Behavior therapy for asthma: a review

The paper reviews 24 case studies and experiments which assess behavior therapy for asthma or some collateral behavior management problem. The reports are examined in terms of treatment population, design, dependent variable, technique, outcome, and follow-up. Methodological and instrumentation suggestions are made for future research.     

Individualized behavior therapy for alcoholics: a third year independent double-blind follow-up.

An independently conducted double-blind study providing third year follow-up data for 53 of 70 male alcoholics who served as subjects in an experiment evaluating “Individualized Behavior Therapy (IBT)” techniques is reported. In the original study, subjects were initially assigned to either a controlled drinking or non-drinking (abstinence) treatment goal, and were then randomly assigned to either an experimental group receiving IBT or a control group receiving conventional state hospital treatment oriented towards abstinence. Previously reported results showed that IBT subjects functioned significantly better than control subjects throughout the first year of follow-up. Second year follow-up results found that IBT subjects treated with a controlled drinking goal functioned significantly better than their respective control subjects on a variety of measures, including drinking behavior. Differences between IBT subjects treated with a non-drinking goal and their control subjects did not retain statistical significance during the second year of follow-up. The independently determined follow-up data showed that during the third post-treatment year, subjects in the experimental groups generally functioned better than their respective control subjects. Comparison of the controlled drinking experimental group with its control group showed the significantly better functioning of subjects in the experimental condition on a number of drinking and other life functioning measures. Comparison of the non-drinking groups indicated only one possible difference on the drinking related measures involving a trend for subjects in the experimental condition to abstain more than those in the non-drinker control group. On other life functioning measures, however, subjects in the non-drinking experimental condition showed consistent improvement over their respective control subjects. Both of the controlled drinking groups reported more controlled drinking days than the non-drinking groups throughout the third year follow-up period.     

A functional measurement analysis of the development of dimensional coordination in children

The development of children's dimensional coordination was investigated using kindergarten, second, fourth, and sixth grade subjects (Ages 5, 7, 9, and 11 years, respectively), and an adult sample, by means of a perceptual estimation task requiring the subjects to match in total area a stimulus rectangle to an adjustable square stimulus. The problem was formulated using information integration theory, and the procedures and techniques of functional measurement were used in the analysis. Dimensional coordination was found to develop from a stage of total centration on one dimension to a stage of total decentration with equal weighting applied to both dimensions.Contrary to extant hypotheses, the vertical dimension was not the salient dimension for single dimension centerers. Rather, the spatial axis on which the compared-objects were placed determined the displacement of attention. When this frame of reference effect was controlled, the longer of the two dimensions was the salient dimension for centering subjects.     

The neurotic paradox and self-punitive behavior in humans

Human subjects learned a key-pressing response in order to avoid or escape shock. The reinforcement contingencies were then changed to punishment or to regular nonpunished extinction. The locus of shock onset and offset was systematically varied during the punishment phase. More subjects reported awarencess of the change in the nonpunished extinction group. By inference, the punished groups responded more, and thus the results appear analogous to animal studies on vicious circle, self-punitive responding. Discriminability of change from acquisition to extinction appeared to affect detection of the change.     

Sensory modality and method of item information presentation in memory

Investigated were differences in paired-associate learning for auditory versus visual modalities and within each modality the anticipation and study test methods of item presentation were compared. Extant reports re these two sensory modalities and of the two learning methods had been inconsistent. In this study of 40 university students, the learning of CVC-CVC nonsense syllable pairs was significantly better with the visual than with the auditory modality. The study-test method was significantly superior to the anticipation method in the visual mode. With auditory presentations, however, acquisition levels for both methods were the same. Significant interactions were observed between sensory modalities and methods of presentation. At present the retention interval theory (Izawa 1972–1979b) appears to account best for the varied findings with respect to the two methods of presentation.     

Attention demands of movements as a function of their duration and velocity

The attention demands of initiating and controlling discrete movements were examined as a function of their movement time (MT) and average movement velocity. Experiment 1 showed that the attention required to execute a movement decreased as MT decreased, although Experiment 2 through independently manipulating MT and movement velocity, revealed that movement velocity is the key determiner of attention demands rather than MT. The attention demands of preparing a high velocity movement are greater than during its execution with the reverse being the case for relatively slow velocity movements. The results are compatible with the view that it is the initiation of error corrections that are attention demanding (Keele 1973).     

Cognitive changes associated with social skills training

Changes in locus of control and self-esteem during social skills training and at 6 month follow-up were investigated. Forty-four adolescent, male offenders were randomly assigned to a social skills training, attention-placebo, or no-treatment control procedure. The results showed that pre- to post-training increases in self-esteem were produced for both the social skills training and attention-placebo control groups, but not for the no-treatment control group. These increases did not continue during the follow-up phase; the social skills training group, which showed the greatest improvement during training, displayed a decrease in self- esteem during follow-up.The locus of control measures showed a statistically significant shift towards internality for the social skills training group during training, which was not found for the attention-placebo and no-treatment controls. During the follow-up phase, all three groups showed a statistically significant shift towards externality, suggesting a tendency for boys to view their behaviour and consequences as being under the control of chance factors or powerful others, during institutionalization. This effect was partly reversed during training for the social skills training group, but the effect was not long lasting. It seems therefore that social skills training is effective in producing an increase in self-esteem and a shift towards internal locus of control. These changes are, however, of short duration and the self-esteem shift may be the result of increased staff contact or other non-specific therapy factors.     

The use of a self-control package to enhance temporal generality of a parent training program

The purpose of the present study was to examine the effectiveness of a self-control package in enhancing temporal generality of a parent training program. Sixteen mothers and their clinic-referred noncompliant children were assigned to either a parent training alone group, or a parent training plus self-control group. All mother-child dyads were treated individually by teaching the mother to reward compliance and other prosocial behavior, and to use time-out for noncompliance. In addition, mothers who also received self-control training learned to self-monitor their use of their new parenting skills and to reinforce themselves for use of the skill during a 2 month follow-up period. Assessment consisted of four home observations by independent observers prior to treatment, after treatment, and at a 2 month follow-up. The data indicated that the children in the parent training plus self-control group were significantly more compliant and less deviant at the 2 month follow-up than the children in the parent training alone group. Parental behavior did not differ between the two groups at the follow-up.     

Treatment of bisexual pedophilia by a biofeedback-assisted self-control procedure

A bisexual pedophile was treated for 88 days using a biofeedback procedure which displayed his erection response to sexually deviant stimuli on a closed-circuit television monitor. Told to develop a strategy of self-control using the biofeedback, his response to young boys and girls was treated sequentially in a multiple baseline design. His concurrent response to boys, girls and adult males was evaluated in separate generalization sessions. The treatment was successful in suppressing deviant response while maintaining nondeviant response in strength. Debriefing of the client following treatment revealed that he had used a self-developed technique of covert sensitization to suppress deviant response and had used the biofeedback to confirm and validate this self-control strategy.