Patient Personality and Relational Patterns in Psychotherapy: Factor Structure,Reliability, and Validity of the Psychotherapy Relationship Questionnaire

The aim of this study was to examine the factor structure and the psychometric properties of the Psychotherapy Relationship Questionnaire (PRQ; Bradley, Heim, &; Westen, 2005 Bradley, R., Heim, A. K., &; Westen, D. (2005). Transference patterns in the psychotherapy of personality disorders: Empirical investigation. The British Journal of Psychiatry, 186, 342–349. doi:10.1192/bjp.186.4.342[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), a clinician report instrument that measures a wide spectrum of thoughts, feelings, motives, conflicts, and behaviors expressed by patients toward their therapists in psychotherapy. A national sample of psychiatrists and clinical psychologists (N = 314) of different theoretical orientations completed the PRQ, as well as the Shedler–Westen Assessment Procedure–200 (SWAP–200; Westen &; Shedler, 1999a Westen, D., &; Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.[PubMed], [Web of Science ®] , [Google Scholar], 1999b Westen, D., &; Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.[PubMed], [Web of Science ®] , [Google Scholar]) to assess the personality of a patient in their care. Factor-analytic procedures identified 6 transference dimensions that showed excellent internal consistencies: (a) hostile, (b) positive/working alliance, (c) special/entitled, (d) anxious/preoccupied, (e) avoidant/dismissing attachment, and (f) sexualized. Factor scores were significantly related to patients’ personality characteristics and psychological functioning, regardless of the clinicians’ orientations. The findings support that the PRQ is a valid and reliable tool for evaluating the patients’ relational patterns emerging in clinical practice in a clinically coherent and psychometrically robust way. Clinicians’ careful understanding of these patterns can be very useful for making accurate diagnostic formulations, as well as for providing a roadmap for effective therapeutic intervention.     

HPA-Axis Activation as a Key Moderator of Childhood Trauma Exposure and Adolescent Mental Health

Individual differences in a child’s sensitivity to stress may influence whether youth exposed to trauma develop symptoms of psychopathology. We examined the interaction between HPA-axis reactivity to an acute stressor and exposure to different types of childhood trauma as predictors of mental health symptoms in a sample of youth. Youth (n?=?121, ages 9–16; 47% female) completed a standardized stress task, including 5 post-stress salivary cortisol samples. Parents also completed the Child Behavior Checklist as a measure of child internalizing and externalizing symptoms in the past month, and completed the Early Trauma Inventory (ETI) as a measure of their child’s trauma exposure. More emotional abuse and non-intentional trauma were associated with greater internalizing symptoms. Youth exposed to physical abuse who demonstrated slower HPA-axis reactivity had elevated internalizing and externalizing symptoms. Youth exposed to emotional abuse or non-intentional traumatic events who demonstrated faster HPA-axis reactivity had elevated internalizing and externalizing symptoms. Profiles of exaggerated or attenuated HPA-axis reactivity to acute stress may be risk factors for psychopathology in children facing different stressful social environments.     

Pigeons play the percentages: computation of probability in a bird

The ability to compute probability, previously shown in nonverbal infants, apes, and monkeys, was examined in three experiments with pigeons. After responding to individually presented keys in an operant chamber that delivered reinforcement with varying probabilities, pigeons chose between these keys on probe trials. Pigeons strongly preferred a 75% reinforced key over a 25% reinforced key, even when the total number of reinforcers obtained on each key was equated. When both keys delivered 50% reinforcement, pigeons showed indifference between them, even though three times more reinforcers were obtained on one key than on the other. It is suggested that computation of probability may be common to many classes of animals and may be driven by the need to forage successfully for nutritional food items, mates, and areas with a low density of predators.     

Attention without awareness: Attentional modulation of perceptual grouping without awareness

Perceptual grouping is the process through which the perceptual system combines local stimuli into a more global perceptual unit. Previous studies have shown attention to be a modulatory factor for perceptual grouping. However, these studies mainly used explicit measurements, and, thus, whether attention can modulate perceptual grouping without awareness is still relatively unexplored. To clarify the relationship between attention and perceptual grouping, the present study aims to explore how attention interacts with perceptual grouping without awareness. The task was to judge the relative lengths of two centrally presented horizontal bars while a railway-shaped pattern defined by color similarity was presented in the background. Although the observers were unaware of the railway-shaped pattern, their line-length judgment was biased by that pattern, which induced a Ponzo illusion, indicating grouping without awareness. More importantly, an attentional modulatory effect without awareness was manifested as evident by the observer’s performance being more often biased when the railway-shaped pattern was formed by an attended color than when it was formed by an unattended one. Also, the attentional modulation effect was shown to be dynamic, being more pronounced with a short presentation time than a longer one. The results of the present study not only clarify the relationship between attention and perceptual grouping but also further contribute to our understanding of attention and awareness by corroborating the dissociation between attention and awareness.

     

Independence between implicit and explicit processing as revealed by the Simon effect

Studies showing human behavior influenced by subliminal stimuli mainly focus on implicit processing per se, and little is known about its interaction with explicit processing. We examined this by using the Simon effect, wherein a task-irrelevant spatial distracter interferes with lateralized response. Lo and Yeh (2008) found that the visual Simon effect, although it occurred when participants were aware of the visual distracters, did not occur with subliminal visual distracters. We used the same paradigm and examined whether subliminal and supra-threshold stimuli are processed independently by adding a supra-threshold auditory distracter to ascertain whether it would interact with the subliminal visual distracter. Results showed auditory Simon effect, but there was still no visual Simon effect, indicating that supra-threshold and subliminal stimuli are processed separately in independent streams. In contrast to the traditional view that implicit processing precedes explicit processing, our results suggest that they operate independently in a parallel fashion.     

Evaluating risk propensity using an objective instrument

Risk propensity is the stable tendency to choose options with a lower probability of success, but greater rewards. Its evaluation has been approached from various perspectives: from self-report questionnaires to objective tests. Self-report questionnaires have often been criticized due to interference from voluntary and involuntary biases, in addition to their lack of predictive value. Objective tests, on the other hand, require resources that make them difficult to administer to large samples. This paper presents an easy-to-administer, 30-item risk propensity test. Each item is itself an objective test describing a hypothetical situation in which the subject must choose between three options, each with a different gain function but equivalent in expected value. To assess its psychometric fit, the questionnaire was administered to 222 subjects, and we performed a test of its reliability as well as exploratory factor analysis. The results supported a three-factor model of risk (Sports and Gambling, Long-term Plans, and Loss Management). After making the necessary adjustments and incorporating a global factor of risk propensity, confirmatory factor analysis was done, revealing that the data exhibited adequate goodness of fit.     

Hegemonic and polemical beliefs: culture and consumption in the social representation of wine

Wine, in France, is a cultural product. However, the issue of wine consumption has been at the centre of a recurring social debate. We decided to focus our study on the effect of consumption practices on this social representation as well as the variations in position-taking in very different normative contexts. Results revealed two distinct social representations according to consumption practice. Moreover, Guttman effect in principal component analysis uncovered a unique phenomenon which showed that participants (consumer vs. non consumer) were inclined to act differently only in the case of polemical issues when they perceived the investigator as a consumer vs. non consumer. Indeed, in the case of hegemonic beliefs they were inclined to act in the same way and their answers were not influenced by the status of the investigator. Results are discussed around the question of the links between social representations and social identity.     

The interplay of spatial attention and memory: evidence for memory-driven spatial compatibility effects, but not for a facilitating role of attention in memory retrieval

The visual indexing theory proposed by Zenon Pylyshyn (Cognition, 32, 65-97, 1989) predicts that visual attention mechanisms are employed when mental images are projected onto a visual scene. Recent eye-tracking studies have supported this hypothesis by showing that people tend to look at empty places where requested information has been previously presented. However, it has remained unclear to what extent this behavior is related to memory performance. The aim of the present study was to explore whether the manipulation of spatial attention can facilitate memory retrieval. In two experiments, participants were asked first to memorize a set of four objects and then to determine whether a probe word referred to any of the objects. The results of both experiments indicate that memory accuracy is not affected by the current focus of attention and that all the effects of directing attention to specific locations on response times can be explained in terms of stimulus-stimulus and stimulus-response spatial compatibility.     

Serotonin transporter (5-HTTLPR) genotype, childhood abuse, and suicide attempts in adult psychiatric inpatients

There is growing evidence that a functional polymorphism in the serotonin transporter gene (5-HTTLPR) moderates the impact of negative life events (e.g., childhood abuse) on the development of depression. However, it is unclear whether the gene x environment interaction predicts suicide attempts specifically. In addition, previous studies have not examined different forms of childhood abuse separately. In the current study, we found that 5-HTTLPR genotype moderated the link between childhood physical and sexual, but not emotional, abuse and adult psychiatric inpatients' histories of suicide attempts.     

Openness to experience and boundaries in the mind: relationships with cultural and economic conservative beliefs

The present research investigates whether Openness to Experience and Boundaries in the mind are related to conservatism. In the first study, significant relationships between several scales of the Boundaries in the mind questionnaire and indicators of conservative beliefs were obtained in an adult sample (N=78) as well as in a sample of political party activists (N=44). In the second study, these negative relationships between conservatism and thin boundaries were replicated in an adult sample (N=225). Moreover, two dimensions representing Boundaries in the mind were identified, one positively related to Openness to Experience and negatively to conservatism and the second showing high positive correlations with Neuroticism. The exceptionally strong correlations between conservatism and the Boundaries in the mind facet scales Opinions about organizations, Opinions about beauty, truth, Edges, lines, clothing and Opinions about peoples, nations, groups are discussed, as well as the weak relationships between economic conservatism and Openness to Experience.