Psychosocial functioning of borderline patients and axis II comparison subjects followed prospectively for six years

The purpose of this study was to determine the course of the psychosocial functioning of patients with borderline personality disorder (BPD) over 6 years of prospective follow-up. The psychosocial functioning of 290 patients meeting both DIB-R and DSM-III-R criteria for BPD and 72 patients meeting DSM-III-R criteria for another Axis II disorder (and neither criteria set for BPD) was assessed at baseline using a semistructured interview of demonstrated reliability. Over 94% of surviving patients were reinterviewed about their psychosocial functioning blind to all previously collected information at three distinct follow-up waves: 2-, 4-, and 6-year follow-up. The psychosocial functioning of borderline patients improved substantially over time, with the percentage meeting criteria for good overall psychosocial functioning increasing from 26% at baseline to 56% during the third wave of follow-up. Despite this improvement, borderline patients functioned significantly more poorly than Axis II comparison subjects, particularly in the area of vocational achievement. However, a more detailed examination revealed that borderline patients who had experienced a symptomatic remission during the course of the study functioned significantly better both socially and vocationally than never-remitted borderline patients. More specifically, they were significantly more likely to have a good relationship with a spouse/partner and at least one parent, good work/school performance, a sustained work/school history, a GAF score of 61 or higher (43% vs. 0% 6 years after their index admission), and to have good overall psychosocial functioning (66% vs. 27% at 6 year follow-up). Taken together, the results of this study suggest that psychosocial improvement is both common among borderline patients and strongly related to their symptomatic status.     

Reliability and construct validity for scale of rejection of Christianity

A sample of 16 male and 30 female undergraduates completed the Greer and Francis Scale of Rejection of Christianity. The data support the internal consistency reliability and construct validity of the scale for this sample.     

Adaptation to telestereoscopic viewing measured by one-handed ball-catching performance

A one-handed ball-catching task was used to study the disturbance of depth judgement induced by telestereoscopic viewing (ie viewing with increased effective interocular separation), the recovery of performance with experience in the telestereoscope, and the errors that subsequently arose when the telestereoscope was removed. The ball's trajectory was variable so that subjects had to control both the position and the timing of the grasp in order to catch the ball. On first wearing the telestereoscope, subjects closed the hand when the ball was approximately twice as far away from the eyes as the hand was. After fewer than twenty trials in the telestereoscope subjects were closing the hand at approximately the correct time and place, although rather more trials were needed for ball-catching performance to recover to normal. When the telestereoscope was removed there was an aftereffect, with subjects making the opposite errors to when they began the task. The existence of an aftereffect shows that the process of adaptation involves reevaluation rather than neglect of the misleading binocular information. Helmholtz's theory that telestereoscopes cause the world to be perceived as a scale model is considered. Initial misreaching is roughly consistent with this theory, but there are insufficient data to test it rigorously. Data from the aftereffect phase are clearly inconsistent with the theory. The results confirm the importance of binocular information in dynamic motor tasks, such as ball catching.     

Fragmenting pictures on the apple macintosh computer for experimental and clinical applications

A set of procedures implemented in Microsoft BASIC is described that creates fragmented versions of pictures scanned into the Apple Macintosh, stores them as resource files, and presents them in a computerized perceptual memory test. A total of 150 pictures were selected from the Snodgrass and Vanderwart (1980) set for fragmentation. The perceptual memory test provides for five forms of 30 pictures each, divided into two sets of 15 that serve alternately as the training or old set and the new set. A training set of 15 pictures is presented for identification during the first (training) phase of the test. The second (test) phase presents the training pictures again, randomly mixed with 15 new pictures for identification. The performance of 100 subjects on the memory test is presented, along with results for each form. Overall, subjects showed improvement on the task with practice (skill learning), indexed by a decrease in thresholds from the training set to the new set. Subjects also showed large savings for the repeated pictures (perceptual learning), indexed by a decrease in thresholds from the new to the old set.     

The relationship of gender discrepancy to eating disorder attitudes and behaviors

Few studies have investigated the possible influence of discrepancy between real and ideal perceptions of masculinity and femininity (i.e., gender discrepancy) on eating disorder behaviors and attitudes. Thus, this study examined the relationship of gender role discrepancy to bulimic and anorexic symptomatology, self-esteem, and concern about body shape in 178 female college students; the majority were Caucasian. Analyses revealed that women without a gender discrepancy reported fewer anorexic and bulimic symptoms, less concern with body shape, and higher self-esteem than those who were discrepant, particularly those desiring to be more masculine. Results are discussed with respect to current discrepancy theory, and directions for future research are provided.     

The school psychologist as behavioral ecologist

Some psychologists involved in the implementation of applied behavioral psychology in educational systems must increasingly attend to the ecological impact of such interventions. An ecological orientation emphasizing system-like interdependencies among environment, organism, and behavior suggests several substantial additions to conventional role functions of behavioral school psychologists. Such functions involve taking an active part in evaluating and assessing second-order consequences of behavioral interventions. Recommendations for functional and procedural changes are provided within this framework.     

Reframing DSM-IV: Positive Strategies From Developmental Counseling and Therapy

Professional counselors in educational and mental health settings all must deal with so-called psychopathology. At issue is how can they work with “disorder” from a positive, developmental perspective? Developmental counseling and therapy (DCT) offers an approach to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (American Psychiatric Association, 1994) classification systems that enables the reframing of severe client distress as a logical response to developmental history. Included are specific suggestions for positive case management and practice. Special attention is given to the interface of multicultural issues, etiology, and treatment. The authors maintain that if professional counselors take a developmental approach to a so-called disorder, the positive theoretical and psychoeducational integrity of the American Counseling Association can be maintained while working with the most difficult issues.     

Some relationships between behavioral and traditional assessment

Psychometric principles and procedures were developed within the context of traditional approaches to assessment. In order to illustrate the frequent, if not uniform, applicability of these principles to behavior assessment, we first discuss the differences and similarities between traditional and behavioral assessment. We then point out ways in which, given the nature of behavior assessment, attention to certain psychometric principles and procedures would expedite the development of more adequate behavior assessment devices and procedures.