Required relaxation: a method of inhibiting agitative-disruptive behavior of retardates

Institutionalized retardates frequently exhibit agitative-disruptive behavior. Recent experiments have shown that overcorrective training in specific types of behavior can inhibit inappropriate behavior. A procedure was developed in which overcorrective practice in relaxation was given to each of eight adult retardates for their disruptions. The agitated resident was required to spend a fixed period of time in relaxation in his own bed upon each occurrence of agitation. This overcorrective relaxation resulted in a rapid, enduring and almost complete reduction in such behavior as self-injury, threats, physical aggression, screaming, crying, cursing and tantrums. Ward attendants strongly preferred the required relaxation procedure to the time-out technique and other inhibition procedures they had used. The procedure appears to be about as effective as alternative techniques and to have the advantages of ease of implementation and acceptability by ward staff and retardates as a ‘reasonable’ reaction to agitation.     

The efficacy of progressive relaxation in systematic desensitization and a proposal for an alternative competitive response--the relaxation response.

The theoretical basis of systematic desensitization is reciprocal inhibition in which an alternative, competitive response to anxiety is conditioned to arousal-producing, phobic stimuli. Abbreviated training in progressive relaxation is believed to serve as a competitive response to anxiety by decreasing autonomic nervous system activity. However, physiologic studies of progressive relaxation have not substantiated that its practice is associated with such decreased autonomic activity. Consequently, the use of progressive relaxation has been a confounding factor in the determination of the function of reciprocal inhibition in systematic desensitization. To confirm and refine the theoretical constructs of reciprocal inhibition, it is necessary to test the effects of a response which is competitive to the anxiety response. Such a response may be the relaxation response which is characterized by physiologic changes consistent with decreased autonomic nervous system activity. Derived from meditational practices, techniques which ehcit the relaxation response incorporate the element of focused attention which has been implicated as a critical factor in systematic desensitization. Thus, the use of the relaxation response should be a more appropriate method than progressive relaxation if the therapeutic usefulness of systematic desensitization is indeed due to reciprocal inhibition.     

Trait anxiety moderation of the effects of life stress on state anxiety

Many theories of anxiety have predicted and much previous research has indicated a person × situation interaction between stressors and trait anxiety. This study examined the hypothesized role of individual differences in trait anxiety in the relationship between naturally occurring stressors and state anxiety scores. Two hundred eighty-seven college undergraduates completed the State-Trait Anxiety Inventory, which provides both state and trait anxiety measures, and the Life Experiences Survey, which provides a measure of the amount of stress a person has undergone in the previous year. Trait anxiety scores were divided into quartiles and correlations between state anxiety scores and Life Experiences Survey scores and multiple regressions for trait anxiety and life stress to predict state anxiety were computed within each quartile. The results were that only in the first quartile was there a significant correlation between life stress and state anxiety, which was contrary to the predictions of state-trait anxiety theory. The validity of state-trait anxiety theory, as it relates to life stress, was questioned.     

Nature of spelling errors in transcortical sensory aphasia: A case study

The nature and extent of spelling errors in a patient with transcortical sensory aphasia were investigated. The two experimental conditions required the patient to spell monosyllabic and polysyllabic words both verbally and in written form. Analysis of the spelling errors revealed partially preserved knowledge of the visual image of a word as a whole, as well as preserved knowledge of temporal order. Our patient's error patterns in both conditions were more similar than dissimilar. These findings in conjunction with results reported in the literature indicate that patients exhibiting different aphasia syndromes use separate spelling strategies.     

Closed- and open-class lexical access in agrammatic and fluent aphasics

Bradley, Garrett, and Zurif (Bradley, Computational distinctions of vocabulary type. Unpublished doctoral dissertation, MIT Press; Cambridge, MA, 1978; Biological studies of mental processes, MIT Press, Cambridge, MA, 1980) have suggested that closed-class word access is normally mediated by a different route than the open-class one, and that the loss of this closed-class route might account for agrammatism. However, in an earlier study ( Gordon & Caramazza, Brain and Language, 15, 143–160, 1982) we were not able to confirm a meaningful difference between closed- and open-class word frequency responsiveness of the type Bradley (unpublished dissertation, 1978) had seemed to find in normal subjects. We have now done a direct comparison of closed-class frequency sensitivity in agrammatic and nonagrammatic aphasics, to directly test Bradley and colleagues' hypotheses and to avoid some of the experimental problems with between-class frequency comparisons. We find that closed-class words behave similarly whether or not the subject is agrammatic. Therefore, the differences between agrammatic and nonagrammatic aphasics must arise at a deeper level (or levels) of lexical processing than the one probed by the frequency sensitivity effect.     

Anticipatory threat and physical danger trait anxiety: A signal-detection analysis of effects on autonomic responding

The method of Signal-Detection Theory (SDT) was applied to the analysis of autonomic data in two experiments. In the first, apprehension surrounding the administration of loud tones was induced through preliminary information; in the second, it was increased by selecting subjects scoring high on a physical-danger trait anxiety scale. Despite enhanced autonomic reactivity, those in the first study who were led to believe that the tones would be extremely disturbing subsequently rated them as less disturbing than did their counterparts who were given comparatively benign expectations. The signal-detection analysis of heart rate and skin conductance suggested enhanced “preparedness of response” among the high-threat subjects; given the diminished subjective ratings, increased response readiness at the autonomic level may have reflected physiological activity assuaging subjective aversiveness of the tones. Contrary to the first study, the psychometrically designated threatened group in the second experiment produced both greater autonomic reactivity along with elevated subjective ratings of disturbance. The SDT analysis provided evidence of greater autonomic sensitivity to noxious stimulus properties. Results were discussed in terms of their implications for theories of anxiety; the comparative utilites of signal-detection theory and conventional methods of autonomic-response scoring were elaborated.     

Capacity and strategy for syntactic comprehension after left or right hemidecortication

The left and right hemispheres perform different encoding and decoding operations on a syntactically complex sentence in order to identify its meaning. Hemispheric asymmetry for syntax involves not only variations in capacity, but also differences in the strategy used to effect similar language performance.     

Acute pain in a clinical setting: Effects of cognitive-behavioural skills training

The present study evaluated the efficacy of cognitive-behavioural skills training, patterned after stress-inoculation training, as a preventive intervention for the attenuation of acute clinical pain during a noxious X-ray procedure—the knee arthrogram. Thirty-six adult male outpatients were randomly assigned to one of three groups: Skills Training. Attention-Placebo, and No-Treatment Control. An experimental pain test was administered before and after the interventions, as a generalization measure. Arthrogram pain was assessed by three dependent measures: patient's ratings, radiologist's ratings and videotape ratings completed by two‘blind’ raters. The results failed to support the efficacy of skills training for the attenuation of acute clinical pain, or its generalization to the experimental pain test. Although Skills Training subjects reported using significantly more coping strategies during the arthrogram. many subjects in the two control groups also reported using their own spontaneous strategies. Equivocal data were obtained on the role of ‘self-efficacy’ expectancies in mediating pain behaviour and experience. Experimental pain threshold but not pain tolerance was significantly related to acute clinical pain experienced during the arthrogram.