The Collaborative Longitudinal Personality Disorders Study (CLPS): overview and implications

The Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000) was developed to fill gaps in our understanding of the nature, course, and impact of personality disorders (PDs). Here, we review published findings to date, discuss their implications for current conceptualizations of PDs, and raise questions that warrant future consideration. We have found that PDs are more stable than major depressive disorder, but that meaningful improvements are possible and not uncommon. We have confirmed also that PDs constitute a significant public health problem, with respect to associated functional impairment, extensive treatment utilization, negative prognostic impact on major depressive disorder, and suicide risk. At the same time, we have demonstrated that dimensional models of PDs have clinical validity that categories do not, especially greater temporal stability. Furthermore, dimensional personality traits appear to be the foundation of behaviors described by many PD criteria. Taken together, our results lead us to hypothesize that PDs may be reconceptualized as hybrids of stable personality traits and intermittently expressed symptomatic behaviors.     

Does sound stimulation have additive effects on cognitive-behavioral treatment of chronic tinnitus?

Psychological and physiological habituation are major goals in the treatment of patients suffering from chronic tinnitus. This study evaluates whether sound stimulation provided by use of low level white noise generators (NG) enhances the effects of cognitive-behavioral treatment (CBT). 124 outpatients with tinnitus of >6 months received manualized group treatment and were randomly assigned to the NG/no NG conditions. Those with moderate tinnitus-related distress obtained four sessions focusing on education, while severely distressed subjects were treated according to a full 10-session CBT program. Outcome was assessed at post-treatment and at 6- and 18-month follow-up. No additive effects due to the NGs could be demonstrated. All groups improved significantly on measures of tinnitus-related distress, dysfunctional cognitions, general psychopathology, depression, hypochondriasis and psychosocial functioning. Beneficial effects of the NGs were only observed for patients with concurrent tinnitus and hyperacusis. As systematic physical stimulation of the auditory system does not further improve the effects of CBT, the importance and strength of psychological interventions are emphasized. The clinical relevance of recently developed "retraining" approaches accentuating physical stimulation should be reconsidered.     

The strategic regulation of children's memory performance and suggestibility

We report two empirical studies that investigated previously reported benefits of a high accuracy motivation, and thus a high threshold, for children's and adults' event recall and for their ability to resist false suggestions. In the studies, 6-, 7-, and 8-year-olds, as well as adults, were shown a brief video about an event and were later asked unbiased and misleading questions about it. In Study 1, participants were either (a) given the typical accuracy instructions (including the option to answer with "I don't know"), (b) reminded of the accuracy instructions during the interview, or (c) immediately given feedback and a token for every correct answer. The results showed that the reminders were ineffective in stimulating strategic control behavior in children, independent of age. In Study 2, the confounding effects of feedback and incentives were disentangled by contrasting (a) free report, (b) feedback only, (c) incentives only, and (d) feedback plus incentives. Analyses on recall performance and suggestibility revealed that both feedback and incentives are necessary to increase children's accurate memory reports.     

The development of organizational strategies in children: evidence from a microgenetic longitudinal study

The authors examined memory on a sort-recall task in children 8 to 12 years of age. Children were first classified as either strategic or nonstrategic on a sort-recall pretest and then participated in an 11-week microgenetic study involving nine sessions. Strategy use was assessed on each trial. Consistent with past longitudinal research, changes from nonstrategic to strategic behavior occurred suddenly rather than gradually. Once children began using organizational strategies, their recall performance improved immediately. Deliberate strategy use was clearly reflected by sorting behavior during encoding but not in clustering during recall. Conclusions about whether there are children with utilization deficiencies are thus affected by how the concept is defined and whether sorting or clustering is taken as the indicator of spontaneous strategy use.     

Søren Kierkegaard and Karl Barth: Reflections on a Relation and a Proposal for Future Investigation

Karl Barth's relationship to Kierkegaard is one that is complex but often solely understood by means of Barth's own explicit reflections on Kierkegaard near the end of his life. This article revisits this history not only to cast light on the reasons for Barth's explicit distancing of himself from Kierkegaard's work, but also to provide evidence that Kierkegaard's influence upon Barth's thinking may have ranged further and in more subtle ways than is often acknowledged. This is particularly seen when Kierkegaard's understanding of Christology and the objectivity, rather than subjectivity, of faith is taken into account. Such an examination may provide warrant for a reappraisal of the relation between these two figures.     

Significance tests to determine the direction of effects in linear regression models

Previous studies have discussed asymmetric interpretations of the Pearson correlation coefficient and have shown that higher moments can be used to decide on the direction of dependence in the bivariate linear regression setting. The current study extends this approach by illustrating that the third moment of regression residuals may also be used to derive conclusions concerning the direction of effects. Assuming non‐normally distributed variables, it is shown that the distribution of residuals of the correctly specified regression model (e.g., Y is regressed on X) is more symmetric than the distribution of residuals of the competing model (i.e., X is regressed on Y). Based on this result, 4 one‐sample tests are discussed which can be used to decide which variable is more likely to be the response and which one is more likely to be the explanatory variable. A fifth significance test is proposed based on the differences of skewness estimates, which leads to a more direct test of a hypothesis that is compatible with direction of dependence. A Monte Carlo simulation study was performed to examine the behaviour of the procedures under various degrees of associations, sample sizes, and distributional properties of the underlying population. An empirical example is given which illustrates the application of the tests in practice.     

Cross‐cultural evidence of value structures and priorities in childhood

We broaden the developmental focus of the theory of universals in basic human values (Schwartz, 1992, Advances in Experimental Social Psychology) by presenting supportive evidence on children's values from six countries: Germany, Italy, Poland, Bulgaria, the United States, and New Zealand. 3,088 7–11‐year‐old children completed the Picture‐Based Value Survey for Children (PBVS‐C, Döring et al., 2010, J. Pers. Assess., 92, 439). Grade 5 children also completed the Portrait Values Questionnaire (PVQ, Schwartz, 2003, A proposal for measuring value orientations across nations. Chapter 7 in the Questionnaire Development Package of the European Social Survey). Findings reveal that the broad value structures, sex differences in value priorities and pan‐cultural value hierarchies typical of adults have already taken form at this early age. We discuss the conceptual implications of these findings for the new field of children's basic values by embedding them in the recent developmental literature.     

Two Jungs. Apropos a paper by Mark Saban

Jung's idea of the ‘personal equation’ amounts to the reflection that theoretical differences between the psychologies that people teach are rooted in their personalities, in other words, that they are due to the psychology each one ‘has’. This concept also applies to different interpretations of Jung's work. The serious difficulties that Mark Saban has with my psychology are a case in point. Recourse to the concept of the personal equation reveals that Saban has his Jung and I have mine. With his insistence on his Talmudic methodological principle of dream interpretation, that ‘the dream is its own interpretation’, according to Saban Jung means nothing but a rejection of Freudian free association. My Jung goes far beyond that. Jung understands this methodological principle above all in terms of what he calls ‘circumambulation’. The main part of this paper is devoted to an elucidation of what circumambulation involves as a mode of dream interpretation. The paper concludes with the distinction Jung himself introduced between two types of reading of his work, either as ‘paper’ and ‘dead nostrums’ or as ‘fire and wind’, and pleads for a reconstruction of Jung's psychology as a whole in terms of his most advanced, deepest insights, instead of a dogmatic reading mainly based on the early Jung, a reading for which his later revolutionary insights are at best negligible embellishments.     

Botswana school child parents: their personal and community relationships contexts for counselling

The study determined personal-socio-contextual influences that predicted the perceived quality of relationships with Batswana early teenage mothers. The participants were 86 Botswana high school students (mean age 18.97, SD = 1.76) with motherhood. They completed a numerical measure of adjustment to teenage motherhood in the context of family, school and community and also culture and social policy. A proportion of the teenagers (10%) participated in focus group discussion on the same aspects. The quantitative data were analysed to predict family, interpersonal, school and community interpersonal relationships from the teenage mothers' age, age of parents and living arrangements. The qualitative focus group discussion data were thematically analysed. Findings suggest that supportive living arrangements were instrumental to perceived quality of interpersonal relationships in the family and the school and community relationships. Gendered roles of the parents were social capital for family and school and community relationships with teenage-hood. Living arrangements and parental social discounting qualities reliably predicted teen mothers' social outcomes important for early parenthood counselling.