Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial

Dialectical Behavioral Therapy (DBT) was initially developed and evaluated as an outpatient treatment program for chronically suicidal individuals meeting criteria for borderline personality disorder (BPD). Within the last few years, several adaptations to specific settings have been developed. This study aims to evaluate a three-month DBT inpatient treatment program. Clinical outcomes, including changes on measures of psychopathology and frequency of self-mutilating acts, were assessed for 50 female patients meeting criteria for BPD. Thirty-one patients had participated in a DBT inpatient program, and 19 patients had been placed on a waiting list and received treatment as usual in the community. Post-testing was conducted four months after the initial assessment (i.e. four weeks after discharge for the DBT group). Pre-post-comparison showed significant changes for the DBT group on 10 of 11 psychopathological variables and significant reductions in self-injurious behavior. The waiting list group did not show any significant changes at the four-months point. The DBT group improved significantly more than participants on the waiting list on seven of the nine variables analyzed, including depression, anxiety, interpersonal functioning, social adjustment, global psychopathology and self-mutilation. Analyses based on Jacobson's criteria for clinically relevant change indicated that 42% of those receiving DBT had clinically recovered on a general measure of psychopathology. The data suggest that three months of inpatient DBT treatment is significantly superior to non-specific outpatient treatment. Within a relatively short time frame, improvement was found across a broad range of psychopathological features. Stability of the recovery after one month following discharge, however, was not evaluated and requires further study.     

On the development of the mental number line: more, less, or never holistic with increasing age?

Magnitude is assumed to be represented along a holistic mental number line in adults. However, the authors recently observed a unit-decade compatibility effect for 2-digit numbers that is inconsistent with this "holisticness" assumption (H.-C. Nuerk, U. Weger, & K. Willmes, 2001). This study used the compatibility effect to examine whether the mental number line representation of magnitude changes toward greater or less holisticness in children from Grades 2-5. The results indicate that decades and units of 2-digit numbers are processed separately rather than holistically from Grade 2 on. However, this separate processing seems to develop from a more sequential (left-to-right) to a more parallel processing mode. Moreover, children may use different strategies depending on task demands. The results are interpreted in the framework of Siegler's overlapping waves model.     

Overwriting of phonemic features in serial recall

We tested two explanations of the phonological similarity effect in verbal short-term memory: The confusion hypothesis assumes that serial positions of similar items are confused. The overwriting hypothesis states that similar items share feature representations, which are overwritten. Participants memorised a phonologically dissimilar list of CVC-trigrams (Experiment 1) or words (Experiment 2 and 3) for serial recall. In the retention interval they read aloud other items. The material of the distractor task jointly overlapped one item of the memory list. The recall of this item was impaired, and the effect was not based on intrusions from the distractor task alone. The results provide evidence for feature overwriting as one potential mechanism contributing to the phonological similarity effect.     

The effect of conscious control on handwriting in children with attention deficit hyperactivity disorder

Two experiments were performed regarding the effect of conscious control on handwriting fluency in healthy adults and ADHD children. First, 26 healthy students were asked to write a sentence under different conditions. The results indicate that automated handwriting movements are independent from visual feedback. Second, the writing performance of 12 children with ADHD was examined on their usual medication with methylphenidate and under placebo. In comparison to placebo, medication with methylphenidate resulted in a reduced fluency of handwriting. Automated handwriting movements could be elicited in children with ADHD on medication. The results suggest that both visual and mental control of handwriting movements affect the automation of handwriting movements. Furthermore, a simple training procedure was designed and performed in a case study of a boy with ADHD.     

Limitations of the dual-process-theory regarding the writing of words and non-words to dictation

It is generally assumed that the lexical and phonological systems are involved in writing to dictation. In an experiment concerned with the writing of words and non-words to dictation, the handwriting of female students was registered using a digitising tablet. The data contradict the assumption that the phonological system represents an alexical process. Both words and non-words which were acoustically presented to the subjects were lexically parsed. The analysis of kinematic data revealed significant differences between the subjects' writing of words and non-words. The findings reveal gross disturbances of handwriting fluency during the writing of non-words. The findings of the experiment cannot be explained by the dual-process-theory.     

Valence of distractor words increases the effects of irrelevant speech on serial recall

Participants memorized target words in silence or while ignoring neutral or valent (positive or negative) distractor words that could be either possessor-relevant or other-relevant. Distractor words impaired recall performance, but valent distractor words caused more disruption than neutral distractors, and negative distractors caused more disruption than positive distractors. The results are problematic for explanations of the irrelevant speech effect within working memory models that do not specify an explicit role of attention in the maintenance of information for immediate serial recall.     

Mood and flexibility in categorization: a conceptual replication

The present study tested the hypothesis that positive mood facilitates cognitive flexibility in categorization, i.e., positive mood enhances the ability to categorize flexibly at broad and narrow levels contingent on task requirement. The study was a conceptual replication of the 1990 work by Murray, Sujan, Hirt, and Sujan. Unlike the original study, it was carried out on the WWW with some modifications in the procedure. Participants were 29 women and 132 men whose average age was 29 yr. They were put into a positive, negative, or neutral mood using the Velten technique. Mood was measured with standard mood scales. Subjects then listed similarities differences between two entertainment TV shows. Contrary to the prediction, participants in a positive mood did not list a higher number, more diverse, or more unusual similarities and differences between the shows, and they were not faster than participants with neutral or negative moods. It is concluded that the influence of mood on cognitive flexibility needs to be reconsidered. In research, temporal aspects of categorization performance as well as a wider range of mood valences should be taken into account.     

Depression in later life: cross-sequential patterns and possible determinants

Research on the relationship between age and depression has not yielded a consistent picture. Approaches emphasizing resilience compete with assumptions of an increased incidence of depressive problems in later life. This study investigated these issues within a research format combining cross-sectional and 8-year longitudinal assessments of depressive tendencies (690 participants, aged 54-77 years). The developmental patterns suggest 2 phases: Relative stability extending to about 70 years and a subsequent increase of depressive tendencies. Antecedent and mediating factors were explored within a broader context of variables (health status, social and economic resources, coping competences, and future perspectives). Differences in time perspective and a disposition of accommodative flexibility predicted subsequent changes in depression and mediated age effects in depressive tendencies.     

Estimating the valence of single stimuli: a new variant of the Affective Simon Task

In this article, a modified variant of the Affective Simon Task (AST; De Houwer & Eelen, 1998) is presented as a measure of implicit evaluations of single stimuli. In the AST, the words "good" or "bad" have to be given as responses depending on the color of the stimuli. The AST was combined with an evaluation task to increase the salience of the valence of the presented stimuli. Experiment 1 investigated evaluations of schematic faces showing emotional expressions. In Experiment 2 we measured the valence of artificial stimuli that acquired valence in a game context during the experiment. Both experiments confirm the validity of the modified AST. The results also revealed a dissociation between explicit and implicit evaluations.