The concurrent validity of three self-report measures of borderline personality

The recent accumulation of self-report measures of borderline personality disorder (BPD) affords the opportunity to evaluate both the construct validity of the concept and the quality of these measures. This study examines the relationship among three recently developed self-report instruments for assessing BPD from the Personality Assessment Inventory (PAI; Morey, 1991), the MMPI Personality Disorders Scales (MPD; Morey, Waugh, & Blashfield, 1985), and the Bell Object Relations Inventory (BORI: Bell, Billington, & Becker, 1986). Data on the three measures were provided by 119 undergraduate subjects from a southeastern university. A correlational analysis addresses the convergence of these measures of BPD, their divergence from measures of different but related traits, and their independence from variance due to method. Application of the Campbell-Fiske (1959) criteria indicates adequate convergence for all the BPD measures but a lack of discriminant validity for the BORI scales. The fit of the data to a structural model of construct validity is tested using confirmatory factor analysis, and these results are consistent with the hypothesis of a latent borderline trait factor independent of measurement method factors. In sum, the construct validity of the borderline personality concept using self-report methodologies receives support, and a strong association between borderline personality and paranoid phenomena is also suggested.     

Development of knowledge bases and the reliability of a decision support system for behavioral treatment consultation for persons with mental retardation: The Mental Retardation-Expert

The development of expert and decision support systems requires the collection, organization, codification, and storage of a body of specialized knowledge. The development, using reconstructive methods, of two such knowledge bases, the first containing the current scientific literature and the second containing an expert’s knowledge, is described for an automated decision support system, the Mental Retardation-Expert. This system provides practitioners with assistance in the treatment of aggressive, self-injurious, and destructive behaviors displayed by individuals with mental retardation or developmental disabilities. The average interobserver reliability of the expert knowledge base ranged from 92.5% to 95.0% when calculated across four clinicians’ assessments of 31 abstracted cases.     

Short-term psychodynamic intervention in an urban health clinic: A case report

This paper describes the application of short-term dynamic therapeutic techniques to treat both symptom disturbance and character pathology in an urban mental health clinic. Short-Term dynamic psychotherapy focuses extensively on the subjectivity and inner life of the patient with emphasis on repressed anger, sadness and desire. Methods to overcome patient ambivalence and resistance to psychotherapy are presented. The clinical psychodynamics associated with early life trauma are illustrated with a case of an African-American patient.Acknowledgments for support & critical feedback are expressed to Christine Baker, Ph.D., John Swanson, ACSW, Duncan Walton, Ph.D., and Isabelle Beveridge (Graphics).     

Why believe what people say?

The basic alternatives seem to be either a Humean reductionist view that any particular assertion needs backing with inductive evidence for its reliability before it can retionally be believed, or a Reidian criterial view that testimony is intrinscially, though defeasibly, credible, in the absence of evidence against its reliability.Some recent arguments from the constraints on interpreting any linguistic performances as assertions with propositional content have some force against the reductionist view. We thus have reason to accept the criterial view, at least as applied to eyewitness reports. But these considerations do not establish that any rational enquirer must have the concept of other minds or testimony. The logical possibility of the lone enquirer, who uses symbols and thereby expresses some knowledge of his world, remains open — but it is a question we have no need to pronounce upon.The practice of accepting observation-statements is in fact extended to chains of testimonies believed to start in perception or in some other kind of justification, but the arguments for doing this are not so clear.I am indebted for helpful discussions of earlier versions of this paper to audiences at Macquarie University (where I was kindly given research facilities), at the conference of the Australasian Association for Philosophy in Sydney in 1990, at St. Andrews, and also to a referee for this journal.     

Harming future people

Hanser examines Derek Parfit's contention in his treatise on rationalism, Reasons and Persons (Oxford University Press; 1984) that acts that are not reproductive in nature can nonetheless predictably affect the identities of future people, and that this fact has unexpected and important consequences for ethical theory. Hanser argues tht this fact is not as significant as Parfit believes it to be. The arguments of both scholars concern the morality of choices that, while causing future persons to be badly off, do not make them worse off than they would have been if the choices had not been made. Hanser concludes his essay with a discussion of responsibility for acts that will affect the health of future offspring.     

The neural basis of primate social communication

A sophisticated ability both to generate displays of emotion and to respond to expressive behaviors of other individuals has emerged as a specialization in the course of primate evolution. Studies of the social behavior of nonhuman primates, especially those most related to ourselves, indicate that monkeys and apes are able to interpret social signals so as to assess the motivations of others. Studies of brain activity in monkeys looking at pictures of faces, facial expressions, and body movements, reveal regions of apparent specialized responsiveness to visual social stimuli. The existence of a discrete neural system in humans for cognition which generates a psychological model of others is suggested by patterns of deficit seen in certain neurologic syndromes. Empathy has several components and appears to lie on an evolutionary continuum.Based on a presentation given in New Orleans on February 17, 1990, at the AAAS symposium Empathy in Infancy and Later Development. Supported by the Department of Veterans Affairs.     

Do substance abuse and mental health clients prefer automated assessments?

In both psychiatric and substance-abuse services, clinicians have been concerned with the introduction of automated assessments and with their clients’ reactions toward those assessments. The positive reactions of psychiatric clients have been well documented, but little has been known about substance-abusing clients’ impressions of automated assessments. The impact of automated assessment on clients seeking substance-abuse services was evaluated and compared with a previously analyzed sample of clients seeking mental health services. On the whole, both groups responded similarly and positively to automated assessments. Factor analyses revealed three underlying dimensions in client attitudes toward automated assessment,Completeness and satisfaction,Ease of use and enjoyment, andNegative attitudes. In addition, statistically, though not clinically, significant differences in attitudes were found between various demographic groups. Overall, the results support the use of automated assessments with individuals seeking either substance-abuse or mental-health services.