[ HI" . H H‘ I’M, ' J I l ["1 H ."J I I, ‘I l ’H’ J {I J J 1.3» n’ H. i I 'I/IIW’I a I n’ l l I‘M l’ I" N {I} ‘, _ ‘ 1/ i. I]! l I l W l 3 W DRWE iNTEfiSlHCATiCE‘é, ZNSUFFECEENCY. AND SVMPTG?r€,51T§C REEHGNS Thesis for the Degree of M. A. WCHIGAN STATE UNWERSHY DAWD L. HAYES 1977 47’ «iiclzi I211- State UnivcrsiFy . ..‘-v. —v - A... - Q /.3 *r’ C15 ’/ ABSTRACT DRIVE INTENSIFICATION, INSUFFICIENCY, AND SYMPTOMATIC REACTIONS BY David L. Hayes This research was designed to determine if drive intensification and the experience of personal inSuffic- iency are significant factors in the laboratory production of symptomatic reactions. Four paramnesias (false memories) were constructed which presented two levels of drive inten- sification and two levels of insufficiency in a 2 x 2 con- figuration, resulting in l) a neutral condition, 2) a drive intensification condition, 3) an insufficiency condition, and 4) a drive intensification - insufficiency condition. It was hypothesized that the incidence of psychopathology increases as drive intensification increases and also as insufficiency increases. It was further hypothesized that the joint effect of the two factors is greater than their individual effects. Forty-eight male undergraduate introductory psychology students at MSU volunteered to serve as subjects. Both ex- perimenters and subjects were randomly assigned to the treatment conditions. The student listened with eyes closed David L. Hayes to a tape recording of one of the paramnesias. He was then asked to revisualize the story and describe it to the experimenter as he revisualized it. Finally, with his eyes still closed, each subject was asked to report any images or pictures that came into his mind's eye, as well as any feelings or bodily sensations which he might notice. The five minute imagery period was scored for the presence of symptoms by two advanced graduate students in clinical psychology using Reyher's (1975d) Symptomatic Reaction Scale. The transcriptions were scored for l) the total number of symptomatic reactions, 2) the number of types of symptomatic reactions, and 3) the number of symptomatic reactions per word spoken. An inter— scorer reliability of .98 was obtained using the rank-order correlation, Egg. Analyses of variance showed no differences between experimenters and no differences between the four treatment conditions on any of the independent measures. This sur- prising finding was considered in light of Subject differ- ences, possible ineffectiveness of the paramnesias, and possible confounding of intrapsychic and interpersonal factors. These results were not interpreted as refuting the hypotheses but as not having provided an adequate test. Modifications of the design were suggested to take into account individual differences in subjects and to en- able assessment of the effects of intrapsychic and inter- personal factors, including any interacting which might occur 0 DRIVE INTENSIFICATION, INSUFFICIENCY, AND SYMPTOMATIC REACTIONS BY . G” David L? Hayes A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF ARTS Department of Psychology 1977 to Mom and Dad ii ACKNOWLEDGMENTS During the course of this project I have incurred many debts of gratitude. First of all, I want to thank my capable experimenters, Adrian Breting, Richard Budd, RobertMartin, and Art Myers for their help in collecting the data. I also wish to thank my friends and fellow stu- dents Stuart Doneson and Sam LeBaron for their encourage- ment and for their expert job as scorers. My thanks go to my committee as well, to Dr. Albert Aniskiewicz for his interest in my research, to Dr. Ralph Levine for his ability to see my research from a different perspective, and to Dr. Joseph Reyher for getting me interested in the first place. I particularly want to thank Dr. Reyher for filling the several roles of advisor, research chairman, psychotherapy supervisor, and teacher, and in the process helping me to define myself as a professional. My special appreciation goes to my wife, Peggy, with- out whose help and support I would not have come this far. iii TABLE OF CONTENTS Page LIST OF TABLES . . . . . . . . . . . . . . . . . . . Vi INTRODUCTION . . . . . . . . . . . . . . . . . . . . l HYPOTHESES . . . . . . . . . . . . . . . . . . . . . 10 . . . . . . . . . . . . . . . . . 10 Hypothesis 1 Hypothesis 2 . . . . . . . . . . . . . . . . . 10 Hypothesis 3 METHOD . . . . . . . . . . . . . . . . . . . . . . . 11 Subjects . . . . . . . . . . . . . . . . . . . ll Experimenters . . . . . . . . . . . . . . . . 11 Design . . . . . . . . . . . . . . . . . . . . 11 Treatment Conditions . . . . . . . . . . . . . ll 1. Treatment #1 (neutral condition) . . . 12 2. Treatment #2 (drive intensification condition) . . . . . . . . . . . . . . 13 3. Treatment #3 (insufficiency condition) 15 4. Treatment #4 (drive intensification - insufficiency condition) . . . . . . . 16 Procedure . . . . . . . . . . . . . . . . . . 18 Paramnesia . . . . . . . . . . . . . . . . 19 Revisualization . . . . . . . . . . . . . 19 Free Imagery . . . . . . . . . . . . . . . l9 Post-experimental Questionnaire . . . . . 20 Scoring . . . . . . . . . . . . . . . . . . . 21 RESULTS . . . . . . . . . . . . . . . . . . . . . . 22 Inter-rater Reliability . . . . . . . . . . . 22 Experimenters . . . . . . . . . . . . . . . . 22 Total Symptom Expressions . . . . . . . . . . 22 Symptom Types . . . . . . . . . . . . . . . . 24 Expressions per Word . . . . . . . . . . . . . 24 Questionnaire Rating Scales . . . . . . . . . 24 DISCUSSION . . . . . . . . . . . . . . . . . . . . . 27 iv ll [{(l APPENDICES A. POST-EXPERIMENTAL QUESTIONNAIRE B. SYMPTOMATIC REACTION SCALE C. SUMMARY OF RAW DATA . LIST OF REFERENCES Page 35 39 47 50 LIST OF TABLES Table Page 1 Means, Variances, and Analyses of Variance by Experimenters O O O O O I O O O O O O O O O 23 2 2x2 Analysis of Variance for Total Symptoms . 23 3 2x2 Analysis of Variance for Symptom Types . . 24 4 2x2 Analysis of Variance for Expressions per word 0 O O O O O O O O O O O O O O O C O O O O 25 5 Means and Variances by Treatment Condition . . 25 vi INTRODUCTION In a study designed to examine the effect of hyp- notically induced conflict on perceptual vigilance and defense, Reyher (1958, 1961) serendipitously discovered a reliable method for producing symptOms in the labora- tory. Using a hypnotic technique developed by Luria (1932), Reyher implanted in his subjects a paramnesia (false memory) designed to stimulate aggressive affect. He then associated a socially unacceptable act to cues: from the paramnesia. Following a posthypnotic suggestion that recognition of the cues would again arouse the aggres- sive feelings and a desire to conunit the socially unaccept- able act, he presented the cues fromtflmaparamnesia in an ascending tachistoscopic series. Reyher found that this procedure reSulted in subjects spontaneously repressing the suggested aggressive impulses and producing a large number and variety of psychosomatic and hysterical symp- toms. These surprising results prompted several attempts to replicate Reyher's results. In a study using the same anger-aggression paramnesia used in Reyher's study and a slight variation of Reyher's hypnotic procedure, Perkins and Reyher (1971) successfully replicated Reyher's results. In a subsequent study including some physiological measures, Reyher (1967) once again found that the posthypnotic stim- ulation of an induced conflict caused repression and non- suggested symptoms to occur spontaneously. In another variation of the paradigm, Sommerschield and Reyher (1973) introduced a paramnesia designed to stimulate sexual feel- ings besides using the original anger-aggression paramnesia. They found both paramnesias effective in producing sympto— matology, with the sexual paramnesia producing a signifi- cantly greater proportion of symptoms. In the wake of these initial studies, Veenstra (1969) attempted to identify those variables that caused a post- hypnotically activated drive to be anxiety producing or pathogenic.1 In his study, Veenstra used an anger-aggres- sion paramnesia which was different than that used by Reyher (1958, 1961, 1967), Perkins and Reyher (1971), and Sommerschield and Reyher (1973), in that it did not contain a socially unacceptable or reprehensible act. Also, from among the factors he identified, Veenstra did not include age regression, hypnotic arousal of conflicting emotion, anger directed toward en1 authority figure in the lVeenstra's analysis of the paradigm identified the following factors: 1) hypnosis, 2) age regression, 3) par- amnesia, 4) hypnotic arousal of anger, 5) hypnotic arousal of conflicting emotion, 6) anger associated under hypnosis with C-words (cues from paramnesia), 7) anger directed to- ward an authority figure in the experimental situation, 8) suggested loss of control on presentation of conflict words, 9) posthypnotic arousal of anger, 10) posthypnotic suggestion of a destructive impulse, ll) induced amnesia, 12) tachisto- scopic presentation of words, and 13) accepting nondirective experimenter attitude. experimental situation, or posthypnotic suggestion of a destructive impulse. This procedure was unsuccessful in producing symptomatology. Karnilow (1971) and Wolfe (1971) thought that it was not unreasonable to suspect that the critical factor or factors in rendering the procedure pathogenic were among those excluded by Veenstra. They tested the hypoth- esis that the posthypnotic suggestion of a destructive impulse, alone, or in conjunction with an induced amnesia, was responsible for the pathogenicity of Reyher's paradigm. The procedure used by Karnilow (1971) and Wolfe (1971) in- cluded Veenstra's anger-aggression paramnesia and was un- successful in producing symptomatology. In a similar study also using the Veenstra paramnesia, Larison (1973) found that inquiring about subjects' feelings after each word presentation produced a few mild symptoms. However, the frequency, diversity, and intensity of these symptoms was markedly less than that produced by earlier studies (Reyher, 1958, 1961, 1967; Perkins and Reyher, 1971; Sommerschield and Reyher, 1973). Following their unsuccessful attempt to identify the critical variables, Karnilow (1971) and Wolfe (1971) noted that the paramnesia developed by Veenstra, which they all had employed (Veenstra, 1969; Karnilow, 1971; Wolfe, 1971; Larison, 1973), did not include reprehensible behavior. Whereupon, Karnilow (1973) decided to use a paramnesia that previously had been shown to be pathogenic. He elected to use the Oepidal-sex paramnesia developed by Sommer- schield (Sommerschield and Reyher, 1973) and a peer-sex version of that paramnesia. In contradistinction to his earlier study (1971), Karnilow (1973) found both param—~ nesias effective in producing symptoms. He found that directing the sexual drive toward an oedipal object was significantly more pathogenic than directing the sexual drive toward a peer female. These findings suggested that the effects of experimenter differences were relae tively unimportant as a determinant of symptom production within this particular paradigm; instead it implicated variables within the paramnesia itself as being critical. The foregoing investigations are all consistent with the conclusion of the original investigation (Reyher, 1958, 1961), namely, that a relationship obtains between the degree of spontaneous repression of the suggested affect and the type of symptoms that were produced. The nature of this relationship is such that when there is no repression, or when there is complete repression, no symptoms occur. However, when the repression is incom- plete, that is, inadequate to bind all of the anxiety asso- ciated with the stimulated drive, symptoms are produced. Further, this line of research shows that the type of symptom produced varies with the degree to which repres- sion has been successful (Karnilow, 1973; Perkins and Reyher, 1971; Reyher, 1958, 1961, 1967; and Sommerschield and Reyher, 1973). Reyher (1958) first demonstrated this relationship by calculating a repression score for each subject, based on the number of instances of verbalized awareness of the suggested drive or associated affect. By separating symptoms empirically into categories, cor- relating the degree of repression with each category of symptoms, and ranking the categories in terms of the mag- nitude of their correlations, a sequence of symptoms was generated which occurs as repression weakens and repressed ideas approach conscious awareness. Reyher called this sequence the Symptomatic Reaction Scale (SRS). Several attempts were then made to determine the adequacy of the SRS as an explanatory concept. Reyher (1967), Perkins and Reyher (1971), and Sommerschield and Reyher (1973) activated the suggested drive at three dif— ferent intensities via posthypnotic cues. They found that their results correlated significantly with the SRS for subjects who achieved progressively increasing aware- ness of the suggested drive.‘ In a somewhat different approach, Burns and Reyher (1976) used the psychothera- peutic technique of emergent uncovering, known to be effective in gradually lifting repression (Reyher, 1963, 1969, 1975a, in press). After implanting the paramnesia as in earlier studies, Burns asked his subjects to sit back, close their eyes, and report any images that came to mind. He gave them a posthypnotic suggestion that they would experience the suggested sexual drive and re- lated affect in overwhelming intensity whenever the experimenter gave the cue "How are you feeling?". He also presented them.with images taken from key points of the paramnesia, which he described in hopes of prodding them into greater awareness of the suggested drive. These procedures were used in an attempt to observe the con- tinuum of repression in greater detail and allow further clarification of the relationship between repression and symptom type. Their findings once again supported the previous conclusion that there is a specific sequence of symptoms which occurs as repression gradually weakens. In 1974, Moses performed yet another study aimed at verifying the relationship between repression and the SRS. Without using hypnosis, he read the Sommerschield and Reyher (1973) sexual paramnesia to his subjects, asked them to sit back, close their eyes, and report any images which spontaneously came to mind, making note of any feelings or phySical sensations which they had. This technique is called free imagery (Reyher, 1963). Use of this procedure provided the unexpected result that most of the subjects produced a large number of spontaneous symptoms. This marked the first nonhypnotic production of symptoms in this line of research. A recent comparison of free imagery and the technique used by Burns and Reyher (1976) using both hypnotized and simulating subjects (LeBaron, 1976) showed free imagery to be significantly more pathogenic. Karnilow's (1973) study, along with the research by Burns and Reyher (1976) and Moses (1974), pointed out the existence of important aspects of the procedures used in this line of work which were not considered in Veenstra's (1969) analysis. Reyher (1975b) has subsequently reana- lyzedtfluaresearch procedures and reports 32 possible in- fluencing variables.2 2Reyher analyzed the paradigm as follows: The sub- ject is told under hypnosis (l, hypnosis) that a true in- cident from his past or childhood (2, age regression) is going to be recounted and reexperienced. A story (3, par- iamnesia) made up by the experimenter is then related to the subject. Strong drive-related affect is aroused (4, intensification of drive-related affect) and is di- rectedtx>an authority figure (5, authority figure or Pa- rentalsurroqate). This drive-related affect cannot be expressed (6, inhibition) because of phychic pain or men- tal distress (7, psychic pain). guilt (8, guilt), or feel- ing of insufficiency (9, insufficiency) and is pushed into the back of the subject's mind (10, supression) and for- gotten (11, amnesia for paramnesia). An impulse (12, affect-related impulse) to gratify the affect is then associated with a series of words (13, affect and impulse tied to posthypnotic cues), and is directed to a substitute (14, derivative) for the authority figure. The subject is told that both the affect (15, affect, loss of control) and impulse (16, impulse, loss of control) will be over- whelming, and he will experience the affect (17, experi- ence affect posthypnotically) and act upon the impulse (l8, motility) whenever one of the critical or conflict words comes to mind (19, sudden activation). A posthyp- notic suggestion is given that he will completely reveal what he feels whenever the experimenter says, "How are you doing?" (20, pump priming). After the subject is awakened, conflict and neutral words are presented which he pronounces (21, verbalization of conflict words). The experimenter trained the subjects in hypnosis (22, experimenter trains subject) and did the initial induction, all to promote a warm trusting relationship (23, positive transference) to~ reduce defensiveness. The subject must engage the target of his affect-related impulse in a structured interpersonal relationship (24, interpersonal relationship with target), and report verbal associations to critical cues (25, con- trolled verbal association), describe visual images in re- sponse to posthypnotic activation of affect and impulse (26, controlled visual imagery), report spontaneous verbal associations (27, free association), or describe spontaneous visual imagery (28, free imagery). The salient intent of the paramnesia is the activation of the Oedipus complex (29, oedipal sex), anger (30, anger), peer sex (31, peer sex), or guilt (32, guilt). After his more exhaustive analysis of the research procedures which had proved effective in stimulating psy- chopathology, Reyher (1975c) compared the results of some 25 studies which conformed in most respects to the para- digm which he had analyzed. His comparison showed that the studies which had succeeded in producing substantial numbers of symptoms had included paramnesias which provided for intensification of some drive and drive-related affect, and which encouraged psychic pain, guilt, feelings of in- sufficiency, or some combination of the three. This con- clusion suggests that it is necessary for a paramnesia 1) to intensify drive and 2) to stimulate psychic pain, guilt, or feelings of insufficiency in order for it to be pathogenic within the hypnotic paradigm delineated above (see footnote 2). There is some question, however, whether the free imagery paradigm issufficiently similar to the hypnotic paradigm to allow generalization of Reyher's (1975c) conclusion. A line of research has shown that there are aspects of the free imagery task which are anxiety producing in and of themselves. Free imagery requires that the subject's eyes be closed, interruptingsecurity operations and caus- ing anxiety (Stern and Reyher, in press). Free imagery causes anxiety in an experimental setting because no cri- teria, or, at best, ambiguous criteria, are available for success in the task (Stern, 1975). Clinical experience with free imagery in emergent uncovering psychotherapy 9 has shown that repressed material is stimulated, thereby weakening repression and producing anxiety for some clients (Reyher, 1963, 1969, 1975a, in press). Given the intrinsic anxiety-producing nature of free imagery, it seems reasonable that symptoms could be produced during free imagery in response to a paramnesia which was not anxiety-producing in the earlier posthypnotic conflict paradigm. That is, perhaps the presence of either one of the two suggested critical factors, 1) intensification of drive and 2) stimulation of insufficiency, would be suf- ficient to cause at least some symptoms, without the use of hypnosis in any way. The following hypotheses were formulated: HYPOTHESES Hypothesis 1 The incidence of psychopathology in young males increases as a direct function of the intensification of the sexual drive. Hypothesis 2 The incidence of psychopathology in young males increases as a direct function of the degree of stimula- tion of feelings of personal insufficiency. Hypothesis 3 The joint effect of sexual drive intensification and stimulation of feelings of personal insufficiency on the incidence of psychopathology is greater than their in- dividual effects. 10 METHOD Subjects Forty-eight volunteer male undergraudates at Mich- itan State University were used as subjects. Volunteers were solicited from introductory psychology courses and received additional course credit for their participation. Experimenters Four male students were selected from an under- graduate clinical psychology class at M.S.U. to assist the principal investigator. The assistants received approx- imately six hours of training and supervision in the exper- imental procedure, conducted by the principal investigator. These experimenters administered the experimental procedure and were unaware of the hypotheses being tested. Design This study used a 2x2 factorial design to assess the effect of two levels of two variables, drive intensity and feelings of personal adequacy, on the laboratory production of symptoms. Treatment Conditions Each subject was randomly assigned to one of four treatment conditions: 1) a neutral condition, 2) a drive 11 12 intensification condition, 3) an insufficiency condition, and 4) a drive intensification - insufficiency condition. In condition 1 no deliberate attempt was made to stimu- late either the sexual drive or feelings of personal in- adequacy. Condition 2 included an attempt to stimulate the sexual drive but no attempt to encourage insufficiency. Condition 3 was designed to stimulate the subjective exper- ience of personal insufficiency but not to deliberately intensify sexual feelings. Condition 4 was a deliberate attempt to stimulate both the sexual drive and feelings of inadequacy. The following paramnesias were used: 1. Treatment #1 (neutral condition) Each subject in the neutral conditon listened to the following par- amnesia: It was a warm summer evening, and you were out for a leisurely walk. You decided to walk the few blocks downtown and pick up an album that you had been wanting. As you walked, you noticed a girl about your own age in front of you walking pretty slowly and'looking around on the ground as though she had lost something. She seemed rather dejected, and when you caught up with her she turned and asked you if you had seen a wallet as you walked. She ex- plained that she had come down this street earlier in the day, and when she got home she discovered she had lost her wallet. She was now retracing her steps, hoping to find it. You told her that you had been walking behind her and hadn't noticed a wallet, but you were walking downtown and you would be glad to walk with her and help her look. Her plain but not unattractive face brightened as she thanked you and accepted your offer. The two of you walked together in silence for a few steps. Then she bagan to describe the wallet you were searching for, a brown handmade leather wallet, and before long the two of you found yourselves in- volved in a casual conversation. She soon told you‘ about the summer the year before when she had gotten 13 the wallet, and you spent some time talking about the classes you had enjoyed during the school year. The conversation didn't need any urging; it just drifted along as the two of you walked down the side- walk together. By now you were coming to a few stores and you began to stray a little from the center of the side- walk and peer into some of the store windows. The two of you would look and she would point out things that she liked, such as a sweater and slacks in the window of a women's clothes store, and you would point out clothes that you would like to have. It was during this windowshopping that you came to the record shop and you told the girl that this was your destination. As you were saying goodbye, she asked what album you were going to buy, and when you told her, she informed you that she had it al- ready. She said that it was really great, one of her favorites, and that she was sure you would enjoy it. Then she thanked you for walking with her and helping her look for her wallet. You said you hoped she found it. Without another word the girl turned and walked down the street, and you opened the door to the record shop and went in. You found the album you wanted and bought it, then stepped out into the street and made your way home. 2. Treatment #2 (drive intensification condition) Each subject in the drive intensification condition listened to the following paramnesia: It was a warm summer evening, and you were out for a leisurely walk. You decided to walk the few blocks downtown and pick up an album that you had been wanting. As you walked, you noticed a girl about your own age in front of You walking pretty slowly and looking around on the ground as though she had lost something. She seemed rather dejected, and when you caught up with her she turned and asked you if you had seen a wallet as you walked. She explained that she had come down this street earlier in the day, and when she got home she discovered she had lost her wallet. She was now retracing her steps, hoping to find it. You told her that you had been walking behind her and hadn't noticed a wallet, but you were walking downtown and you would be glad to walk with her and help her look. Her plain but not unattractive face brightened as she thanked you and accepted your offer. The two of you walked together in silence for a 14 few steps. Then she began to describe the wallet you were searching for, a brown handmade leather wallet, and before long the two of you found your- selves involved in a casual conversation. She soon told you about the summer the year before when she had gotten the wallet, and you spent some time talk- ing about the classes you had enjoyed during the school year. The conversation didn't need any urging; it just drifted along as the two of you walked down the sidewalk together. By now you were coming to a few stores and you began to stray a little from the center of the side- walk and peer into some of the store windows. The two of you would look and she would point out things that she liked, such as a sweater and slacks in the window of a women's clothes store, and you would point out clothes that you would like to have. It was during this windowshoppong that you came to the record shop, and you told the girl that this was your destination. As you were saying goodbye, she asked what album you were going to buy, and when you told her, she informed you that she had it al— ready. She said that it was really great, one of her favorites, and that she was sure you would enjoy it. You asked her to tell you a little more about it because you weren't sure whether or not to buy it and she said, "Listen, I only live about another block from here. I'm afraid I'm not going to find my wallet anyway, so why don't you come over to my apartment. We can have a coke or something and listen to the album on my stereo." You thought her idea sounded like a good one so you agreed. It was a short walk to where she lived and in no time at all you found yourself sitting on a couch with her in her upstairs apartment, listening to the album on her stereo and talking. When the album was over, she put on some more music, this time softer and slower, and asked you if you'd like to dance. You said you would, and you put your arms around her and began to dance with her. She was a good dancer; you could feel her body moving with yours almost as if you were one. As you danced, she rested her head on your shoulder and you let your cheek brush against her hair. Soon you began to feel turned on by this girl. She seemed to be silently inviting you to hold her closer, and you felt her warm breath as she reached up and kissed your ear. Her closeness, glances, words, and breathing suggested to you that she was becoming sexually aroused, and you were be- coming excited too. You began having thoughts about how it would feel to be in bed with this girl who was getting you so worked up. You began to think of making love to her. As you danced, you found “ 15 yourself becoming increasingly excited and aroused. You wanted to make love to her right there when suddenly the telephone rang. She groaned and sep- arated herself from you. She whispered, "Don't go away, I'll be right back." You sat down and settled back into the couch, anxiously awaiting her return. 3. Treatment #3 (insufficiency condition) Each subject in the insufficiency condition listened to the following paramnesia: It was a warm summer evening, and you were out for a leisurely walk. You decided to walk the few blocks downtown and pick up an album that you had been wanting. As you walked, you noticed a very attractive girl about your own age in front of you walking pretty slowly and looking around on the ground as though she had lost something. She seemed rather dejected, and when you caught up with her she turned and asked you if you had seen a wallet as you walked. She explained that she had come down this street earlier in the day, and when she got home she discovered she had lost her wallet. She was now retracing her steps, hoping to find it. You told her that you had been walking behind her and hadn't noticed a wallet, but you were walking downtown and you would be glad to walk with her and help her look. Her elegant features golwed as she thanked you and accepted your offer. The two of you walked together in silence for a few steps, and you noticed her smashing good looks. She had a graceful, athletic looking body, and was quite fashionably dressed. Her clothes looked very expensive to you and her hair was beautiful and styl- ishly cut. You realized that you had never really talked with a girl like this before. It wasn't long before she struck up a casual conversation with you. First she told you about what kind of wallet you were looking for. She said it was a handmade alligator skin wallet, but soon she was describing the summer in Europe the year before when she had gotten the wallet. She said she usually spent some time in Europe each year and that she had bought this wallet while she was in Italy. You said it must be nice to go to Europe on your own every year. Then, not really knowing what to talk about, you spent some time talking about the classes you had enjoyed during the school year. As you talked, you wondered what this girl thought of you. By now you were coming to a few stores and you began to stray a little from the center of the [II-I'll!!! 'Ill [It { (lilf‘lll 16 sidewalk and peer into some of the store windows. The two of you would look and she would point out things that she liked with comments such as, "I have a ring almost like that, but with some little diamonds on it too," or, "That reminds me of a sweater I almost bought in France." Feeling a little uncertain of what to do, you would point out clothes that you would like to have. It was during this windowshopping that you came to the record shop and you told the girl that this was your destination. As you were saying goodbye, she asked what album you were going to buy, and when you told her, she informed you that she had it already. She said that it was really great, one of her favor- ites and that she was sure you would enjoy it. Then she thanked you for walking with her and helping her look for her wallet. You said you hoped she found it. Without another word the girl turned and walked down the street, and you opened the door to the record shop and went in. You found the album you wanted and bought it, then stepped out into the street and made your way home. 4. Treatment #4 (drive intensification - insuffic- iency condition) Each subject in the drive intensifica- tion - insufficiency condition listened to the following paramnesia: It was a warm summer evening, and you were out for a leisurely walk. You decided to walk the few blocks downtown and pick up an album that you had been wanting. As you walked, you noticed a very attractive girl about your own age in front of you walking pretty slowly and looking around on the ground as though she had lost something. She seemed rather dejected, and when you caught up with her she turned and asked you if you had seen a wallet as you walked. She explained that she had come down this street earlier in the day, and when she got home she discovered she had lost her wallet. She was now retracing her steps, hoping to find it. You told her that you had been walking behind her and hadn't noticed a wallet, but you were walking down- town and you would be glad to walk with her and help her look. Her elegant features glowed as she thanked you and accepted your offer. The two of you walked together in silence for a few steps, and you noticed her smashing good looks. She had a graceful, athletic looking body, and was quite fashionably dressed. Her clothes looked very 17 expensive to you and her hair was beautiful and stylishly cut. You realized that you had never really talked with a girl like this before. It wasn't long before she struck upya casual conver- sation with you. First she told you about what kind of wallet you were looking for. She said it was a handmade alligator skin wallet, but soon she was describing the summer in Europe the year before when she had gotten the wallet. She said she usually spent some time in Europe each year and that she had bought this wallet while she was in Italy. You said it must be nice to go to Europe on your own every year. Then not really Eknowing what to talk about, you spent some time talking about the classes you had enjoyed during the school year. As you talked, you wondered what this girl thought of you. By now you were coming to a few stores and you began to stray a little from the center of the side- walk and peer into some of the store windows. The two of you would look and she would point out things that she liked with comments such as, "I have a ring almost like that, but with some little diamonds on it too," or, "That reminds me of a sweater I almost bought in France." Feeling a little uncertain of what to do, you would point out clothes that you would like to have. It was during this windowshopping that you came to the record shop and you told the girl that this was your destination. As you were saying goodbye, she asked what album you were going to buy, and when you told her, she informed you that she had it al- ready. She said that it was really great, one of her favorites, and that she was sure you would enjoy it. You asked her to tell you a little more about it because you weren't sure whether or not to buy it and she said, "Listen, I only live about another block from here. I'm afraid I'm not going to find my wallet anyway, so why don't you come over to my apartment. We can have a coke or something and listen to the album on my stereo." You thOught her idea sounded like a good one so you agreed. It was a short walk to where she lived and in no time at all you found yourself sitting on a vel- vet couch with her in her luxurious upstairs apart- ment, listening to the album on her expensive quad- rophonic sound system, and talking. When the album was over, she put on some more music, this time softer and slower and asked you if you'd like to dance. You said you would, and you put your arms around her and began to dance with her. She was a superb dancer; you could feel her body moving with yours almost as if you were one. As you danced, she rested her head on your shoulder and you let your cheek brush against 18 her hair. Soon you began to feel turned on by this girl. She seemed to be silently inviting you to hold her closer, and you felt her warm breath as she reached up and kissed your ear. Her closeness, glances, words, and breathing suggested to you that she was becoming sexually aroused, and you were be- coming excited too. You began having thoughts about how it would feel to be in bed with this girl who was getting you so worked up. You began to think of making love to her when suddenly more thoughts crossed your mind. You knew that this lovely crea- ture had been around;undoubtedly she was very ex- perienced. You wondered if you would be able to satisfy her. How traumatic it would be if she laughed at your advances. In spite of these thoughts, as you danced, you found yourself becoming increas- ingly excited and aroused. You wanted to make love to her right there when suddenly the telephone rang. She groaned and separated herself from you. She whispered, "Don't go away, I'll be right back." You sat down and settled back into the couch, anxious- ly awaiting her return. The paramnesias were tape recorded by the principal investigator and were presented by means of a cassette tape player. Procedure The procedure was similar to that used by Moses (1974). Each subject was contacted by telephone to schedule an ex- perimental session during which he was seen individually by one of the four experimenters, selected at random. Each of the four experimenters ran 12 subjects, 3 from each treat- ment condition. The experimental sessions were conducted in a sound proofed room containing a small table, a cassette tape recorder, two chairs, one of which was a recliner, a cot, and a polygraph which was in storage. Each subject was met by the experimenter who conducted him to the room where 19 the session was to occur. During this time the exper- imenter avoided incidental conversation which might fa- cilitate rapport or reduce anxiety. Each subject was seated in the recliner opposite the experimenter and given the appropriate consent forms to read and sign. Follow- ing this, or if the subject asked a question, the exper- imenter, in a matter of fact voice, said, "I know you may have a lot of questions and I'll be glad to answer any that I can after the experiment." Paramnesia. At this point the following instructions were read to the subject: Please close your eyes. I am going to play a tape recording of a story to you. I want you to visual- ize this story as I play it to you. At this time a tape recording of one of the four paramnes- ias was played. Also at this time, a stopwatch was started, in order to desensitize the subject to its tick- ing. Revisualization. At the conclusion of the paramnesia, the following instructionswere given to the subject: Keeping your eyes closed, I'd like you to revisual- ize the story that I have just played to you and describe it to me as you revisualize it. Free Imagery. When the subject had finished his description of the paramnesia, he was given the following further instructions: 20 Keeping your eyes closed, I'd like you now to de- scribe whatever images come to your mind's eye, making note of any feelings or bodily sensations that you may have. After giving these instructions, at sixty second intervals the experimenter made the following standard inquiry: 1. How are you feeling? 2. Do you have any bodily sensations? 3. (If subject answered yes to #2) In what part of your body? Free imagery continued in this way for five minutes and was tape recorded. In addition, during the free imagery period the ex- perimenter was allowed to: 1. Repeat the free imagery instructions once, if necessary, at the beginning of the free imagery period. 2. Say, "What's happening?", if the subject was silent for one minute. 3. Say, "What was that?", if the subject spoke too softly or indistinctly. Post-experimental Questionnaire. Following the five minute free imagery period each subject was asked to com- plete a post-experimental questionnaire dealing with his feelings about the experiment. (See Appendix A for a copy of the questionnaire.) Imbedded in the questionnaire were seven-point Likert scales asking the subject to rate llillil 21 the extent to which he thought the man in the paramnesia felt a) confident, b) adequate, c) comfortable, and d). sexually aroused when he was with the girl. Scoring The tape recordings of the subjects' verbalizations during the free imagery periods were transcribed for scor- ing. These transcriptions were scored for the following attributes: 1. Total number of symptom expressions. 2. Total number of different symptom types. 3. Proportion of symptom expressions to total number of words spoken during free imagery. The scoring was done independently by two cliniCal psychol- ogy graduate students who were unaware of the treatment conditions to which the subjects had been assigned. The data were scored according to a revision of the Symptomatic Reaction Scale (Reyher, 1958, 1961, 1967; Stern, 1975) a nominal scale prepared by Reyher. The scoring categories are presented in Appendix B. RESULTS Inter-rater Reliability Agreement of the two scorers in judging the occur- rence of symptoms was assessed by computing Spearman's rank-order correlation coefficient rho for the number of symptoms judged to have occurred for each subject. The obtained value was rho = .98, indicating a high de- gree of reliability in scoring the presence of symptoms. Experimenters As an initial step in the analysis of the data, analysis of variance methods were used to determine the contribution, if any, of the differences between indiv- idual experimenters to the 3 dependent measures. Three one-way analyses were done, one for each dependent mea- sure, using the experimenters as independent groups. No significant differences were found between experimenters for any of the 3 dependent measures. These analyses are summarized in Table l. The mean values and variances are also reported in Table 1. Total Symptom Expressions For this dependent measure the effect of the two independent variables was examined with a 2x2 analysis of 22 23 variance. No significant main effects or interactions were found. This analysis is summarized in Table 2. Table 1. Means, Variances, and Analyses of Variance by Experimenters Total Total Expressions/ Experi- Expressions Types Worda menter . i 02 F i' 02 F i 02 F A 7.75 25.66 4.58 5.54 5.02 7.93 B 5.41 6.62 ‘ 4.08 4.27 5.48 29.99 C 7.50 25.36 4.58 6.63 3.63 5.81 D 6.58 13.90 3.58 2.08 4.06 5.19 Total 6.51 .75 4.20 .59 4.55 .71 a . 2 Expre531ons per word are expressed as products of 10 for convenience of presentation. Table 2. 2x2 Analysis of Variance for Total Symptoms Expressions Source 33 df ms F p Total 827.31 47 - - - Drive .52 l .52 .03 n.s. Insufficiency .52 l .52 .03 n.s. Interaction 25.52 1 25.52 1.40 n.s. Error 800.75 44 18.20 - - 24 Symptom Types A 2x2 analysis of variance was also used for this dependent variable. No significant main effects or inter- actions were found. A summary of this analysis is in Table 3. Table 3. 2x2 Analysis of Variance for Symptom Types Source ss df ms F p Total 211.92 47 - - - Drive .08 l .08 .02 n.s. Insufficiency 1.33 l 1.33 .29 n.s. Interaction 8.33 l 8.33 1.81 n.s. Error 202.17 44 4.59 - - Expressions per Word The effects of the independent variables on this dependent measure were again examined with a 2x2 analysis of variance. No significant main effects or interactions were found. These results are summarized in Table 4. The means and variances for the three dependent variables are reported by treatment condition in Table 5. Questionnaire Rating Scales The eight rating scales included in question 1 of the post-experimental questionnaire were analyzed by treatment condition using 2x2 analyses of variance. In [I Ill 1' iii 25 Table 4. 2x2 Analysis of Variance for Expressions per Word Source 58 df ms F p Total 564.11 47 - - - Drive 28.14 1 28.14 2.39 n.s. Insufficiency .10 1 .10 .01 n.s. Interaction 17.53 1 17.53 1.49 n.s. Error 518.34 44 518.34 - - Table 5. Means and Variances by Treatment Condition Total Symptom Expressions Symptoms Types per Worda Condition 3(— 02 3f 02 3? 02 Neutral 7.33 30.97 4.50 7.36 3.22 2.20 Drive 6.08 10.81 3.58 2.63 5.96 27.58 Insufficiency 6.08 5.36 4.00 2.18 4.34 3.60 Drive-insufficiency 7.57 25.66 4.75 6.20 4.66 13.75 102 a O Expressxons per word are expressed as products of for convenience of presentation. answer to question la, the subjects in the high insuffic- iency conditions (3 and 4) rated the woman in the story as more attractive than did subjects in the other two condi- tions (1 and 2), mean ratings of 5.96 and 4.93 respectively 26 (p < .01). This is in keeping with the actual paramnes- ias, wherein the woman in paramnesias 3 and 4 is described as more attractive than the woman in conditions 1 and 2. Also, in answer to question lg, subjects in the two drive intensification conditions (2 and 4) rated the woman in the story as more sexually aroused by them than did sub- jects in the two low drive conditions (1 and 3), with the means of 5.54 and 3.59 respectively (p < .001). Again, this accords with the actual paramnesias, as the woman in paramnesias 2 and 4 is in fact described as being more sexually aroused than the one in the two low drive condi- tions. No other significant main effects or interactions were present. DISCUSSION The finding that there were no significant differ- ences between the four treatment conditions is surprising. However, although these results were unexpected, they can not be considered to have provided a clear cut refutation of the hypotheses which were proposed. In fact, the occur- rence of considerable symptomatology in all four condi- tions requires an explanation of some sort. One such explanation is that the experimental manip- ulation may not have been effective in producing suffic- iently different levels of drive stimulation. This argument becomes clearer when one considers the process presumed to underlie the formation of symptoms. The par- amnesias are thought to be pathogenic, at least in part, because they represent derivatives of Oedipal strivings which are unacceptable to the ego and as such have been repressed. Although the four paramnesias are different, they all represent the situation of a young man alone with a woman; thus they may all have sufficiently stimulated repressed strivings to have caused signal anxiety, activa- tion of unconscious defenses by the ego, and symptoms. It is therefore possible that the similarities between the paramnesias overrodeauurdifferences which existed, 27 28 and that this process accounted for the majority of the variance in each treatment condition. A rival explanation is that the anxiety responsible for the symptoms comes from an interpersonal rather than an intrapsychic source. In fact, consideration of the sub- jective experience of personal insufficiency shows that anxiety results from the anticipation of humiliation or failure in the eyes of another, that is, anticipation of a reduction in self esteem. It is possible that both of the women in the paramnesias were sufficiently threatening interpersonally, or that the situations described in the paramnesias aroused sufficient interpersonal anxiety, to cause symptoms in male college freshmen and sophomores. It should be noted at this point that these first two explanations are not mutually exclusive, that both would have the effect of minimizing differences between the treatment conditions, and that both may have, in fact, occurred. The interpersonal argument admits of a further exten- sion. If the anxiety causing the symptoms comes not from the paramnesias but from the interpersonal aspects of the experimental situation itself, all treatment conditions were essentially the same. Recent research by Stern (1975) suggests that this may be an appropriate explana- tion. He argued that the tasks themselves of free associ- ation and free imagery are anxiety producing in part be- cause there are insufficient criteria for success and 29 failure at the task and that the ambiguous situation creates anxiety in the subjects, since their self-esteem is threatened. It seems possible, therefore, that the paramnesias were not the major source of anxiety in this study. Clinical experience indicates the important con- tribution of an intrapsychic component in creating anxiety during free imagery. However, drive representation via imagery which is blatant enough to cause anxiety generally only occurs after the interpersonal aspects of the thera- peutic relationship have been directly dealt with and clarified (Reyher, in press). Until this clarification has occurred, description of blatant drive-related imagery is sometimes consciously withheld or such imagery does not occur at all. The novelty of the interpersonal relation- ship in this study probably militates against the exper- ience and expression of such drive-related imagery. Once again, a recent piece of research supports this contention. Moses (1976), in examining the imaging capabilities of his subjects, found that a great majority were unable to image scenes which blatantly depicted ag- gressive drive expression when these scenes were described to them and the imagery was requested. They were able to image other less blatant scenes, however, including some nonveridical "nonsense" situations. Moses' finding sug- gests that subjects in the present study may have been un- able to have the appropriate directed imagery, vitiating 30 the effects of the manipulation. Notice that this is strictly an intrapsychic explanation relying on the con- cepts of derivatives of objects of gratification and the attendent anxiety associated with those strivings. There is an additional possible impediment to the effectiveness of the paramnesias in stimulating intra- psychic anxiety and defensive processes. Freud (1924, 1938a, l938b),in discussing dream interpretation, repeat- edly cautions against assuming universal or general sig- nificance of particular kinds of images or symbols, stating instead that dreams need to be interpreted in con- junction with the free associations of the dreamer. This suggests that one's own imagery is tailor made to express one's own conflicts. If this is true, the paramnesias may have caused anxiety only when sufficiently similar to conflicts already active in subjects, or may have caused no anxiety at all, being inaccurate depictions of current conflicts for the subjects. This suggests that the par- amnesias may well have been completely superfluous parts of the study, with any intrapsychic anxiety coming as subjects' own constellations of drives, defenses, and un- conscious strivings took hold of the imagery once the free imagery period began. In addition to the possible confounding of intra- psychic and interpersonal sources of anxiety, there is another alternative explanation of the failure to find differences between the four treatment groups. Different .III‘ll'lfnl- 1 1’. 1“! [1 'III 31 types of personality structures and the attendant differ- ent styles of coping with and defending against both intra- psychic and interpersonal anxiety may have obscured any real differences which existed between conditions as a re- sult of excessive variability. Thus subject variables may also have played a role in smoothing over any differences between treatments. By recognizing the apparently central role of anxiety in the above explanations, it is possible to include them all under one rubric. This broader explanation relies on the systems theory concept of a negative feedback loop. Reyher and Basch (1970) have suggested elsewhere that re- pression can be so conceptualized, perhaps at the neuro- physiological level. However, the classical conception of unconscious defenses holds that they are activated by the ego in response to a small amount of (signal) anxiety which is not consciously experienced if the defense is a successful one. Hence ego defenses in general seem to function as a part of a system designed to avoid the ex- perience of psychic pain. Corrective actions undertaken by the ego to avoid intense unpleasurable feelings are triggered by anxiety. It seems that this explanation can also be extended to interpersonal.situationswhere loss of self esteem is threatened (Reyher, in press). In this case, negative cues from others, or anticipation of such feedback, causes anxiety which results in the self system's instituting some means of avoiding the unpleasurable 32 feelings, a security operation. Again, this is a feed- back system designed to avoid experience of unpleasant feelings. Given the concept of unconscious ego defenses and security operations as negative feedback loops activated by anxiety, the occurrence of symptoms in the present study becomes a function of any or all of the following features: 1) the intrapsychic anxiety stimulated by the paramnesias, 2) the interpersonal anxiety and feelings of personal in- sufficiency stimulated by the paramnesias, 3) the inad- equate criteria available regarding performance on the free imagery task, 4) the interpersonal anxiety engendered by the experimenters' not having engaged the subjects in the usual social amenities, and 5) any additional inciden- tal but essentially random sources of anxiety such as a chemistry test the next hour or having one's car parked illegally. When a sufficient amount of anxiety is pumped into the system, from.whatever source, symptoms of anxiety occur. It should be noted, however, that while factors 1 and 2 could be expected to be present in differing amounts in the four treatment conditions, the remaining- factors are essentially random ones which can be expected to appear in approximately equal amounts across conditions. Thus factors 3, 4, and 5 essentially contribute noise to the system, tending to obscure any effects which factors 1 and 2 may have produced. At this point a consideration of the appropriateness 33 of the word "symptom" is in order. In the case of anxiety which is associated with the expression or representation of a repressed striving or a derivative of a repressed striving, it would seem appropriate to employ concepts such as signal anxiety, unconscious defense, and symptoms as compromise formations or somatic equivalents of anxiety. However, when the source of the anxiety is the anticipa- tion of a reduction in self-esteem, the reactions do not as clearly fit the concept of symptom. Somaticized anxiety equivalents still occur. Indeed, because the anxiety is not necessarily drive related but instead interpersonal, there is no particular reason to expect drive represen- tation to be present. It is because of this second group of phenomena that the phrase "symptomatic reactions" seems to be better suited to describing what happens as a result of the type of experimental manipulation described here, as well as in other situations dealing with inter- personal rather than intrapsychic aspects of anxiety a- rousing situations. In order to evaluate the foregoing explanations, the following modifications of the experimental procedure seem necessary: 1) Subject variables such as personality struc- ture, typical defense mechanisms, and cognitive style need to be recognized and considered in the design. This could be accomplished perhaps by including the Rorschach Test or some other personality inventory as a pretest. 2) The contribution of the paramnesia to the intrapsychic 34 aspects of the paradigm needs to be carefully assessed with appropriate control groups. 3) The contribution of the free imagery task itself to interpersonal anxiety needs to be assessed, perhaps via manipulation of feed- back as done by Stern. 4) The study needs to include a check on the occurrence of the appropriate directed imagery. 5) Possible interactive effects of intrapsychic and inter- personal processes can be assessed if 2 and 3 above are both included in a factorial design. In addition to the preceding considerations, it would be interesting to extend the study to include a pop- ulation with more overt psychopathology, to determine whether or not the reactions which are being observed here show any relationship to what is labeled psychopathological in situations outside the laboratory. APPENDICES APPENDIX A POST-EXPERIMENTAL QUESTIONNAIRE APPENDIX A POST-EXPERIMENTAL QUESTIONNAIRE The following is a copy of the post-experimental questionnaire administered to all subjects at the con- clusion of the experimental procedure: Experimenter # l 223 4 Exp. condition 1 2 3 4 Questionnaire Thank you for your participation. If you wish to have detailed feedback about the rationale and results of this experiment, leave your name and mailing address with the experimenter. A summary of the results will then be mailed to you following the completion of the study. Please respond to this questionnaire carefully and completely because your answers are an important part of our assessment of this study. Sometimes participants in psychological research feel that their experience was not what the experimenter expected or wanted. Participants often feel that if they report their experience accurately and completely, the experimenter might be angry or disappointed by their responses. On the contrary, we hope that you will feel free to respond completely and sincerely, to help us to better un- derstand our procedures, observations, and results. 1. During this experiment you listened to a tape record- ing of a story. Please rate the following parts of the story by circling the number on the rating scales that best describes the story. This in £25 a "projec- tive" test. Please respond according to the way the facts of the story seemed to you: 35 36 a. How attractive was the girl in the story? 7 6 5 4 3 2 1 very very attractive unattractive b. How confident was the man in the story? 7 6 5 4 3 2 1 very not at all confident confident c. How enjoyable for the man in the story was talking with the girl? 7 6 5 4 3 2 1 very very enjoyable unenjoyable d. How enjoyable for the girl in the story was talking with the man? 7 6 5 4 3 2 1 very very enjoyable unenjoyable e. How adequate did the man in the story feel? 7 6 5 4 3 2 1 very very adequate inadequate f. How sexually aroused by the girl did the man in the story become? 7 6 5 4 3 2 1 very not at all aroused aroused 9. How sexually aroused by the man did the girl in the story become? 7 6 5 4 3 2 1 very not at all aroused aroused h. How comfortable did the man in the story feel? 7 6 5 4 3 2 1 very very comfortable uncomfortable 37 Sometimes when people are asked to report images they choose not to report some of them because they seem too bad, unusual, sexual, unimportant, weird, etc. This is a normal reaction. This does, however, compli- cate the job of interpreting the results of the exper- iment. We would like you to answer the following questions. If there is any question in this part which you do not wish to answer, we will respect your wishes. a. Were there any images which you had but did not report? Yes NO b. Please describe any further images you had, if you choose to do so. 1. 2. 3. c. Are there still some images which you have not reported? Yes No Have you heard anything about this experiment previously, or any other like it? Yes No (If yes, be specific) What do you think was the purpose of the study? What do you think the experimenters hoped to find? Based on your experience with this study, would you say this study is: (circle True or False for each) a. Probably worthless b. Interesting c. Trivial d. Likely to contribute to psychological knowledge e. Not relevant to the real world f. A good experience for yourself, personally g. Offensive h. Easy Piefatietitifl W'UNIW'UWIW'U Please circle True or False for each of the following: T W I'm glad I participated in this study. T F This study was generally boring. T F I felt anxious about whether I would be a good subject. T F The experimenter's instructions were difficult to follow. 38 8. What were the most positive, enjoyable, and/or inter- esting aspects of this study for you? (Write "None" if appropriate) 9. What were the most negative, unenjoyable, and/or boring aspects of this study for you? (Write "None" if appropriate) 10. The following statements refer to the period after the experimenter asked you to report any physical sen- sations, as well as any images that came to your mind: felt less comfortable than before. felt sleepy. felt somewhat embarrassed. was confused about the instruction. was interested in what was happening. eraser-3 '11'11'11'11'11 hiHrdhdH 11. Any further comments? Again, thank you for your participation. APPENDIX B SYMPTOMATIC REACTION SCALE APPENDIX B SYMPTOMATIC REACTION SCALE The following descriptions of symptoms are from the latest revision of the Symptomatic Reaction Scale, under- taken by Reyher in April, 1975. For a general description of the Symptomatic Reaction Scale see Perkins & Reyher, 1971; Sommerschield & Reyher, 1973; Burns & Reyher, 1976; and Stern, 1975. Symptoms were scored when subjects re- ported any of the following: Reactions produced by the presumed inhibition of the ascending reticular activating system such as: l. Sleepy, tired 2. Drained, run down Reactions produced by the presumed effect of visual depri- vation upon eye closure under conditions that produce anxiety and a resulting distortion of vestibular system feedback. Subjectively this is experienced as motion such as: 3. Rotation 4. Spinning 5. Light headed 6. Dizzy 39 7. 8. 9. 40 Moving up and down Moving back and forth Tilting and as being disoriented such as for 10. 11. 12. Place Direction Time Reactions produced by the presumed effect of visual depri- vation upon eye closure under conditions that produce anxiety and a resulting distortion of somesthetic feedback. Subjectively this distortion is experienced as changes in body image such as: 13. 14. 15. 16. 17. 18. 19. 20. 21. Elongation of body or one of its parts Shrinking of body or one of its parts Thickening or inflation of body or one of its parts Heaviness of body or one of its parts Lightness of body or one of its parts Disappearance of body or one of its parts Squeezing or feeling of pressure on body or one of its parts Numbness of body or one of its parts Pain in body or one of its parts Note: The high incidence of pains and.pressures in the head, eyes and behind eyes may have special significance and are scored in categories 55- 62. Physiological manifestations of anxiety, sympathetic branch 41 of autonomic nervous system such as: 22. Sweaty, clammy 23. Dry mouth 24. Tachycardia, skipped heart beat 25. Gastritis 26. Warm 27. Cold 28. Goose flesh 29. Shiver 30. Malaise Physiological manifestations of anxiety, somatic nervous system 31. Tics and twitches 32. Tremors 33. Stiff muscles 34. Tired muscles 35. Tense muscles Anxiety equivalents, somatic 36. Uncomfortable 37. Uptight 38. Fidgety 39. Restless 40. Nervous 41. Funny 42. Shaky 43. Antsy 44. Uneasy 42 Anxiety due to a reduction or threatened reduction of self- esteem, such as: 45. Scared 46. Anxious 47. Frightened Reactions revealing a disruption of cognitive processes due to the anxiety-producing properties of the experimental task such as: 48. Confusion 49. Inability to think 50. Bafflement Reduction in self-esteem. Reactions in which there is a perceived disparity between one's expectations and one's actual performance, such as: 51. Feeling of failure 52. Feeling inadequate, dumb 53. Goofing up 54. Feeling powerless, impotent Reactions of presumed parasympathetic innervation (vasodi- lation), cranial division, autonomic nervous system due to insufficiency of repression of affect and impulses of intra- psychic origin, such as: 55. Headache 56. Band of pressure around head 57. Tightness 58. Throbbing in head 59. Pain behind eyes .I. 7 [liltnnllll III III . I I ..I1 I lulllal lulllIII II I III 1E! III: Ill- 7 1‘ 43 60. Burning eyes 61. Blushing 62. Blood rushing to head Ego alien affect, not cognitive dissonance, tinged with the Superego's rejection of impulses of intrapsychic origin, such as: 63. Weird 64. Strange 65. Queasy 66. Unreal 67. Unnatural 68. Crazy 69. Spooky 70. Foreign Conscious correlates of mislabeled or muted affect due to fear of rejection by experimenter. This etiology as well as type of affect must be determined by context of behav- ior, particularly the subject's imagery. 71. For reduction in self-esteem: feel alone, feel bad, abandoned, etc. 72. For guilt: down on self, hasseling myself 73. For anger: frustrated, bothered, impatient, annoyed, etc. 74. For sex: excited, aroused, hyper, etc. Hysterical reactions of symbolic significance 75. Loss of cognitive function 76. Loss of perceptual function 77. Loss of bodily function 44 Disturbance of consciousness due to insufficiency of re- pression, such as: 78. Feeling stoned 79. Feeling out of it 80. Spaced out 81. Like a daydream 82. Like talking in sleep Dissociative reactions due to an insufficiency of repres- sion in which there is an awareness of unknown forces in- fluencing one's thoughts and behavior, such as: 83. Blocking something 84. Content of thought cannot be specified, but there is mentation 85. Wanting to do something, but not knowing what Affective anxiety equivalents because of defenses against the experience of anxiety of intrapsychic origin, such as: 86. Excitement, when not sexual as determined by context 87. Aroused, when not sexual as determined by context 88. Hyper, when not sexual as determined by context 89. Anticipation 90. Surprise, shock Cognitive anxiety equivalents because of defenses against the experience of anxiety of intrapsychic origin, such as: 91. Pensive 92. Ruminative 93. Concerned 94. Troubled, worried 45 Conscious correlates of repression due to unconscious fear that a small expression of repressed affect will re- sult in the Ego being overwhelmed by Id, i.e., a small expression of anger will lead to murder. This etiology as well as type of affect must be determined by context of behavior, particularly the subject's imagery: 95. For reduction in self-esteem: feel bad, feel alone, abandoned, etc. 96. For guilt: down on self, hasseling myself 97. For anger: frustrated, bothered, impatient, annoyed, etc. 98. For sex: excited, aroused, hyper, etc. Superego reactions resulting from a greater insufficiency of repression of affect and impulses of intrapsychic origin, such as: 99. Contriteness 100. Shame 101. Guilt 102. Disgust Reactions in which there is profound disturbance of per- ception 103. Perception breaks down entirely, and "everything seems like it's moving and changing." 104. Hallucinations, positive: seeing a word when it was not presented or seeing something other than a word; also auditory or olfactory. 105. Hallucinations, negative: cannot see words pre- sented Acute reactions indicating a nearly complete breakdown or insufficiency of the subject's repression of affect and 46 impulses of intrapsychic origin and his behavior becomes disorganized 106. Violent reactions of both branches of the autonomic nervous system 107. Incontenance 108. Aimless ineffective behavior 109. Panic, extreme terror 110. Suicide APPENDIC C SUMMARY OF RAW DATA APPENDIX C SUMMARY OF RAW DATA Subject # A B c D3 Treatment #1 (neutral condition) Experimenter A 29 6 5 123 4.87 32 3 3 146 2.05 36 11 4 254 4.33 Experimenter B 13 5 2 264 1.89 18 3 3 104 2.88 19 2 2 103 1.94 Experimenter C 37 11 7 355 3.10 45 19 11 493 3.85 46 5 5 81 6.17 Experimenter D l 1 1 110 0.91 6 15 6 376 3.99 9 7 5 260 2.69 Treatment #2 (drive intensification condition) Experimenter A 26 3 3 290 1.03 30 3 2 42 7.14 31 ll 6 202 5.45 47 48 Summary of Raw Data (Continued) Subject # A B C Da Treatment #2 (drive intensification condition) Experimenter B 14 6 4 43 13.95 15 9 6 49 18.37 16 4 3 123 3.25 Experimenter C 39 4 2 173 2.31 41 2 2 419 0.48 42 10 6 287 3.48 Experimenter D 4 9 4 147 6.12 8 9 3 160 5.62 7 3 2 69 4.35 Treatment #3 (insufficiency condition) Experimenter A 25 6 4 211 2.84 27 5 4 87 5.75 35 10 6 260 3.85 Experimenter B 21 5 3 123 4.07 23 9 7 311 2.89 24 3 2 167 1.80 Experimenter C 43 4 4 142 2.82 47 8 3 144 5.56 48 5 4 150 3.33 Experimenter D 2 8 5 103 7.77 3 7 4 94 7.45 10 3 2 224 3.94 49 Summary of Raw Data (Continued) Subject # A B‘ C Da Treatment #4 (drive intensification- insufficiency condition) Experimenter A 28 20 11 175 11.43 33 ll 3 141 7.80 34 4 4 109 3.67 Experimenter B 17 7 7 140 . 5.00 20 9 7 102 8.82 22 3 3 346 0.87 Experimenter C 38 2 2 174 1.14 40 13 5 140 9.29 44 7 4 351 1.99 Experimenter D 5 8 4 368 2.17 11 5 4 228 2.19 12 4 3 254 1.57 2 aExpressions per word are expressed as products of 10 for convenience of presentation. Total symptom expressions Symptom types Total words spoken Expressions per word 0011133 LIST OF REFERENCES LIST OF REFERENCES Burns, B. & Reyher, J. Activating posthypnotic conflict: Emergent uncovering psychotherapy, repression, and paychopathology. Journal of Personality and Pro- jective Techniques, 1976. Freud, S. A General Introduction to Psychoanalysis. Joan Riviere (trans.) New York: Liveright Publishing Corporation, 1924. Freud, S. The Interpretation of Dreams. In A. A. Brill (Ed.), The Basic Writings of Sigmund Freud. New York: Random House, Inc., 1938. (a) Freud, S. Psychopathology of Everydaerife. In A. A. Brill (Ed.), The Basic Writings of Sigmund Freud. New York: Random House, Inc., 1938. (b) Karnilow, A. A comparison of Oedipal and peer sex through the use of hypnotically implanted paramnesias. Un- published doctoral dissertation, Michigan State Uni— versity, 1973. . Karnilow, A. An attempt to produce psychopathology: the posthypnotic stimulation of hypnotically induced con- flict. Unpublished master's thesis, Michigan State University, 1971. Larison, G. Spontaneous repression of impulses and psy- chotherapy. Unpublished master's thesis, Michigan State University, 1973. LeBaron, S. Visual imagery and posthypnotic conflict in relation to psychopathology. Unpublished master's thesis, Michigan State University, 1976. Luria, A. R. The Nature of Human Conflicts. W. Horsely Gantt (trans.) N.Y.: Liveright, Inc., 1932. Moses, I. The relationship between symptomatology and the degree of repression of sexual conflict. Unpublished master's thesis, Michigan State University, 1974. Moses, I. Unpublished doctoral dissertation, Michigan State University, 1976. 50 51 Perkins, K. A. & Reyher, J. Repression, psychopathology and drive representation: An experimental hypnotic investigation of impulse inhibition. American Jour- nal of Clinical Hypnosis, 1971, 33, 249-258. Reyher, J. Hypnotically induced conflict in relation to subception, repression, antisocial behavior and psychosomatic reactions. Unpublished doctoral dis- sertation, University of Illinois, 1958 Reyher, J. Posthypnotic stimulation of hypnotically induced conflict in relation to psychosomatic reactions and psychopathology. Psychosomatic Medicine, 1961, 33, 384-391. Reyher, J. Free imagery: An uncovering procedure. Jour- nal of Clinical Psycholggy. 1963, 33, 454-459. Reyher, J. Hypnosis in research on psychopathology. In J. E. Gordon (Ed.), Handbook of Clinical and Exper- imental Hypnosis. New York: The Macmillan Co., 1967. Reyher, J. Emergent uncovering in intensiveypsychotherapy and the objectification of psychodynamic processes. Paper presented at the meeting of the American Psy- chological Association, Washington, D.C., 1969. Reyher, J. Method of emergent uncovering psychotherapy and its research foundations. Paper presented at the meeting of the American Psychological Association, Chicago, Illinois, 1975. (a) Reyher, J. Personal communication, April, 1975. (b) Reyher, J. Personal communication, April, 1975. (c) Reyher, J. Symptomatic Reaction Scale. Unpublished man- uscript, Michigan State University, 1975. (d) Reyher, J. Emergent uncovering psychotherapy: The use of imogoic and linguistic vehicles in objectifying psy- chodymamic processes. In J. Singer and K. 8. Pope (Eds.), The Power of Human Imagination. New York: Plenum Publishing Corporation, in press. Reyher, J. and Basch, J. A. Degree of repression and fre- quency of psychosomatic symptoms. Perceptual and Motor Skills. 1970, 33, 559-562. Sommerschield, H. & Reyher, J. Posthypnotic conflict, repression and psychopathology. Journal of Abnormal Psychology, 1973, 33, 278-290. 52 Stern, D. Signs of anxiety during three verbal association conditions: Uncertainty regarding experimenter's evaluation, approval, and disapproval. Unpublished doctoral dissertation, Michigan State University, 1975. - Stern, D. & Reyher, J. Anxiety manifestation and primary process during verbal association and visual imagery. Manuscript submitted for publication, 1975. Veenstra, G. The effectiveness of posthypnotically aroused anger in producing psychopathology. Unpublished master's thesis, Michigan State University, 1969 Wolfe, A. Critical factors in the artificial induction of conflicts: A hypnotic paradigm for repression. Un- published master's thesis, Michigan State University, 1971. .III III II I lulu) All I l 1. 'l. «ill I! 1 - HICHIGRN STRTE UNIV. LIBRQRIES 31293100296973