Borderline psychopathology in the first-degree relatives of borderline and axis II comparison probands

The purpose of this study was to assess the prevalence of each of the nine DSM criteria for borderline personality disorder and the prevalence of the disorder itself in the first-degree relatives of borderline probands and Axis II comparison subjects. Four hundred and forty-five inpatients were interviewed about familial borderline psychopathology using the Revised Family History Questionnaire--a semistructured interview of demonstrated reliability. Of these 445 subjects, 341 met both DIB-R and DSM-III-R criteria for BPD and 104 met DSM-III-R criteria for another type of personality disorder (and neither criteria set for BPD). The psychopathology of 1,580 first-degree relatives of borderline probands and 472 relatives of Axis II comparison subjects was assessed. Both DSM-III-R and DSM-IV BPD were found to be more common among the relatives of borderline than Axis II comparison probands. However, five of the criteria for BPD (inappropriate anger, affective instability, paranoia/dissociation, general impulsivity, and intense, unstable relationships) and all four sectors of borderline psychopathology (affect, cognition, impulsivity, and interpersonal relationships) were found to be both more common and discriminating than the BPD diagnosis itself. Taken together, the results of this study suggest that the subsyndromal phenomenology of BPD may be more common than the borderline diagnosis itself.     

The tripartite model of anxiety and depression: symptom structure in depressive and hypertensive patient groups

The structure of self-reported symptoms representative of the tripartite model was examined using data drawn from the Medical Outcomes Study (Tarlov et al., 1989). Participants were persons who had been diagnosed 48 months previously as suffering from either depression (N = 315) or hypertension (N = 403). Results of confirmatory factor analyses were broadly consistent with the tripartite model (L. A. Clark & Watson, 1991). Factors emerged corresponding to each of the 3 posited first-order dimensions of negative affect, positive affect, and physiologic arousal. Nonetheless, some discrepancies were found between the observed data and the hypothesized tripartite model. First, the obtained physiologic arousal factor was best viewed as reflecting nonspecific somatic distress rather than physiologic arousal. Finally, although differentiable in the strictest statistical sense, all three domains were significantly correlated (.36 to.86, absolute value). In particular, contrary to the tripartite model, positive and negative affect covaried markedly (-.81 to -.86). Findings raise issues concerning the utility of the tripartite model as a heuristic framework for enhancing understanding of individual differences in normal mood as well as mood disorders.     

Personality and the predisposition to engage in risky or problem behaviors during adolescence

Longitudinal data from a representative sample of 1,978 Black and White adolescents were used to examine the role of personality in multiple risk or problem behaviors. Results indicate that covariation among diverse behaviors (educational underachievement, delinquent behavior, substance use, sexual behavior) can be adequately modeled by a single higher order factor, and that impulsivity and avoidance coping serve as generalized risk factors for involvement in these behaviors. Whereas none of the personality variables examined explained change in problem behaviors once established, avoidance coping prospectively predicted involvement among a subgroup of adolescents with little or no prior involvement. Results suggest that dysfunctional styles of regulating emotions and emotionally driven behaviors are core features of risky or problem behaviors during adolescence.     

Optimism, promotion pride, and prevention pride as predictors of quality of life

The relationship between optimism and two potential sources of optimistic beliefs--promotion pride (based on a history of success in promotion regulation) and prevention pride (based on a history of success in prevention regulation)--was explored. Optimism was more strongly related to promotion pride than prevention pride (controlling for neuroticism), consistent with past work showing that anticipating success increases eagerness motivation but decreases vigilance motivation. This suggests that the psychology of prevention regulators is not captured well by the existing literature on optimism. Although prevention pride does not predict self-reports of well-being, it does predict adaptive functioning independent of optimism, neuroticism, and promotion pride. Promotion pride uniquely predicted a sense of purpose in life or goal directedness. Both promotion and prevention pride predicted active coping. It is argued that promotion and prevention pride tell us something unique and important about the role of successful self-regulation in determining quality of life.     

Psychotherapy Process Measure Research and the Evaluation of Psychotherapy Orientation: A Narrative Analysis

This article discusses the need for a systematic method that enables researchers to evaluate integrative therapy approaches using a range of therapy process measures. The Narrative System Process Coding (NPCS; Angus, Hardtke, & Levitt, 1996) is proposed as such a method, and is applied with the Experiencing Scale (Klein, Mathieu, Gendlin, & Keisler, 1970) and the Levels of Client Perceptual Processing (LCPP; Toukmanian, 1986) to three brief good outcome integrative therapy modalities to illustrate this need. The study found higher Experiencing Scale scores to be most strongly related to an experiential approach to therapy and to the NPCS internal narrative processes. Higher LCPP scores were most strongly related to the NPCS reflexive narrative process and to a perceptual-processing approach. The discussion initiates a discourse on the importance of explicating process measures' origins when comparing different therapy approaches in order to allow for the meaningful consolidation of process research findings.     

What affects strategy selection in arithmetic? The example of parity and five effects on product verification

The parity effect in arithmetic problem verification tasks refers to faster and more accurate judgments for false equations when the odd/even status of the proposed answer mismatches that of the correct answer. In two experiments, we examined whether the proportion of incorrect answers that violated parity or the number of even operands in the problem affected the magnitude of these effects. Experiment 1 showed larger parity effects for problems with two even operands and larger parity effects during the second half of the experiment. Experiment 2 replicated the results of Experiment 1 and varied the proportion of problems violating parity. Larger parity effects were obtained when more of the false problems violated parity. Moreover, all three effects combined to show the greatest parity effects in conditions with a high proportion of parity violations in problems containing two even operands that were solved during the second half of the experiment. Experiment 3 generalized the findings to the case of five rule (i.e., checking whether a false product ends in 5 or 0), another procedure for solving and verifying multiplication problems quickly. These results (1) delineate further constraints for inclusion in models of arithmetic processing when thinking about how people select among verification strategies, (2) show combined effects of variables that traditionally have been shown to have separate effects on people's strategy selection, and (3) are consistent with a view of strategy selection that suggests a bias either in the allocation of cognitive resources in the execution of strategies or in the order of execution of these strategies; they argue against a simple, unbiased competition among strategies.     

Wisdom at the end of life: Hospice patients’ reflections on the meaning of life and death

The processes of aging and confronting mortality are often accompanied by unique psychological challenges. From the perspective of positive psychology, such challenges can yield opportunities for growth, including increased wisdom. This qualitative study explored 15 terminally ill hospice patients’ perspectives on wisdom, the dying process, and the meaning of life using consensual qualitative research methods. Most participants cited humility as a key component of wisdom, emphasizing that “Wisdom is when we realize ‘I don’t really know much’.” Other components of wisdom included self-knowledge, rationality, experiential learning, listening to and learning from others, and sharing knowledge with others. Participants also suggested that the process of facing illness and death presents opportunities for positive growth, including changing priorities and learning to appreciate life more fully in the present moment. In considering the sources of meaning in their lives, participants emphasized relational connections, personal growth, spirituality, vocational fulfilment, and living a full life. Participants also shared their reflections on important past experiences and regrets. Lastly, participants offered advice to others based on their experiences facing illness and mortality. Implications for psychological care of the dying and future research are discussed.     

A comparison of cognitive restructuring and cognitive defusion as strategies for resisting a craved food

The present study investigated the effectiveness of two cognitive strategies for resisting a craved food. One-hundred-and-ten self-identified chocolate cravers were randomised to a waiting list control condition or to receive a 60-minute standardised group intervention on cognitive restructuring (CR) or cognitive defusion (CD). All participants were provided with a bag of chocolates which they were instructed to carry with them for seven days and try to resist eating; uneaten chocolates were returned at the end of the study period. Measures included chocolate consumption and other behavioural, cognitive and evaluative self-reported outcomes. Overall, the odds of abstinence from chocolate were 3.26 times higher for participants in the CD than the CR condition. The effect of the interventions depended on baseline cognitive distress levels; for individuals at high levels of cognitive distress the CD condition led to significantly more restraint from chocolate than both the CR and control conditions. In addition, CD led to greater self-reported improvements in eating behaviours during the study period and was rated significantly easier to use and apply than CR. CD is discussed as a simple and efficient approach to manage food cravings and, potentially, other behavioural contributors to obesity.     

The bedside manner of homo economicus: How and why priming an economic schema reduces compassion

We investigate how, why and when activating economic schemas reduces the compassion that individuals extend to others in need when delivering bad news. Across three experiments, we show that unobtrusively priming economic schemas decreases the compassion that individuals express to others in need, that this effect is mediated by dampened feelings of empathy and heightened perceptions of unprofessionalism, and that it is circumscribed to bad news that has economic implications. We discuss implications for theory and research on schemas, procedural justice, emotion expression, and prosocial behavior.