Applied tension, exposure in vivo, and tension-only in the treatment of blood phobia.

Thirty patients with phobia for blood, wounds and injuries were treated individually with applied tension (AT), exposure in vivo (E), or tension-only (T) for 5 sessions. They were assessed on self-report, behavioral and physiological measures before and after treatment, and at a 1 yr follow-up. All groups improved significantly, and the improvements were maintained at follow-up. Applying stringent criteria, 90% of the AT-, 80% of the T-, and 40% of the E-patients were clinically improved at the end of treatment. The corresponding figures at follow-up were 100, 90 and 50%, respectively. AT differed significantly, and T marginally from E at both assessments. Applied tension, or tension-only should, from a clinical point of view, be considered the treatment of choice for blood phobia.     

The dual-conception view reexamined: attentional demands and the encoding of verbal and physical information in action events

In two experiments the influence of attentional demands at encoding on recall of different features of subject-performed tasks (SPTs) was studied. In Experiment 1, memory of verbs and colors of objects was tested, with object names serving as cues. In Experiment 2, object and color memory were tested, with verbs serving as cues. Results from both experiments indicated that SPTs were affected by divided attention at encoding. In contrast to previous research, verbal and physical properties of SPTs were not differently affected by the requirements of dual-task performance (i. e., the combination of an SPT task and a secondary task). The results are discussed in terms of the nature of the secondary task.     

Hemispheric asymmetry and human associative learning: Interactions with attention

In a previous study (Hugdahl & Brobeck, 1986) it was shown that Pavlovian conditioning to an auditory verbal conditioned stimulus (CS) initially presented only to the left cerebral hemisphere was stronger than when the same CS was presented to the right hemisphere. This was followed up in the present study by controlling for the possibility that the effect was caused by laterally biased attention. The study was performed using the “dichotic extinction paradigm,” which consists of three different phases. During the habituation phase, the CS+ and CS- were presented binaurally and separated in time. During the acquisition phase, the CS+ was followed by a white-noise unconditioned stimulus (UCS). During the dichotic extinction phase, the CS+ and CS- were presented dichotically, i.e., simultaneous presentations on each trial. Half of the subjects had the CS+ in the right ear, and half had the CS+ in the left ear. Each group was further divided into two subgroups, with one subgroup instructed to attend only to the right ear input, and the other subgroup to attend only to the left ear input. During acquisition, larger electrodermal responses were obtained to the CS+ than to the CS-. During dichotic extinction, the CS+ right ear group showed superior resistance to extinction compared to the CS+ left ear group, with no effect of the manipulation of attention. The effect was, however, attenuated when levels of acquisition was used as covariates in an analysis of covariance. There were overall larger responses from the left hand recording.     

Acquisition of phobias and anxiety response patterns in clinical patients

The ways in which phobic patients (N = 106; animal-, social- and claustrophobics) acquired their phobias were investigated in the present study. The results showed that a large majority (58%) of the patients attributed their phobias to conditioning experiences, while 17% recalled vicarious experiences, 10% instructions/information and 15% could not recall any specific onset circumstances. There was no clearcut relationship between the ways of acquisition and anxiety components (subjective, behavioral, physiological), nor did the conditioning and indirectly acquired phobias differ in severity. However, some interesting trends emerged in the data, showing that animal phobics who recalled conditioning experiences to a larger extent also responded physiologically. For patients with indirect onset experiences (for all three types of phobias) the reverse was true, i.e. they responded to a larger extent in a cognitive-subjective way, rather than with increased physiological arousal.     

Sleepiness and days of recovery

In the literature recovery after work is taken for granted – one has 16 h off between work bouts and one has 36 h off each weekend. However, the situation for those working irregular work hours may be quite different because of night work, long shifts, or long sequences of working days. Strictly speaking we don't have any scientific support for theories on how recovery days should be patterned. This paper, therefore, brings together data from a series of our own studies that involve irregular work hours, with the specific purpose of looking at the recovery process. The results show that for the average normal office week worker two days of recovery are normally sufficient. For those who work long shifts in long sequences three days are needed for normalization, whereas 12 h shifts in 2–3 day sequences seem not to cause accumulated fatigue. Interestingly, fatigue/sleepiness is often at its peak during the first day of recovery – not the last day of the working week. Air crew and oil rig workers take a longer time to recover, probably because of too much adjustment of the biological clock. As a rule, long haul air crew is usually much more fatigued than short haul crew during their days off, despite the fact that long haul flying is voluntary and opted for by those who fly it. Also train drivers are affected during their days off by their irregular work hours – in particular backwards rotating schedules seem to cause accumulation of fatigue. The results suggest that one day of recovery never is sufficient, two days usually is, whereas 3–4 days are necessary after periods of severely disturbed circadian rhythmicity.     

Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: Results from a randomized trial

The aim of this study was to evaluate specific effects for patients with adjustment or exhaustion disorder, the Stress subgroup (n = 152), regarding symptom severity and sick leave after CBT, a return-to-work intervention (RTW-I), and a combination of them (COMBO), using data from a randomized trial. In the original study, primary care patients on sick leave (N = 211) were randomized to CBT (n = 64), RTW-I (n = 67), or COMBO (n = 80). Blinded Clinician Severity Rating (CSR) of symptoms and sick leave registry data were primary outcomes. Subgroup analyses showed that for the Stress subgroup, CBT led to greater reduction of symptoms than RTW-I posttreatment, but COMBO did not differ from CBT or RTW-I. Regarding sick leave, there was no difference between treatments in the Stress subgroup. An exploratory analysis of the treatment effects in a subgroup of patients with depression, anxiety or insomnia indicates that RTW-I reduced sick leave faster than CBT. We conclude that CBT may be promising as an effective treatment of stress and exhaustion disorder.     

Cyber-Islamophobia? The case of WikiIslam

A large amount of academic research has analysed and documented the fact that Muslims are often presented in a negative or stereotypical way in Western media and popular culture. This article focuses on how the Internet can also be used in spreading and publishing anti-Islamic and anti-Muslim opinions. Although the Internet is significant in the development of contemporary society, no studies have focused on the importance of information and communication technologies in spreading Islamophobic opinions. However, the new technologies can also be used for monitoring and combating Islamophobia, and many Muslim organisations are today using the Internet for these purposes. The article is based on an indepth analysis of both anti-Muslim and pro-Muslim homepages that can be related to the debate over Islamophobia.