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Biomedical subjects

R D Zettle

Publications and source records attributed to R D Zettle.

8 recordsLinked to original sources

Treatment utility of the sociotropy/autonomy distinction: implications for cognitive therapy.

The treatment utility of the Sociotropy/Autonomy Scale was evaluated by matching or mismatching subjects to either individual or group cognitive therapy according to their dominant personality dimension. Both groups of subjects obtained statistically significant, but equivalent, reductions in depression. Consistent with Beck's (1983) interactional model, tests of clinical significance indicated a higher proportion of matched subjects who displayed marked improvement at follow-up. Implications for cognitive therapy and further research on the assessment of personality dimensions relevant to depression are discussed.

Adult↗

Responsivity to cognitive therapy as a function of treatment format and client personality dimensions.

The effects of treatment format and client personality dimensions upon responsivity to cognitive therapy were investigated. Depressed subjects were assigned to either 12 weeks of individual or group cognitive therapy. The two formats were found to be equally effective in significantly reducing depression. Subjects were categorized at pretreatment using Beck's Sociotropy/Autonomy Scale in conducting a post hoc analysis of the impact of client personality dimensions upon responsivity to treatment. Consistent with Beck's (1983) interactional model, sociotropic subjects who received group therapy and autonomous subjects assigned to individual therapy showed greater improvement than subjects whose predominant personality dimension did not match the type of treatment received.

Adult↗

Validation of depression measures in adolescent populations.

Four measures of depression were administered to a normative sample (n = 44) and two psychiatric groups of adolescents (n = 40). Measures included the Adolescent Activity Checklist (AAC), Beck Depression Inventory (BDI), Automatic Thoughts Questionnaire (ATQ), and Dysfunctional Attitudes Scale (DAS). Only the BDI and ATQ were able to discriminate among the three populations. The DAS and frequency of unpleasant activity (FRUA) subscales of the AAC only differentiated between nondepressed and depressed psychiatric subjects. Adolescent behavioral activity related to depression differed from adults with only mixed support found for cognitive depression among adolescents.

Adolescent↗

Group cognitive and contextual therapies in treatment of depression.

Depressed subjects (N = 31) were treated with three different group therapies: (a) complete cognitive therapy (CCT); (b) partial cognitive therapy (PCT); or (c) comprehensive distancing (CD). All three groups showed significant, but equivalent, reductions in depression over 12 weeks of treatment and 2-month follow-up. However, significant reductions in dysfunctional attitudes obtained for CCT and PCT were not found for CD, which suggests different underlying therapeutic processes. Comparisons with other studies noted no differences in the efficacy of CT as a function of treatment format, but a trend toward reduced effectiveness for group vs. individual CD. Suggestions for further research in CT and CD are presented.

Adult↗

Rule-governed behavior and sensitivity to changing consequences of responding.

Humans were presented with a task that required moving a light through a matrix. Button presses could produce light movements according to a multiple fixed-ratio 18/differential-reinforcement-of-low-rate 6-s schedule, with components alternating every 2 min. Moving the light through the maze earned points worth chances on money prizes. In Experiment 1 four conditions were assessed through between-subject comparisons: minimal instructions, instructions to press rapidly, instructions to press slowly, and instructions that sometimes rapid responding would work while at other times a slow rate would work best. Subjects responded in three successive sessions of 32 min each. The results suggested that instructions affected the nature of the contact made with the programmed consequences and thus subsequent performance. In some cases, responding seemed to result from added contingencies introduced by stating rules. In Experiment 2 the relative contribution of these two effects was assessed by presenting and then withdrawing two lights that had been paired with two specific instructions: "Go Fast" or "Go Slow." There were three conditions. In one condition, only the Go Fast light was on; in a second, only the Go Slow light was on; and in a third, the lights alternated each minute. In each condition, half the subjects had all instruction lights turned off after the first session. The results once again showed an effect of instructions on contact with the programmed consequences. However, responding sometimes continued in a manner consistent with added contingencies for rule-following even when the programmed consequences had been contacted and would have controlled a different type of responding in the absence of instructions. The relevance of added contingencies for rule-following in determining the effects of explicitly programmed consequences is emphasized.

Journal Article↗

Self-reinforcement effects: An artifact of social standard setting?

Two studies were conducted to identify mechanisms responsible for observed "self-reinforcement" effects. In Experiment 1, using a studying task, self-reinforcement procedures did not work when they were private (i.e., when others are not aware of the goals or contingencies), but did work when they were public. Self-delivery of consequences added nothing to the effectiveness of the procedure. The data suggested that public goal setting was the critical element in the procedure's effectiveness. In Experiment 2, an applied extension, goal setting alone was effective in modifying over a long time period studying behaviors of people with significant studying difficulties, but only when the goals were known to others. Overall, the two experiments make more plausible the view that self-reinforcement procedures work by setting a socially available standard against which performance can be evaluated. The procedure itself functions as a discriminative stimulus for stringent or lenient social contingencies. The application of this mechanism to other problems of applied significance is briefly discussed.

Journal Article↗