Refining the borderline personality disorder phenotype through finite mixture modeling: implications for classification

Borderline personality disorder (BPD) is characterized by considerable heterogeneity. Prior approaches to resolving heterogeneity in BPD pathology have used factor and cluster analytic as well as latent class analysis strategies. These prior studies have been atheoretical in nature, but provide an initial empirical corpus for further sub-typing efforts in BPD. A model-based taxonomy for BPD that is supported by evidence from an advanced statistical methodology would enhance investigations of BPD etiology, pathophysiology, and treatment. This study applied finite mixture modeling analysis, in a model-guided fashion, to selected dimensions of pathology within a group of well-characterized BPD patients to determine if latent groups are harbored within the disorder. Subjects with BPD (N = 90) were examined on a variety of model-relevant psychopathology dimensions. We applied finite mixture modeling to these dimensions. We then evaluated the validity of the obtained solution by reference to a variety of external measures not included in the initial mixture modeling. Three phenotypically distinct groups reside within the overall BPD category. Group-1 is characterized by low levels of antisocial, paranoid, and aggressive features. Group-2 is characterized by elevated paranoid features, whereas Group-3 is characterized by elevated antisocial and aggressive features. External correlates reveal a pattern of differences consistent with the validity of this proposed grouping structure. A theory-guided finite mixture modeling analysis supports a parsing of the BPD category into three subgroups. This proposed BPD taxonomy represents an approach to reducing heterogeneity observed among BPD patients and it may prove useful in studies seeking to understand etiologic and pathophysiologic factors as well as treatment response in BPD.     

Initiation of evidence-based psychotherapies in Veterans with posttraumatic stress disorder

The Department of Veterans Affairs (VA) requires that all VA hospitals and clinics provide access to evidence-based psychotherapies (EBPs). Despite these widespread dissemination efforts, only a minority of Veterans receive EBP services. Reasons for these low rates of EBP utilization are largely unknown. This study examined the characteristics of Veterans with posttraumatic stress disorder (PTSD) who did (Initiation group) and did not (No-Initiation group) initiate a VA-approved EBP after participating in an information session. Veterans chose their preferred treatment from a menu of EBPs. Results demonstrated that Veterans in the No-Initiation group had longer periods of time between their referral and first EBP visit. Among Veterans in the Initiation group, the majority (68%) initiated a trauma-focused EBP as their first or second treatment, suggesting that providing a range of treatment options did not negatively impact their willingness to engage in PTSD treatment. Results are discussed in terms of VA initiatives to improve access to and initiation of mental health care for Veterans.     

Text repetition and text integration

Two experiments explored the levels of text representation that mediate text repetition effects, following the Raney (2003) model. The magnitude of the repetition benefit in Experiment 1 supported predictions of Raney's model, indicating that the ease of forming a situation model contributed to the magnitude of the reprocessing benefit. In addition, representations organized around a good situation model were more sensitive to changes than were representations formed from reading without a good situation model. The results of Experiment 2 did not support the suggestion that the surface form and textbase are bound to a well-developed situation model, thereby limiting repetition effects to similar linguistic contexts. Rather, the nature of the repetition benefits in the present series of experiments are better explained by the degree o foverlap between passages at eachof the three levels of text representation.     

Purchase and Consumption Habits: Not Necessarily What You Intend

Purchase and consumption behaviors in daily life often are repetitive and performed in customary places, leading consumers to develop habits. When habits have formed, environmental cues can activate the practiced responses in the absence of conscious decision making. This research tested these ideas using a longitudinal design. We predicted that regardless of their explicit intentions, consumers would repeat habits to purchase fast food, watch TV news, and take the bus. The results yielded the anticipated pattern in which participants repeated habitual behaviors even if they reported intentions to do otherwise. Intentions only guided behavior in the absence of strong habits. This study ruled out a number of artifactual accounts for these findings including that they arise from the level of abstraction at which intentions are identified, the certainty with which participants held intentions, a restriction of range in the measures, and the strategy participants used to estimate frequency of past performance.     

Extracting semantic representations from word co-occurrence statistics: A computational study

The idea that at least some aspects of word meaning can be induced from patterns of word co-occurrence is becoming increasingly popular. However, there is less agreement about the precise computations involved, and the appropriate tests to distinguish between the various possibilities. It is important that the effect of the relevant design choices and parameter values are understood if psychological models using these methods are to be reliably evaluated and compared. In this article, we present a systematic exploration of the principal computational possibilities for formulating and validating representations of word meanings from word co-occurrence statistics. We find that, once we have identified the best procedures, a very simple approach is surprisingly successful and robust over a range of psychologically relevant evaluation measures.     

Understanding print: early reading development and the contributions of home literacy experiences

This study explored the development of children's early understanding of visual and orthographic aspects of print and how this is related to early reading acquisition. A total of 474 children, ages 48 to 83 months, completed standardized measures of phonological awareness and early reading skills. They also completed experimental tasks that tapped their understanding of what constitutes "readable" print. The parents of participants completed a questionnaire regarding their children's home literacy experiences. The data showed systematic development in children's understanding of print conventions and English orthography and spelling. Regression analyses indicated that print knowledge was related to early reading skill, even after accounting for variance due to age and phonological awareness. Furthermore, parents' ratings of the extent of their children's involvement in activities that led to practice in reading and writing most consistently predicted the development of emerging literacy skills, including understanding of the conventions of the English writing system. Little relation between print knowledge and the frequency of storybook reading by adults was observed.     

Relationship between self-reported intensity of headache and magnitude of surface EMG

The study was designed to examine the relationship between self-reported intensity of headache and surface EMG. 98 patients, diagnosed by their neurologists with "muscle-contraction headaches" (tension-type headaches) were referred to evaluate their suitability for biofeedback therapy. At the time of examination, they were asked to rate their average headache intensity on a 10-point scale. Surface EMG data were collected to assess actual muscle contraction. Analysis indicated that among patients diagnosed with muscle contraction headache, there is a positive significant correlation between self-reported intensity of headache and actual muscle-contraction. The current data lend support to the hypothesis that the tension in the headaches currently described as "tension-type" may in fact refer to actual muscular tension or contraction.