Relationship between patient characteristics and treatment allocation for patients with personality disorders

Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.     

Daily dynamics of personal identity and self‐concept clarity

We examined the daily dynamics among self‐concept clarity and identity processes, and their effects on distress, among a sample of 580 Dutch adolescents. Participants completed measures of identity, self‐concept clarity, anxiety and depression at annual intervals; and daily single‐item measures of self‐concept clarity, identity commitments and reconsideration across three 5‐day weeks. We examined (a) cross‐lagged associations of self‐concept clarity to identity commitment and reconsideration and (b) associations of daily fluctuations in self and identity processes to later anxiety and depression. Results indicated that self‐concept clarity and identity commitments influence one another reciprocally across days, and that day‐to‐day fluctuations in identity predicted later anxiety and depression. Results are discussed in terms of self and identity processes and their effects on distress. Copyright © 2010 John Wiley & Sons, Ltd.     

Amnesia,flashbacks, nightmares,and dissociation in aging concentration camp survivors

The current study examined to what extent war memories of Dutch survivors of Japanese/Indonesian concentration camps display characteristics that are often believed to be typical for traumatic memories. Twenty-nine survivors were interviewed about amnesia, flashbacks, nightmares and the sensory quality of their most upsetting war memories. In addition, they completed self-report scales measuring post-traumatic stress symptoms and dissociation. In contrast to prevailing notions, amnesia, flashbacks and nightmares were not typical for this sample. Neither were traumatic memories characterized by a particularly strong sensory loading. Post-traumatic stress symptoms were not related to dissociative experiences. At least for this group of aging survivors, it appears that the pathogenic potential of traumatic memories has more to do with their extremely aversive content than with a qualitatively different type of organization of these memories.     

Intra- and interpersonal consequences of experimentally induced concealment

Secrecy, concealment, and thought suppression are assumed to be important aspects of psychopathology. However, most studies address these from an intrapersonal perspective. This study investigates both the intra- as well as the interpersonal consequences of experimentally induced concealment. Two experiments are described in which non-clinical participants were given a concealment instruction (i.e. avoid talking about a certain topic) in a conversation with an interviewer. In the neutral condition there was no such restraint. Interviewees were more tense and more aware during the concealment condition than during the neutral condition, whereas the interviewers were not aware of the participants' avoidance of the concealment topic. The second counterbalanced experiment replicated the results from the initial experiment. The hypotheses were supported that concealment can be induced experimentally leading to thought suppression and elevated levels of discomfort in the concealing individuals, without their conversation partners noticing. Implications for clinical practice are discussed.     

Brain-mind states: reciprocal variation in thoughts and hallucinations

The exclusion of thinking from recent studies of sleep mentation has hindered a full appreciation of how cognitive activity differs across the states of waking and sleep. To overcome this limitation, this study investigated thoughts and hallucinations using experience sampling, home-based sleep-wake monitoring, and formal analyses of the psychological data. The prevalence of thoughts decreased gradually from waking through sleep onset and non-REM sleep, to reach its nadir in REM sleep, whereas hallucinations increased sharply across these states. Furthermore, multiple occurrences of hallucinations but not of thoughts increased significantly from sleep onset through non-REM sleep, to a peak in REM sleep. This reciprocity in thoughts and hallucinations might reflect a progressive shift from high to low aminergic-to-cholinergic neuromodulatory ratios across wake-sleep states, accompanied by an array of changes in the regional activation patterns of the brain.     

National Norms and Life-Event Frequencies for the Revised Social Readjustment Rating Scale

The revised 51-event Social Readjustment Rating Scale (SRRS) was administered to a representative national sample of 5,000 in order to construct and interpret norms for overall scale scores and life-event frequencies. Directions asked for the frequency of each life-event during the previous 12 months. Life-event frequencies for each subject were multiplied by previously determined stressfulness ratings to produce an overall scale score. Norms for overall scale scores and life-event frequencies were calculated. A total of 3,399 completed surveys were returned (68%). The distribution of overall scale scores had a mean of 278, standard deviation of 422, and marked positive skewness of 4.12. Five of the top 10 most frequently occurring life-events were directly related to work. The normative information concerning overall scores on the revised Social Readjustment Rating Scale can be invaluable in understanding and interpreting individual scores, as well as diagnosing or identifying at-risk individuals with high scores who would likely benefit from stress management interventions.     

Olfactory self-recognition in a cichlid fish

Animal self-cognizance might be of importance in different contexts like territoriality, self-referent mate-choice or kin recognition. We investigated whether the cichlid fish Pelvicachromis taeniatus is able to recognize own olfactory cues. P. taeniatus is a cave breeding fish with pronounced brood care and social behavior. In the experiments we gave male cave owners the choice between two caves in which we introduced scented water. In a first experiment males preferred caves with their own odor over caves with the odor of an unfamiliar, unrelated male. To examine whether self-recognition is based rather on individual or on family cues we conducted two further experiments in which males could choose between their own odor and the odor of a familiar brother and between the odor of a familiar brother and an unfamiliar, unrelated male, respectively. Males preferred their own odor over that of a familiar brother suggesting individual self-referencing. Interestingly, males (at least outbred ones) preferred the odor of an unfamiliar, unrelated male over that of a familiar brother, maybe to avoid competition with kin. We discuss the results in the context of animal self-cognizance. All experiments were conducted with in- and outbred fish. Inbreeding did not negatively affect self-recognition.     

In Defense of Competition During Syntactic Ambiguity Resolution

In a recent series of publications (Traxler et al. J Mem Lang 39:558–92, 1998; Van Gompel et al. J Mem Lang 52:284–07, 2005; see also Van Gompel et al. (In: Kennedy, et al.(eds) Reading as a perceptual process, Oxford, Elsevier pp 621–48, 2000); Van Gompel et al. J Mem Lang 45:225–58, 2001) eye tracking data are reported showing that globally ambiguous (GA) sentences are read faster than locally ambiguous (LA) counterparts. They argue that these data rule out ‘constraint-based’models where syntactic and conceptual processors operate concurrently and syntactic ambiguity resolution is accomplished by competition. Such models predict the opposite pattern of reading times. However, this argument against competition is valid only in conjunction with two standard assumptions in current constraint-based models of sentence comprehension: (1) that syntactic competitions (e.g., Which is the best attachment site of the incoming constituent?) are pooled together with conceptual competitions (e.g., Which attachment site entails the most plausible meaning?), and (2) that the duration of a competition is a function of the overall (pooled) quality score obtained by each competitor. We argue that it is not necessary to abandon competition as a successful basis for explaining parsing phenomena and that the above-mentioned reading time data can be accounted for by a parallel-interactive model with conceptual and syntactic processors that do not pool their quality scores together. Within the individual linguistic modules, decision-making can very well be competition-based.