The Developmental Roots of Borderline Personality Disorder in Early Attachment Relationships: A Theory and Some Evidence

The paper suggests a way of understanding borderline personality disorder in terms of the failure of a secure base. We begin with an account of optimal self-development in a secure attachment context, highlighting the importance of the caregiver's ability to help the small child think about his own and others' minds. This optimal self-development is crucial in developing the child's capacity for mentalization, which can enhance his resilience in the face of later trauma. We discuss the impact of attachment trauma in later development, arguing that the extent of this impact depends on how well early attachment relationships facilitated the capacity for mentalization. We identify some of the consequences for the representations of the internal world of a failure of mentalization that may follow trauma in individuals made vulnerable by genetic predisposition or disorganized early attachment. We link these features to the clinical presentation associated with borderline personality organization. Finally, some of the necessary characteristics of successful psychotherapeutic treatment of borderline personality disorder are briefly considered.     

Reactions to Recruitment Web Sites: Visual and Verbal Attention, Attraction, and Intentions to Pursue Employment

Purpose

We investigate job seeker visual and verbal attention, and perceptions regarding company web sites in the applicant generation phase of recruitment.

Design/Methodology/Approach

We report three studies using varied methodological approaches including eye-tracking, verbal protocol analysis (VPA), and survey data.

Findings

Eye-tracking results suggest Web-based job seekers focus visual attention on information containing hyperlinks and on text more than graphic images or navigation tools. VPA suggests Web-based job seekers focus verbal attention on content more than design, especially job opening information. Survey results suggest content, design, and communication features are all related to applicant attraction. Design explains the most incremental variance in web site evaluation, while perceptions of communication features explain the most incremental variance in attitude toward the organization and intentions to pursue employment.

Implications

We provide multi-method evidence concerning features that attract applicant visual and verbal attention, and influence attraction and intentions to pursue employment. The findings also provide practical implications for designing recruitment web sites.

Originality/Value

We report three methodologically distinct perspectives on an important and timely issue: Web-based recruitment. We are aware of no other psychomotor eye-tracking studies in the recruitment literature, and only one other VPA. Combining multiple methods in this way provides unique perspective.     

A Comparison of Modalities in Modeling

Organizational display rules (e.g., “service with a smile”) have had mixed relationships with employee emotional labor—either in the form of “bad faith” surface acting (suppressing or faking expressions) or “good faith” deep acting (modifying inner feelings). We draw on the motivational perspective of emotional labor to argue that individual differences in customer orientation will directly and indirectly relate to these acting strategies in response to display rules. With a survey of more than 500 working adults in customer contact positions, and controlling for affective disposition, we find that customer orientation directly increases “good faith” acting while it moderates the relationship of display rules with “bad faith” acting.     

Standardized assessment of relationship functioning in OEF/OIF Veterans with and without PTSD

Posttraumatic Stress Disorder (PTSD) is associated with difficulties in intimate relationships, with most prior research examining associations with continuous, single-dimension, and often-unstandardized measures of general relationship quality or aggression. Standardized, well-normed assessments that include multiple couple problem areas could provide more precise information about the presence and specific nature of clinically significant concerns in patient care settings. This investigation aimed to replicate findings regarding increased difficulties in relationship functioning among Operations Enduring and Iraqi Freedom Veterans with PTSD and their romantic partners, specifically using a standardized assessment that permits identification of cases of clinically significant general couple distress and difficulties across multiple problem areas. We compared 32 male Veterans with PTSD and 33 without PTSD, and their romantic partners on reports of several problem areas using the revised Marital Satisfaction Inventory (MSI-R). All participants underwent structured diagnostic interviewing. PTSD couples reported clinically significant levels of relationship distress several times more frequently than comparison couples, both for general distress and across all specific problem areas (e.g., aggressive behavior, quality of leisure time together, sexual functioning, conflicts about finances and child rearing). The most notable problem areas for PTSD couples were affective and problem-solving communication. These results replicate associations of PTSD with general couple discord and multiple specific areas of couple difficulties and extend them by documenting the clinical severity of these problems. Mental health providers may consider incorporating standardized couple assessments into their evaluations of Veterans’ functioning. Couple therapies may consider using such measures to prioritize targets for treatment.     

Actuality in Propositional Modal Logic

We show that the actuality operator A is redundant in any propositional modal logic characterized by a class of Kripke models (respectively, neighborhood models). Specifically, we prove that for every formula ${\phi}$ in the propositional modal language with A, there is a formula ${\psi}$ not containing A such that ${\phi}$ and ${\psi}$ are materially equivalent at the actual world in every Kripke model (respectively, neighborhood model). Inspection of the proofs leads to corresponding proof-theoretic results concerning the eliminability of the actuality operator in the actuality extension of any normal propositional modal logic and of any “classical” modal logic. As an application, we provide an alternative proof of a result of Williamson’s to the effect that the compound operator A□ behaves, in any normal logic between T and S5, like the simple necessity operator □ in S5.     

Miller on Dumézil: The Current State of Play

Robert A. Segal, Joseph Campbell: An introduction. New York and London, Garland Publishing, 1987, $22.00

Lawrence A. Hoffman, Beyond the text: A holistic approach to liturgy. Bloomington and Indianapolis, Indiana University Press, 1987, 213 pp

Wesley A. Kort, Modern Fiction and Human Time: A Study in Narrative and Belief. Tampa, University of South Florida Press, 1985, pp. x + 227. $20.00.

Bentley Layton (ed.), The Gnostic Scriptures. London, SCM Press, 1987, pp. xiii + 526, £25.

H. H. the Dalai Lama, Tenzin Gyatso, The Kālachakra Tantra : Rite of initiation for the stage of Generation, a commentary ; text edited, translated and introduced in Jeffrey Hopkins. London, Wisdom Publications, 1985, 511 pp. £11.95.     

Explanations of the sex‐deviance relationship

This paper examines sex differences in school deviance and compares a cultural/socialization explanation (the machismo thesis) and structural explanations of this differential. In general, the findings show that the sex‐school deviance relationship is completely explained by differences in social controls and pressures which are structured by sex, and that machismo identity may be a mediator of this relationship for aggression but not for general school misconduct. In addition, the findings suggest that sex differences in deviance are enhanced because children tend to be influenced by same‐sexed peers.     

Synchronization with competing visual and auditory rhythms: bouncing ball meets metronome

Synchronization of finger taps with periodically flashing visual stimuli is known to be much more variable than synchronization with an auditory metronome. When one of these rhythms is the synchronization target and the other serves as a distracter at various temporal offsets, strong auditory dominance is observed. However, it has recently been shown that visuomotor synchronization improves substantially with moving stimuli such as a continuously bouncing ball. The present study pitted a bouncing ball against an auditory metronome in a target–distracter synchronization paradigm, with the participants being auditory experts (musicians) and visual experts (video gamers and ball players). Synchronization was still less variable with auditory than with visual target stimuli in both groups. For musicians, auditory stimuli tended to be more distracting than visual stimuli, whereas the opposite was the case for the visual experts. Overall, there was no main effect of distracter modality. Thus, a distracting spatiotemporal visual rhythm can be as effective as a distracting auditory rhythm in its capacity to perturb synchronous movement, but its effectiveness also depends on modality-specific expertise.     

Quality adjusted survival analysis: A neglected application of the quality of well-being scale

Abstract

Background In survival analysis, those who are alive are statistically coded as 1.0 while those who are dead are coded as 0.0. Since everyone who remains alive is given the same score, a person confined to bed with an irreversible coma is alive and is counted the same as someone who is active and asymtomatic. The Quality of Well-being (QWB) scale defines levels of wellness on the continuum between death and optimum function and integrates morbidity and mortality into the same number. This paper demonstrates the effect of including mortality in QWB estimates for male adults with HIV infection.

Method This study involves follow-up of a cohort of 386 male adults participating in the San Diego HIV Neurobehavioral Research Center (HNRC). Patients were evaluated using the QWB at enrollment and at six month intervals. All patients were classified into three stages of HIV disease according to the Center for Disease Control (CDC) classification: CDC IV (symptomatic HIV disease), CDC II or III (asymptomatic infection) and uninfected male controls.

Results QWB scores were calculated with and without mortality included for men in each CDC class who completed a one year (N = 148) or two year follow-up (N = 60). At each evaluation, there were significant differences among CDC classes and inclusion of deaths increased the variance accounted for by CDC class at each evaluation.

Conclusions HIV infection has significant impacts upon both morbidity and mortality. Survival analysis captures only the mortality dimension, while quality adjusted survival analysis using the QWB includes both dimensions. We propose quality adjusted survival analysis as a more sensitive method for assessing outcome in HIV disease and other health conditions.     

The Relationships Among Differing Loss Experiences,Adjustment, Beliefs,and Coping

Abstract

Losses are often equated for conceptual purposes, and it is often assumed that different types of losses result in similar grief reactions and exert similar effects on cognitive structures and coping patterns. This article examines the expectancies, beliefs, coping patterns, and psychological adjustment associated with loss due to death, parental. divorce, or illness and disability in a college student population. Loss groups did not differ from each other or from a no-loss group on cognitive variables, coping, or psychological adjustment. In instances in which associations between the cognitive measures and either coping or adjustment were indicated, the typical pattern was for loss groups to differ from the no-loss condition but not from each other.