Unfamiliar Untrained Observers’ Ratings of Adolescent Safety Behaviors Within Social Interactions with Unfamiliar Peer Confederates

Adolescents experiencing social anxiety often engage in safety behaviors―covert avoidance strategies for managing distress (e.g., avoiding eye contact)―that factor into the development and maintenance of their concerns. Prior work supports the psychometric properties of the Subtle Avoidance Frequency Examination (SAFE), a self-report survey of safety behaviors. Yet, we need complementary methods for assessing these behaviors within contexts where adolescents often experience concerns, namely, interactions with unfamiliar peers. Recent work indicates that, based on short, direct social interactions with adolescents, individuals posing as unfamiliar peers (i.e., peer confederates) and without assessment training can capably report about adolescent social anxiety. We built on prior work by testing whether we could gather valid SAFE reports from unfamiliar untrained observers (UUOs), who observed adolescents within archived recordings of these short social interactions. A mixed clinical/community sample of 105 adolescents self-reported on their functioning and participated in a series of social interaction tasks with peer confederates, who also provided social anxiety reports about the adolescent. Based on video recordings of these tasks, trained independent observers rated adolescents’ observed social skills, and an additional set of UUOs completed SAFE reports of these same adolescents. Unfamiliar untrained observers’ SAFE reports (a) related to adolescents’ SAFE self-reports, (b) distinguished adolescents on clinically elevated social anxiety concerns, (c) related to trained independent observers’ ratings of adolescent social skills within interactions with peer confederates, and (d) related to adolescents’ self-reported arousal within these same interactions. Our findings support use of unfamiliar observers’ perspectives to understand socially anxious adolescents’ interpersonal functioning.     

Effects of single trial of heart-rate biofeedback during ramp bicycling exercise

We examined whether a single trial of heart-rate biofeedback was effective to attenuate heart-rate responses during ramp exercise despite a lack of biofeedback conditioning. 35 healthy women exercised in two trials while they tried to attenuate their heart rate by watching biofeedback signals or they only exercised without biofeedback signals (Control trial). 17 subjects were able to attenuate the heart rate during Biofeedback trial (Can group) whereas the remaining subjects were not (Cannot group). In the Can group, the magnitude of heart-rate attenuation in all exercise time was equivalent to 11+/-3% of the preexercise heart rate. Since the heart-rate reduction was similar to that achieved after the heart-rate biofeedback conditioning in previous studies, it is likely that the single trial of heart-rate biofeedback was effective for almost half the subjects to attenuate the heart-rate responses during ramp exercise.     

Book reviews

Arvind Sharma, The Philosophy of Religion and Advaita Vedānra: A Comparative Study in Religion and Reason. University Park, Pennsylvania, The Pennsylvania State University Press, 1995, viii+232 pp., £29.50, $32.50. ISBN 0 271 01032 0.

Niels C. Nielsen Jr (ed.), Christianity After Communism: Social, Political and Cultural Struggle in Russia. Boulder, Westview Press, 1994, ix+171 pp., £37.00, $49.95. ISBN 0 8133 2365 7.

Mary Pickering, Auguste Comte: An Intellectual Biography, Volume 1, Cambridge, Cambridge University Press, 1993, xi+744 pp., £45.00, $49.95. ISBN 0 521 43405 X.

Christopher Herbert, Culture and Anomie: Ethnographic Imagination in the Nineteenth Century. Chicago, University of Chicago Press, 1991, 312 pp., $48 (hardback) ISBN 0 1226 32738 8, $16.95 (paperback) ISBN 0 226 32738 6.

Clifford Geertz, After the Fact: Two Countries, Four Decades, One Anthropologist. Cambridge, Massachusetts, Harvard University Press, 1995, 198 pp., $27.50. ISBN 0 674 00871 5.

William Hamilton, A Quest for the Post-Historical Jesus. New York, Continuum, 1994, 304 pp., $27.50. ISBN 0 8264 0641 6.

Valerie J. Hoffman, Sufism, Mystics, and Saints in Modern Egypt. University of South Carolina Press, 1995, 377 pp.+ notes and index. ISBN 1 57003 055 3.

Margaret H. Case (ed.), Heinrich Zimmer: Coming Into His Own. Princeton, Princeton University Press, 1994, vi+ 148 pp., $24.95. ISBN 0 691 03337 4.

Tessa J. Bartholomeusz, Women Under the Bō Tree: Buddhist Nuns in Sri Lanka. (Cambridge Studies in Religious Traditions 5.) Cambridge, Cambridge University Press, 1994, xx+284 pp., £37.50, $59.95. ISBN 0 521 46129 4.

Philip C. Almond, Heaven and Hell in Enlightenment England. Cambridge, Cambridge University Press, 1994, xiii+ 218 pp., £35. ISBN 0 521 45371 2.

George W. Stocking, Jr., After Tylor: British Social Anthropology 1888–1951. Madison, University of Wisconsin Press, London, Athlone Press, 1996, xx+441 pp., $40. ISBN 0 485 30072 9.

P. F. Kornicki and I. J. McMullen (eds), Religion in Japan: Arrows to Heaven and Earth. Cambridge, Cambridge University Press, 1996, xxv+315 pp., £40. ISBN 0 521 55028 9.

Michael Angold, Church and Society in Byzantium under the Comneni 1081–1261. 605 pp., $89.95 (cloth). ISBN 0521 26432 4.

David Nirenberg, Communities of Violence: Persecution of Minorities in the Middle Ages. Princeton, Princeton University Press, 1996, ix+301 pp., $29.95, £23.95. ISBN 0 691 03375 7.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

Personality Disorders in Older Adult Inpatients with Chronic Mental Illness

It has been hypothesized that some types of personality disorders tend to remit with age whereas others may become more prominent. The present study determined the prevalence and nature of 13 personality disorders with a self-report inventory (Coolidge Axis II Inventory) in an older group of chronically mentally ill inpatients (N = 30, mean age = 63 years) and a younger group of similar patients (N = 30, mean age = 39 years). All patients met DSM-IV criteria for either Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, or recurrent severe Major Depression with psychotic features. The prevalence rate of personality disorders was high for both groups: 58% for the older sample and 66% for the younger group. The younger group was more likely to be diagnosed Antisocial, Borderline, Passive-Aggressive, Sadistic, and Schizotypal, but the groups were not different in the rates of Obsessive-Compulsive Disorder. This study supports the hypothesis that some personality disorders remit with age. However, no evidence was found to suggest that other personality disorders become more prominent in older adult psychiatric populations. Suggestions for future research are offered.     

On the relationship between Karen Horney's tripartite neurotic type theory and personality disorder features

[Horney, 1945] and [Horney, 1950] interpersonal theory [Horney, K. (1945). Our inner conflicts. New York, NY: W. W. Norton & Co., Inc.; Horney, K. (1950). Neurosis and human growth. New York, NY: W. W. Norton & Co., Inc.] postulated that individuals could move toward, move against, and move away from others as manifestations of their character development. In the present studies, it was hypothesized that Horney's tripartite theory might be useful in the elucidation of Diagnostic and Statistical Manual of Mental Disorders personality disorder features. In the first study, college students (n=198) completed the Coolidge Axis II Inventory [CATI; Coolidge, F. L. (1999), Coolidge Assessment Battery Manual. Port Huron, MI: Sigma Assessment Systems and Coolidge, F. L., & Merwin, M. M. (1992). Reliability and viability of the Coolidge Axis II Inventory: a new inventory for the assessment of personality disorders. Journal of Personality Assessment, 59, 223–238] and Cohen's 1967 35-item test [Cohen, J. B. (1967). An interpersonal orientation to the study of consumer behaviour. Journal of Marketing Research, 4, 270–278] of Horney's three types: Compliant, Aggressive, and Detached. In the second study, another group of college students (n=881) completed the CATI and Coolidge's 57-item test of Horney's three types. Results showed that both scales were reliable, generally similar, and numerous predicted correlational relationships were found. The usefulness of Horney's constructs in the understanding of personality disorders was discussed.     

Well-Being and Generalized Anxiety in Japanese Undergraduates: A Prospective Cohort Study

Psychological well-being is thought to protect against common mental health problems. This study investigated the buffering effects of psychological well-being on the relationships between cognitive vulnerabilities (fear of anxiety and negative beliefs about worry) and GAD symptoms among 297 Japanese undergraduates (female = 62%, age = 18.91 ± 1.61) in a two-wave prospective cohort study. Participants completed the Generalized Anxiety Disorder Questionnaire for DSM-IV, Center for Epidemiologic Studies Depression Scale, anxiety control subscale of Affective Control Scale, negative belief about worry subscale of Meta-Cognitions Questionnaire, and Nishida’s psychological well-being scale. A moderated regression analysis tested the buffering effect of psychological well-being sub-dimensions on the relationship between cognitive vulnerabilities and generalized anxiety symptoms. Fear of anxiety (β = 0.16, p < 0.01) and negative beliefs about worry (β = 0.16, p < 0.01) at baseline predicted generalized anxiety at follow-up, after controlling for baseline symptoms, and three interaction terms significantly predicted generalized anxiety symptoms. Purpose in life and autonomy buffered the negative relationship between cognitive vulnerabilities and generalized anxiety symptoms. Contrary to the hypothesized relationship, positive relationships with others at baseline facilitated a positive relationship between fear of anxiety and generalized anxiety symptoms. Those results suggested that enhanced Purpose in life and Autonomy dimension of Psychological well-being may be useful in preventing GAD, while the enhanced positive relationship with others dimension of Psychological well-being may facilitate generalized anxiety, as a function of fear of anxiety. In a primary prevention setting, it may be useful to consider the dimensions of Psychological well-being.