Prevalence of borderline personality disorder and its clinical correlates in Chinese patients with recent deliberate self-harm

This study examined the point prevalence of Borderline Personality Disorder (BPD) and its clinical correlates in patients with recent deliberate self-harm (DSH) in Hong Kong. A representative consecutive sample (n = 160) of patients with DSH referred to Prince of Wales Hospital from April 1, 2007 to March 31, 2008 was recruited. Their BPD status was determined according to the BPD subscale of the Chinese version of Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). The point prevalence of BPD was calculated. Subjects with and without BPD were compared in terms of demographic and clinical characteristics. Thirty out of 160 (18.8%) DSH patients were found to suffer from BPD. DSH patients with BPD were more likely to be female (p = .020), more often reported history of childhood physical (p = 0.043) and sexual abuse (p < 0.001), history of past DSH (p = 0.010), being younger at first DSH (p = 0.039), and more likely to suffer from current alcohol and substance use disorder (p = 0.043) and eating disorder (p = 0.040) than those without BPD. Being female, having history of childhood sexual abuse and current alcohol and substance use disorder were found to be independent predictors of BPD status by binary logistic regression.     

An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury

Post-9/11 service members may return from military service with a complicated set of symptoms and conditions, such as posttraumatic stress disorder (PTSD), depression, substance misuse, and traumatic brain injury (TBI), that interfere with reintegration and impair functioning. Although evidence-based treatments that facilitate recovery exist, their successful delivery at a sufficient dose is limited. Barriers to accessing treatment combined with challenges compiling a comprehensive treatment team further delay delivery of effective evidence-based care for PTSD, TBI, and co-occurring mental health conditions. This paper describes the development of a comprehensive, multidisciplinary, 2-week intensive day program for post-9/11 veterans with complex mental health concerns. The treatment program combines skill building groups, family education, and integrative health approaches with evidence-based individual PTSD or TBI care. Initial results from the first 132 participants were notable for a 97% completion rate, as well as statistically significant and clinically meaningful reductions in PTSD, neurobehavioral, and depression symptom severity for the 107 veterans who completed the PTSD track and the 21 who completed the TBI track. These data suggest the intensive program approach is an effective, well-tolerated model of treatment for post-9/11 veterans with PTSD and/or TBI. Future controlled studies should examine the effectiveness of this intensive model compared to standard evidence-based therapy delivery, as well as longitudinal outcomes.     

Coordination changes in a discrete multi-articular action as a function of practice

This study investigated how novices re-organized motor system degrees of freedom when practicing a multi-articular discrete kicking task. Four male participants practiced a soccer chipping task to seven different target positions over 12 sessions for 4 weeks. Data from each participant indicated changes in degrees of freedom involvement as a function of practice. Further, each participant showed a different progression of change in levels of joint involvement for hip, knee and ankle in the kicking limb. Cross-correlations between joints in the kicking limb also showed different pathways of coupling and de-coupling with practice. Performance outcome scores improved and variability of intra-limb coordination decreased as a consequence of practice for all participants. Angle-angle plots also showed qualitative changes in intra-limb coordination between early and late practice sessions. Evidence suggested that foot velocity at ball contact was functionally manipulated by participants when kicking to target positions with varying height and distance constraints. Referencing data to a model of learning [Newell, K. M. (1985). Coordination, control and skill. In: Goodman, D., Franks, I., & Wilberg, R.B. (Eds.), Differing perspectives in motor learning, memory, and control. Amsterdam: North-Holland, pp. 295-317] determined that progression through different stages of learning may not be sequential and could alternate between learning stages. The present study highlighted individual differences in acquisition of coordination and control of joint motion even under similar task constraints, showing how degeneracy in movement systems facilitates learning.     

Finding one's meaning: a test of the relation between quantifiers and integers in language development

We explored children’s early interpretation of numerals and linguistic number marking, in order to test the hypothesis (e.g., Carey (2004). Bootstrapping and the origin of concepts. Daedalus, 59-68) that children’s initial distinction between one and other numerals (i.e., two, three, etc.) is bootstrapped from a prior distinction between singular and plural nouns. Previous studies have presented evidence that in languages without singular-plural morphology, like Japanese and Chinese, children acquire the meaning of the word one later than in singular-plural languages like English and Russian. In two experiments, we sought to corroborate this relation between grammatical number and integer acquisition within English. We found a significant correlation between children’s comprehension of numerals and a large set of natural language quantifiers and determiners, even when controlling for effects due to age. However, we also found that 2-year-old children, who are just acquiring singular-plural morphology and the word one, fail to assign an exact interpretation to singular noun phrases (e.g., a banana), despite interpreting one as exact. For example, in a Truth-Value Judgment task, most children judged that a banana was consistent with a set of two objects, despite rejecting sets of two for the numeral one. Also, children who gave exactly one object for singular nouns did not have a better comprehension of numerals relative to children who did not give exactly one. Thus, we conclude that the correlation between quantifier comprehension and numeral comprehension in children of this age is not attributable to the singular-plural distinction facilitating the acquisition of the word one. We argue that quantifiers play a more general role in highlighting the semantic function of numerals, and that children distinguish between numerals and other quantifiers from the beginning, assigning exact interpretations only to numerals.     

Taking from those that have more and giving to those that have less: How inequity frames affect corrections for inequity

Most theories of inequity focus on relative inequity. In contrast, this paper provides evidence that individuals infer what people should have (i.e. an absolute standard) from the way inequity is described. In the reported experiment, participants give more to a subordinate actor when inequity is described in terms of “less than” rather than “more than,” and take more from a dominant actor when inequity is described in terms of “more than” rather than “less than,” even though the magnitude of inequity is constant. Mediational analyses suggest that these differences are driven by changes in individuals’ perceptions of what the actors should have (i.e. the standard). We conclude by discussing the implications for motivated perceptions of inequity and redistributive policy attitudes.     

Psychometric properties of parents and children as informants in child psychiatry epidemiology with the Spanish diagnostic interview schedule for children (DISC.2)

Parent and child reports were examined to study how epidemiological researchers can best use the information provided to describe childhood psychopathology. As part of a multisite methodologic study of mental disorders in children, a probability sample (N=248) of children aged 9 to 17 years from the San Juan metropolitan area was selected. This sample was enriched with 74 clinic cases. Both parents and children were administered the DISC.2. Results showed that prevalence estimates were influenced by the informant. The clinicians' diagnosis is more concordant with children's reports of depression and with parents' reports of disruptive disorders. Parents and children provided unique information when interviewed with a structured psychiatric interview about child psychopathology. Their unique perspectives contributed to the observed discordance that emerged when DISC parent and DISC child results are compared. Combining the two perspectives with a simple OR rule at the symptom level did not seem to capture the unique perspectives.We acknowledge the research group of the Behavioral Sciences Research Institute for their valuable contributions to this work. We also recognize José V. Martínez, Vivian E. Febo, and Zenaida González for the data analyses, and Elizabeth Pastrana and Felícita Laboy for the secretarial work.This research was supported by grants (MH46732) from the National Institute of Mental Health (NIMH) as part of a collaborative methodologic epidemiologic study of children and adolescents (MECA) between the Universities of Columbia, Emory, Puerto Rico, Yale, and the NIMH.     

A Web-based digitized video image system for the study of motor coordination

A Web-based instructional project for the study of motor coordination is presented. The project includes two components: a tutorial on motor coordination and an interactive digitized video image system developed for the analysis of motion, including topics in biomechanics, motor coordination, motor control, and motor skill. This interactive system allows for the quantitative analysis of stored video images that are accessible from the World-Wide Web. The use of this digitizing system for the measurement and analysis of human locomotion coordination patterns is presented.     

Reexamining personal, social, and cultural influences on compliance behavior in the United States, Poland, and Hong Kong

Researchers have extended the literature on strategies of gaining compliance with a request to incorporate cultural variations into the analytic framework. In the present investigation, the authors sought to go beyond previous studies of the factors increasing compliance rates by reexamining how researchers conceptualize and measure personal, social, and cultural influences on compliance behavior in the United States, Poland, and Hong Kong. The authors found that different levels of compliance were affected by culture, principles of influence, and the individual's personal orientation of idiocentrism/allocentrism (I/A). In the present study, the authors extended previous cross-cultural work by decomposing the I/A into 2 separate individual difference variables: normative perceptions and evaluative perceptions. The interaction of person and situation on compliance showed the power of situational demands and the strength of different aspects of personal collectivism. Different patterns of compliance at the culture level revealed the importance of culture in shaping this behavioral tendency. Thus, the authors' integration of personal, social, and cultural influences provided an interactive model to help researchers explain compliance more comprehensively.     

Emotion as a thermostat: representing emotion regulation using a damped oscillator model

The authors present in this study a damped oscillator model that provides a direct mathematical basis for testing the notion of emotion as a self-regulatory thermostat. Parameters from this model reflect individual differences in emotional lability and the ability to regulate emotion. The authors discuss concepts such as intensity, rate of change, and acceleration in the context of emotion, and they illustrate the strengths of this approach in comparison with spectral analysis and growth curve models. The utility of this modeling approach is illustrated using daily emotion ratings from 179 college students over 52 consecutive days. Overall, the damped oscillator model provides a meaningful way of representing emotion regulation as a dynamic process and helps identify the dominant periodicities in individuals' emotions.