Clinical functioning and cutoff of eccentricity dimension with psychiatric patients and non-patients

ObjectivesThis study investigated the Eccentricity scale's clinical functioning from the Dimensional Clinical Personality Inventory 2 (IDCP-2). Additionally, we sought to establish a cutoff for a screening scenario to be taken as the first indicator of Eccentricity characteristics’ possible clinically relevant functioning.MethodIn total, 2167 adults, aged from 18 to 90 years (M = 28.98, SD = 11.12), being 1244 women (63%), and the majority of undergraduate students (67.9%). Total sample was comprised into five groups, namely, outpatients diagnosed with both schizotypal and schizoid PDs (n = 3), outpatients diagnosed with schizotypal PD (n = 5), outpatients diagnosed with schizoid PD (n = 2), outpatients diagnosed with other PDs and clinical disorders (n = 172), and a general population-based sample (n = 1985). Not all participants answered all the items from IDCP-2; therefore, we used the equating procedure.ResultsThe groups were statistically different in ANOVA. For the −0.40 cutoff in the theta metric scale, equivalent to a total score of 38, the area under the curve was equal to 0.85, reaching 90% of sensitivity and 87.4% of specificity.ConclusionsFindings provide clinical data on the Eccentricity scale, supporting its professional use in a clinical setting; specifically, we suggested a clinical cutoff to the scale, helping the professional address typical characteristics from schizoid schizotypal functioning.     

Further evidence of the invalidity of the magnitude estimation method

IntroductionThe magnitude estimation method is widely applied in diverse areas of psychology. However, Weiss (1972) found that this method may produce judgments that inaccurately represent subjective magnitudes: constructing the stimuli according to a factorial design allowed the bias caused by magnitude estimation to be exposed as a spurious divergence of factorial curves.ObjectiveThe present study experimentally compared magnitude estimation with graphic rating and ratio estimation. The comparison of magnitude estimation with graphic rating retested Weiss's finding. The comparison of magnitude estimation with ratio estimation explored the hypothesis that magnitude estimation may cause a divergence of factorial curves due to the requirement of magnitude estimation to multiply and divide numbers—both ratio estimation and magnitude estimation required participants to judge ratios, but only magnitude estimation required mental multiplication and division.MethodUsing a 3 × 4 factorial experimental design, an achromatic disk was presented concentrically with a larger achromatic square. The brightness of the disk varied with the luminance of the disk and, due to simultaneous contrast, with the luminance of the square. Three different groups of participants judged the brightness of the disk: one group by graphic rating, another by ratio estimation, and the third by magnitude estimation.ResultsIn accord with Weiss's results, graphic rating yielded roughly parallel factorial curves whereas magnitude estimation yielded diverging factorial curves. Ratio estimation also yielded roughly parallel factorial curves, supporting the hypothesis that the magnitude estimation task itself may cause divergence of factorial curves due to the requirement of this method to mentally multiply and divide numbers.ConclusionCaution should be taken in using magnitude estimation, especially in factorial experiments, because this method is likely to cause the researcher to make incorrect inferences about the functional relations between the variables involved in mental information integration. Ratio estimation yields a pattern of factorial curves essentially equivalent to that obtained by graphic rating.     

Developmental patterns of emotion regulation in toddlerhood: Examining predictors of change and long‐term resilience

Emotion regulation is critical for optimal functioning across a wide range of domains and may be even more important for individuals in high‐risk environments. While evidence suggests that childhood is generally a period of emotion regulation growth and development, research is needed to examine factors that may contribute to deviations from a typical trajectory. In a prospective study of 1,905 children, latent class growth analysis (LCGA) was used to identify trajectory groups of emotion regulation across toddlerhood (age 14–36 months), examine predictors of those trajectory groups from child temperament, parenting behaviors, and environmental risk, and explore predictions of resilience in 5th grade from the identified groups. LGCA supported a three‐class model, with a Stable Incline group, a Decline group, and a Catch‐Up group. Child negative emotionality, positive and negative parenting, and environmental risk predicted group membership. These trajectory groups in toddlerhood were predictive of child resilient functioning in the 5th grade. Our findings highlight the importance of utilizing developmental models of emotion regulation and provide implications for prevention and early intervention services to enhance emotion regulation development in early childhood.     

Countering Deficits: A Grounded Theory of Success From Graduate Students of Color

The existing research on students of color in counselor education focuses on the barriers they experience, providing a deficit perspective. Using grounded theory and a critical race theory framework, we studied the racialized experiences of 19 graduate students of color in counselor education. Grounded in participants' voices, we propose a liberatory theory of academic success. Implications for promoting the success of students of color in counselor education and for future critical race theory research are discussed. Las investigaciones hasta la fecha sobre estudiantes de color en programas educativos de consejería se centran en las barreras que afrontan, lo cual ofrece un déficit de perspectiva. Usando un muestreo teórico y un marco de teoría crítica de la raza, estudiamos las experiencias racializadas de 19 estudiantes de posgrado de color en programas educativos de consejería. Basándonos en las voces de los participantes, proponemos una teoría liberatoria de éxito académico. Se discuten las implicaciones para fomentar el éxito de estudiantes de color en programas educativos de consejería y para investigaciones futuras de teoría crítica de la raza.     

Sitting through the emptiness

This article explores clinical encounters with experiences of the ‘empty ego’ which arise from early relational trauma. The ego’s emptiness is held in repetitious complexes and arises out of affectively charged experiences between self and other which remain split-off from awareness. This kind of consciousness is viewed as dualistic, separating non-dual subjectivity from its dualistic objects of consciousness. In contrast, what I am calling healing void states of non-dualistic consciousness, when admitted to awareness, allow the individual to dis-identify from the traumatizing representations of self and other through an experience of non-duality. In contrast to an objectified, dualistic emptiness of the ego, healing void states come about in moments of non-dual, unified consciousness. These states occur in the ego-Self relationship by linking the ego’s dualistic awareness in chronic subject/object splits to ones of non-dual pure consciousness. The healing void state is always incipiently present and potentially able to bridge the ego-Self connection in bogged-down treatment. The paper explores potential integrations with non-dual models of consciousness such as Vedantic and Kashmir Shaivism, among other mystical traditions. A combined Vedantic-Jungian understanding can provide a transcendent bridge that integrates Eastern concepts of non-duality in treating emptiness.     

Psychosis,symbol, affectivity 2: another perspective on the treatment of psychotic disorder

This is the second of two papers concerning our study into an integrated approach to psychotic disorders conducted at the University Psychiatry Unit of Palermo’s Polyclinic over approximately 15 years; this paper concentrates on the clinical phenomena. The study aimed to find the best possible treatment and to improve the prognosis of this patient group. We have explored the efficacy of a range of psycho-therapeutic (cognitive-behavioural, systemic-relational, psychodynamic, group and others), psycho-pharmaceutical, psychiatric rehabilitative and psycho-educational treatments, with a hermeneutic approach instead of a systematic one. The study’s conclusions, described in the paper, are that all psychotic functions start with a nuclear psychic issue connected to emotional development. We describe how the most significant symptoms of acute psychotic manifestations (delusions and misperceptions) make use of an encrypted psychological meaning that can be decoded through the patient’s symbolic language. This language is a key element in diagnosis and in the choice of treatment. The paper describes how we revised our understanding of psychosis from being a brain disease to being a process aimed at the rearrangement of psychic functioning. Our significant results are described.     

The technologically-mediated self: reflections on the container and field of telecommunications

This paper contains reflections on the use of the imagination in technologically-mediated therapy and analysis. As part of the individuation process the psyche is seen as needing to adapt to new technological ways of communicating. The notion of a technologically-mediated self is posited describing a self which can only be apprehended through, and by, the use of telecommunications. This self is seen as identical to the in-person self, a subset, or superset of it. There is a revisioning of our notions of the container and the field in this work performed through technological-mediation. The need to engage the imagination in approaching this kind of work is emphasized in order to create an imaginal play-space in which the body will be deeply affected. Some thoughts on how the process of individuation might look through such analytic work is presented.     

Constructing We‐ness: A Communal Coping Intervention for Couples Facing Chronic Illness

Communal coping occurs when relationship partners view a stressful health problem as “ours,” rather than yours or mine, and take collaborative action to deal with it. Although research employing linguistic (we‐talk) and other measures of communal coping demonstrates relevance to a variety of chronic illnesses, the literature offers little about how clinicians can actively promote we‐ness and teamwork to help patients and their partners achieve the health benefits this appears to confer. This paper highlights clinical and supporting scientific features of a narrative intervention designed to foster communal coping by couples in which one partner has a chronic illness. The illustrative illness is diabetes, but with modification the protocol is suitable for other chronic conditions as well. Grounded in systemic and narrative models of problem maintenance and change, the communal coping intervention represents a distillation of research and clinical experience with family consultation over several decades. In contrast to more directive and educational approaches, the intervention consists entirely of questions, with no direct suggestions or instruction about how patients, partners, or couples should change. These questions comprise 8 sequential modules (Coping Challenges, Trajectory and Focus, Illness as External Invader, You as a Couple, Past Teamwork in Overcoming Adversity, Present and Future Teamwork, Obstacles to Teamwork, and Wrap‐Up), described here in manual‐like detail.