Rorschach personality predictors of weight loss with behavior modification in obesity treatment

Weight loss outcome for 49 obese patients after 6 months treatment in a behavior modification program was related to Rorschach personality characteristics according to the Comprehensive System (Exner, 2003), also including the Rorschach Oral Dependency Scale (Bornstein, 1996; Masling & Rabie, 1967). Less weight loss was predicted by signs of perceptual and cognitive distortions indicated by the Schizophrenia Index. More weight loss was predicted by Food Contents, suggesting a food preoccupation and possibly a benign dependency orientation. Patients with a focus on food and dependent needs could benefit above all from the treatment program implying learning how to handle food and eating in a supportive setting, as evidenced by more weight loss. Distortions in perception and cognition could constitute more profound difficulties in weight reduction important to recognize in obesity treatment.     

Event-related potential findings in healthy extremely pre-term (< week 29) children at age 10.

Ten healthy extremely pre-term (EPT) children, born before gestational week 29, were tested at age 10 using mismatch negativity (MMN) and a three-tone odd-ball task; the results were then compared to age-matched full-term controls. We found no difference in MMN. By contrast, EPT children had generally shorter N1 latencies and larger P2 amplitudes, possibly indicating a more stimulus-driven response mode. However, P300 parameters, indicative of controlled attention, were unaffected.     

Coherence and transituational generality in coping: the unity and the diversity

We investigated the transituational coherence of coping strategy use by collecting coping data on multiple occasions, and assessing the effects of aggregation over varying numbers of occasions. Study 1 examined the effects of aggregating daily coping reports over three- and six-day periods. Study 2 extended the results of Study 1 by assessing the extent to which aggregation increased the correlation between a dispositional coping measure and daily coping reports. Both studies strongly supported the hypothesis that aggregation would enhance the consistency of coping preferences, suggesting some degree of coherence within the domain of coping strategy used. Aggregated coping reports correlated with each other at significantly higher levels (ranging from 0.46 to 0.77 in Study 1 and from 0.65 to 0.95 in Study 2), than unaggregated coping reports (ranging from -0.12 to 0.30 in Study 1 and from 0.12 to 0.53 in Study 2). Study 2 also showed that aggregated daily reports were better predictors of subsequent coping than scores derived from a standard dispositional coping survey.     

A comparison of impulsivity and sensation seeking in pathological gamblers and skydivers

The aim of this study was to compare pathological gamblers and skydivers in relation to measures of impulsivity and sensation seeking. The Eysenck Impulsivity Scale - Narrow Impulsiveness Subscale and the Arnett Inventory of Sensation Seeking were administered to pathological gamblers (n = 29), skydivers (n = 93), and a control group (n = 43). A two-way multivariate analysis of variance was conducted to explore differences in impulsivity and sensation seeking between the groups and possible group by gender and group by age interaction effects. The significant effects were further investigated using follow-up univariate analysis of variance. The results showed significant main effects of Group, Gender and Age, and a significant Group by Gender interaction effect. The results showed no statistically significant differences in impulsivity between pathological gamblers and skydivers; however, both groups scored higher than the controls. The skydivers scored higher compared to the pathological gamblers and controls on both sensation seeking subscales. Pathological gamblers scored higher than the controls on the subscale Need for Stimulus Intensity, although lower than the controls on the subscale Need for Novelty. We conclude that skydivers and pathological gamblers do not seem to differ in terms of impulsivity, but that the two groups differ in terms of sensation seeking. Skydivers are hence characterized by more sensation seeking compared to pathological gamblers. Skydiving, as opposed to pathological gambling, is not considered a psychiatric disorder, and skydiving may represent a more non-pathological way to fulfill the need for stimulus intensity.     

Alliance to the group-as-a-whole as a predictor of outcome in psychodynamic group therapy

Abstract Eighteen patients diagnosed with burnout-related depression and receiving short-term psychodynamic group psychotherapy were included in this study. The participants completed the group version of the California Psychotherapy Alliance Scales (CALPAS) five times during treatment and evaluated the relationship positively. Alliance increased significantly as treatment progressed; however, the amount of change was small. Level of alliance to the group-as-a-whole, averaged over time, was predictive of two out of three outcome measures, whereas growth in alliance during the early phase of therapy was not predictive of outcome. Exploratory examination of the alliance at different time points showed that alliance to the group-as-a-whole at mid-phase of treatment was substantially correlated with outcome. Personality features such as dismissing attachment style and being overly nurturant or exploitable were predictive of early growth in alliance.     

Trauma and processes of separation from parental figures

Abstract

Extreme conditions in some young persons' life-experiences might postpone or even hinder the natural process of mourning of lost childhood omnipotence, ambivalent feelings towards and separation from parental figures. The psychic mechanisms behind these youngsters' flight from the loving grip of their parents to the conflicting situations which later traumatise them are described. The traumatic events following their choice of leaving the parental home were later unconsciously experienced as punishment—a direct consequence of the forbidden separation. Guilt problems otherwise within the normal range of development, here get a special colouring which can be recognised among others in the difficulties to establish a working-alliance with the therapist and problems in establishing intimate relationships later in life.     

The framework of psychoanalytically oriented psychotherapy with traumatised patients and the institution

Abstract

Lindbom-Jakobson M, Lindgren L. The Framework of Psychoanalytically Oriented Psychotherapy with Traumatised Patients and the Institution. Int Forum Psychoanal 1997;6:217-224. ISSN 0803-706X.

Psychotherapies performed at multidisciplinary institutions will be influenced by the ongoing dynamics and inevitable group processes of the institution. The difficulties of these processes become extremely hard to handle when the patient category is a severely traumatised one. The prerequisite of psychoanalytically oriented psychotherapy, the illusion of the sealed room and fixed framework, gets disturbed by the information flow in an institution. The institutions for these patients tend to become stages on which the patients as well as staff can perform and repeat their intrapsychic and interpersonal conflicts, non-adaptive defences and disturbed object relations. The predominant dynamic that arises around tortured refugees as a patient category is sado-masochistic relating.     

Implicit coping and enhancement motives predict unique variance in drinking in Asian Americans

Automatic cognitive processes have been shown to be unique predictors of drinking behavior and can be assessed using implicit measures. Drinking motives (e.g., enhancement and coping motives), which are also predictive of alcohol use, have not been studied using implicit measures. Moreover, in the US, implicit measures have been studied in samples largely consisting of Caucasian or White Americans. This study adapted the Implicit Association Test (IAT) to examine automatic analogues of enhancement and coping drinking motives and approach/avoid tendencies in 56 Asian American undergraduates. Enhancement and coping IATs were correlated with self-reported drinking motives and predicted unique variance in drinking frequency and heavy drinking when controlling for self-reported motives. Approach IAT scores were neither associated with self-reported approach/avoid tendencies nor predictive of drinking behaviors. These findings provide initial support for the unique predictive utility of drinking motives in Asian Americans, an understudied population.     

Time-driven effects on parsing during reading

The phonological trace of perceived words starts fading away in short-term memory after a few seconds. Spoken utterances are usually 2-3 s long, possibly to allow the listener to parse the words into coherent prosodic phrases while they still have a clear representation. Results from this brain potential study suggest that even during silent reading, words are organized into 2-3 s long ‘implicit’ prosodic phrases. Participants read the same sentences word by word at different presentation rates. Clause-final words occurring at multiples of 2-3 s from sentence onset yielded increased positivity, irrespective of presentation rate. The effect was interpreted as a closure positive shift (CPS), reflecting insertion of implicit prosodic phrase boundaries every 2-3 s. Additionally, in participants with low working memory span, clauses over 3 s long produced a negativity, possibly indicating increased working memory load.     

Two forms of group therapy and individual treatment of work-related depression: a one-year follow-up study

Patients on long-term sick-leave (> 90 days) from white collar work, with a diagnosis of work-related depression, dysthymia, or maladaptive stress reaction were randomized either to cognitive group therapy (CGT), focused psychodynamic group therapy (FGT), or to a comparison group. All patients were interviewed and responded to self-report questionnaires before the start of treatment and at 6 and 12 months. At the 12-month follow-up, 70% of the patients met the criteria for reliable change of the target symptom (depression), and the sample as a whole improved significantly on all measures used. However, there were no differences in outcome between the three treatment groups.