Age Neutrality of Categorically and Dimensionally Measured DSM–5 Section II Personality Disorder Symptoms

Studies on the face validity of DSM–5 Section II categorical personality disorder (PD) symptoms indicate a bias against older adults. To extend these results, this article explores whether categorically and dimensionally scored PD symptoms of DSM–5 Section II, as measured in the Assessment of DSM–IV Personality Disorders (ADP–IV; Schotte & de Doncker, 1994), corroborate potential age bias across younger (aged 18–34), middle-aged (35–59 years), and older adults (aged 60–75). Differential item functioning (DIF) analyses, following a classical test theory approach, showed that 2 of the 79 symptoms were measured differently across 3 age groups when categorically assessed, and 4 when dimensionally measured. Nevertheless, subsequent differential test functioning analyses supported a low aggregated impact of DIF on the dimensional scales, justifying mean-level comparisons across age groups. Generalizability of the results is discussed in light of methodological issues concerning the research of age neutrality of PD symptoms, including the employed measurement instrument, PD symptom measurement approach, and sample and age range used to describe older adults.     

Neue Felder in der Operationalisierten Psychodynamischen Diagnostik

After the operationalized psychodynamic diagnostics (OPD) system became well established in clinical as well as research contexts, especially in German speaking countries, the OPD task force now focuses on issues, such as modules and new manuals which are related to various clinical contexts. In this article new modules and manuals are presented and discussed in summarized form: the modules for addiction disorders and for forensic patients, the new OPD-2 manual for children and adolescents, an OPD-based manual for formulating initial assessment reports for insurance companies as well as a conceptualization for an operationalized psychodynamic therapy (OPT).     

Reproductive Health CHOICES for Young Adults with Sickle Cell Disease or Trait: Randomized Controlled Trial Outcomes over Two Years

Interventions to assist reproductive health decision-making in populations affected by sickle cell disease (SCD) or trait (SCT) lack proven efficacy over time. Our aim was to compare effects of CHOICES, a Web-based multimedia education program on implementing informed reproductive plans, and usual care education (e-Book) on reproductive knowledge, intention, and behavior over 24 months. We randomized 234 participants with SCD (n?=?138) or SCT (n?=?96) (age 18–35 years, 35 % male, 94 % African American) to CHOICES and e-Book groups. Participants completed a sickle cell-specific reproductive measure before and four times after the intervention (6, 12, 18 and 24 months). Compared to the e-Book group the CHOICES group had significantly more improvement in knowledge over time (p?=?.004) but not intention (p?=?.18) or behavior (p?=?.69). At baseline, 114 (48.7 %) participants reported having partners who would not put the couple at risk for their children inheriting SCD. Of the 116 (49.6 %) at-risk participants, a higher poroportion of those who were in the CHOICES group chose partners that reduced their risk by the last visit than the e-Book group (p?=?.04). Study findings provide important insights for designing a national trial of the CHOICES intervention focusing on subjects whose partner status puts them at risk for having a child with SCD.     

SOCIOEMOTIONAL AND BEHAVIORAL PROBLEMS IN TODDLERS WITH LANGUAGE DELAY

Toddlers with language delay are at risk for persistent developmental and behavioral difficulties; however, the association between socioemotional/behavior problems and language in young children is not well understood. This study explored socioemotional/behavior problems in a unique sample of toddlers with language delays using a measure developed explicitly for this age group. Toddlers identified by 18 months with receptive and expressive language delay (LD; n = 30) or typical development (TD; n = 61) were evaluated at 18 and 24 months of age using the Infant‐Toddler Social and Emotional Assessment (ITSEA) and the Mullen Scales of Early Learning. Compared to toddlers who had TD, toddlers with LD had significantly more concerning scores at 18 and 24 months on all ITSEA domains. The rate of “clinical concern” on most domains was not high in either group, except that >60% of LD toddlers were in the clinical concern range on the Competence domain. Socioemotional/behavioral problems were dimensionally related to receptive and expressive language, with greater language delay associated with more concerning ITSEA scores. Socioemotional and behavioral problems are related to receptive and expressive language abilities in 18‐ and 24‐month‐olds, indicating the need for screening of both types of concerns in toddlers identified with potential language delays.     

Visions of In Vitro Meat among Experts and Stakeholders

In vitro meat (IVM) is presented by innovators as the most realistic and sustainable solution to the problems of current meat production and consumption. The innovators argue that in vitro meat could be more environmentally friendly, animal friendly, healthier, and safer than conventional meat. The paper elaborates different reactions of experts and stakeholders from science, civil society, economy, and politics to the innovators’ reasoning. The semi-structured interviews were conducted for the project “Visions of in vitro meat. Analysis of technical and societal aspects and visions of in vitro meat” (VIF) funded by the German Ministry of Education and Research. In this paper we will show how our interview partners positioned themselves in relation to the innovators’ vision on IVM and which other visions they brought into the discussion about IVM and the future of meat. The project was based on a concept of visions as socio-epistemic practices that are increasingly recognised as important elements in innovation and transformation processes. The analysis of these visions conducted in interviews with experts and stakeholders provided new knowledge for the conceptualisation and appraisal of in vitro meat beyond the innovators’ rhetoric.     

A Journey into Grief

The experience of the death of her Grandmother immerses the author in an intimate experience of grief. She reflects on her journey into grief and presents insights into grief's impact on her personal story as well as her professional life, i.e., her clinical work as a young psychoanalyst-in-training. Other metaphors and dream images, such as life, death, home, homelessness, silence, speech, story, voicelessness, aloneness and loneliness echo throughout the reflection as the author attempts to articulate an understanding of the profound Self-change birthed by death, grief and loss.     

Therapiewechsler

At least 30% of the patients, currently in psychotherapy, have been in one or more psychotherapeutic treatments before the beginnig of the actual treatment. A great number of these patients decided as a consequence of their experiences with the former therapeutic treatments to change not only the therapist but also the form of the psychotherapy. The task was to find out the reasons for this. 25 patients who had changed from one of the Guideline Therapies into a client-centred therapy (CCT) were interviewed about their reasons for this change. It was assumed, that the failing of earlier therapies was caused by a lack of matching between patient and therapist, treatment and disorder in the sense of the Generic Model of Psychotherapy (GMP) conceptualized by Orlinsky and Howard. The results support this hypotheses: For most of these patients CCT turned out to be a necessary and successful alternative to the previous treatments. Most of the patients reported that they responded better to the therapeutic offer of CCT. The reasons mentioned for choosing another form of psychotherapy support the necessity of a differential indication for psychotherapy on the basis of the GMP.     

Separating past and future autobiographical events in memory: Evidence for a reality monitoring asymmetry

After thinking about the past and imagining the future, how do people separate these real and imagined events in memory? We had subjects engage in past and future autobiographical elaboration, then later take memory tests that required them to recollect these earlier generated events. In Experiment 1, testing memory for previously generated past or future autobiographical events led to fewer source memory confusions than did an elaborative control task, suggesting that the distinctive features of autobiographical elaboration improved subsequent retrieval monitoring accuracy. In Experiment 2, we directly compared retrieval monitoring accuracy for previously generated past and future autobiographical events and found that subjects made fewer source confusions when searching memory for future events. This asymmetry suggests that the features characterizing future elaborations (e.g., cognitive operations) were used more effectively during reality monitoring than were the features characterizing past elaborations (e.g., perceptual details), and has implications for future-oriented theories of memory.