Assessment and Treatment of Combat-Related PTSD in Returning War Veterans

Over the past 9 years approximately 2 million U.S. military personnel have deployed in support of Operation Iraqi Freedom in Iraq and Operation Enduring Freedom in and around Afghanistan. It has been estimated that 5–17% of service members returning from these deployments are at significant risk for combat-related posttraumatic stress disorder (PTSD). Many of these returning war veterans will seek medical and mental health care in academic health centers. This paper reviews the unique stressors that are related to the development of combat-related PTSD. It also reviews evidence-based approaches to the assessment and treatment of PTSD, research needed to evaluate treatments for combat-related PTSD, and opportunities and challenges for clinical psychologists working in academic health centers.     

Responses to the AAR‐Teagle White Paper: “The Religious Studies Major in a Post‐9/11 World”

In October 2008 The American Academy of Religion published the findings of an eighteen month study (conducted with funding from the Teagle Foundation) on “The Religious Studies Major in a Post–9/11World: New Challenges, New Opportunities.” Re‐published here, this AAR‐Teagle White Paper provides the opportunity for four respondents to raise issues and questions about the teaching of religion in their own institutional contexts. First, Jane Webster describes how the White Paper's “five characteristics of the religion major” find expression in her biblical literature course. Then James Buckley suggests some of the general level teaching issues provoked by the study and analyzes how well the White Paper aligns with how the teaching of religion is conceived in his Catholic university context. Tim Jensen draws comparisons between the White Paper and the higher education structures and goals from his university context in Denmark, raising questions about what motivates students to major in religious studies, the “utility” of a religious studies major, and whether students' religious and spiritual concerns ought to enter the classroom. And finally Stacey Floyd‐Thomas finds surprising similarities between the state of the religion major and the various crises facing contemporary North American theological education.     

In the worst rather than the best of times: effects of salient intergroup ideology in threatening intergroup interactions

Three studies demonstrated that a salient multicultural ideology increases hostile treatment of threatening outgroup interaction partners. The effect of multiculturalism on hostile behavior was evident regardless of whether threat was operationalized in terms of disagreement with an outgroup partner on important social issues (Studies 1 and 3) or rejection by the partner (Study 2). Moreover, the results clearly point to the learning orientation fostered by multiculturalism--as opposed to other factors such as enhanced other-focus, group-level attributions, or focus on differences--as the critical mediator of its effect on hostile behavior under threat. Thus, it appears that multiculturalism enhances the expression of hostility because it prompts individuals to really engage with and attach meaning and importance to threatening behaviors exhibited by outgroup members. The effects of multiculturalism were distinct from those of anti-racism and color-blindness, which set in motion processes that in many respects are directly opposite to those instantiated by multiculturalism. The findings highlight that the behavioral implications of multiculturalism may be quite different in conflictual interactions than they have previously been demonstrated to be in less threatening exchanges.     

Further evidence of the Narcissistic Personality Inventory’s validity problems: A meta-analytic investigation—Response to Miller, Maples, and Campbell (this issue)

Miller, Maples, and Campbell (this issue) present evidence that Rosenthal and Hooley’s (2010) concerns regarding the Narcissistic Personality Inventory’s (NPI) relation to psychological health may be unwarranted. To resolve this issue empirically, we conducted a meta-analysis (k = 54, N = 38,932). Meta-analytic results revealed that a subset of NPI items were indeed problematic; items that function poorly at differentiating narcissists from non-narcissists accounted entirely for the NPI’s connection to psychological health. These items were also strongly associated with self-esteem, but unrelated to aggression/anger. In contrast, the remaining NPI items were unrelated to psychological health, but associated with aggression/anger. We conclude that although the NPI measures narcissism, its poorest functioning items also link it to outcomes unrelated to narcissism.     

Extended Schema Mode conceptualizations for specific personality disorders: an empirical study

The aim of this study was to investigate newly formulated schema mode models for cluster-C, paranoid, histrionic and narcissistic personality disorders. In order to assess 18 hypothesized modes, the Schema Mode Inventory (SMI) was modified into the SMI-2. The SMI-2 was administered to a sample of 323 patients (with a main diagnosis on one of the PDs mentioned) and 121 nonpatients. The SMI-2 was successful in distinguishing patients and controls. Newly formulated modes proved to be appropriate for histrionic, avoidant, and dependent PD. The modification of the Overcontroller mode into the Perfectionistic and Suspicious Overcontroller mode was valuable for characterizing paranoid and obsessive-compulsive PD. The results support recent theoretical developments in Schema Therapy, and are useful for application in clinical practice.     

An effort based analysis of the paradoxical effects of incentives on decision‐aided performance

This study examines the effect of incentives on decision‐aided performance. In particular, the study provides further insight into whether, when, and how incentives affect task performance in the presence of decision aids by (1) replicating previous research showing the negative effects of incentives on performance; (2) investigating whether this effect generalizes to a more realistic scenario in which decision makers have access to additional contextual information not captured by the decision aid; and (3) applying an effort‐based framework to explain the link between incentives and performance. In contrast to the findings of prior research, our study shows that incentives do not necessarily decrease performance in the presence of decision aids. Rather, we demonstrate that the effect of incentives on decision‐aided performance depends on other contextual factors such as the absence or presence of additional contextual information. By further specifying the conditions under which incentives result in increases or decreases to decision‐aided task performance, our results have implications for both future research and the design of incentive systems in practice. Copyright © 2010 John Wiley & Sons, Ltd.     

The pitfalls of empathy as a default intergroup interaction strategy: Distinct effects of trying to empathize with a lower status outgroup member who does versus does not express distress

This experiment examined the hypothesis that trying to be empathic during intergroup interaction has positive effects on behavior when an outgroup interaction partner discloses significant hardships and thus expresses a need for support, but negative effects in the absence of a call for help. The results from an ostensible interaction study supported this hypothesis, and revealed that worries regarding negative evaluation partially accounted for the moderating role of partner hardship. Specifically, previous research indicates that trying to be empathic during intergroup interaction prompts individuals to reflect on their own evaluation by their outgroup partner, which for lower-prejudice individuals leads to positive metaperceptions and complacency and for higher-prejudice individuals leads to negative metaperceptions and enhanced effort. In the present study, having the outgroup partner disclose difficulties and distress increased the perceived likelihood of negative evaluation and appeared to trigger stronger efforts to convey positive signals for lower- and higher-prejudice individuals alike.     

The dimensionality of counterproductivity: Are all counterproductive behaviors created equal?

Most studies of counterproductive work behavior (CWB) assess it as one or two overall dimensions that might obscure relationships of potential antecedents with more specific forms of behavior. A finer-grained analysis of the relationship between counterproductive work behavior and antecedents was conducted with the five-subscales (abuse toward others, production deviance, sabotage, theft, and withdrawal) taken from the 45-item Counterproductive Work Behavior Checklist, a measure that has been used in a number of prior studies. Described is the rationale for each of the five dimensions, which have been discussed individually in the literature. Data from three combined studies provide evidence for differential relationships with potential antecedents that suggest the use of more specific subscales to assess CWB. Most notably, abuse and sabotage were most strongly related to anger and stress, theft was unrelated to emotion, and withdrawal was associated with boredom and being upset. Finally, the distinct forms of CWB may suggest distinct underlying dynamics, that vary in their balance of hostile and instrumental motivational systems.