A detoxification phobia idiosyncratic to methadone maintenance programs is described and several representative cases are presented. Reliability of diagnostic criteria for the phobia are described and their overall reliability was found to be 93% while occurrence reliability was 67%, which investigators conclude is a moderate but clinically useful level. Prevalence data show the phobia occurring in 27% of a random sample of patients treated with methadone maintenance, an estimate the investigators feel is too high to be representative of typical methadone programs. Implications for treatment are discussed.
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Described a social skills assessment and training model for use with mildly retarded young adults (N = 20). The assessment procedure examined social behavior in three types of social situations (e. g., conversational situation, cooperative task and assertive situation) with both male and female respondents. Group behavioral social skills training was compared with a no treatment control condition using various dependent measures collected in the in‐vivo social situations. Group behavioral social skills trining was more effective than the control condition in increasing positive social behavior, attention to the transaction, and degree of empathy. It was also more effective than a control condition in decreasing negative social skill behavior. A situation effect also was observed, which suggests a need for more focus on particular social skills and a need to address issues of generalization. A comprehensive social skills assessment and training model is discussed.
Investigated the active components of covert positive reinforcement (CPR) with a 2 X 2 X 2 factorial design (N = 64) that consisted of an S-R modality (covert vs. overt) a reinforcement procedure (covert vs. overt), and a demand for expectancy of succesa (high vs. low). Posttreatment and follow-u results of the Behavioral Avoidance Test indicated that generally Ss in t ! e overt S-R modality groups approached closer to the rat than did those in the covert groups (N = 64). More i m ortantly, the S R modality >r: demand interactions reflected that those & in the two covert S-R modality groups under low demand evidenced less approach than those 8 s in the other six groups ( <.01). Self-ratin measures of anxiety on the Self-Rating Rat Anxiety &ale and the Fear fntensity Scale reflected overall decrements of fear from pretreatment to osttreatment and follow-up. Follow-up analyses indicated that plans shoulfl be made for the eneralization of treatment effects by varying the treatment setting and perfaps by employing multiple therapists.
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