The structure of maladaptive personality traits in childhood: a step toward an integrative developmental perspective for DSM-V

The present study describes the construction of a taxonomy of trait-related symptoms in childhood, the Dimensional Personality Symptom Item Pool (DIPSI), and examines the replicability of the taxonomy's higher order structure across maternal ratings of referred (N = 205) and nonreferred (N = 242) children and self-ratings of adolescents (N = 453). The DIPSI's 4 higher order factors--that is, Emotional Instability, Disagreeableness, Introversion, and Compulsivity--showed clear correspondence with the dimensions of personality pathology found in adulthood (Dimensional Assessment of Personality Pathology-Basic Questionnaire; W. J. Livesley, 1990; Schedule for Nonadaptive and Adaptive Personality; L. A. Clark, 1993). These 4 factors can be further organized into 2 superfactors, representing Internalizing and Externalizing Traits, demonstrating empirical and conceptual relationships with psychopathology models in childhood and adulthood. The implications for the assessment and conceptualization of early trait pathology are discussed in the context of an integrative developmental perspective on the construction of the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition.     

Assessing and interpreting personality change and continuity in patients treated for major depression

Structural, mean- and individual-level, differential, and ipsative personality continuity were examined in 599 patients treated for major depression assigned to 1 of 6 forms of a 6-month pharmaco-psychotherapy program. Covariation among traits from the Five Factor model remained invariant across treatment, and patients described themselves as slightly more extraverted, open to experience, agreeable and conscientious, and substantially more emotional stable after treatment. Trait changes were only to a small extent explained by changes in depression severity. There was evidence for differential, individual-level, and ipsative stability, with stable personality profiles in terms of shape and to a lesser extent in terms of scatter and elevation. Traits remain relatively stable, except for emotional stability, despite the depressive state and the psychopharmacological interventions.     

The effects of basal readers on oral language structures: A description of complexity

This report describes preliminary results of a research project to determine the effects of basal readers on productive and responsive (P/R) language. The research population consisted of 25 kindergarten and first-grade children, average age 6 years 4 months. Each child met with the interviewer three times: (1) to elicit a natural language sample, (2) to elicit (P/R) language following oral reading of a basal text, and (3) to elicit (P/R) language following oral reading of a story whose language matched, in complexity and length, their natural language sample. Results indicated that after children read a basal text, P/R language was significantly lower than their natural language. After children read a story whose language matched their natural language, P/R language was not significantly different from their natural language sample. The study implies that basal readers' language structures have a deleterious effect on (P/R) language of readers in their oral reactions to text.     

USE OF NEGATIVE REINFORCEMENT IN THE TREATMENT OF SELF-INJURIOUS BEHAVIOR

Behavioral assessment procedures were used to determine the maintaining conditions of self-injury exhibited by 2 children with severe multiple handicaps. For both children, negative reinforcement (escape from grooming activities) was determined to be the maintaining reinforcer for self-injury (hand/arm biting) within an alternating treatments design. The treatment packages involved the use of negative reinforcement (brief escape from grooming activities) contingent upon a behavior that was incompatible with self-injury (reaching and pressing a microswitch that activated a prerecorded message of “stop”). Treatment was evaluated with a reversal design for 1 child and with a multiple baseline across grooming activities for the 2nd child. The treatment led to a marked decrease in self-injury for both children. At follow-up, high rates of self-injury were reported for the 1st child, but low rates of self-injury and an increase in task-related appropriate behavior were observed for the 2nd child.     

Evaluation of a Measure of Self-Esteem Based on the Concept of Unconditional Self-Regard

A measure of unconditional self-regard (USR) derived from Rogerian (client-centered) theory was evaluated in four studies. Results indicated that USR was highly reliable and was strongly related to other measures of self-esteem and negatively related to depression, anxiety, and symptoms of psychological distress. The measure was significantly related to the control and commitment dimensions of psychological hardiness but not to its challenge dimension. Evidence for discriminant validity was provided by findings that USR was unrelated to social desirability or private self-consciousness. Finally, female students'self-regard was significantly related to the unconditional positive regard they reported receiving from their mothers. Other correlations between self-regard and perceived regard from others, although nonsignificant, were often large in absolute value. Implications for counseling interventions are discussed.     

Effects of setting and number of observations on generalizability of parent-child interactions in childhood obesity treatment

The generalizability of behaviors across observational conditions is a critical issue in behavioral assessment. Generalizability theory was used to examine two aspects of audio recorded parent-child interactions recorded over 6 days of home measurement and 1 day of laboratory measurement in a behavioral treatment program for childhood obesity. Families audiotaped parent-child home meetings during which they reviewed self-monitored diet and exercise records that were coded for the following types of interactions: praise statements, negative statements, prompts for new behaviors, and statements promoting problem solving. A similar meeting was audiotaped in our laboratory. The first question explored was the number of measurements needed to generalize to the universe of the six home measures. Results showed an increase in generalizability over measurements for each behavioral category. Using generalizability coefficients of .60 or more, praise, negative comments and prompts, respectively, could be reliably observed based on 1, 4, or 4 days of measurement. Second, the effects of setting (laboratory versus home) were assessed for 1 day of measurement in each environment. Again using generalizability coefficients of .60, generalizability analysis showed that the lab setting could not be generalized to the home setting based on 1 day of measurement, with generalizability coefficients ranging from .27 for negative comments to .57 for praise. Results suggest that 4 days of behavioral assessment in the home can be used to establish generalizable data for all the dependent measures studied. However, generalizability coefficients suggested that 1 day of laboratory measurement was not adequate to generalize to typical home behavior.This research was supported in part by Grant NIH HD 23713 awarded to the third author.     

Comments on Thomas and Jamison's “a test of the X-linked genetic hypothesis for sex differences on Piaget's water-level task”

In this paper H. Thomas and W. Jamison's (Developmental Review, 1981, 1, 274–283) formulation and evaluation of an X-linked genetic model for explaining male superiority on Piaget's water horizontality task is examined. Criticisms are leveled against (1) the suitability of the model invoked for explaining the sex difference found, (2) the power of the statistical test used to evaluate the model, and (3) the appropriateness of their correction factors. A research strategy for advancing our understanding of the sex difference in performance at this task is suggested.     

Androgyny and sex-typing: Differences in beliefs regarding gender polarity in ratings of ideal men and women

To test Bem's (1979) hypothesis that androgynous and sex-typed individuals are differentiated by the presence or absence of beliefs in “gender polarity,” 200 students rated themselves on the short Bem Sex Role Inventory (BSRI). Of these 200, 20 androgynous women, 20 androgynous men, 20 feminine sex-typed women, and 20 masculine sex-typed men were randomly selected and asked to rate either the ideal woman or the ideal man on the short BSRI. As predicted, androgynous women did not rate the ideal man and woman differently, but, contrary to prediction, neither did feminine-typed women. As predicted, masculine-typed men rated the ideal man and woman differently, but, contrary to prediction, so did androgynous men. Thus, sex rather than sex-role distinguished subjects' beliefs in gender polarity. This finding may reflect women's desires for, and men's fears of, abandoning traditional modes of sex differentiation. The large initial subject pool was necessary because an extremely high percentage of subjects were classified as feminine sex-typed. An apparent feminine bias in the short BSRI is discussed.     

Developmental and Adjustment Issues of Gay, Lesbian, and Bisexual Adolescents: A Review of the Empirical Literature

Various studies have reported adjustment problems experienced by gay, lesbian, and bisexual (GLB) adolescents. A primary purpose of this paper is to critically review this literature. Difficulties that have been studied include past suicide attempts, substance use and abuse, conduct problems, and academic concerns. For example, a considerable number of GLB youth report a history of suicide attempts, with prevalence rates ranging from 11 to 42%. However, among other methodological concerns, studies in this area have not used a comparison sample of heterosexual youths. Characteristics of development particular to GLB adolescents are described, the empirical research on adjustment issues is reviewed, and potential risk and protective factors for GLB youths are discussed.