MMPI configural interpretation as applied to posttraumatic stress disorder in Vietnam veterans

This study investigated the systems of Minnesota Multiphasic Personality Inventory (MMPI) configural interpretation of Skinner and Jackson (1978) and Kunce (1979) with Vietnam veterans with posttraumatic stress disorder (PTSD). MMPI profiles of four groups differing in combat exposure were compared on four MMPI configural variables from Kunce (1979) and Skinner and Jackson (1978). The four groups were (a) PTSD sufferers, (b) Vietnam combat veterans without PTSD, (c) Vietnam noncombat veterans, and (d) Vietnam era veterans. All groups were further divided into hospitalized versus nonhospitalized subgroups. Dependent variables were Skinner and Jackson's (a) sociopathic modal profile, (b) neurotic profile, (c) psychotic profile, and (d) Kunce's emotional expression (enthusiastic-reserved) dimension. Results indicated that hospitalized PTSD subjects had significantly higher scores on Skinner and Jackson's neurotic profile; both hospitalized and nonhospitalized PTSD subjects had higher scores on the psychotic profile and were more "reserved" on Kunce's emotional expression dimension. Results were interpreted in terms of configural MMPI interpretation systems and the adjustment of Vietnam veterans with PTSD. PTSD was viewed as exhibiting cognitive, somatic, and affective features.     

MMPI Configural Interpretation as Applied to Posttraumatic Stress Disorder in Vietnam Veterans

This study investigated the systems of Minnesota Multiphasic Personality Inventory (MMPI) configural interpretation of Skinner and Jackson (1978) and Kunce (1979) with Vietnam veterans with posttraumatic stress disorder (PTSD). MMPI profiles of four groups differing in combat exposure were compared on four MMPI configural variables from Kunce (1979) and Skinner and Jackson (1978). The four groups were (a) PTSD sufferers, (b) Vietnam combat veterans without PTSD, (c) Vietnam noncombat veterans, and (d) Vietnam era veterans. All groups were further divided into hospitalized versus nonhospitalized subgroups. Dependent variables were Skinner and Jackson's (a) sociopathic modal profile, (b) neurotic profile, (c) psychotic profile, and (d) Kunce's emotional expression (enthusiastic-reserved) dimension. Results indicated that hospitalized PTSD subjects had significantly higher scores on Skinner and Jackson's neurotic profile; both hospitalized and nonhospitalized PTSD subjects had higher scores on the psychotic profile and were more "reserved" on Kunce's emotional expression dimension. Results were interpreted in terms of configural MMPI interpretation systems and the adjustment of Vietnam veterans with PTSD. PTSD was viewed as exhibiting cognitive, somatic, and affective features.     

ABSTRACTS OF LITERATURE

A report from Istanbul "aiming to prove to what extent the neurotic and schizoid forms of personality defects are due to familial conflicts." Sample was 50 normals and 50 mental patients 30 of whom were neurotic and 30 schizoid. The research method was psychotherapy and/or narcosis. Parents of mental patients are reported to be "a real problem" and certain factors relating to the parent-child intervention are discussed.     

The effect of early childhood experiences on neurotic disorders in the adult

"Empiricists" and "clinicians", in especial those in the field of psychoanalysis, have reached divergent views on the significance of early childhood experiences for neurotic affections in the adult. The present paper discusses the need to resolve such "apparent" differences. To be effective, models of psychological development should, besides taking into account biological hereditary influences and the psychosocial conditions of childhood, also consider the ongoing perpetualisation of neurotic behavior through social feedback.     

Loving, hating, vacillating: Agreeableness, implicit self-esteem, and neurotic conflict

An implicit preference for the self over others may be beneficial when pursuing one's own desires but costly when adjusting the self to the desires of others. On the basis of this reasoning, the authors hypothesized that Agreeableness and implicit self-esteem would interact in predicting measures of neurotic distress. Three studies and one meta-analysis, involving 235 undergraduate participants, confirmed that high levels of implicit self-esteem were beneficial (i.e., less neurotic distress) within the context of low levels of Agreeableness but costly (i.e., more neurotic distress) within the context of high levels of Agreeableness. Because findings were robust across various measures of Agreeableness, implicit self-esteem, and neurotic distress, the interpersonal principles examined here appear to have broad relevance for understanding this particular form of intrapsychic conflict and its manifestation in neurotic distress. Results therefore support Horney's (1945) theory concerning the consequences of intrapsychic conflicts related to interpersonal motivation and cognition.     

The HEXACO–60: A Short Measure of the Major Dimensions of Personality

According to Jung anima and animus are functions, themselves largely unconscious, mediating between the ego and the deeper unconscious. Their manifestations in projection (also in dream, myth, etc.) are called the soul image. The soul image and the functions which it represents usually have sexual characteristics contrary to those of the conscious personality and are compensatory and complementary thereto.

Kinaesthetic responses in the Rorschach test are generally regarded as carriers of projections from the unconscious. Therefore, when personality imbalance and increased liability to projection occur as in neurosis, the proportion of contrasexual Ms should be larger in neurotic than in normal groups. Using four groups containing each 100 adult subjects: healthy women, neurotic women, healthy men and neurotic men, the hypothesis was tested and confirmed, affording some confirmation to Jungian theory.     

Existential and psychopathological evaluation of group psychotherapy of neurotic and psychotic patients

General problems in researching group psychotherapy are reviewed, especially for those with similar theoretical and methodological approaches. The sample consisted of 100 subjects, 26 of whom were neurotic and 24 of whom were psychotic. They were treated in small groups, headed by the author (the experimental group). An equal number and the same categories of patient attended control psychiatric sessions (the control group). All subjects were tested twice. With three instruments: the semantic differential (with twelve existential categories, five general therapy, and three ego psychology categories), the Kotchen test, and MMPI (midiform). A discriminative analysis of tests and the repeated test data, statistically significant, revealed experiential changes in existential categories, such as "Freedom," "Sex," and "Love" amongst psychotics; and in the case of both psychotic and neurotic patients, treated in groups and compared with the controls, such categories as "Understanding among people." With the help of MMPI, a statistically significant reduction of hysteria in neurotic subjects was established, as well as the preventive effects of group psychotherapy regarding the emergence of psychopathy in psychotic patients. Correlation calculations indicated a greater discrimination in the perception of changes using existential categories in the experiencing of psychotic and depressive patients. Finally, the results obtained are discussed from the viewpoints of clinical experience, results obtained in similar research studies, and unanswered questions resulting from such research.     

How to live with a neurotic man

If women are to live in a mated relationship with a male they have little choice but to live with a fairly neurotic one. This article shows them why and how men are usually neurotic, how to deal with their own neurotic demands about mating, how to help a man be less neurotic than he usually is, and how to live fairly happily with a neurotic man.     

From the archaic matrix of the oedipus complex to the fully developed oedipus complex. Theoretical perspective in relation to clinical experience and technique

The opposition between the "archaic matrix of the oedipus complex" and the fully developed oedipus complex leads the author to compare two distinct types of patients: those who do not conform to the neurotic model (patients who probably witnessed and were the victims of disintegration of the family and the effacement of the father's image) and the neurotic patient for whom Freud's discovery was intended. The consequences of differences of organization specific to each type of patient are numerous. This study restricts itself to examining the different mode of interpretation in each case, although the choice of this does not depend solely upon the analyst, since interpretation is the product of the encounter between patient and analyst.     

The Predictive Power of Horney’s Psychoanalytic Approach: An Empirical Study

This study investigated the construct validity of a measure of Karen Horneys (1945) psychoanalytic theory that postulated three neurotic trends: compliant, aggressive, and detached. Her theory was operationalized by the Horney-Coolidge Type Indicator (HCTI). One hundred seventy-two adults completed the HCTI and the short form of the Coolidge Axis II Inventory, a measure of the three DSM-IV personality disorder clusters. Multiple regression and canonical correlation analyses revealed significant and differential patterns of the three HCTI dimensions with the three clusters. Because Paris (1994) has noted that Horneys neurotic trends may today be conceived of as personality disorders, one implication of the present findings is that Horneys dynamic theory can be valid and useful in the general understanding of personality disorders from a cluster perspective.     

Proof of complex theories regarding conflicts, neuroses and their therapy, exemplified by Mjasiscew's theory of relations

Most psycho-dynamic theories emphasize the role of intra-personal conflicts in the aetiology and therapy of neurotic disorders, but very few can be empirically tested. The social psychological and psychodynamic "pathogenetic" theory of the "Leningrad School" of psychotherapy according to Mjasiscew (Lauterbach, 1984) maintains that conflicts between a person's relations with his social, material and cultural environment may be the cause of his neurosis. This theory is used to demonstrate that psychodynamic hypotheses about the role of intra-personal conflicts can be empirically tested with the help of "tests of conflict" (Lauterbach, 1987).     

FACTOR ANALYSIS OF A NEUROTICISM INVENTORY

The Lidvall neuroticism inventory is comprised of 25 questions referring to symptoms presumed to be connected with manifest neurotic anxiety. It was presented to 377 persons, an unscreened group with respect to neurotic symptoms, and a factor analysis with rotation to simple structure was performed.—Four factors could be identified: (1) manifest neurotic anxiety, (2) neurotic difficulties in interpersonal relations, (3) neurasthenic symptoms and (4) obsessive-compulsive symptoms. The factor scales were correlated with Neuroticism and Extraversion in MPI. Neuroticism was shown to be a heterogeneous factor. The correlation between Factor (2) and Extraversion was high.     

A comparative study in multiple-factor analysis of neurotic tendency

The original aim of this investigation was to discover what relations exist between race attitudes and certain personality traits. For that purpose, a standard neurotic inventory and an attitude scale were applied to three dissimilar groups of subjects, and the results, obtained by multiple-factor analysis carried out independently for each of the three groups, compared with one another. The components of neurotic tendency, as displayed by each of the three groups, show a high measure of agreement and appear to be reconcilable with other interpretations of neurotic personality. So far as the original aim of the study is concerned, there appears to be a slight but significant tendency for the neurotic factor of hypersensitiveness to affect the race attitudes of Europeans towards the native in South Africa in a negative or unfavorable direction.     

Neurotic and narcissistic transferences in Freud's relationship with Josef Popper.

An analysis of Freud's avoidance of meeting with Josef Popper is offered which suggests that Freud's idealization of Popper was related to an unconscious fear of being attacked by him. This view is compared and contrasted with the concept that Freud had a "mirror transference" to Popper, as proposed by Wolf and Trosman (1974). The choice of focusing on either narcissistic or neurotic mechanisms in this psychobiographical inquiry is discussed and related to similar choices that commonly occur in clinical work.     

Dreams, conscience, and memory

The interpretation of certain dreams, as opposed to the direct examination of behavior, makes it possible to explore the conscience of the dreamer, detect hidden sources of guilt, and interpret them with less likelihood of arousing intractable resistance. Through the recovery of memories and the establishment of an intimate familiarity with one's personal history, it becomes possible to resolve problems of "neurotic" guilt, based ultimately on distortions of repressed childhood memories. The resolution of these conflicts allows a greater role for the operation of "appropriate" guilt, based on genuine transgressions, and the establishment of a more mature ethical structure.     

Involuntary subordination and its relation to personality, mood, and submissive behavior

According to social rank theory, involuntary subordination may be adaptive in species that compete for resources as a mechanism to switch off fighting behaviors when loss is imminent (thus saving an organism from injury). In humans, major depression is thought to occur when involuntary subordination becomes prolonged. The present study sought to operationalize involuntary subordination. Study 1 involved a reanalysis of a Gilbert and Allan (1998) study, with the hypothesis that social comparison (i.e., perceived status), submissive behavior, feelings of defeat, and entrapment would load on a common factor (interpreted as involuntary subordination). Exploratory and confirmatory factor analysis supported this model. In Study 2 measures of these same variables were administered to a group of undergraduate students. Eight items were selected from each measure (on the basis of item-total correlations) to form the Involuntary Subordination Questionnaire (ISQ). In Study 3 scores on the ISQ showed high levels of internal consistency and test-retest reliability in a sample of undergraduate students. Scores on the ISQ were significantly positively correlated with various neurotic personality styles and negatively correlated with variables indicating dominance or mastery. Involuntary subordination scores also significantly predicted change in social anxiety symptoms over 9 weeks. In Study 4 scores on the ISQ were examined in relation to nonverbal behaviors. In men, the ISQ was correlated with behaviors indicating a lack of confidence and submissiveness. Involuntary subordination appears to be a relatively stable trait with implications for personality, mood, and real-world behavior.     

Is Science Neurotic?

Neurosis can be interpreted as a methodological condition from which any aim-pursuing entity can suffer. If such an entity pursues a problematic aim B but represents to itself that it is pursuing a different aim C and, as a result, fails to solve the problems associated with B which, if solved, would lead to the pursuit of aim A, then the entity may be said to be "rationalistically neurotic." Natural science is neurotic in this sense insofar as its basic aim is represented as improving knowledge of factual truth as such (aim C), when actually the aim of science is to improve knowledge of explanatory truth (aim B). Science itself does not suffer significantly from this neurosis, but philosophy of science does. Much more serious is the rationalistic neurosis of the social sciences and academic inquiry more generally. freeing social science and academic inquiry from neurosis would have far-reaching beneficial, intellectual, institutional and cultural consequences.     

Death anxiety, dissent, and competence

A total of 64 male undergraduates were administered a multistage interview which was structured to assess (a) their level of overtly expressed death anxiety, (b) covert (GSR) arousal to death stimuli (c) self-perceived competence, and (d) agreement with or dissent from life threatening national policies. The analyses that followed were concerned with examining the relationships among these variables. In previous studies of this kind it had been typically found that (1) self-perceived competence and magnitude of expressed death concern are inversely related and (2) overt expressions of death concern and covert physiological arousal to death cues are inversely related. Psychodynamic formulations centering on the ego-defensive nature of inhibited expressions of death anxiety have been cited to explain these past data. The current investigation proposed that the magnitude of expressed death concern would bear an inverse relationship to both felt competence and covert death arousal only when the level of overt concern was not contingent upon the individual's attitudes concerning the imminence of real life threatening circumstances in the environment. The rationale behind these predictions inheres in the notion that the neurotic components of strongly expressed death anxiety derive from its lack of anchoring in "real" external threats. Conversely, the expression of low death fear can only be regarded as "defensive" when real threats are perceived and acknowledged. The obtained results strongly support this rationale and the discussion centers on the impact of social conditions on psychodynamic processes.     

Benefits of all work and no play: the relationship between neuroticism and performance as a function of resource allocation

The authors evaluate a model suggesting that the performance of highly neurotic individuals, relative to their stable counterparts, is more strongly influenced by factors relating to the allocation of attentional resources. First, an air traffic control simulation was used to examine the interaction between effort intensity and scores on the Anxiety subscale of Eysenck Personality Profiler Neuroticism in the prediction of task performance. Overall effort intensity enhanced performance for highly anxious individuals more so than for individuals with low anxiety. Second, a longitudinal field study was used to examine the interaction between office busyness and Eysenck Personality Inventory Neuroticism in the prediction of telesales performance. Changes in office busyness were associated with greater performance improvements for highly neurotic individuals compared with less neurotic individuals. These studies suggest that highly neurotic individuals outperform their stable counterparts in a busy work environment or if they are expending a high level of effort.     

P. A. News & Notes

A case study of a Vietnam combat veteran with episodic rage attacks is discussed with emphasis on Rorschach formal scoring and content analysis. Rorschach data suggest a near neurotic level of ego organization with massive repression in the form of dissociated violent outbursts. Vietnam combat trauma appears to be a precipitant. Developmental differences between preoedipal splitting and higher level dissociation are discussed. Dissociative states are posited to represent a developmental level of ego organization midway between borderline and neurotic levels and are not easily encompassed by either borderline or neurotic classifications.