The association of affiliation and achievement personality styles with DSM-IV personality disorders

Investigators from theoretically diverse backgrounds have long described two personality styles associated with depression. The affiliation style describes individuals with interpersonal concerns; the achievement style describes individuals who have concerns with personal failure. Although primarily related to risk for depression, there has also been recognition that extreme forms of these styles are related to personality disorders (PDs). The current study examines the relation between the DSM-IV PDs and the two personality styles, assessing the latter using two approaches: (a) dependency/self-criticism (Blatt, 1974) and (b) sociotropy/autonomy (Beck, 1983). Results show that whereas the achievement style is associated with most PDs (except for the histrionic and dependent PDs), the affiliation style is associated only with histrionic, dependent, and depressive PDs. Controlling for shared PD variance leaves only two associations, affiliation with dependent PD and achievement with narcissistic PD. Results are discussed in the context of current efforts to capture personality psychopathology within a comprehensive dimensional framework.     

Latina breast cancer survivors' lived experiences: diagnosis, treatment, and beyond

Latina breast cancer survivors are not benefiting from advances in psychosocial interventions. Despite their greater breast cancer burden, there is a dearth of information about this population. This qualitative study examined the experiences of 18 immigrant Latina breast cancer survivors along the survivorship continuum, from diagnosis to long-term survivorship. The authors conducted separate focus groups with women in the acute, reentry, and long-term survivorship stages. Through grounded theory analysis, the authors uncovered 5 themes of experience: perceptions of psychological well-being, impact of diagnosis, impact of treatment, need for social support, and development of new attitudes. Some themes were applicable across all survivorship stages, whereas others were more salient at a particular stage. Within themes, the authors identified experiences reported in the general literature (i.e., the debilitating effect of chemotherapy) and distinct cultural experiences (i.e., fear that a cancer diagnosis leads to certain death). Results suggest that treatments tailored for each survivorship stage are more likely to be effective than generic interventions. These findings have the potential to lessen health disparities in utilization of psychosocial treatments by Latina breast cancer survivors.     

The cognitive therapy of evaluation: Therapeutic techniques-[2]

The main aim of this paper is to introduce the techniques used in cognitive therapy of evaluation. The Cognitive therapy of evaluation is being developed from the theoretical background of general semantics theory and it is a therapy based on language as an instrument of cognitive processes, and on the role it plays, through word-facts identification, in the development and treatment of emotional problems. The main techniques developed (abstraction orders and the extensional devices) and other therapeutic issues are introduced and explained.     

Is peer victimization related to body esteem in 10-year-old girls and boys?

Several studies show that a history of exposure to appearance-related teasing is linked to body dissatisfaction. This study extends those findings by examining the impact of bullying, and other forms of peer victimization, on different aspects of 10-year-old girls’ and boys’ body esteem. Participants were 960 Swedish 10-year-olds, 515 girls and 445 boys. Principal results show that social exclusion is related to 10-year-olds’ evaluations of their general appearance, to evaluations of their weight, and to beliefs about how others perceive their appearance. Furthermore, bullied girls have poorer body esteem in terms of beliefs of how others perceive their appearance than do bullied boys. Appearance teasing was associated with girls’ poorer body esteem in terms of general appearance and beliefs of others views of their appearance. For boys, teasing was associated with poorer body esteem on all dimensions. Thus, this study implies that a wider range of peer victimization relates to children's negative self-perceptions than was former known.     

One-year follow-up of pharmacotherapy-resistant patients with panic disorder treated with cognitive-behavior therapy: Outcome and predictors of remission

Non-response to pharmacotherapy for panic disorder (PD) is a well-documented problem. However, little information exists to guide next-step strategies for these non-responders. In addition to pharmacologic augmentation strategies, several studies support the efficacy of cognitive-behavior therapy (CBT) for these patients, although data on long-term outcomes has been lacking. In this study, we provide one-year outcomes on a sample of 63 patients who completed group CBT for PD after failing to respond adequately to previous pharmacotherapy. Sustained significant benefit was found for all dimensional outcome scores, and nearly two-thirds of the sample met remission criteria. This occurred with reductions in medication use over the follow-up period. Negative predictors of remission status included comorbid dysthymia, social phobia, and generalized anxiety disorder. These results provide additional evidence for the efficacy of CBT for medication non-responders with PD.     

Functioning within a relationship: mother-infant synchrony and infant sleep

The aim of this study was to investigate the coupling of the biological system of infant sleep and the social system of mother-infant synchrony. Before birth and shortly after birth the systems appear to be connected, but it is unclear whether this remains the case over time. This study therefore examined whether infant sleep measured at 6 weeks and 5 months could predict mother-infant gaze synchrony after a social challenge at 5 months (N=84). Infant sleep was measured in terms of sleep bout duration, which normally increases during this period. Gaze was defined in terms of looking at each other's head simultaneously, known as gaze synchrony, or looking elsewhere. Results showed that infant sleep could predict the temporal dynamics of the mother-infant interaction in terms of flexibility of gaze pattern shifts. The larger the increase in sleep bout duration over age, the more flexible the interaction appeared to be. Maternal Age, type of feeding and change of feeding appeared to function as confounding variables in this relation. Infant sleep could not predict percentage of synchrony (central tendency measure) or the average sequence length of gaze patterns (temporal dynamic measure).     

Maternal attachment representations and the development of very low birth weight premature infants at two years of age

There is a consensus that prematurity could increase the risk of attachment impairment. We studied 90 premature children with very low birth weights (<1,500 g) and 96 healthy children born at term with similar age and sociodemographic characteristics. Our objective was to assess maternal stress and attachment representations, and compare development indices on both groups at 2 years of age. Premature infants had a medium‐to‐severe degree of immaturity and biological risk (M gestational age = 29.98 weeks; birth weight = 1,159.76 g), with 57% staying in the ICU ≥1 week. These children born prematurely had lower scores on the development indices within the normal range. Mothers of premature infants (n = 74) reported higher levels of stress during their first year of life (59%) than did controls (41%), but no significant differences were detected in maternal attachment discourse between the two groups. The findings confirm that premature birth has a great influence on maternal emotional responses and the health and development of children in the first years of life, and indicate that stress responses in parents and warning signs for attachment problems should be assessed as early as possible.