Goal attainment scaling: An idiosyncratic method to assess treatment effectiveness in agoraphobia

Goal attainment scaling (GAS) is an individually tailored way to measure treatment gains, using a highly standardized procedure. An advantage of the method is that it takes into account individual characteristics of the patients, and at the same time the data are suitable for quantitative analysis and comparable across patients. Despite the wide acceptance and use of the method in the evaluation of psychotherapy, data on its psychometric properties are rather scarce. In the current study, GAS was used as one of several outcome measures in a research project on the effectiveness of various treatments for panic disorder with agoraphobia. Guidelines for GAS are presented as well as data on the reliability and validity of the procedure. Results indicate that the procedure is reliable, valid, and sensitive to the improvement of patients during treatment. Comparison of GAS with standardized measures revealed considerable concordance, although the clinical end status of patients diverged somewhat dependent on the measure considered.     

Avoidance of pain of unpredictable intensity

Unpredictability of the intensity of an aversive event might be an important factor in producing negative effects of the event, especially if the UCS becomes stronger than could have been expected. The present experiment tested the hypothesis that unpredictability of intensity of a painful stimulus contributes to avoidance behaviour. The experiment was concealed in a shock working-up procedure, which was done to assess the pain level subjects were willing to tolerate in a subsequent experiment. The experimental subjects, who received an unannounced sudden increase of the pain stimulus during the working-up procedure, tolerated less pain on a subjective as well as on an objective level (avoidance of high levels of pain) than the control subjects, who received the stimuli in a predictable pattern. The results support the hypothesis that unpredictability of intensity of an aversive event contributes to avoidance behaviour.     

Neurotic nucleus and test anxiety.

Undergraduate university students (N = 103) participated in a study of the relationship between test anxiety and the variables of trait anxiety, self-esteem, locus of control, mental ability, and gender. Results indicated bivariate associations between total test anxiety and the other measures except for mental ability. Further analyses revealed independent relationships between the "worry" component of test anxiety and the variables of trait anxiety, internality, chance, and mental ability. We also found independent associations between the "emotionality" aspect of test anxiety and the measures of trait anxiety and chance.     

Phonological deficits: Beneath the surface of reading-acquisition problems

Summary In Experiment 1, the performance of young retarded readers on speech-segmentation tasks was compared with the performance of normal subjects matched for chronological age (CA) and with subjects matched for reading age (RA). Retarded readers were poorer than both control groups in consonant deletion, while there was no difference between the groups on a rhyme-judgement task and a syllabic-vowel-reproduction task. In Experiment 2, another group of reading retarded children was compared with CA and RA controls on the classification of pseudowords, either by common phoneme or by overall phonetic similarity. The retarded readers made fewer classifications based on common phoneme than both control groups, while there was no difference between the groups in classifications based on overall phonetic similarity. In Experiment 3, adult developmental dyslexics were compared with normal adults in the tasks of Experiments 1 and 2. The dyslexics made fewer classifications based on a common phoneme than the normals, while no difference was found in classifications based on overall phonetic similarity.     

Stop Doubting with Descartes

Did Descartes manage to overcome the skeptics? If we understand “overcome” in the sense of “refute,” the answer is no, since his hyperbolic doubt harbors several blind spots and is, therefore, not as radical as is commonly argued. In this way, the victory of the cogito is perhaps less decisive and fruitful than it is claimed. If we understand “overcome” in the sense of “remove” or “move beyond,” the answer is yes. Descartes has overcome skepticism, but at the cost of a decision, a sort of bet made in favor of reason based on a confidence in the human mind that is never really subverted. This faith in reason, truth, and specific epistemological principles in Descartes’ philosophy constitute what Wittgenstein calls “hinges,” which are indispensable for doubting and searching for truth. In this sense, Descartes’ anti-skepticism is more a confidence in reason in order to save the possibility of science than the result of a logical refutation.

     

Sentence comprehension and production in children with cochlear implants: Errorless procedures and equivalence-based instruction

Research supports equivalence-based instruction (EBI) and matrix training for increased listening and speaking skills in children with cochlear implants (CI). We incorporated errorless procedures to optimize the EBI and evaluated the effects on the auditory comprehension and verbal responding at-sentences level in six CI children who were readers and showed inaccurate tacting. Subject-verb-object sentences were arranged in two matrices; diagonal combinations were trained and evaluated non-diagonal combinations. EBI included stimulus fading and exclusion to directly teach the dictated sentence-picture matching; written-sentences construction upon dictation also was taught. Probes assessed the derived stimulus-stimulus and stimulus-response relations. All participants learned the auditory-visual discriminations and the exclusion resulted in fewer errors than on a stimulus fading procedure. Five participants formed equivalence classes and increased verbal responding to equivalent stimuli, especially pictures tacting. They also showed recombinative generalization for both matrices. Professionals can incorporate errorless procedures to EBI for improving sentence comprehension, tacting, and productivity in CI children.     

The impact of customer engagement on customer happiness

Previous studies have found relationships between variables that predict happiness and engagement. While this suggests that engagement is a basis for generating customer happiness, the literature does not provide sufficient confirmatory evidence. Thus, the effects of different engagement intensities remain unclear. Focusing on conditions related to the Starbucks brand, this study analyzed how (1) passive and active engagement impacted customer happiness and (2) happiness impacted word of mouth (WOM) and purchase intention. Data were collected through an online survey among 802 Peruvian customers, all of whom were recruited via non-probabilistic sampling. Because two exogenous variables were considered formative (i.e., customer engagement and customer happiness), a partial least-squares structural equation model (PLS-SEM) was used for the analysis. In sum, engagement (both passive and active) significantly and positively impacted customer happiness, which then positively impacted WOM and purchase intention. Given that engagement is associated with variables that are broadly related to happiness, this study makes new contributions by (i) clarifying how customer engagement can generate customer happiness, (ii) identifying differences between active and passive engagement, and (iii) adding evidence for use in the debate on the purpose of marketing and traditional practices such as engagement. As discussed in the paper, these findings have theoretical and practical implications for brand managers.