Schizophrenia as split personality/Jekyll and Hyde: the origins of the informal usage in the English language

The entry into the English language of the informal usage of schizophrenia as split personality/Jekyll and Hyde is traced and commented upon. The metaphor of split personality is followed from Eugene Bleuler via his translators and the wider psychiatric community into the present day. It, and to a lesser extent the Jekyll-Hyde personality, is found to be as much a product of the psychological professions as a product of lay misinterpretation. The informal definition of schizophrenia as split personality has outlived the scientific theory with which it was initially associated.     

A prospective investigation of suicidal ideation in college students: a test of a model

In order to test the predictive validity of a stress--vulnerability model of suicide ideation and behavior, a longitudinal study was conducted with college undergraduates. Based on previous research (Bonner & Rich, 1987; Rich & Bonner, 1987a), measures of social/emotional alienation, adaptive resources for living, and cognitive rigidity were taken at the beginning of the semester and combined to develop a vulnerability score. Then, at midterm, measures of midterm stress and cumulative negative life stress were obtained from the same subjects. It was hypothesized that the vulnerability factor would interact with midterm and negative life stress to predict suicide ideation. Instead of an interactive model, a linear, compensatory model of suicide ideation was found. The combination of alienation, deficient adaptive resources, and life stress best predicted ideation scores. Implications for research and theory are noted.     

Transformative Treatments

Contemporary social‐scientific research seeks to identify specific causal mechanisms for outcomes of theoretical interest. Experiments that randomize populations to treatment and control conditions are the “gold standard” for causal inference. We identify, describe, and analyze the problem posed by transformative treatments. Such treatments radically change treated individuals in a way that creates a mismatch in populations, but this mismatch is not empirically detectable at the level of counterfactual dependence. In such cases, the identification of causal pathways is underdetermined in a previously unrecognized way. Moreover, if the treatment is indeed transformative it breaks the inferential structure of the experimental design. Transformative treatments are not curiosities or “corner cases,” but are plausible mechanisms in a large class of events of theoretical interest, particularly ones where deliberate randomization is impractical and quasi‐experimental designs are sought instead. They cast long‐running debates about treatment and selection effects in a new light, and raise new methodological challenges.     

What is morality?

Philosophical Studies - In “Modern Moral Philosophy,” Anscombe argued that the moral vocabulary does not correspond to any concept in Aristotelian ethics, that it derives from a...     

Multiple factors of cognitive failure and their relationships with stress vulnerability

Use of the Cognitive Failures Questionnaire (CFQ) in clinical research assumes that the questionnaire measures a single factor. A factor analysis of the CFQ was performed, on a sample of 475 students, using accurate procedures for determining the number of factors. These procedures gave mutually inconsistent results: at least two alternative factor structures can be extracted from the CFQ. An interpretable seven factor solution was found, but the CFQ probably has insufficient items to measure more than two strongly defined factors. The capacity of CFQ multiple factors to predict measures related to stress vulnerability was tested in a further study (N=57). Correlations between CFQ total score and neuroticism and use of coping strategies appeared to depend mainly on a single CFQ multiple factor, related to failures of concentration. Some of the other CFQ factors predicted other criteria. Further research on multiple factors of cognitive failure might improve the validity of the CFQ as a predictor of stress vulnerability and of cognitive performance.     

The factorial structure of sleep dissatisfaction

Research into sleep problems has been dominated by a number of theoretical perspectives from each of which useful treatment applications have been derived. However, the rich diversity of problems that are subsumed under insomnia or sleep disturbance often remain unappreciated. This paper reports the results of a factor analysis performed on the combined items of two questionnaires designed to assess sleep disturbance. Six factors are described, two of which relate to cognitive aspects of sleep disturbance; two which map onto sleep onset and sleep maintenance problems; and two which are drawn from dissatisfaction with poor sleep. Correlations of factor scores with measures of neuroticism, worry and various sleep history variables provide a strong level of construct validity. The results are discussed in terms of their treatment implications.