Effectiveness of dialectical behaviour therapy for borderline personality disorder in an inpatient setting

This study evaluates the effectiveness of dialectical behaviour therapy (DBT) for borderline personality disorder (BPD) in an unselected, comorbid population seeking 3-month inpatient treatment. We studied 50 consecutively admitted individuals (44 women, six men) with BPD as defined by DSM-IV at three time points (at admission, at discharge, and at the 15-month follow-up). For the clinical diagnoses, we used the Structured Clinical Interview for DSM-IV (SCID) and compared the frequencies of comorbid axis I and axis II disorders at admission and at the 15-month follow-up. Overall, participants showed a high degree of comorbidity. Psychopathology was significantly reduced at post-treatment and at follow-up. Effect sizes for outcome measures were within the range of those of previous studies. Our findings support the notion that the results of the DBT efficacy research can be generalized to an inpatient setting and to patients with BPD disorder with high comorbidity.     

时间磨砺人格美——评《时间与人格心理学探索》

时间和人格都是心理学领域极为重要的研究内容。时间无处不在,它不仅是基本心理过程的存在方式,而且也是人格特征的存在方式。时间与人格心理的研究是现代心理学研究的重要领域之一。《时间与人格心理学探索》一书,向我们详尽地展现了时间和人格心理学的研究成果。综观全书,主要凸显四个方面特点:一、研究取向上强调中国化;二、研究过程上体现长期性;三、研究方法上注重多样性;四、研究成果上凸显创新性。     

Terminated Seed: Death,Proprietary Kinship and the Production of (Bio)Wealth

What is mental disorder and how can it be identified? These are complex and multifaceted questions, given the multiple ambiguities that centre on the psychopathological concepts employed within contemporary psychiatry and psychology. Yet, scientists investigating mental disorders must successfully resolve these uncertainties if research is to continue. For neuroscientists studying the contested conditions antisocial personality disorder and psychopathy, psychiatric and psychological classifications and concepts are used to substantiate one another. This co-produces epistemological and ontological un/certainties, without wholly resolving philosophical and methodological questions regarding what mental disorders are and how they can be recognised. Indeed, these ambiguities are rendered (relatively) unimportant. This kind of practical uncertainty work is thus an important aspect of the investigative process, performing an essential role in the continuation of scientific knowledge production, the legitimation of professional orientations, and the validation of psychopathological concepts.     

A Cybernetic Theory of Psychopathology

Abstract

Cybernetics, the study of principles governing goal-directed, self-regulating systems, offers a useful approach to understanding psychopathology or psychological dysfunction, overcoming limitations of other naturalistic approaches. Whereas influential theories of psychopathology have relied on definitions of dysfunction rooted in evolution and fitness, we define psychopathology in terms of cybernetic dysfunction, failure to make progress toward important goals. Cybernetic function in organisms is not identical to evolutionary function, despite their causal phylogenetic relationship. We define psychopathology as persistent failure to move toward one’s goals, due to failure to generate effective new goals, interpretations, or strategies when existing ones prove unsuccessful. This definition allows a thorough integration of dimensional approaches to psychopathology and personality and provides a new perspective on the nosology of mental disorder. We review evidence that the major dimensions of psychopathology correspond to major trait dimensions of personality, but we assert that extremity on these dimensions is neither necessary nor sufficient for psychopathology, which requires cybernetic dysfunction. Drawing from psychological and neurobiological research on personality and psychopathology, we present a theory of the mechanisms underlying the five major dimensions of psychopathology, some of their subdimensions, and the general risk factor for psychopathology. We conclude by discussing implications of our theory for research, diagnosis, and mental health interventions.     

Misconstruing methods and meaning in the General Factor of Personality

Research has suggested that a General Factor of Personality (GFP) might represent a real and meaningful higher‐order factor in the personality hierarchy. However, there are psychometric shortcomings in many of the studies used to support this argument, as well as convincing empirical evidence for alternative explanations of the GFP as methodological rather than meaningful. The current article re‐examines the research supporting a substantive GFP by considering and evaluating the evidence presented in a recent volume (Just, 2011). It is concluded that covariation among first‐order personality factors is more likely a statistical or methodological artefact than a theoretically meaningful higher‐order construct.     

Attachment Security,Personality, and Adjustment of Elementary School Children

Children's development is assumed to be closely related to their attachment security and their personality. The authors’ aim was to examine the joint contribution of attachment security and personality traits to children's adjustment by examining diverse children's outcomes (emotional symptoms, social functioning, and behavioral problems) and using various perspectives (children, parents, and teachers). The sample comprised 247 8–12-year-old children from low socioeconomic status neighborhoods. Personality and attachment contribute to the different domains of adjustment. In cases of moderation, attachment security moderates the implications of personality traits on children's adjustment. The findings highlight the contribution of positive personality tendencies in playing down the difficulties of insecurely attached children.     

Gender Roles,Suicide Attempts,and Substance Abuse

In this article, the focus is on a comparison of suicide attempts and substance abuse in the United States. It is argued that suicide attempts and substance abuse may function as psychologically equivalent but gender-specialized forms of self-injurious behaviors. Possible explanations for the gender segregation of suicide attempts and substance abuse are reviewed, and the benefits of crossover theories and treatments are presented.