William O'Donohue

Fear of Spiders Questionnaire

The Fear of Spiders Questionnaire (FSQ), an 18-item self-report questionnaire assessing spider phobia, was developed in an attempt to complement the information provided by the Spider Phobia Questionnaire (SPQ). Data obtained from 338 undergraduates revealed that the FSQ was able to discriminate phobics from nonphobics, and indicated decrements in phobic responding from pretest to posttest following cognitive therapy. Test-retest data, obtained from non-treatment control groups, indicated that scores on the FSQ are stable over a one month period. The FSQ also demonstrated adequate convergent validity due to its significant correlations with the SPQ and a behavioral avoidance test. Finally, a factor analysis revealed two factors accounting for 55% of the variance. It is argued that, compared to the SPQ, items on the FSQ are more explicit regarding the time period to be assessed, and may be more sensitive to differences between phobics and nonphobics and decrements in phobic responding following treatment.

Science and pseudoscience in the development of eye movement desensitization and reprocessing: Implications for clinical psychology

The enormous popularity recently achieved by Eye Movement Desensitization and Reprocessing (EMDR) as a treatment for anxiety disorders appears to have greatly outstripped the evidence for its efficacy from controlled research studies. The disparity raises disturbing questions concerning EMDRs aggressive commercial promotion and its rapid acceptance among practitioners. In this article, we: (1) summarize the evidence concerning EMDRs efficacy; (2) describe the dissemination and promotion of EMDR; (3) delineate the features of pseudoscience and explicate their relevance to EMDR; (4) describe the pseudoscientific marketing practices used to promote EMDR; (5) analyze factors contributing to the acceptance of EMDR by professional psychologists; and (6) discuss practical considerations for professional psychologists regarding the adoption of EMDR into professional practice. We argue that EMDR provides an excellent vehicle for illustrating the differences between scientific and pseudoscientific therapeutic techniques. Such distinctions are of critical importance for clinical psychologists who intend to base their practice on the best available research.

Sexual assault prevention programs: current issues, future directions, and the potential efficacy of interventions with women.

Current problems facing the primary prevention of sexual assault are reviewed. Effective sexual assault prevention programs for both males and females have been slow to develop due to the fact that the etiologies of sexual assault have not been identified. Although dissemination of prevention programs has become increasingly popular in recent years, few programs have evaluated the extent to which the constructs identified in the interventions are effective at decreasing rates of sexual assault. This article discusses previous studies in sexual assault prevention programs, methodological and conceptual problems that currently exist in the field, pragmatic difficulties regarding program implementation and evaluation, and recommendations for future research with an emphasis on interventions with female participants.

The Economics of Behavioral Health Services in Medical Settings: A Summary of the Evidence

The health care system in the United States, plagued by spiraling costs, unequal access, and uneven quality, can find its best chance of improving the health of the population through the improvement of behavioral health services. It is in this area that the largest potential payoff in reduction of morbidity and mortality and increased cost-effectiveness of care can be found. A review of the evidence shows that many forms of behavioral health services, particularly when delivered as part of primary medical care, can be central to such an improvement. The evidence supports many but not all behavioral health services when delivered in settings in which people will accept these services under particular administrative and fiscal structures.

THE EFFECTS OF ANXIETY AND DISTRACTION ON SEXUAL AROUSAL IN A NONCLINICAL SAMPLE OF HETEROSEXUAL WOMEN

The effects of anxiety and distraction on sexual arousal in a nonclinical sample of heterosexual women between the ages of 19 and 35 were studied. Using a dichotic listening paradigm, the study extended Geer and Fuhrs (1976) research by examining the effects of distraction on sexual arousal in women. Results indicated that both vaginal pulse amplitude and subjective measures of sexual arousal vary as a function of distraction level, with increased distraction leading to decreased arousal. However, the data failed to support Masters and Johnsons (1970) assertion that anxiety decreases sexual arousal. Although no significant effect for anxiety emerged using a physiological measure of sexual arousal, a significant Anxiety × Distraction interaction was observed using a subjective measure of sexual arousal. Several competing interpretations of this interaction are discussed.

Rape prevention: Methodological problems and new directions

Abstract Interventions targeting males and aimed at the primary prevention of rape are reviewed. Because the causes of rape are not clearly known, primary prevention efforts are hampered. Moreover, etiological accounts of rape have largely ignored situational variables, Situation × Person interactions, and the development of an appropriate taxonomy of rapists. Psychometrically adequate dependent measures of rape proclivity have yet to be developed. Moreover, most existing rape prevention research fails to distinguish between statistically significant and clinically significant results, and fails to assess the durability of any treatment effects. In addition, most programs are based on the problematic assumption that changes in attitudes will result in changes in actual incidence of rape. Finally, issues such as the need to assess whether other prosocial changes occur (e.g., a decrease in potential to abuse children) and the need to evaluate the specific mechanisms of change, as well as the need to assess possible iatrogenic effects of these efforts, are discussed.

Sexual harassment and PTSD: Is sexual harassment diagnosable trauma?

Sexual harassment has become a major social, legal, and mental health problem because of its high prevalence and its negative consequences for victims. These consequences can include decreased productivity, loss of job, decreased income, and impaired psychological and physical well-being. Despite evidence from empirical studies that victims often exhibit posttraumatic stress disorder (PTSD) symptoms, some have argued that sexual harassment does not constitute legitimate trauma. We argue that many forms of sexual harassment meet the diagnostic Criteria A1 and A2 of PTSD. Finally, the DSM-IV trauma criterion is explicated, and its relationship with sexual harassment and its effects are discussed.

The conditioning of human sexual arousal

Although most theories of human sexual behavior claim that much normal sexual behavior is learned, and theories of the etiology and modification of paraphilic and dysfunctional sexual behavior also claim that abnormal sexual behavior is learned and can be counterconditioned, there is no systematic review examining the relationship between conditioning and human sexual behavior. We review research addressing whether habituation, sensitization, classical conditioning, and operant conditioning processes are involved in human sexual behavior. We conclude that, due to the methodological problems of extant studies, the basis for asserting the existence of relationships between habituation, sensitization, classical conditioning, operant conditioning, and sexual behavior is tenuous.

Homophobia: Conceptual, definitional, and value issues

The construct of homophobia and the psychometric properties of instruments purporting to measure homophobia are critically evaluated. The history of the term and its various definitions are briefly reviewed. We conclude that existing measures of homophobia have been inadequately psychometrically evaluated and therefore it is not clear whether currently this construct can be accurately measured. It is also concluded that the construct of homophobia, as it is usually used, makes an illegitimately pejorative evaluation of certain open and debatable value positions, much like the former disease construct of homosexuality. Finally, proposals for theory development and construct definition in the domain of reactions to homosexuals and homosexuality are provided.

Sexual Harassment: Identifying Risk Factors

A new model of the etiology of sexual harassment,the four-factor model, is presented and compared with several models of sexual harassment including the biological model, the organizational model, the sociocultural model,and the sexrole spillover model. A number of risk factors associated with sexually harassing behavior are examined within the framework of the four-factor model of sexual harassment. These include characteristics of the work environment (e.g., sexist attitudes among co-workers, unprofessional work environment, skewed sex ratios in the workplace, knowledge of grievance procedures for sexual harassment incidents) as well as personal characteristics of the subject (e.g., physical attractiveness, job status, sexrole). Subjects were 266 university female faculty, staff, and students who completed the Sexual Experience Questionnaire to assess the experience of sexual harassment and a questionnaire designed to assess the risk factors stated above. Results indicated that the four-factor model is a better predictor of sexual harassment than the alternative models. The risk factors most strongly associated with sexual harassment were an unprofessional environment in the workplace, sexist atmosphere, and lack of knowledge about the organizations formal grievance procedures.