Psychotherapy integration in the treatment of personality disorders: a commentary

Whereas research on the treatment of personality disorders over the past several decades has focused primarily on comparing the efficacy of various treatment packages associated with different theoretical models, there is increasing evidence that the field would benefit from focusing more attention on developing integrative treatments that are both informed by research and capable of scientific verification. The articles assembled for this special section each propose a different approach to integrative treatment for personality disorders. In this commentary, we outline a number of reasons for making such a shift to more integrative treatments, consider some of the potential challenges to integration, and discuss the different approaches to integration illustrated in these articles. We highlight some of the difficult tradeoffs that must be made in developing an integrative approach and discuss similarities and differences in the response to such challenges by the contributors to this special section. Finally, we point to several areas for future research that we believe will contribute to the development of increasingly effective treatments for individuals with personality disorders.     

Compliant in a moment: a commentary on nevin

Nevin's scholarly and timely discussion attempts to maintain the precarious union of the experimentally derived theory of behavioral momentum with applications of the behavioral momentum construct to human subjects in applied settings. Nevin's discussion adds much-needed clarification to a process that at times has proven to be awkward for applied researchers. In this commentary, we will address three general questions: (a) Can the applications of behavioral momentum be derived from the theory as conceptualized by Nevin? (b) Could those applications have been developed had the theory not been formulated? (c) Does behavioral momentum theory add significantly to the compliance literature?     

Movement in social orientations: a commentary on Kelley

After reviewing some classic contributions to the truly social social–psychological literature (Lewin, Horney, Festinger), this commentary outlines how and why Kelley's analysis extends and complements more traditional approaches to interdependence. Three strengths are emphasized, suggesting that Kelley's analysis (a) offers a much-needed situation-based taxonomy for different social orientations and interpersonal phenomena, (b) serves the ecological validity of social orientations, and (c) potentially helps us understand why classical dimensions of person judgment include not only goodness versus badness, but also movement-related orientations such as dominance versus submission, strength versus weakness, or activity versus passivity. Kelley's analysis can be extended by developing further domain-specific theory and methodology for examining the temporal and sequential aspects of social orientations, and by applying a means–end analysis to differing social orientations identified in Kelley's analysis. Finally, following Chuck McClintock (1972), it is argued that the field should reserve the concept of social value orientation to define allocational preferences relevant to valuing outcomes for self and others. This basic orientation should meaningfully ‘drive’ the ways in which we approach interdependent others, solve interdependence problems, and utilize interdependence opportunities. © 1997 John Wiley & Sons, Ltd.     

On the use of fluency training in the behavioral treatment of autism: a commentary

The substantial demand for behavior-analytic treatment of early childhood autism has been associated with rapid dissemination of treatment procedures to practitioners and caregivers. This level of demand could plausibly induce premature dissemination of treatments that do not yet have sufficient empirical support. We argue that this might have happened with the use of fluency training for learners with autism and identify four areas of research that are necessary to ensure that dissemination efforts are better matched to the available empirical support for this instructional strategy.     

Lumping versus splitting: A commentary on subtyping in OCD

This commentary discusses a number of pertinent concerns that were raised in this special series on subtyping in obsessive-compulsive disorders (OCD). The central question addressed in the three articles in the series is whether a better subtype classification of OCD could be developed if it is based on type of faulty cognition as well as symptom presentation. It is concluded that a more cognitive approach to OCD subtyping may not address many of the problems inherent in subtype research, nor will the development of special manualized treatment protocols for OCD subtypes necessarily yield significant improvements in treatment effectiveness. An alternative to OCD subtyping based on a categorical perspective is some form of profiling that recognizes the dimensional nature of OCD symptom and cognition variables.