The "good enough" mood stabilizer: a review of the clinical evidence

A growing family of medications is used for mood stabilization in bipolar disorder. These medications fall into two broad categories according to likely mechanisms of action. Within the categories, specific drugs may vary in their efficacy for different phases of the disorder. The first category, including lithium, anticonvulsants, and some novel treatments, appears to have mechanisms related to intracellular second messengers. These medications have more pronounced antimanic than antidepressant effects, except for lamotrigine, which has antidepressant effects without precipitating mania. The second group of mood stabilizers is the atypical antipsychotics, which act through dopamine and other monoamines. Olanzapine and in all likelihood other drugs in the class possess marked, acute antimanic properties and possible antidepressant properties, but require further study before they can be used as routine options in long-term care. It is clear that the advent of multiple mood stabilizer candidates has not yet led to a single ideal therapy for bipolar disorder, but rather to options that can be flexibly tailored to the lifetime needs of individual patients, in sequences or combinations, and perhaps in conjunction with other classes of psychotropics.     

Is REBT Marginalized?: A Survey of Counselor Educators

A questionnaire of 200 counselor educators assessed the marginalization of REBT in their preferred personal theory and in teaching. REBT was marginalized in personal theory although three quarters were influenced by REBT in their theory of choice. REBT was not marginalized in teaching and a majority noted teaching REBT in classes. Reasons for marginalization, or objections to REBT were factored into three categories: preference for another theory, deficiencies in REBT theory, and deficiencies in REBT application. Recommendations are given to address marginalization.     

Measuring emotional expression with the Linguistic Inquiry and Word Count

The Linguistic Inquiry and Word Count (LIWC) text analysis program often is used as a measure of emotion expression, yet the construct validity of its use for this purpose has not been examined. Three experimental studies assessed whether the LIWC counts of emotion processes words are sensitive to verbal expression of sadness and amusement. Experiment 1 determined that sad and amusing written autobiographical memories differed in LIWC emotion counts in expected ways. Experiment 2 revealed that reactions to emotionally provocative film clips designed to manipulate the momentary experience of sadness and amusement differed in LIWC counts. Experiment 3 replicated the findings of Experiment 2 and found generally weak relations between LIWC emotion counts and individual differences in emotional reactivity, dispositional expressivity, and personality. The LIWC therefore appears to be a valid method for measuring verbal expression of emotion.     

Lessons learned: challenges in applying current constraints on research on chimpanzees to other animals

The Institute of Medicine (IOM) Committee on the Necessity of the Use of Chimpanzees in Biomedical and Behavioral Research made a series of recommendations that, as of an announcement on June 26, 2013, the National Institutes of Health (NIH) is turning into implemented guidelines. Many advocates, including some researchers and scholars, have suggested that the Committee’s recommendations could be applied successfully to other animal species. This article examines, from my perspective as the IOM Committee’s chair, some of the most important features of the Committee’s work, addresses whether chimpanzees represent a special or unique case for the purpose of research policy, and suggests an approach for evaluating the applicability of the Committee’s recommendations for other animal species used in research. I first present my perspective on the features of the Committee’s work that influenced its approach and conclusions. I then argue that despite the fact that chimpanzees represent a somewhat unique case for restricted research use, their case still offers important lessons for policy regarding the use of other species. Finally, I offer some observations regarding the recommendations and implications of the report from the NIH Working Group charged with crafting guidelines for implementing the IOM Committee’s recommendations.     

Emotional intelligence in incarcerated men with psychopathic traits

The expression, recognition, and communication of emotional states are ubiquitous features of the human social world. Emotional intelligence (EI) is defined as the ability to perceive, manage, and reason about emotions, in oneself and others. Individuals with psychopathy have numerous difficulties in social interaction and show impairment on some emotional tasks. Here, the authors investigate the relation between EI and psychopathy in a sample of incarcerated men (N = 374), using the Psychopathy Checklist-Revised (PCL-R; Hare, 2003) and the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT; Mayer, Salovey, & Caruso, 2002). The MSCEIT is a well-validated ability-based EI measure that does not rely on self-report judgments of emotional skills. The Hare PCL-R is the gold standard for the assessment of psychopathy in clinical populations. Controlling for general intelligence, psychopathy was associated with lower EI. These findings suggest individuals with psychopathy are impaired on a range of EI abilities and that EI is an important area for understanding deficits in psychopathy.     

Aspects of narcissism and symbiosis, or, essential neurosis of twins

Following a brief introduction I address the relationships of twins from five different perspectives: the Intimate Connection, the Mirror Image and Complementarity, Object- and Self-Representation, Self and Object or Rivalry, and Intersubjective Communication. This approach attempts to understand twin relationships and the individual development of twins in terms of their intense mutual dependence, akin to infantile symbiosis, and in terms of narcissism. In their similarity to each other, twins may choose each other as love objects even as they see themselves in the other. That is, a twin may "love what he himself is" or "someone who was once part of himself." This "type of object-choice … must be termed 'narcissistic'" (Freud, 1914, pp. 90, 88). Such "cathexis of an undifferentiated self-object" is considered to be "primary narcissism" (Burstein, 1977, p. 103). Hoffer (1952) describes primary narcissism as "the lack of all qualities discriminating between self and not-self, inside and outside" (p. 33).     

Interpreter Bias on the Rorschach Test as a Function of Patients' Socioeconomic Status

Hypotheses investigated were: Rorschach interpretation would indicate more negative and pathological factors for patients with lower-class, than for patients with middle-class social histories; and experienced interpreters would be less biased than inexperienced ones. Groups of experts (Fellows of the Society for Projective Techniques) and novices (graduate students) rated the same protocols; a) blind, b) accompanied by a lower-class history, c) accompanied by a middle-class history, on 21 objective scales. Addition of social-class information significantly influences judgments in the predicted directions. Much of the effect was attributable to the novice Rorschachers but the experts were not entirely free of the biasing effect.     

Variety Seeking,Satiation, and Maximizing Enjoyment Over Time

In this article, we examine the different ways in which consumers balance their consumption behavior in order to maximize utility. In particular, we focus on how people balance repeating the same options with the decision to seek variety. While earlier research represented variety seeking as a means of reducing physical satiation (McAlister, 1982), more recent research suggests that the relationship between choosing variety and minimizing satiation is more complex, as these behaviors may be motivated and influenced by exogenous factors. Past reviews have largely looked at the two processes separately. In this article, we discuss the nuanced relationship between these two constructs and point to future research directions that may help us further understand how consumers tackle the everyday challenge of maximizing enjoyment over time.