Motor vehicle accident trauma exposure: Personality profiles associated with posttraumatic diagnoses

Abstract

Personality profiles associated with diagnostically distinct posttraumatic responses were examined. Profiles were compared between three groups defined on the basis of posttraumatic diagnosis following motor vehicle accident (MVA) trauma exposure. The diagnostic groups were: Posttraumatic Stress Disorder (PTSD), Acute Stress Disorder (ASD) without progression to PTSD, and subclinical responses. Participants were male and female community volunteers aged 18 to 77 (N = 83) who had all been exposed to an MVA meeting the DSM-IV diagnostic criteria for a traumatic event. The Personality Assessment Inventory (Morey, 1991) was used to assess psychological variables in the framework of posttraumatic diagnostic groups. The PTSD group scored significantly higher than the ASD and subclinical groups on scales assessing somatic complaints, anxiety, anxiety related disorders, depression, non-psychotic symptoms of schizophrenia, and negative relationships. The profile of the ASD group was characterized by self report of greater interpersonal warmth and a trend for greater egocentricity than the PTSD group. There were no significant differences in the personality profiles of the ASD and subclinical groups. The role of personality factors in posttraumatic adjustment is discussed in the context of previous literature.     

Family-Centered Care for Military and Veteran Families Affected by Combat Injury

The US military community includes a population of mostly young families that reside in every state and the District of Columbia. Many reside on or near military installations, while other National Guard, Reserve, and Veteran families live in civilian communities and receive care from clinicians with limited experience in the treatment of military families. Though all military families may have vulnerabilities based upon their exposure to deployment-related experiences, those affected by combat injury have unique additional risks that must be understood and effectively managed by military, Veterans Affairs, and civilian practitioners. Combat injury can weaken interpersonal relationships, disrupt day-to-day schedules and activities, undermine the parental and interpersonal functions that support children’s health and well-being, and disconnect families from military resources. Treatment of combat-injured service members must therefore include a family-centered strategy that lessens risk by promoting positive family adaptation to ongoing stressors. This article reviews the nature and epidemiology of combat injury, the known impact of injury and illness on military and civilian families, and effective strategies for maintaining family health while dealing with illness and injury.     

Does the burden of the experience sampling method undermine data quality in state body image research?

Despite growing popularity of experience sampling methodology (ESM) for evaluations of state-based components of body image, there have been concerns that the frequent repeated measurement might encourage problematic responding resulting in low data quantity and/or quality. Using a sample of 105 women (mean age = 24.84), this study used multilevel modelling to investigate whether (a) there were changes in compliance or response variability across a 7-day period, and (b) whether such changes are explained by participant characteristics. Present findings suggest that demands of ESM protocol undermine quantity more so than quality of obtained data. Decline in procedural compliance across the testing period correlated with BMI and body shame, whereas reduced variability in state-based assessments did not adversely impact the strength of association between state body satisfaction ratings and other variables in the dataset. The authors make several recommendations for ensuring the quality of ESM-based data in future studies.     

A Comparison of the TAT,CAT and CAT-H among Second Grade Girls

The TAT, CAT and CAT-H were administered to second grade girls and compared in terms of psychological usefulness on four dependent measures. The dependent measures were (a) Transcendence Index, (b) Word Count, (c) Response Organization and (d) Response Creativity. The results indicated that the CAT and CAT-H were more useful instruments for this age group.     

The Draw-A-Person Test and Process-Reactive Schizophrenia

The Draw-A-Pcrson test was administered to three matched groups of 32 male Ss each: reactive schizophrenics, process schizophrenics, and normal control subjects. Patients were rated for prognosis using the Premorbid Subscale of the Phillips Scale. Drawings were rated by two judges on 80 diagnostic signs culled from the literature. No signs were found to significantly differentiate reactive and process schizophrenics, and only three signs significantly differentiated normals from schizophrenics. It was concluded that a sign approach to the DAP is insensitive to the reaction-process dimension of schizophrenia, and of only limited value in differentiating between normals and schizophrenics in general.     

Reversal of object-based benefits in visual attention

In divided-attention tasks, observers must make speeded (or near threshold accuracy) judgements concerning two target features in a display. Typically, when the two features belong to the same object they are more rapidly judged than when they belong to separate objects, a pattern of findings referred to here as a “same-object benefit”. However, we note here that many of these studies share common features, in particular the use of pre-exposed, outline, and/or overlapping objects, and their findings may not generalize to other types of display. Building substantially on previous work by Davis, Welch, Holmes, and Shepherd (2001), we show in four new studies that once these features are not present in a divided-attention task, no same-object benefits are reported. Rather we now find “same-object costs”, where features belonging to a single object are less rapidly judged than features belonging to separate objects.     

The social unconscious in persons,groups and societies,volume 1: Mainly theory,edited by Earl Hopper and Heim Weinberg

This paper looks at some instances of young children learning in a school setting, and suggests that ‘emotional learning’ is an integral part of the apparently ‘cognitive’ learning that takes place in school. The paper uses object relations psychoanalysis in order to explore some of the more-or-less hidden emotional states of mind that accompany difficulties and successes with school learning. Three extracts are presented from observations of young children coming to terms with reading and writing. Each of these is then discussed, with the aim of showing how learning always takes place in a dynamic, relational emotional context. From the theoretical perspective outlined in this article, all learning involves unconscious ‘object relating’. Things to be learnt about, and people requiring learning, or assisting with it, are the bearers of the learner's vivid unconscious ‘transferences’. Such transferences colour the learner's emotional experience of the people and things around him or her, constituting a dynamic, internally experienced, ‘emotional context’ for learning. While this emotional context may be partly subjective, it is also more or less affected by others' feeling states, pulling the learner into a shared learning environment which is emotionally complex and inter-subjective.     

Celestial Aesthetics: Over Our Heads and/or in Our Heads

I am the daughter of earth and water,

And the nursling of the sky.

Percy Bysshe Shelley, “The Cloud,” 1820

Abstract Looking at the night sky, we may seem cosmic dwarfs, overwhelmed with a sense of otherness, abyss, lostness. But humans alone enjoy such celestial awe. We can move to a sense of the beholder's celestial ancestry and ongoing relatedness in “our cosmic habitat.” That account joins aesthetics with mathematics, finds dramatic interrelationships gathered under “the anthropic principle,” and considers meteorological aesthetics. The wonder is as much this Homo sapiens with mind enough to search the universe. What is out there is inseparably linked with what is down here. We are at home in the universe. The glory is both over our heads and in our heads.     

Methods of Overcoming Children's Fears

Forty-eight noninstitutionalized elderly were administered Piaget's Conservation of Surfaces Test. Only 13 subjects were designated as conservers in this content domain. A strong relationship existed between conservation ability and educational attainment, but not between sex and performance, and age and performance. Results indicated that cognitive abilities may be subject to qualitative disorganization in the latter portions of the life-span.     

Book review section

The Emergence of Philosophy of Religion James Collins New Haven: Yale University Press, 1967 Pp. 517, $12.50