Robert L. Woolfolk

Self-complexity, self-evaluation, and depression: An examination of form and content within the self-schema.

Six studies examined the relationship between self-complexity and variables related to self-evaluation. Self-complexity was found to comprise two components: positive self-complexity and negative self-complexity. Positive self-complexity was sensitive to methodological factors, namely, variations in stimulus materials used for self-ratings. Negative self-complexity was relatively stable in the face of different rating stimuli and tasks and was related to trait measures of self-evaluation, psychic distress, and psychopathology. These findings were observed and replicated. Higher negative self-complexity was associated with increases in depression symptoms over time. Higher negative self-complexity also predicted a poorer prognosis and less complete recovery from depression in a clinical sample. Results are discussed in light of related research and possible social-cognitive mechanisms.

Perception of self and other in major depression

Previous research on the nature of person perception in depression has been inconclusive. This investigation differs from earlier studies in that extensive free-response descriptions of other people and self were collected from patients with major depression and from nonpsychiatric control Ss. In comparison with control Ss, depressed patients described fewer positive aspects not only of self but also of parents and significant others and reported more negative aspects of these people. Cluster analysis (HICLAS) also showed that more cognitive differentiation of negative self-perceptions (negative self-complexity) was characteristic of clinical depression. In both control Ss and patients, a positive (or negative) view of self was highly correlated (.85 or more) with a positive (or negative) view of parents and significant others. These correlations were significantly stronger than those between self and less important others.

Effectiveness of a Time-Limited Cognitive Behavior Therapy–Type Intervention Among Primary Care Patients With Medically Unexplained Symptoms

PURPOSE Patients seeking care for medically unexplained physical symptoms pose a major challenge at primary care sites, and there are very few well-accepted and properly evaluated interventions to manage such patients. METHODS We tested the effectiveness of a cognitive behavior therapy (CBT)-type intervention delivered in primary care for patients with medically unexplained physical symptoms. Patients were randomly assigned to receive either the intervention plus a consultation letter or usual clinical care plus a consultation letter. Physical and psychiatric symptoms were assessed at baseline, at the end of treatment, and at a 6-month follow-up. All treatments and assessments took place at the same primary care clinic where patients sought care. RESULTS A significantly greater proportion of patients in the intervention group had physical symptoms rated by clinicians as “very much improved” or “much improved” compared with those in the usual care group (60% vs 25.8%; odds ratio = 4.1; 95% confidence interval, 1.9–8.8; P<.001). The intervention’s effect on unexplained physical symptoms was greatest at treatment completion, led to relief of symptoms in more than one-half of the patients, and persisted months after the intervention, although its effectiveness gradually diminished. The intervention also led to significant improvements in patient-reported levels of physical symptoms, patient-rated severity of physical symptoms, and clinician-rated depression, but these effects were no longer noticeable at follow-up. CONCLUSIONS This time-limited, CBT-type intervention significantly ameliorated unexplained physical complaints of patients seen in primary care and offers an alternative for managing these common and problematic complaints in primary care settings.

Perceptions of assertion: An empirical analysis

The present investigation compared perceptions of assertive communication with reactions to other styles of communication. In the first of two experiments, assertion was rated as more appropriate and efficacious than either nonassertion or aggression. Assertion was viewed as more polite, less neurotic, less hostile, and more satisfying to the recipient than aggression. Assertion was viewed, relative to nonassertion, as less polite, more hostile, and less satisfying to the recipient. In the second experiment, 96 subjects rated the three communication styles employed in the first experiment, using the same dependent measures, plus a fourth style, assertion plus “extra consideration”. Results of the second experiment replicated the findings of the first study. The assertation plus extra consideration condition was perceived as comparable in effectiveness and appropriateness to assertion while being rated as kinder, less hostile, and more satisfying to recipients.

Meditation training as a treatment for insomnia

A set of attention-focusing techniques derived from methods of meditation was compared with progressive relaxation and a waiting list as treatments for insomnia. Analysis of data from 24 insomniacs recruited from the community showed both meditation and progressive relaxation to be superior to no treatment in reducing latency of sleep onset. These treatments did not differ in effectiveness. At 6 months follow-up, both the meditation and progressive relaxation groups showed significant improvement over pretreatment levels on latency of sleep onset, while pretreatment and follow-up means for the control group did not differ.

Progressive relaxation and meditation: A study of psychophysiological and therapeutic differences between two techniques

Abstract Physiological and self-report data were collected on anxious subjects who participated in a study comparing progressive relaxation, meditation and a waiting-list control. The data provide some support for the Schwartz, Davidson and Goleman (1978) hypothesis of specific effects for different relaxation procedures, superimposed upon a generalized relaxation response. The similarities between techniques, however, were greater than the differences, both on physiological and self-report measures. Both techniques generated positive expectancies and produced decreases in a variety of self-reported symptoms and on EMG: but no skin conductance or frontal EEG effects were observed. Progressive relaxation produced bigger decreases in forearm EMG responsiveness to stressful stimulation and a generally more powerful therapeutic effect than meditation. Meditation produced greater cardiac orienting responses to stressful stimuli, greater absorption in the task and better motivation to practice than progressive relaxation; but it also produced more reports of increased transient anxiety. We found no significant differences between conditions in the therapeutic expectancies they generated. The clinical implications of these findings are discussed.

Stress management techniques: are they all equivalent, or do they have specific effects?

This article evaluates the hypothesis that various stress management techniques have specific effects. Studies comparing various techniques are reviewed, as well as previous literature reviews evaluating the effects of individual techniques. There is evidence that cognitively oriented methods have specific cognitive effects, that specific autonomic effects result from autonomically oriented methods, and that specific muscular effects are produced by muscularly oriented methods. Muscle relaxation and/or EMG biofeedback have greater muscular effects and smaller autonomic effects than finger temperature biofeedback and/or autogenic training. EMG biofeedback produces greater effects on particular muscular groups than progressive relaxation, and thermal biofeedback has greater finger temperature effects than autogenic training. Disorders with a predominant muscular component (e.g., tension headaches) are treated more effectively by muscularly oriented methods, while disorders in which autonomic dysfunction predominates (e.g., hypertension, migraine headaches) are more effectively treated by techniques with a strong autonomic component. Anxiety and phobias tend to be most effectively treated by methods with both strong cognitive and behavioral components.

Time management: An experimental investigation

Abstract Four groups of preservice teachers participating in student teaching seminars were randomly assigned to one of three conditions to test the effectiveness of brief training in time-management techniques. A control group received no training. Experimental Group 2 received basic training in time management, whereas Experimental Group 1 received the same training and, in addition, implemented two specific time- management procedures (written planning and self-monitoring) under the supervision of the experimenters. Significant differences among the groups were observed in the expected direction on measures of promptness in completing tasks during student teaching and on self-ratings of proficiency in time management.

Self-complexity and the persistence of depression.

Self-complexity, a measure of the structure of cognition involving the self, was used to predict the persistence of depression in patients diagnosed with major depression. Self-descriptions offered by depressed patients were analyzed using a clustering algorithm to model cognitive structure. Indices of positive and negative self-complexity, derived from the resulting models, were used to predict depressive symptomatology 9 months after the onset of a major depression. Negative self-complexity uniquely predicted subsequent levels of depression even after the effects of initial levels of depression, self-evaluation, and dysfunctional attitudes were statistically removed. Highly complex negative self-representation appears to be associated with poor recovery from a major depressive episode. Future studies examining the relationship between cognition and psychopathology should investigate, in addition to its content, the formal and structural properties of cognition.

Effects of progressive relaxation and meditation on cognitive and somatic manifestations of daily stress.

Abstract Meditation and progressive relaxation were compared with a self-monitoring control as treatments for symptoms of stress. Subjects were recruited from advertisements in local newspapers and received five sessions of training. All subjects self-monitored stress symptoms throughout the study and had their behavior rated weekly by a spouse/roommate. The progressive relaxation and meditation treatments resulted in a significant reduction of stress symptomatology over time. Little evidence was generated for differential effects of treatments.