Clinician-Guided Assessment of Personality Using the Structural Interview and the Structured Interview of Personality Organization (STIPO)

This article demonstrates the utility of a theory-guided psychodynamic approach to the assessment of personality and personality pathology based on the object relations model developed by Kernberg (1984). We describe a clinical interview, the Structural Interview (SI; Kernberg, 1984), and also a semistructured approach, the Structured Interview of Personality Organization (STIPO; Clarkin, Caligor, Stern, & Kernberg, 2004) based on this theoretical model. Both interviews focus on the assessment of consolidated identity versus identity disturbance, the use of adaptive versus lower level defensive operations, and intact versus loss of reality testing. In the context of a more clinically oriented assessment, the SI makes use of tactful confrontation of discrepancies and contradictions in the patient's narrative, and also takes into account transference and countertransference phenomena, whereas the more structured approach of the STIPO incorporates clinical judgment informed by clinical theory into a well-guided interaction with the patient. Both interviews have good interrater reliability and are coherent with the alternative model for personality disorder diagnosis proposed by the Diagnostic and Statistical Manual of Mental Disorders (5th ed.), Section III. Finally, they provide the clinician with specific implications for prognosis and treatment planning and can rationally guide clinical decision making.     

Supervaluation-Style Truth Without Supervaluations

Kripke’s theory of truth is arguably the most influential approach to self-referential truth and the semantic paradoxes. The use of a partial evaluation scheme is crucial to the theory and the most prominent schemes that are adopted are the strong Kleene and the supervaluation scheme. The strong Kleene scheme is attractive because it ensures the compositionality of the notion of truth. But under the strong Kleene scheme classical tautologies do not, in general, turn out to be true and, as a consequence, classical reasoning is no longer admissible once the notion of truth is involved. The supervaluation scheme adheres to classical reasoning but violates compositionality. Moreover, it turns Kripke’s theory into a rather complicated affair: to check whether a sentence is true we have to look at all admissible precisification of the interpretation of the truth predicate we are presented with. One consequence of this complicated evaluation condition is that under the supervaluation scheme a more proof-theoretic characterization of Kripke’s theory becomes inherently difficult, if not impossible. In this paper we explore the middle ground between the strong Kleene and the supervaluation scheme and provide an evaluation scheme that adheres to classical reasoning but retains many of the attractive features of the strong Kleene scheme. We supplement our semantic investigation with a novel axiomatic theory of truth that matches the semantic theory we have put forth.     

Psychology and the science of human-environment interactions

Psychology has an indispensable role in understanding environmental problems and finding solutions. To fill this role, psychologists must work within an interdisciplinary effort to build a scientific understanding of human-environment interactions. This article enumerates 8 widely held beliefs about these interactions and assesses the strengths and limitations of each belief. It suggests that psychology can contribute more strongly by counteracting disciplinary biases, focusing research where a behavioral analysis identifies major opportunities, making appropriately modest claims, collaborating with other disciplines, and building on psychology's relative strengths among the human sciences.     

Nonproportional sampling and the amplification of correlations

A theoretical analysis shows that sample correlations between two binary variables will be inflated when the frequency distributions of the two variables are flatter (i.e., closer to equal frequencies for the two values) in the sample than in the population. A correlation-assessment study in which participants were free to choose their own sample revealed an overwhelming preference for samples that included roughly the same number of observations for the two values of dichotomous variables, irrespective of their actual distribution in the population. Subjective estimates of observed correlations followed the sample correlations--which were inflated, as predicted--more closely than the true correlations. People's sampling behavior thus resembles that of a research designer who maximizes the chance of detecting a relationship, at the cost of diminished accuracy in estimating its strength.     

Does decision quality (always) increase with the size of information samples? Some vicissitudes in applying the law of large numbers

Adaptive decision making requires that contingencies between decision options and their relative assets be assessed accurately and quickly. The present research addresses the challenging notion that contingencies may be more visible from small than from large samples of observations. An algorithmic account for such a seemingly paradoxical effect is offered within a satisficing-choice framework. Accordingly, a choice is only made when the sample contingency describing the relative evaluation of the 2 options exceeds a critical threshold. Small samples, because of the high dispersion of their sampling distribution, facilitate above-threshold contingencies. Across a broad range of parameters, the resulting small-sample advantage in terms of hits is stronger than their disadvantage in false alarms. Computer simulations and experiments support the model predictions. The relative advantage of small samples is most apparent when information loss is low, when the threshold is high relative to the ecological contingency, and when the sampling process is self-truncated.     

Mechanisms underlying working memory for novel information

In this Opinion article we describe a theory that the brain mechanisms underlying working memory for novel information include a buffer in parahippocampal cortices. Computational modeling indicates that mechanisms for maintaining novel information in working memory could differ from mechanisms for maintaining familiar information. Electrophysiological data suggest that the buffer for novel information depends on acetylcholine. Acetylcholine activates single-cell mechanisms that underlie persistent spiking of neurons in the absence of synaptic transmission, allowing maintenance of information without prior synaptic modification. fMRI studies and lesion studies suggest that parahippocampal regions mediate working memory for novel stimuli, and the effects of cholinergic blockade impair this function. These intrinsic mechanisms in parahippocampal cortices provide an important alternative to theories of working memory based on recurrent synaptic excitation.     

Same-sex couple perceptions of family support: a consensual qualitative study

Few studies have examined the family context in which same-sex couples negotiate their lives and relationships. Consensual qualitative research methods (Hill, Thompson, & Williams, 1997) were used to analyze 14 same-sex couples' conversations about family support. Couples perceived that their families are positively supportive, non-supportive, or ambivalent in their support. These perceptions led to positive or negative emotional reactions in the couple members and to specific coping. The majority of couples perceived that family support (or lack of support) had an effect on the quality of their couple relationship. No general or typical response strategies to lack of family of origin support emerged, suggesting a lack of models or norms for same-sex couples. The implications for psychotherapeutic interventions with same-sex couples are discussed.     

Attentional resource and processing speed limitations during sentence processing in Parkinson's disease

Several studies have suggested that patients with Parkinson's disease (PD) have sentence comprehension difficulty in part because of their limited executive resources. However, these assessments confound the executive resources contributing to sentence comprehension with the resources needed for task performance. In the present study, we used a word detection technique that minimizes task demands in order to evaluate attentional and processing speed resources during the comprehension of simple sentences without subordinate clauses and sentences containing subject-relative and object-relative center-embedded subordinate clauses. We found that PD patients have poor sensitivity to phonetic errors embedded in unbound grammatical morphemes, regardless of the clausal structure of the sentence, suggesting difficulty attending to grammatical morphemes. We also found that PD patients are significantly slowed in their sensitivity to phonetic errors in content words embedded in object-relative center-embedded sentences. Slowed sensitivity to content words in object-relative sentences was correlated with timed executive measures of planning. On a traditional measure of comprehension, these PD patients were impaired for sentences containing object-relative center-embedded clauses compared to sentences with subject-relative center-embedded clauses, and comprehension of object-relative sentences was correlated with executive measures. Our findings are consistent with the claim that limited executive resources for strategic attention and processing speed contribute to the sentence comprehension difficulties of PD patients.