Clinician-Guided Assessment of Personality Using the Structural Interview and the Structured Interview of Personality Organization (STIPO)

This article demonstrates the utility of a theory-guided psychodynamic approach to the assessment of personality and personality pathology based on the object relations model developed by Kernberg (1984). We describe a clinical interview, the Structural Interview (SI; Kernberg, 1984), and also a semistructured approach, the Structured Interview of Personality Organization (STIPO; Clarkin, Caligor, Stern, & Kernberg, 2004) based on this theoretical model. Both interviews focus on the assessment of consolidated identity versus identity disturbance, the use of adaptive versus lower level defensive operations, and intact versus loss of reality testing. In the context of a more clinically oriented assessment, the SI makes use of tactful confrontation of discrepancies and contradictions in the patient's narrative, and also takes into account transference and countertransference phenomena, whereas the more structured approach of the STIPO incorporates clinical judgment informed by clinical theory into a well-guided interaction with the patient. Both interviews have good interrater reliability and are coherent with the alternative model for personality disorder diagnosis proposed by the Diagnostic and Statistical Manual of Mental Disorders (5th ed.), Section III. Finally, they provide the clinician with specific implications for prognosis and treatment planning and can rationally guide clinical decision making.     

Hostility and the clinical course of outpatients with congestive heart failure

Objective: The role of depression and quality of life on clinical outcomes of congestive heart failure (CHF) is well recognised. However, there are fewer studies investigating the prognostic role of subclinical psychological distress and well-being impairments. The aims of this study were to evaluate clinical/subclinical psychological distress and well-being in CHF outpatients, and the influence of these psychological factors on adverse cardiac events (re-hospitalisation, cardiac death), at 4-year follow-up.

Design: Sixty-eight CHF outpatients underwent psychological assessment at baseline and, after 4 years, information about cardiac events was collected in 60 patients by means of clinical records.

Main outcome measures: Psychological assessment included structured clinical interview for DSM (major/minor depression), Interview for diagnostic criteria for psychosomatic research (demoralisation), symptom questionnaire, psychological well-being scales.

Results: At follow-up, 39.7% of the baseline sample reported cardiovascular events (14 CHF-related re-hospitalisations and 13 cardiac deaths) and 5.9% other causes for death. Among the variables examined as potential risk factors for adverse cardiovascular outcomes, only hostility was significant, even after controlling for disease severity (hazard ratio = 2.38, 95%confidence interval: 1.04–5.45, p = .040).

Conclusion: In outpatients with CHF, psychological assessment should include both clinical and subclinical distress such as hostility, in order to better address psychological risk factors for cardiac outcomes.     

The role of workaholism in the job demands-resources model

Background and Objectives: The present study tries to gain more insight in workaholism by investigating its antecedents and consequences using the job demands-resources model. Design: We hypothesized that job demands would be positively related to workaholism, particularly when job resources are low. In addition, we hypothesized that workaholism would be positively related to negative outcomes in three important life domains: health, family, and work. Methods: The research involved 617 Italian workers (employees and self-employed). To test the hypotheses we applied structural equation modeling (SEM) and moderated structural equation modeling (MSEM) using Mplus 6. Results: The results of SEM showed a good model where workload, cognitive demands, emotional demands, and customer-related social stressors were positively related to workaholism and work–family conflict (WFC) (partial mediation). Additionally, workaholism was indirectly related to exhaustion and intentions to change jobs through WFC. Moreover, MSEM analyses confirmed that job resources (job security and opportunities for development) buffered the relationship between job demands and workaholism. Particularly, the interaction effects were statistically significant in five out of eight combinations. Conclusions: These findings suggest that workaholism is a function of a suboptimal work environment and predicts unfavorable employee outcomes. We discuss the theoretical and practical implications of these findings.     

Women outperform men in remembering to remember

The study of gender differences in prospective memory (i.e., remembering to remember) has received modest attention in the literature. The few reported studies investigating either subjective or objective evaluations of prospective memory have shown inconsistent data. In this study, we aimed to verify the presence of gender differences during the performance of an objective prospective memory test by considering the weight of specific variables such as length of delay, type of response, and type of cue. We submitted a sample of 100 healthy Italian participants (50 men and 50 women) to a test expressly developed to assess prospective memory: The Memory for Intentions Screening Test. Women performed better than men in remembering to do an event-based task (i.e., prompted by an external event) and when the task required a physical response modality. We discuss the behavioural differences that emerged by considering the possible role of sociological, biological, neuroanatomical, and methodological variables.     

Frustration Discomfort Scale (FDS). A Psychometric Study of the Italian Version

The Frustration Discomfort Scale (FDS, Harrington 2005a) was developed as a multidimensional measure of frustration intolerance. Frustration intolerance plays an important role in behavioral and cognitive model of emotional problems (Harrington 2006). The aim of this study is to translate the original English version of FDS into Italian and to assess the validity and reliability of the Italian version for application among Italian population. The Italian version of FDS-R, with the Hospital Anxiety and Depression Scale were administered on-line to 497 subjects aged from 18 to 66 years old. The exploratory factor analysis suggested a solution with four factors, plus a general factor. The factor analysis supports a multidimensional model of frustration intolerance but the distribution of the items is different. The internal consistency appears optimal for all four factors (range .637–.866). Despite encouraging evidence, the factor structure and other features of the FDS-R are yet to be firmly established.     

Group identification and self-efficacy associated with quality of life in emergency medical services volunteers: A cross-sectional investigation

Volunteering in emergency medical services (EMS) plays a fundamental role in the improvement and maintenance of collective and community health. However, this work often requires rescuers to deal with very stressful situations with consequences in terms of decreased quality of life and psychological well-being. The aim of this work was to analyze the resources that can be positively associated with volunteers’ quality of life. In particular, based on social identity and social cure approaches, we tested the effect of self-efficacy and identification with a volunteer category on both positive and negative aspects of the volunteers’ professional quality of life. A self-report questionnaire was administered to 203 EMS volunteers (53.7% men) from a large nonprofit volunteer association. Results are mostly supportive of predictions from the social identity (and specifically the “social cure”) approach, and show that professional identification and self-efficacy were differently linked to the dimensions of the volunteers’ quality of life. More precisely, professional identification was negatively associated with burnout and positively associated with compassion satisfaction, and both effects were mediated by self-efficacy. On the contrary, self-efficacy and volunteer identification were not associated with secondary traumatic stress. Practical implications for volunteers’ wellbeing are discussed in the light of the policies of volunteer associations to improve collective resources.     

A Cross-Validation of the Anger Cognitions Scale-Revised: Cognitions and Anger in an Italian Adolescent Sample

Journal of Rational-Emotive & Cognitive-Behavior Therapy - The Angry Cognitions Scale (ACS; Martin and Dahlen in J Ration Emot Cogn Behav Therapy 25(3): 155–173, 2007) is a comprehensive...     

Number versus extent in newborns’ spontaneous preference for collections of dots

This study investigated processing of number and extent in newborns. Using visual preference, we showed that newborns discriminated between small sets of dot collections relying solely on implicit numerical information when non-numerical continuous variables were strictly controlled (Experiment 1), and solely on continuous information when numerical variables were controlled (Experiment 2). When number and extent were pitted against each other (Experiment 3), newborns showed no visual preference, suggesting that the two variables play comparable roles in attracting newborns’ visual attention. In contrast to reports of dominance of continuous variables, these findings suggest that multiple dimensions attract newborns’ attention and guide their visual exploration.     

Rapid naming,not cancellation speed or articulation rate,predicts reading in an orthographically regular language (Italian)

This study examined the influence of rapid automatization naming (RAN) measures on various parameters of reading performance in children who were native speakers of a language with a shallow orthography (Italian). Participants included 281 children enrolled in first-to-sixth grade. They were given a Naming test, in which they had to name rapidly matrices of colors, objects, or digits, a Cancellation test, using the same stimulus materials, and an oral Articulation test. Performance on all tests improved steadily across ages tested. Performance on the Naming test, but not on the Cancellation and Articulation tests, predicted speed and accuracy in reading; none of these measures reliably predicted the reading comprehension measure. Data on a Blending test were also available for a subsample of first- and third-graders. Both RAN and phonological ability contributed independently to the prediction of reading ability (accuracy and speed) in these participants. The results extend observations on RAN to an orthographically shallow language (Italian) and suggest an element of continuity between languages with opaque and transparent orthographies.