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.     

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.     

Searching for one versus two identical targets: when visual search has a memory

A recent study has suggested that observers' visual explorations of the external world can proceed unimpaired when the visual environment precludes the operation of memory processes (as, for instance, when the display elements change locations every 100 ms). One theoretical limitation of this study was that distractors were the only elements that had the potential to be tagged during visual search. The present study sought to clarify the amnesic-search hypothesis by investigating whether memory processes can guide search in other contexts in which targets also have the potential to be tagged. Accordingly, the experimental conditions of the previous study were repeated using a different search task in which observers had to decide whether one target or two were present among a variable number of similar distractors. Under these search conditions, the present findings provided strong evidence that memory processes can guide visual search.     

Differentiating Between Attachment Styles and Behaviors and their Association with Marital Quality

The purpose of this study was to distinguish between the influence of attachment styles and behaviors on marital quality for couples. Data were gathered from 680 couples in a married relationship. Results showed attachment style and behaviors predicted marital quality for both men and women, with higher levels of attachment related to greater quality. Attachment behaviors predicted more of the variance in quality than did styles. Specific implications regarding how therapists may wish to foster behaviors that promote attachment security in marriages are discussed.     

Interactionism,haecceities, and the pairing argument

Interactionists hold that non-spatial objects (e.g. minds) causally interact with physical objects. Interactionists have traditionally grappled with the puzzle of how such interaction is possible. More recently, Jaegwon Kim has presented interactionists with a more daunting threat: the pairing argument, which purports to refute interactionism by showing that non-spatial objects cannot stand in causal relations. After reviewing that argument, I develop a challenge to it on behalf of the interactionist. The challenge poses a dilemma: roughly, either haecceities exist or they do not. I argue that the pairing argument fails in either case. While the challenge does not explain exactly how the pairing argument goes wrong, it shows that the argument fails. The challenge also explains the difficulty in pinpointing the pairing argument’s failure: exactly how the pairing argument fails depends on difficult issues concerning the nature of objects.