Personality and Physical Health: An Introduction

This article provides a rationale for research on personality as a contributing factor in the development of physical disease. A brief history of major developments from the 1930s to the present is then provided. Special attention is given to shifts in conception regarding whether particular dispositions are related to specific physical disorders or whether these dispositions increase general illness susceptibility. The paper ends with a brief orientation to the other papers and commentaries in this special issue.     

Neighborhood effects in visual word recognition: Facilitatory or inhibitory?

In five experiments, in which subjects were to identify a target word as it was gradually clarified, we manipulated the target's frequency of occurrence in the language and its neighborhood size—the number of words that can be constructed from a target word by changing one letter, while preserving letter position. In Experiments 1–4, visual identification performance to screen-fragmented words was measured. In Experiments 1 and 2, we used the ascending method of limits, whereas Experiments 3 and 4 presented a fixed-level fragment. In Experiment 1, there was no relation between overall accuracy and neighborhood size for-words-between three and six letters in length. However, more errors of commission (guesses) were made for high-neighborhood words and more errors of omission (blanks) were made for low-neighborhood words. Letter errors within guesses occurred at serial positions having many neighbors, and these positions were also likely to contain consonants rather than vowels. In Experiment 2, a smallfacilitatory effect of neighborhood size on bothhigh- and low-frequency words was found. In contrast, in Experiments 3 and 4, using the same set of words,inhibitory effects of neighborhood size, but only for low-frequency words, were found. Experiment 5, using a speeded identification task, showed results parallel to those of Experiments 3 and 4. We suggest that whether neighborhood effects are facilitatory or inhibitory depends on whether feedback allows subjects to disconfirm initial hypotheses that the target is a high-frequency neighbor.     

Bereavement after a Physician-Assisted Suicide: A Speculation Based on Theory

Despite the recent Supreme Court ruling upholding the ban on physician-assisted suicide, the practice continues in the United States. A majority of Americans support physician-assisted suicide, and several surveys document its use by physicians and nurses. This article explores the anticipated bereavement experience of significant survivors following a physician-assisted suicide. Theoretical approaches to bereavement frame the discussion of possible reactions to suicidal death: (1) psychodynamic, (2) attachment theory, (3) crisis theory, and (4) cognitive theory. Three case scenarios illustrate potential survivor reactions, with suggested intervention approaches.     

The diagnostic fallacy: A critique of Jane Mercer's concept of mental retardation

Jane Mercer's influential book on mental retardation is criticized because it essentially reverts to traditional “diagnosticism”—the assumption that retardation is an entity of biological origin and unfavorable sequelae, rather than a set of behaviors stemming from a diversity of causes. It is argued that this view point is fallacious because it is oversimplified and educationally irrelevant. Instruction is rarely affected by knowledge of original etiology, and therefore elaborate pluralistic assessment procedures designed to unravel cause are not helpful. Criteria and instruments appropriate for classification are discussed in terms of the purposed to be served by school designations.     

Trauma,personality disorders and chronic depression – the role of the conversational model of psychodynamic psychotherapy in treatment resistant depression

Objective: To report preliminary data describing the interim treatment outcome of 44 patients referred with treatment-resistant depression (TRD), comorbid personality disorders and histories of early childhood trauma using the Conversational Model (CM) of psychodynamic psychotherapy. Method: Patients (N = 44), 13 males and 31 females with long histories of depression ranging from 2 to 30 years, resistant to multiple trials of treatment, were referred by mental health practitioners, including psychiatrists. They were treated with twice weekly CM psychotherapy by multidisciplinary trainees and supervised by experienced trained clinicians. Questionnaires were administered at assessment and at 12 months to assess symptoms, functioning, self-esteem, history of trauma, personality functioning and suicidality. In this preliminary study, there was no separate control group, and patients served as their own controls. Results: Patients with TRD were found to have comorbid severe personality disorders and histories of early childhood trauma. Significant improvement in symptoms, self-esteem, functioning and suicidality was noted after 12 months. Conclusion: Patients responded with symptomatic and functional improvement to twice weekly CM therapy.     

Does Theory of Mind in Pre-kindergarten Predict the Ability to Think About a Reader’s Mind in Elementary School Compositions? A Longitudinal Study

A critical skill in emergent writing is the developing ability to take the perspective of different readers; however, the precursors of this skill have not yet been identified. In this longitudinal study, 105 children (90 after attrition) were tested at 3 time points: pre-kindergarten (3–4 years old, n = 105), kindergarten (5 years old, n = 97), and Grade 1 (6–7 years old, n = 90). Theory of mind (ToM) in pre-kindergarten significantly predicted children’s awareness of a reader’s epistemic state when they dictated letters in both kindergarten and Grade 1 even after controlling for language (Peabody Picture Vocabulary Task [PPVT]) and inhibitory control. In addition, ToM in pre-kindergarten remained a significant predictor of reader awareness in Grade 1 after further controlling for reader awareness in kindergarten. There was little relationship between higher-order ToM tasks in kindergarten and reader awareness, but higher-order ToM in Grade 1 concurrently predicted reader awareness. Receptive vocabulary (PPVT) was significantly related to reader awareness at all time points, longitudinally and concurrently. This study has both theoretical implications for the relationship between ToM and emergent literacy and practical implications for the early identification and remediation of children at risk for later writing difficulties.