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Smokers suffer from high rates of anxiety disorders, presumably because some individuals with anxiety disorders rely on smoking as a maladaptive attempt to manage anxiety. Cognitive behavioral therapy (CBT) is an efficacious smoking cessation treatment, yet outcomes are worse for patients with elevated anxiety. The integration of CBT for smoking cessation with False Safety Behavior Elimination Therapy (FSET) may be useful with anxious smoking cessation patients, as smoking to manage anxiety and associated negative affect can be targeted as a false safety behavior (i.e., behavior aimed at decreasing anxiety in the short-term but which may maintain or exacerbate it in the long-term). Here, we describe the integrated treatment, Treatment for Anxiety and Smoking Cessation (TASC), and the successful use of it with two smoking cessation patients—one with comorbid generalized anxiety disorder (GAD) and one with clinically elevated social anxiety that did not meet diagnostic threshold for an anxiety disorder. Data support the feasibility of TASC as a viable approach to smoking cessation treatment for patients with comorbid anxiety disorder and with elevated anxiety that does not meet diagnostic threshold. Future controlled trials are now warranted to further evaluate the intervention.

This study tested status-contingency theory and conversion theory on a task in which members made ordered judgments instead of dichotomous judgments. In groups, participants discussed whether “under God” should be in the pledge of allegiance and reached consensus on an ordered scale. Members’ contributions were scored for integrative complexity. In groups with more dispersion of opinion, members with opinions less discrepant from other group members did not have higher integrative complexity than members with more discrepancy of opinion, failing to support status-contingency theory for nondichotomous decisions. In support of conversion theory, members with more discrepant opinions were more influential when they had higher integrative complexity in their arguments. Replicating past research, groups with longer discussions had higher integrative complexity.

Using the linguistic software Linguistic Inquiry Word Count, we analyzed transcripts of group discussions of whether the words “under God” should be in the Pledge of Allegiance. We hypothesized that members with an extreme opinion would use less complex language and more you pronouns than other members. Furthermore, extreme members would have less influence when they used you pronouns or more complex language consistent with the illusion of understanding. Extreme members were more confident and perceived themselves as more knowledgeable, but they did not use less complex language than other members. When extreme members did use complex language, they were less influential. Extreme members used more you pronouns and use of you pronouns reduced their influence in the group. Groups containing at least one extreme member had a much lower level of complexity in their discourse than groups without extreme members. Results are situated within research in integrative complexity, illusion of understanding, and attitude extremity.

Based on the theoretical frameworks of information-sharing in groups and the linear discrepancy model, this study highlights the importance of communicating shared information for a divergent member to influence a group. Participants received information concerning whether “under God” should be in the Pledge of Allegiance. After stating individual opinions, they discussed the issue in small groups and came to a group decision on a continuous, ordered scale. Low divergent members, who had opinions closer to the average of other group members, had more influence than high divergent members. Group members with high divergence were more confident and talked more than others. However, there was no relationship between the amount divergent members talked or their confidence level and their amount of influence. Highly divergent group members who mentioned more shared information were more influential and came across as more knowledgeable.

Objective.This study examines situations in which drownings occur (environmental risk factors) and the victims' personal risk factors (age, gender, use of personal flotation device, medical condition, alcohol or drug use) to provide guidance for future drowning prevention efforts.Methods.The authors investigated 883 non-bathtub drownings among New York State residents for the years 1988 to 1994 using medical examiner, coroner, police, and/or hospital records in addition to death certificate data.Results.Males, children ages 0–4 years, and African American males ages 5–14 years residing in New York State outside New York City experienced the highest rates of drowning. The majority of drownings occurred in a natural body of water for all age groups, with the exception of children ages 0–4 years. Most drownings among children ages 0–4 years occurred in residential swimming pools. The child usually gained access to the pool via inadequate fencing, an open or ineffective gate, or a ladder (to an above-ground pool) left in the “down” position. Less than 10% of victims of watercraft-related drownings were wearing personal flotation devices. Blood alcohol concentration (BAC) tests were positive for 44% of 250 persons 15 years of age and older for whom valid toxicology results were provided; 30% had BACs of 100 mg/dl or more.Conclusions.Suggested prevention efforts include stricter enforcement of fencing requirements for residential swimming pools and drowning prevention education stressing personal flotation device use while boating and the danger of mixing alcohol and water-related activities.

Objective. To describe environmental and personal risk factors associated with watercraft-related drownings. This information may be useful in developing boating safety programs, regulations, and enforcement priorities. Methods. A companion article in this issue (Unintentional Drownings Among New York State Residents, page 448) summarizes an investigation of 883 non-bathtub drownings among New York State residents for the years 1988 to 1994 using medical examiner, coroner, police, and hospital records in addition to death certificate data. This report details the environmental and personal risk factors associated with 216 watercraft-related drownings. Results. Ninety-three percent of watercraft-related drowning victims were male, with the highest rate of drowning observed among males ages 15–44 years. Most commonly, the victim entered the water when the watercraft capsized (36%), the victim fell overboard (24%), or the victim intended to swim (11%). Personal flotation devices (PFDs) were known to be worn by only 9% of drowning victims, and in these cases other risks overwhelmed the effectiveness of the PFD. Of 73 individuals 15 years of age or older for whom adequate blood alcohol concentration analyses were provided, 44% were positive for blood alcohol. Conclusions. Based on this study, increased use of PFDs, avoidance of dangerous currents, and less alcohol use by operators and passengers of all types of watercraft would result in a reduction in watercraft-related drownings. In addition to continued education efforts, boating safety measures that deserve consideration include enforcement of current PFD and boating while intoxicated (BWI) regulations and expansion of BWI laws to apply to all boaters.