Longitudinal electromyography findings in abstinent alcoholics

Polyneuropathies by long term alcohol dependent Patients are characterized by "axonal" and "demyelinized" type. By abstinence we found a diminution of symptoms.     

The Collaborative Longitudinal Personality Disorders Study (CLPS): overview and implications

The Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000) was developed to fill gaps in our understanding of the nature, course, and impact of personality disorders (PDs). Here, we review published findings to date, discuss their implications for current conceptualizations of PDs, and raise questions that warrant future consideration. We have found that PDs are more stable than major depressive disorder, but that meaningful improvements are possible and not uncommon. We have confirmed also that PDs constitute a significant public health problem, with respect to associated functional impairment, extensive treatment utilization, negative prognostic impact on major depressive disorder, and suicide risk. At the same time, we have demonstrated that dimensional models of PDs have clinical validity that categories do not, especially greater temporal stability. Furthermore, dimensional personality traits appear to be the foundation of behaviors described by many PD criteria. Taken together, our results lead us to hypothesize that PDs may be reconceptualized as hybrids of stable personality traits and intermittently expressed symptomatic behaviors.     

Assessment and treatment of PTSD after a motor vehicle collision: Empirical findings and clinical observations

Individuals who experience a serious motor vehicle accident (MVA) are at increased risk for psychological problems, particularly Posttraumatic Stress Disorder (PTSD). In this article, we review the literature on PTSD among MVA survivors, with particular attention to available instruments to screen for and assess symptomatology of the disorder. Approaches to the treatment of PTSD in this population are reviewed, separated into interventions designed to prevent PTSD in unselected samples, treatment targeting individuals with Acute Stress Disorder that are designed to prevent subsequent development of PTSD, and therapy for individuals with chronic PTSD. Treatment process issues are discussed, in an effort to integrate empirical findings with clinical observations. The empirical literature suggests several approaches to treatment that have good potential outcomes, although continued work is needed to identify factors that predict treatment response, as well as augment individual-based treatment formats.     

The Temporal Relations of PTSD Symptoms Among Treatment-Seeking Victims of Sexual Assault: A Longitudinal Study

This prospective study assessed the temporal relationships between the symptom clusters of PTSD in two nonprobability samples of treatment-seeking victims of sexual abuse: rape victims and adult survivors of childhood sexual abuse. Both groups were assessed at three time periods using self-report measures of PTSD symptomology. Findings from two cross-lagged panel analyses indicated weak temporal relationships between the symptom clusters of PTSD; however, avoidance and emotional numbing symptoms were found to exert the strongest cross-lagged effects. Avoidance and emotional numbing symptoms were also found to be the strongest predictor of subsequently meeting caseness for PTSD in both samples. Results suggest that there are minimal cross-lagged effects between the PTSD symptom clusters after three months from traumatic exposure.     

An overview of applied robust methods

Data in social sciences are typically non-normally distributed and characterized by heavy tails. However, most widely used methods in social sciences are still based on the analyses of sample means and sample covariances. While these conventional methods continue to be used to address new substantive issues, conclusions reached can be inaccurate or misleading. Although there is no ‘best method’ in practice, robust methods that consider the distribution of the data can perform substantially better than the conventional methods. This article gives an overview of robust procedures, emphasizing a few that have been repeatedly shown to work well for models that are widely used in social and behavioural sciences. Real data examples show how to use the robust methods for latent variable models and for moderated mediation analysis when a regression model contains categorical covariates and product terms. Results and logical analyses indicate that robust methods yield more efficient parameter estimates, more reliable model evaluation, more reliable model/data diagnostics, and more trustworthy conclusions when conducting replication studies. R and SAS programs are provided for routine applications of the recommended robust method.     

The McMaster family therapy outcome study: an overview of methods and results

A multifaceted outcome design was used to investigate the results of brief, system-oriented family therapy. The present report describes the methods used and provides an, overview of clients' status on a variety of outcome measures. Treatment was brief and involved the entire family in most cases. Therapists varied in discipline (psychiatry, social work, psychology or nursing) and experience (students to very senior status). A variety of measures were obtained at the beginning of treatment, at treatment closure, or after a six month follow-up. Independent interviewers conducted the six month follow-up. Measures were obtained regarding the parents' and children's level of intellectual functioning, children's academic achievement, and disruptive school behaviour. Therapists' ratings of the families' change in treatment and prognosis were also obtained at treatment closure. At follow-up, measures of the children's academic achievement and disruptive school behavior were repreated and the interviewers determined the family's satisfaction with the services they received. The results indicate that the majority of families did well on most of the measures considered. No significant change was found in terms of the children's academic performance, but there was a significant decline in their disruptive school behaviour.This project was funded by grants from the Medical Research Council of Canada, and Health and Welfare Ministry, Canada.     

Longitudinal studies of personality disorders: four lessons from personality psychology

The three longitudinal projects described in this special section of the Journal of Personality Disorders raise a number of intriguing questions concerning the natural history of personality disorders and offer more than their share of surprises. In addition, they underscore several valuable lessons derived from the literature on normal-range personality traits. Drawing in part from the writings of the American trait psychologist Gordon Allport, I describe four such lessons: (1) change and continuity of personality traits and disorders can and do coexist, (2) the covariation among personality traits helps to account for the "comorbidity" among personality disorders, (3) personality traits and disorders influence how individuals interpret life events, and (4) personality traits must be distinguished from behavioral adaptations to these traits. These lessons remind us that the science of personality disorders must be informed by the basic science of personality.     

职业性别刻板印象研究模型及方法综述

近年来对职业性别刻板印象的探讨成了刻板印象研究领域的新研究方向,职业性别刻板印象成为社会认知领域的新课题。职业性别刻板印象与我们的生活休戚相关,是指人们对职业进行性别划分和性别归类的趋向。目前国内此方面的研究相当有限,采用的实验和调查研究也停留在起步阶段。本文对职业性别刻扳印象研究的模型及方法进行综述。     

Maternal stress in pregnancy and its effect on the human foetus: an overview of research findings

There is evidence from human studies that anxiety or stress during pregnancy can affect birth outcome, causing babies to be born earlier and possibly smaller for gestational age. There is also some suggestive evidence for longer-term behavioural problems. Animal studies indicate that antenatal stress does have a long-term effect on the behaviour of the offspring, including a hyper-responsive hypothalamo-pituitary -adrenal axis. The human foetus can mount an independent stress response from mid-gestation. Two possible mechanisms have been demonstrated by which maternal stress or anxiety may affect the human foetus, the passage of cortisol across the placenta, and an impairment of blood flow through the maternal uterine arteries.     

An integrated approach to delivering exposure-based treatment for symptoms of PTSD and depression in OIF/OEF veterans: preliminary findings

Combat-exposed military personnel from the wars in Iraq and Afghanistan report high rates of PTSD and associated psychiatric problems. A formidable body of research supports exposure therapy as a front-line intervention for PTSD; however, relative to studies of civilians, fewer investigations have evaluated the effectiveness of exposure therapy using military samples. Specifically, barriers to care (e.g., stigma associated with receiving mental health services ) may compromise utilization of evidence-based psychotherapy. As such, researchers have argued that veterans with PTSD may require an integrated and innovative approach to the delivery of exposure techniques. This paper presents the rationale for and preliminary data from an ongoing clinical trial that compares the home-based telehealth (HBT) application of a brief, behavioral treatment (Behavioral Activation and Therapeutic Exposure; BA-TE) for veterans with PTSD to the standard, in-person application of the same treatment. Forty OIF/OEF veterans with PTSD and MDD were consented, enrolled, and randomized to condition (BA-TE in-person, or BA-TE HBT) and symptoms of anxiety and depression were assessed at pre- and posttreatment. Participants in both conditions experienced reductions in depression, anxiety, and PTSD symptoms between pre- and posttreatment, suggesting that HBT application of an integrated PTSD treatment may be feasible and effective.     

The diaconate after the signing of the Porvoo Declaration: an overview of methods and hermeneutics

This article examines development in the deacon's ministry in the Porvoo Communion. Some of the initiatives which have contributed in significant ways to the common understanding of diaconal ministry in its member churches, since the signing of the Porvoo Declaration in 1996, are presented and analysed. The main focus is on methods used and on the way material has been interpreted by the churches or their representatives. The article also considers developments on two levels: first, on methods applied specifically by the individual Porvoo member churches, when presenting and interpreting the ministry of deacons; secondly, on the presupposed understanding behind the interpretations of deacons’ ministry in the Porvoo churches as a whole. The author's interest also encompasses the way in which the churches interpret significant differences and variety in the ministry of deacons within the Porvoo Communion, and what they regard as characteristic in current developments.     

Cognitive Behavioral Therapy for PTSD: The Role of Complex PTSD on Treatment Outcome

Posttraumatic stress disorder (PTSD) represents an often chronic and debilitating mental illness resulting from exposure to trauma. Although the most compelling evidence for the treatment of PTSD is cognitive behavioral therapy (CBT), many patients experience residual functional impairment, or relapse, suggesting that this approach does not work for all cases of PTSD. Repeated severe trauma, particularly during development, might increase the risk for a more intricate clinical profile, called complex PTSD (CPTSD), which might contribute to poorer treatment response. The following provides a comprehensive summary of the evidence examining whether CPTSD symptomatology is related to poorer treatment outcome of CBT, reviews the literature on the treatment of CPTSD, and offers insights into current issues and future directions of the construct.     

The Phenomenology of erwin Straus: An overview and appraisal of its relevance for human studies

Abstract

The purpose of this paper is to discuss the veridicality of nonconventional cognitions as they pertain to transpersonal psychological inquiry. It is argued that the validation and efficacy of transpersonal constructs are dependent upon the manner by which they are theoretically and empirically supported, namely, accurately conceptualized and operationalized, and not metaphysicalized. Salient impediments germane to the study of transpersonal phenomena are also reviewed with the concomitant assumption that their ontological and epistemological status should be consistent with objective, nomothetic, empiricism. In response to this scientific appropriation, one measurement instrument is discussed, the Self‐Expansiveness Level Form (SELF; Friedman, 1981; 1983), which is both reliable and valid in measuring transpersonal‐like phenomenon. Taking into consideration these notions, this paper closes with a discussion on the implications of this measurement scale to the field of transpersonal psychology as well as to conventional psychological research and clinical applications.     

The relationship between identity, intimacy, and midlife well-being: findings from the Rochester Adult Longitudinal Study

The present study used longitudinal data on 182 adults between the ages of 20 and 54 (104 men, 78 women) from the Rochester Adult Longitudinal Study (RALS), assessed on four occasions, to test the hypothesis that identity and intimacy during the course of early and middle adulthood predict well-being at midlife. A cross-lagged panel model was estimated yielding the following findings: (a) Scores on both scales during the college years predicted midlife satisfaction-intimacy directly, and identity through the course of development from ages 20 to 54; moreover, identity in midlife, but not intimacy, was significantly linked with well-being at this same point in time; and (b) identity and intimacy unexpectedly did not predict one another over time, having been controlled for factor stability in identity and intimacy over time. The findings are discussed in terms of Erikson's psychosocial theory of development and the developmental moments and historical cohorts that characterize the present sample.     

Childhood maltreatment associated with adult personality disorders: findings from the Collaborative Longitudinal Personality Disorders Study

Adverse childhood experiences such as abuse and neglect are frequently implicated in the development of personality disorders (PDs); however, research on the childhood histories of most PD groups remains limited. In this multisite investigation, we assessed self-reported history of abuse and neglect experiences among 600 patients diagnosed with either a PD (borderline, schizotypal, avoidant, or obsessive-compulsive) or major depressive disorder without PD. Results indicate that rates of childhood maltreatment among individuals with PDs are generally high (73% reporting abuse; 82% reporting neglect). As expected, borderline PD was more consistently associated with childhood abuse and neglect than other PD diagnoses. However, even when controlling for the effect of borderline PD, other PD diagnoses were associated with specific types of maltreatment.