Affective information processing and the assessment of anxiety

A conceptualization of anxiety as comprising three loosely coupled response systems of overt behavior, verbal report, and physiological activation has proven useful in clinical and theoretical work. With this framework as a starting point, an information-processing approach to the study of emotion is described. Emotions are conceived as affective programs within the brain, with information coded as propositions organized into associative networks. Affective expression results when such a network is accessed and processed, which can occur when a sufficient number of propositions are activated by environment stimuli and/or internal associations. It is hypothesized that information about the expressive physiology is an integral component of the associative structure, and that processing of the network accordingly results in measurable psychophysiological response. Data from studies of emotional imagery, as well as other areas of research, are reviewed in support in these theories. The utility of this approach for the assessment of anxiety disorders is discussed, and results of clinical studies are presented to suggest that individual differences in accessing and processing emotional information may bear significant implications for prognosis and treatment selection. It is speculated that differences among the anxiety disorders could be interpreted in terms of the degree of cognitive organization of the network, leading to potential refinement of current diagnostic categories. In conclusion, cognitive psychology paradigms are discussed in terms of their application to the assessment and treatment of anxiety disorders.