Millon's Evolutionary Model of Personality Assessment: A Case for Categorical/Dimensional Prototypes

Theodore Millon (1928–2014) was arguably one of the most influential figures in conceptualizing and detailing personality styles and disorders in the latter 20th and early 21st centuries. A prominent member of the Axis II Work Group of DSM–III, III–R, and IV, Millon continued refining his evolutionary model long after his active involvement with these committees, and remained focused on the future of personality assessment until his death in 2014. This article is an exploration of his latter works, critiques of recent DSM–5 developments, and commentary on the usefulness of his deductive methodology as it continues to apply to the study, classification, and clinical application of personality assessment.     

Achtsamkeit

Within the last three decades western psychology, psychotherapy and medicine have become increasingly enamored by the perception of “mindfulness” as a form of unbiased, judgment-free awareness of perceptible experience. Derived from earliest forms of Buddhist psychology, mindfulness is, however, also integral to a particular set of ethical values and may be seen as a practice or process that tangibly embodies the Buddhist ethical stance. Buddhist psychology, similar to psychodynamic and other psychotherapeutic approaches, aims at the understanding and alleviation of human suffering. We believe that the intentional practice of mindfulness (as defined above) adds a new (very old) dimension by implicit cultivation of a consistent set of ethical attitudes that include kindness, patience, tolerance, generosity, compassion and courage. Sustained awareness of the spectrum of momentary experience may, otherwise, be inaccessible. These benevolent attitudinal qualities often allow eudemonic mental and physical states to be experienced, even in the face of unpleasant circumstances. A relational process unfolds that reinforces, in both bodily and mental domains, a synergy of awareness and ethical intentions literally representing an embodied ethical presence. We discuss the implications of such an understanding of mindfulness for current psychotherapeutic approaches.     

Regulatory focus and adherence to self-care behaviors among adults with type 2 diabetes

The aims of this study were, first, to test the association between regulatory focus of adults with type 2 diabetes and their adherence to two types of self-care behaviors – lifestyle change (e.g. physical activity and diet) and medical care regimens (blood-glucose monitoring, foot care and medication usage). Second, to explore whether a fit between the message framing and patients’ regulatory focus would improve their intentions to adhere specifically when the type of behavior fits the patients’ regulatory focus as well. A cross-sectional study was conducted among 130 adults with type 2 diabetes who were hospitalized in an academic medical center. The patients completed a set of questionnaires that included their diabetes self-care activities, regulatory focus, self-esteem and demographic, socioeconomic and clinical data. In addition, participants were exposed to either a gain-framed or a loss-framed message, and were then asked to indicate their intention to improve adherence to self-care behaviors. A multivariable linear regression model revealed that promoters reported higher adherence to lifestyle change behaviors than preventers did (B = .60, p = .028). However, no effect of regulatory focus on adherence to medical care regimens was found (B = .46, p = .114). In addition, preventers reported higher intentions to adhere to medical care behaviors when the message framing was congruent with prevention focus (B = 1.16, p = .023). However, promoters did not report higher intentions to adhere to lifestyle behaviors when the message framing was congruent with promotion focus (B = ?.16, p = .765). These findings justify the need to develop tailor-made interventions that are adjusted to both patients’ regulatory focus and type of health behavior.     

Constructing Profiles of Religious Agreement and Disagreement Between Adolescents and Mothers: A Research Note

This research note describes the use of latent class analysis to examine how three dimensions of religiosity—the importance of religion (religious salience), attendance at religious services, and frequency of prayer—cluster together to form unique profiles. Building upon recent research identifying different profiles of religiosity at the level of the individual, we used data from the National Longitudinal Study of Adolescent Health to identify dyadic profiles of religious concordance or discordance between 14,202 adolescents and their mothers. We identified five profiles: one concordant (27% of sample), two discordant (25% of sample), and two of mixed concordance/discordance (49%). The profiles distinguish between various levels of adolescent/mother relations, suggesting that they may represent distinct family dynamics. They also distinguish between several variables (race, adolescent age, geographical region) in predictable ways, providing additional demonstration of the categories’ meaningfulness.     

Comparative neuropsychology of adult obsessive-compulsive disorder and attention deficit/hyperactivity disorder: Implications for a novel executive overload model of OCD

Research implicates frontostriatal pathophysiology in both attention deficit/hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). Nevertheless, ADHD is characterized with frontostriatal hypoactivity and OCD with hyperactivity. Furthermore, both disorders seem to lie on opposite ends of a clinical impulsive-compulsive continuum. While never having directly been compared, and despite these differences, OCD and ADHD appear to share similar neuropsychological impairments especially in executive functions. This study aimed at comparing adults with OCD and adults with ADHD on neuropsychological measures and behavioural impulsivity and OC measures. Thirty OCD, 30 ADHD, and 30 matched healthy control (HC) participants were administered a comprehensive neuropsychological battery and completed several questionnaires. The groups were compared on all neuropsychological and clinical measures and correlations between neuropsychological and clinical symptoms were computed. The ADHD and OCD groups performed more poorly than HC on all neuropsychological domains and most domain subtests. The ADHD group reported significantly higher impulsivity than the OCD group. OCD patients did not differ from HC on behavioural impulsivity. A unique dissociation was found between impulsivity and response inhibition where both clinical groups showed similar response inhibition deficit, but differed significantly on impulsivity. Moreover, a negative association between OC symptoms and response inhibition and a bias in self-perception of impulsivity was found only in the OCD group. We propose an executive overload model of OCD that views neuropsychological impairments in OCD as an epiphenomenon, according to which continuous attempts to control automatic processes are associated with obsessive thoughts overflow that causes an overload on the executive system.     

Speech Rate and Syntactic Complexity as Multiplicative Factors in Speech Comprehension by Young and Older Adults

An experiment is reported in which young and older adults heard short English sentences that differed in syntactic complexity and speech rate. The syntactic contrast pitted center-embedded sentences with a subject-relative clause against sentences with center-embedded object-relative clauses. Speech rate was varied using computer time-compression of the speech signal. Both young and older adults showed poorer comprehension accuracy for the more complex object-relative clause sentences than subject-relative sentences, with an age difference appearing only when sentences were presented at a very rapid rate. By contrast to accuracy scores, older adults took longer than the young adults to give their comprehension responses at all speech rates tested, with this age difference amplified by both speech rate and syntactic complexity.     

A DIFFERENT READING OF S. Y. AGNON'S STORY, “THE KERCHIEF”

This paper argues that effective Holocaust education involves exploring pupils' perceptions of Jews and Jewish identity. Identifying these preconceptions is necessary for combatting anti-Semitism, challenging misconceptions and facilitating a historically accurate understanding of the Holocaust. How do pupils define the Jews and what it is that makes someone Jewish? How do pupils explain the causes of the Holocaust and why it was that the Nazi regime specifically targeted Jews? The empirical basis of this paper attempts to help answer these questions. One hundred and forty seven children aged 13 and 14 took part in mixed-method research in order to explore their ideas and concepts of Jewish identity and why the Holocaust took place. The paper concludes with a discussion of the implications of the findings for Holocaust education.     

The organization of narrative discourse in Lewy body spectrum disorder

Narrative discourse is an essential component of day-to-day communication, but little is known about narrative in Lewy body spectrum disorder (LBSD), including Parkinson’s disease (PD), Parkinson’s disease with dementia (PDD), and dementia with Lewy bodies (DLB). We performed a detailed analysis of a semi-structured speech sample in 32 non-aphasic patients with LBSD, and we related their narrative impairments to gray matter (GM) atrophy using voxel-based morphometry. We found that patients with PDD and DLB have significant difficulty organizing their narrative speech. This was correlated with deficits on measures of executive functioning and speech fluency. Regression analyses associated this deficit with reduced cortical volume in inferior frontal and anterior cingulate regions. These findings are consistent with a model of narrative discourse that includes executive as well as language components and with an impairment of the organizational component of narrative discourse in patients with PDD and DLB.     

Age-related declines in general cognitive abilities of Balb/C mice are associated with disparities in working memory, body weight, and general activity

A defining characteristic of age-related cognitive decline is a deficit in general cognitive performance. Here we use a testing and analysis regimen that allows us to characterize the general learning abilities of young (3-5 mo old) and aged (19-21 mo old) male and female Balb/C mice. Animals' performance was assessed on a battery of seven diverse learning tasks. Aged animals exhibited deficits in five of the seven tasks and ranked significantly lower than their young counterparts in general learning abilities (aggregate performance across the battery of tasks). Aging added variability to common core performance (i.e., general learning ability), which translated into increased variability on the individual cognitive tasks. Relatedly, general learning abilities did not differ between the two ages among the best quartile of learners (i.e., cognitive abilities were spared in a subsample of the aged animals). Additionally, working memory capacity (resistance to interference) and duration (resistance to decay) accounted for significantly more of the variability in general learning abilities in aged relative to young animals. Tests of 15 noncognitive performance variables indicated that an increase in body weight (and an associated decrease in general activity) was characteristic of those aged animals which exhibited deficient general learning abilities. These results suggest the possibility that general cognitive deficits in aged animals reflect a failure of specific components of the working memory system, and may be related to variations in body weight and an associated decrease in activity.