Heterogeneity of borderline personality disorder: do the number of criteria met make a difference?

Many studies have compared the demographic and clinical characteristics of patients with and without borderline personality disorder (BPD), but there is limited knowledge on differences within the population of borderline patients. One potential index of heterogeneity is disorder severity. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we examined whether the severity of borderline personality disorder, as measured by the number of criteria present, is associated with co-morbidity of Axis I and Axis II diagnoses, as well as demographic factors and psychosocial functioning. Two thousand three hundred psychiatric outpatients were interviewed with the Structured Interview for DSM-IV Personality (SIDP-IV). Approximately ten percent (n = 237) of the patients were diagnosed with BPD, and they were divided into four groups based on the number of DSM-IV criteria met, 5 (n = 89), 6 (n = 70), 7 (n = 46), and 8 or 9 (n = 32). There were greater rates of drug use disorders and comorbid Axis II disorders, as well as a greater number of suicidal gestures, in patients meeting seven or more BPD criteria. There were no significant differences between the groups in the number and specific rates of other co-morbid Axis I disorders, other measures of psychosocial functioning, or demographic correlates. Sub-typing of borderline patients by the number of criteria met provides a limited explanation for heterogeneity within BPD patients.     

Sex differences in attraction to infants: When do they occur?

Harlow (1971) observed that all-female college audiences responded to a pictured infant rhesus monkey with an “ecstasy response,” while males were “completely unresponsive,” and females in coeducational audiences “inhibited the ecstasy response,” explaining these differences in terms of innate sex differences. The present study compared college students' self-reported attraction to pictures of 15 infant and adult nonhuman primates under several conditions. Infant pictures were of two types: infants which were engaged in typical infant behaviors (Infant Behavior), and those which were not (Infant). Subjects made judgments in same- or mixed-sex groups and reported degree of attraction publicly or privately. Ratio scores were used to represent each subject's attraction to infant or infant-behavior pictures compared with his or her attraction to pictures of adults. There were no significant sex differences in attraction to infant or infant-behavior pictures, and sex did not interact with any other variable. However, situational variables significantly affected the response. Males as well as females reported greater attraction to infant and infant-behavior pictures when they viewed the pictures in same-sex compared with mixed-sex groups. Both sexes reported greater attraction to infant and infant-behavior pictures privately than publicly.     

How do group meetings make a community Therapeutic?

Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also.     

Crime in Atlantic City: Do casinos make a difference?

In November, 1976 a constitutional referendum in the state of New Jersey legalized casino gaming. This paper examines the impact of this action on crime in Atlantic City, the only location in the state where gambling is permitted. More specifically, the analysis looks at the incidence of FBI index crimes in that jurisdiction in two basic ways. First, the work examines the raw numbers and rate of crime in the city, both before and after the introduction of casino gambling. Although the analysis establishes that the raw figures show that there has been a significant increase in index crimes, it is argued that using these statistics as a measure of crime in Atlantic City is misleading because they fail to take into account the numerous visitors to the city when calculating the population‐at‐risk and because they do not differentiate between crime that occurs in the community and that which occurs in the casinos. The second phase of the analysis addresses these issues through the use of adjusted populations and data that identify casino‐based versus non‐casino crimes. This analysis leads us to conclude that the legalization of gambling has not resulted in a significant increase in index crimes in Atlantic City.     

Does Christianity make a difference?

The human person makes great demands on the physician and calls for unique attention. Hence the doctor-patient relationship calls for the highest ideals of kindness, patience, trustworthiness, generosity and skill. The Catholic physician brings to these demands a specific meaning: ministering to the sick is to see Christ in them and to show Him to them.     

Sex differences in mate preferences revisited: do people know what they initially desire in a romantic partner?

In paradigms in which participants state their ideal romantic-partner preferences or examine vignettes and photographs, men value physical attractiveness more than women do, and women value earning prospects more than men do. Yet it remains unclear if these preferences remain sex differentiated in predicting desire for real-life potential partners (i.e., individuals whom one has actually met). In the present study, the authors explored this possibility using speed dating and longitudinal follow-up procedures. Replicating previous research, participants exhibited traditional sex differences when stating the importance of physical attractiveness and earning prospects in an ideal partner and ideal speed date. However, data revealed no sex differences in the associations between participants' romantic interest in real-life potential partners (met during and outside of speed dating) and the attractiveness and earning prospects of those partners. Furthermore, participants' ideal preferences, assessed before the speed-dating event, failed to predict what inspired their actual desire at the event. Results are discussed within the context of R. E. Nisbett and T. D. Wilson's (1977) seminal article: Even regarding such a consequential aspect of mental life as romantic-partner preferences, people may lack introspective awareness of what influences their judgments and behavior.     

Religiosity of young adults: does childhood maltreatment make a difference?

Previous research on the association between maltreatment in childhood and later religious beliefs and behaviours suggests that maltreatment may have either negative or positive influences on religiosity. However, methodological limitations of previous studies may limit their generalisability. The present study attempted to address these limitations. We examined associations between childhood physical, sexual, and emotional abuse and several dimensions of adult religiosity in a large sample of college students (N = 763). Associations between child maltreatment and religiosity were weak (rs ≤ 0.09). After controlling for possible demographic confounds, the only significant association was between childhood emotional abuse and religious questing.     

Sex differences in jealousy: evolutionary mechanism or artifact of measurement?

Two studies are presented that challenge the evidentiary basis for the existence of evolved sex differences in jealousy. In opposition to the evolutionary view, Study I demonstrated that a sex difference in jealousy resulting from sexual versus emotional infidelity is observed only when judgments are recorded using a forced-choice response format. On all other measures, no sex differences were found; both men and women reported greater jealousy in response to sexual infidelity. A second study revealed that the sex difference on the forced-choice measure disappeared under conditions of cognitive constraint. These findings suggest that the sex difference used to support the evolutionary view of jealousy (e.g., D. M. Buss, R. Larsen, D. Westen, & J. Semmelroth, 1992; D. M. Buss et al., 1999) likely represents a measurement artifact resulting from a format-induced effortful decision strategy and not an automatic, sex-specific response shaped by evolution.     

Does psychology make a significant difference in our lives?

The intellectual tension between the virtues of basic versus applied research that characterized an earlier era of psychology is being replaced by an appreciation of creative applications of all research essential to improving the quality of human life. Psychologists are positioned to "give psychology away" to all those who can benefit from our wisdom. Psychologists were not there 35 years ago when American Psychological Association (APA) President George Miller first encouraged us to share our knowledge with the public. The author argues that psychology is indeed making a significant difference in people's lives; this article provides a sampling of evidence demonstrating how and why psychology matters, both in pervasive ways and specific applications. Readers are referred to a newly developed APA Web site that documents current operational uses of psychological research, theory, and methodology (its creation has been the author's primary presidential initiative): www.psychologymatters.org.     

How do counsellors make client assessments?

This paper reports on a consultation exercise undertaken with 18 experienced counsellors on how they make client assessments. These practitioners expressed a high degree of consensus on the purposes of assessment making (to reach a shared understanding with the client about their willingness and ability to undertake a shared therapeutic journey) but the way in which they approached the task varied according to the theoretical orientation they acquired during training. Although most had developed their counselling skills and techniques considerably since initial training, not all had integrated the assessment implications of later experience into their formulation making. The implications of combining single model assessment with eclectic practice are discussed, particularly in relation to making a decision to continue working with a client or to refer a client to a colleague. The authors call for further debate on how counsellors find meaning in what their clients say, why they ask the questions they do at the assessment stage, and how they achieve coherence in relation to ideas and skills accrued through ongoing training and practice. The implications of such a debate for training and supervision are discussed.     

Engaging men in family therapy: does the gender of the therapist make a difference?

The results of this exploratory Delphi study provide a beginning formulation of a gender-sensitive approach to working with men in the specialized field of couple and family therapy. The research specifically investigated what a panel of thirty-six 'expert' family therapists believed would be appropriate and effective techniques to engage men in therapy and in the process of family change. This report focuses on findings highlighting differences between what female and male therapists preferred as techniques to work with men in family therapy.     

Stress,self-esteem,and mental health: How does gender make a difference?

Questionnaire responses of 804 women and 127 men were compared to assess sex differences in college students' stress levels and reactions to stress, and the extent to which their self-esteem, interpersonal self-confidence, and self-concepts are associated with their experiences with stress. The men and women reported similar stress levels in most areas of life, but the women reported greater stress regarding family relationships and concern about their mental health. The women reported that when they are under stress, they experience more symptoms of depression and anxiety, and are more likely to express their anger and feelings, whereas the men reported that they become more active in response to stress. For both men and women, levels of stress and reactions to stress were associated with self-esteem, interpersonal self-confidence, and self-concepts. The results indicate that sex differences in dysfunctional reactions to stress can be explained by sex differences in self-concept more persuasively than can differences in areas of stress.The author wishes to thank the presidents of the seven colleges for their support and encouragement; the Seven College Study Advisory Board, campus coordinators, and staff for their contributions; and the students for their interest and participation. The author also expresses her appreciation for the support of the Henry A. Murray Research Center of Radcliffe College. This research was supported in part by a grant from the Josiah Macy, Jr. Foundation.     

Mechanisms of change in ERP treatment of compulsive hand washing: does primary threat make a difference?

The present study sought to examine patterns of habituation in exposure and response prevention (ERP) treatment of compulsive hand washing. Sub-clinical compulsive washers (n=27) with illness or non-illness primary threats were compared in order to detect potential differences in response to a single session of ERP. Changes in anxiety, disgust, and urge to wash were analyzed, and significant reductions in both anxiety and disgust were noted. Urge to wash significantly declined among washers primarily concerned with illness; among those concerned with non-illness threats, urge to wash did not significantly decline. Moreover, anxiety was found to decline when controlling for disgust and vice versa. Lastly, when both anxiety and disgust were entered into a model predicting changes in urge to wash, anxiety but not disgust predicted urge to wash for those with illness-related threats; for washers with non-illness threats, the findings were the reverse. Several clinical and theoretical implications are discussed.     

Sex differences in motor performance of young children: Fact or fiction?

Prepubescent boys and girls who had participated for one or more years in a coeducational physical education program were classified by grade (3, 4, and 5) and year (1977, 1978, and 1979). Scores from the AAHPER Youth Fitness Test were analyzed for differences. Results indicated that females at prepubescent ages may be expected to perform at similar levels to boys of the same age on most test items. While differences were not significant, girls in 1979 were actually better than boys of the same age from the two previous years.