The role of gender in the clinical presentation of patients with borderline personality disorder

This study examined gender differences in the pattern of comorbid disorders and degree of impairment among outpatients with borderline personality disorder (BPD). A total of 130 outpatients with BPD were assessed for various lifetime impulse-related disorders and post-traumatic stress disorder and for indices of impairment. Compared with women with BPD, men with BPD reported significantly more lifetime substance abuse disorders, antisocial personality and met criteria of intermittent explosive disorder that did not overlap with a diagnosis of BPD. Women with BPD reported significantly more lifetime eating disorders than men with BPD. No gender differences were found in degree of overall impairment. These results suggest that male and female patients with BPD, although equally distressed, present with different lifetime patterns of impulse-related disorders.     

Perceptual sensitivity and motoric competence in 5- and 6-month-old infants

The authors explored whether 5- to 6-month-old infants were sensitive to perceptual information and how they used perception as a recognition cue to search for a hidden object. In addition, the authors categorized and examined infant grasp by developmental effectiveness to determine any impact on infant search behaviors. In a within-participants design, 20 infants were presented with a toy in 2 occluder conditions. The toy was hidden under either a thick, camouflaging cloth or a thin, semitransparent cloth. The data revealed significant effects of perceptual sensitivity, age, and motor sophistication on search tasks. The results suggest that motor competence might be a limiting factor in infants' abilities to link motoric responses to notions about an object.     

The structure of child and adolescent psychopathology: generating new hypotheses

To begin to resolve conflicts among current competing taxonomies of child and adolescent psychopathology, the authors developed an interview covering the symptoms of anxiety, depression, inattention, and disruptive behavior used in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994), the International Statistical Classification of Diseases and Related Health Problems (ICD-10; World Health Organization, 1992), and several implicit taxonomies. This interview will be used in the future to compare the internal and external validity of alternative taxonomies. To provide an informative framework for future hypothesis-testing studies, the authors used principal factor analysis to induce new testable hypotheses regarding the structure of this item pool in a representative sample of 1,358 children and adolescents ranging in age from 4 to 17 years. The resulting hypotheses differed from the DSM-IV, particularly in suggesting that some anxiety symptoms are part of the same syndrome as depression, whereas separation anxiety, fears, and compulsions constitute a separate anxiety dimension.     

Racial Discrimination and Racial Identity as Risk or Protective Factors for Violent Behaviors in African American Young Adults

This study examined the influences of racial discrimination and different racial identity attitudes on engaging in violent behavior among 325 African American young adults. The contributions of racial discrimination and racial identity attitudes in explaining violent behavior during the transition into young adulthood while controlling for the influences of prior risk behaviors at ninth grade were examined separately for males and females. In addition, the buffering effects of racial identity attitudes on the relationship between racial discrimination and violent behavior were tested. Results indicated that experience with racial discrimination was a strong predictor of violent behavior, regardless of gender. The centrality of race for males and the meaning others attribute to being Black for both males and females were moderators of the influence of racial discrimination on violent behavior.     

Racial Identity, Parental Support, and Alcohol Use in a Sample of Academically At-Risk African American High School Students

This study examined racial identity and parental support as predictors of alcohol use in a sample of 488 African American adolescents. Two dimensions of racial identity were investigated: (1) racial centrality (i.e., the significance that one places on race in defining oneself) and (2) private regard (i.e., the extent to which one feels positively about Black people). In addition, perceived support from mothers and fathers was examined. Multivariate results showed that private regard and father support were associated with less self-reported alcohol use after partialling out the effects of age and gender. An interaction between the two racial identity dimensions was also found such that private regard was associated with less alcohol use for adolescents who reported that race was a more central part of their identity.     

Emotional Knowing: the Role of Embodied Feelings in Affective Cognition

The emotions play a crucial role in our apprehension of meaning, value, or significance — and their felt quality is intimately related to the sort of awareness they provide. This is exemplified most clearly by cases in which dispassionate cognition is cognitively insufficient, because we need to be emotionally agitated in order to grasp that something is true. In this type of affective experience, it is through a feeling of being moved that we recognize or apprehend that something is the case. And that is why our emotions are epistemically indispensable: namely, because they give us access to significant truths. In this essay, I explain how the phenomenally felt character of an emotion is intimately linked with its intentionality. Intellectual activity divorced from affective feeling is profoundly lacking — not only in its qualitative feel, but also in its epistemic import, or its ability to inform us about matters of significance. A better appreciation of how the living body is involved in affective experience should help us to understand the distinctive kind of embodied cognition that emotional responses involve. It also ought to resolve confusions about phobic responses and other “recalcitrant” emotions, which are not divorced from cognition as many have claimed.     

On the (In)Validity of Tests of Simple Mediation: Threats and Solutions

Mediation analysis is a popular framework for identifying underlying mechanisms in social psychology. In the context of simple mediation, we review and discuss the implications of three facets of mediation analysis: (a) conceptualization of the relations between the variables, (b) statistical approaches, and (c) relevant elements of design. We also highlight the issue of equivalent models that are inherent in simple mediation. The extent to which results are meaningful stem directly from choices regarding these three facets of mediation analysis. We conclude by discussing how mediation analysis can be better applied to examine causal processes, highlight the limits of simple mediation, and make recommendations for better practice.     

Multimethod Assessment of Psychopathology Among DSM-IV Subtypes of Children With Attention-Deficit/Hyperactivity Disorder: Self-, Parent, and Teacher Reports

Using data based on self-, parent, and teacher reports, we assessed various aspects of psychopathology in a large sample of control children and those with ADHD. Confirmatory factor analysis was employed to extract response bias from latent constructs of aggression, anxiety, attention problems, depression, conduct disorder, and hyperactivity. These latent constructs were then entered into logistic regression equations to predict membership in control versus ADHD groups, and to discriminate between ADHD subtypes. Results of the regression equations showed that higher levels of attention problems and aggression were the best predictors of membership in the ADHD group relative to controls. Logistic regression also indicated that a higher degree of aggression was the only significant predictor of membership in the ADHD-Combined group compared to the ADHD-Inattentive group. However, when comorbid diagnoses of Oppositional Defiant Disorder and Conduct Disorder were controlled for in the logistic regression, greater hyperactivity rather than aggression was the sole variable with which to distinguish the ADHD-Combined from the ADHD-Inattentive subtype. Results are discussed in the context of the DSM-IV ADHD nosology and the role of instrument and source bias in the diagnosis of ADHD.