Assessment of shame and guilt in a psychiatric sample: a comparison of two measures

The relationship between measures of shame, guilt, and psychopathology was examined in a heterogeneous inpatient sample (n=82) using the Test of Self-Conscious Affect (TOSCA) and the Personal Feelings Questionnaire-2 (PFQ-2). It was predicted that both shame scales would correlate positively with measures of psychopathology. This hypothesis was supported in bivariate analyses, however, when partialed for each respective guilt scale, only the TOSCA maintained significant associations with measures of psychopathology. It was predicted that only the PFQ-2 guilt scale would correlate positively with measures of psychopathology, and this hypothesis was supported in both bivariate analyses and partial correlations, controlling for shame scores. These findings support previous work, suggesting that the TOSCA and PFQ-2 guilt scales assess different constructs of guilt. Methodological issues of shame and guilt assessment with psychiatric patients also are discussed.     

Performance benefits of depression: sequential decision making in a healthy sample and a clinically depressed sample

Previous research reported conflicting results concerning the influence of depression on cognitive task performance. Whereas some studies reported that depression enhances performance, other studies reported negative or null effects. These discrepant findings appear to result from task variation, as well as the severity and treatment status of participant depression. To better understand these moderating factors, we study the performance of individuals-in a complex sequential decision task similar to the secretary problem-who are nondepressed, depressed, and recovering from a major depressive episode. We find that depressed individuals perform better than do nondepressed individuals. Formal modeling of participants' decision strategies suggested that acutely depressed participants had higher thresholds for accepting options and made better choices than either healthy participants or those recovering from depression.     

The inconsistency of inconsistency scales: a comparison of two widely used measures

This study compared the inconsistent responding validity scales of the Personality Assessment Inventory (PAI) and the Psychopathic Personality Inventory (PPI)/PPI-Revised (PPI-R) in two correctional samples to determine the extent to which they overlap in identifying invalid profiles. Results revealed substantial differences in the way the inconsistent responding validity scales of these measures performed. In particular, the PAI identified far fewer participants as having responded inconsistently compared with the PPI/PPI-R. We discuss the implications of our findings for clinical practice, and potential concerns with the use of a single measure to identify inconsistent responding in clinical practice and research.     

A comparison of two measures of egocentrism

This study examined the relationship between two prominent measures of egocentrism, Enright's Adolescent Egocentrism Scale (AES) and Elkind's Imaginary Audience Scale (IAS), in a sample of 458 adolescents, between 10 and 15 years old. Both correlational and factor analyses indicated that the two measures assess distinctly different phenomena. As predicted, IAS scores were correlated with self-reported levels of shyness, nervousness, and social skills. These results provide partial evidence for the validity of the IAS as a measure of self-consciousness, though not necessarily egocentrism per se. The validity of the AES was not examined.     

Robustness of two single-item self-esteem measures: cross-validation with a measure of stigma in a sample of psychiatric patients

Robins' Single-item Self-esteem Inventory was compared with a single item from the Coopersmith Self-esteem. Although a new scoring format was used, there was good evidence of cross-validation in 83 current and former psychiatric patients who completed Harvey's adapted measure of stigma felt and experienced by users of mental health services. Scores on the two single-item self-esteem measures correlated .76 (p < .001), .76 and .71 with scores on the longer scales from which they were taken, and .58 and .53, respectively, with Harvey's adapted stigma scale. Complex and perhaps competing models may explain links between felt stigma and poorer self-esteem in users of mental health services.     

Empathy, guilt, and gender: a comparison of two measures of guilt

The relations of empathy with two measures of guilt were examined in a sample of 13- to 16-year-olds (N= 113). Empathy was measured using Davis's IRI and guilt by Tangney's TOSCA and Hoffman's semi-projective story completion method that includes two different scenarios, guilt over cheating and guilt over inaction. Empathy correlated more strongly with both measures of guilt than the two measures correlated with each other. For boys, cognitive perspective-taking was a stronger predictor for guilt than for girls. Hoffman's guilt over inaction was more strongly associated with empathy measures in girls than in boys, whereas for guilt over cheating the pattern was the opposite. The results indicate that boys and girls may emphasize different aspects of morality.     

Characteristics of intrusive memories in a community sample of depressed, recovered depressed and never-depressed individuals

An accumulating body of evidence has revealed that intrusive autobiographical memories of negative events play a role in depression. Despite increasing understanding of the phenomenological experience of these memories, previous research in this area has been conducted in either nonclinical samples, or in clinical samples without an adequate control group. This study aimed to replicate and extend findings with dysphoric samples by comparing the content and characteristics of intrusive memories in clinically depressed (n = 25), recovered (n = 30) and never-depressed (n = 30) participants. Participants completed mood measures, and a battery of self-report questionnaires that indexed intrusive memory frequency, avoidance and characteristics. Intrusive memories were common and shared strikingly similar characteristics across the three groups. The key finding was that depressed participants reported higher levels of intrusion-related distress, associated emotions (especially sadness and helplessness), interference as a result of the memories and memory vividness compared to the never-depressed group. Despite similar levels of intrusion, there were group differences in avoidance such that depressed participants reported higher levels of avoidance than the never-depressed group. These results provide further support for the proposal that clinical interventions for depression could usefully incorporate components that aim to reduce intrusive autobiographical memories and target avoidance strategies.     

Effects of counsellor interpretations and client reactance on social influence and the working alliance

These two studies investigated the main and interaction effects of client reactance and counsellor interpretation discrepancy and style on counsellor social influence and the working alliance. Undergraduate students who were divided into high and low reactant pups listened to low, moderate, or high discrepancy interpretations given by counsellors who used a tentative or absolute interpretation. Contrary to the hypotheses, results showed only one interaction effect for reactance, interpretation discrepancy, and interpretation style. Low reactant participants rated the working alliance higher with tentative interpretations while high reactant participants rated it higher with absolute. High reactant participants consistently tended to perceive the counsellor less positively than low reactant participants. There were unexpected gender differences, suggesting that females saw the counselling more positively in the low discrepancy condition while males did in the moderate. The results were not supportive of an interaction among reactance, discrepancy, and style, but are in line with macro-results in the counselling and psychotherapy literature indicating the primary importance of client variables.     

Identifying inmates at risk for disciplinary infractions: a comparison of two measures of psychopathy

Poythress, Edens, and Lilienfeld (1998) recently reported a moderately strong correlation between Hare's (1991) Psychopathy Checklist-Revised (PCL-R) and a newly developed self-report measure of psychopathy, the Psychopathic Personality Inventory (PPI) of Lilienfeld and Andrews (1996), in an ethnically diverse sample of 50 inmates from a youthful offender prison. The present study reports follow-up data regarding disciplinary infractions in this sample and examines the utility of the PCL-R and PPI for identifying those at risk for institutional misbehavior. Generally modest, but statistically significant, correlations were obtained between both measures and indices of aggressive institutional behavior. Multiple regression analyses revealed that both measures accounted for common variance in the criterion but that neither accounted for significant unique variance. Results are discussed in terms of the clinical utility of these measures in populations of young offenders.     

Gender differences in responses to depressed mood in a college sample

Two studies tested the hypothesis that women are more likely than men to focus on themselves and their mood when in a depressed mood, and that this leads them to experience longer periods of depressed mood. In both studies subjects were predominantly Caucasian college students. In our first study, a laboratory study, females chose to engage in an emotion-related task significantly more often than did males, even when this lead them to focus on an existing sad mood. In the second study, a prospective naturalistic study, females were more likely than males to evince an emotion-focused ruminative style of coping with their moods. A ruminative response style at Time 1 was a significant predictor of depression scores at Time 2, even after initial levels of depressed mood were taken into account. Furthermore, once rumination levels were controlled for, gender was no longer a potent predictor of depression outcome. The implications of these response styles for treatment are discussed.We thank Brandi Battistoni, Kim Bergquist, Rachel Carr, Lisa Lougee, and especially Ariel Lang for their invaluable help in data collection. We also thank Chuck Olson, Jannay Morrow, and Rose McDermott for their helpful comments on earlier drafts.     

A comparison of two mental status examinations in an inpatient psychiatric sample

This study compares the psychometric properties and clinical use of the Mini-Mental Status Exam (MMSE) and the Modified MMSE (3MS) in patients admitted to an acute medical-psychiatric inpatient unit. Internal consistencies were .56 for the estimated MMSE and .72 for the 3MS. Regression analyses revealed that the 3MS was a significant predictor of both length of hospital stay (LOS) and the need for additional services postdischarge. Regressions were also used to evaluate the contribution of the four new items contained in the 3MS: Word Generation, Similarities, Second Recall, and Date and Place of Birth. The 3MS was a significant predictor of LOS and the need for discharge services, whereas the MMSE did not contribute to any regression model. Word Generation was found to be a significant predictor of patients' needing posthospital services. Results support prior findings of the 3MS's superiority over the (estimated) MMSE and help to demonstrate the continued importance of cognitive screening in psychiatric samples.     

Therapeutic factors in interactional inpatient groups: Results from a Turkish sample

Therapeutic factors in an inpatient group from Turkey are presented. A total of 40 patients were seen over a period of 2 years and each patient was given Yalom's (1983) 60-item therapeutic factor list on discharge. The first four most valued therapeutic factor groups were Catharsis, Existential Factors, Cohesiveness and Hope. There were significant differences in the highly valued factors in different diagnostic groups. Patients with diagnoses of anxiety/somatization and borderline/identity problem preferred factors resembling those in many out-patient studies. The results are discussed in the light of relevant literature.     

The level-style of creativity distinction: comments on a recent comparison of two measures of creativity style

A recent article published in this journal made a contribution to our understanding of the relationships between two measures of creativity style. The authors interpreted their results and made a few statements that made a subtle, yet substantial link between the styles measured by the assessments and creative abilities. The purpose of this commentary is to point out a more general concern relating to keeping these constructs distinct and then using clear measures to help increase our understanding and appreciation of diverse styles of creativity and how they contribute to improving creative abilities. Even those researchers who attempt to clarify the differences can slip into using language that conflates style with level.     

Rorschach measures of aggressive drive derivatives: a college student sample

This study investigated measures of aggressive drive derivatives on the Rorschach and Personality Assessment Inventory with 70 college students. As predicted, (a) self-reported physical aggression potential was related to Rorschach measures of identification with the aggressor and aggressive impulses, (b) suicidal ideation with impulsivity was related to a Rorschach measure of aggressive impulses turned toward the self, and (c) the borderline features scale was related to a Rorschach pathological object relations measure. Hierarchical regression analyses showed that a Rorschach measure of emotional impulsivity added unique variance to these Rorschach aggression variables in predicting self-reported physical aggression potential, suicidal ideation with impulsivity, and borderline features. Finally, caution is advised in applying our findings when there is motivation to suppress aggressive responses     

Dimensions of perfectionism and goal commitment: A further comparison of two perfectionism measures

Research on perfectionism has suggested that a strong association exists between the setting and striving for excessively high standards. However, the motivational aspects of perfectionism have yet to be empirically identified. The purpose of the present study was to evaluate the usefulness and psychometric properties of a new goal commitment scale by assessing commitment to perfection in seven content areas. In addition to identifying individual differences in perfectionism goal commitment, the current research also investigated the association between commitment to perfectionism and trait indices of perfectionism. A sample of 261 students rated degree of commitment to perfectionistic goals and completed two multidimensional perfectionism scales that assess the personal and social aspects of perfectionism. Analyses confirmed the presence of individual differences in perfectionism goal commitment. Correlational tests revealed that the trait perfectionism dimensions were correlated with the goal commitment measure, but the findings varied as a function of the specific perfectionism goal. Overall, the current data are consistent with the view that the perfectionism construct has a salient motivational component. Our findings suggest that the assessment of goal commitment is a useful means of examining specific facets of the perfectionism construct.     

Rorschach administration: a comparison of the effect of two instructions given to an inpatient sample of drug addicts

The effect of administering the Rorschach Inkblot Method under two instructional sets was compared on three classes of outcome variables: the frequency with which subjects asked questions about the test; the frequency of brief protocols (fewer than 14 responses); and 17 traditional Rorschach structural summary scores. Sixty subjects, obtained from three inpatient psychiatric clinics treating drug addicts, randomly received either the short pre‐testing instruction “What might this be?” originally developed by Herman Rorschach and recommended in the Comprehensive System, or a longer and more elaborated instruction, which for many years has been the standard instruction in Norway. Compared with the Norwegian instruction, the short instruction produced significantly more questions to the examiner about the test. For the other outcome measures no differences were observed.     

A comparison of two objective measures of sexual arousal of women

The efficacy of two objective measures of sexual arousal of women was compared by simultaneously recording vaginal blood volume by means of a photoplethysmograph and labial temperature by means of a thermistor-clip during and after stimulation by an erotic film. Both measures increased during the stimulation, and they were highly correlated with each other in six of the eight subjects, indicating that both were valid measures of sexual arousal. During the stimulation, labial temperature was significantly correlated with subjective ratings of arousal while vaginal blood volume only approached significance. During the 15-min period following stimulation, the measures neither correlated significantly with subjective ratings nor each other, and both had a tendency not to return to prestimulation levels.