The Bellak and Associates Ego Function Rating in general practice of psychiatric expert assessment

The paper considers more than 70 ego function rating examinations in their relation to expert apprinsement. In general, appraisement was confirmed by the further progress of the cases. The gravity of the mental disorder can be set in perspective by the appraisement of co-affecting factors. A cutoff level of about 4 as the mean of 12 ego functions can be taken to be reliable, the working capacity being frequently impaired below 4.     

From eating disorders to women's situations: Extending the boundaries of psychological inquiry

This paper seeks to extend feminist critiques of the prevalent psychiatric approaches to the eating disorders. It also includes a critique of feminists' writings that make assumptions similar to, and hence suffer from some of the same theoretical weaknesses as, the prevalent clinical literature. The main purpose is to contribute to the development of a social-historical approach to the study of the relentless pursuit of thinness among women. The social-historical approach is contrasted with individualistic psychological, family systems and multidimensional accounts of anorexia nervosa and bulimia. Potential directions suggested by feminist and social-historical analyses of the relentless pursuit of thinness among women are briefly described.     

Prevalence of personality disorders among bulimics,nonbulimic binge eaters,and normal controls

We examined the comorbidity of bulimia and personality pathology among college women. Subjects included women (n=23) meeting DSM-III-R criteria for bulimia nervosa (bulimics), women (n=23) who reported binge eating but did not fulfill the criteria for bulimia nervosa (binge eaters), and women (n=23) who did not binge eat (normals). The subjects completed an assessment battery consisting of the Personality Disorders Examination and the SCID as well as the Beck Depression Inventory, the Rosenberg Self-Esteem Index, and measures of impulsivity and self-defeating tendencies. Fourteen of 23 bulimics (61%) met criterion for a personality disorder using DSM-III-R Axis II criteria. In comparison, 3 of 23 (13%) binge eaters and 1 of 23 (4%) normal subjects received an Axis II diagnosis. Borderline and self-defeating diagnoses were the predominant personality disorders in 96% of the bulimics exhibiting clinically significant personality pathology. Bulimics also exhibited significantly more depression, impulsivity, and self-defeating behavior and lower self-esteem than binge eaters and normals. The findings are discussed within a conceptual framework that posits an interaction between personality pathology and restrained eating.     

Operate your own World-Wide Web server

Although many researchers wishing to use the World-Wide Web for academic purposes rely on centralized Web services, they should be aware that it is neither expensive nor difficult to operate their own server. Doing so provides research-related benefits such as complete control over their host name and documents provided, the guaranteed ability to execute common gateway interface and server-side include programs, immediate access to their collected data, and the ability to better control who participates in their experiments. This paper surveys Web-server software features likely to be of interest to psychologists and conceptually summarizes their operation and use. The basic steps required to set up a Web server on popular microcomputers are reviewed, and security issues concerning Web-server operation are discussed. An accompanying resource Web page can assist users in setting up their own servers.     

The specific action of different personality risk factors on cancer of the breast, cervix, corpus uteri and other types of cancer: A prospective investigation

We report the results of a prospective study of a random sample of 1353 elderly but healthy men and women who were followed up for a period of 10 yr, when mortality and cause of death were ascertained. Overall results have been reported elsewhere for mortality from cancer, coronary heart disease and other causes; here we are concerned with the personality factors predicting breast cancer, cervical cancer, cancer of the corpus uteri specifically, as well as other types of cancer in women. Ten specific hypotheses were tested, using specially constructed questionnaires for the purpose, and for most of these statistically significant support was obtained. The results justify belief that specific types of cancer may be related to specific stress/personality factors.     

Intuitive Perceptions of Decision-making Strategy: Naive Assessors' Concepts of Integrative Complexity

Although there are measurable differences in integrative complexity among solutions that individuals generate in dealing with problems, it is uncertain to what extent people comprehend, recognize, and have preferences among different levels of complexity. Integrative complexity is a function of differentiation (the perception of several attributes within, or perspectives about, a topic) and integration (combining the differentiated characteristics in an interactive or synthesizing solution). The current paper reports two experiments dealing with how university students perceive, interpret, and choose among solutions differing in complexity. Experiment 1 showed that subjects accurately rated the complexity of described solutions differing along the continuum, but that their assessment of their own responses differed from the results of expert scoring. Their self-estimated complexity was highly correlated with their preferences, and preferred complexity was reliably higher than either expert- or self-assessed complexity of subject-generated solutions. Subjects were able to hypothesize quite accurately about environmental and endogenous factors likely to affect complexity. Experiment 2 found that in response to problem scenarios, solutions selected as being potentially most effective were consistently more complex than solutions that participants considered themselves most likely to use. The idea of complexity seems to be intuitively recognizable and understandable by untrained subjects: They can and do distinguish among problem solutions (self-generated or presented) that vary on that dimension, and are able to assess accurately the effects of relevant variables. Such subjects also share the bias shown by experts in favour of the superiority of more complex approaches.