Altered sleep in Borderline Personality Disorder in relation to the core dimensions of psychopathology

The aim of the study was to review the literature regarding sleep disturbances in Borderline Personality Disorder (BPD) and to relate the reported sleep alterations to the underlying core dimensions of BPD pathology. We present a qualitative and theoretical review regarding the empirical studies that investigated objective and subjective sleep quality in BPD and in different psychiatric conditions showing high co‐morbidity with this disorder. We show that disturbed sleep including sleep fragmentation, alterations in Slow Wave Sleep and REM sleep, and dysphoric dreaming are prevalent symptoms in BPD. We provide a framework relating the specific sleep alterations to the core dimensions of BPD pathology in order to clarify the inconsistencies of the different findings. The specific sleep disturbances in BPD seem to be related to different dimensions of psychopathological functioning and may have detrimental consequences on waking affect and cognition. Investigating disturbed sleep in BPD in relation to waking symptoms and underlying neural functioning would shed more light on the nature of this complex disorder. Moreover, a stronger emphasis on sleep disturbances would enrich the treatment protocols of BPD.     

The child who cannot bear to feel

Some children have such traumatic experiences that they need to defend vigorously against any thoughts or feelings which threaten to bring the painful memories back into consciousness. Repeated hurtful and traumatic experiences can affect the deeper structures of the brain, causing behaviour and learning difficulties, which are difficult to reverse. These defensive behaviours can be very hard for teachers to appreciate and cope with. Sometimes, when the threatened and feared feelings are triggered, a child's reaction can be beyond conscious control and reason, until they have calmed down. Very damaged children need emotional 'holding', as well as a facilitating environment, to be able to learn and function acceptably in school. 'The child who cannot bear to feel' looks at underlying causes, symptoms and difficulties experienced by these children, and discusses ways of reflecting on their defensive behaviours and offering emotional holding in school.     

Moving from patches to quilts: developing self-aware,reflective leaders through curriculum innovation based on a Patchwork Text approach

A Patchwork Text is a creative approach to learning and assessment based on short pieces of reflective writing to promote deep, meaningful reflection. A five-year study was undertaken to explore whether this approach supports postgraduate students’ personal and academic development and the factors that influenced student experience, within one UK university. Our adapted approach encompasses patches of reflection, a structured Reflective Journal, formative feedback, and action learning within a constructively aligned curriculum. Between 2010 and 2015, 100 students attended the MSc Leadership Development programme and 71% (n=71) completed a questionnaire at the end of the first module. The questionnaire contained mainly open questions. The overwhelming majority of responses (89%, n=63) reported their experience of action learning was extremely positive. Eighty-five percent (n=58) reported that the Patchwork Text approach supported their academic development. Seventy-five percent (n=52) agreed the approach was helpful in relation to their summative assessment which comprised a reflective integrated portfolio. Thematic framework analysis of the qualitative data suggests the Patchwork Text approach increased self-awareness and insight; deepened and promoted on-going reflection; and facilitated critical thinking, analysis, and synthesis thereby enabling completion of the summative assignment. Findings suggest the adapted Patchwork Text approach increased students’ self-awareness as well as supporting them with both their summative assignment and the development of academic writing skills.     

The use of reflection-card by elite youth basketball players,head coach and team manager: effects on players’ performance and perceptions of users

The purpose of the present paper was to test the effectiveness of the r-cards in sport performance, and to examine what kind of benefits and challenges the head coach, team manager and female basketball players (N = 12) faced when using the r-cards. Mixed methods were employed to gather specific data to answer the research questions. Inferential statistical analyses were conducted to examine whether players’ performances in terms of their targeted defensive rebound percentage and free-throw percentage differed across the five matches played. No significant differences were found. However, evidence from the qualitative data provides a contrasting but insightful perspective. Subjectively, the r-cards strategy was seen as beneficial because it improved the team’s performance and preparations, helped the players in goal setting, identification of weaknesses, and recognition of effort. In contrast, realistic goal setting, irrelevance of some reflection questions, effort recognition, and feedback to head coach were found challenging in r-cards usage. The paper closes with a critical discussion on the implications for future use of r-cards in the field of sport coaching.     

Associations Between Delay Discounting and Risk‐Related Behaviors,Traits, Attitudes,and Outcomes

Delay discounting—preference for immediate, smaller rewards over distal, larger rewards—has been argued to be part of the “generality of deviance”, which describes the co‐occurrence of various forms of impulsive and risky behaviors among individuals. Some studies have linked laboratory‐measured delay discounting to behaviors, traits, attitudes, and outcomes associated with risk, but these associations have been inconsistent. Furthermore, many of these studies have been conducted with exclusively undergraduate samples, or in samples offering low statistical power. In a large community sample (n = 328) diverse in age and socioeconomic status, we examined associations between two measures of behavioral delay discounting (single‐shot and canonical k‐parameter estimation) and behavioral risk‐taking, personality traits associated with risk, domain‐specific risk attitudes, gambling and problem gambling, antisocial behavior, and criminal outcomes. In addition, we explored whether a novel response time latency measure of delay discounting explained variance in these risk‐related outcomes. Results indicated that behavioral delay discounting was consistently associated with all variables related to impulse control: high trait impulsivity, low trait self‐control, risk‐averse attitudes toward financial investment, risk‐prone attitudes toward gambling and health/safety risks, gambling and problem gambling, antisocial conduct, and criminal outcomes. Latency‐measured delay discounting was inconsistently associated with behavioral delay discounting and risk‐related measures. Together, results suggest that delay discounting is associated with poor impulse control consistent with a generality of deviance account. Copyright © 2016 John Wiley & Sons, Ltd.     

Predictors of Unintentionally Severe Harm During Nonsuicidal Self‐Injury

This study aimed to identify predictors of unintentionally severe injury during nonsuicidal self‐injury (NSSI). The authors examined 3 potential predictors in a sample of 102 college students: addictive qualities of NSSI, impulsivity, and dissociation. Both impulsivity and addictive qualities of NSSI were associated with unintentionally severe injury during NSSI. In a logistic regression, only addictive qualities of NSSI emerged as a significant predictor of unintentionally severe injury during NSSI. Implications for counseling and research are discussed.     

特质愤怒对攻击行为的影响:敌意认知和冲动性水平有调节的中介作用

通过对重庆某综合大学大一到大三527名学生的问卷调查, 运用结构方程模型技术考察了特质愤怒、敌意认知、冲动性水平和攻击行为之间的关系。结果发现:(1)敌意认知在特质愤怒和攻击行为之间起部分中介的作用, 特质愤怒既对攻击行为产生直接影响, 也通过敌意认知对攻击行为产生间接影响;(2)运动冲动性因子对敌意认知的中介作用起到调节作用, 即敌意认知对攻击行为的影响随着个体冲动性水平的增加而提升;敌意认知对个体的攻击行为起着有调节的中介作用。     

Context specificity in stability of hyperactivity-impulsivity

This paper exemplifies a secondary data analysis of context-specific differences in children's hyperactivity-impulsivity while controlling for informant-specific effects. Participants were boys and girls from the NICHD Study of Early Child Care and Youth Development who were measured in 1(st), 3(rd), and 5(th) grades. Latent factor models were structured using multi-informant reports including mothers, fathers, teachers, and observers. Temporal stability within a context was stronger than cross-context consistency, and the magnitude of longitudinal stability was higher in the home context compared to the school context. Controlling for informant-specific effects resulted in a significantly improved model fit and increased within-context stability. Our findings highlight the importance of considering both context and informant effects when studying longitudinal stability and change in personality development.     

Using reflective practice to explore the origins and consequences of cultural and faith perspectives

The intention of the symposium is to allow individual voices to speak for themselves and to display their unmediated autobiographical narratives, albeit within a theoretical framework suggested by Part 2 of the Editorial. However, this snowball sample has thrown up some commonalties. So, the third and final part of the Editorial will attempt to point out some of these similarities. From a variety of viewpoints and positions and expressed in different styles of autobiographical narratives, the voices record a sophisticated awareness of the religious traditions discussed; a questioning of substance and loyalty that in one case resulted in a moving from one faith to another; and a display of religious and social values that travel with the individual to be tried and tested in a number of demanding contexts. Impotantly, it would seem that the individuals themselves selected what they would use in the formation of their own personal and professional identities.     

Personality and psychopathology in an impulsive aggressive college sample

Certain personality traits have been associated with impulsive aggression in both college and community samples, primarily irritability, anger/hostility, and impulsivity. The literature regarding the psychopathology associated with impulsive aggression is relatively sparse and strongly emphasizes DSM‐IV‐TR [APA, 2000] Axis II personality disorders, although some comorbidity with Axis I clinical disorders has been reported. The current study compares impulsive aggressive (IA) college students with their non‐aggressive peers on several self‐report measures of personality and psychopathology. Personality results were as predicted, with IAs scoring higher than controls on measures of impulsivity and aggression. Additionally, the Psychopathic Personality Inventory (PPI), which was given for exploratory purposes, revealed a unique pattern of psychopathic traits in impulsive aggression that contained key differences from the callous‐unemotional profile seen in premeditated aggression. Contrary to our hypothesis that a specific pattern of psychopathology (personality disorders, bipolar disorder, and adult attention deficit hyperactivity disorder) would emerge for impulsive aggression, IAs scored significantly higher than controls on nearly every clinical scale of the Personality Assessment Inventory (PAI; Somatic Complaints, Anxiety, Anxiety‐Related Disorders, Depression, Mania, Schizophrenia, Borderline Features, Antisocial Features, Alcohol Problems, and Drug Problems), indicating a global elevation of psychopathology. In conclusion, while the personality traits and behaviors that characterize impulsive aggression are relatively consistent across individuals, its associated psychopathology is unexpectedly variable. Aggr. Behav. 00:1–10, 2005. © 2005 Wiley‐Liss, Inc.