The purpose of this study is to replicate and extend earlier work involving cluster analysis of MMPI profiles among persons with chronic low back pain. There are two specific goals. The first goal is to demonstrate the existence in a new sample of four distinct and homogenous profile clusters that have been found in previous research. The second goal is to investigate the relationship of the four profiles to the subjects, self-reported pain history and response to treatment. This study concludes that four distinct MMPI profiles can be identified among chronic low back pain patients. Further, these profiles are the same for males and females, and are the same profiles found in previous research. These profiles are significantly related to subjects' history of behaviors in dealing with pain. However, no relationship to treatment response was found. It was inferred that the MMPI is of value in understanding the nature of patients' pain coping behaviors, but that further research is needed before any statements can be made regarding the utility of the MMPI in understanding their response to treatment.

The present study attempted to predict the serious side effects of akathisia and parkinsonism on the basis of individualized measurement of changes in visuomotor functioning. The following were the hypotheses for this investigation. 1. A deterioration of visuomotor ability as measured by a modification of Haase and Janssen' s (1965) Handwriting Test will predict which patients undergoing neuroleptic therapy will experience the extrapyramidal symptoms of akathisia and parkinsonism (symptom group) and which will not (no-symptom group). 2. A deterioration of visuomotor ability as measured by the Bender-Gestalt will predict which patients undergoing neuroleptic therapy will experience the extrapyramidal symptoms of akathisia and parkinsonism (symptom group) and which will not (no-symptom group). It was not possible to predict the symptom group as a whole on the basis of the Handwriting Test scores since a t test of the difference was not significant between group means. However, inspection of these scores showed clear deterioration of performance among the patients who experienced parkinsonian reactions as opposed to those who experienced akathisia or who did not experience extrapyramidal symptoms at all. The symptom group was separated into akathisic and parkinsonian groups and compared to the subjects who did not experience extrapyramidal side effects (no-symptom …

The present study investigated female sexuality by examining a range of experiential, historical, attitudinal, and behavioral variables, and conceptualizing sexual orientation along several dimensions on a heterosexual/homosexual continuum. The focus was on determining what, if any, important etiological factors emerged, as well as differences in behavior, attitudes, and preferences among women with various sexual orientations. It was concluded that a nonconventionality factor could be interacting with certain experiential and situational variables to produce a bisexual or homosexual lifestyle. Consequently, the ideosyncratic variable nature of such a paradigm could partially explain inconsistencies in past research. Results of this study were comparable to previous ones indicating that the women were similar (across sexual orientations) in their emphasis on emotional aspects of a relationship, history of heterosexual dating and coitus, few (relative to males) sex partners, and a less (than males) actively assertive sexual pattern of behavior. Future research might include males in the investigation of the role of a nonconventionality factor in sexual orientation. Also, relationship between cognitive/perceptual styles and sexual orientation could be explored.

The present study proposed to investigate the effects of level of acculturation and of language of the therapy interview on self-disclosure by Mexican-American women. It was predicted that self-disclosure would be affected by both level of acculturation and by the language of the initial therapy interview. The principal implication of this finding is that for the first-generation Mexican-American woman, that is, a woman who has not acculturated to the mainstream society, the language in which therapy is conducted constitutes a significant factor in predicting whether she is likely to self disclose and thereby benefit from the therapy. The findings of this study suggest that less acculturated Mexican-American women would be more likely to utilize mental health services if they are available in Spanish.

A double-blind comparison was conducted using typical doses of soporific agents from three drug classes and a placebo. Drugs which were used in the study included secobarbital, flurazepam hydrochloride, and thioridazine. Subjects were 40 outpatient volunteers whose primary complaint was difficulty in falling to sleep. Subjects were randomly assigned to one of the three drug groups or the placebo group. One of the drugs or the placebo was administered to each subject for 3 nights. Half of the subjects in each of the four groups were told the drug had caused any observed changes in their sleep behavior and were in this way led to attribute any changed sleep behavior externally to the drug. The other half were told the drugs were not typically used to treat insomnia and changes in their sleep were due to changes made in their own behavior, thus attributing any changes in sleep behavior internally. The implication for clinicians was that a short course of drug therapy using a placebo or one of several soporific drugs might be used equally effectively to treat primary latency insomnia. Additionally, the results demonstrated that clinicians might expect the effectiveness of treatment to be maintained following treatment. Recommendations included …

This study investigated color discrimination as a possible localized function of right or left cerebral hemispheres in humans. Previous studies have shown conflicting results. Studies implicating the left hemisphere have contaminated color discrimination with verbal-symbolic ability. Other studies implicating the right hemisphere emphasized color-matching ability. This study pointed out the importance of response latency as well as accuracy and also the importance of testing the data for meeting the assumptions of the statistical technique utilized. It was concluded that color discrimination is normally a right-hemisphere function in right-handed individuals. Differences in individual ability, although large, were not found to be systematically related to sex or eye dominance, but may be learned individual differences. The study further pointed out the inappropriateness of referring to a major or dominant cerebral hemisphere without stipulating which function is being considered.

Thirty-seven male prisoners who had been convicted or indicted on a charge of threatening the President or national political figure were compared to state inmates, federal inmates, and normative samples on psychometric and demographic variables. Results indicated that assassin/threateners were significantly more paranoid, schizophrenic, and socially alienated than comparison samples. Their heterosexual adjustment and work record tended to be poorer than comparison inmates. Data suggested that the probability of organic impairment was greater for assassin/threateners than for the normative sample. In addition, political threateners were found to be self-destructive, apolitical, Caucasian, and products of disturbed family backgrounds.

A psychological intervention involving relaxation training and biofeedback training for the control of peripheral skin temperature was investigated in this study with 27 female rheumatoid arthritics as participants. Based on analysis of the temperature data, it was concluded that the biofeedback response was not learned. From electromyographic data, it was concluded that participants did learn to relax. The hypothesis that the two treatment components would have beneficial effects on the physical, functional, and psychological aspects of rheumatoid arthritis was answered partially. No differential effects as a function of biofeedback training were found as the data for the temperature increase and temperature decrease groups were statistically combined in multiple analyses of variance for repeated measures. Although no differential effects were obtained, numerous positive changes were found. Correlated with the relaxation training were decreases in reported subjective units of discomfort, percentage of time hurting, percentage of body hurting, and general severity of pain. Improved sleep patterns were reported as was increased performance of activities of daily living. Reductions were also found in psychological tension, and in the amount of time mood was influenced by the disease. Shifts were not found in imagery, locus of control, and other psychological dimensions. Constitutional improvements were …

The present study investigated the effects of anxiety management training on the reduction of Type A coronary-prone behavior in a college student population and utilized behavioral measures as well as self-report indices of change. Evaluations pre- and post-treatment included self-report measures of Type A behavior, empirically validated performance measures of the achievement-striving and time-urgency components of coronary-prone behavior, and a learned helplessness manipulation that has been associated with this behavior pattern. Analysis of covariance indicated that the treatment group changed in the desired direction on all self-report indices, and on most of the performance measures and helplessness scores that were used as dependent variables. Discussion centered on the implications of these data to theoretical and practical conceptualizations of coping behavior and coronary disease and cautions were expressed concerning clinical significance, maintenance, and generalization of results.

This study was designed to compare the effects of exposure to two different sets of soluble discrimination problems, an easy set composed of only two- and three-dimensional problems and a more difficult set composed of problems ranging from two to seven dimensions, both immediately after training and at a 10-day posttreatment follow-up. The subjects were 32 depressed male inmates of a federal correctional institution. It was hypothesized that as a result of meeting and mastering progressively more difficult problems, the group given progressively more difficult problems would show a greater reduction in depression and a greater enhancement of performance on a variety of cognitive measures, both immediately after treatment and at the 10-day posttreatment follow-up. The results failed to support these hypotheses. Depression scores decreased significantly from pretreatment to posttreatment, but did so equally for the two groups. One of the cognitive measures, the WAIS Digit-Symbol subtest, showed significant improvements from pretreatment to posttreatment, but did equally for the two groups. Significant relationships were found between the subjects' performances on the cognitive tasks, and measures of their tendencies to attribute successes and failures to stable or unstable factors. Unexpected significant positive relationships were found between depression and performance on the …

Traditional treatment for insomnia has been chemotherapy-- despite short-term value and side effects. Need for an alternative has led to research on behavioral treatment methods for insomnia. Relaxation training has consistently produced effective results, but the limited research on biofeedback and stimulus control suggests that they too may be viable alternate treatment methods. The present research investigated electromyogram (EMG) biofeedback, pseudo-EMG biofeedback, relaxation, training, and stimulus control as methods of treating sleep-onset insomnia. Volunteers consisting of 12 males and 24 females were recruited through newspaper advertisements. Subjects had no known physical cause for insomnia and were either free of sleeping medication or kept their dosage constant during the study. Subjects were matched for age and sex, randomly assigned to one of the four treatment groups, then randomly assigned to one of three therapists. Results indicated that pretreatment EMG scores for the four groups were high but not significantly different-- while post treatment EMG scores were not significantly reduced. Pretreatment sleep-latency measures were high, but not significantly different from each other. Post treatment latency measures were significantly reduced, but not significantly different from each other. Correlation between EMG-change scores and sleep-latency-change measures was non-significant. Pretreatment nightly awakenings for the four groups …

Relaxation procedures and anxiety relief were reviewed. Effects of cognitive and expectancy variables in reduction of avoidance behavior were also extensively reviewed. Various theoretical models for desensitization were presented. Use of symbolic control in classical conditioning and use of self-control methods in anxiety reduction were discussed. Special emphasis was given to self-desensitization and cue controlled relaxation. One goal of the experiment was to determine whether a musical stimulus associated with counter anxiety procedures could reduce or prevent subjects' phobic responses in the presence of the phobic situation. Another goal was to determine the relative efficacy of two counter anxiety procedures (anxiety relief and progressive muscle relaxation) in lowering muscle tension and in reducing or preventing speech anxiety. Several implications were drawn from the study. Relaxation alone may alleviate anxiety and phobic behavior without being paired with phobic stimuli. Cognitive variables such as expectancy and feedback of progress make a substantial contribution to treatment of situational anxiety. Progressive muscle relaxation may not be the technique of choice for producing low levels of muscle tension. Recommendations for future research were specified, including additional measures and control procedures.

This study was designed to compare the clinical effectiveness of EMG biofeedback and progressive relaxation training in the treatment of muscle tension headache. These procedures also were compared with a treatment-element control group. Results from this study indicated that EMG biofeedback, progressive relaxation, and the control procedures all led to significant improvements across sessions on EMG and most self-report measures. There was little evidence that either treatment technique was superior to the other or to the control procedures. Although in most cases there were rather large numerical differences between groups, these differences generally were not statistically significant. Analysis of correlations between EMG and self-report data revealed a pattern of variable but generally nonsignificant relationships. However, for the biofeedback and progressive relaxation groups, there were a number of highly significant correlations. The pattern of correlations suggested that the relationship between EMG tension and subjective headache pain may be better predicted by something other than a strict linear model.

Previous research suggested that sleep onset insomnia was significantly reduced with the use of relaxation techniques; however, the majority of these studies used college student populations with mild to moderate insomnia. The objective of the present study was to assess the effectiveness of using muscle relaxation training in a clinical population known to have sleeping difficulties—cancer patients. Results of this study suggest that muscle relaxation training is an effective technique to reduce sleep onset insomnia in cancer patients, and perhaps also in any clinical group. The technique seems especially promising since it was shown to be effective with severe insomniacs suffering severe medical problems. Results of the study were discussed in terms of possible explanations for the efficacy of the treatment, potential uses of the technique with other clinical populations, and ease of teaching nonpsychologist health professionals to treat with muscle relaxation training.

The current study investigated the efficacy of Wolpe's original (1954) paradigm of anxiety-relief conditioning. The procedure consisted of administering a mildly aversive electric shock to a subject for several seconds until the subject said the word "Relax," and the shock was terminated. Repeated pairings were claimed by Wolpe to condition physiological relief to the cue word, "Relax," which could then be employed in order to reduce anxiety in various anxiety provoking situations. Since there does not appear to be a generally accepted theoretical rationale to account for the reported efficacy of anxiety-relief conditioning, several theoretical rationales were discussed. In addition, a distinction was made between the anxiety-relief paradigm described by Wolpe (1954) and the aversion-relief paradigm employed by subsequent investigators (Gaupp, Stern, & Galbraith, 1972; Solyom, McClure, Heseltine, Ledwidge, & Solyom, 1972; Thorpe, Schmidt, Brown, & Castell, 1964). It was suggested that this distinction might be used to account for the failure of the current investigation to support the efficacy of anxiety-relief conditioning, as a review of the major study supporting its efficacy (Turnage & Wenrich, 1974) indicated that aversion-relief, rather than anxiety-relief, may have been employed. In the absence of strong supportive evidence for the efficacy of Wolpe's anxiety-relief …

This research was a controlled group outcome study to determine the effectiveness of a multisystem therapeutic intervention for hyperarousal to stress. It was assumed that the hyperarousal syndrome is a generalized and undifferentiated response which involves multisystems of the organism, including physiological-autonomic aspects, cognitive appraisals and imagery, affective components, and an array of overt and covert behavioral responses. If the hyperarousal syndrome persists over a period of time, a psychophysiological disorder may occur in the response system that has been repeatedly stimulated. It was postulated that learning to maintain the arousal state within a normal range of functioning may prevent the occurrence of psychophysiological diseases. Verbal reports of the experimental group indicate a beginning ability to transfer the learned low-arousal response to real-life situations. The results of this study suggest that learning a low-arousal adaptation to stress may have important implications for prevention or attenuation of psychophysiological and psychiatric disorders.

The present research was undertaken to investigate the effects of two independent variables considered potentially important to the reduction of fear through systematic desensitization. The first independent variable investigated was the importance of making covert motor responses when instructions were given to imagine motor behavior. Electromyographic measures were obtained on subjects' covert muscular activity as they imagined themselves raising their arms. The subjects were then classified, on the basis of their average electromyographic responsiveness, as high-responders (those showing relatively high levels when imaging movement) and low-responders. A 2 X 2 analysis of covariance showed a significant difference in the posttreatment scores of the high- and low responders on performance measures, the high-responders performing better. The difference between the two instruction groups was not statistically significant. Additional analyses indicate the importance of the instruction variable is mitigated by the extent to which subjects actually follow the particular instructions given. These data imply electromyography may be used in clinical practice as an assessment tool to determine which subjects are likely to respond to systematic desensitization. They also suggest the possibility of using response measures to train self-monitoring of imagery. Concerning the imagery construct, the present study offers an empirical alternative to the …

In the present study, three self-managed treatment programs were compared with respect to their ability to effect and maintain change in the cigarette smoking behavior of 27 subject volunteers from the population of employees of a Veterans Administration hospital. Subjects were randomly assigned to a self—imposed delay group, a self-directed relaxation group, and a self-monitoring group. The experimental program lasted 6 weeks with a 20-minute individual meeting each week. Three months following treatment, subjects were contacted by mail and were asked to monitor their smoking behavior for one week, and to return their average daily smoking rate by mail. The results provide support for the effectiveness of the self-management technique of self-imposed delay as a durability—enhancing treatment procedure. The effectiveness of self-management techniques as a general class of treatment strategies was not supported. A task for future research would be to establish the effectiveness of the delay technique implemented earlier in the cigarette smoking chain, as well as to determine whether effectiveness is increased or decreased by a specification of the content of a delay interval.

The present study investigated a theory of the etiology and generalization of stuttering behavior. The subjects were 24 male students at a medical center who responded to advertisements requesting participation in a research project on learning and heart rate. The age range of the subjects was 22-28 years, and the mean age was 22.8 years. Three stimulus topic words were used in the present study. Two of these words were semantically equivalent. The independent variables were the three words that the subjects were instructed to discuss: neutral word condition, experimentally induced noxious word condition, and word semantically equivalent to the noxious word condition. The six dependent measures were percentage of part-word repetitions, percentage of interjections, heart-rate beats per minute, electromyographic microvolts per minute, galvanic skin response ohms conductance per minute, and self-report ratings of "state" anxiety. As predicted, heart rate and a self-report "state" anxiety measure achieved significance in a pattern corresponding to part-word repetitions. Two other measures of state anxiety (galvanic skin response and frontalis electromyographic activity) did not reach significance, although the results were in the predicted direction. The theory that "trait" anxiety accounts for susceptibility of fluency failure under emotional stress was not confirmed. The hypothesis offered …

This study was designed to be the first step in an empirical investigation of the female offender, using biographical information. It Is the goal of the research to eventually be able to predict probable criminal activity among women. The most readily delineated group for study was female prisoners. The purpose of the study was to determine if factor clusters could be produced which were representative of women in prison. Specific objectives were to organize descriptive biographical information of incarcerated women and to correlate bio-data results with important current and post-incarceration events. This study makes it clear that merely labeling behavior as criminal—connoting a deviant class of behavior—is highly inexact in identifying it. The female offender cannot as yet be defined in the same way as a person suffering from depression, hypochondriasis, or schizophrenia—that is, by distinctive response groupings. While this study made many inroads, generating descriptive factors and significant behavioral/life-history correlates, incarcerated female offenders as a class cannot as yet be identified by responses that make up a valid category of behavior.

The study examined the relationships between various parental discipline styles and perceived powerlessness in antisocial adolescents. The literature on adolescent antisocial behavior frequently describes states of disaffection, alienation, and powerlessness as characteristic of the delinquent youth. The parent-child relationship is also frequently implicated as the significant precursor of antisocial behavior in adolescents. The purpose of this study was to determine if perception of control orientations function as cognitive mediators between perceived styles of parental discipline and subsequent behavior in adolescents. It was concluded, on the basis of the data obtained from this study, that antisocial adolescents do not perceive themselves to be more powerless than non-antisocial adolescents. It was recommended that caution should be exercised in applying such a label to those exhibiting antisocial patterns of behavior. It was also concluded that punishment applied in an unpredictable fashion may have detrimental effects on the development of female adolescents.

Systematic desensitization and implosive therapy have surfaced as two of the primary behavioral therapy techniques to decrease phobic responses during the past decade. Although attempts have been made to compare the efficiency and effectiveness of these two techniques, results have been unclear because of the failure of researchers to duplicate the procedures as described by their respective originators. This experiment is designed to explore the joint effects of the therapies and level of therapeutic aspiration. A second objective, and a byproduct of the data produced in achieving the primary objective, was to analyze the goal discrepancy and attainment discrepancy scores accruing throughout the therapy sessions. Several hypotheses were advanced. Further analysis of the three criterion measures by means of ANOVA resulted in significant main sessions effects for each of the three independent analyses. Results suggest that all subjects, regardless of treatment subgroup, did make significant therapeutic gains in their approach scores, fear thermometer scores, and speed of approach scores from the first to the last session. Possible explanations for results were discussed. Furthermore, approach test absolute goal discrepancy, fear thermometer absolute goal discrepancy, approach test absolute attainment discrepancy, and fear thermometer absolute attainment discrepancy scores were calculated for all goal-setting …

In this study violent and nonviolent prisoners were differentiated on the basis of life history and psychometric variables. Life history data were collected from institutional files and from a biographical questionnaire. Psychometric procedures consisted of the Mini-Mult Prisoner Questionnaire and the Bender-Gestalt. In summary, the variables included in the discriminant function suggest that the violent subjects were more psychopathological than the nonviolent subjects. The violent subjects evidenced behavioral problems at a young age in appropriately expressing anger. They appeared to have limited behavioral repertoires in attaining their desires outside the immediate gratification through aggressive means. They were also more emotionally alienated and less socially skilled. The violent subjects received more negative feedback during childhood and were incarcerated at a younger age, They were more overtly hostile and also more lacking in cognitive ego mastery. In contrast, the nonviolent subjects apparently learned during childhood to repress their anger to a greater extent. They also seemed to modulate their anger by withdrawing from direct interpersonal conflict.