Modified Dialectical Behavior Therapy and Problem Solving for Obsessive-Compulsive Personality Disorder

The impact of a modified dialectical behavior therapy and problem-solving model is examined on the work environment of a patient with an obsessive-compulsive personality disorder (OCPD). A case study is presented examining the impact this client's OCPD behavior in the work environment and on his subordinates. Discussed are interventions that were useful in treating a motivated patient employing cognitive-behavioral models of treatment for this disorder. The case study focuses on the work setting and the issues tied to the work environment wherein subordinates are required to work under a supervisor with OCPD. Lessons learned, issues and import for further study are offered.     

高、低强迫症状个体的词语再认差异

比较了高强迫症状（High obsessive compulsive symptom, HOC）和低强迫症状（Low obsessive compulsive symptom, LOC）被试对于不同类型词语（强迫症敏感词、情绪词和中性词）再认成绩和记忆信心的差异。结果发现,HOC组记忆保存量显著低于LOC组（p<0.05）,表明HOC组对强迫症敏感词存在一定的偏好;通过对被试反应信心的检测和信号侦察论的应用,发现HOC组对中性词再认正误的判断觉察能力（d’值）低于LOC组（边缘显著：p＝0.054）;在正确反应信心上,被试类型和词语类型间存在交互作用,F(1,22)=4.60,p<0.05。本研究认为HOC组辨别能力的缺损可能导致其记忆信心方面的降低,这种假设还需要进一步的认知和脑功能研究来证实。     

Using videotape modeling to facilitate generalized purchasing skills

Six students with moderate and severe disabilities were taught generalized purchasing skills through the use of videotape modeling in one, two, or three stores and in vivo instruction within one store. Training was conducted within three orders of treatments: (a) in vivo instruction followed by videotape training, (b) videotape training followed by in vivo instruction, and (c) concurrent videotape and in vivo instruction. Generalization probes were conducted in stores that were the same as those modeled on videotape, untrained stores that were infrequently probed (and never modeled on tape or taught directly), and novel stores that were probed only once after training. Results indicated the production of generalized purchasing skills by the students who received concurrent training and by the students who received sequential training. Videotape and in vivo training in isolation did not lead to generalized shopping skills. The results are discussed in terms of investigating the possible role of verbalization during videotape training on generalized responding and the effects of multiple probe interventions on inadvertent learning of critical skills.deceased.     

The structural relationships among generalized anxiety, obsessions-compulsions, and depression at the syndrome and sub-syndrome level

This study explored anxiety's relationship to depression by assessing a group of 592 undergraduate psychology students at Washington State University. Multiple measures of generalized anxiety (GA), obsessions–compulsions (O–C), and depression were used to conduct several confirmatory factor analyses (CFAs). A three-factor model of GA, O–C, and depression was found superior in fit to a one-factor “negative-affect” model, a two-factor model of anxiety and depression, and a second-order three-factor model. Further CFAs divided GA, O–C, and depression into six independent symptom category factors utilizing instrument subscales (e.g., worry, somatic anxiety, obsessions, compulsions, cognitive depression, and somatic depression). The fit for this model was superior to three alternative measurement models. The correlations among the six symptom category constructs revealed differential patterns among the cognitive and somatic symptoms.     

Relationships among compulsive hoarding, trauma, and attention-deficit/hyperactivity disorder

The current study investigated aspects of post-traumatic stress disorder and attention deficit/ hyperactivity disorder (ADHD) among hoarders. Compared to a sample of 36 controls, hoarders (n=26) reported a significantly greater number of different types of trauma, more frequent traumatic experiences, more symptoms of inattention, hyperactivity, and greater comfort derived from possessions. These findings are consistent with previous reports of extensive comorbidity associated with hoarding behaviors, and may reflect the potential usefulness of assessing PTSD and ADHD symptoms at the outset of hoarding treatments, as well as considering alternative pharmacological interventions.     

Obsessive–compulsive symptoms, white noise and intrusions of self–relevant negative thoughts in a thought suppression paradigm

Forty female students participated in an experiment where they were asked to suppress a negative self-relevant thought. Half the group suppressed in a loud white noise condition (90 decibels) whereas the other half suppressed in a noise condition of much lower intensity (50 decibels). The subjects were divided up into two groups on the basis of their scores on the Obsessive Compulsive Thoughts Checklist (Bouvard, Cottraux, Mollard, Arthus, Lachance, Guerin, Sauteraud & Yao, 1997). It was predicted that 1) Subjects scoring high on obsessive-compulsive symptoms would show more intrusive thoughts 2) Loud noise would increase intrusive thoughts, especially for subjects scoring high on obsessive-compulsive symptoms. As expected subjects who scored high on obsessive-compulsive symptoms showed more intrusive thoughts, but contrary to expectations loud noise did not increase intrusive thoughts. In fact obsessive-compulsive symptoms were related to more intrusions in the condition of noise of less intensity but not in the condition of loud noise. Implications are discussed.     

Confidence in memory and other cognitive processes in obsessive-compulsive disorder

Previous studies have implicated beliefs about one's memory (i.e., meta-memory), in maintaining the symptoms of obsessive–compulsive disorder (OCD), particularly with respect to checking rituals. However, most research has focused on task- or situation-specific perceptions about memory performance. Expanding on this research, we undertook two studies with analogue and clinical cohorts to examine the relationship between general ‘trait’ beliefs about memory and related processes and OCD symptoms. Trait meta-memory as measured in the current study was conceptualised as a multi-dimensional construct encompassing a range of beliefs about memory and related processes including confidence in one's general memory abilities, decision-making abilities, concentration and attention, as well as perfectionistic standards regarding one's memory. Meta-memory factors were associated with OCD symptoms, predicting OCD symptoms over-and-above mood and other OCD-relevant cognitions. Meta-memory factors were found to be particularly relevant to checking symptoms. Implications for theory and research are discussed.     

Virtual reality and the psyche. Some psychoanalytic approaches to media addiction

This paper explores the ramifications of excessive use of media on personality development, the development of symbolic and thinking functions and on psychic reality. In doing so, the questions of whether there are specific media objects possessing an intrinsic symbolic quality, and which attachments in the inner world of a child/adolescent can be mobilized or destroyed are discussed. By selecting specific material, computer gamers use their game to activate the field of a personal psychic reality. Hereby, they attempt some kind of self‐healing. However, after leaving the game, conflicts and traumata re‐enacted but unresolved in the game disappear from their temporary representation without generating any resonance in the gamer's psychic experience. Consequently, although states of mind and affects are activated in the computer game, their processing and integration fail; the game results in a compulsive repetition. The construction and consolidation of retrievable maturation and structural development, the representation of the unrepresentable, succeed in the context of the triangulating analytic relationship, initially through a jointly performed symbolic and narrative re‐experience or the recreation of the game. Theoretical considerations are illustrated by means of clinical vignettes.     

The Relation Between Compulsive Sexual Behaviors and Aggression in a Substance-Dependent Population

Research supports a high comorbidity between compulsive sexual behaviors (CSBs) and substance use disorders (SUDs), which are both classified by increased impulsivity. Literature has also indicated that increased impulsivity and substance use are associated with aggression. However, no known research has examined the relationship between CSBs and aggression among a substance-dependent population. The purpose of this study was to examine this relationship. Participants included 349 male patients in treatment for SUDs. Results indicated that after controlling for alcohol and drug use and problems and age, CSBs were significantly associated with total aggression, aggressive attitudes, physical aggression, and verbal aggression. This is the first known study to examine this relationship; thus continued research is needed to extend and replicate these findings.