Behavioral treatments of primary dysmenorrhea: A review

Behavioral interventions for primary dysmenorrhea are reviewed under four categories: hypnotherapy; Lamaze exercises; biofeedback training; and desensi found in only the last category and even here, the extent to which positive results stem from desensitization-based treatments themselves as opposed to nonspecific factors associated with these treatments is unresolved. Additional issues that bear upon behavioral treatments for primary dysmenorrhea are: (a) the need for further taxonomic refinement; and (b) the need to incorporate pathophysiological findings within the treatment of this disorder.     

Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

The advantages of selecting agoraphobic patients for treatment by group exposure according to their residential geographic neighbourhood were evaluated in terms of facilitation of ‘homework’ practice and increased social contact. Both ‘zoned’ and ‘unzoned’ groups showed gains in ability to perform hierarchy items after 11 sessions of exposure, relative to a no-treatment control group. However only zoned subjects showed significant reductions in experienced anxiety when executing such items. Self-ratings of overall phobic severity also suggested a zoned group was superior to unzoned while assessors' ratings indicated both groups as equally improved. Only zoned subjects showed a significant increase in social range. Improvements were maintained at 3-months follow-up. No effect of treatment was found on either the Zung measure of anxious mood or on social integration.These results suggest that, where practical, zoning might offer the means for desirable continuation of intensive clinic-based group treatment as well as the benefit of extending treatment into the patients' environment as in home-based treatments. Crucial levels of group cohesion might also be increased although therapists should be prepared to negotiate resistance to a socially demanding programme from patients with significant additional social phobias.     

Formal assessment of problem-solving and planning processes in preschool children

While much is known about adult problem-solving, the materials, analyses, and theoretical issues from the adult literature rarely make contact with the tasks typically used to investigate children's thinking. This paper examines the behavior of 4-, 5-, and 6-year-old children attempting to solve a novel variant of the Tower of Hanoi task. Problems varied in difficulty (one to seven moves for the minimum path solution) and in goal type: tower (all objects on one peg) or flat (all pegs occupied). For each problem, children gave verbal statements of their complete solution plan. The Plan Analysis examined performance as a function of goal type and age. Better performance was observed for tower ending problems, and among older children. The Error Analysis revealed that specific error propensities were related to both age and goal type. The Strategic Analysis compared the first move profiles of 6-year-olds to those of several plausible move selection models, and a high degree of correspondence was obtained between specific models and individual children. Young children appear to have rudimentary forms of many of the problem-solving processes previously identified in adults, but they may differ in encoding and representational processes.     

Integrating velocity,time, and distance information: A developmental study

The development of understanding the relationships between velocity, time, and distance was investigated in three tasks. In each task, values of two dimensions were given, and 5-year-olds, 10-year-olds, and adults had to infer values of the third dimension. These inferences were made in all age groups. The integration rules were found to depend upon age and task. In the distance = time × velocity task, all age groups obeyed the normative multiplication rule. In the time = distance ÷ velocity task, the two older age groups obeyed the normative division rule, but the 5-year-olds shifted to a simpler subtraction rule. In the velocity = distance ÷ time task, which was the most difficult, the two older age groups simplified to use of a subtraction rule, and the 5-year-olds simplified even further to use of a distance-only rule. The knowledge level revealed for young children contrasts sharply with results from previous studies using Piagetian choice tasks, which apparently investigate selective attention to one dimension rather than conceptual understanding of relations.     

The dilution effect: Nondiagnostic information weakens the implications of diagnostic information

In a series of studies, subjects were asked to make predictions about target individuals. Some subjects were given information about the target which pretest subjects had judged to be “diagnostic”—that is, had judged to be usefully predictive of the outcome. Other subjects were given a mix of information judged to be diagnostic and information judged to be “nondiagnostic” by pretest subjects—that is, judged to be of little value for predicting the outcome. Subjects given mixed information made much less extreme predictions than did subjects given only diagnostic information. It was argued that this “dilution effect” occurs because people make predictions by making simple similarity judgments. That is, they compare the information they have about the target with their conception of outcome categories. The presence of individuating but nondiagnostic information about the target reduces the similarity between the target and those outcomes that are suggested by the diagnostic information. One of the major implications is that stereotypes and other “social knowledge structures” may be applied primarily to abstract, undifferentiated individuals and groups and may be largely set aside when judgments are made about concrete, individuated people.     

Sensitivity of 5- and 7-month-old infants to pictorial depth information

An Ames (1951, Psychological Monographs, 65(1, Whole No. 324)) static trapezoidal window, under monocular view, was used to test young infants' responsiveness to pictorial depth. When adults view this display monocularly with the smaller side of the window rotated toward them, they report that the orientation of the display becomes ambiguous: When the head is moved, the window may appear to be in the fronto-parallel plane or either side may appear closer. The 7-month-olds we tested appeared to experience a similar ambiguity; they reached to the near side of the rotated trapezoidal window with significantly less consistency or directedness than infants in a control group tested with a rotated object that lacked pictorial depth information. When 5-month-olds were tested, however, they reached with equal consistency to the closer side of the trapezoidal window and of the control display, apparently uninfluenced by the pictorial depth information available in the trapezoidal window. Thus, sensitivity to the pictorial information for depth that is present in the trapezoidal window appears to develop after the age of 22 weeks.     

Performance of dyslexic children on speech perception tests

Several researchers who have compared the performance of dyslexic and normal-reading children on a variety of different tasks have suggested that dyslexic children may have subtle deficits in the phonemic analysis of spoken as well as written language. Thus it is of interest to know how children who have extraordinary difficulty learning to read can perform explicity auditory-phonetic tasks. Seventeen dyslexic children (10 years of age) and a group of 17 controls were administered tests of identification and discrimination of synthesized voiced stop consonants differing in place of articulation. These were tests of the type used to study categorical perception in adults, adapted for use with young children. Significant differences between dyslexics and controls were found in both kinds of tasks; the pattern of identification and discrimination differences suggests an inconsistency in the dyslexics' phonetic classification of auditory cues. A significant relationship was found between reading level and speech discrimination.     

Teaching awareness of strategic behavior in combination with strategy training: Effects on children's memory performance

The present study examined the effectiveness of two components (rehearsal training and strategy awareness) of an instructional package designed to train the developmentally young in the use of mature information processing techniques. Two groups of children of equivalent developmental age (MA = 8), one mildly retarded and the other of average intelligence, participated. Rehearsal training was effective in improving recall scores on the training task; however, neither rehearsal training, memory awareness, nor their combination significantly altered memory performance on the generalization tasks. There was evidence, however, that the combination of rehearsal training and strategy awareness did increase the likelihood of strategy transfer on the generalization task (recognition) which most closely resembled the training task. Post-task questioning revealed that instructions concerning memory awareness did improve subjects ability to verbalize appropriate strategic behavior; however, these improvements were not consistently translated into either actual use of a rehearsal strategy or improved performance. Discussion centered on the implications of these results and on the need for increased research on the metamnemonic skills involved in strategy generalization.