Narcissism,identification, and longitudinal change in psychological health: Dynamic predictions

The narcissist has been described as “dependent on others to provide confirmation of the grandiose ego ideal” (American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.). The present study shows how the combination of dependent identification and unhealthy narcissism leads to decreasing psychological health across 42 years of adulthood. Change in psychological health is studied in 156 participants of the Intergenerational Studies, Institute of Human Development, University of California, Berkeley. We predicted that longitudinal decline in psychological health, as assessed by longitudinal hierarchical linear modeling analyses of the California Personality Inventory v3 scale [Gough, H. G., & Bradley, P. (1996). California Psychological Inventory. Palo Alto, CA: Consulting Psychologists Press], would be predicted by the joint presence in early adulthood of maladaptive narcissism [Wink, P. (1992). Three narcissism scales for the California Q-set. Journal of Personality Assessment, 58, 51–66] and defensive identification [Cramer, P. (1991a). The development of defense mechanisms: Theory, research and assessment. New York: Springer-Verlag]. In contrast, we predicted healthy narcissism would be positively related to psychological health throughout adulthood. Predictions were confirmed via regression analyses including interaction terms, and are explained by the insoluble conflict that occurs when narcissistic gratification is dependent on the admiration of others, but the tie to others interferes with independent growth and accomplishment.     

Expectations of Psychotherapy Duration by Disorder: A Comparison Between Professional and Young Adult Expectations

Using more precise methodology, the current study investigated expectations of psychotherapy duration for specific disorders. Duration expectations were obtained for young adults and compared to those obtained from psychotherapists as reported by Lowry and Ross (Psychotherapy: Theory, Research, Practice, Training 34:272–277, 1997). Results revealed that expected duration for young adults by disorder was quite similar to the psychotherapists, where less severe psychological disorders and problems were expected to require shorter treatment durations than moderate and severe disorders and problems. For disorders and problems with which young adults were familiar, their expectations were essentially the same as psychotherapists. A meaningful difference was found for suicidal ideation, with young adults expecting significantly longer treatment duration.     

Fathering activities during early infancy

Fathering activities of 16 fathers of firstborns were surveyed via questionnaire to assess their involvement in physical caretaking, affective interaction and support of mother through participation in household tasks. Results indicated that student fathers who had previous infant care experience, whose infants were unplanned and whose wives were either employed or attending school spent the most time interacting with their infants. Other variables explored which had little effect on father's interaction time included: formal education, attendance at prenatal clases, infant's sex and method of feeding, family isolation. Fathers spent more time in affective interaction than in physical caretaking. Time spent by fathers in affective interaction was nearly equal to that of mothers, while time spent in physical caretaking was much greater for mothers.     

Wives' work and psychological well-being: An extension of gove's social role theory of depression

The effectiveness of social role theory in explaining the relationship between wives' work (inside and outside the home) and psychological well-being is examined in reference to existing empirical patterns and alternative explanations. The theory is extended by the reorientation of its assumptions around central concepts and premises of the rational choice and social exchange framework: rewards, costs, cost reduction, alternative sources of gratification, and subjective evaluation of behavioral outcomes. Several mediating factors are integrated into the revised theory: help with housework and child care, work satisfaction, and participation in voluntary associations and social networks. The explanatory utility of the additional causal links proposed in the expanded theory is explored in a comparison of 50 employed wives and 50 housewives, all of whom have at least one preschool child living at home. The validity of the revised propositions is supported by the findings, which reveal no significant difference between the employed wives and the housewives in depression, health anxiety, or life satisfaction.     

The role of anxiety in the Career Decision Making of liberal arts students

Liberal arts students (N = 341) completed parallel halves of the A-State portion of the State Trait Anxiety Inventory (STAI-S) before and after completion of either a career-planning questionnaire consisting largely of Harren's Assessment of Career Decision-Making (ACDM) instrument (treatment group) or a set of consumer preference marketing questions (control group). As hypothesized, the treatment group showed an increase in post-test anxiety as compared to pretest responses; level of expressed anxiety in the control group pre- and post-test did not change significantly. Additionally, state anxiety (at both points in time) in the treatment group was found to relate to most of the ACDM measures operationalizing the career-planning model of Harren and his associates, thus confirming that anxiety is both another indicator of student lack of success in the career planning process and a justifiable extension of their model. Anxiety was found to relate more weakly to specific career concerns, suggesting that students are not fully aware of the source(s) of their anxiousness. Further, two key scales from Harren's model (dependent decision-making style and occupational commitment) were found to be related to specific career concerns, indicating that those measures are reftective of actual student concerns in successful career planning. Further research should seek to demonstrate the development of these relationships between career planning and anxiety over time.     

MMPI predictors of mania among psychiatric inpatients

MMPI data from 64 patients with a diagnosis of manic-depressive illness, manic type, were compared with MMPI data from patients in two comparison groups--64 patients with a psychotic diagnosis other than manic-depressive illness, and 64 patients with a variety of psychiatric diagnoses. Manic patients had higher Ma scale scores for MMPI scales that assess personal distress and interpersonal difficulties (e.g., D and Si). Discriminant analysis, with the Ma, D, and Si scales as predictors, correctly classified as manic or not manic 82.5% of the patients in the derivation sample and 74.2% of the patients in the cross-validation sample. Two high-point pairs, Sc-Ma/Ma-Sc and Pa-Ma/Ma-Pa, occurred in the MMPI profiles of almost half of the manic patients but were rarely found among the profiles of other patients. The results of this study support the use of the MMPI in identifying manic patients, particularly when discriminating between mania and other types of psychosis.     

Prediction of treatment outcome among patients with irritable bowel syndrome treated with group cognitive therapy

Using a sample of over 125 patients with irritable bowel syndrome (IBS) who were treated with cognitive therapy administered in small groups, we sought to predict end of treatment and 3-month follow-up improvement in two changes indices of gastrointestinal (GI) symptoms (Pain/Discomfort Index which assessed change in abdominal pain, abdominal tenderness and bloating and Bowel Regularity Index which assessed change in diarrhea and constipation). We also sought to predict scores on IBS specific quality of life (QOL) and overall level of psychological distress using the Global Severity Index (GSI) of the Brief Symptom Inventory (BSI). Significant, but modest, levels of prediction were found for prediction of improvement in GI symptoms (4-15% of variance). Stronger significant prediction was obtained for the QOL and global psychological distress measure with R(2)'s ranging from 0.36 to 0.50. A wide variety of demographic, GI symptom, psychological status and psychiatric status variables entered the final prediction equations.