Rorschach correlates of sexual abuse: trauma content and aggression indexes

This study compared Rorschach records of nondissociative outpatients with histories of (a) definite sexual abuse (n = 22), (b) suspected but unconfirmed sexual abuse (n = 13), or (c) no sexual abuse (n = 43) on selected variables hypothesized to be associated with sexual abuse. As predicted, clients with definite sexual abuse scored significantly higher than clients known not to be sexually abused on Armstrong and Loewenstein's (1990) Trauma Content index (TC/R), with an effect size greater than 1 SD. Contrary to prediction, there was no significant difference in the frequency of their Aggressive Past (AgPast; Gacono & Meloy, 1994) scores. AgPast scores, however, did positively correlate with sexual abuse that was violent or sadistic. As a test of discriminant validity, we hypothesized that 2 Rorschach variables (PER and Sc) would be unrelated to sexual abuse. This was supported by our data. Although TC/R was strongly associated with the presence and severity of sexual abuse, it could not discriminate sexually abused from nonsexually abused clients with great accuracy. The TC/R score is 1 factor among many that can be used to assess the validity of clients' claims of past sexual abuse.     

论非正常死亡

“非正常死亡”概念带模糊性、悖论性、封闭性和诡辩性,并不科学。现实的死亡率千差万别。中国内地自杀死亡率16．78／10万,事故死亡率57．91／10万,他杀死亡率2．33／10万,自然死亡率535．9／10万,一切原因死亡率612／10万。一切原因死亡率较港澳高,自杀与事故死亡率较港澳低。澳门的一切原因死亡率特低(165．0／10万),自杀死亡率特高(40．9／10万)。     

结核病疗养院的兴衰及其启示

通过追溯欧美和中国结核病疗养院产生、发展直至消亡的历史来探寻曾经风行百年的“疗养院疗法”.经考证,正是链霉素、异烟肼等杀菌药物的发明使得结核病疗养院成为历史的陈迹.结核病疗养院之兴衰表明:新的、疗效显著的治疗手段出现之后,旧的疗效差的疗法因此被淘汰,基于旧疗法的治疗机构亦随之过时.     

The Personality Psychopathology-Five (PSY-5): recent constructive replication and assessment literature review

The Personality Psychopathology-Five (PSY-5; Harkness & McNulty, 1994) is a model of individual differences relevant to adaptive functioning in both clinical and non-clinical populations. In this article, we review the development of the PSY-5 model (Harkness, 1992; Harkness & McNulty, 1994) and discuss the ways in which the PSY-5 model is related to and distinct from other 5-factor models. Using different methods and measures, the dimensions of the PSY-5 model have been constructively replicated (Lykken, 1968) by Tackett, Silberschmidt, Krueger, and Sponheim (2008) and by Watson, Clark, and Chmielewski (2008), and dimensions congruent with the PSY-5 have even been suggested for the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; Krueger et al., 2011). PSY-5 Scales can be scored from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher et al., 2001), the MMPI-Adolescent version (MMPI-A; Butcher et al., 1992), and the Restructured Form of the MMPI-2 (MMPI-2-RF; Ben-Porath & Tellegen, 2008). Because the largest body of research exists for the MMPI-2-based scales, we focus our review of the literature on the MMPI-2-based PSY-5 scales (Harkness, McNulty, & Ben-Porath, 1995), but we briefly cover the small, but growing, body of MMPI-A and MMPI-2-RF PSY-5 scales research. We show that the PSY-5 research literature includes a wide variety of psychometric methodologies as well as diverse samples and clinical problems. An integrative summary reprises the theory behind each PSY-5 construct and links it to the reviewed literature. Advantages and limitations of MMPI-2-based PSY-5 scales are discussed.     

The emergence of untrained mands and tacts in children with autism

Despite Skinner's (1957) assertion that verbal operants are initially functionally independent, recent studies have suggested that in some cases the acquisition of one verbal operant (e.g., mand) gives rise to the other (e.g., tact) without explicit training. The present study aimed to evaluate the functional independence of mands and tacts during instruction with children with autism. Four boys with autism (3 to 6 years old) were taught to construct two 4‐piece structures. Two participants were taught directly to mand, whereas the other 2 were taught to tact the names of the pieces. The effects of training were evaluated in a multiple probe design across verbal operants and tasks. Three of the 4 participants demonstrated an immediate transfer of control from 1 verbal operant to the other. These results were consistent with previous research with typically developing young children.     

Therapeutic Assessment "on the Front Lines": comment on articles from WestCoast Children's Clinic

I comment on the articles by Mercer (2011/this issue); Guerrero, Lipkind, and Rosenberg (2011/this issue); and Haydel, Mercer, and Rosenblatt (2011/this issue), which describe their practice of collaborative and therapeutic psychological assessment in a community mental health setting. These articles demonstrate that collaborative and Therapeutic Assessment can be used successfully with clients from underprivileged, high-risk backgrounds. Such assessments are rigorous for both clients and assessors, and their success depends on the ability of clinicians to form trusting relationships with clients. In fact, empathic disruptions by assessors are almost inevitable during the collaborative assessment process, especially if assessors' backgrounds and contexts are quite different from those of their clients. However, if assessors receive enough support to "take off their white coats" and reach into their clients' worlds, such disruptions can be repaired, leading to positive changes in both clients and assessors. This kind of assessment work is not for the faint of heart, but it is immensely rewarding.     

基于成本最小化信息的社会性意图识别：来自脑电和行为的证据

与已有研究着重考察如何识别客体导向性意图(动作以物理对象为目标, 而不涉及其他人)不同, 本研究对人们如何识别社会性意图(动作以指向社会主体为目标以影响对方的交互行为)进行了探讨。基于两交互主体在整体层面应遵循效用最大化的分析, 提出当A协助B达成目标状态所需要的成本小于B单独实现该目标状态所需要的成本时(简称为成本最小化信息), 其可被识别为具有社会性意图。通过在B面前设置栅栏的方法操纵成本最小化信息, 以指示不同意图类型的脑电μ抑制程度、对不同变化的敏感性(辨别力)为指标, 对该假设进行了检验。结果显示, 相比客体导向性意图的控制条件(即A将目标物苹果放置在石头前), 当A将目标物苹果放置在被栅栏挡住的B前, 其动作可减少B单独获取该苹果的动作成本, 即符合成本最小化条件时, μ的抑制程度更高(实验1), 且对结构改变(某两个动画中充当相同角色的智能体互换)的辨别力更强, 但对角色交换(某个动画中两个智能体的角色交换)的辨别力更弱(实验3a); 而当栅栏不存在时, 虽然A的运动路径与实验1相同, 但A将苹果放置在B前的成本大于B自身获取苹果的成本, 即不符合成本最小化条件, 条件间μ抑制的差异消失(实验2), 且对不同动作模式中变化的辨别相当(实验3b)。鉴于已有研究表明社会性意图所诱发的μ抑制强于客体导向性意图, 且人们对存在社会性意图的两个智能体间的结构改变更容易辨别, 而对角色交换不敏感, 故上述结果揭示, 两个个体的行为是否满足成本最小化影响人们对动作意图的识别, 支持成本最小化信息是社会性意图识别线索的观点。     

眼动操纵技术在决策研究中的应用前景：改变决策行为

眼动追踪技术因干扰性低、客观性强、获取数据丰富而准确等优点, 被广泛应用于行为决策研究。通过操纵眼动过程, 可使决策结果按照预期的方向改变, 建立决策过程和结果的因果链, 为决策的干预研究提供思路。基于外源性眼动操纵、注视追随操纵这两类研究, 介绍了行为决策领域眼动操纵的基本方法及原理、常见操纵指标、操纵效果, 并分析和讨论了不同操纵类别的优缺点。在实验设计中考虑决策者策略及偏好的差异, 结合计算建模等方法进一步丰富操纵指标和分析方法, 并将该方法的优势拓展到其它领域是眼动操纵研究未来的重要方向。     

二孩家庭父母偏爱的特点及其与青少年抑郁的关系

对1655名来自二孩家庭的青少年进行调查,以考察二孩家庭中父母偏爱的特点及其与青少年抑郁的关系。结果发现：（1）父母偏爱水平较低,且父亲偏爱和母亲偏爱不存在显著差异。（2）父母偏爱存在性别和出生次序差异,男孩报告父母更偏爱自己,女孩报告父母更偏爱同胞;头胎子女报告父亲更偏爱自己,母亲更偏爱同胞,二胎子女则相反。（3）父母偏爱对青少年抑郁有显著影响,且为U型曲线关系,即当父母偏爱同胞或中高程度偏爱自己时,青少年抑郁水平均较高;当父母较低程度偏爱自己时,青少年抑郁水平最低。说明二孩家庭中不存在严重的父母偏爱,但父母偏爱会对青少年发展产生消极影响。     

肿瘤心理学的学科建构钩玄——兼论肿瘤患者心理支持要点

心理问题对肿瘤的发生、治疗和预后产生重要影响,相关研究已经提示了大量证据,受到人们广泛的重视。本文笔者阐述了肿瘤心理学学科构建的必要性及意义;提出了肿瘤患者发病前心理因素的作用方式(慢性应激和触发作用)、发病后的最主要心理特征(安全感缺失)、心理支持的核心目标(帮助患者重获安全感);强调此时给予心理支持类似于是亟需修补的"短板";并引入了笔者实践和理论总结基础上形成的肿瘤患者心理支持的操作方法。