Integrating empirically supported therapies for treating personality disorders: a synthesis of psychodynamic and cognitive-behavioral group treatments

Abstract This paper describes the theoretical foundations and components of an intensive group treatment program for individuals diagnosed with personality disorders. The Chrysalis Community Day Treatment Program integrates aspects of three empirically supported therapies: Transference-Focused Psychotherapy and Mentalization-Based Therapy, both psychodynamic psychotherapies, and Dialectical Behavior Therapy, a cognitive-behavioral therapy. Each of these modalities is structured for the treatment of individuals suffering from the symptoms of borderline personality disorder, and each of the treatments addresses problems that occur across a wide spectra of beliefs, capacities, and behaviors. The program is comprised of expressive, psycho-educational and skills-training groups, and participants attend three days per week, for 15 weeks. Preliminary evaluation is promising, reflecting decreases in self-injurious behavior, suicide attempts, psychiatric hospitalizations, and psychiatric symptoms at a one-year follow-up.     

Practicing Safe Text: the Impact of Texting on Walking Behavior

Sending and receiving text messages on cell phones is increasingly common. Texting while walking or driving, however, increases the likelihood of accidents. One possible cause is that distracted individuals are unable to detect safe opportunities for action. To investigate this, we asked participants to walk through doorways of differing widths while holding or texting on their phone. We measured walking speed, doorway‐to‐shoulder‐width ratio, and the number of bumps into the doorframes. Our results revealed that texters were more cautious than non‐texters; they walked slower and rotated their body through doorways they could have safely walked straight through. There were no significant differences, however, in the number of bumps into the doorframes. If texters in the real world behave like those in our laboratory, then the number of texting‐related accidents reported in other studies might suggest that being overcautious while texting does not actually decrease the likelihood of accidents. Copyright © 2012 John Wiley & Sons, Ltd.     

Clinical features of tic-related obsessive-compulsive disorder: results from a large multicenter study

OBJECTIVE: To evaluate the clinical features of obsessive-compulsive disorder (OCD) patients with comorbid tic disorders (TD) in a large, multicenter, clinical sample.MethodA cross-sectional study was conducted that included 813 consecutive OCD outpatients from the Brazilian OCD Research Consortium and used several instruments of assessment, including the Yale-Brown Obsessive-Compulsive Scale, the Dimensional Yale-Brown Obsessive-Compulsive Scale, the Yale Global Tic Severity Scale (YGTSS), the USP Sensory Phenomena Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. RESULTS: The sample mean current age was 34.9 years old (SE 0.54), and the mean age at obsessive-compulsive symptoms (OCS) onset was 12.8 years old (SE 0.27). Sensory phenomena were reported by 585 individuals (72% of the sample). The general lifetime prevalence of TD was 29.0% (n = 236), with 8.9% (n = 72) presenting Tourette syndrome, 17.3% (n = 141) chronic motor tic disorder, and 2.8% (n = 23) chronic vocal tic disorder. The mean tic severity score, according to the YGTSS, was 27.2 (SE 1.4) in the OCD + TD group. Compared to OCD patients without comorbid TD, those with TD (OCD + TD group, n = 236) were more likely to be males (49.2% vs. 38.5%, p < .005) and to present sensory phenomena and comorbidity with anxiety disorders in general: separation anxiety disorder, social phobia, specific phobia, generalized anxiety disorder, post-traumatic stress disorder, attention-deficit hyperactivity disorder, impulse control disorders in general, and skin picking. Also, the "aggressive," "sexual/religious," and "hoarding" symptom dimensions were more severe in the OCD + TD group.ConclusionTic-related OCD may constitute a particular subgroup of the disorder with specific phenotypical characteristics, but its neurobiological underpinnings remain to be fully disentangled.     

Early detection of drug use and bullying in secondary school children by using a three-dimensional simulation program

The current study analyzes the psychometric properties of an innovative three-dimensional (3D) simulation program, entitled Mii-School (MS), designed for the early detection of drug use and bullying in Secondary School children. This computer program showed adequate reliability and construct validity. The factorial structure, as well as the explanatory weight of the different factors, is presented. In addition, the results of a parallel version in paper and pencil format are also presented and compared with those of the computerized version (i.e., MS). There was a statistically significant difference between the two formats in the total (i.e., combined) sore of risk. When drug use and bullying were separately analyzed, differences were found only with regard to drug use. The relevance of these results as well as the suitability of this type of 3D instrument for the early detection of risky behaviors in young people are discussed.     

Resilient,Undercontrolled, and Overcontrolled Personality Prototypes Among Persons With Spinal Cord Injury

Brendan Maher (Ed.). Clinical Psychology and Personality (The Selected Papers of George Kelly). New York: Wiley, 1969. 361 pages + viii, $8.95. Reviewed by Wilson H. Guertin

L. J. Bischof. Interpreting Personality Theories. New York: Harper &; Row, 1970. 653 pages, $10.95.

L. A. Pervin. Personality—Theory, Assessment and Research. New York: Wiley, 1970. 632 pages, $9.95. Reviewed by Benjamin Beit-Hallahmi

Michael Cole &; Irving Maltzman, Editors. A Handbook of Contemporary Soviet Psychology. New York and London: Basic Books, Inc., 1969, 832 pages, $25.00. Reviewed by Irving R. Stone

Edwin I. Megargee and Jack E. Hokanson. The Dynamics of Aggression. (Individual, Group and International Analyses) New York: Harper &; Row, 1970. 271 pages, $3.95. Reviewed by Benjamin Beit-Hallahmi

Pat Powers and Wade Baskin (Eds.) New Outlooks in Psychology. New York: Philosophical Library, 1968, 512 pages, $12.00. Reviewed by Spencer B. Sterne

Salo Rosenbaum and Ian Alger, (Eds.). The Marriage Relationship, Psychoanalytic Perspectives. New York: Basic Books, 1968. 366 pages, $10.00. Reviewed by S. G. Vandenberg

Rudolph Wittenberg. Postadolescence: Theoretical and Clinical Aspects of Psychoanalytic Therapy. New York: Grune and Stratton, 1968. 138 pages, $6.50. Reviewed by Sarah A. Alleman

Liam Hudson. Frames of Mind. New York: Norton, 1968. 134 pages, $5.50. Reviewed by Russell Eisenman

Irving L. Janis, George F. Mahl, Jerome Kagan, &; Robert R. Holt. Personality: Dynamics, Development, and Assessment. New York: Harcourt, Brace, &; World, 1969. 859 pages, $9.95. Reviewed by Andrew M. Barclay     

School context and health in adolescence: The role of sense of coherence

The aim of this study was to examine the role of school variables and sense of coherence (SOC) in the explanation of health. For this purpose, data were collected from a representative sample of adolescents, aged 13 to 18 years, selected for the Health Behavior in School‐aged Children survey in Spain. Using Structural Equation Modelling, three nested models were tested that represented different hypothesized models of the relationships among school factors, SOC and health. According to goodness‐of‐fit indices, in the best model, school‐related stress and SOC mediated the influence of support from classmates and teachers on health, and SOC had a direct effect on stress. The results supported the idea that a supportive school climate and SOC are relevant to adolescents' health. Furthermore, SOC was the most influential variable; apart from its direct positive effect on health, SOC seemed to condition the degree to which students perceived school demands to be stressful. Specifically, students with a high SOC were less likely to suffer from high levels of school‐related stress.     

Patterns of Women’s Aggression Against Partners and Others: Broadening Our Understanding of Violence

Research on women's aggression typically focuses on relational aggression. However, the study of violence must include multiple forms of violence such as aggression against partners and non‐partner others, while also considering victimization experiences by partners and non‐partners. The focus of this study is the multiple experiences of violence (perpetration and victimization) of women who are incarcerated. Incarcerated women are likely to experience higher rates of both than women in community settings, but most will be released in a brief period of time. Using a random sample (N = 580) we conducted cluster analyses to identify five patterns of women's aggression. Clusters varied depending on the target/s of aggression (i.e., partner and/or others), and type of aggression (i.e., physical and/or intimidation). Multinomial logistic regression was performed to determine the relationship between women's membership in a perpetration cluster and their victimization. Victimization history was related to an increased risk of perpetrating aggression, and varied depending on the target and type of aggression. Our findings provide support that research and interventions addressing women's use of aggression must also address their victimization history. Furthermore, results indicate that for some women, aggression towards partners and others is related. Future research should investigate multiple forms of aggression.     

Revisiting Dr. Rosen: Villain or unjustly-treated innovator?

This paper analyzes the life and the work of Dr. J.N. Rosen, who pioneered attempts to treat psychosis from a psychoanalytic standpoint at a time when conventional approaches advocated pharmacological and physical treatments. His psychotherapeutic technique, which became known as “direct analysis,” divided opinion among practitioners and later attracted a degree of notoriety as the result of several law suits following the deaths of patients under his care. This paper reviews the major publications on direct analysis, examines the events that brought it into contact with a hostile mass media, and reassesses the contribution of the approach to psychotherapy. With certain reservations, Rosen is adjudged to have been an outstanding clinician who pre-empted modern attitudes to the treatment of psychotic individuals, but the theoretical basis of his work, about which his closest collaborators were tellingly unable to fully agree, fails to provide an adequate account of how it helped those who were mentally ill.     

Becoming an adult: A proposed typology of adult status based on a study of Spanish youths

Emerging adulthood is a transitional period which has been examined in relatively few studies in Southern European countries. This study has two aims: (1) to determine the features of emerging adulthood in Spain based on criteria for adulthood and experiential dimensions; and (2) to explore whether variations in these criteria are related to gender and adult status (self‐classification as an adult and adult role adoption). Participants included 347 young Spanish people, aged 18–30, who completed a questionnaire about their conceptions of adulthood. They used similar criteria for adulthood to other Western countries, placing an extremely strong emphasis on psychological maturity criteria in comparison with role transition indicators. Important variations were observed in both the importance and achievement of criteria for adulthood according to gender and adult status. The results likewise suggest there may be different psychosocial profiles associated with each adult status group. The relevance of this classification to future research in the field of emerging adulthood is discussed.