Is agoraphobia harder to treat? A comparison of agoraphobics' and simple phobics' response to treatment

Agoraphobia is reputed to be more difficult to treat than simple phobia. In a test of this supposition, 38 agoraphobics and 19 simple phobics were each given 10 sessions of graduated in vivo exposure. They were assessed before and after therapy using a behavioral avoidance test, behavioral diaries, and self-report measures. Analysis of covariance revealed unequivocal posttest differences only on self-assessed disability level; agoraphobics had changed less in their report of global disability immediately following treatment but not at follow-up. Sixty-eight percent of the simple phobics showed clinically significant improvement on avoidance of the Main Phobia, compared with 34% of the agoraphobics. On three other outcome measures, including more precise behavioral measures of phobia, agoraphobics and simple phobics responded equivalently to treatment. Given clinicians' impression about the comparative difficulty in treating agoraphobic clients, fewer differences in treatment response were obtained than were expected. Several possible explanations for this discrepancy are discussed.     

The intuitive personologist revisited: A critique of dialectical person perception

A critical examination of dialectical person perception as advanced by Lamiell, Foss, Trierweiler, and Leffel, (1983) reveals some important problems both in its empirical basis and in the underlying model of the intuitive personologist. The present article discusses these problems and suggests some alternative conceptions of the intuitive personologist.     

Overgeneral autobiographical memory in children of depressed mothers

The goal of this study was to examine overgeneral autobiographical memory in a population at-risk for depression (i.e., children of depressed mothers). We predicted that children of depressed mothers would display less-specific memories than children of non-depressed mothers and that these results would be observed among children with no prior history of depression themselves. Participants in this study were children (age 8–14; 50% girls, 83% Caucasian) of mothers with (n = 103) or without (n = 120) a history of major depressive disorder during the child's life. Mothers' and children's diagnoses were confirmed with a diagnostic interview, and children completed the Autobiographical Memory Test and a measure of depressive symptoms. We found that children of depressed mothers, compared to children of non-depressed mothers, recalled less-specific memories in response to negative cue words but not positive cue words. Importantly, these results were maintained even when we statistically controlled for the influence of children's current depressive symptom levels and excluded children with currently depressed mothers. These results suggest that overgeneral autobiographical memory for negative events may serve as a marker of depression risk among high-risk children with no prior depression history.     

Expanding Diversity: Noncategorical Inclusion and Equity

Contemporary public policy and laws give strong support to equal protection and civil rights. This article argues that a modern society and each person therein should cultivate qualities in one’s self and others that will promote inclusion and equity to continually reduce and eventually eliminate unjust bias, prejudice, and discrimination (albeit perhaps an “impossible dream”). To date, equal protection has depended primarily on governmental regulations based on categorization of human factors. It is argued that everyone, particularly those persons granted “professional” status in society, should aspire for self-concept features that will move toward adopting and expanding inclusion to eliminate the need for categorization per se. Rather than diversity per se, inclusion and equity have contemporary support for better obtaining the personal and social values that can reduce bias, discrimination, and prejudice. It is recommended that interventions be directed at the structural, institutionalized, and close-minded barriers that exist in individual and collective decision making.     

Obsessive-compulsive disorder as a disturbance of security motivation

The authors hypothesize that the symptoms of obsessive-compulsive disorder (OCD), despite their apparent nonrationality, have what might be termed an epistemic origin--that is, they stem from an inability to generate the normal "feeling of knowing" that would otherwise signal task completion and terminate the expression of a security motivational system. The authors compare their satiety-signal construct, which they term yedasentience, to various other senses of the feeling of knowing and indicate why OCD-like symptoms would stem from the abnormal absence of such a terminator emotion. In addition, they advance a tentative neuropsychological model to explain its underpinnings. The proposed model integrates many previous disparate observations and concepts about OCD and embeds it within the broader understanding of normal motivation.