Toward a model of self pathology underlying personality disorders: narratives, metacognition, interpersonal cycles and decision-making processes

If we want to explain the links between the various and heterogeneous elements--symptoms, dysfunctional forms of behavior and poor social functioning--making up personality disorders, we need model a self pathology that portrays dysfunctions, the links among them, and how their interactions maintain disorders over time. In our view, the most likely elements of self pathology are: a. problematic contents (thoughts and emotions)--experienced subjectively as states of mind and organized in the form of narratives; b. shortfalls in the ability, termed meta-cognition, to reflect on mental states, both of oneself and of others; c. pathogenic interpersonal schemas; and d. maladaptive decision-making processes. These elements get altered in the various personality disorders and interact to form typical pathological organizations. This article seeks to describe a model of self pathology in personality disorders and discuss its current scientific status based on a literature review that spans several disciplines. The model is illustrated with an example of how the pathogenic elements can interact to form personality disorder. Lastly, the limitations and advantages of the model are discussed.     

Is severe obesity a form of addiction? Rationale, clinical approach, and controlled clinical trial.

For many, obesity is just a problem of energy input and expenditure: more energy input than expenditure. However, the clinical practice and epidemiological data clearly show that weight control is more complex than expected by this simple equation. This is particularly true in morbid obesity, a form of severe obesity in which a person's Body Mass Index (BMI, kg/m(2)) is over 40. If we compare the definitions and diagnostic criteria for "dependence" and "addiction" with the situation of many severe obese subjects, it is apparent that they match very well. Further, different neurological studies confirm this similarity: both addiction and obesity patients have a deficiency of dopamine receptors. Nevertheless, when we compare many of the actual obesity treatments with the ones used in the area of addictions it is possible to find relevant differences: obesity treatments neither consider different levels of type and intensity of care, nor a multidimensional approach. To overcome these limitations, in this paper we propose a bio-psychosocial approach in which the genetic influence (lack of dopamine receptors) is matched by psychosocial issues (pressure for thinness and diet as main body image dissatisfaction treatment). Further, the paper outlines how this approach may influence the treatment options, by focusing both on the lessons coming from actual addiction treatment and the opportunities offered by virtual reality. Finally, the paper presents and discusses the outcome of a controlled trial, based on the proposed approach, including a 6-month follow-up (211 morbid obese females with a BMI of >40 and a documented history of failures.     

Prejudice in person memory: Self‐threat biases memories of stigmatized group members

The present research investigated whether self‐threat biases memory via retrieval‐induced forgetting. Results show that people under self‐threat whose goal is to restore their self‐worth by making prejudicial judgments that deprecate others are more likely to exhibit an enhanced RIF effect for positive items and a reduced RIF for negative items ascribed to a stereotyped target (i.e., homosexual). Overall, the present findings are consistent with the view that motivation can affect the magnitude of RIF effects in person memory and that, in turn, they can serve as mechanisms for justifying desired conclusions.     

Animus and creativity in psychotherapy: a position statement

Calling attention to what the author calls the 'maternalization of our profession', a warning is sounded to psychotherapists, and women practitioners in particular, not to neglect their own creativity in the course of professional development undertaken to take better care of patients. Development of the animus, here reformulated as 'an archetype of the capacity for non-relationship', is seen as a balancing alternative to the usual training in the capacity to contain object relations. A literary parallel can be found in Ibsen's play, The Woman from the Sea. It is hoped, too, that through her own initiation into a creative life, the analyst will be better able to help the analysand find a connection with a 'creative centre'.     

Which way is upright and normal? Haptic perception of letters above head level

In three experiments, the perception of the apparent orientation of block letters shown in various orientations above the subject’s head in the horizontal plane was examined. A block letter F with its front facing down toward the observer has two crossbars on its right side; the top is the part with the long crossbar, and the base has no bar. The experiments involved changing the locations of these parts with respect to the observer. In Experiment 1, the subjects using touch most often identified a letter as having its left and right sides in a normal orientation if the front of the block letter faced upwards away from the observer, with the bar on the right and the top of the letter farther from the subject than the letter’s base. In Experiment 2, the subjects judging visualuprightness favored positions in which the bars were on the right, the top of the block letter was near them, and the letter’s front faced downwards toward the observer. In Experiment 3, the subjects using touch most often assessed letters as being upright if the top of the letter was the farthest part and the bar was on the right. The results suggest that, when assessing orientation, subjects using touch favored positions that would be reached by a letter moving vertically upwards from table height, but subjects relying on vision favored positions reached by a letter moving in an arc centered on the subject’s head (on the eyes, in particular).     

Pedestrian jaywalking under facilitating and nonfacilitating conditions

Each year, thousands of pedestrians are killed or injured while crossing streets in the United States. Pedestrians who jaywalk across busy intersections increase their risk of being injured by an automobile. The present series of studies investigated pedestrian jaywalking behaviors under temporal conditions which appeared to control noncompliance and compliance with pedestrian walk signs. An intersection involving three major streets was the target site of the studies. The timing of walk and no-walk light sequences was different in the clockwise and counterclockwise direction and produced differential delays. In three separate studies, significantly more pedestrians jaywalked when walking in the long-delay as opposed to short-delay direction. Traffic planners might use these findings to establish safer pedestrian signal systems.     

REDUCTION OF CIGARETTE SMOKING IN A UNIVERSITY CAFETERIA

Passive smoking has been shown to be hazardous to the health of nonsmokers. Given this documented link between exposure to smoke-filled environments and deleterious health consequences, there is a need to develop effective procedures that establish and maintain no-smoking areas in various public settings. The present study focused on decreasing cigarette smoking in a section of a university cafeteria. Posting of no-smoking signs was found to decrease levels of smoking only minimally. However, when smokers were verbally prompted not to smoke, in the presence of the signs, marked decreases in smoking occurred in the target area.     

Immersion versus interactivity and analytic field

Losing oneself in a story, a film or a picture is nothing but another step in the suspension of disbelief that permits one to become immersed in the 'novel' of reality. It is not by chance that the text-world metaphor informs classical aesthetics that, more than anything else, emphasizes emotional involvement. On the contrary, as in much of modern art, self-reflexivity and metafictional attention to the rhetoric of the real, to the framework, to the conventions and to the processes of meaning production, all involve a disenchanted, detached and sceptic vision--in short, an aesthetics of the text as game. By analogy, any analytic style or model that aims to produce a transformative experience must satisfactorily resolve the conflict between immersion (the analyst's emotional participation and sticking to the dreamlike or fictional climate of the session, dreaming knowing it's a dream) and interactivity (for the most part, interpretation as an anti-immersive device that 'wakes' one from fiction and demystifies consciousness). In analytic field theory the setting can be defined--because of the weight given to performativity of language, to the sensory matrix of the transference and the transparency of the medium--the place where an ideal balance is sought between immersion and interaction.     

How to accurately detect autobiographical events

ABSTRACT— We describe a new method, based on indirect measures of implicit autobiographical memory, that allows evaluation of which of two contrasting autobiographical events (e.g., crimes) is true for a given individual. Participants were requested to classify sentences describing possible autobiographical events by pressing one of two response keys. Responses were faster when sentences related to truly autobiographical events shared the same response key with other sentences reporting true events and slower when sentences related to truly autobiographical events shared the same response key with sentences reporting false events. This method has possible application in forensic settings and as a lie-detection technique.     

Group processes in food choices: The role of ethnic identity and perceived ethnic norms upon intentions to purchase ethnical food products

A study tested an extended Theory of Planned Behaviour (TPB) model, inclusive of measures of ethnical identification and perceived ethnic group norms, in the ethnical food purchasing domain. One hundred and thirty‐five Jamaicans, living in the Brixton neighbourhood, London, were administered a self‐reported questionnaire measuring the classical TPB components (attitudes, subjective norms, perceived behavioural control, behavioural intentions) plus three additional components: identification with the Jamaican group, perceived norms of the Jamaican group and past behaviour. Results of hierarchical multiple regressions showed that past behaviour, ethnical identification and perceived group norms explain an additional proportion of variance in intentions, independently of attitudes, subjective norms and perceived control. A two‐way interaction, between ethnical identification and perceived group norms, was detected. A stronger relation between group norms and intentions emerged among high ethnical identifiers. Theoretical and practical implications are discussed. Copyright © 2008 John Wiley & Sons, Ltd.