Diagnosing agoraphobia in the context of panic disorder: examining the effect of DSM-IV criteria on diagnostic decision-making

A diagnostic and statistical manual (DSM)-IV diagnosis of agoraphobia in the context of panic disorder (PD) is based on three nosologically sufficient criteria: (1) avoidance, (2) use of companions, and (3) endurance of situations despite distress. Therefore, an agoraphobia diagnosis can be made across an extremely broad range of cases including when there are no avoidance behaviors (e.g., the patient endures the situation). It was hypothesized that clinicians do not weight these criteria equally and that the DSMs individual, sufficient criteria lead to poor inter-rater reliability. Clinicians (N=48) rated hypothetical patients with symptom profiles emphasizing each of these three criteria. Consistent with expectation, clinicians differentially weighted these criteria. Avoidance was relatively more apt to produce a diagnosis when only one criterion was emphasized in clinical vignettes. Inter-rater reliability was poor in instances when only one sufficient criterion was highlighted. Knowledge concerning DSM criteria resulted in a greater rate of agoraphobia endorsement, but knowledge did not account for the overall pattern of findings.     

Cognitive mediation of childhood maltreatment and adult depression in recent crime victims

Childhood maltreatment has been linked to adult depressive disorders. However, few studies have examined mechanisms through which childhood maltreatment may contribute to adult depression. Thus, we examined the role of one potential mechanism of this relationship, maladaptive cognitions, in a recently traumatized sample. Participants were adult women who had been recently raped (n = 133) or physically assaulted (n = 73). We examined whether maladaptive self-and other-cognitions mediated relationships between childhood sexual, physical, and emotional abuse and current depression. Relationships between childhood sexual abuse and both current depression symptoms and diagnosis were mediated by maladaptive cognitions about self. Relationships between both childhood sexual abuse and childhood physical abuse and adult depressive symptoms were mediated by maladaptive cognitions about others.     

On the relation between maternal state of mind and sensitivity in the prediction of infant attachment security

Attachment theorists assume that maternal mental representations influence responsivity, which influences infant attachment security. However, primary studies do not support this mediation model. The authors tested mediation using 2 mother-infant samples and found no evidence of mediation. Therefore, the authors explored sensitivity as a moderator, studying the (a) interaction of mental representation and sensitivity as it predicts infant attachment security and (b) level of sensitivity in mothers whose infants' attachment security is either concordant or discordant with their own. The interactional analyses were not significant. But the match-mismatch data showed that when mother-infant attachment strategies were discordant, maternal sensitivity was more consistent with infant than maternal attachment strategy. These findings are congruent with an interpretation of sensitivity as a moderator that can block transmission of attachment strategy.     

Quantity judgments and individuation: evidence that mass nouns count

Three experiments explored the semantics of the mass-count distinction in young children and adults. In Experiments 1 and 2, the quantity judgments of participants provided evidence that some mass nouns refer to individuals, as such. Participants judged one large portion of stuff to be "more" than three tiny portions for substance-mass nouns (e.g. mustard, ketchup), but chose according to number for count nouns (e.g. shoes, candles) and object-mass nouns (e.g. furniture, jewelry). These results suggest that some mass nouns quantify over individuals, and that therefore reference to individuals does not distinguish count nouns from mass nouns. Thus, Experiments 1 and 2 failed to support the hypothesis that there exist one-to-one mappings between mass-count syntax and semantics for either adults or young children. In Experiment 3, it was found that for mass-count flexible terms (e.g. string, stone) participants based quantity judgments on number when the terms were used with count syntax, but on total amount of stuff when used with mass syntax. Apparently, the presence of discrete physical objects in a scene (e.g. stones) is not sufficient to permit quantity judgments based on number. It is proposed that object-mass nouns (e.g. furniture) can be used to refer to individuals due to lexically specified grammatical features that normally occur in count syntax. Also, we suggest that children learning language parse words that refer to individuals as count nouns unless given morpho-syntactic and referential evidence to the contrary, in which case object-mass nouns are acquired.