The physician-delivered smoking intervention project: Can short-term interventions produce long-term effects for a general outpatient population?

Patterns of smoking cessation using 6- and 12-mo follow-up data are reported for 1,261 primary care patients randomized to 3 physician-delivered smoking interventions: advice only (AO), counseling (CI), and counseling plus availability of nicotine-containing gum (CI?+?NCG). One-week point-prevalence cessation rates at 12 mo did not differ among the interventions: AO (15.2%), CI (12.9%) and CI?+?NCG (16.7%). However, maintained cessation rates (abstinent at both 6 and 12 mo) increased with intervention intensity: AO (6.0%), CI (7.8%), and CI?+?NCG (10.0%): Test of trend χ–2?=?5.06, p?=?.02. CI?+?NCG was significantly higher than AO (p?=?.02). The findings support the following conclusions: Brief physician delivered intervention with availability of nicotine-containing gum can have a beneficial long-term effect on smoking cessation, and cohort data as well as point-prevalence rates are important when assessing the long-term impact of lifestyle interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social comparison and affiliation under threat: Going beyond the affiliate-choice paradigm.

Examined the emotional similarity hypothesis, a derivation from social comparison theory, which predicts that increasing fear should lead to greater affiliation with someone who is awaiting the same threat (and who therefore is of relatively similar emotional status) relative to someone who has already experienced the threat (and who therefore is of relatively dissimilar emotional status). Results failed to support the emotional similarity hypothesis and in so doing challenged the importance of emotional comparison as a determinant of verbal affiliation under threat. Cognitive clarity concerns instead seemed to account better for the observed effects on verbal affiliation. Supplementary analyses of nonverbal affiliation (facial glances) likewise ran counter to an emotional similarity prediction. Effects of affiliation on anxiety were also examined. Previous conclusions regarding the pattern and causes of affiliation under threat that have relied on the affiliate-choice paradigm are considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Elements of the Socratic method: III. Universal definitions.

Describes the content, process, and functions of universal definitions as used in psychotherapy. In the Socratic method, systematic questioning and inductive reasoning are used jointly to derive a universal definition. The content of universal definitions focuses on behavior labels (e.g., aggressive), evaluative standards (e.g., success), and abstract qualities (e.g., love). The process of using universal definitions in psychotherapy follows refutation, collection, and division to identify the essence of the concept. The functions of universal definitions include clarifying category membership, identifying potential causes, building new knowledge, broadening the client's perspective, limiting overgeneralizations, and guiding behavior change. Through the Socratic method, clients learn how to explore general emotional and interpersonal issues in an independent manner. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Spatial attention to arrays of multidimensional objects.

Encoding briefly displayed arrays of multidimensional objects appears to require selective attention, but this hypothesis is challenged by M. J. Nissen's (1985) finding that properties of an object are reported independently. Selective attention to some objects but not others should produce positive dependence. Theoretical analysis shows that deviations from independence would have been difficult to observe in Nissen's data because of high guessing rates and small sample sizes. Four new experiments showing strong positive dependence in property reports are described. Deviations from independence were highly significant for most Ss. Quantitative modeling shows that selective attention to subsets of objects would produce about the amount of dependence obtained. Rather than challenging attention theories, the amount of dependence in encoding multidimensional objects is consistent with selective attention to either objects or locations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is the Promissory Note of Personality as Vulnerability to Depression in Default? Reply to Zuroff, Mongrain, and Santor (2004).

In contrast to D. C. Zuroff, M. Mongrain, and D. A. Santor (2004), the current authors find the promissory note of dependency-sociotropy (DEP-SOC) and self-criticism-autonomy (SC-AUT) as a model of risk for depression to be in default. The authors propose reorganizing what has been cast as unitary effort into 3 distinct endeavors: a psychoanalytic clinical theory, development of a refined empirical model of risk for clinical depression, and research examining the effects of DEP-SOC and SC-AUT on interpersonal relationships in nonclinical samples. The authors identify some issues that need to be accommodated regardless of whether the assessment of Zuroff et al. (2004) or their own is accepted. DEP-SOC and SC-AUT are best construed as correlated, continuous dimensions. Future work also needs to accommodate depression as chronic recurrent condition, advances in developmental psychopathology, and more stringent criteria for positing a risk factor for clinical disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Characterisation of plasticity-induced closure--crack flank contact force versus plastic enclave

This paper presents some results from a totally new and powerful fusion between automated, digital photoelastic techniques and mathematical analysis of a crack experiencing closure. In essence, real-time photoelastic stress field data is acquired and fitted to a Muskhelishvili complex potential model of a loaded crack experiencing closure. The fit entails optimisation of multiple variables via a memetic algorithm, which combines a genetic algorithm and a local search. From observations made in this work, it is proposed that the plastic enclave around a crack tip will shield the crack from the full influence of the applied stress field. Furthermore, the effects of this ‘back stress’ are overcome by the applied tensile load in a way that, often, cannot be readily correlated with crack contact length, wake contact force, or with compliance.     

Two studies of the long-term follow-up of minimal therapist contact treatments of vascular and tension headache.

Tension and vascular headache patients, initially treated with biofeedback and/or relaxation training in either a minimal therapist contact protocol (3 visits) or an intensive individual protocol (10 or 16 visits) were followed-up prospectively for 2 years. In the first study, for the first 6 months of follow-up, half of all patients continued to keep headache diaries and were seen monthly and the other half had only minimal contact. The results at 1-year follow-up, based on 4 weeks of daily headache diaries, revealed equally good maintenance from both treatment protocols and from both follow-up conditions. In Study 2, we found that patients remained improved over pretreatment baseline levels at the 2-year follow-up regardless of initial treatment intensity. Approximately three quarters of vascular patients who were initially improved at posttreatment remained improved at 2 years. (PsycINFO Database Record (c) 2010 APA, all rights reserved)