Interviews of female patients with borderline personality disorder who dropped out of group psychotherapy

Premature termination from group psychotherapy continues to be a serious problem in the treatment of patients with borderline personality disorder (BPD). Qualitative research is regarded as an important means to shed light upon the complex dynamics leading to dropout. We conducted an interview study with patients having a diagnosis of BPD (n = 8) who dropped out from long-term group psychotherapy as a continuation therapy following intensive day treatment. The group therapists for these patients were interviewed as well (n = 12). The findings suggest the operation of many processes that contribute to dropout. Most significant appeared to be experiences of separation and loss of the day hospital that were not worked through and a failure of the group to regulate and contain the patients' affects. To integrate patients at risk of premature termination it seems necessary to pay attention to the strong negative emotions that they experience in the group. A higher treatment intensity than weekly group sessions may help to promote more beneficial group processes.     

Coping After Bone Marrow Transplantation: The Predictive Roles of Optimism and Dispositional Coping

Bone marrow transplantation (BMT) is an invasive and taxing treatment for certain cancers. This study investigated the psychological constructs of optimism and dispositional coping and their relative predictive role for situational coping. Participants were 85 cancer patients enrolled in a randomized clinical trial of T-cell depletion for prevention of graft-versus-host disease (GVHD) who completed baseline and 1-year interviews. Results of simultaneous regression analyses showed that optimism did not predict situational instrumental or palliative coping strategies but was negatively predictive of situational avoidant coping. Each of the three situational coping strategies was most strongly predicted by the corresponding dispositional coping strategy. This research was sponsored by the National Heart, Lung and Blood Institute: N01-HB-47095, N01-HB-47097, N01-HB-47094 and N01-HB-47098.     

Suppressing Unwanted Memories

ABSTRACT— When reminded of something we would prefer not to think about, we often try to exclude the unwanted memory from awareness. Recent research indicates that people control unwanted memories by stopping memory retrieval, using mechanisms similar to those used to stop reflexive motor responses. Controlling unwanted memories is implemented by the lateral prefrontal cortex, which acts to reduce activity in the hippocampus, thereby impairing retention of those memories. Individual differences in the efficacy of these systems may underlie variation in how well people control intrusive memories and adapt in the aftermath of trauma. This research supports the existence of an active forgetting process and establishes a neurocognitive model for inquiry into motivated forgetting.     

An overview of the literature on sexual harassment: Perpetrator,theory, and treatment issues

Sexual harassment has been recognized as a serious problem in the literature over the past 30 years. In this paper, we review the existing research surrounding the phenomenon of sexual harassment, paying particular attention to factors of relevance for understanding perpetrators of sexual harassment. We also provide an overview of the perplexing nature of sexual harassment and the various concerns that have surrounded the topic leading to its recognition. The different theoretical perspectives and models of sexual harassment (sociocultural, organizational, sex-role spillover, natural/biological, socio-cognitive, and four-factor) are also considered and reviewed. Finally, lack of empirical evidence and focus on assessment and treatment for harassers is recognized in this paper, and several suggestions are made for future research and treatment avenues relating to the sexual harasser.     

Modelling motivation and habit in stable travel mode contexts

The habitual action perspective suggests that where transport users have strong travel choice habits, motivation will have no effect on behaviour. This has commonly been demonstrated in situations where travel habits and intentions conflict, but in stable decision settings intentions and habits will correspond. This paper reports two studies which demonstrate the moderating effect of habit on the intention–behaviour relationship within established commuting contexts. Results illustrate how motivational accounts of travel behaviour may be misleading if statistical significance of correlational data is the main criterion for model acceptance. Alternative methods for theory testing are discussed, and strategies for disrupting driving habits reviewed.     

Are Oppositional-Defiant and Hyperactive–Inattentive Symptoms Developmental Precursors to Conduct Problems in Late Childhood?: Genetic and Environmental Links

Inattentive–hyperactive and oppositional behavior have been hypothesized to be developmental precursors to conduct problems. We tested these hypotheses using a longitudinal sample of 6,466 offspring of women selected from nationally representative US households. Conduct problems across 8–13 years were robustly predicted by conduct problems at 4–7 years, but also were independently predicted to a small extent by both inattentive–hyperactive and oppositional behaviors at 4–7 years. Longitudinal multivariate behavior genetic analyses revealed that the genetic and environmental factors that influence conduct problems at both 4–7 and 8–13 years also influence the putative precursors at 4–7 years. After genetic and environmental influences on conduct problems at 4–7 years were taken into account, however, inattentive–hyperactive and oppositional behavior at 4–7 years shared causal influences with conduct problems 8–13 years to a negligible extent. These findings suggest that after early conduct problems are controlled, little is gained in terms of prediction or understanding genetic and environmental influences on later child conduct problems by treating early inattentive–hyperactive and oppositional behavior as developmental precursors to later conduct problems.