Fraser Watts

Biases of attention and memory in disorders of anxiety and depression

Abstract Theoretical frameworks and experimental paradigms derived from cognitive psychology provide a valuable approach to the investigation of cognitive aspects of disorders of anxiety and depression. Review of the literature provides strong evidence of attentional bias towards threat stimuli in anxiety, though evidence of comparable attentional bias in depression is weaker. There is also strong evidence of memory bias towards mood-congruent materials in depression, though comparable evidence regarding anxiety-congruent memory is mixed. A variety of theoretical frameworks for explaining such phenomena have been advanced, using concepts such as networks, schema and mental models. There is a need now for theoretical frameworks that address themselves to the specificity of the empirical phenomena. Clinical and empirical implications of these findings and models are discussed, including developments in diathesis-stress models of psychopathology, the use of experimental-cognitive paradigms in clinical assessment, and the prospect of therapeutic applications.

Questionnaire dimensions of spider phobia

Abstract The construction is described of a questionnaire designed to measure separate dimensions of cognitive-behavioural responsiveness to spiders in spider phobics. Dimensions of vigilance, preoccupation and coping-avoidance are established. Data are presented on differences between phobics and normals on the questionnaire, on correlations between the questionnaire measures and avoidance test measures, and on the effects of desensitization on the questionnaire measures.

Behavioural aspects of the management of diabetes mellitus: Education, self-care and metabolic control

Abstract A review is presented of factors relevant to the level of the knowledge, self-care and metabolic control of diabetic patients. Methods of assessing each of these are described, and ways of improving them reviewed. Recommendations are made for further work in this field. It is suggested that traditional education programmes have little clinical value beyond improving knowledge about diabetes. Among the recommendations made are approaches to the assessment and change of relevant health beliefs, and the use of behavioural methods of self-regulation, to improve the quality of self-care. The difficulties created by the variety of factors influencing metabolic control are discussed, with particular attention to the relevance of emotional stress.

Memory for phobia-related words in spider phobics

Abstract Previous work has shown that spider phobics have poor recognition memory for spiders. A parallel effect is demonstrated here for memory for spider words. The first experiment found that spider phobic subjects showed less free recall of spider words than control words. The second experiment confirmed this effect, showing additionally that phobin recall fewer spider words than control subjects, that this occurs only in the context of a live (not a dead) spider, that results at delayed testing paralleled those at immediate testing and that comparable results could be obtained for recognition. Poor recall of spider words was found to be accompanied by a high level of spider-related intrusions. It is suggested that phobic subjects do not encode well exactly which spider words are presented for learning, and so may employ a category-based strategy at recall.

Articulatory suppression and the treatment of insomnia

The prominence of intrusive thoughts in insomnia suggests the relevance of cognitive techniques to control them. It is suggested that the technique of Articulatory Suppression derived from Baddeleys model of Working Memory provides a relevant approach. The technique is presented as it was developed with a preliminary uncontrolled case series. A single-case experiment is then reported in which Articulatory Suppression was compared with other techniques. The preliminary indications are that it may be particularly helpful for sleep maintenance problems.

The factorial structure of sleep dissatisfaction

Research into sleep problems has been dominated by a number of theoretical perspectives from each of which useful treatment applications have been derived. However, the rich diversity of problems that are subsumed under insomnia or sleep disturbance often remain unappreciated. This paper reports the results of a factor analysis performed on the combined items of two questionnaires designed to assess sleep disturbance. Six factors are described, two of which relate to cognitive aspects of sleep disturbance; two which map onto sleep onset and sleep maintenance problems; and two which are drawn from dissatisfaction with poor sleep. Correlations of factor scores with measures of neuroticism, worry and various sleep history variables provide a strong level of construct validity. The results are discussed in terms of their treatment implications.

Memory deficit in clinical depression: processing resources and the structure of materials

Resource theory predicts that the relative memory deficit shown by depressed patients should be greater with unstructured than structured material. Previous data using semantic categories word lists supports this, but lists approximating to text have produced the opposite result. Both types of structure were studied in this experiment. The prediction from resource theory was found to hold only when comparing medium and high levels of structure, and to hold more clearly for word lists approximating to text than for semantic categories lists. When word lists of low and medium levels of structure were compared, depressed patients showed relatively greater deficit with the more structured material. Ways in which this could be accommodated in a revised version of resource theory are discussed.

Human spiritual qualities: Integrating psychology and religion

Positive psychology is largely concerned with human qualities that have long been the subject of religious discussion and been encouraged through spiritual practices. We suggest that, rather than seeing positive psychology as replacing this earlier religious approach, it should be pursued in dialogue with it. We illustrate this with reference to work on forgiveness, gratitude, and hope in the Psychology and Religion Research Programme in the University of Cambridge. Though the recent upsurge of interest in therapeutic forgiveness has brought a welcome rigour to its investigation, there are still aspects of forgiveness that are better handled in the religious literature, such as the importance or receiving forgiveness. Building on recent psychological work on gratitude, we have been particularly interested in the hypothesized relationship between gratitude and subjective well-being, and have initiated research to investigate more rigorously whether there is indeed a causal connection between the two. Concerning hope, we suggest that the distinction between hope and optimism, often made by religious thinkers, could usefully be imported into the psychological literature, as much of what is called hope may really only be optimism. We have also considered, using Snyders theory of hope, how religious faith can contribute to human hope.

Previous occupational stability as a predictor of employment after psychiatric rehabilitation

Several indices of occupational stability are discussed and the importance of controlling for age in assessing occupational stability emphasized. The ability of 6 indices to predict the stable resettlement of psychiatric patients at work after a course of rehabilitation was examined. Though mean job length was a significant predictor, indices based on change of occupation rather than change of job were more successful. Stable resettlement at work was related to how much time people had spent in long jobs but not to how little time they had spent in short jobs. The amount of unemployment during the 2 years before hospital admission predicted return to work immediately after discharge, but did not predict stable resettlement at work.

Cognition and Emotion over twenty-five years.

In the 25 years since its foundation, Cognition and Emotion has become a leading psychological journal of research on emotion. Here we review some of the ways in which this has occurred. Questions have included how parallel systems of cognition and emotion can operate in emotion regulation and psychological therapies (including the issue of free will), how the cognitive approach to emotion works, how emotion affects attention, memory, and decision making, and how emotion research is moving beyond the individual mind into the space of the interpersonal.