Correction to: Irritability and Emotional Impulsivity as Core Feature of ADHD and ODD in Children

Journal of Psychopathology and Behavioral Assessment -     

Stationäre körperbezogene Psychotherapie bei Anorexia und Bulimia nervosa

Disturbances of body-images in women with anorexia and bulimia nervosa are described at the behavioral, perceptional and affective-cognitive level. The disturbances of body image, which are often accompanied by personality-structural deficits and have a decisive influence on the course of disease, can be reached only in part by verbal forms of therapy. Considering these facts, we present an integrative clinical procedure in which the application of body-related therapy modules play a central role in supplement to cognitive-behavioral and psychodynamic forms of therapy. Process-oriented body-perception therapy in an individual setting and a communicative movement group therapy are used and their relevance to the in-patient therapy process examined from the patient’s point of view. The study reveals a high value of body-psychotherapy, wherebydifferences were observed between anorexia (15) and bulimia (27) patients in the course of the process. The results suggest an indication for the application of combined individual and group body-psychotherapy for hospitalized anorexia patients. A communicative body therapy in group form is also very important in the in-patient treatment of bulimia patients, but there is a differential indication with regard to individual body therapy.     

Irritability and Emotional Impulsivity as Core Feature of ADHD and ODD in Children

The categorical approach of diagnosing mental disorders entails the problem of frequently occurring comorbidities, suggesting a more parsimonious structure of psychopathology. In this study, we therefore aim to assess how affective dysregulation (AD) is associated with attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in children. To assess AD in children aged 8–12 years (n?=?391), we employed the parent version of a newly constructed parent rating scale. Following item reduction, we conducted exploratory and confirmatory factor analyses to establish a factorial structure of AD. One core dimension was identified, comprising irritability and emotional impulsivity, and two smaller dimensions, comprising positive emotionality and exuberance. Subsequently, we examined five different latent factor models – a unidimensional model, a first-order correlated factor model, a second-order correlated factor model, a traditional bifactor model, and a bifactor S-1 model, in which the first-order factor AD-Irritability/Emotional Impulsivity (II) was modeled as the general reference factor. A bifactor S-1 model with the a priori defined general reference domain AD-II provided the best fit to our data and was straightforward to interpret. This model showed excellent model fit and no anomalous factor loadings. This still held true, when comparing it to bifactor S-1 models with ADHD/ODD-related reference factors. Differential correlations with emotion regulation skills and the established Parent Proxy Anger Scale validate the interpretation of the different dimensions. Our results suggest that irritability/emotional impulsivity might be a common core feature of ADHD and ODD.

     

Cognitive and emotional demands of black humour processing: the role of intelligence,aggressiveness and mood

Humour processing is a complex information-processing task that is dependent on cognitive and emotional aspects which presumably influence frame-shifting and conceptual blending, mental operations that underlie humour processing. The aim of the current study was to find distinctive groups of subjects with respect to black humour processing, intellectual capacities, mood disturbance and aggressiveness. A total of 156 adults rated black humour cartoons and conducted measurements of verbal and nonverbal intelligence, mood disturbance and aggressiveness. Cluster analysis yields three groups comprising following properties: (1) moderate black humour preference and moderate comprehension; average nonverbal and verbal intelligence; low mood disturbance and moderate aggressiveness; (2) low black humour preference and moderate comprehension; average nonverbal and verbal intelligence, high mood disturbance and high aggressiveness; and (3) high black humour preference and high comprehension; high nonverbal and verbal intelligence; no mood disturbance and low aggressiveness. Age and gender do not differ significantly, differences in education level can be found. Black humour preference and comprehension are positively associated with higher verbal and nonverbal intelligence as well as higher levels of education. Emotional instability and higher aggressiveness apparently lead to decreased levels of pleasure when dealing with black humour. These results support the hypothesis that humour processing involves cognitive as well as affective components and suggest that these variables influence the execution of frame-shifting and conceptual blending in the course of humour processing.     

Should subjects be forewarned of the possible psychological consequences of filling out a PTSD questionnaire?

In 1993 Albach investigated the long-term consequences of sexual abuse on psychological health. A group of abused women a a control group of nonabused women were asked to fill in a questionnaire assessing posttraumatic stress disorder (PTSD). For ethical reasons, the abused women were warned that filling in the questionnaire might be emotionally stressful. The control group did not receive this warning. The abused women scored higher on the questionnaire than the nonabused women. The warning they received may have influenced their reports. Our experiment investigated this. 101 psychology students were divided into two groups, one who received a warning and a control group who did not. The hypothesis was that people who had been previously warned would score higher on a PTSD questionaire than people who had not. There were, however, no significant differences in mean PTSD scores and no known initial differences between groups.     

Identity management strategies in Northern Ireland

Social identity theory suggests that individuals and groups use different identity management strategies to cope with threatened identities. In October 1998, the authors developed 5 identity management strategy scales for use in the changing political context of Northern Ireland and investigated the relationship of perceptions of stability and legitimacy, as well as in-group identification, to those strategies. Participants were 209 students of the University of Ulster and the Belfast Institute. The results supported the factor structure of the identity management strategy scales. Perceptions of stability and legitimacy and in-group identification were, however, correlated with some strategies only. That finding may indicate that some identity management strategies are related to psychological constructs not covered by social identity theory.     

An application of item response theory to the DSM-III-R criteria for borderline personality disorder

This paper summarizes results from analyses of the DSM criteria for borderline personality disorder (BPD) using models from item response theory (IRT). The study sample consisted of 353 participants, the majority of whom were psychiatric patients. Confirmatory factor analysis showed that a one-factor model provided the best fit to the data. All the DSM BPD criteria had moderate or higher item discrimination parameters, indicating that all items contributed meaningful information in assessing BPD. Item information functions revealed that the BPD criteria as a whole were useful for capturing BPD traits in the moderately severe to severe range, but that they performed less well in the less severe range. The general conclusion is that the criteria do represent a coherent syndrome and that further research on the informational value of the individual criteria would be useful.     

Evaluating the Meta-Slope: Is there a Slippery Slope Argument against Slippery Slope Arguments?

Slippery slope arguments (SSAs) have often been viewed as inherently weak arguments, to be classified together with traditional fallacies of reasoning and argumentation such as circular arguments and arguments from ignorance. Over the last two decades several philosophers have taken a kinder view, often providing historical examples of the kind of gradual change on which slippery slope arguments rely. Against this background, Enoch (2001, Oxford Journal of Legal Studies 21(4), 629–647) presented a novel argument against SSA use that itself invokes a slippery slope. Specifically, he argued that the very reasons that can make SSAs strong arguments mean that we should be poor at abiding by the distinction between good and bad SSAs, making SSAs inherently undesirable. We argue that Enoch’s meta-level SSA fails on both conceptual and empirical grounds.     

Training psychiatric teams to do family systems acute psychiatry

This article presents an account of a comprehensive eighteen‐day, multi‐team, multidisciplinary training approach to family systems inpatient acute psychiatry. It has been developed and tested as part of the SYMPA project (systems therapy in acute psychiatry), which aims to establish systemic case conceptualizations and interventions as routine practice in acute psychiatry. Content, didactic characteristics and specifications of this training are discussed. To illustrate the practical implementation of the training, specifically designed exercises are described and a clinical case is included. The article concludes by presenting first results of the research on implementation indicating that the training had a significant impact on the quantity and quality of conversations with patients.