The six most essential questions in psychiatric diagnosis: a pluralogue part 1: conceptual and definitional issues in psychiatric diagnosis

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article will take up the first two questions. With the first question, invited commentators express a range of opinion regarding the nature of psychiatric disorders, loosely divided into a realist position that the diagnostic categories represent real diseases that we can accurately name and know with our perceptual abilities, a middle, nominalist position that psychiatric disorders do exist in the real world but that our diagnostic categories are constructs that may or may not accurately represent the disorders out there, and finally a purely constructivist position that the diagnostic categories are simply constructs with no evidence of psychiatric disorders in the real world. The second question again offers a range of opinion as to how we should define a mental or psychiatric disorder, including the possibility that we should not try to formulate a definition. The general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances.     

Context effects on tempo and pleasantness judgments for Beatles songs

Context effects on tempo and pleasantness judgments of different tempos were demonstrated in three experiments using Beatles songs. In Experiments 1 and 2, we explored how listening to versions of the same song that were played at different tempos affected tempo and pleasantness ratings. In both experiments, contrast effects were found on judgments of tempo, with target tempos rated faster when context tempos were slow than when they were fast. In both experiments, we also showed that the peak of the pleasantness rating function shifted toward the values of the context tempos, reflecting disordinal context effects on pleasantness relationships. Familiarity with the songs did not moderate these effects, and shifts in tempo ratings did not correlate with shifts in most pleasant target tempos when context was manipulated within subjects. In Experiment 3, we examined how manipulations of context tempos for one song affected judgments of the same song as compared with judgments of other more or less similar songs. For tempo ratings, contrast effects transferred to ratings of a similar song, but for pleasantness ratings, assimilative shifts of ideals were found only for the same song and not for similar songs. This pattern of results was supportive of independent bases for the two context effects.     

Training Analysis: Oxymoron or Viable Compromise? Training Analysis,Power, and the Therapeutic Alliance

Balint was among the first to express concern about the “hidden power dynamics” that underlie training analyses. In this paper, I identify some of the problems with this form of treatment, which simultaneously tries to educate the candidate about analytic treatment and ensures that the candidate satisfies certain requirements before he or she is permitted to practice analysis. I argue that the candidate's trying to complete the training analysis—a prerequisite to becoming a full-fledged psychoanalyst—may prevent the full manifestation of the breadth and extent of the candidate's neurosis. Paying attention to the therapeutic alliance assists the analytic dyad in navigating the complex work of a training analysis.     

Methods in Sales Research: A Psychometric Evaluation of the ADAPTS Scale: A Critique and Recommendations

This study outlines a method for improving the psychometric properties of the ADAPTS scale for measuring adaptive selling (Spiro and Weitz 1990). As originally presented, the ADAPTS scale suffered from a lack of unidimensionality. Subsequent research has demonstrated mixed results when using ADAPTS as a predictor of salesperson performance. Results from this study suggest that ADAPTS can be improved by addressing the unidimensionality issue. To do this, a series of confirmatory factor models are presented, resulting in a two-factor adaptive selling model. The two adaptive selling constructs, beliefs and behaviors, are psychometrically evaluated, concluding with tests of the predictive validity of the two-factor model using self-reported performance as the exogenous latent variable.     

Women in Professional Selling: A Human Resource Management Perspective

The authors present a set of human resource management tactics that can assist women who are pursuing sales careers and organizations that need effective salesforces. Topics discussed include recruiting selection, training, mentoring, managing and supporting.     

Improving the efficacy of appearance-based sun exposure interventions with the terror management health model

The terror management health model (TMHM) suggests that when thoughts of death are accessible people become increasingly motivated to bolster their self-esteem relative to their health, because doing so offers psychological protection against mortality concerns. Two studies examined sun protection intentions as a function of mortality reminders and an appearance-based intervention. In Study 1, participants given a sun protection message that primed mortality and shown a UV-filtered photo of their face reported greater intentions to use sun protection on their face, and took more sunscreen samples than participants shown a regular photo of their face. In Study 2, reminders of mortality increased participants’ intentions to use facial sun protection when the UV photo was specifically framed as revealing appearance consequences of tanning, compared to when the photo was framed as revealing health consequences or when no photo was shown. These findings extend the TMHM, and provide preliminary evidence that appearance-based tanning interventions have a greater influence on sun protection intentions under conditions that prime thoughts of death. We discuss implications of the findings, and highlight the need for additional research examining the applicability to long-term tanning behaviour.     

Leadership and Perceiver Cognition: Examining the Role of Self-Identity in Implicit Leadership Theories

We investigated whether priming individuals' self-identities to be interdependent or independent influences their ratings of leadership prototypicality. Specifically, we predicted that participants receiving an interdependent prime would rate items associated with transformational leadership as being more prototypical of effective leadership than would participants receiving no prime. We also predicted that participants receiving an independent prime would rate transactional leadership items as being more prototypical of effective leadership. Undergraduate psychology students were randomly assigned to one of three conditions (interdependent prime, independent prime, and control). Results support the idea that self-identity can be primed to influence ratings of leadership prototypicality. We discuss implications and suggest directions for future research.     

The Relationship Between Deployment and Turnover in Australian Navy Personnel

Increases in the frequency of operations tempo have focused attention on the relationship between deployment and separation from military service. This retrospective study explored the association between deployment and turnover over a 10-year period in Royal Australian Navy (RAN) personnel. Participants were 2355 males who served in the RAN during the period of the 1991 Gulf War (August 1990–September 1991); approximately half had been deployed to that conflict. Data were collected 10 years later as part of the Australian Gulf War Veterans' Health Study. During that 10-year period, 61% of participants left the RAN. The likelihood of separation decreased as number of deployments increased even when controlling for age, rank, and length of service. Personnel deployed to the 1991 Gulf conflict did not have a significantly higher risk of separation. The results provide evidence that deployment is not necessarily a risk factor for separation.