Relationship between patient characteristics and treatment allocation for patients with personality disorders

Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.     

Gene flow by selective emigration as a possible cause for personality differences between small islands and mainland populations

Whether personality differences exist between populations is a controversial question. Even though such differences can be measured, it is still not clear whether they are due to individual phenotypic responses to the environment or whether they have a genetic influence. In a population survey we compared the personality traits of inhabitants of an Italian archipelago (the three Egadi islands; N = 622) with those of the closest mainland population (Trapani area; N = 106) and we found that personality differences between small populations can be detected. Islanders scored significantly lower on the personality traits of openness to experience and extraversion and higher on conscientiousness. We suggest that these personality trait differences could be an adaptive response to a confined socio‐environmental niche, genetically produced by a strong, non‐random gene flow in the last 20–25 generations, rather than the flexible response of islanders to environmental variables. To test this hypothesis, we compared subsets of the islander population classified by ancestry, birthplace, immigration and emigration and found that differences in extraversion can be accounted for by gene flow, while openness to experience and conscientiousness can also be accounted for by some gene–environment interactions. We propose a Personality Gene Flow hypothesis suggesting that, in small isolated communities, whenever there is strong, non‐random emigration, paired with weak and random immigration, we can expect rapid genetic personality change within the population. Copyright © 2010 John Wiley & Sons, Ltd.     

Consciousness: a neurological perspective

Consciousness is a state so essentially entwined with human experience, yet so difficult to conceptually define and measure. In this article, we explore how a bidimensional model of consciousness involving both level of arousal and subjective awareness of the contents of consciousness can be used to differentiate a range of healthy and altered conscious states. These include the different sleep stages of healthy individuals and the altered states of consciousness associated with neurological conditions such as epilepsy, vegetative state and coma. In particular, we discuss how arousal and awareness are positively correlated in normal physiological states with the exception of REM sleep, while a disturbance in this relationship is characteristic of vegetative state, minimally conscious state, complex partial seizures and sleepwalking.     

Ironic effects of drawing attention to story errors

Readers learn errors embedded in fictional stories and use them to answer later general knowledge questions (Marsh, Meade, & Roediger, 2003). Suggestibility is robust and occurs even when story errors contradict well-known facts. The current study evaluated whether suggestibility is linked to participants' inability to judge story content as correct versus incorrect. Specifically, participants read stories containing correct and misleading information about the world; some information was familiar (making error discovery possible), while some was more obscure. To improve participants' monitoring ability, we highlighted (in red font) a subset of story phrases requiring evaluation; readers no longer needed to find factual information. Rather, they simply needed to evaluate its correctness. Readers were more likely to answer questions with story errors if they were highlighted in red font, even if they contradicted well-known facts. Although highlighting to-be-evaluated information freed cognitive resources for monitoring, an ironic effect occurred: Drawing attention to specific errors increased rather than decreased later suggestibility. Failure to monitor for errors, not failure to identify the information requiring evaluation, leads to suggestibility.     

Civic engagement patterns and transitions over 8 years: the AmeriCorps national study

Latent transition analysis was used to examine civic engagement transitions across 2 waves spanning 8 years in a sample of AmeriCorps participants and a comparison group (N = 1,344; 77% female). Latent indicators of civic engagement included volunteering, community participation, civic organizational involvement, local and national voting, civic consciousness, and perceptions of civic knowledge. Three latent statuses were identified; inactive, voting involved, and highly committed. Consistent with life cycle theories of political engagement, the inactive status was most prevalent at Wave 1 and the voting-involved status most prevalent at Wave 4. AmeriCorps members were less involved in voting at Wave 1 but, among voters, were more likely to become highly committed by Wave 4. Compared with those who did not attend college, those who did had higher levels of civic engagement initially and over time. Young participants and Asian youths demonstrated lower levels of involvement initially compared with older participants or White youths. Findings suggest that national service programs geared toward young people who are not in college may hold promise for addressing gaps in civic engagement.     

Modeling change in memory performance and memory perceptions: findings from the ACTIVE study

Within the context of the ACTIVE study, the current investigation explored the relationships between objective memory and two components of subjective memory (frequency of forgetting and use of external aids) over a five-year period. Relationships were assessed using parallel process latent growth curve models. Results indicated that changes in objective memory were associated with changes in perceived frequency of forgetting, but not with use of external aids (calendars, reminder notes) over time. Findings suggest that memory complaints may accurately reflect decline in objective memory performance, but that these memory changes are not necessarily related to compensatory behaviors.     

A Phenomenological Reading of Anomalous Monism

The essay discusses Donald Davidson’s concept of anomalous monism in the framework of Husserlian phenomenology. It develops in four stages. Section 1 is devoted to a critical presentation of the argument for anomalous monism. Section 2 succinctly examines those Husserlian notions that best provide the ground for a discussion parallel to Davidson’s. In Sect. 3, the aporetic status of “mental causation” is analyzed by providing a genetic-phenomenological account of efficient causation. Section 4 draws some general conclusions concerning the kind of efficaciousness that must be attributed to consciousness and discusses the sense in which anomalous monism can be defended in a phenomenological framework, but not in a naturalistic one.     

Social consensus and the encoding of consistent and inconsistent information: when one's future audience orients information processing

The present study investigated whether and how social consensus affects the way perceivers encode information concerning a deviant member of a stereotyped group. Participants formed an impression of a gay person described by means of both positive and negative behaviours. Participants also learned that they had to communicate their impression to an unidentified audience whose stereotype about gays was unknown or to an ingroup audience which was presented to be either positive or negative about gays. Results indicated that participants who ignored the identity of the audience and its position towards gays devoted more time to examine the information than participants who had been informed about the audience and its opinion about gays. More importantly, participants spent less (more) time to encode information that was in line (at odds) with the stereotype of the audience. Results are discussed in terms of the interplay between cognitive and social factors in general, and of recent evidence about inconsistency‐resolution effect and consensual beliefs in particular. Copyright © 2006 John Wiley & Sons, Ltd.     

Children’s behavioral patterns, the Five-Factor model of personality, and risk behaviors

Although relations between children’s personality and health behaviors have been identified, previous research has relied primarily on survey assessments. The present study used behavioral observations to examine children’s (n = 94, mean age = 10.07 years) behavioral patterns in relation to their participation in risk behaviors 1 year later. Results contribute to previous reports linking specific personality traits to children’s likelihood of participation in risky behaviors. Specifically, girls’ participation in risky behavior was related to the expression of behavioral patterns associated with neuroticism, introversion, and disagreeableness, while boys participation in risk behaviors was related to behavioral patterns associated with extraversion and disagreeableness. Findings are discussed in terms of their potential for contributing to health promotion efforts aimed at identifying children most at risk for adopting unhealthy behaviors.