Preliminary Findings from a Qualitative Study of Trauma Survivors in Treatment: Changes in Personal Narratives

This article seeks to document the characteristics and themes of later trauma recovery using a grounded theory analysis of interviews with trauma survivors enrolled in outpatient treatment. Little research exists that speaks to patients’ own accounts of the process of trauma recovery. Such accounts might elucidate how psychotherapy helps survivors make and remake meaning of their lives, their experience of traumatic events, and the resources they might call on in psychotherapy to secure recovery. This study examined narrative material gathered in a series of interviews with trauma survivors (n?=?14) who had been in treatment for an average of 8 months and could be described as in a later phase of the recovery process. Two significant themes emerged from the analysis: (a) greater coherence to the trauma narrative, and (b) the emergence of a more reflective and observational stance with respect to one's history. Implications for trauma-informed therapy are discussed.     

Reminder-induced recovery of associations to an overshadowed stimulus

The possibility of reversing the deficit produced by overshadowing through the use of memory reactivation was investigated. Using lick suppression as a measure of associative strength, water-deprived rats were conditioned in a Pavlovian paradigm which produced reliable overshadowing of a flashing light by a tone. It was found, however, that exposure to the overshadowed stimulus outside of the conditioning context during the retention interval (reminder treatment) caused an increase in lick suppression during testing in animals that had undergone overshadowing, relative to nonreminded overshadowed animals. Subjects that received the reminder treatment but were conditioned without overshadowing showed no increase in lick suppression. Additional control groups ensured that the increase in suppression observed in the overshadowed subjects following reminder treatment was not due to nonspecific fear. The results suggest that the performance deficit produced by overshadowing is due at least in part to a reversible failure to efficiently retrieve associations to the overshadowed stimulus at the time of testing, rather than a failure to form those associations during conditioning.     

The Role of Sexual Compulsivity,Impulsivity, and Experiential Avoidance in Internet Pornography Use

The Psychological Record - Previous research has found that a significant proportion of individuals who use Internet pornography (IP) report that their use is problematic in some area of...     

Longitudinal Predictors of Alcohol‐Related Harms During the Transition to Adulthood

While a range of factors have been found to increase the likelihood of alcohol‐related harms among young people, little is known about their relative importance. This article aimed to identify the risks for alcohol‐related harms at an age when alcohol use and problems tend to peak in Australia (19–20 years). A wide range of concurrent and antecedent factors from multiple domains were examined using path analysis, including individual characteristics, family environment, and externalising and internalising problems. The sample comprised of 941 individuals from the Australian Temperament Project, a large longitudinal community‐based study. The path model controlled for current risky drinking and revealed a number of variables that were significant longitudinal predictors of alcohol‐related harms within each of the domains, including adolescent antisocial behaviour and drinking behaviour, low agreeableness, impulsivity, and paternal drinking levels. The potential for developmental prevention approaches to reduce alcohol‐related harms by targeting externalising behaviour problems, interpersonal influences, and individual characteristics is discussed.     

Familial comorbidity of bipolar disorder and multiple sclerosis: Genetic susceptibility, coexistence or causal relationship?

Our purpose in undertaking the present study was to examine the hypotheses proposed for explaining the frequent comorbidity of bipolar disorder and multiple sclerosis. One hypothesis posits that, when there is comorbidity, MS plays a causal role in psychiatric manifestations. Another suggests that both disorders have a common underlying physiological process that increases the likelihood of their co-occurrence. We examined two adult siblings with comorbidity and their relatives, including three generations of family members with psychiatric morbidity. We found an extensive multigenerational history of bipolar disorder in this family. This history would seem to support the hypothesis of a common underlying brain process (potentially genetically-based) to explain the comorbidity of BD and MS, but cannot clarify whether this comorbidity implies a relationship between the two disorders or merely reflects parallel processes of brain deterioration. We cannot, however, rule out the possibility of a subclinical MS-related process leading to the early manifestation of BD, with MS appearing much later in time, or even a third, undetermined factor, leading to familial comorbidity. Although we have insufficient information to support either hypothesis definitively, we present the familial cases as a springboard for a discussion of dilemmas related to teasing apart MS and BD comorbidity. Further observation of the clinical course of the younger family members, who have not yet shown any neurological signs, over the next few years may elucidate the current picture further.     

Positive affective and cognitive states in borderline personality disorder

The aim of the current study was to compliment previous studies identifying negative states present in borderline personality disorder (BPD) by investigating the presence of positive affective and cognitive states. Ninety-six patients with criteria-defined borderline personality disorder and 24 axis II comparison participants completed the Positive Affect Scale, a 50-item self-report measure designed to assess positive states thought to be characteristic of and discriminating for BPD. Seventeen positive states (4 affective, 10 cognitive, and 3 mixed) were found to be significantly more common among axis II comparison participants than borderline patients. Twelve of these states were common to both borderline patients and axis II comparison participants. Furthermore, four positive states, when co-occurring together, were particularly strongly associated with borderline personality disorder (three negatively and one positively): (a) Fond of myself, (b) That things around me are real, (c) That I've forgiven others, and (d) Assertive. Finally, the overall mean score on the PAS significantly distinguished patients with borderline personality disorder from axis II comparison participants. Taken together, these results suggest that borderline patients are far less likely to report experiencing positive states of an affective, cognitive, and mixed nature than axis II comparison participants. They also suggest that being assertive is a positive state particularly discriminating for borderline personality disorder.     

The relationship between factorial composition of test items and measures of test reliability

For continuous distributions associated with dichotomous item scores, the proportion of common-factor variance in the test,H ², may be expressed as a function of intercorrelations among items.H ² is somewhat larger than the coefficienta except when the items have only one common factor and its loadings are restricted in value. The dichotomous item scores themselves are shown not to have a factor structure, precluding direct interpretation of the Kuder-Richardson coefficient,r _K-R, in terms of factorial properties. The value ofr _K-R is equal to that of a coefficient of equivalence,H ² , when the mean item variance associated with common factors equals the mean interitem covariance. An empirical study with synthetic test data from populations of varying factorial structure showed that the four parameters mentioned may be adequately estimated from dichotomous data.This study was supported in part by an Air Force project (Contract Number AF18(600-170), monitored by the Crew Research Laboratory, Air Force Personnel and Training Research Center, Randolph Air Force Base, Randolph Field, Texas. Permission is granted for reproduction, translation, publication, use and disposal in whole and in part by or for the United States Government. Further support was given by the Northwestern University Graduate School. The computational assistance of Mr. Norman Miller is acknowledged. Professor Meyer Dwass provided mathematical advice both directly and indirectly relevant to the paper.     

Instructional cues modify performance on the Iowa Gambling Task

The current study investigated whether acute alcohol intoxication produces impaired decision-making on tasks assessing ventromedial prefrontal (VMF) cortex functioning and impulsive responding. Participants completed the Iowa Gambling Task (IGT), a decision-making test targeting the VMF, and the Newman Perseveration Task (NT), a measure of impulsivity. Personality measures of impulsivity were assessed using the Barratt Impulsiveness Scale (BIS). To encourage natural responding on both tasks, participants were falsely informed that the study was examining the effects of alcohol on memory; the impulsivity tasks were presented as 'distractor' tasks. Advantageous performance on the IGT was related to specific instructional cues as well as to knowledge about the experimental purpose. Performance of intoxicated and sober participants did not differ. A subsequent study in which the true purpose of the experiment was revealed confirmed that alcohol does not affect IGT performance. Most importantly, the instruction-sensitivity of the IGT emphasizes the importance of salient cues for decision-making.