Treatment rejecting and treatment seeking personality disorders: Type R and Type S

An important distinguishing feature of one group of personality disorders is the wish of the sufferer to seek treatment. For another group this wish is rarely entertained. Although there is some variation between different types of personality disorder the wish to change is not confined to any one diagnostic category. A useful subclassification of personality disorders is therefore into Type R (treatment rejecting) and Type S (treatment seeking) personality disorders, and these are defined operationally. The classification of 68 personality disordered patients on the caseload of an assertive community team using a simple scale showed a 3 to 1 ratio between Type R and Type S personality disorders with Cluster C personality disorders being significantly more likely to be Type S, and paranoid and schizoid (Cluster A) personality disorders significantly more likely to be Type R than others. It is suggested that this typology is useful for those contemplating treatment with those who have personality disorders.     

Changes in functional status among older adults in Japan: successful and usual aging

This research aimed to chart the trajectories of functional status in old age in Japan and to assess how self-rated health and cognitive functioning differentiate these trajectories and account for interpersonal differences. Data came from a 5-wave panel study of a national sample of 2,200 Japanese older adults between 1987 and 1999. The sample as a whole showed an accelerated increase in functional limitations with age. approximated by a quadratic function. More important, 3 major trajectories of functional change were identified: (a) minimal functional decrement, (b) early onset of functional impairment. and (c) late onset of functional impairment. These findings may serve as useful benchmarks for observations derived from other developed nations.     

Word frequency and the mixed-list paradox in immediate and delayed serial recall

In free recall tasks, when low- and high-frequency items are mixed within the to-be-remembered lists, the usual recall advantage found for high-frequency words is eliminated or reversed. Recently, this mixedlist paradox has also been demonstrated for short-term serial recall (Hulme, Stuart, Brown, & Morin, 2003). Although a number of theoretical interpretations of this mixed-list paradox have been proposed, researchers have also suggested that it could simply be a result of participant-controlled strategies (M. J. Watkins, LeCompte, & Kim, 2000). The present study was designed to assess whether this explanation could be applied to immediate and delayed serial recall. The results showed that high-frequency words were recalled better than low-frequency words in pure lists, but that this effect was eliminated in mixed lists, whether they were given under intentional or incidental learning conditions. This pattern suggests that the mixed-list paradox cannot be explained by participant-controlled strategies.     

Anxiety sensitivity: the role of conscious awareness and selective attentional bias to physical threat

Selective attentional biases were examined amongst individuals varying in levels of physical anxiety sensitivity. The dot-probe paradigm was used to examine attention towards anxiety symptomatology, social threat and positive words. Stimuli were presented above (unmasked) and below (masked) the level of conscious awareness. High physical anxiety sensitivity was associated with attentional vigilance for anxiety symptomatology words in both unmasked and masked conditions. For positive words, however, those high in anxiety sensitivity were found to avoid such stimuli when they were masked, whereas they exhibited a relative vigilance when unmasked. If the differences between awareness conditions are reliable, then the impact of the automatic vigilance for threat might be modified by conscious attempts to direct attention towards other types of stimuli.     

Stroop-like serial position effects in color naming of words and nonwords

Color-naming latencies to noncolor words and nonwords were faster when the onset or final phoneme of the displays corresponded to the onset or final phoneme of the color response. For example, for displays printed in red, the word rack and nonword rask, which share the initial onset phoneme with the response, led to faster naming than did the control word chap and nonword chup. Conversely, when the onset or final phoneme of the displays matched the onset or final phoneme of a conflicting color response (e.g., rack printed in blue), latencies were longer than to control items. Facilitation effects were stronger than interference effects, and the onset phoneme facilitation effect was augmented by coloring only the initial letter in the display. It is hypothesized that nonlexical processes that govern the translation of print to speech may be a source of facilitation in Stroop-like tasks, whereas lexical processes are more likely to contribute to interference.     

The relationship between the drive for muscularity and anthropometric measures of muscularity and adiposity

Researchers have found consistently positive associations between women's body dissatisfaction and the desire to be thin and anthropometric indices of the amount of body fat they care on their frame. However, with the increasing emphasis being given to men's body image concerns, such as the drive for muscularity, it is important to study the relationship between men's desire to become more muscular and the actual amount of muscle they carry on their frames. That is, because men who want to become muscular can achieve that through strength training, do those with a high drive for muscularity have a high level of muscle mass? We explored this issue in a sample of 100 college-aged men and found that only one of four anthropometric measure of muscularity (flexed bicep circumference) was predictive of engaging in muscularity-oriented behaviors, while none predicted attitudes about becoming more muscular. These findings suggest either that men's drive for muscularity is unrelated to their actual level of muscularity or that current anthropometric indices are not accurate enough for a significant relationship to emerge. Suggestions for future research and study limitations were discussed.     

Higher-order dimensions of personality disorder: hierarchical structure and relationships with the five-factor model, the interpersonal circle, and psychopathy

Two studies examined the higher-order factor structure of DSM-IV personality disorders using the International Personality Disorder Examination in male forensic psychiatric patients. In Study 1 (N = 168), exploratory factor analysis at the level of individual personality disorder criteria indicated nine primary factors. Exploratory and confirmatory factor analyses of these first-order factors supported a hierarchical structure in which two of three second-order factors covaried to yield a third-order factor. The two resulting superordinate factors were labelled Anxious-Inhibited and Acting Out. In Study 2 (N = 160), we used exploratory and confirmatory factor analyses to test hypotheses of common dimensions underlying these superordinate factors of personality disorder and superordinate factors of the five-factor model of personality, dimensions of the interpersonal circle, and psychopathy. Of three common factors, one combined Anxious-Inhibited disorders, "neurotic introversion," and hostile-submission. The other two factors of Acting Out/ psychopathy and antagonism/hostile-dominance covaried to yield a superordinate factor. Possible substrates underlying two superordinate dimensions common to normal and abnormal personality were identified in the theoretical literature.     

School-based mental health programming for children with inattentive and disruptive behavior problems: first-year treatment outcome

This article examines the effectiveness of an evidence-based behavioral treatment package for children with inattentive and disruptive behavior problems when delivered in the context of a school-based mental health program. Child symptomatology and functioning are assessed in a treatment group (n = 30) and a waitlist control group (n = 12) across multiple time points (fall, winter, and spring). Treatment includes a daily report card procedure, year-long teacher consultation, and parenting sessions. According to the parent report, treated children show marked reductions in hyperactive and impulsive, oppositional or defiant and aggressive behavior, and marked improvement in peer relationships. Teachers observe treatment-related group differences in inattention, academic functioning, and the student-teacher relationship. Feasibility and acceptability data have implications for transporting evidence-based treatments to community settings and for integrating mental health services into the culture of the school community.     

Desirable attributes of public educational websites

Certain attributes are particularly desirable for public educational websites, and websites for ethics education in particular. Among the most important of these attributes is wide accessibility through adherence to the World Wide Web Consortium (W3C) standards for HTML code. Adherence to this standard produces webpages that can be rendered by a full range of web browsers, including Braille and speech browsers. Although almost no academic websites, including ethics websites, and even fewer commercial websites are accessible by W3C standards, as illustrated by the Online Ethics Center for Engineering and Science , even websites created on limited budgets and with an undergraduate student staff can fulfill these standards. Other desirable attributes, such as provision of annotation for all links and the use of annotated links to give the user alternate ways of ordering and organizing content, are important for making full use of the educational possibilities of hypermedia for websites.