The paradigmatic behaviorism theory of emotions: Basis for unification

Dissociating preferences from evaluations following subliminal conditioning

Preferences towards unfamiliar drink brands may be influenced through subliminal conditioning. This can involve associating unfamiliar brands (CS) with positively valenced attributes (US) under constrained visual conditions to prevent the former's conscious detection. According to learning theory, CS associated with positive US should become increasingly preferred as the latter's positive valences generalizes (transfer) across associated CS. Similarly, correlating CS with negative US should reduce CS-associated preferences. There is some evidence that CS-associated preferences can be reliably influenced through subliminal conditioning (Elgendi et al., 2018). Conversely, there is also evidence that subliminal conditioning does not effectively alter evaluations of CS valence (Heycke et al., 2018). Those works suggest CS preferences may be more susceptible to subliminal valence transfer relative to CS evaluations. We explored this hypothesis presently, where four pairs of supraliminal/visible and subliminal trigrams (CS) were respectively associated with four US categories varied along aggregate valence (100% positive, 80% positive, 20% positive, 0% positive). CS evaluations and preferences were recorded before and after conditioning. Bayesian analyses revealed US valence manipulations were likely to shift preferences, but not evaluations, of subliminal CS. Across supraliminal CS, Bayesian and frequentist analyses indicated US valence was significant and likely to shift preferences and evaluations. The present study demonstrates preferences may be influenced through subliminal conditioning even as evaluations are not.

Emotion Theory and Cognitive-Behaviour Therapy

This paper falls into three distinct sections. In the first, the attempt is made to discuss those aspects of emotion theory, particularly with respect to the links between emotion and cognition, that have been considered by cognitive-behaviour therapists. In the second, the aim is to describe recent emotion theory which has, in part, been directed towards cognitive-behaviour therapists and others who are concerned with emotional dysfunction, but which has not yet been taken up. In the final section, the goal is more speculative, arrived at through a description of some of the less obvious excursions made by emotion theorists. Although they mostly do not have emotional dysfunction in mind when addressing their theories, their views are, in the belief of the present author, particularly pertinent to the future directions of cognitive-behaviour therapy.

Cardiophobia: An Anxiety Disorder in Its Own Right?

Cardiophobic persons repeatedly present with complaints of chest pain and heart palpitations accompanied by fears of having a heart attack and of dying. They focus attention on their heart when experiencing stress and arousal, perceive its function in a phobic manner, and continue to believe they suffer from an organic heart problem despite repeated negative medical tests. To reduce anxiety, they seek continuous reassurance, make excessive use of medical facilities, and avoid activities believed to bring on symptoms. This article analyses the evidence for viewing cardiophobia as a phobic disorder in its own right rather than merely a problem of non-organic chest pain with some overlay of anxiety and depression. Despite some overlapping symptoms shared with persons who suffer from panic disorder, illness phobia, and extreme health anxiety, a number of central and defining features of cardiophobia are identified to differentiate cardiophobia from other anxiety disorders. An integrative model for understanding the origin and maintenance of cardiophobia (Eifert, 1990) is summarised and some treatment recommendations are derived from this model to target the central problems of persons with cardiophobia. Directions for future research are also discussed.

Rule-governed behavior: Unifying radical and paradigmatic behaviorism

Commonalities and differences between Skinner's analysis of verbal behavior and the paradigmatic behaviorism (PB) approach are described as a means of introducing the latter to behavior analysis. The focus is on treating the topic of rule-governed behavior-a topic of current interest in behavior analysis in addressing the challenge of cognitive psychology-within the PB framework. Dealing behaviorally with traditional psychology interests is considered important in PB, and this article aims to advance toward that goal. PB has presented a framework that deals with not only the behavioral description of language but also with language function as well as language acquisition. This includes a treatment of the manner in which verbal stimuli generally can control motor behavior. This framework includes analyses in addition to those present in the behavior analytic framework, along with empirical developments, and these can be used to enhance a behavioral understanding of important parts of verbal behavior and the effects of verbal stimuli on behavior, including rule-governed phenomena. Our purpose is to use the particular topic of rule-governed behavior to argue that a more explicit interaction between radical and paradigmatic behaviorism would advance behaviorism and also enable it to have a stronger impact upon psychology and the scientific community.

Psychological behaviorism and behaviorizing psychology

Paradigmatic or psychological behaviorism (PB), in a four-decade history of development, has been shaped by its goal, the establishment of a behaviorism that can also serve as the approach in psychology (Watson's original goal). In the process, PB has become a new generation of behaviorism with abundant heuristic avenues for development in theory, philosophy, methodology, and research. Psychology has resources, purview and problem areas, and nascent developments of many kinds, gathered in chaotic diversity, needing unification (and other things) that cognitivism cannot provide. Behaviorism can, within PB's multilevel framework for connecting and advancing both psychology and behaviorism.

Cardiophobia: a critical analysis

Cardiophobia, a clinical syndrome that affects hundreds of thousands of individuals in the USA, is characterized by abrupt, recurrent sensations and pain in the chest in the absence of physical pathology. This conceptual article seeks to address the significance of cardiophobia in western culture and to distinguish it from related disorders. In addition, a model of cardiophobia that highlights the role of heart-focused anxiety and interoceptive conditioning in the generation of limited-symptom panic attacks and acute chest pain is presented and vulnerability factors for cardiophobia are discussed. Future research directions relevant to the assessment and treatment of this clinically significant phenomenon are reviewed.

Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder

Three studies provide preliminary support for an emotion dysregulation model of generalized anxiety disorder (GAD). In study 1, students with GAD reported heightened intensity of emotions, poorer understanding of emotions, greater negative reactivity to emotional experience, and less ability to self-soothe after negative emotions than controls. A composite emotion regulation score significantly predicted the presence of GAD, after controlling for worry, anxiety, and depressive symptoms. In study 2, these findings were largely replicated with a clinical sample. In study 3, students with GAD, but not controls, displayed greater increases in self-reported physiological symptoms after listening to emotion-inducing music than after neutral mood induction. Further, GAD participants had more difficulty managing their emotional reactions. Implications for GAD and psychopathology in general are discussed.

Influence of Emotional Intensity and Frequency of Positive and Negative Events on Depression

This study replicates and extends aspects of psychological behaviorism's analysis of the role of positive and negative events in depression. As a first step, four pilot studies were conducted to develop a positive and negative events rating scale. This measure assesses the emotional intensity of positive and negative events (i. e., the strength of the positive or negative emotional response produced by the event) as well as the frequency of occurrence of the positive and negative events. A sample of 1089 college students then completed the Beck Depression Inventory and this new life events measure. Consistent with psychological behaviorism's analysis that emotional intensity involves a personality process and frequency an environmental process, the results showed that the emotional intensity of positive and negative events as well as the frequency of positive and negative events had independent roles in the prediction of depression (i. e., each of the four variables predicted depression after controlling for the other three). In addition, the results supported the personality and environmental subtypes of depression as specified by the theory. Suggestions are made for how subsequent research can test more explicitly this theory of depression.

Valuable, but not maximal: it's time behavior therapy attend to its behaviorism

The field of behavior therapy is not in touch with itself in terms of its overarching behaviorism. Many erroneously consider its basic behaviorism to have been radical behaviorism and continue to look to develop behavior therapy (including behavior analysis and behavioral assessment) within that framework. But that approach turns out to be much less than maximal because there is a more advanced, better developed behaviorism within which to conduct and project the field. There is much that behavior therapy is not doing in practice and research because it is not making full use of that behaviorism foundation.

Cognitive vs. contextual causation: different world views but perhaps not irreconcilable

In this commentary, we address some of the divisive issues between cognitive theorists and behavior analysts concerning the aims and goals of science and differing views of causality. We suggest that evidence for the causal status of cognition has been inconclusive, largely due to the fact that most of this research can be framed in terms of environmental causes. We examine (1) what we can consider as causes of behavior and (2) how we can manipulate these causes in therapy. We conclude that a rapprochement between cognitivists and behavior analysts will require more careful description of the multiple causal pathways responsible for experimental and therapeutic effects.

More theory-driven and less diagnosis-based behavior therapy

Individualized treatment based on a functional analysis of problem behavior used to be considered a hallmark of behavior therapy. Yet the relative success of recently developed treatment manuals for DSM-defined disorders has cast doubts as to whether treatment individualization is really necessary. This article evaluates some of the relative merits of assessments and manualized treatments based on DSM categories and discusses data that indicate when a protocol treatment approach is sufficient and when it is not. Finally, a theory-driven approach to conducting behavior therapy is proposed as a way to complement individualized and manualized treatments. This approach is illustrated by presenting a model-based assessment and treatment approach to overcome excessive heart-focused anxiety (cardiophobia).

The effects of running and meditation on beta-endorphin, corticotropin-releasing hormone and cortisol in plasma, and on mood

The relations between three hormones of the hypothalamic-pituitary-adrenocortical (HPA) axis, beta-endorphin (beta-EP), corticotropin-releasing hormone (CRH) and cortisol, and mood change were examined in 11 elite runners and 12 highly trained mediators matched in age, sex, and personality. Despite metabolic differences between running and meditation, we predicted that mood change after these activities would be similar when associated with similar hormonal change. Compared to pre-test and control values, mood was elevated after both activities but not significantly different between the two groups at post-test. There were significant elevations of beta-EP and CRH after running and of CRH after meditation, but no significant differences in CRH increases between groups. CRH was correlated with positive mood changes after running and mediation. Cortisol levels were generally high but erratic in both groups. We conclude that positive affect is associated with plasma CRH immunoreactivity which itself is significantly associated with circulating beta-EP supporting a role for CRH in the release of beta-EP. Increased CRH immunoreactivity following meditation indicates, however, that physical exercise is not an essential requirement for CRH release.

The effects of running, environment, and attentional focus on athletes' catecholamine and cortisol levels and mood

This study was designed to examine some of the psychoneuroendocrine effects of exercise-induced emotional experiences and the mediating effects of environmental setting and subjects' attentional focus. Trained runners were tested during an outdoor run and two indoor treadmill running conditions. Excretions of catecholamines and cortisol significantly increased after all running conditions but not after a control condition. Results indicate that patterns of endocrine and concomitant emotional change through exercise differ when environmental setting and attentional focus are altered in such a way that a normally pleasant task such as running becomes tedious and negatively evaluated. These findings support the notion that setting, attention, and cognitive appraisal may alter the emotional experience associated with physical exercise.

Pain ameliorating effect of eye movement desensitization

This study explores the efficacy of eye movement desensitization and reprocessing (EMD/R) in the management of acute pain induced by hand exposures to ice water. Thirty participants were randomly assigned to one of the following interventions: (a) eye movement desensitization and reprocessing, (b) eye movement desensitization with music (EMD/M), and (c) control. The EMD/R participants focused on negative experiences associated with exposure to ice water, generated positive self-talk, and diverted their attention away from pain by focusing on a rapidly moving light on a monitor. The EMD with music group received eye movement desensitization coupled with preferred music. Repeated measures univariate and multivariate analysis of covariance was used to analyze the data. Results indicated that both procedures alleviated participants' pain to a similar degree and significantly more than the control, P < 0.05.

Unifying the field: developing an integrative paradigm for behavior therapy

The limitations of early conditioning models and treatments have led many behavior therapists to abandon conditioning principles and replace them with loosely defined cognitive theories and treatments. Systematic theory extensions to human behavior, using new concepts and processes derived from and built upon the basic principles, could have prevented the divisive debates over whether psychological dysfunctions are the results of conditioning or cognition and whether they should be treated with conditioning or cognitive techniques. Behavior therapy could also benefit from recent advances in experimental cognitive psychology that provide objective behavioral methods of studying dysfunctional processes. We suggest a unifying paradigm for explaining abnormal behavior that links and integrates different fields of study and processes that are frequently believed to be incompatible or antithetical such as biological vulnerability variables, learned behavioral repertoires, and that also links historical and current antecedents of the problem. An integrative paradigmatic behavioral approach may serve a unifying function in behavior therapy (a) by promoting an understanding of the dysfunctional processes involved in different disorders and (b) by helping clinicians conduct functional analyses that lead to theory-based, individualized, and effective treatments.

From behavior theory to behavior therapy: the contributions of behavioral theories and research to the advancement of behavior therapy

As we approach the latter years of the twentieth century, a century that witnessed the birth of the behavior therapy movement, it becomes increasingly important to understand the forces that shaped the development, advancement, and success of behavior therapy. This paper is an introduction to a series of articles analyzing how major behavioral theories and research have contributed to the advancement of behavior therapy. In view of the fact that many behavior therapists have lost touch with the relation between behavior theory and behavior therapy and the challenges of the "cognitive revolution", we argue that the field would benefit conceptually and practically from integrating and utilizing the resources provided by recent advances in basic behavioral theory and research. The articles in this symposium attempt to build conceptual, methodological, and practical bridges to help behavior therapists recognize and utilize basic behavioral research and concepts.

Cardiophobia: a paradigmatic behavioural model of heart-focused anxiety and non-anginal chest pain

Cardiophobia is defined as an anxiety disorder of persons characterized by repeated complaints of chest pain, heart palpitations, and other somatic sensations accompanied by fears of having a heart attack and of dying. Persons with cardiophobia focus attention on their heart when experiencing stress and arousal, perceive its function in a phobic manner, and continue to believe that they suffer from an organic heart problem despite repeated negative medical tests. In order to reduce anxiety, they seek continuous reassurance, make excessive use of medical facilities, and avoid activities believed to elicit symptoms. The relationship of cardiophobia to illness phobia, health anxiety, and panic disorder is discussed. An integrative psychobiological model of cardiophobia is presented which includes previous learning conditions relating to experiences of separation and cardiac disease; deficient and inappropriate behavioural repertoires which constitute a psychological vulnerability for cardiophobic problems; negative life events, stressors, and conflicts in the person's present situation that trigger and contribute to the symptoms; current affective, cognitive, and behavioural symptoms and their stimulus properties; and genetic and acquired biological vulnerability factors. Finally, recommendations for the treatment of cardiophobia are derived from the model and areas of future research are outlined.

Promoting healthy nutritional habits by paradigmatic behavior therapy

Paradigmatic behavior therapy was applied to alter the maladaptive nutritional habits of a 41-year-old depressed female. The client's activities, affect, and cognitions were self-monitored, along with daily intake of processed sugar and fruits and vegetables. The intervention program included contingency contracting and the production of pleasant affective states. The program promoted a favorable attitude toward fruits and vegetables and led to a significant increase in their consumption with significant decrements in sugar intake. The client became less tense and depressed. The favorable effects were maintained at a 5-month follow-up.

Matching treatments to client problems not diagnostic labels: a case for paradigmatic behavior therapy

The present article critically analyzes the current approach to treatment outcome research and the uncritical use of treatment packages. Comparing various combinations of treatments with groups of clients randomly assigned to these conditions has led to the neglect of individual differences between persons falling into broad diagnostic categories. The inconclusive results of such studies say little about the efficacy of a particular treatment for an individual client and are also not very useful in helping clinicians to decide which specific treatment to use for a given client. Although treatment packages may be attractive and at times helpful to clinicians, their simplistic use is antithetical to the original and unique approach of behavior therapy and no substitute for treatment individualization. Using the example of agoraphobic problems we show how a conceptual understanding of the processes involved in a given clinical problem and the development of an integrative paradigmatic behavioral model may guide the researcher/clinician toward more effective treatment planning. Conceptually derived treatments can be individualized more easily and therefore take better account of individual differences between clients suffering from a seemingly similar problem. Treatment outcome studies should specifically compare the efficacy of matching particular types and constellations of dysfunctional processes with different procedures which specifically target those dysfunctions.