Food intake with an antiobesity drug (sibutramine) versus placebo and rorschach data: a crossover within-subjects study

We related the effect of the satiety enhancing drug sibutramine (Meridia, Reductil) on food intake to Rorschach Comprehensive System (Exner, 1991, 1993) personality factors. A placebo-controlled crossover, within-subjects design (n = 36) was used. Food intake after 2 weeks in the sibutramine and placebo conditions was assessed with a test meal using the VIKTOR (Cabmek, Stockholm, Sweden) setup, a computerized eating monitor. Building on baseline VIKTOR measurements, we had earlier studied the microstructure of eating (Elfhag, Barkeling, Carlsson, & Rossner, 2003). In this study, a model including Afr, MOR, and Populars could explain the variance in the effect of sibutramine. Sibutramine may reduce food intake in single test meals for participants whose appetite is prompted by external stimuli including food cues, suggested by the Affective ratio. Distress related to the body in obesity seen in damaged self-imagery (MOR) and adjustment to social expectations (Populars) could also have a moderating effect on the participants' consumption of test meals in an experimental design. Bodily concern (An + Xy) was also related to sibutramine response in univariate analyses.     

Multiple-group membership: warmth and competence perceptions in the workplace

What kinds of stereotypes are evoked when employers review a job application from a 55-year-old Arab woman? Most previous research on stereotypes has focused on single demographic group categories (e.g., race or gender) rather than on their combinations, even though people inevitably belong to multiple group categories simultaneously. The current study examines how different combinations of demographic group categories (ethnicity, gender, sexual orientation, and age) are perceived in the context of the workplace, with a focus on two fundamental dimensions of social perception: warmth and competence. The results reveal interesting interactions among the studied demographic group categories such that when stigmatized group categories are added to one another, it does not necessarily produce additive negative effects on warmth and competence perceptions. Rather, one category that is perceived negatively in isolation (e.g., homosexuality) can offset the negative impact of another stigmatized category (e.g., Arab ethnicity). Practical implications for stereotyping and discrimination in the workplace are discussed.

     

Assessing False-Belief Understanding in Children with Autism Using a Computer Application: A Pilot Study

We have developed a False-Belief (FB) understanding task for use on a computer tablet, trying to assess FB understanding in a less social way. It is based on classical FB protocols, and additionally includes a manipulation of language in an attempt to explore the facilitating effect of linguistic support during FB processing. Specifically, the FB task was presented in three auditory conditions: narrative, silent, and interference. The task was assumed to shed new light on the FB difficulties often observed in Autism Spectrum Disorder (ASD). Sixty-eight children with ASD (M?=?7.5 years) and an age matched comparison group with 98 typically developing (TD) children were assessed with the FB task. The children with ASD did not perform above chance level in any condition, and significant differences in success rates were found between the groups in two conditions (silent and narrative), with TD children performing better. We discuss implications, limitations, and further developments.     

Rorschach Comprehensive System data for a sample of 343 adults from Finland

This article combines Rorschach Comprehensive System (CS; Exner, 1990, 1993) data from four projects conducted in Finland between 1990 and 1995. The projects studied a stratified random sample of Finnish nonpatients, a cohort of twins, a group of elderly men, and a random sample collected to investigate sleep difficulties. The 343 records from these four studies provide a representative survey of Rorschach responding throughout the Finnish population.     

The development of therapeutic attitudes during and after psychotherapy training

The aim of this study was to explore changes in psychotherapeutic attitudes of students during training in psychodynamic psychotherapy and the first few years after it. Forty-six students were asked to answer a therapeutic identity questionnaire at three times during training and at one time after it. Twenty-one students completed the questionnaire on all four occasions. The questionnaire assessed attitudes on nine scales relating to beliefs about curative elements in psychotherapy, therapeutic style, and basic assumptions about psychotherapy and human nature. At the beginning of training, students had a clear psychoanalytical orientation, similar to that of their supervisors. From the last year of training, after supervision had ended, and continuing during the post-training period, students distanced themselves from the psychoanalytical orientation and their supervisors toward a more eclectic position. This development may reflect the formation of an autonomous therapeutic identity.     

To fail psychotherapy training: Students’ and supervisors’ perspectives on the supervisory relationship

Previous research showed that supervision during psychotherapy training sometimes includes negative alliance and harmful events. The aim of this study was to investigate how such events were related to failing psychotherapy training. Interviews were made with informants from two separate samples: psychotherapy students who had failed training (n = 6) and supervisors with experience from failing students (n = 6). The interviews were analyzed separately for the two samples with inductive thematic analysis and then compared. The core category for students (‘Paradoxical response’) indicated that they experienced their supervisors as either demanding too much or nothing at all. The core category for supervisors (‘Balancing contradictory demands’) indicated that they wanted to fail students who did not live up to expectations but were pressured by training institutes to let them pass. Both students and supervisors experienced distress but it seemed that they were not fully aware of each other’s vulnerability. The results suggest that a weak supervisory alliance and harmful events may contribute to student failures, independently of students’ actual suitability for psychotherapy.     

Rorschach personality predictors of weight loss with behavior modification in obesity treatment

Weight loss outcome for 49 obese patients after 6 months treatment in a behavior modification program was related to Rorschach personality characteristics according to the Comprehensive System (Exner, 2003), also including the Rorschach Oral Dependency Scale (Bornstein, 1996; Masling & Rabie, 1967). Less weight loss was predicted by signs of perceptual and cognitive distortions indicated by the Schizophrenia Index. More weight loss was predicted by Food Contents, suggesting a food preoccupation and possibly a benign dependency orientation. Patients with a focus on food and dependent needs could benefit above all from the treatment program implying learning how to handle food and eating in a supportive setting, as evidenced by more weight loss. Distortions in perception and cognition could constitute more profound difficulties in weight reduction important to recognize in obesity treatment.     

Subgrouping in obesity based on Rorschach personality characteristics

Conceptual (a priori) subgroups in obesity based on personality findings from the Rorschach Comprehensive System were suggested for 100 obese patients. The subgroups were further compared in terms of general anamnestic and behavioral data. The largest subgroup was Rorschach characterized by difficulties with emotions and a tendency towards depression. Demographic and behavioral data for this subgroup revealed intermediate or higher education, regular meals, eating disorders like binge eating, periodic variations in eating during the year and experiencing body size as having a psychological meaning. The other subgroup was characterized by coping liabilities and was further associated with a lower socio-economic level and irregular or chaotic meal patterns. For the group with emotional difficulties, the results suggest a more complex psychological pattern, where eating and emotions could be closely related. The group with coping liabilities could have difficulties other than emotional ones concerning food and eating, such as finding a structure for eating and making changes in lifestyle and habits.     

Lateralization of defence mechanisms: Differing influences on perception with left and right visual field presentation of anxiety-arousing stimulation

Forty-five undergraduate students were randomly divided into two groups and tested with the Meta-Contrast Technique (MCT), in the left or right visual field (VF). In the MCT, the presentation of a subliminal threatening picture is intended to evoke anxiety and ego mechanisms of defence against it. More signs of repressive plus isolating defences were found in the left hemisphere (LH) group. Signs of projection plus regression tended to be more common in the right hemisphere (RH) group. The total number of anxiety signs in the MCT protocols did not differ between the groups. A clear sex difference was noticed, namely that the female LH and RH groups showed significant lateralization, while the male groups did not differ significantly on a combined defensive score. The data suggest that the left and right hemispheres may show differing perceptual styles, which are described as ego mechanisms of defence in the psychoanalytic literature.