Boyhood separation anxiety disorder: thought disorder and object relations psychopathology as manifested in Rorschach imagery

Rorschach scales were used to examine the quality of thought disturbance and object relations in boys meeting the Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III; American Psychiatric Association, 1980) criteria for separation anxiety disorder (SAD). Nineteen urban, middle and low socioeconomic status (SES), SAD boys were compared to a group of 14 male control subjects. The hypotheses of the study were that SAD boys as compared to controls would: (a) have significantly more thought disordered responses as measured by a Rorschach Thought Disorder Scale (Blatt & Ritzler, 1974), and (b) evidence significantly less adaptive object relations scale scores as measured by the Mutuality of Autonomy Scale (Urist, 1977). Results confirmed both hypotheses. The SAD group had more thought disordered responses and more disrupted object relations scores than the controls. Ideas and images of these boys were found to generally be more unstable, boundary compromised, fluid, idiosyncratic, tangential, and psychotic-like than the controls. It was concluded that these boys possess a significant potential to have thinking abnormalities that will interfere with their independent functioning. Concerning their object relations scores, the SAD subjects were found to have significantly fewer benign, adaptive object interactional percepts, and a greater number of dependent and/or clinging interactional object representations (imagery) than the controls. This study supports the viewpoint that SAD boys are deeply psychologically troubled.     

Contributions of school classification,sex, and ethnic status to adaptive behavior assessment

This study investigated the contributions of school classification (regular, EMR) and sex and ethnic status to domain scores from the Public School Version of the AAMD Adaptive Behavior Scale. For this investigation data were available from a sample of more than 1,600 regular and EMR subjects approximately equally distributed between the sexes among white, black, and Spanish-background subjects from ages 7 to 13. The results replicated earlier findings that domain scores were valid for differentiating among children of different adaptive behavior levels as inferred from school classification status. Ethnic status was not a unique contributor to Part One domain scores when the effects of classification were accounted for. On the Part Two domains, ethnic status was a significant contributor to some domain scores, but not at all age levels. Similarly, sex made few unique contributions to domain scores on Part One of the Scale, but it was a significant factor on some domains of Part Two at some age levels.the author concluded that the Scale was valid for differentiating among pupils assigned to regular and EMR classes from ages 7 to 12. The failure of sex and ethnic status to make contributions to Part One domain scores suggests that there are common expectancies for personal independence and responsibility between boys and girls from different ethnic groups.From the analysis of the contributions of sex and ethnic status to the Part Two domains, the author inferred that difference in environmental tolerance for affective or emotional responses to the school or community environment was a more reasonable explanation than the inference that girls and boys or children grom different cultural backgrounds were inherently different with respect to these behaviors. The Public School Version of the AAMD Adaptive Behavior Scale is valid for assessing adaptive behavior of children in public school and relatively independent of effects attributable to sex or ethnic status.     

Interrogative suggestibility: The effects of sleep deprivation and relationship with field dependence

Suggestibility (yield) scores on the first Gudjonsson Suggestibility Scale were found to correlate significantly with field dependence, as measured by the Finding Embedded Figures Test. Sleep-deprived subjects, while scoring worse on story memory, reaction time, POMS vigour–energetic and POMS confusion than controls, did not show any increase in yielding to suggestive questions. Upon answering the questions again after negative feedback, however, sleep-deprived subjects shifted their responses to questions significantly more than did controls. The results are interpreted in terms of sleep loss increasing the variability of performance.     

An empirical study of object relations and defensive operations in antisocial personality disorder

This study assessed the object relations, defensive operations, and level of psychopathy and narcissism in a group of antisocial personality disordered offenders. The Rorschach protocols of 33 subjects who met the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R], American Psychiatric Association, 1987) criteria for antisocial personality disorder were analyzed utilizing Kwawer's (1980) criteria for borderline object relations categories (borderline phenomena), the Lerner and Lerner (1980) Defense Scale, and a number of experimental criteria including Cooper and Arnow's (1986) defense criteria. Level of narcissism was assessed utilizing Exner's (1973) Self-Focus Sentence Completion Test. Hare's Psychopathy Checklist was used as an independent variable to determine a subject's level of psychopathy. Those subjects scoring 30 or more on the psychopathy checklist were compared to subjects scoring less than 30. The level of narcissism or proportion of defenses did not differ significantly between the severe psychopaths (greater than or equal to 30) and the moderate psychopaths (less than 30). The severe psychopaths produced a significantly greater number of borderline object relations. I conclude that antisocial individuals tend to be highly egocentric, and that narcissism is one component of psychopathy. Severe psychopaths, as a group, tend to be more borderline in their functioning than those exhibiting moderate levels of psychopathic disturbance. I also conclude that individuals who are incarcerated for felony offenses and also meet the DSM-III-R criteria for antisocial personality disorder exhibit degrees of borderline personality organization.     

An Empirical Study of Object Relations and Defensive Operations in Antisocial Personality Disorder

This study assessed the object relations, defensive operations, and level of psychopathy and narcissism in a group of antisocial personality disordered offenders. The Rorschach protocols of 33 subjects who met the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-111-R], American Psychiatric Association, 1987) criteria for antisocial personality disorder were analyzed utilizing Kwawer's (1980) criteria for borderline object relations categories (borderline phenomena), the Lerner and Lerner (1980) Defense Scale, and a number of experimental criteria including Cooper and Arnow's (1986) defense criteria. Level of narcissism was assessed utilizing Exner's (1973) Self-Focus Sentence Completion Test. Hare's Psychopathy Checklist was used as an independent variable to determine a subject's level of psychopathy. Those subjects scoring 30 or more on the psychopathy checklist were compared to subjects scoring less than 30. The level of narcissism or proportion of defenses did not differ significantly between the severe psychopaths (230) and the moderate psychopaths (< 30). The severe psychopaths produced a significantly greater number of borderline object relations. I conclude that antisocial individuals tend to be highly egocentric, and that narcissism is one component of psychopathy. Severe psychopaths, as a group, tend to be more borderline in their functioning than those exhibiting moderate levels of psychopathic disturbance. I also conclude that individuals who are incarcerated for felony offenses and also meet the DSM-111-R criteria for antisocial personality disorder exhibit degrees of borderline personality organization.     

A Rorschach analysis: parallel disturbance in thought and in self/object representation

The relationship between thought process disturbance and the structure of internal object relations was investigated by comparing Rorschach Special Scorings and content variables that reflected developmental levels of object relations. Selected Special Scorings from the Comprehensive System (Exner, 1990) and composite (WSum6) scores were correlated with Urist's (1977) Mutuality of Autonomy Scale (MOA) on the Rorschach protocols of 35 borderlines, 15 schizophrenics, and 19 narcissists. Correlations between composite scores of severe thought process disturbance and severe imbalance in internalized object representations were highly significant, p < .0001. The hypothesis that there is a significant relationship between disturbance in internalized self/object differentiation and thought process disturbance was supported. Implications of this study are discussed as they relate to empirical validation of theoretical constructs concerning ego function deficit and self/object disturbance.     

Variability of color choice in the Lüscher Color Test--sex differences

In this preliminary investigation of variability of responses on the Lüscher Color Test, subjects were 567 volunteers administered the test twice with a 10-min. interval between them. Two hypotheses were tested: (a) that variability of responses attests to the personality of the respondent (tested by the relations of variability and MMPI scale scores), and (b) variability of responses is based on learning the test's content. As such, men's scores should be more variable than women's. Analysis showed that variability was not correlated with scores for personality on the MMPI scales. Men's scores are more variable than women's, but only until age 45.     

Rorschach Adaptive Fantasy Images and Coping in Children Under Severe Environmental Stress

We measured the relationship between the capacity of a group of inner-city, homeless children to produce adaptive fantasy images, as assessed by the Rorschach M+ score and their performance on the Fruit Distraction Test of selective attention and Rorschach measures of reality testing (extended F+ percentage) and object relations (Mutuality of Autonomy [MOA] Scale, Urist, 1977). The sample included 46 Black and Hispanic children (24 boys and 22 girls) who ranged in age from 5 to 13 years. Results from multiple regression analyses that also included age, intelligence, and gender as independent variables indicated that the M+ score accounted for the largest portion of the variance in the Fruit Distraction and MOA scores. The M+ score was also significantly positively correlated with the extended F+ percentage. The results suggest that children's capacity to withstand severe environmental stressors is linked to their ability to produce adaptive fantasy images on the Rorschach.     

Depression, suicide ideation, and aggression among high school students whose parents are divorced and use alcohol at home.

106 high school students from a small rural high school completed the Children of Alcoholics Scale, Zaks and Walters' Aggression Scale, Beck Depression Scale, and a modified version of the Beck Scale of Suicide Ideation. Analyses of variance showed boys were not experiencing suicide ideation any more than girls; suicide ideation was similar across the four grades, but on aggression alcohol-dependent boys scored significantly higher than girls, and in Grade 9 boys' scores were significantly higher than those in Grade 10. The sophomores' scores on alcohol dependency were significantly lower than the freshmen's scores. Boys and children from divorced homes had higher scores on aggression than girls and children from nondivorced homes. Children from homes in which alcohol was used had higher depression scores than children from nonalcoholic homes. Freshman girls and sophomore boys had higher depression scores than senior boys and girls. A Pearson r of 0.28 between scores on alcohol dependency and suicide ideation was significant, but research is needed to understand better the associations of thoughts of suicide and drug-alcohol dependency among these high school students so strategies for prevention and intervention can be focused.     

Dysfunctional attitudes in seasonal affective disorder

Research examining dysfunctional attitudes in Seasonal Affective Disorder (SAD) has produced contrasting results. The present study sought to resolve this contradiction by addressing some methodological problems of the previous studies. The study examined dysfunctional attitudes using the Dysfunctional Attitudes Scale (DAS) in individuals with SAD and never-depressed controls. The SAD group were tested both when depressed in the winter (Time 1) and during their remission period (Time 2). At Time 1 the SAD group displayed a relatively elevated DAS compared to controls and to their Time 2 scores. These data therefore provide potential support for a view that SAD is characterized by underlying dysfunctional attitudes.     

Loneliness related to self-concept

The Differential Loneliness Scale and the UCLA Loneliness Scale were given to 30 persons attending a mental growth group (test group) and 36 adult students of psychology (the control group). Ages of the subjects ranged from 19 to 45 years. Self-concept was measured by Fitts' Tennessee Self-concept Scale and scored using both Clinical and Counselling forms. The first group showed greater loneliness, lower scores on physical self, and higher scores on moral-ethical self than the controls, and also had significantly lower scores on the neurosis scale and the defensive positive scale. A trend towards social maladjustment and personality disordered behavior was observed. Shyness and the typical introverted character for many Finns are discussed in connection with loneliness, social maladjustment, and lack of social skills.     

The Effect of Training with Music on Happiness Recognition in Social Anxiety Disorder

The process of emotion recognition is thought to be negatively biased in social anxiety disorder (SAD). Ways to change this bias are needed. Forty one individuals afflicted with moderate SAD and 39 healthy controls were recruited to participate in this study. All subjects performed a vocal improvisation recognition task and half of them underwent training in happiness recognition in musical improvisations. The four groups (trained SAD, untrained SAD, trained controls and untrained controls) were then compared in terms of the extent of precise identification of one of five basic emotions (happiness, fear, anger, sadness and surprise) in spoken language. Subjects with SAD demonstrated less accurate identification of happiness in spoken language as compared to the healthy controls. However, subjects with SAD trained to recognize happiness demonstrated an improved ability to identify happiness in spoken language (in a female’s voice), similarly to that of the healthy controls. Our findings demonstrate that a brief training in happiness recognition improves the ability of individuals with SAD to recognize happiness in spoken language. Additional studies are needed to support and refine our intervention and to examine its impact on individuals with SAD over longer periods of time.     

Patterns of language impairment and behaviour in boys excluded from school

Background. High levels of behaviour problems are found in children with language impairments, but less is known about the level and nature of language impairment in children with severe behavioural problems. In particular, previous data suggest that at primary age, receptive impairments are more closely related to behaviour problems, whereas expressive language has a closer link at a later age. Aims. The study assessed expressive and receptive language problems in boys excluded from primary and secondary schools, to investigate the extent of impairment, the pattern of relations between age, receptive and expressive language, and relations with different aspects of behaviour. Sample. Nineteen boys (8–16 years of age) who had been excluded from school and 19 non‐excluded controls matched for age and school participated. Method. The sample was given assessments of: receptive language from the British Picture Vocabulary Scale (BPVS), and Wechsler Objective Language Dimensions (WOLD); expressive‐language evaluations from the Wechsler Intelligence Scale for Children (WISC); auditory working memory evaluations from the Clinical Evaluation of Language Fundamentals (CELF); verbal reasoning (from the WISC); and non‐verbal IQ assessments Raven's matrices. Teachers completed behaviour ratings using the Strengths and Difficulties Questionnaire (SDQ). Results. Excluded boys were significantly poorer than controls on expressive measures but similar on receptive language and non‐verbal IQ. Boys excluded from primary school were poorer than controls on auditory working memory. Expressive problems were linked with high levels of emotional symptoms. Conclusion. Many of the excluded boys had previously unidentified language problems, supporting the need for early recognition and assessment of language in boys with behaviour problems. Expressive problems in particular may be a risk factor.     

Self-compassion and social anxiety disorder

Abstract

Self-compassion refers to having an accepting and caring orientation towards oneself. Although self-compassion has been studied primarily in healthy populations, one particularly compelling clinical context in which to examine self-compassion is social anxiety disorder (SAD). SAD is characterized by high levels of negative self-criticism as well as an abiding concern about others’ evaluation of one's performance. In the present study, we tested the hypotheses that: (1) people with SAD would demonstrate less self-compassion than healthy controls (HCs), (2) self-compassion would relate to severity of social anxiety and fear of evaluation among people with SAD, and (3) age would be negatively correlated with self-compassion for people with SAD, but not for HC. As expected, people with SAD reported less self-compassion than HCs on the Self-Compassion Scale and its subscales. Within the SAD group, lesser self-compassion was not generally associated with severity of social anxiety, but it was associated with greater fear of both negative and positive evaluation. Age was negatively correlated with self-compassion for people with SAD, whereas age was positively correlated with self-compassion for HC. These findings suggest that self-compassion may be a particularly important target for assessment and treatment in persons with SAD.     

The effects of stimulant drugs on curiosity behaviors of hyperactive boys

The curiosity behaviors of 20 hyperactive boys, both on and off stimulant drugs, and in relation to 20 nonhyperactive boys, were assessed. Comparisons on object, manipulative, conceptual, perceptual, and reactive curiosity tasks indicated that stimulants reduced only the object curiosity task performance of hyperactive boys, although the level tended to remain above that of nonhyperactive boys. Also, hyperactive boys both on and off drugs tended to have lower conceptual curiosity scores than controls. Implications are discussed.     

Story Remembering Among Children

Abstract

The hypothesis that belief in the paranormal is related to reasoning errors was tested. College students were administered the Belief in the Paranormal Scale (Jones, Russell, &; Nickel, 1977) and a syllogistic reasoning test. A slight but statistically significant correlation was observed between BPS scores and the number of errors made on the reasoning test. This relationship was larger but not significantly so for reasoning items with paranormal content than for symbolic content. An a priori comparison indicated that the relationship between BPS scores and reasoning errors was significantly greater for problems that required subjects to determine the validity of hypotheses given statements of evidence than for problems that required subjects to determine the validity of deduced empirical predictions given hypotheses. Thus, belief in the paranormal among college students was very moderately correlated with reasoning ability and was observed most clearly when the reasoning problems contained paranormal content and when they required subjects to determine the validity of hypotheses given evidential statements.     

Sex-role typing as related to acceptance of self, acceptance of others, and discriminatory attitudes toward women

This study examines four hypotheses relating sex-role typing to self-acceptance, acceptance of others, and sexist attitudes toward women. University students completed the Bem Sex-Role Inventory, the Berger Self-Acceptance Scale, and the Macho Scale. Findings showed more self-acceptance than acceptance of others among masculine-typed subjects and more acceptance of others than self-acceptance among feminine-typed subjects. Feminine-typed males and masculine-type females showed least self-acceptance among the six groups, while androgynous subjects showed highest self-acceptance. Masculine-typed males were least accepting of others and scored highest in discriminatory attitudes toward women. Male subjects showed greater variability than did female subjects on all scales, and Bem's measure of sex-role typing proved a more efficient moderator of scores of males than of those of females. Additional personality and behavioral research with sex-role typing variables is proposed.     

Transactional Associations Between Youths’ Responses to Peer Stress and Depression: The Moderating Roles of Sex and Stress Exposure

This study examined transactional associations between responses to peer stress and depression in youth. Specifically, it tested the hypotheses that (a) depression would predict fewer effortful responses and more involuntary, dysregulated responses to peer stress over time; and (b) fewer adaptive and more maladaptive responses would predict subsequent depression. Youth (M age = 12.41; SD = 1.19; 86 girls, 81 boys) and their maternal caregivers completed semi-structured interviews and questionnaires at three annual waves. Multi-group comparison path analyses were conducted to examine sex and stress-level differences in the proposed reciprocal-influence model. In girls and in youth exposed to high levels of peer stress, maladaptive stress responses predicted more depressive symptoms and adaptive stress responses predicted fewer depressive symptoms at each wave. These findings suggest the utility of preventive interventions for depression designed to enhance the quality of girls’ stress responses. In boys, depression predicted less adaptive and more maladaptive stress responses, but only at the second wave. These findings suggest that interventions designed to reduce boys’ depressive symptoms may help them develop more adaptive stress responses.     

Self-compassion and social anxiety disorder

Self-compassion refers to having an accepting and caring orientation towards oneself. Although self-compassion has been studied primarily in healthy populations, one particularly compelling clinical context in which to examine self-compassion is social anxiety disorder (SAD). SAD is characterized by high levels of negative self-criticism as well as an abiding concern about others' evaluation of one's performance. In the present study, we tested the hypotheses that: (1) people with SAD would demonstrate less self-compassion than healthy controls (HCs), (2) self-compassion would relate to severity of social anxiety and fear of evaluation among people with SAD, and (3) age would be negatively correlated with self-compassion for people with SAD, but not for HC. As expected, people with SAD reported less self-compassion than HCs on the Self-Compassion Scale and its subscales. Within the SAD group, lesser self-compassion was not generally associated with severity of social anxiety, but it was associated with greater fear of both negative and positive evaluation. Age was negatively correlated with self-compassion for people with SAD, whereas age was positively correlated with self-compassion for HC. These findings suggest that self-compassion may be a particularly important target for assessment and treatment in persons with SAD.