Attachment Styles and Personality Disorders: Their Connections to Each Other and to Parental Divorce, Parental Death, and Perceptions of Parental Caregiving

Attachment theory was explored as a means of understanding the origins of personality disorders. We investigated whether adult attachment styles and personality disorders share a common underlying structure, and how both kinds of variables relate to family background factors, including parental death, parental divorce, and current representations of childhood relationships with parents. A nonclinical group of 1407 individuals, mostly adolescents and young adults, were surveyed about their attachment styles, parental marital status, parental mortality status, perceptions of treatment by parents in childhood, and 13 personality disorders. Results indicated substantial overlap between attachment and personality-disorder measures. Two of the personality-disorder dimensions are related to the two dimensions of the attachment space; that is, there is a two-dimensional space in which both the attachment patterns and most of the personality disorders can be arrayed. The one personality-disorder factor that is unrelated to attachment appears akin to psychopathy. Both personality disorders and attachment styles were associated with family-of-origin variables. Results are discussed in terms of encouraging further research to test the idea that insecure attachment and most of the personality disorders share similar developmental antecedents.     

Parental Alienation Syndrome (PAS) in the Netherlands

In the Netherlands, about 20% of children do not have any contact with their non-resident parent after parental divorce. There are often many reasons underlying the broken contact, but one might well be the process of parental alienation, when the child denigrates and excludes the non-resident parent. This article presents the results of two studies conducted among divorce experts and divorced, non-resident parents. A total of 138 respondents co-operated in our studies. Of the respondents, 58% thought PAS either does not, or rarely occurs in the Netherlands, and 42% thought it does occur. The extent of parental alienation was classified as mild (33%) or moderate (9%). From our factor analysis, it became clear that Gardner's classification of eight separate symptoms of parental alienation was not evident in our research data. We were able to distinguish four separate aspects: two of them concerning alienation due to the resident parent and two concerning alienation due to the child. Our results underpin the importance of mediation, since it seemed that parental alienation syndrome (PAS) occurred significantly more often when decisions with relation to the children were not taken together by the parents but were determined in court. We consider that compulsory mediation and better communication during divorce would prevent many cases of PAS.     

Psychiatric Disorders and Childhood Parental Loss in Obesity: Relationship with the Mode of Weight Gain

We assessed the association between psychiatric disorders, childhood parental loss, and weight gain mode in 150 obese patients seeking bariatric surgery and with a history of sudden or gradual weight gain mode. Subjects with sudden weight gain mode (47%) showed significantly higher bipolar II disorder (p < .001), childhood parental death (p < .01), and separation (p < .01), but lower pure hypomania (p < .001) prevalence than subjects with gradual weight gain mode. We found preliminary evidence that lifetime bipolar spectrum disorders and childhood parental loss may influence weight gain mode in obese subjects. These findings may contribute to predict patients’ weight trajectories and implement preventive interventions.     

Development of the Injury Perceptions Questionnaire (InjPQ)

Objectives: Injuries are major causes of morbidity and mortality in the population. Given the central role of perceptions in self-regulation of health conditions, it is important to investigate how they are perceived. This article describes the development of the Injury Perceptions Questionnaire (InjPQ).

Methods: A concurrent study in a diverse sample of injured individuals (n = 333). The internal structure and the reliability (Cronbach’s α) of InjPQ sub-scales were explored by factor analyses. Relationships between injury perception dimensions and equivalent illness perception scales and outcome measures (self-assessed health; physical, emotional and social functioning; depression, anxiety and somatisation; satisfaction with life) were investigated.

Results: The InjPQ was found to represent the following perception scales: injury identity composed of social and body part components, PTSD symptoms, Injury event, Injury specific emotions, Injured self-image, Positive consequences, Responsibility/guilt, Coping, Time distance, Dependency, Healthy self, External attributions and Injury risk factors. The reliability and construct validity of the scales were found adequate.

Conclusions: Injury perceptions can be reliably measured. While partly overlapping with equivalent illness perception scales, the InjPQ depicts cognitive dimensions unique to injury that add significantly to explaining variance in outcomes. The InjPQ is recommended for research and clinical use as a measure of injury perceptions.     

The Principle of Objectified Circumstances (POC): Clarifying the Proximate End

This paper seeks to clarify the proximate end. A distinction is made between the definition of an act and the identification of an act. The principle of objectified circumstances (POC) is postulated which, without expanding beyond the proximate end, gives due weight to both the perspective of the acting person and the context within which an act occurs. POC is used to help discern the object contained within the proximate end. It is applied to the issues of euthanasia, lying, mutilation, and the controversy between Martin Rhonheimer and Janet Smith concerning the use of condoms for HIV protection. The challenge of angelism is addressed. The paper argues that the object, located exclusively in the proximate end, can be understood in a way that is sensitive to both traditionalist and proportionalist schools of thought. POC opens up an avenue of thought for fresh dialogue concerning the identification of the moral object.     

Examining Latino Family Participation in Treatment for Childhood ADHD: The Role of Parental Cultural Factors and Perceptions

Attention-deficit/hyperactivity disorder (ADHD) is a common mental health disorder in childhood. Unfortunately, Latino youth and their families are at increased risk of demonstrating poor treatment outcomes. The current study examined the impact of parental cultural factors and perceptions on Latino family participation in a psychosocial intervention for childhood ADHD. Sixty-one Latino youth and at least one of their primary parents and teachers participated in the current study. Results indicated that parental acculturation, attitudes regarding treatment, and baseline severity of child symptomatology and functional impairment were related to treatment participation outcomes. Implications and future directions are discussed.     

Accuracy and Biases in Newlyweds' Perceptions of Each Other: Not Mutually Exclusive but Mutually Beneficial

ABSTRACT— There has been a long-standing debate about whether having accurate self-perceptions or holding positive illusions of self is more adaptive. This debate has recently expanded to consider the role of accuracy and bias of partner perceptions in romantic relationships. In the present study, we hypothesized that because accuracy, positivity bias, and similarity bias are likely to serve distinct functions in relationships, they should all make independent contributions to the prediction of marital satisfaction. In a sample of 288 newlywed couples, we tested this hypothesis by simultaneously modeling the actor effects and partner effects of accuracy, positivity bias, and similarity bias in predicting husbands' and wives' satisfaction. Findings across several perceptual domains suggest that all three perceptual indices independently predicted the perceiver's satisfaction. Accuracy and similarity bias, but not positivity bias, made unique contributions to the target's satisfaction. No sex differences were found.     

Spanish validation of the Parental Acceptance Questionnaire (6-PAQ)

Background/ObjectivePsychological flexibility is an ability with positive effects in health, also in the field parenting. The aim of this study is to validate the Parental Acceptance Questionnaire (6-PAQ) in Spanish sample.MethodA total of 426 parents (96.3% female), with an average age of 38.25 years (SD = 5.76) and with at least one child between 3 and 16 years old participated. Participants completed the 6PAQ and other instruments assessing experiential avoidance, thought suppression, satisfaction with life and symptoms of anxiety and depression.ResultsIn comparison with the original model, the three-factor structural solution with 16 items obtained a better adjustment (CFI = .996; GFI = .998; TLI = .995; RMSE = .016) that refer to response styles related to psychological flexibility (open, aware and active). The 6-PAQ adaptation has shown good internal consistency, with a Cronbach alpha of .81 and a McDonald's omega of .86 for the scale, and evidence of convergent validity with significant correlations with measure of avoidance, thought suppression, satisfaction with life and anxiety.ConclusionsThe Spanish version of the 6-PAQ with the three-factor structure presents psychometric property to be considered a reliable measure and a valid instrument for the evaluation of parental psychological flexibility.     

Across the (Not So) Great Divide: Cultural Similarities in Self-Evaluative Processes

Although it is widely assumed that East Asians and Westerners evaluate themselves differently, there is much support for cultural convergences. In this article, I review evidence showing that in both cultures (and to a largely comparable degree), people (a) experience high feelings of self-regard; (b) view themselves and loved ones in highly positive terms; and (c) exhibit self-serving biases that promote feelings of self-worth. Moreover, in both cultures (and to a largely comparable degree), individual differences in self-esteem predict (d) psychological well-being and (e) emotional regulation in response to negative outcomes. These commonalities suggest that self-love is a universal human motivation.     

Validity of the Finnish version of the Parental Burnout Assessment (PBA)

The aim of the present study was to validate the Finnish version of the Parental Burnout Assessment (PBA) using data from 1,688 Finnish parents (91% mothers) living in Finland with at least one child living at home. Confirmatory factor analyses supported the theoretical four-factor structure of the PBA – emotional exhaustion in one’s parental role, contrast with previous parental self, feelings of being fed up with one’s parental role, and emotional distancing from one’s children. Internal consistency for the total scale was excellent (Cronbach’s alpha ≥ 0.90) and for the subscales from acceptable (alpha ≥ 0.70) to excellent. The results further demonstrated strict factorial invariance of PBA across genders and educational status groups. Finally, the PBA and its four subscales correlated as expected with the three criteria variables (depressive symptoms, sleep disruptions, and self-esteem), the latent factors of all three criteria variables being still clearly unique and separate constructions from parental burnout factors.     

Perceptions of morality and competence in (non)interdependent games

Individuals’ actions and their stated beliefs affect how others perceive them. In a prisoner’s dilemma, a defector who expects others to cooperate is perceived as less moral than a defector who expects others to defect; a cooperator who expects others to defect is perceived as less competent than a cooperator who expects others to cooperate (Experiment 1). This pattern suggests that in a context of interdependence, a stated expectation that the behavior of others will resemble one’s own may protect one’s social reputation. When outcomes are not interdependent, expectations do not moderate the effects of behavior on reputation (Experiment 2). In such a context, inductive reasoning is sufficient to explain social projection. Both types of results are replicated in a modified N-person social dilemma (Experiment 3), further validating the inductive-reasoning hypothesis.     

Vietnamese Adolescents in Australia: Relationships between Perceptions of Self and Parental Values,Intergenerational Conflict,and Gender Dissatisfaction

The present study examined traditional family and independence values among young Vietnamese respondents (N = 204), their perceptions of parents' values, and the impact of differential parent-adolescent acculturation on intergenerational conflict and gender satisfaction. The study confirmed that adolescents perceived that they had less traditional values than their parents. Traditional family values diminished with time spent in Australia while the value accorded to independence increased. This pattern was stronger for girls than for boys. Girls valued Vietnamese traditions less than did their male peers, regarded their parents as being less accepting of independence, and were more dissatisfied with their gender role than boys. For girls but not for boys, discrepancy between adolescent and parental values was associated with more conflict and greater gender dissatisfaction. This study suggests that girls have more difficulty than boys in dealing simultaneously with the expectations of two cultures.     

Assessment and Diagnosis of the Substance Use Disorders (SUDs)

The Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV; American Psychiatric Association, 1994) provides counselors with an updated method for diagnosing Substance Use Disorders (SUDs). In this article, the author presents information that demonstrates the need for all counselors to be knowledgeable concerning the SUDs and examines the essential features of the SUDs and the use of the DSM-IV in their diagnosis. A review of select instruments and techniques for assessment of the SUDs is presented.