See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/320735353 Executive Monkey Study Chapter · September 2017 DOI: 10.1007/978-3-319-47829-6_251-1 CITATIONS READS 0 6,983 1 author: Jay M. Weiss Emory University 155 PUBLICATIONS 12,370 CITATIONS SEE PROFILE Some of the authors of this publication are also working on these related projects: Chapter on ulcer View project information View project All content following this page was uploaded by Jay M. Weiss on 31 January 2018. The user has requested enhancement of the downloaded file. E Executive Monkey Study Jay M. Weiss Emory University, School of Medicine, Atlanta, GA, USA Historical Development of “Psychosomatic Medicine” The “executive monkey” study, which was published over 60 years ago in 1958, remains in all probability the most well-known experiment in a field referred to as Psychosomatic Medicine. Given its prominence in this field, we will therefore consider the definition and historical development of the concept of Psychosomatic Medicine before describing the details of the “executive monkey” experiment and its findings. That mental or psychological events could influence disease was known as far back as the early Greeks, as Hippocrates and Galen proposed that mind and body were inseparably linked and that physical wellbeing was tied to psychological wellbeing (e.g., Coxe 1846). Similar sentiments were expressed during the centuries that followed, so that by the eighteenth and nineteenth centuries one finds definitive pronouncements that psychological factors profoundly influence disease. For instance, Daniel Hack Tuke, the prominent British physician and psychiatrist, published a volume in 1872 titled “Illustrations of the Influence of the Mind Upon the Body in Health and Disease” (Tuke 1872) in which he described thought processes and emotions both causing/exacerbating disease as well as ameliorating it (for a detailed quotation from Tuke in this regard, see introductory section Weiss 1972). The relationship between psychological processes and bodily function (symptoms and disease) soon received new attention with the studies and writings of Sigmund Freud at the end of the nineteenth century when he hypothesized that psychic conflicts could find expression as physical disabilities in hysteria (Freud, 1890–1893; translated by Strachey, 1955). The early to mid-twentieth century saw a renaissance of interest in what came to be known as psychosomatic medicine – the relationship of psychological events to somatic disease. An excellent recounting of this history can be found in an article by Lipowski (1984). He finds the term “psychosomatic medicine” to have been first used in 1922. Important events thereafter were the publication in 1935 of Helen Flanders Dunbar’s book titled, “Emotions and Bodily Changes: A Survey of Literature on Psychosomatic Interrelationships” (Dunbar 1935), followed by the founding of the Journal “Psychosomatic Medicine” in 1939. Psychoanalytic analysis introduced by Freud reached perhaps its highest development in relation to somatic disease in the work and writings of Franz Alexander, who saw a variety of different diseases as resulting from specific intrapsychic conflicts (Alexander 1950). In the case of peptic ulcer, Alexander posited that this # Springer International Publishing AG 2018 J. Vonk, T.K. Shackelford (eds.), Encyclopedia of Animal Cognition and Behavior, https://doi.org/10.1007/978-3-319-47829-6_251-1 2 pathology resulted from the ulcer patient’s unconscious desire to be dependent and taken care of while at the same time adhering to the compulsion to act independently and assertively, with the unconscious desire resulting in the need to be constantly fed causing chronic hypersecretion of stomach acid and eventual ulceration. Needless to say, it is difficult, if not impossible, to see how this intrapsychic conflict could explain the duodenal ulcers that were found in the “executive” monkeys, and as the result of challenges such as this as well as other psychoanalytic explanations were soon viewed as conjectural and unlikely to be correct. Meanwhile, controversy raged within Psychosomatic Medicine as to whether mental events could actually cause disease (called “psychogenesis”) or whether mind and body were really inseparable and that disease resulted from physiological processes necessarily involving interplay of psychological and somatic factors. While the field has settled on the latter view (as evidenced in the Lipowski article), even at the present time the term “psychosomatic” is commonly used to mean that psychological influences lead to disease. For example, in 2016, author Claudia Kalb described Charles Darwin’s continuing gastrointestinal problems, asking whether these problems might have been caused by an infectious tropical bug picked up in his travels aboard the ship Beagle or “were Darwin’s lifelong symptoms psychosomatic – physical manifestations of ongoing mental stress?” (Kalb 2016). The “Executive Monkey” Experiment: Description and Findings Turning now to the “executive monkey” experiment, this experiment utilized pairs of rhesus monkeys, ultimately four pairs of monkeys. The two monkeys of each pair were restrained in chairs as shown in Fig. 1. The monkeys were subjected to intermittent electric shocks that one member of each pair, shown at the left side of the figure, could control by pressing a lever in front of it which postponed occurrence of the next shock, so that shock only occurred when this monkey, dubbed the “executive monkey,” failed to activate Executive Monkey Study its lever. The second member of the pair also had a lever mounted at the front of its chair but the lever was inactivated so that this monkey received the same shocks as did the “executive” but did not have any control over shock occurrence. Thus, one monkey of the pair exerted control over the occurrence of shock while the other monkey, called the “yoked” monkey, had no control, with both monkeys receiving the same shocks throughout the experiment. This experiment attracted so much attention because, when the monkeys were maintained in these experimental conditions for many days, the “executive” monkeys eventually died apparently as a result of gastrointestinal pathology including lesions and perforating ulceration, while the “yoked” monkeys developed no such pathology and lived on. It thus appeared that being the “executive” and exerting control caused pathology and death, whereas not exerting control avoided this detrimental outcome. The history of how the experiment unfolded is important for understanding and interpreting the results. The first report of the procedure described above appeared in the Journal “Psychosomatic Medicine” in 1958 in an article for which R.W. Porter was the first author (Porter et al. 1958). Titled “Some Experimental Observations on Gastrointestinal Lesions in Behaviorally Conditioned Monkeys,” the article describes that in various behavioral studies being undertaken with rhesus monkeys at Walter Reed Army Medical Center in Washington, DC, gastrointestinal pathology leading to death began to show up in many of the animals. The procedures performed on monkeys confined in chairs as shown in Fig. 1 involved conditioned anxiety (shock paired with a signal) and punishment (shock given for performing a response otherwise rewarded with a sugar pellet), as well as a combination of such procedures. Eleven of nineteen animals undergoing such procedures died during the experiments, and on autopsy gastrointestinal pathology was discovered as the likely cause of death. The paper by Porter et al. concludes with a description of the first two pairs of monkeys that eventually constituted the “executive” monkey study. In an attempt to determine that behavioral Executive Monkey Study 3 Executive Monkey Study, Fig. 1 A pair of rhesus monkeys in chairs as used in the “executive monkey” study. The monkey on the left is controlling (avoiding) delivery of shock to its feet by pressing the lever mounted at the front of its chair, while the monkey on the right (yoked monkey) receives the same shocks as the avoidance, or “executive,” monkey at the right. The yoked monkey also has a lever mounted at the front of its chair, but this lever is inactive and the yoked monkey is not attending to it. As shown in Brady (1958) Scientific American article conditions led to the pathology seen in the 11 monkeys described above – which the investigators strongly believed to be the case – and perhaps gain insight into what conditions could do this, two monkeys were subjected to a shock avoidance paradigm, this being the lever press contingency whereby these two animals were made to avoid/ control shock by pressing the lever at the front of their chair. The avoidance procedure, however, leads to animals receiving electric shocks, so that any pathology eventually observed could be simply a result of the physical stressor of electric shock being given to the monkeys and not because of the behavioral condition of performing an avoidance response. In order to rule out the possibility that electric shocks alone might produce the pathology eventually seen, this aspect of the experiment included a “yoked” animal for each avoidance monkey, these yoked animals having no control over shock and not engaging in avoidance responding but receiving the same shocks as the monkeys performing the avoidance response. If these yoked animals did not develop pathology, it would be evident that the electric shock itself did not cause such pathology. It is of note, therefore, that the “executive” monkey experiment was not designed to determine the effects of having control versus not having control in a stressful situation, as subsequent scientific and popular perception seized upon, but included yoked animals (i.e., animals having no control) to rule out electric shock as the cause of pathology. That the yoked animal was included in the study to exclude electric shock as being responsible for development of pathology is explicitly stated in the 4 subsequent summary article that appeared in Scientific American (Brady 1958). A second important paper appeared later that year in which findings from “executive”-yoked pairs reached n = 4 (eight monkeys); similar results were seen with the addition of two pairs of monkeys as reported in the first paper described above. Thus, in the total of four pairs, which constituted all of the animals eventually reported for the “executive monkey” study, all four “executive” monkeys died of gastrointestinal pathology whereas the four yoked animals showed no behavioral impairment, and, when sacrificed, showed no G.I. pathology (Brady et al. 1958). Following this, the most famous article describing these results – “Ulcers in ‘Executive’ Monkeys” – appeared in Scientific American and presented the data from the four pairs of monkeys (Brady 1958). That receipt of electric shock was not the cause of the pathology seen in these monkeys becomes even more evident when the schedule for delivery of shock and the avoidance behavior it generated is examined (Brady et al. 1958; Porter et al. 1958). The avoidance schedule to which the “executive” monkeys were subjected is called a “Sidman avoidance schedule” named after its developer, Dr. Murray Sidman. In this schedule, shocks were not preceded by any warning signal, and brief shocks (5.0 mA intensity, 0.5 s in duration) were given every 5.0 s (shock delivered to the feet of the animals) unless the active lever is pressed in which case the next shock was delayed for 20 s. Thus, unsignaled shocks occurred in a train of one brief shock every 5.0 s unless an avoidance response was made which then delayed the onset of the next train of shocks for 20 s. When this schedule was in place, “executive” monkeys (i.e., avoidance monkeys) proved remarkably proficient at acquiring and practicing the lever press response to avoid (i.e., postpone) shock. The investigators report that within a few hours of the beginning of training, stable avoidance responding emerged, the avoidance monkey making approximately 15–30 responses per minute. This response rate remained essentially unchanged during the entire experiment. As a result, shocks received by the monkeys never exceeded 2 per hour and typically averaged less Executive Monkey Study than 1 per hour. Thus, very few shocks were received by the monkeys throughout the course of the experiment; shocks occurred so infrequently it is not surprising that the results revealed (by inspection of yoked animals) that this physical stressor did not generate gastrointestinal pathology. Describing the course of the experiment and the development of pathology, the animals were confined in the chairs as shown in Fig. 1 continuously. Each day of the study was divided into “time-in” periods lasting 6 h during which shocks would occur (and the executive [avoidance] monkey therefore was going to respond to control shock and the yoked monkey also received shock if the avoidance monkey did not avoid shock) and “time-out” periods also lasting 6 h when no shocks would occur. These periods alternated, so that a 24-h day consisted of two 6-h “time-in” periods and two 6-h “time-out” periods. The presence of the “time-in” phase was signaled by illumination of a red light in full view of both animals of the pair. Regarding development of gastrointestinal pathology and death of the “executive” animals, one died after 9 days of this procedure while the other three died after 23, 25, and 48 days. Pathology found in the “executive” monkeys was gastric hemorrhage and erosions as well as duodenal ulcers that perforated in two instances. When the yoked monkeys were sacrificed shortly after the death of their matched “executive” partners, yoked monkeys showed no evidence of any gastric pathology. In the Scientific American article by Brady (1958), a brief description is given of other testing conditions (described as being “still in progress”), such as prevention of social interaction between the two monkeys and exposure to different timein, time-out intervals for responding. However, the details of these studies were not given nor, more importantly, were these procedures and their outcome described in any subsequent formal publication, so the number of monkeys that comprised the “executive monkey” study remains four pairs of animals. Executive Monkey Study Subsequent Research: Being Able to Control Found to Reduce Stress and Pathology Popular press and scientific researchers quickly realized that the “executive” monkey study compared animals that had control over a stressor (i.e., monkeys able to perform the avoidance response) with yoked animals that did not have any such control, and so the effects observed were viewed as the consequences of exerting control versus not having that ability, or, as the results suggested, that responsibility/burden. The study was thenceforth seen in this light, despite the fact that, as explained above, the investigators who carried out the experiment did not intend to study effects of having control versus no control but, instead, included yoked monkeys to set up what is called a “control condition” to rule out the possibility that shock alone produced pathology. Regardless, the “executive monkey” study was thereafter seen as demonstrating the effect of having control versus no control. While the pathological findings of the “executive monkey” study seemed plausible given the amount of responding by the avoidance monkeys versus the nonresponding of the “yoked” monkeys, other data looking at the consequences of having control versus noncontrol, though extremely limited in amount and scope, did not point to the same conclusion. In 1948, O. Hobart Mowrer and his student P. Viek had found that rats able to control (terminate) an electric shock by jumping into the air showed less subsequent fear (i.e., were more willing to approach and eat food) than were rats that received equal shocks but could not terminate them (Mowrer and Viek 1948). Though it was obvious that the conditions of the “executive monkey” study and the experiment by Mowrer and Viek were very different, the contrasting findings suggested that the consequences of having control versus no control might not be described comprehensively by what was seen in the “executive monkey” study. Following publication of the “executive monkey” findings, however, no additional experimental results looking at consequences of having control versus no control appeared for approximately 5 10 years, but then new findings were reported at this time. In 1968, 10 years after publication of the “executive monkey” study, the findings of my Ph.D. dissertation research were published in which rats were the subjects (Weiss 1968). These data also pointed to a conclusion opposite to that suggested by the “executive” monkey study, indicating that control over a stressful event lessened consequences of stress and stress-induced pathology. This study examined effects of having control versus no control over electric shocks on (a) body weight and food/water intake, (b) fearfulness as measured by willingness of the rats, when thirsty, to drink in the control versus no control environment, and (c) development of gastric pathology (gastric erosions). Using matched triplets of rats in which one rat could avoid and escape electric shocks (i.e., control occurrence and duration of any shocks received), a “yoked” animal that received the same shocks but had no control over them, and a nonshock subject that simply remained in the apparatus and received all stimuli as the other two animals but did not receive any shocks, differences between these three types of animals were observed. The experimental design for a triplet is shown in Fig. 2, although the particular apparatus shown in this figure was used in a later experiment and differs somewhat from the apparatus employed in Weiss (1968) (apparatus used in Weiss 1968 is shown in that article). A highly important detail in these studies, which can be seen in Fig. 2, was that electric shocks received by the rats were delivered through electrodes affixed to the rat’s tail, a procedure prompted by the insight of my brilliant Ph. D. advisor, Professor Neal E. Miller. (Neal Miller was a member of the National Academy of Sciences and first recipient of the National Medal of Science in the field of Social and Behavioral Science [1964], receiving this award in the third year after the Medal was established by President John F. Kennedy.) Miller had criticized the original Mowrer and Viek experiment on the basis that the animals were given shocks via a grid floor. Miller pointed out that on a grid floor, rats can change their bodily posture to lessen shock and/or 6 Executive Monkey Study Executive Monkey Study, Fig. 2 The experimental design paradigm for matched triplets of animals as used in Weiss (1968) and Weiss (1971a, b, c). The Avoidanceescape animal shown at left could control shock by performing a response (wheel-turn shown in this figure); this is noted as connection of wheel “To shock control.” Both the Avoidance-escape and the Yoked animal shown at center which is unable to perform a response to affect shock received exactly the same shocks via tail electrodes, with their tail electrodes wired in series into the same electrical circuit; electrode connection is noted as “To shock source.” The third animal shown at right (“No shock”) receives all stimuli throughout the procedure as the other two animals of the triplet except that it receives no shocks as its tail electrodes are not connected (“No connection”). Apparatus shown here was used in Weiss (1971a, b, c), while apparatus and responses to control shock were different in Weiss (1968) (see text), but all aspects of triplet design shown here were the same in all of these experiments jump completely off the floor to momentarily avoid shock, so that using this method to deliver shock cannot insure that the two matched animals (i.e., avoidance-escape animal and yoked animal) will get exactly the same shocks. Consequently, differences seen between these conditions might be due to the animals learning different postural maneuvers to consistently receive different amounts of shock. When I originally proposed to Miller to study control versus noncontrol for my dissertation research, he called attention to this problem and urged me to try to develop shock electrodes that could be affixed to the animal’s body to eliminate the ability of the rat to make postural changes that would alter shock. Fortunately, I was able to accomplish this during the next few months, and the method used has been published (Weiss 1967). Consequently, all experiments using the triplets as described and shown above employed tail electrodes affixed to the rats for delivery of shocks. With each matched pair of avoidance-escape and yoked animals having their shock electrodes wired in series into the electrical circuit for all of the experiments, shocks received by these two animals were necessarily exactly the same in number, duration, and intensity. The results reported in Weiss (1968) were briefly described as follows: in the first experiment, animals were exposed to avoidance-escape versus yoked conditions for a session lasting 2.5–3.0 h (i.e., avoidance-escape rats could avoid tail shock or terminate it by jumping onto a shelf while yoked animals received the same shocks but could not control them). Twenty-four hours later, avoidance-escape rats were found to be significantly heavier in body weight than the yoked animals, having eaten more food during the night after the stress session than did yoked Executive Monkey Study animals. Yoked animals also weighed less than matched no-shock animals, while avoidanceescape animals were only slightly lighter than the no-shock subjects. In the second part of this study, all rats were made thirsty by water deprivation and placed into the shock environment where a water tube was now present. Yoked animals were considerably more reluctant to approach the drinking tube than were avoidance-escape or nonshock subjects, thereby showing that yoked rats, as a result of exposure to shocks over which they had no control, were now more fearful in that environment than the other two groups. Finally, to assess gastric pathology as was measured in the “executive monkey” study, a second experimental situation was used in which animals were mildly restrained in a tube wherein avoidance-escape rats could control shock to its tail by a nose-poke at the front of its tube, “yoked” rats could nose-poke but without effect on shocks and received equal tail shock as their matched avoidance-escape partners, and no-shock rats did not receive shocks in this condition. When gastric pathology was assessed after rats had been in these conditions for 48 h, “yoked” rats developed clearly more gastric erosions than were seen in the other two groups. Thus, the first foray into examining effects of control versus noncontrol on various physiological indices after appearance of the “executive monkey” study yielded results consistently opposite to its findings, including what was observed when development of gastric pathology was assessed. However, it was the next series of experiments that led to the most illuminating results; these findings will now be described. Addressing the “Executive Monkey” Findings: Assessing the Importance of Signals Before Shock The next experiments attempted to determine why the findings in Weiss (1968) differed from what was seen in the “executive monkey” study. As described earlier, the “executive monkey” procedure required the animals controlling shock to respond in a “Sidman” avoidance procedure in 7 which all shocks occurred without any signal preceding them; responses simply postponed a train of shocks before which no warning signal had occurred. In contrast to this, in Weiss (1968), shocks had always been preceded by a warning signal. In those experiments, therefore, a warning signal informed the rats that shock onset was imminent, and also responses made during the warning signal not only avoided shock (i.e., caused shock not to occur) but terminated the warning signal to convey additional external information for the animal exercising control. Was a key factor in producing the difference the presence of a warning signal before shock as used by Weiss versus simply postponing shocks that had no warning signal preceding them as was the case in the “executive monkey” study? To test this, the importance of warning signals was examined (Weiss 1971a). In this large study, rats were exposed to electric shocks that were (1) unsignaled, or (2) preceded by a warning signal (“beeping” tone auditory signal beginning 20 s before shock), or, additionally, (3) preceded by a series of auditory warning signals (different tones) even more elaborate than a usual single warning signal (i.e., the “beeping” tone). As previously, matched triplets of rats were used; the design as well as the apparatus for this study is shown in Fig. 2, and an animal in an enclosure with the wheel mounted at the front is shown in Fig. 3. In all three warning-signal conditions, a response by the avoidance-escape rat – turning of the wheel at the front of its apparatus – postponed the onset of shock, which consisted of a train of brief, rapidlyoccurring shock pulses, for 200 s (i.e., this was an avoidance response). If the shock train had begun, the response immediately terminated shock and shock did not occur again for 200 s (i.e., this was an escape response). Thus, the avoidance-escape rat exerted control over shock, avoiding/postponing shock or terminating shock if it had begun, and the effect of a response by this animal on shock – postponement of the next shock for 200 s – was exactly same in the three warningsignal conditions. What therefore differed in the three warningsignal conditions was (a) how much external information rats got as to when shock would 8 Executive Monkey Study information was provided; this condition essentially provided an external clock leading up to shock. In this condition, called Progressive signal, a succession of warning signals was initiated 30 s after a shock had occurred, and consisted of five tones that became higher in frequency pitch and louder every 30 s until the “beeping” tone warning signal then began 20 s before shock. Note that the yoked and nonshock animals of each triplet heard exactly the same external tone signals as the avoidance-escape animal, and yoked animals experienced the same shocks and shock terminations as well. Animals were exposed to these conditions for 48 h, at which time they were sacrificed and the presence of gastric pathology (gastric erosions) was determined and quantified. Executive Monkey Study, Fig. 3 The Plexiglas enclosure used in Weiss (1971a) and also Weiss (1971b, c). Each rat was placed in this Plexiglas chamber where it was able to turn the wheel mounted at the front of the enclosure. Electric shock could be delivered to the rat’s tail protruding through the rear end of the enclosure via electrodes attached to the tail. Each of these enclosures was placed into a separate soundproof chamber so that each animal was isolated and separated from other two animals of its triplet. The white tubing leading from the top of the wheelturning enclosure is an air exhaust that provided constant ventilation of the enclosure. The graduated cylinder seen at the rear contains water; a spout from the cylinder protruded into the enclosure through a small hole thereby providing the rat access to drinking water throughout the procedure occur, and (b) how much external information rats got when the avoidance-escape rat responded. In the unsignaled shock condition, these rats, like the “executive monkeys,” got no external feedback informing them when shock would occur, and also they did not experience any stimulus change in their environment when they made an avoidance response postponing shock. For these animals, only an escape response produced any external change because in this case the shock train terminated. For signaled shock animals, rats knew when shock was imminent (i.e., the “beeping” tone warning signal sounded), and if the avoidance-escape animal responded during this warning signal (avoidance response), an external stimulus change occurred because the warning signal immediately terminated. For the third warning-signal condition, even more Findings from This Analysis: Exerting Control Reduces Stress and Ulceration in All Signal Conditions. Subsequent Analysis Leads to a Promising General Formulation The results of this study did not indicate that the simple presence or absence of warning signals was the key to understanding the “executive monkey” findings. In all three conditions – Unsignaled shock, Signaled shock, and the more elaborate warning signal condition called Progressive signal – the avoidance-escape rats able to exert control over shock developed less pathology and evidence of stress than did their matched yoked animals that could not control shock (Weiss 1971a). Differences in gastric ulceration between avoidance-escape and yoked rats were statistically significant in all three signal conditions, favoring avoidance-escape animals over yoked animals. On its face, therefore, the “executive monkey” study appeared to be an anomaly, and writings between 1958 and the beginning of the 1970s that emphasized the negatives of having the burden of being in control were left lacking empirical support. However, detailed analysis of the large amount of data generated by this study (20 matched triplets were included in each signal condition) led to a theoretical formulation that to this day appears Executive Monkey Study to be valid and subsequently led to a potential explanation for the “executive monkey” findings. Examining the wheel-turning behavior of the rats, particularly the animals in the unsignaled shock condition, revealed that rats which made the most responses tended to develop the most severe gastric ulceration. This led to the first leg of the hypothesis: As coping attempts (i.e., responses) by the animal increases, stress and pathology tends to increase. However, this relationship between the amount of responding and development of pathology was observed to be much weaker in avoidance-escape animals of the Signaled shock condition, and, in particular, was weakest in avoidance-escape rats of the Progressive signal condition. Why? The idea emerged that the response rate of animals could be high but if the amount of information they received about the success of their responses was also high, pathology would be prevented from developing. What was the relevant information? In a stress situation, the relevant information that the animal wants is that the danger/stress situation is over, it has ended, it has gone away. In other words, it seeks stimuli not associated with danger/stress/electric shock; i.e., it wants a stimulus condition that represents safety. When shock is signaled, and even more so in the Progressive signal condition, wheel-turning responses by the avoidance-escape animal often terminate warning signals to immediately bring about silence which is a safety period insofar as silence for these animals is present when shock is not occurring or imminent. Consequently, warning signal terminations produce a large amount of relevant information that the animal seeks. This “good information” from a response was called “relevant feedback.” This led to the second leg of the hypothesis: As relevant feedback from coping attempts (i.e., responses) increases, stress and pathology tends to decrease. Thus the consequences of being in a stressful situation are a function of two factors: adverse effects increase as the number of coping attempts (responses) increases, but then these adverse effects are held in check by the outcome of the coping attempts, decreasing (or failing to increase) as the relevant feedback resulting from 9 Executive Monkey Study, Fig. 4 The threedimensional plane describing the proposed relationship between the two independent variables – “Responses” (coping attempts) and “Relevant Feedback” from such coping attempts – and how this is related to the severity of stress and/or pathology (labeled here “Ulceration”). As Responses increase and Relevant Feedback decreases, stress/pathology increases. For ease of reading, the axes for Responses and Relevant Feedback are labeled in the foreground; customarily, these labels are placed on these axes in the background. Also presented in this figure is a hypothetical example showing the amount of pathology resulting from (A) a low number of responses being made (B) when these responses generate a low amount of relevant feedback coping attempts (responses) increases. The combination of these two functions has been presented graphically, which is shown in Fig. 4 (from Weiss 1971a). This figure shows the prediction of adverse effects generated by the convergence of the two functions (adverse effects in this case labeled “ulceration” insofar as this is what was measured in the experiment described above). The figure includes a hypothetical example indicating how much pathology will occur when a certain number of responses are made in a given situation and these responses produce a certain amount of relevant feedback. 10 Figure 5 shows how the results of exposure to the three different warning signal conditions in Weiss (1971a) conformed to the formulation shown in Fig. 4. Wheel-turn responses were counted, so this was known for all groups. Regarding relevant feedback, this could be estimated as well. For the avoidance-escape groups, those in the Signal condition received a moderate amount of relevant feedback for responding, resulting from signal terminations and escape responses, whereas those in the Progressive signal condition received even more relevant feedback because of the presence of more auditory signals that responses terminated. The lowest amount of relevant feedback was experienced in the unsignaled (No Signal) condition. Here avoidance responses postponed shock but changed nothing in the external environment; only escape responses (shock terminations) produced relevant feedback in this condition. These three conditions are represented appropriately in Fig. 5. The most interesting and informative groups, however, are the yoked groups. This formulation tells us why it is so detrimental to have no control over a stressor. For these animals, relevant feedback from any response is always zero – all responses have no effect on the environment or the stressor. That is, in fact, what it means to be without control – relevant feedback from any coping attempt is zero. In this condition, adverse effects of stress are a direct function of the number of coping attempts made – the higher the response rate in this condition, the more the pathology. This relationship can be seen in the three yoked groups shown in Fig. 5. Tests of the Formulation and Explaining the “Executive Monkey” Findings The validity of the formulation presented in Fig. 4 was then tested in two experiments. First, it is noted above that having no control is a condition where relevant feedback from any coping attempt is zero. But what would happen if the value of relevant feedback might fall below zero, becoming negative? This could occur if a coping attempt (avoidance-escape response) produced some aspect of the stressor rather than leading to a Executive Monkey Study Executive Monkey Study, Fig. 5 Results found in Weiss (1971a) for the Avoidance (Avoidance-escape) and Yoked groups of the three different signal conditions. For each group, the amount of gastric ulceration observed (height of bar) is shown at the point where the amount of responding observed in that group and the amount of relevant feedback from responding in that condition intersect. Note that for Yoked groups, amount of relevant feedback in all conditions is zero, which is necessarily the case when animals have no control over the stressor stimulus condition indicating absence of the stressor. In the first test experiment, avoidanceescape animals were required to perform a wheelturning response to avoid and/or terminate a train of shocks but then negative relevant feedback for such responding was introduced by giving one brief pulse of shock immediately following any wheel-turning response. The results of this study, reported in Weiss (1971c), made clear that this condition was very detrimental; so much pathology developed when animals were forced to respond when relevant feedback from coping attempts becomes negative that animals could hardly survive this condition for 24 h. Next, as noted above, avoidance-escape responding in an unsignaled shock condition produces a low level of relevant feedback. Therefore, a manipulation was preformed to greatly increase relevant Executive Monkey Study feedback in this condition. To do this, a brief auditory signal was added after every avoidanceescape response; because this signal is a stimulus always removed in time from the occurrence of shock, it represents a safety signal and greatly increases relevant feedback from responding in the unsignaled shock condition. The results of this study, reported in Weiss (1971b), showed that simply adding this auditory signal for relevant feedback essentially eliminated gastric pathology, reducing it almost to the level seen in no-shock subjects that received no shocks at all. In summary, findings of these two experiments strongly supported the formulation shown in Fig. 4 and the underlying reasoning that led to it. Incidentally, these studies established that the rat’s receiving uncomfortable or even painful electric shocks throughout the procedure had almost no influence on the development of stress/gastric pathology; the severity of stress and pathology was shown to depend almost entirely on behavioral and psychological factors attending the shock situation and did not result from the shocks themselves. The formulation shown in Fig. 4 can be used to account for the results seen in the “executive monkey” study. As described earlier, the “Sidman” avoidance schedule used in that experiment administered unsignaled shocks to the monkeys, and, for the monkey controlling the shock by pressing its lever, the relevant feedback from responses was therefore low. In fact, because shock in that experiment consisted of a train of very brief shock pulses each pulse given 5.0 s apart, the animal controlling shock could not even perform a clearly-defined escape response that demonstrably terminated shock – in contrast, every lever press by this monkey just postponed shock without producing any stimulus change in its environment, a condition of very low relevant feedback. Thus, a high rate of responding in such a condition is prone to high stress and pathology. Additionally, an important detail regarding how the “executive monkey” study was conducted adds to its pathogenic potential. As also discussed earlier, the “executive monkey” study was not designed to examine the effect of having control versus no control, but, rather, was conducted to establish that preforming an 11 avoidance response could lead to gastric pathology. Consequently, no attempt was made to equate the avoidance and yoked monkeys of each pair; instead, a yoked subject was simply paired with each avoidance monkey to insure that an animal not performing the avoidance response would receive an equal number of shocks in order to rule out the electric shock as having produced the gastric pathology. Because of this, the experimenters used an unfortunate procedure: they set up both animals of each pair with an active lever at the outset of training, and let the animal that became the avoidance subject self-select itself by taking over avoidance responding. Within the first hours of the experiment, one monkey of the pair responded at a much higher rate than the second monkey, and so the high-rate responder was made the avoidance subject and the other monkey’s lever was deactivated so that it became the yoked subject. This anomaly is crucial – as a result of this procedure, the “executive monkey” was designated as such because it responded at a high rate, and higher than its yoked subject. Thus, the monkeys that were made the “executive” were, because of their response tendencies, more prone to develop pathology than the yoked monkeys from the outset. And then these “executive monkeys” were placed into an ongoing situation where their responding produced very low relevant feedback. Consulting Fig. 4, this set of circumstances – high response rate, low relevant feedback from responding – is precisely the kind of situation that will result in pathology, and this is what indeed was observed in the “executive monkey” study. More than 45 years have now elapsed since publication of the Scientific American article in 1972 titled “Psychological Factors in Stress and Disease” (Weiss 1972) which was relevant to the “executive monkey” experiment that had been published in the same Journal in 1958. Since then, a number of significant developments have occurred. First, the principles proposed in that article – i.e., that stress and pathology increases as (a) responses increase and (b) relevant feedback from responses decreases – has been embraced, applied, and reiterated in a number of fields, including, notably, industrial psychology (e.g., Karasek 12 1979; Siegrist 1996). Second, a large amount of research has established that having control over a stressful situation is more beneficial – i.e., results in less stress – than having no control, which is opposite to what the “executive monkey” study suggested (e.g., Gray 1998; Payne 2013; Sherman et al. 2012). This is now accepted as an accurate general conclusion. Third, it is often said that the “executive monkey” results now have been falsified, debunked, as a result of the selection factor used to choose the “executive” monkey. For example, this is what was stated recently by Sherman and colleagues in Proceedings of the National Academy (Sherman et al. 2012). I respectfully disagree. The results of the “executive monkey” study have not been debunked; they are not erroneous. They are highly lawful and exactly what one would predict given the conditions that generated them. These findings are clearly explained in accord with the formulation shown in Fig. 4. What is correct to say is that the executive monkey experiment does not describe what one would expect to be the normal consequence of exerting control versus no control, but, rather, represents a highly unusual situation where exerting control was detrimental – because of the resulting high response rate, augmented by the avoidance monkeys being selected because of their high response proclivity, and the low relevant feedback from responding. Consequently, we now understand the findings in the “executive monkey” experiment and why negative consequences occurred for animals “in control,” and therefore these findings can be appropriately integrated into our knowledge. Concluding Comments First, with the discovery, in the 1980s, of the pathogen Helicobachter pylori as an important factor in peptic ulcer disease, and the successful treatment of the disorder by antibiotics (Marshall and Warren 1984; Marshall et al. 1985), initially it was thought that any association of this disorder with stress was now disproven, and decades of previous study and theorizing in this regard were erroneous. However, (1) it was subsequently discovered that ulcer could develop and also recur in Executive Monkey Study the absence of H. pylori (e.g., Laine et al. 1998; Tsuji et al. 1999), (2) it has been proposed that H. pylori is not the primary cause of ulcer but, rather, is responsible for a secondary infection that accounts for chronicity of ulcer disease (Tovey et al. 2001; Vikram et al. 2013), and (3) while prevalence of H. pylori infection is high across the world (for example, present in 35% of the population in the U.S. [Hooi et al. 2017]), peptic ulcer disease is found in a much lower percentage of people (for example, present in 1.1–1.5% of the population in U.S. [Sung et al. 2009]), so other factors clearly must be present for peptic ulcer disease to occur. Thus, H. pylori infection is neither necessary nor sufficient for development of peptic ulcer. Also, stress has been shown to decrease bodily defenses against pathogens by decreasing protective immune responses including phagocytosis that controls gram-negative bacteria such as H. pylori (e.g., Glazer and KiecoltGlazer 2005), so stress may influence infection by H. pylori. Research throughout this period has continued to show that development of peptic ulcer disease requires hypersecretion of stomach acid. Fifty years earlier, Wolf and Wolff had shown that emotional upset led to gastric engorgement and increased stomach acid secretion in humans (Wolf and Wolff 1947). In summary, discovery of the significance of H. pylori for ulcer disease does not rule out an important role for stress in development of gastric and duodenal ulcer. Second, while the writings of psychoanalysts on the topic of ulcer have been pushed aside for many years, this writer suggests that perhaps the work of perceptive psychoanalytic colleagues should not be summarily dismissed. Franz Alexander, in theorizing that many ulcer patients were hard striving individuals whose unconscious desire was, instead, to be passive and nourished, describes a high response rate, low relevant feedback condition leading to gastric pathology. Experimental research on animals described in this chapter provides a framework indicating that this particular condition is one of high stress and conductive to development of gastric pathology. That framework may integrate the data from these different sources; perhaps there is a surprising agreement here. Executive Monkey Study References Alexander, F. (1950). Psychosomatic medicine. New York: W. W. Norton. Brady, J. V. (1958). Ulcers in executive monkeys. Scientific American, 199(4), 95–98. Brady, J. V., Porter, R. W., Conrad, D. G., & Mason, J. W. (1958). Avoidance behavior and the development of gastroduodenal ulcers. Journal of the Experimental Analysis of Behavior, 1, 69–72. https://doi.org/10. 1901/jeab.1958.1-69. Coxe, J. R. 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