Psychoanalytic patients in the U.S., CANADA,and Australia: I. DSM-III-R disorders,indications, previous treatment,medications, and length of treatment

To determine the demographics, DSM-III-R disorders diagnosed, indications used in recommending psychoanalysis, previous treatment histories, use of medication, and length of treatment in patients in psychoanalysis in the U.S., Canada, and Australia, a mail survey of practice was sent to every other active member of the American Psychoanalytic Association and every member of the Australian Psychoanalytical Society. This supplemented an earlier survey sent to all Ontario psychoanalysts. The response rates were 40.1 % (n = 342) for the U.S., 67.2% (n = 117) for Canada, and 73.9% (n = 51) for Australia. Respondents supplied data on 1,718 patients. The employment rate for patients increases as analysis progresses (p < .0001). The mean number of concurrent categories of disorders (Axis I, Axis II, and Disorders First Evident in Childhood) per patient at the start of treatment is 5.01 (SD = 3.66; median = 4; mode = 3). There are no statistically significant differences across countries. Mood, anxiety, sexual dysfunction, and personality disorders are most common. American Psychiatric Association / American Psychoanalytic Association peer review criteria for indicating psychoanalysis are followed for 86.5% of patients. Over 80% of patients in all three countries had undergone previous treatments prior to analysis. In the U.S., 18.2% of analysands are on concurrent psychoactive medication; in Australia, 9.6%. The mean length of analyses conducted in the U.S. is 5.7 years, in Australia 6.6, and in Canada 4.8. Psychoanalytic patients in all three countries have similar rates of DSM-III-R psychopathology, and many indications of chronicity.     

Infants' reasoning about opaque and transparent occluders in an individuation task

Two experiments document that conceptual knowledge influences 3-year-olds' extension of novel words. In Experiment 1, when objects were described as having conceptual properties typical of artifacts, children extended novel labels for these objects on the basis of shape alone. When the very same objects were described as having conceptual properties typical of animate kinds, children extended novel labels for these objects on the basis of both shape and texture. Moreover, providing a salient perceptual cue (Experiment 2) did not interfere with children's reliance on conceptual information in extending novel words: when an object with eyes was labeled with a novel word in the context of a story describing the object as an artifact, children extended the label on the basis of shape alone (i.e. as though the object were an artifact). These results, which challenge directly the position that 'dumb attentional mechanisms' can account for word learning, stand as evidence for the central role of conceptual information in mapping words to meaning.     

Major alternatives to the Classic Experimental Design

In summary, giving up any of the three defining features of the Classic Experimental Design has (at least) two important effects. Each concession creates a significant threat to our confidence that any improvements observed were actually attributable to the treatment we are studying. At the same time, each concession opens a door by enhancing, sometimes greatly, the feasibility of conducting work in settings that are the most true to everyday clinical practice. When the work is thoughtfully and responsibly conducted, the alternative designs can contribute to clinical knowledge in a way that is equally important to the contributions made by work that conforms to the stringent requirements of the "Classic" design. In the next article, we will discuss single-time-point designs, along with the important dictum, memorized by most everyone who has taken a course called "Introduction to Research" or "Introduction to Statistics" that correlation is not causation.     

Understanding the relations among gender,disinhibition, and disruptive behavior in adolescents

This study examined whether disinhibition shows similar relations with attention-deficit/hyperactivity disorder (ADHD) and conduct disorder (CD) symptomatology among male and female adolescents. The mixed-incentive or punishment condition of Newman's go/no-go task was administered to 172 adolescents. As expected, ADHD symptoms in boys and girls were predictive of disinhibition (i.e., commission errors) in the mixed-incentive but not punishment condition. Also consistent with expectations, CD symptoms in boys were predictive of disinhibition in the mixed-incentive but not punishment condition. In contrast, CD symptoms in girls were not predictive of disinhibition in either condition. These findings are discussed in terms of implications for understanding sex differences in the etiology of ADHD and CD.     

Positive and negative symptoms of schizotypy and the Five-factor model: a domain and facet level analysis

In this study, we investigated the Five-factor model in the concurrent prediction of positive symptom schizotypy as measured by the Magical Ideation (Eckblad & Chapman, 1983) and Perceptual Aberration (Chapman, Chapman, & Raulin, 1978) scales and negative symptom schizotypy as measured by the Physical Anhedonia (Chapman, Chapman, & Raulin, 1976) and Revised Social Anhedonia (Eckblad, Chapman, Chapman, & Mishlove, 1982; Mishlove & Chapman, 1985) scales. Previous studies suggest that these measures reflect the core symptoms found in schizotypal and schizoid personality disorder (Bailey, West, Widiger, & Freiman, 1993). Negative symptoms were significantly predicted by Neuroticism (+), Extraversion (-), Openness (-), and Agreeableness (-) domains of the Revised NEO Personality Inventory (NEO-PI-R; Costa & McCrae, 1992). Additionally, positive symptoms were significantly predicted by Neuroticism (+), Openness (+), and Agreeableness (-). In addition, we examined the validity of lower order traits in de- scribing these symptoms of character pathology. These findings lend further support for the use of domain and facet scales of the NEO-PI-R in the identification of personality pathology.     

Configural face processing develops more slowly than featural face processing

Expertise in face processing takes many years to develop. To determine the contribution of different face-processing skills to this slow development, we altered a single face so as to create sets of faces designed to measure featural, configural, and contour processing. Within each set, faces differed only in the shape of the eyes and mouth (featural set), only in the spacing of the eyes and mouth (spacing set), or only in the shape of the external contour (contour set). We presented adults, and children aged 6, 8, and 10 years, with pairs of upright and inverted faces and instructed them to indicate whether the two faces were the same or different. Adults showed a larger inversion effect for the spacing set than for the featural and external contour sets, confirming that the spacing set taps configural processing. On the spacing set, all groups of children made more errors than adults. In contrast, on the external contour and featural sets, children at all ages were almost as accurate as adults, with no significant difference beginning at age 6 on the external contour set and beginning at age 10 on the featural set. Overall, the results indicate that adult expertise in configural processing is especially slow to develop.     

Relations of Tripartite Dimensions of Emotion to Childhood Anxiety and Mood Disorders

This study examined preliminary higher-order models relating tripartite dimensions of emotion to severity of anxiety and depressive disorders in 100 clinically referred children and adolescents. In light of the accumulating support for multifactor models of vulnerability and negative emotion in children, the present investigation was designed to establish preliminary estimates of the structure and magnitude of the relations of three emotion factors with dimensions of social anxiety, depression, panic, generalized anxiety, obsessions/compulsions, and separation anxiety. Results were consistent with structures that minimally specified two higher-order emotion factors, yet only some parameter estimates were consistent with theory regarding the tripartite model. Problems with the measurement of tripartite factors and possibilities for further research are outlined.     

The Factor Structure of the Beavers Interactional Scales

Confirmatory factor analysis and regression analyses of the Beavers Interactional Scales did not appear to support the model offered by its developers, namely, several specified family attributes contributing respectively to two global factors of Family Competence and Family Style. Moreover, regression analysis indicated that only three of 12 items predicted raters' assessments of Global Family Health, and one of seven items predicted Global Family Style. Individuals interested in the family dynamic centripetal/centrifugal might best think of that as a unitary entity and rate it accordingly.     

Group preprogrammed systematic desensitization without the simultaneous presentation of aversive scenes with relaxation training

This study investigated the assumption that it is necessary to simultaneously present muscle relaxation and aversive scenes in order for decrements in anxiety to occur. Utilizing 70 high test anxious students, the following treatment groups were delineated: (a) preprogrammed systematic desensitization, (b) non-simultaneous (scenes presented prior to muscle relaxation), (c) relaxation, and (d) no-treatment control. Self-report measures of test and general anxiety as well as college grades constituted the dependent measures. The results indicated that there tended to be no significant differences between the preprogrammed systematic desensitization and non-simultaneous groups on the dependent measures and that the latter group tended to show significant decrements in anxiety and obtain better grades than the relaxation and no-treatment control groups. These findings question the necessity of simultaneously pairing muscle relaxation and aversive scenes in treating anxiety by this method.