Distinguishing general and specific personality disorder features and implications for substance dependence comorbidity

Clinical and population-based samples show high comorbidity between Substance Use Disorders (SUDs) and Axis II Personality Disorders (PDs). However, Axis II disorders are frequently comorbid with each other, and existing research has generally failed to distinguish the extent to which SUD/PD comorbidity is general or specific with respect to both specific types of PDs and specific types of SUDs. We sought to determine whether ostensibly specific comorbid substance dependence-Axis II diagnoses (e.g., alcohol use dependence and borderline personality disorder) are reflective of more pervasive or general personality pathology or whether the comorbidity is specific to individual PDs. Face-to-face interview data from Wave 1 and Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were analyzed. Participants included 34,653 adults living in households in the United States. We used hierarchical factor models to statistically partition general and specific personality disorder dimensions while simultaneously testing for specific PD-substance dependence relations. Results indicated that substance dependence-Axis II comorbidity is characterized by general (pervasive) pathology and by Cluster B PD pathology over and above the relationship to the general PD factor. Further, these relations between PD factors and substance dependence diagnoses appeared to largely account for the comorbidity among substance dependence diagnoses in the younger but not older participants. Our findings suggest that a failure to consider the general PD factor, which we interpret as reflecting interpersonal dysfunction, can lead to potential mischaracterizations of the nature of certain PD and SUD comorbidities.     

Clarifying boundaries of binge eating disorder and psychiatric comorbidity: a latent structure analysis

Binge eating disorder (BED) presents with substantial psychiatric comorbidity. This latent structure analysis sought to delineate boundaries of BED given its comorbidity with affective and anxiety disorders. A population-based sample of 151 women with BED, 102 women with affective or anxiety disorders, and 259 women without psychiatric disorders was assessed with clinical interviews and self-report-questionnaires. Taxometric analyses were conducted using DSM-IV criteria of BED and of affective and anxiety disorders. The results showed a taxonic structure of BED and of affective and anxiety disorders. Both taxa co-occurred at an above-chance level, but also presented independently with twice-as-large probabilities. Within the BED taxon, diagnostic co-occurrence indicated greater general psychopathology, lower social adaptation, and greater premorbid exposure to parental mood and substance disorder, but not greater eating disorder psychopathology. Eating disorder psychopathology discriminated individuals in the BED taxon from individuals in the affective and anxiety disorders taxon. Diagnostic criteria of BED were more indicative of the BED taxon than were criteria of affective and anxiety disorders. The results show that at the latent level, BED was co-occurring with, yet distinct from, affective and anxiety disorders and was not characterized by an underlying affective or anxiety disorder.     

The accidental transgressor: morally-relevant theory of mind

To test young children’s false belief theory of mind in a morally relevant context, two experiments were conducted. In Experiment 1, children (N = 162) at 3.5, 5.5, and 7.5 years of age were administered three tasks: prototypic moral transgression task, false belief theory of mind task (ToM), and an “accidental transgressor” task, which measured a morally-relevant false belief theory of mind (MoToM). Children who did not pass false belief ToM were more likely to attribute negative intentions to an accidental transgressor than children who passed false belief ToM, and to use moral reasons when blaming the accidental transgressor. In Experiment 2, children (N = 46) who did not pass false belief ToM viewed it as more acceptable to punish the accidental transgressor than did participants who passed false belief ToM. Findings are discussed in light of research on the emergence of moral judgment and theory of mind.     

Ambivalence toward mothers who kill: an examination of 45 U.S. cases of maternal neonaticide

Public opinion about neonaticide (the killing of a newborn within the first 24 hours of life) has varied across time and cultures. Some nations have passed legislation on behalf of maternal offenders with the assumption that childbirth, a time of unique biological change, may lead to mental disturbance. The United States, however, makes no such distinction; offenders are prosecuted under general homicide laws. Nevertheless, U.S. courts often consider a mother's emotional and physical condition prior to and during delivery. This study includes 44 female offenders and 45 infant deaths and highlights society's ambivalence toward neonaticide offenders. The authors suggest that this ambivalence may be attributed to: (1) the perception that an offender's emotional and physical turmoil during the birth and homicide reduces her culpability; (2) the sentiment that neonaticide offenders are more "redeemable" than other offenders; and (3) the uncertainty about the personhood of a fetus or newborn.     

The influence of heightened body‐awareness on walking through apertures

The reported study measured the ratio between aperture‐width and hip‐width that marked the critical transition from frontal walking to body rotation for male and female participants. Half of the participants of each sex wore form‐fitting lycra clothes and half loose‐fitting jogging suits. Participants wearing the form‐fitting clothing reported heightened body awareness relative to those wearing the loose‐fitting clothing. For male participants this difference was reflected in a smaller aperture‐to‐hip ratio in the form‐fitting than loose‐fitting clothing condition. That is, males walked frontally through smaller apertures when wearing form‐fitting than when wearing loose‐fitting clothing. For females there was no difference in walking action as a function of clothing style. Results are discussed in terms of the perception of action opportunities in the environment, the influence of body awareness on such perception and sex differences. Copyright © 2009 John Wiley & Sons, Ltd.     

Affording cooperation: Embodied constraints,dynamics, and action-scaled invariance in joint lifting

Understanding the physical and interpersonal constraints that afford cooperation during real-world tasks requires consideration of the fit between the environment and task-relevant dimensions of coactors and the coactors’ fit with each other. In the present study, we examined how cooperation can emerge during ongoing interaction using the simple task of two actors’ moving long wooden planks. The system dynamics showed hysteresis: A past-action mode persisted when both solo and joint actions were possible. Moreover, pairs whose arm spans were both short, both long, or mismatched made action-mode transitions at similar points, when scaled by a relational measure. The relational measure of plank length to arm span was dictated by the pair member with the shorter arm span, who, thus, had a greater need to cooperate during the task. The results suggest that understanding affordances for cooperation requires giving more consideration to constraints imposed by the fit between coactors’ action capabilities.     

Relationship of negative self-schemas and attachment styles with appearance schemas

The purpose was to test, among women, the relationship between negative self-schemas and styles of attachment with men and women and two types of appearance investment (Self-evaluative and Motivational Salience). Predominantly Caucasian undergraduate women (N = 194) completed a modified version of the Relationship Questionnaire, the Young Schema Questionnaire-Short Form, and the Appearance Schemas Inventory-Revised. Linear multiple regression analyses were conducted with Motivational Salience and Self-evaluative Salience of appearance serving as dependent variables and relevant demographic variables, negative self-schemas, and styles of attachment to men serving as independent variables. Styles of attachment to women were not entered into these regression models because Pearson correlations indicated they were not related to either dependent variable. Self-evaluative Salience of appearance was related to impaired autonomy and performance negative self-schema and the preoccupation style of attachment with men, while Motivational Salience of appearance was related only to the preoccupation style of attachment with men.     

When disagreement gets ugly: perceptions of bias and the escalation of conflict

It is almost a truism that disagreement produces conflict. This article suggests that perceptions of bias can drive this relationship. First, these studies show that people perceive those who disagree with them as biased. Second, they show that the conflict-escalating approaches that people take toward those who disagree with them are mediated by people's tendency to perceive those who disagree with them as biased. Third, these studies manipulate the mediator and show that experimental manipulations that prompt people to perceive adversaries as biased lead them to respond more conflictually-and that such responding causes those who engage in it to be viewed as more biased and less worthy of cooperative gestures. In summary, this article provides evidence for a "bias-perception conflict spiral," whereby people who disagree perceive each other as biased, and those perceptions in turn lead them to take conflict-escalating actions against each other (which in turn engender further perceptions of bias, continuing the spiral).     

A Door to HIV‐Prevention Interventions: How Female‐Targeted Materials Can Enhance Female Participation1

The aim of this study was to examine the influence of gender on exposure to gender‐tailored HIV‐prevention brochures. During an unobtrusive observation of participants' reading of brochures, both men and women were likely to avoid gender‐mismatched brochures. However, women were more likely to selectively approach gender‐matched brochures over gender‐neutral brochures than were men. Furthermore, exposure to the female‐targeted brochure predicted accepting an HIV‐prevention video. This pattern was only the case for females and not for males or for the male‐targeted brochure. This finding implies that the gender‐tailored brochures are more useful for women than for men, and may open the door to other materials designed with preventive objectives.