Personality Disorder Attributes as Supplemental Goals for Change in Interpersonal Psychotherapy

Interpersonal Psychotherapy (IPT) is a manualized, short-term (usually 12–16 sessions) based on the assumption that psychological disorders often emerge secondary to social and interpersonal problems that require active intervention to achieve symptom remission. The time-limited nature of IPT compels therapists to establish the goal of diminishing, on a weekly basis, a small number of focused interpersonal problems with a decided emphasis on proximal rather than historic conflicts and associated patterns of behavior. This strategy discourages the adoption of diffuse therapy goals and directions that have more opportunity to emerge in long-term, unstructured treatment modalities. The role of traditional personality testing in short-term therapy, when it occurs, is to identify and quantify symptom clusters that warrant attention as dependent measures in the treatment process. The role of personality factors in the genesis or maintenance of psychological disturbance is rarely addressed. The present article explores theoretical and pragmatic objections to the use of personality testing in IPT. A method is proposed for the limited but systematic incorporation of personality testing in the IPT treatment process using the Millon Clinical Multiaxial Inventory (MCMI-III). While unreasonable to expect personality transformation through short-term therapy, the partial attenuation of maladaptive behavioral, attitudinal, and emotional reactions to stressors could prove exceedingly helpful to short-term treatments such as IPT.     

Validation française de l’Inventaire d’Attitudes Environnementales

IntroductionClimate change has made it necessary to develop valid tools for studying pro-environmental behaviors.ObjectivesThe present study assessed the validity of the French translation of the brief version of Milfont and Duckitt's (2010) Environmental Attitudes Inventory. We chose this scale for its psychometric properties, its ability to predict behaviors, its theoretical foundations, and its use in many countries. In addition to the translation, we tested a shortened, 12-item version of the scale.MethodThree samples were used to study the structure of the IAE, its nomological network, its test–retest fidelity, and its predictive validity.ResultsIAE-24 has similar psychometric properties to the original version, for both one-factor and two-factor models (preservation and utilization dimensions). IAE-12 has satisfactory internal consistency if the one-factor model is used. The nomological network of IAE-24 is not totally identical to the original version. Differences can be ascribed to inconsistencies in the literature and the use of different scales. Both IAE-24 and IAE-12 have very satisfactory predictive validity and test–retest reliability.ConclusionThe French version of the IAE has satisfactory psychometric properties.     

Heightened religiosity and epilepsy: evidence for religious-specific neuropsychological processes

It has been hypothesised that humans may have an innate neurologic tendency towards being religiously oriented, suggesting that we possess religious-specific neuropsychological processes. Persons with epilepsy provide a unique opportunity to study these relationships given the documented hyper-religious experiences observed with epilepsy. The current study evaluated 19 individuals with epilepsy to determine if epilepsy-related religious experiences (as measured by the Bear Fedio Inventory [BFI]) are reflective of a general increase in behaviours observed with epilepsy (e.g., philosophical thoughts, emotionality), or if they are reflective of a religious-specific orientation. Spearman correlations indicated that: (1) BFI religious-orientation scales are significantly related to philosophical concerns (i.e., nature of the universe), but not measures of emotionality and (2) BFI religious-orientation scales, but not philosophical or emotionality scales, are significantly associated with other commonly used measures of spirituality. These findings suggest that individuals may possess neuropsychological processes that are specific to religious orientations.     

Behavioural Profiles and Offender Characteristics across 111 Korean Sexual Assaults

Although the potential usefulness of the offence action–offender characteristic (A–C) relationships is widely accepted and operational ‘offender profiling’ units now exist around the world, few such relationships have been empirically established. To explore this, the offending action patterns within 111 sexual assault cases from South Korea were coded in terms of 16 distinctive, objective crime scene criteria and subjected to an agglomerative hierarchical cluster analysis. Background psychiatric and general characteristics, Personality Assessment Inventory (PAI) scale scores, and criminal histories were described for each cluster. The cluster analysis drew attention to six clusters or behavioural profiles within the sexual assaults. Cluster 1 included serial offenders who aggressively raped and robbed adult women, with some pseudo‐intimate sexual behaviour, in their homes. Two thirds of these offenders had histories of sexual assault. Cluster 2 included offenders who again targeted adults in their homes, but without pseudo‐intimate sexual behaviour. Cluster 3 included offenders who targeted adults outdoors at night. These offenders showed high antisocial personality PAI scores and psychiatric histories of sexual sadism. Cluster 4 included unarmed offenders who targeted adults in their homes without robbery. These offenders often had psychiatric histories of depression. Cluster 5 included offenders who targeted adults outdoors with a blitz‐style attack, and Cluster 6 included offenders who targeted minors outdoors, without weapons, using a confidence‐trick style of approach. Paedophilia and histories of psychiatric treatment were prominent amongst these offenders. The results indicate therefore some of the key empirical relationships that future research may develop as the basis for sexual assault ‘profiles’. Copyright © 2014 John Wiley & Sons, Ltd.     

Personality Disorders in Older Adult Inpatients with Chronic Mental Illness

It has been hypothesized that some types of personality disorders tend to remit with age whereas others may become more prominent. The present study determined the prevalence and nature of 13 personality disorders with a self-report inventory (Coolidge Axis II Inventory) in an older group of chronically mentally ill inpatients (N = 30, mean age = 63 years) and a younger group of similar patients (N = 30, mean age = 39 years). All patients met DSM-IV criteria for either Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, or recurrent severe Major Depression with psychotic features. The prevalence rate of personality disorders was high for both groups: 58% for the older sample and 66% for the younger group. The younger group was more likely to be diagnosed Antisocial, Borderline, Passive-Aggressive, Sadistic, and Schizotypal, but the groups were not different in the rates of Obsessive-Compulsive Disorder. This study supports the hypothesis that some personality disorders remit with age. However, no evidence was found to suggest that other personality disorders become more prominent in older adult psychiatric populations. Suggestions for future research are offered.     

Symptom Expression and Somatization Among Elderly Korean Immigrants

In a study of expression of symptoms of somatization, depression, and other biopsychological conditions, 70 elderly Korean immigrants in the greater Washington, D.C., metropolitan area (35 who met the criteria for major depression and 35 who did not meet those criteria) were administered a Korean version of the Brief Symptom Inventory (BSI). Subjects who met the criteria for depression had the highest mean score on the BSI somatization dimension compared with other normative samples including a sample of psychiatric inpatients. A factor analysis of data from the BSI showed that for elderly Korean immigrants, a factor of somatization was identified that included the items from the original BSI obsessive-compulsive, somatization, and anxiety dimensions. Items loading on the somatization factor suggest that elderly Korean subjects experience body and mind as a unitary system and tend to communicate the distress associated with old age, cultural adjustment, and family and social changes through somatic symptoms.     

Complementary assessments of executive function in preterm and full-term preschoolers

Executive functions (EFs) are interrelated cognitive processes that have been studied in relation to behavior, attention, academic achievement, and developmental disorders. Studies of EF skills assessed through parent report and performance-based measures show correlations between them ranging from none to modest. Few studies have examined the relationship between EF skills measured through parent report and performance-based measures in relation to adaptive function. The present study included preschool children born preterm as a population at high risk for EF impairments. Preschool children (N = 149) completed a battery of EF tasks that assess working memory, response inhibition, idea generation, and attention shifting or cognitive flexibility. Parents reported on children’s EF and adaptive skills. Preterm children showed more parent-rated and performance-based EF impairments than did full-term children. The combined use of either parent report or performance-based measures resulted in the identification of a large number of children at risk for EF impairment, especially in the preterm group. Both parent report and performance-based EF measures were associated with children’s adaptive function. EF skills are measurable in young child'ren, and we suggest that EF skills may serve as targets for intervention to improve functional outcomes. We recommend the use of both parent report and performance-based measures to characterize children’s EF profiles and to customize treatment.     

PTSD Symptoms in College Students Exposed to Interparental Violence: Are they Comparable to those that Result from Child Physical and Sexual Abuse?

Undergraduate students completed the Trauma Symptom Inventory and a childhood history questionnaire that assessed their experience of three types of childhood traumatic events: physical abuse (CPA), sexual abuse (CSA), and interparental violence (CPV). Six posttraumatic stress disorder (PTSD) subscales previously found to be associated with these types of abuse (anxious arousal, anger/irritability, intrusive experiences, depression, tension reduction behaviors, and defensive avoidance) were examined through multiple regression analyses to determine the extent to which each type of trauma history was most predictive of elevated symptomatology. For several subscales, having exposure to interparental violence was the strongest predictor of elevated symptomatology, suggesting that CPV is at least as powerful as CPA or CSA in producing symptoms of PTSD in adulthood.     

Factorial and convergent validity of the Youth Psychopathic Traits Inventory‐Short Version in Ghana

Studies have shown the existence of psychopathy construct in Western cultures. However, there is a general lack of research on this topical issue in non‐Western countries, specifically sub‐Saharan Africa. Consequently, this study investigated the factorial and convergent validity of the Youth Psychopathic Traits Inventory‐Short Version (YPI‐S) in 327 adolescents in Ghana. Confirmatory factor analysis supported a three‐factor structure (interpersonal, behavioural and affective) of psychopathy that was invariant across gender. These results were replicated in a cross‐validation sample comprising 363 adolescents. The YPI‐S factors correlated significantly and positively with reactive and proactive aggression, thus bolstering its construct validity. The YPI‐S and Big‐Five domains were related differently, and where significant correlations were observed, their directions generally confirmed and extended previous studies. All in all, the result generally suggested the existence of psychopathy construct among Ghanaian youth which can be described along interpersonal, affective and behavioural domains. However, the alterations made to the YPI‐S, coupled with its relatively low factor loadings and internal consistency largely, indicate cultural influences on the assessment of cross‐cultural traits. This study illuminated the problem of exporting Western‐based measures and their findings to non‐Western contexts.     

Self-reported walking difficulty and knee osteoarthritis influences limb dynamics and muscle co-contraction during gait

Knee osteoarthritis (OA) gait is characterized by simultaneous flexor and extensor use, or co-contraction. Co-contraction can stabilize and redirect joint forces. However, co-contraction can push and pull on the femur and tibia that exacerbate OA symptoms and make walking difficult. Such movements are quantifiable by limb dynamics (i.e., linear acceleration and jerk); thus, this study examines limb dynamics and its relationship with co-contraction and OA related walking difficulty.Three groups of age-and-sex-matched subjects with and without OA and walking difficulty (N = 13 per group) walked with electromyography (EMG) on the knee extensors and flexors and inertial measurement units (IMUs) at the femur and tibia. We calculated co-contraction from antagonistic EMG signals and linear acceleration and its derivative jerk from IMUs. We determined group differences using one-way ANOVAs, nonparametric equivalence, and effect sizes, and main and interaction effects of walking difficulty with regression modeling.Medium effect sizes and differences for femoral acceleration (d = 0.64; P = .02) and jerk (d = 0.51; P = .01) were observed between with and without knee OA. Medium to large effect sizes (r = 0.33 to 0.51 and d = 0.81 to 0.97) and differences (P = .01 to 0.05) for tibial acceleration and jerk were obsevered between with and without walking difficulty. Walking difficulty moderated the relationship between tibial jerk and co-contraction (p < .05).Tibial jerk differences were observed based on walking difficulty. The significant interaction effect suggested that walking difficulty explained the relationship between limb dynamics and co-contraction. Perhaps co-contraction levels used by those with knee OA and no walking difficulty are optimal as compared to those with walking difficulty.