Traits,states, situations,and uncertainty

The shift of paradigm from psychodynamic therapy to behavior modification has changed the views of assessment and challenged traditional broad trait concepts. Behavioral assessment has used narrow, situation-specific trait tests, state self-report tests given in situations, and behavioral observations and performance ratings. Comparison of these types of measures are reported from a study of fear reactions in three situations. Narrow trait measures are generally more predictive of behavior than broad trait measures. State measures are even more predictive when given just before the performance. But only a sampling of such state measures can be used to define a trait because of the lower reliability of states. It is argued that behavior in situations is only predictable when an adequate number of behavioral samples is used.     

Validity of Two Questionnaires to Assess Social Fears: The Dutch Social Phobia and Anxiety Inventory and the Blushing, Trembling and Sweating Questionnaire

This report evaluates some psychometric properties of the Dutch Social Phobia and Anxiety Inventory (SPAI-N) as well as a newly developed instrument to assess fear of showing somatic symptoms among social phobic, the Blushing, Trembling and Sweating Questionnaire (BTS-Q). Results support the reliability and discriminative validity of the Dutch SPAI and the BTS-Q. Both questionnaires are able to discriminate social phobics from a community sample. Social phobics with fear of blushing, trembling, and sweating as the main complaint could be discriminated from social phobics without fear of blushing, trembling, and sweating as the main complaint using the BTS-Q. In contrast with expectations derived from cognitive models of social phobia, social phobics with fear of blushing, trembling, and sweating did not have stronger dysfunctional beliefs about (the social consequences of) blushing, trembling, and sweating than social phobics without such fears.     

A one-way random effects model for trimmed means

The random effects ANOVA model plays an important role in many psychological studies, but the usual model suffers from at least two serious problems. The first is that even under normality, violating the assumption of equal variances can have serious consequences in terms of Type I errors or significance levels, and it can affect power as well. The second and perhaps more serious concern is that even slight departures from normality can result in a substantial loss of power when testing hypotheses. Jeyaratnam and Othman (1985) proposed a method for handling unequal variances, under the assumption of normality, but no results were given on how their procedure performs when distributions are nonnormal. A secondary goal in this paper is to address this issue via simulations. As will be seen, problems arise with both Type I errors and power. Another secondary goal is to provide new simulation results on the Rust-Fligner modification of the Kruskal-Wallis test. The primary goal is to propose a generalization of the usual random effects model based on trimmed means. The resulting test of no differences among J randomly sampled groups has certain advantages in terms of Type I errors, and it can yield substantial gains in power when distributions have heavy tails and outliers. This last feature is very important in applied work because recent investigations indicate that heavy-tailed distributions are common. Included is a suggestion for a heteroscedastic Winsorized analog of the usual intraclass correlation coefficient.     

Fear questionnaires for simple phobias: Psychometric evaluations for a Norwegian sample

The present study presents psychometric data for four different phobic fear questionnaires in a Norwegian sample of 284 subjects. The questionnaires concerned fear of flying, snakes, spiders and a questionnaire of general phobic complaints. The results showed a high estimate of internal consistency, and a very high test-retest reliability for all questionnaires. A low to moderate degree of intercorrelation between the questionnaires appeared. A clear sex difference emerged in responding to all four questionnaires. In addition, a clinical sample of phobics with fear of flying as the main symptom was compared to the larger sample on a fear of flying scale. The results showed a clear difference in responding between the samples. The present study concludes that the four different fear questionnaires yielded a high degree of reliability, and their use in clinical practice is encouraged.     

A multicomponent investigation of the interaction of generalized anxiety and phobia

Forty female undergraduates forming four groups, high or low trait anxiety with or without a specific fear (rats), participated in a psychophysiological assessment of their response to the phobic object, a neutral object (rabbit), and to a general anxiety-induction procedure (threat of shock). Subjects also completed a number of tasks requiring sustained attention. Blood samples were drawn to determine thyroid hormone (T3 and T4) levels. Trait anxiety was found to interact with specific fear in response to the feared object. The high-trait anxious/high-fear group was most physiologically responsive to the rat. Trait- anxious subjects were more responsive to the threat of shock and showed performance deficits on reaction time, vigilance, and backward digit span tasks. These subjects also had significantly higher T3 and T4 levels. The findings are discussed with regard to the role of general anxiety in the etiology and/or maintenance of specific fears and the role of thyroid hormones in accentuating physiological response to feared stimuli.     

Worth the risk? Fear of being single and willingness to make risky health decisions in sex and dating contexts

Does fear of being single (FOBS) predict risky health behaviors when such behavior could promote pursuit of a romantic connection? Study 1 tested general tendencies toward taking health risks associated with FOBS. Study 2 tested how those with stronger FOBS navigated romantic versus non-romantic risk behavior during the COVID-19 pandemic. Study 3 extended the test of risky behavior beyond the pandemic to test whether FOBS was associated with willingness to engage in risky sexual behavior. Despite nonsignificant associations with taking health risks more generally, FOBS was associated with greater willingness to engage in risky behaviors in dating contexts, particularly when considering their willingness to settle for less in relationships. This research provides novel insight into dating choices associated with stronger FOBS and how willingness to settle predicts risky health behavior when it could appeal to romantic prospects.     

女性生理周期对条件性恐惧习得和消退的影响

动物研究显示, 雌激素调节条件性恐惧习得和消退, 但是, 人类的性激素对条件性恐惧习得和消退的影响还不太清楚。因此, 本研究以大学生为研究对象, 考察女性不同生理周期对条件性情境恐惧的习得和消退的影响。20名经前期和20名经期女被试暴露于3种情境下：无厌恶刺激情境(N)、可预测情境(P)和不可预测情境(U), 预测此3种情境下是否出现厌恶刺激。以在线索条件下和无线索条件下对厌恶刺激的主观预期值为因变量。研究结果显示:在习得阶段, 经期女性在P情境下的条件性线索恐惧的主观预期值高于经前期女性; 经前期女性在3种情境下的条件性情境恐惧的主观预期值都高于经期女性, 但只在N情境和P情境, 与经期女性相比, 经前期女性对厌恶刺激的主观预期值存在显著差异。在消退阶段, 与经期女性相比, 经前期女性在3种情境下的条件性情境恐惧的主观预期值更高, 且经前期女性对厌恶刺激的主观预期值在N情境和P情境显著高于经期女性。该结果显示, 经前期女性对条件性情境恐惧易习得难消退, 表明此生理阶段的性激素影响大脑的情绪调节功能, 从而影响条件性情境恐惧。     

非条件刺激降低再评估对条件性恐惧消退的影响

诸多情绪障碍治疗的关键在于促进条件性恐惧反应的消退, 研究证明非条件刺激再评估能够引起恐惧反应的变化。本研究将非条件刺激降低再评估范式应用于消退训练, 以主观预期值、皮电反应作为恐惧反应指标, 考察恐惧习得后非条件刺激强度降低对条件性恐惧消退的影响, 并运用评价性条件作用探讨非条件刺激再评估的作用机制。结果表明：在消退阶段, 降低组对条件刺激的皮电反应显著低于控制组。同时评价性条件作用结果显示：经过非条件刺激再评估, 降低组较控制组对条件刺激的评价更为正性。说明非条件刺激降低再评估有效改变条件刺激的负性效价, 降低个体的恐惧反应、促进恐惧消退。     

条件性恐惧记忆提取消退干预范式

提取消退(retrieval-extinction, Ret+Ext)范式是基于记忆再巩固理论, 利用消退训练(extinction, Ext)能改变条件刺激(conditioned stimulus, CS)的恐惧效价特点, 把消退训练应用到再巩固时间窗内来改写(rewrite)恐惧记忆, 消除恐惧反应。提取消退范式是对传统暴露疗法和药物治疗的创新和拓展, 不仅为创伤性记忆的治疗提供一种非侵入性的技术, 而且也为改写人类记忆、积极心理学探索人类幸福感方面开辟了一种全新的理论视角。     

The psychodynamic of panic attacks: A useful integration of psychoanalysis and neuroscience1

This article tries to explain, in the light of some neuroscientific and psychoanalytical considerations, the repetitive pattern of panic attacks. Freud considered the panic attack as an ‘actual neurosis’ not involving any conflictual process. Recent neuroscientific findings indicate that psychosomatic reactions, set off by a danger situation, depend on the primitive circuit of fear (including the amygdala) characterised by its speed, but lack accurate responses and may also be activated by harmless stimuli perceived erroneously as dangerous. The traumatic terror is stored in implicit memory and may be set off by a conditioned stimulus linked to a previous danger situation. In the panic attack, the traumatic event is created by the imagination and this construction (a micro‐delusion), built in loneliness and anxiety, has the same power as the real trauma. A mutual psychosomatic short‐circuit between body and psyche, in which terror reinforces the somatic reactions and the psychic construction, is established. Therefore, it is important to highlight these constructions in order to analyse and transform them. In the second part of the article the author reviews the main psychoanalytical theories about panic attacks, stressing how, in his opinion, panic attack is a consequence of the breakdown of the defence organisation at various levels and may appear during periods of life crisis. Two patients suffering from a deficit of personal identity are presented. The various organisations and the different levels (biological, neuroscientific, associative, traumatic) of the panic attack determine different kinds of therapeutic approaches (pharmacological, cognitive and psychoanalytical). While the psychopharmacological treatment is aimed at reducing the neurovegetative reaction and the cognitive method is attempting to correct the associative and perceptive processes of fear signals, psychoanalytical therapy represents both a specific means to free patients from panic attacks as well as an indispensable route for their emotional growth.