment conditions appeared very effective in reducing avoidance behaviour and self-reported fear of spiders, strongly attenuated the disgusting properties of spiders and altered the affective evaluations in a positive direction. CC was not more effective in altering the affective valence of spiders than EXP and was not superior with respect to the long term treatment efficacy at 1 year follow up. Apparently, regular exposure treatment is already quite effective in altering the affective-evaluative component of spider phobia and it remains to be seen whether it is possible to further improve treatment outcome by means of procedures which are specifically designed to reduce the spiders' negative affective valence.     

Emotions in solution-focused therapy: a re-examination

This article re-examines whether and how emotions are an aspect of solution-focused therapy. A major theme in the article focuses on the usual ways that therapists define and discuss emotions in solution-focused and other therapies. We argue that these discussions are a source of much confusion about emotions and about solution-focused therapy, including the confusing idea that emotions are neglected in solution-focused therapy. The second major theme describes an alternative approach to these issues, one that we believe better fits with the assumptions and concerns of solution-focused therapy. The approach is based on Wittgenstein's writings about language games, private experience, and how emotions are rule-following activities. Viewed from this perspective, solution-focused therapists take account of their clients' emotions by helping clients to create new emotion rules to follow.     

Personality disorders in a Dutch forensic psychiatric sample: convergence of interview and self-report measures

Convergence of PDQ-R- and SIDP-R-derived personality disorder diagnoses was studied in a sample of 85 forensic psychiatric patients. For categorical diagnoses, the mean kappa was .34, but on a dimensional level convergence was somewhat higher. Paranoid, antisocial and borderline personality disorders had prevalence rates around 40%; the other personality disorders occurred with much lower frequency. The PDQ-R yielded more diagnoses, except for antisocial, histrionic, narcissistic, and sadistic personality disorder. Because the latter disorders are among the most prevalent in forensic settings, and because they have important risk and treatment implications, the PDQ-R is not suitable as a screening device in forensic populations. Semistructured interviews that make use of collateral information are recommended for diagnosing personality disorders in forensic subjects.     

Optimistic bias among potential perpetrators and victims of youth violence

This study furthers the current understanding of optimistic bias regarding youth violence among high school students. Results from a survey of 387 urban high school students indicate a wide range of predictors of optimistic bias, including experience, demographics, and attitudes. Linkages to other developmental frameworks (personal fable and self-efficacy) suggest future directions for additional research.     

Reliability and validity of a twelve-minute walking test for coronary heart disease patients

This study examined the reliability and validity of a 12-min. walking test for coronary heart disease patients. CHD patients (28 men, 18 women) were recruited out of 86 CHD patients of the Martini Hospital Groningen, The Netherlands. 46 CHD patients (age M=66.0 yr., SD=6.8) participated in the reliability study and 24 (age M=62.0 yr., SD=9.2) in the validity study. A test-retest analysis showed a satisfactory Bland-Altman plot and an intraclass coefficient of .98. The Pearson correlation between the score on the test and the VO2 peak was .77. This test gives a reliable and valid assessment of cardiorespiratory fitness of CHD patients.     

Dispersion-weighted kappa: An integrative framework for metric and nominal scale agreement coefficients

The rater agreement literature is complicated by the fact that it must accommodate at east two different properties of rating data: the number of raters (two versus more than two) and the rating scale level (nominal versus metric). While kappa statistics are most widely used for nominal scales, intraclass correlation coefficients have been preferred for metric scales. In this paper, we suggest a dispersion-weighted kappa framework for multiple raters that integrates some important agreement statistics by using familiar dispersion indices as weights for expressing disagreement. These weights are applied to ratings identifying cells in the traditional inter-judge contingency table. Novel agreement statistics can be obtained by applying less familiar indices of dispersion in the same wayThis revised article was published online in August 2005 with the PDF paginated correctly.     

On Revising Fuzzy Belief Bases

We look at the problem of revising fuzzy belief bases, i.e., belief base revision in which both formulas in the base as well as revision-input formulas can come attached with varying degrees. Working within a very general framework for fuzzy logic which is able to capture certain types of uncertainty calculi as well as truth-functional fuzzy logics, we show how the idea of rational change from “crisp” base revision, as embodied by the idea of partial meet (base) revision, can be faithfully extended to revising fuzzy belief bases. We present and axiomatise an operation of partial meet fuzzy base revision and illustrate how the operation works in several important special instances of the framework. We also axiomatise the related operation of partial meet fuzzy base contraction.This paper is an extended version of a paper presented at the Nineteenth Conference on Uncertainty in Arti.cial Intelligence (UAI’03).