Personality pathology among individuals with a lifetime history of anorexia nervosa

Anorexia nervosa (AN) appears to be associated with certain personality features. The degree to which personality pathology persists after the acute phase of illness is unclear. This study aimed to investigate personality pathology in a large sample (n = 153) of women with histories of AN using the Dimensional Assessment of Personality Pathology (DAPP) and to evaluate the persistence of pathological personality features by comparing women with acute (n = 83) and remitted AN (n = 55). Women with AN demonstrated high levels of emotional dysregulation, social inhibition and compulsivity relative to age-matched healthy women (n = 124). Identity problems, intimacy problems and schizotypal features were highlighted as important. The same 14 pathological personality dimensions were significantly elevated in both ill and remitted participants, though remitted individuals' scores were reduced on 4 of the subscales. These results indicate that pathological personality features in AN are persistent traits, although some features may become exaggerated in the acute phase.     

“Nothing About Me, Without Me”: Participatory Action Research with Self-Help/Mutual Aid Organizations for Psychiatric Consumer/Survivors

Participatory action research with self-help/mutual aid organizations for psychiatric consumer/survivors is reviewed. We begin by tracing the origins of and defining both participatory action research and self-help/mutual aid. In so doing, the degree of correspondence between the assumptions/values of participatory action research and those of self-help/mutual aid for psychiatric consumer/survivors is examined. We argue that participatory action research and self-help/mutual aid share four values in common: (a) empowerment, (b) supportive relationships, (c) social change, and (d) learning as an ongoing process. Next, selected examples of participatory action research with psychiatric consumer/survivor-controlled self-help/mutual aid organizations which illustrate these shared values are provided. We conclude with recommendations of how the key values can be promoted in both the methodological and substantive aspects of future participatory action research with self-help/mutual aid organizations for psychiatric consumer/survivors.     

Defensive aggression in terns: Discrimination and response to individual researchers

The defensive responses of roseate terns (Sterna dougallii) were studied during the middle of the breeding season when all reproductive stages (incubation, chick-hatching, chick-rearing) were represented, to determine the factors affecting levels of nest defense and whether terns responded differently towards a familiar versus an unfamiliar researcher. Defensive aggression generally varied as a function of researcher identity, time of day, section or location in the colony and nest density. These variables explained from 60 to 66% of the variation in defensive aggression. More terns mobbed one researcher with more dive attacks than the other researcher. Terns were more aggressive in areas where the chicks had just hatched and were most vulnerable. © 1993 Wiley-Liss, Inc.     

Shortage of highly skilled workers in Hong Kong and policy responses

As Hong Kong develops into a knowledge-based economy, there is a strong increase in demand for highly educated and highly skilled workers. At the same time, many other countries are also experiencing shortages of highly-skilled workers as the development of hi-tech and information technology sectors have become an international trend. In this article, we study the changes in demand and supply of highly-skilled workers in Hong Kong and analyse the role that natural population growth, immigration, emigration, and return migration play in relation to the supply of highly-skilled workers. We also give an account of the policy responses of the government of the Hong Kong Special Administrative Region in its attempt to attract highly-skilled professionals as well as the challenges facing Hong Kong in the light of keen international competition.     

Pilot randomised controlled trial of counselling in a community mental health setting: Pitfalls and learnings

The establishment of counselling and psychotherapy as “evidence‐based” interventions is contingent on the effective implementation of randomised controlled trials (RCTs) in real‐world clinical settings. This paper identifies some of the pitfalls that led to the termination of a practical RCT in a community mental health setting. It reflects upon the significance of the lessons learned by drawing on similar challenges that are documented in the wider literature. Issues surrounding staff turnover, counsellor engagement and procedural clarity are discussed, as is the conflict between the time required for research procedures and counsellors’ clinical time constraints. In our recommendations, we recognise the decisive role of collaboration and counsellor motivation in research partnerships, and the significance of clinical relevance, communication, training and research co‐production in achieving them. Time commitment is identified as the pivotal challenge in the formation and maintenance of collaborative research, but one that also must be overcome for the advancement of the counselling and psychotherapy field.     

Interval recording for duration events: a re‐evaluation

In two experiments, events that were recorded using continuous duration recording (CDR) were rescored using 10‐s partial interval (PIR), 10‐s momentary time sampling (MTS) and 20‐s MTS. Results of Experiment 1 showed that data paths generated by each interval method produced conclusions about functional control that were similar to those based on CDR when using reversal designs; however, for multielement designs, 10‐s PIR was prone to showing differentiation between data paths that was not evident with CDR. Results of Experiment 2 showed that both 10‐s and 20‐s MTS yielded data paths on behavior–behavior relations (e.g., covarying responses) that were consistent with CDR whereas 10‐s PIR produced some behavior–behavior patterns that were not. In both experiments, 10‐s MTS generated data paths that were nearly identical to the respective CDR data paths. The implications of these findings for researchers and clinicians are briefly discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Emergency Research without Consent under Polish Law

Although Directive 2001/20/EC of the European Parliament and of Council of 4 April 2001 on the approximation of the laws regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use does not contain an exception for emergency situations, and requires the informed consent of a legal representative in all cases where research is conducted on legally competent individuals who are unable to give informed consent, in Poland, emergency research can be conducted without consent. Polish regulations on emergency research can hardly be treated as a result of intentional legislative policy. Our provisions arise from multiple and sophisticated interpretations of different regulations that govern medical experiments on human subjects and clinical trials. These interpretations can be summarized as follows: (1) There are two categories of medical experiments: therapeutic and non-therapeutic experiments. Emergency research without consent may be conducted in the category of therapeutic experiment only (therapeutic experiment consists of the introduction by the physician of new or only partially proven diagnostic, therapeutic or preventive methods in order to achieve direct benefit to the health of the patients, and it can be carried out when hitherto applied methods were ineffective or their effectiveness was insufficient). (2). Emergency research may be conducted without consent if there is a situation of great urgency in which the research subject's life is in danger and there is no possibility of obtaining immediate consent from the research subject him or herself, or from his or her legal representative or guardianship court, and the research subject has not refused to give consent for the participation in an emergency therapeutic experiment. The legal representative or guardianship court shall be provided with all the relevant information concerning subject's participation in an experiment as soon as possible. All projects of emergency research with intent to be done without the research subject's consent must be approved by an independent bioethics committee. Because these five requirements seem to provide insufficient protection for a subject's autonomy and rights it is necessary to add to them two other conditions: (1) the emergency research could not be conducted using other research participants capable of giving informed consent; and (2) informed consent for continued participation in the emergency research shall be obtained from either the participant him or herself or the legally authorized representative as soon as possible (requirement of obtaining deferred consent). A consolidated single Act that will govern all aspects of medical experiments on human subjects, including emergency research, should be prepared and enacted as soon as possible.