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Articles 1 - 30 of 58
Full-Text Articles in Psychiatry and Psychology
Parent Influences On Adolescent Peer Orientation And Substance Use: The Interface Of Parenting Practices And Values, Karen Bogenschneider, Ming-Yeh Wu, Marcela Raffaelli, Jenner C. Tsay
Parent Influences On Adolescent Peer Orientation And Substance Use: The Interface Of Parenting Practices And Values, Karen Bogenschneider, Ming-Yeh Wu, Marcela Raffaelli, Jenner C. Tsay
Department of Psychology: Faculty Publications
This study examines how experiences in the family domain may magnify or mitigate experiences in the peer domain, and how processes in both milieus may influence adolescent substance use. The data derived from 666 European American mother-adolescent dyads and 510 European American father-adolescent dyads. Consistent with individuation-connectedness theory, mothers’ responsiveness lessened their adolescents’ orientation to peers, which, in turn, reduced adolescent substance use. This process was moderated by maternal values regarding adolescent alcohol use; that is, the relation of maternal responsiveness to adolescent substance use depended on the extent of maternal approval or disapproval of adolescent alcohol use. Among fathers, …
Morphine-Conditioned Changes In Locomotor Activity: Role Of The Conditioned Stimulus, Rick A. Bevins, Michael T. Bardo
Morphine-Conditioned Changes In Locomotor Activity: Role Of The Conditioned Stimulus, Rick A. Bevins, Michael T. Bardo
Department of Psychology: Faculty Publications
When a multisensory environment was reliably paired with morphine (2 mg/kg) in rats, that environment, in a drug-free test, evoked a hyperactive conditioned response (CR). When an olfactory cue (banana odor) was the only stimulus element reliably paired with morphine, it also elicited a hyperactive CR. However, a gustatory cue (saccharin solution) evoked a hypoactive CR. This taste-elicited decrease in activity was dose dependent; morphine at 2 and 4 mg/kg conditioned hypoactivity, whereas a higher dose (8 mg/kg) did not. A robust conditioned saccharin aversion occurred only at the highest dose of morphine, suggesting disassociation between the hypoactive CR and …
Reconsidering The Hiv/Aids Prevention Needs Of Latino Women In The United States, Marcela Raffaelli, Mariana Suarez-Al-Adam
Reconsidering The Hiv/Aids Prevention Needs Of Latino Women In The United States, Marcela Raffaelli, Mariana Suarez-Al-Adam
Department of Psychology: Faculty Publications
The HIV/AIDS epidemic represents an ever-increasing threat to Latino populations in the United States, with women being most affected by this deadly disease. In this chapter, we explore the challenges Latino women face as they attempt to reduce their risk of sexual transmission of HIV, the virus that causes AIDS. Our main interest lies in examining how the economic, cultural, and social realities of women's lives contribute to their risk of HIV infection and constrain their ability to reduce that risk. Because there is neither a cure for AIDS nor a vaccination to block HIV transmission, prevention of infection is …
Enhancing The Effectiveness Of Social Skills Interventions With Adolescents, David J. Hansen, Douglas W. Nangle, Kathryn A. Meyer
Enhancing The Effectiveness Of Social Skills Interventions With Adolescents, David J. Hansen, Douglas W. Nangle, Kathryn A. Meyer
Department of Psychology: Faculty Publications
Competent social interactions are clearly necessary for adjustment and successful functioning in society. The many developmental events and changing social expectations that occur during adolescence can make it particularly challenging for youth to establish and maintain competent social interactions. Research on social skills training with adolescents began in the mid-tolate 1970’s and it has improved much over the years. The research has gradually moved beyond a focus on basic skill assessment and acquisition in clinical settings toward techniques designed to assess and promote generalization and maintenance of an effective interpersonal repertoire in real world settings and situations. This article discusses …
Adolescent Heterosocial Competence Revisited: Implications Of An Expanded Conceptualization For The Prevention Of High-Risk Sexual Interactions, Douglas W. Nangle, David J. Hansen
Adolescent Heterosocial Competence Revisited: Implications Of An Expanded Conceptualization For The Prevention Of High-Risk Sexual Interactions, Douglas W. Nangle, David J. Hansen
Department of Psychology: Faculty Publications
The current HIV/AIDS epidemic has revitalized interest in adolescent sexual behavior and led to exciting new lines of prevention research. Researchers have concluded that awareness of the risks associated with high-risk sexual behavior alone is not enough to change the behavior of adolescents. Cognitive behavioral skills interventions that directly teach adolescents new skills are now widely recommended as components of prevention efforts. Although social-skills training has often been included as a component of such interventions, we actually know little about how social skills and adolescent sexual behavior are related. This paper provides a conceptual framework based on social-learning theory for …
New Directions In The Application Of Social-Skills Interventions With Adolescents: Introduction To The Special Section, Douglas W. Nangle, David J. Hansen
New Directions In The Application Of Social-Skills Interventions With Adolescents: Introduction To The Special Section, Douglas W. Nangle, David J. Hansen
Department of Psychology: Faculty Publications
The importance of competent social interactions for adolescent adjustment and successful functioning at home, school, work, and social settings has been well documented (cf. Hansen, Giacoletti, & Nangle, 1995; Kelly & Hansen, 1987; Peterson & Hamburg, 1986). Within a developmental context marked by transitions, establishing and maintaining competent social interactions can be particularly challenging for adolescents. Fundamental developmental changes, including the onset of puberty, the emergence of more advanced cognitive and verbal abilities, and the transition into new roles in society, significantly alter social interactions (Bierman & Montminy, 1993; Hansen et al., 1995). These interactions become increasingly complicated and adult-like, …
The Meeting Of Pain And Depression: Comorbidity In Women, Marta Meana
The Meeting Of Pain And Depression: Comorbidity In Women, Marta Meana
Psychology Faculty Research
The higher prevalence of depression in women is coupled with a higher prevalence of pain complaints. Growing evidence suggests that the comorbidity of these conditions is also proportionately higher in women than men. This paper critically reviews the empirical findings relating to gender differences in comorbid pain and depression as well as findings in support of hypothesized etiologic factors that could explain why women may be more susceptible than men to comorbidity. The empirical evidence for biogenic, psychogenic, and sociogenic explanatory models is presented, and an integration of these models is proposed as a guideline to both research and clinical …
Depression In Mexican American Adolescence And Its Relations To Ethnic Identity And Self Esteem, Deborah Cohen Woloski
Depression In Mexican American Adolescence And Its Relations To Ethnic Identity And Self Esteem, Deborah Cohen Woloski
Theses and Dissertations - UTB/UTPA
This study investigated incidence of depressive symptomatology, clinical depression, and suicidal ideation in a high school sample of 1751 Mexican-American adolescents. The relations of depression, as measured by the Diagnostic Scale for Depression-26 (DSD26), self-esteem, as measured by the abbreviated Rosenberg's Self-esteem Scale and ethnic identity, as measured by the Multigroup Ethnic Identity Measure (MEIM) were analyzed. Results indicate that Mexican-American adolescents are at increased risk for depressive symptomatology and suicidal ideation. Results showed that there is no higher incidence of Major Depressive Episode (MDE) in Mexican-American adolescents but an increased risk for depressive symptomatology was found. Ethnic identity and …
Prediction Of Health Patterns From General Appraisal, Attributions, Coping, And Trait Anxiety, Scott Hemenover, Richard A. Dienstbier
Prediction Of Health Patterns From General Appraisal, Attributions, Coping, And Trait Anxiety, Scott Hemenover, Richard A. Dienstbier
Department of Psychology: Faculty Publications
We examined the relationships among general appraisal style, attributional style, trait anxiety, coping styles, and health status (i.e., depression, hostility, and flu-like symptoms) in a study for which we also examined the validity of a trait measure of general appraisal. Participants completed personality measures at the beginning of an academic semester, and health assessments at regular intervals throughout the semester. Consistent with our predictions, after removing the influence of neuroticism and attributional style, general appraisal style led to more negative, and less positive affect 2 weeks later, and to more stressful and threatening appraisals of a life event occurring 3 …
Efficacy Of Psychoeducational Group Therapy In Reducing Symptoms Of Posttraumatic Stress Disorder Among Multiply Traumatized Women, Hadar Lubin, Michelle Loris, John Burt, David Read Johnson
Efficacy Of Psychoeducational Group Therapy In Reducing Symptoms Of Posttraumatic Stress Disorder Among Multiply Traumatized Women, Hadar Lubin, Michelle Loris, John Burt, David Read Johnson
Psychology Faculty Publications
Objective: The role of group therapy in treatment of posttraumatic stress disorder (PTSD) has been traditionally restricted to issues of self-esteem and interpersonal relationships, rather than primary symptoms of the disorder. In this study, the authors examined the effectiveness of a 16-week trauma-focused, cognitive-behavioral group therapy, named Interactive Psychoeducational Group Therapy, in reducing primary symptoms of PTSD in five groups (N=29) of multiply traumatized women diagnosed with chronic PTSD. Method: The authors made assessments at baseline, at 1-month intervals during treatment, at termination, and at 6-month follow-up by using self-report and structured interview measures of PTSD and psychiatric symptoms. The …
Trends. Sex And The Totemic Presidency, Ibpp Editor
Trends. Sex And The Totemic Presidency, Ibpp Editor
International Bulletin of Political Psychology
The author discusses the dynamics of the Lewinksky-Clinton relationship to the United States Presidency.
Methodological Considerations In Pretrial Publicity Research: Is The Medium The Message?, Jeffrey R. Wilson, Brian H. Bornstein
Methodological Considerations In Pretrial Publicity Research: Is The Medium The Message?, Jeffrey R. Wilson, Brian H. Bornstein
Department of Psychology: Faculty Publications
Two methodological issues within the pretrial publicity (PTP) literature were examined in the present experiment: the effect of emotional versus factual PTP and the effect of presenting PTP through different media. Emotional and factual PTP were constructed that differed in level of emotionality, but produced the same degree of bias. The PTP was presented in either a videotaped or written format. Although there was a significantly biasing effect of PTP overall compared to a control condition, no significant difference was found either between factual and emotional PTP or between video and written PTP.
Perceived Health Competency And Health Value, Acculturation And Obesity In A Mexican American Population, Roberto Eliud Maldonado
Perceived Health Competency And Health Value, Acculturation And Obesity In A Mexican American Population, Roberto Eliud Maldonado
Theses and Dissertations - UTB/UTPA
Mexican Americans have a higher incidence of obesity than non-Hispanic whites, yet this population seems to be less concerned with maintaining an ideal body weight than non-Hispanic whites. This puts the Mexican Americans population at higher risk for illnesses associated with increased body fat and obesity. One important factor found to influence health maintenance behavior is perceived self-efficacy, or the degree to which the individual feels capable of effectively managing his or her behavioral outcome. This study examines the moderating effect of health competency and health value on body weight in individuals undergoing acculturation.
Although no significant correlations were found …
Influence Of Psychiatric Diagnostic Training On Counseling Students’ Development Of A Model-For-Helping And Professional Identity, Jerry E. Mclaughlin
Influence Of Psychiatric Diagnostic Training On Counseling Students’ Development Of A Model-For-Helping And Professional Identity, Jerry E. Mclaughlin
Dissertations
Over the years, numerous proposals have been made in the counselor education (CE) literature about what counseling philosophy can best lead the profession to a distinctive professional identity (Bauman & Waldo, 1998; Fong & Lease, 1994; Guterman, 1994). An issue in this debate is whether psychiatric diagnostic training forms a part of a counseling philosophy (i.e., model-for-helping) and professional identity that is more focused on client psychopathology than on normal developmental issues. This study explored how training and experience in psychiatric diagnostic categories (PDCs) influenced counselors’ development of their counseling philosophy and professional identity.
Focus-group interviews were held at four …
Cardiac Rehabilitation: Gender Differences In Factors Influencing Participation, Lani Lieberman, Marta Meana, Donna E. Stewart
Cardiac Rehabilitation: Gender Differences In Factors Influencing Participation, Lani Lieberman, Marta Meana, Donna E. Stewart
Psychology Faculty Research
This study investigates gender differences in the barriers and incentives that are most influential in the coronary patient's decision to participate in cardiac rehabilitation (CRPs) and suggests strategies to counter these barriers. Patient surveys were administered to consecutive English-speaking attenders and referred nonattenders to a cardiac rehabilitation center at a university healthcare system in Toronto, Canada. A survey questionnaire, constructed from a literature review and advice from key informants, examined potential factors affecting decisions to engage in CRPs. One129 attenders at a CRP and 61 referred nonattenders completed the questionnaire. Physician recommendation was reported to be the most important factor …
Effects Of Weapons On Guilt Judgments And Sentencing Recommendations For Criminals, Richard A. Dienstbier, Scott C. Roesch, Ayumi Mizumoto, S. H. Hemenover, Roger C. Lott, Gustavo Carlo
Effects Of Weapons On Guilt Judgments And Sentencing Recommendations For Criminals, Richard A. Dienstbier, Scott C. Roesch, Ayumi Mizumoto, S. H. Hemenover, Roger C. Lott, Gustavo Carlo
Department of Psychology: Faculty Publications
In Study 1,we explored whether guns presented for target shooting would lead subjects to assign longer prison sentences for crimes unrelated to the guns. Weapon-condition subjects recommended longer sentences than did control subjects, who had experienced equally energizing sports activities. In Study 2, subjects acting as jurors watched a police officer’s videotaped deposition about a burglary arrest. Through the deposition, subjects in all conditions received identical information about the gun. However, some subjects heard the description of the gun taken from the burglar; some heard the description and saw the gun when it was placed on the evidence table near …
Parent-Teen Communication About Sexual Topics, Marcela Raffaelli, Karen Bogenschneider, Mary Fran Flood
Parent-Teen Communication About Sexual Topics, Marcela Raffaelli, Karen Bogenschneider, Mary Fran Flood
Department of Psychology: Faculty Publications
Parent-teen communication about sexual topics was examined in 666 mother-teen and 510 father-teen pairs. Parents and their 8th- through 12th-grade children completed parallel surveys that assessed demographic, relationship, and attitudinal variables hypothesized to be linked to sexual communication. Logistic regression analyses were used to determine which variables were linked to teens’ reports of “one good talk” about each of three sexual topics (whether teen sex is okay, the dangers of AIDS and other sexually transmitted diseases, and birth control) in the past year. Aside from gender of parents and teens, demographic variables were largely nonsignificant in the final models. Instead, …
“Other Teens Drink, But Not My Kid”: Does Parental Awareness Of Adolescent Alcohol Use Protect Adolescents From Risky Consequences?, Karen Bogenschneider, Ming-Yeh Wu, Marcela Raffaelli, Jenner C. Tsay
“Other Teens Drink, But Not My Kid”: Does Parental Awareness Of Adolescent Alcohol Use Protect Adolescents From Risky Consequences?, Karen Bogenschneider, Ming-Yeh Wu, Marcela Raffaelli, Jenner C. Tsay
Department of Psychology: Faculty Publications
This study included 199 White mother-adolescent dyads and 144 White father-adolescent dyads. All adolescents reported regular alcohol use, yet less than one third of parents were aware of their adolescents’ drinking. Parental awareness of adolescent alcohol use served to protect adolescents by moderating the relation of parents’ responsiveness to episodes of drinking and driving. Aware parents were more likely than unaware parents to believe their adolescents’ close friends drank alcohol. Aware mothers worried more about their adolescents’ risk behaviors and discussed them more frequently with their adolescents. Aware fathers held values less disapproving of adolescent alcohol use and were less …
Anger Management For Adults, Gary L. Heath
Anger Management For Adults, Gary L. Heath
Graduate Theses
Eight adults participated in a 2 part anger management course in a quasiexperimental within-subjects outcome study. Anger was described with the Anger Cycle®. Cognitive, relaxation and social skills training were used to teach alternative strategies for expressing anger. The Anger Information Test (AIT) and the State Trait Anger Expression Inventory (STAXI) were administered at pretreatment, posttreatment and follow-up (2 weeks later). Seven subscales of the STAXI were used; Trait Anger, Anger Temperament, Anger Reactivity, Anger In, Anger Out, Anger Control and Anger Expression. An overall significant within-subjects difference was found on .changes from both tests. Two of the 4 hypothesized …
Age And Violent Sexual Abuse: Does Victim's Age And Violence Associated With Sexual Abuse Influence The Risk Of Suicide?, Debra A. Keel
Age And Violent Sexual Abuse: Does Victim's Age And Violence Associated With Sexual Abuse Influence The Risk Of Suicide?, Debra A. Keel
Graduate Theses
Previous research on childhood sexual abuse has indicated an increased risk of suicide for children who experience more severe sexual abuse and children who experience sexual abuse accompanied by physical abuse. This study investigated the difference in suicide risk associated with varying severity of sexual abuse, and the difference in suicide risk associated with age at the time of sexual abuse. Data was collected from the psychological records of a state juvenile correctional facility for boys. Statistical analysis revealed no significant difference between those who experienced penetrating sexual abuse versus non-penetrating sexual abuse; however, an overall significant difference was found …
Childhood Choice Making Patterns As A Function Of Contingency Shaping Versus Instructional Control, Nathan Atkin Call
Childhood Choice Making Patterns As A Function Of Contingency Shaping Versus Instructional Control, Nathan Atkin Call
Undergraduate Honors Capstone Projects
The term contingency shaped refers to any response class governed by its direct consequences (Catania, 1973). In a theoretical paper on problem solving Skinner (1966) discriminated between contingency shaped and rule-governed behavior by stating that no matter how similar in form they may appear each have independent controlling variables and functional properties. In a later analysis (Skinner, 1974) he elaborated on rule-governed behavior by pointing out that one distinct form of rule-governed behavior is instruction following. An instructional episode, however, consists of more than any verbal or non-verbal statement of contingencies, but includes the consequences in question as well (Cerutti, …
Treatment Of Nocturnal Enuresis In Four Male Adolescent Sex Offenders, Deloy Herman Johnson
Treatment Of Nocturnal Enuresis In Four Male Adolescent Sex Offenders, Deloy Herman Johnson
Undergraduate Honors Capstone Projects
Over the three months of this study, the subjects were detained 24 hours per day, every day at a residential center for sex offenders. Of the four subjects, three received medications for nocturnal enuresis while the other one received medication for hyperactive behavior. The time interval between nocturnal events increased for the recipients of sensitivity training. This study was a three-month study without follow up. The increased interval may be explained by two other confounds that were not measured: 1) the clients who had the longer intervals at the end of the study were also on medication, which possibly contributed …
Patient-Guided Investigation Of The Restoration Of Health Following Traumatic Brain Injury, Nancy Ann Carney
Patient-Guided Investigation Of The Restoration Of Health Following Traumatic Brain Injury, Nancy Ann Carney
Dissertations and Theses
The development of emergency department medical interventions and the implementation of fast-transport trauma systems has decreased the rate of death resulting from traumatic brain injury (TBI). Without corresponding methods for long-term treatment and recovery, the prevalence of people disabled by TBI has increased, creating a growing public health problem. Investigations generated by physicians, rehabilitation programs, and social scientists, which attempt to associate standard measures of injury severity with outcome, leave unexplained variance in long-term functional status for persons with TBI.
The purpose of this investigation was to use persons with brain injury and their family members, to guide an analysis …
Acculturation Of A Mexican-American Male Population And Gender Role Conflict, Gary Evan Leka
Acculturation Of A Mexican-American Male Population And Gender Role Conflict, Gary Evan Leka
Theses and Dissertations - UTB/UTPA
This study examined the effects of different modes of acculturation upon self reported levels of gender role conflict, and explored the relationship among acculturative stress, the concepts of Machismo and Familism and gender role conflicts. Hispanic males (N = 164) from a university with an 90% Hispanic enrollment were surveyed. Low Bicultural subjects differed significantly upon the factors of restrictive emotionality and restrictive affectionate behavior between men than other modes of acculturation. Machismo was found to be significantly related to stress and conflicts with gender roles, while Familism was found to be related to two of the patterns of gender …
Affect And Marital Adjustment In Women’S Rating Of Dyspareunic Pain, Marta Meana, Irv Binik, Sainir Khalife, Deborah Cohen
Affect And Marital Adjustment In Women’S Rating Of Dyspareunic Pain, Marta Meana, Irv Binik, Sainir Khalife, Deborah Cohen
Psychology Faculty Research
OBJECTIVE: To investigate the extent to which depressive symptomatology, anxiety, and marital adjustment mediate pain ratings in women suffering from dyspareunia.
METHOD: Seventy-six women with dyspareunia were administered the depression and anxiety scales of Derogatis's Brief Symptom Inventory and the McGill Pain Questionnaire. They also underwent a manual-visual gynecological examination, an ultrasound, and a colposcopy in an attempt to identify potential evidence and type of organicity.
RESULTS: Depressive symptomatology, anxiety, and marital adjustment together accounted for a significant amount of the variance in pain ratings, although only anxiety and marital adjustment were independent predictors of pain ratings in the entire …
From Compassion To Compensation: The Effect Of Injury Severity On Mock Jurors’ Liability Judgments, Brian H. Bornstein
From Compassion To Compensation: The Effect Of Injury Severity On Mock Jurors’ Liability Judgments, Brian H. Bornstein
Department of Psychology: Faculty Publications
Two studies were performed to ascertain the effect of injury severity on participants’ judgments in a simulated jury task. Participants read a summary of a personal-injury case in which the severity of the plaintiff’s injury was varied: they were asked to judge the defendant’s liability, award compensation, and rate their feelings toward the litigants. In Study 1, more severely hurt plaintiffs were more likely to obtain a favorable verdict, even though evidence of liability was held constant. Greater severity influenced liability judgments only insofar as it elicited positive feelings toward the plaintiff or negative feelings toward the defendant. In Study …
Predictors Of Children’S Risk Appraisals, David Dilillo, Richard Potts, Susan Himes
Predictors Of Children’S Risk Appraisals, David Dilillo, Richard Potts, Susan Himes
Department of Psychology: Faculty Publications
This study explored variables associated with cognitive appraisals of physical risk in a sample of 62 elementary school children. Participants were presented with drawings of persons in three categories of risky situations typical of children, typical of adults, and typical of television plots. They were asked to judge the potential for physical injury in each. Results indicated that children tended to appraise risks in child, adult, and TV-plot risk situations differently, and that each type of situation was predicted by different variables. For the child situations, greater amounts of direct experience with the risk situation itself was found to be …
The Role Of Ease Of Retrieval And Attribution In Memory Judgments: Judging Your Memory As Worse Despite Recalling More Events, Piotr Winkielman, Norbert Schwarz, Robert Belli
The Role Of Ease Of Retrieval And Attribution In Memory Judgments: Judging Your Memory As Worse Despite Recalling More Events, Piotr Winkielman, Norbert Schwarz, Robert Belli
Department of Psychology: Faculty Publications
Abstract—Participants who had to recall 12 childhood events (a difficult task) were more likely to infer that they could not remember large parts of their childhood than participants who had to recall 4 events (an easy task), although the former recalled three times as many events. This pattern of results suggests that memory judgments are based on the experienced ease or difficulty of recall. Accordingly, the negative impact of recalling 12 events was attenuated when participants were led to attribute the experienced difficulty to the task rather than to the poor quality of their memory. The findings emphasize the role …
Differentiating Withdrawal Patterns Between Smokers And Smokeless Tobacco Users, Dennis E. Mcchargue, Frank L. Collins Jr.
Differentiating Withdrawal Patterns Between Smokers And Smokeless Tobacco Users, Dennis E. Mcchargue, Frank L. Collins Jr.
Department of Psychology: Faculty Publications
The present study was designed to document smokeless tobacco withdrawal patterns and to examine differential withdrawal responses between smokers and smokeless users. Participants (N = 19) were studied under deprivation and nondeprivation conditions, 1 condition per week. The Withdrawal Symptoms Checklist was administered to assess cognitive and affective changes. Both smokers and smokeless users experienced substantially more withdrawal at 48-hr deprivation compared to the 48-hr nondeprivation condition. Participants in both groups endorsed decreasingly fewer withdrawal symptoms from 0 hr to 48 hr on nondeprivation days. This downward trend suggests a need for stabilizing withdrawal responses before deprivation.
Repeated Testing In Eyewitness Memory: A Means To Improve Recall Of A Negative Emotional Event, Brian H. Bornstein, Lesley M. Liebel, Nikki C. Scarberry
Repeated Testing In Eyewitness Memory: A Means To Improve Recall Of A Negative Emotional Event, Brian H. Bornstein, Lesley M. Liebel, Nikki C. Scarberry
Department of Psychology: Faculty Publications
Participants viewed either a violent, arousing film or a non-violent, control version of the same film. After viewing the film, they made three successive attempts to recall details of the event. Participants who were exposed to the negative emotional event were better than control participants at recalling details of the event itself, but they were worse at recalling details that preceded or followed the violence. Both groups of participants recalled significantly more information over successive recall attempts, suggesting that memory impairment due to arousal can be alleviated by repeated testing. Repeated testing was also associated with a small but reliable …