Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

Validation of the Multidimensional Blood/Injury Phobia Inventory: Evidence for a Unitary Construct

The Multidimensional Blood/Injury Phobia Inventory (MBPI) was developed from a theoretical framework to characterize a broad range of feared stimuli and phobic reactions associated with this pathology. The MBPI consists of 40 items that cross 4 types of stimulus content (injections, hospitals, blood, injury), 5 types of phobic responses (fear, avoidance, worry, fainting, disgust), and a self versus other focus. This study reports on administration of the MBPI to 558 undergraduates, 9 of whom had blood/injury phobia. The instrument had a Cronbach's alpha of .91 and demonstrated good concurrent validity, convergent validity, and discriminant validity. One large factor emerged in an unrotated principal components analysis, suggesting that blood/injury phobia is a unitary psychometric construct. Exploratory factor analyses revealed a 6-factor solution defined by stimulus content domains and fainting, each of which may be important to consider clinically when assessing the unique concerns of treatment-seeking individuals.     

Adolescent Ego-Development Trajectories and Young Adult Relationship Outcomes

Adolescent ego-development trajectories were related to close-relationship outcomes in young adulthood. An adolescent sample completed annual measures of ego development from ages 14 through 17. The authors theoretically determined and empirically traced five ego-development trajectories reflecting stability or change. At age 25, the sample completed a close-relationship interview and consented for two peers to rate the participants'ego resiliency and hostility. Participants who followed the profound-arrest trajectory in adolescence reported more mundane sharing of experiences, more impulsive or egocentric conflict-resolution tactics, and less mature interpersonal understanding in their young adult relationships, and their young adult peers described these participants as more hostile. Participants who attained or maintained higher levels of ego development in adolescence reported more complex sharing of experiences, more collaborative conflict-resolution strategies, and greater interpersonal understanding, and their young adult peers rated them as less hostile and as more flexible.     

Recalling more childhood events leads to judgments of poorer memory: Implications for the recovered/false memory debate

Dissociative disorders that are believed to develop from childhood sexual abuse are often considered to include amnesia for childhood events, particularly the events that involve the abuse itself. One unresolved issue is the extent to which memory recovery attempts can contribute to claims of having amnestic symptoms. Experiments with undergraduate subjects reveal that requiring more reports of childhood events will increase judgments of having poorer memory of one’s childhood. The results are consistent with the use of heuristics when one is reasoning under conditions of uncertainty, as experienced difficulty in remembering more experiences is attributed to the incompleteness of childhood memory. The findings challenge the validity of reports of childhood amnesia that follow memory recovery attempts.     

A positive effect of iron supplementation on the IQS of iron deficient children

To examine possible effects of iron supplementation on the intelligence of young adolescents, iron supplements and placebos were given daily for 16 weeks to two matched groups of 208 and 205 12–15-year-olds. Iron status before the trial began was assessed by the measurement of serum ferritin and haemoglobin levels. In the sample considered as a whole, the iron supplementation had a small but nonsignificant effect on IQ, but those who were iron deficient, with serum ferritin levels of 12 ng/ml and below, showed a statistically significant IQ gain of 5.8 IQ points, as compared with a matched control group given placebos.     

Symposium on The Ego and the Id after fifty years. The past and future of ego psychology.

Having six roots in ordinary observation and introspection, ego psychology has a long pre-Freudian history, which influenced Freud's first usages of Ich. His works before 1923 contain much that is substantively ego psychology; The Ego and the Id was not a paradigm change but a consolidation of pre-existing ideas. The structural theory replaced a model (topographic) which Freud actually used very little, especially clinically, and he failed to remedy its gravest methodological faults. The ego-id model is an integral part of metapsychology, and will pass out of use as the latter dies, with no detriment to clinical psychoanalysis.     

The effect of directed forgetting on the time to remember

A recognition memory task was used to determine whether the search set is reduced by cueing subject to forget a part of the input. Correct recognition reaction time was used to infer the size of the search set. The principal results were that RT on forget trials was faster than RT on remember trials and that RT was fastest when the forget cue was presented at the outset of the trial rather than after the material had been presented. These findings are generally consistent with the hypothesis that selective search is responsible for the enhancement of recall produced by forget instructions in earlier studies.     

The time required to prepare for a rotated stimulus

Average time required to determine whether an alphanumeric character was presented in its normal version or as its mirror image increased from 500 msec to 1,000 msec as its angular departure from upright increased from 0 to 180 deg. However, when Ss already knew the identity of the upcoming character and when advance information as to its orientation was available for 1,000 msec, this reaction time was reduced to about 400 msec regardless of the orientation of the test stimulus. In this case, Ss claimed that they could prepare for the rotated stimulus by imagining the normal version of the designated character rotated into the indicated orientation and that they could then rapidly test for a match against the ensuing stimulus.