A psychoanalytically informed hospitalization‐based treatment of personality disorders

This study presents a model of psychic change in personality disorders focusing on three dimensions: felt safety, mentalization and self‐object relations. Based upon this model a hospitalization‐based therapy program was created. Four scales to measure these three dimensions on the Object Relation Interview are discussed: the Felt Safety Scale, the Reflective Functioning Scale and the Bion Grid Scale and the Differentiation‐Relatedness Scale. A naturalistic symptom outcome study of the program showed a large effect on both symptoms and personality functioning. Furthermore, trajectory based on pre‐treatment patient characteristics (i.e., anaclitic versus introjective personality styles). Importantly, we also found a relation between symptomatic and personality change and change in felt safety and object relations. At 5‐year follow‐up, patients showed sustained improvement in symptomatic distress and further improvement in terms of personality and interpersonal functioning.     

Personality prototypes in eating disorders based on the Big Five model

A three factor model of personality pathology was investigated in a clinical sample of 335 female eating disordered patients. Cluster analysis of the Big Five NEO-FFI scales (Costa & McCrae, 1992) yielded three distinct personality profiles, which were consistent with previous studies: (1) a resilient/high functioning cluster with no clinical elevations on the NEO-FFI scales; (2) an undercontrolled/emotionally dysregulated cluster with elevated scores on the Neuroticism scale and low scores on Conscientiousness and Agreeableness; (3) an overcontrolled/constricted cluster showing high scores on Neuroticism and Conscientiousness and low scores on Openness to Experience. Comparing the three personality prototypes with respect to Axis I and Axis II disorders,resilients reported systematically less clinical and personality problems than both undercontrollers and overcontrollers. Compared to the latter, undercontrollers showed more impulsive personality features and behaviors. Finally, cluster membership was not clearly associated with eating disorder subtypes, suggesting that there is considerable variance in personality features and/or pathology within the various eating disorder categories.     

The relationship between personality organization as assessed by theory-driven profiles of the Dutch Short Form of the MMPI and self-reported features of personality organization

In this study, we investigated the relationships between features of personality organization (PO) as assessed by theory driven profiles of the Dutch Short Form of the MMPI (DSFM; Luteijn & Kok, 1985) and 2 self-report measures of personality pathology, that is, the Dutch Inventory of Personality Organization (Berghuis, Kamphuis, Boedijn, & Verheul, 2009) and the Dutch Schizotypy Personality Questionnaire-Revised (Vollema & Hoijtink, 2000), in a sample of 190 outpatient psychiatric patients. Results showed that the single scales of all 3 measures segregated into 2 theoretically expected and meaningful dimensions, that is, a dimension assessing severity of personality pathology and an introversion/extraversion dimension. Theory-driven combinations of single DSFM subscales as a measure of level of PO distinguished characteristics of patients at various levels of PO in theoretically predicted ways. Results also suggest that structural personality pathology may not be fully captured by self-report measures.     

Music is What Feelings Sound Like: The Role of Tonal and Atonal Music in Unethical Behavior

Governments and societies often have condemned music as being “indecent” and encouraging people to act unethically. Despite these accusations, research did not previously address the link between music and unethical acts. Here we argue that music may signal what is appropriate or inappropriate, hence moral behavior. We focus on the distinction between tonal and atonal music to examine the relation of music with unethical behavior. Results from an experimental study showed that harmonic or tonal music encouraged unethical behavior in adolescents and this was mediated by negative affect. Our findings suggest that music plays an integral role in driving (im)moral behavior.     

Attachment and Religion: The Need to Leave Our Secure Base: A Comment on the Discussion Between Granqvist,Rizzuto, and Wulff

Human stem cell research has revived long-standing debates regarding the sanctity and beginning of life. The current study addresses the issue by examining the ability of selected religiosity and personality variables to predict attitudes regarding stem cell research. Participants were given questionnaires measuring attitudes regarding stem cell research, along with the Need for Closure scale, the Internal Control Index, the Need for Uniqueness scale, religious orientation scales, and the Literal-Antiliteral-Mythological scale. Results indicate that those who hold more traditional religious beliefs are likely to oppose stem cell research for moral reasons, whereas those who have a more open-ended approach to religion are likely to be in favor of such research. Results also showed that personality variables were helpful in predicting people's confidence in institutions' ability to manage the ethical questions surrounding such research.     

Validation of a Theory-Driven Profile Interpretation of the Dutch Short Form of the MMPI Using the TAT Social Cognitions and Object Relations Scale (SCORS)

Sixty psychiatric inpatients were assigned to one of three groups on the basis of F and K MMPI validity scales. Staff ratings of patient behavior and recorded incidents of "acting-out" behavior were obtained for patients with: (a) "plea for help" validity profiles, (b) hyper-defensive profiles, and (c) average profiles. Patients with "plea for help"profiles were perceived as "acting out" more frequently and engendering more feelings of frustration than patients in the other groups. These patients account for 77% of the incidents of inappropriate, destructive behavior and 83% of the seclusions in the patients sampled. Although the "plea for help"profile is considered invalid in some scoring systems, results suggest that this validity profile may be useful in treatment planning.     

The role of Dependency and Self-Criticism in the relationship between anger and depression

This study explored the role of Dependency and Self-Criticism, two personality dimensions conferring vulnerability for depression, in explaining relationships among anger, anger regulation strategies, and severity of depression in a sample of adults (n = 253) using Structural Equation Modeling (SEM). Dependency was associated with high levels of trait anger, the turning of anger towards the self, and low levels of anger directed towards others. Self-Criticism was associated with high levels of both state and trait anger, low anger control, and high levels of anger towards the self and others. Moreover, turning anger towards the self mediated the relationship among both Dependency and Self-Criticism and severity of depression. Problems with anger control also mediated the relationship between Self-Criticism and severity of depression. These findings suggest that Self-Criticism may be closely related to angry/hostile features in depression, while dependency may be more closely associated with the turning of anger towards the self. Although this study was cross-sectional and self-reports of anger might be biased by impression management, results suggest that these personality factors should be taken into account in both research on and treatment of anger in depression.     

Investigating the Effects of a Persuasive Digital Game on Immersion,Identification, and Willingness to Help

Abstract

Recent years have seen a tremendous rise in the development and distribution of persuasive games: digital games that are used to influence players’ attitudes and/or behavior. Three studies (N_{Study 1}?=?134; N_{Study 2}?=?94; N_{Study 3}?=?161) tested the effects of a persuasive game on immersion, identification, and willingness to help. The results showed that playing the persuasive game did not result in substantially stronger willingness to help, relative to the control conditions. Video and printed text resulted in more immersion than the digital game, but playing the game resulted in substantially higher perceptions of embodied presence.