When less is more: An exploration of psychoanalytically oriented hospital‐based treatment for severe personality disorder4

This paper discusses the main findings of a prospective study based at the Cassel Hospital, a centre dedicated to the psychoanalytically informed residential treatment of severe personality disorders. The results‐showing that significantly greater improvements on a number of outcome indicators were found in patients exposed to the psychoanalytically informed treatment programmes compared to a general psychiatric approach based on management and pharmacotherapy alone‐underscores the importance and the centrality of the psychoanalytic input in the treatment of severe personality disorders. However, the results of the study also suggested that some features of long‐term hospital treatment might carry the risk of iatrogenic and anti‐therapeutic effects for a sub‐group of patients with severe borderline core pathology. The authors present the clinical and psychodynamic implications of the study results based on an understanding of the internal and interpersonal mode of functioning of borderline patients.     

A FIELD STUDY OF THE EFFECTS OF RATING PURPOSE ON THE QUALITY OF MULTISOURCE RATINGS

Using a field sample of peers and subordinates, the current study employed generalizability theory to estimate sources of systematic variability associated with both developmental and administrative ratings (variance due to items, raters, etc.) and then used these values to estimate the dependability (i.e., reliability) of the performance ratings under various conditions. Results indicated that the combined rater and rater-by-ratee interaction effect and the residual effect were substantially larger than the person effect (i.e., object of measurement) for both rater sources across both purpose conditions. For subordinates, the person effect accounted for a significantly greater percentage of total variance in developmental ratings than in administrative ratings; however, no differences were observed for peer ratings as a function of rating purpose. These results suggest that subordinate ratings are of significantly better quality when made for developmental than for administrative purposes, but the same is not true for peer ratings.     

RECRUITERS' USE OF GPA IN INITIAL SCREENING DECISIONS: HIGHER GPAs DON'T ALWAYS MAKE THE CUT

The relationship between college grade point average (GPA) and recruiters' initial screening decisions was examined using data from 548 job postings in a college recruitment program. Results indicate that in-major grade point average (GPA) is more strongly associated with screening decisions ( p = 0.18, SD_P = 0.200) than is overall GPA ( p = 0.06, SD_P = 0.187), but the magnitudes of the relationships varied across decision sets including a larger number of negative values than would be expected from sampling error alone. Subsequent examination of the bivariate data identified 6 different plot types suggesting that recruiters use a variety of GPA decision rules to initially screen applicants in college recruiting. The most common data plots found in 42% of the decision sets suggests that recruiters do not use GPA in screening decisions. But a surprising 81 of 548 decision sets indicated recruiters selected against applicants with high GPAs. Evidence that organizations recruiting for the same job produced different plot types suggests that the use of GPA data in initial screening decisions may be idiosyncratic to individual recruiters.     

When Illnesses or Accidents Befall Others: The Role of Gender in Defensive Distancing

Two experiments were designed to investigate the proposition that men engage in greater defensive distancing than do women. In Experiment 1, we tested this hypothesis by having male and female participants (predominantly White, from working class backgrounds) distance themselves from a person with an illness or medical condition. In Experiment 2, we tested this hypothesis by having male and female participants distance themselves from a person involved in a mild or severe accident. We also attempted to replicate the finding that people distance themselves more over time from a person with a serious illness. As predicted, men engaged in greater defensive distancing than did women. We did not find that participants distanced themselves more over time from a person with a serious illness. Implications of these findings are discussed.     

Yohimbine impairs extinction of cocaine-conditioned place preference in an alpha2-adrenergic receptor independent process

Extinction, a form of learning that has the ability to reshape learned behavior based on new experiences, has been heavily studied utilizing fear learning paradigms. Mechanisms underlying extinction of positive-valence associations, such as drug self-administration and place preference, are poorly understood yet may have important relevance to addiction treatment. Data suggest a major role for the noradrenergic system in extinction of fear-based learning. Employing both pharmacological and genetic approaches, we investigated the role of the alpha(2)-adrenergic receptor (alpha(2)-AR) in extinction of cocaine-conditioned place preference (CPP) and glutamatergic transmission in the bed nucleus of the stria terminalis (BNST). We found that pre-extinction systemic treatment with the alpha(2)-AR antagonist yohimbine impaired cocaine CPP extinction in C57BL/6J mice, an effect that was not mimicked by the more selective alpha(2)-AR antagonist, atipamezole. Moreover, alpha(2A)-AR knockout mice exhibited similar cocaine CPP extinction and exacerbated extinction impairing effects of yohimbine. Using acute brain slices and electrophysiological approaches, we found that yohimbine produces a slowly evolving depression of glutamatergic transmission in the BNST that was not mimicked by atipamezole. Further, this action was extant in slices from alpha(2A)-AR knockout mice. Our data strongly suggest that extinction-modifying effects of yohimbine are unlikely to be due to actions at alpha(2A)-ARs.     

The Quality of Response Time Data Inference: A Blinded,Collaborative Assessment of the Validity of Cognitive Models

Psychonomic Bulletin & Review - Most data analyses rely on models. To complement statistical models, psychologists have developed cognitive models, which translate observed variables into...     

Social acceptance and self-esteem: tuning the sociometer to interpersonal value

The authors draw on sociometer theory to propose that self-esteem is attuned to traits that garner others' acceptance, and the traits that garner acceptance depend on one's social role. Attunement of self-esteem refers to the linkage, or connection, between self-esteem and specific traits, which may be observed most clearly in the association between self-esteem and specific self-evaluations. In most roles, appearance and popularity determine acceptance, so self-esteem is most attuned to those traits. At the same time, interdependent social roles emphasize the value of communal qualities, so occupants of those roles have self-esteem that is more attuned to communal qualities than is the general norm. To avoid the biases of people's personal theories, the authors assessed attunement of self-esteem to particular traits indirectly via the correlation between self-esteem and self-ratings, cognitive accessibility measures, and an experiment involving social decision making. As hypothesized, self-esteem was generally more attuned to appearances than to communal qualities, but interdependent social roles predicted heightened attunement of self-esteem to qualities like kindness and understanding.     

Patient perceptions of factors influencing adherence to medication following kidney transplant

Research has shown that most patients with end-stage kidney failure prefer treatment by transplantation. This entails taking immunosuppressant drugs daily throughout the life of the kidney. Failure to do so causes transplant rejection and a return to dialysis, or sometimes even death. Up to 50% of transplanted patients report failing to take their medication as prescribed. This qualitative study used focus groups to explore patients' lived experience in relation to medication adherence. Data were analysed using thematic analysis. The main themes to emerge were: fear of kidney failure, loyalty to the renal team and donors, health beliefs, forgetting and side-effects. Reasons for adherence were to avoid kidney failure and to acknowledge their gratitude to the renal team and donors. Participants suggested that non-adherence was largely due to forgetting.     

Task feedback effects on conflict monitoring and executive control: relationship to subclinical measures of depression

Emerging evidence suggests that depression is associated with executive dysfunction, particularly after committing errors or receiving negative performance feedback. To test this hypothesis, 57 participants performed two executive tasks known to elicit errors (the Simon and Stroop Tasks) during positive or negative performance feedback. Participants with elevated depressive symptoms (Beck Depression Inventory scores >or= 13) were characterized by impaired posterror and postconflict performance adjustments, especially during emotionally negative task-related feedback. Additionally, for both tasks, depressive symptoms were inversely related to postconflict reaction time adjustments following negative, but not positive, feedback. These findings suggest that subclinical depression is associated with impairments in behavioral adjustments after internal (perceived failure) and external feedback about deficient task performance.     

Comparison of scores for abused and nonabused young adults on the Psychological Trauma and Resources Scale

The Psychological Trauma and Psychological Resources Scale has been developed to identify adolescents and adults who have experienced traumatic events, i.e., physical, sexual, or emotional abuse and neglect. The scale also attempts to identify the presence of compensatory or resource factors such as social support that may serve to ameliorate the effects of traumatic events. 98 college participants who reported a history of abuse were compared with 464 nonabused students on the seven subscales. As predicted, the abused participants reported significantly more incidents of abuse and neglect than the nontraumatized group. In addition, the abused group reported receiving less emotional support, and they were less likely to use positive self-talk as a way to decrease emotional distress. These results provide empirical support for using the Psychological Trauma and Psychological Resources Scale to identify individuals with a history of abuse. Findings underscore the importance of assessing resource variables that may moderate the effects of abuse.