Towards a Relational Affective Theory of personality disorder

This paper introduces a Relational Affective Formulation of severe narcissistic and borderline disorders. The formulation is grounded in psychoanalytic and neuroscientific theory, clinical observation and therapeutic work with hospitalised patients. It provides a conceptual framework for psychodynamic psychiatrists, therapists and psychosocial practitioners working in teams. Paying particular attention to the central place of affect, projective and introjective processes, claustro-agoraphobic phenomena, regression and the place of both deficits and dynamic defences in the failure of symbolisation, the case is made that this framework is suited to therapeutic work with patients who are highly suicidal and complex. The application of this formulation to service design and treatment pathways is described along with a summary of the body of psychoanalytic thinking which contributed to its development. The formulation is the cornerstone of a practice guide currently under development.     

IRT_Δb法和修正LR法对矩阵取样DIF检验的有效性

矩阵取样测验包含多个题册,单个题册的总分不能直接作为匹配变量用于 DIF 检测。本研究首先基于模拟数据,同时采用 I RT_Δb法,以及用 I RT模型估计的考生能力作为匹配变量修订后的 L R法对矩阵取样测验进行DIF检测,分析二者进行DIF检测的有效性及其相关影响因素;并根据已有的LR法DIF判断标准划定出I RT_Δb法分类标准;最后使用实证数据加以验证。结果显示：矩阵取样测验中, I RT_Δb法和修正LR法均能较好地区分DIF量不同的题目;样本量、题册中DIF题目的比例和考生群体间真实能力的差异对两种方法的检验力、犯I类错误的概率和分类结果都有较大影响。     

The impact of the health professional on the individual's experience of cancer: A psychodynamic perspective

Abstract

This paper examines how interactions with health professionals may come to influence the patient's experience of cancer. It considers the idea that the experience of cancer returns an individual to a state of dependence and lack of integration similar to that of the young infant. The subsequent interactions with health professionals can then be considered in light of its ability to hold the patient's un-integrated self and facilitate its re-integration.     

Chapter 14: The Caleb Affect: The Oldest-Old in Church and Society

SUMMARY

Persons in North America who are over 80 years of age are generally overlooked by religious leaders. They are, however, the fastest growing cohort in society. This age crescendo promises to be a significant factor in the future ministry of the rapidly increasing number of graying churches and synagogues.     

Direction of Effects in Multiple Linear Regression Models

Previous studies analyzed asymmetric properties of the Pearson correlation coefficient using higher than second order moments. These asymmetric properties can be used to determine the direction of dependence in a linear regression setting (i.e., establish which of two variables is more likely to be on the outcome side) within the framework of cross-sectional observational data. Extant approaches are restricted to the bivariate regression case. The present contribution extends the direction of dependence methodology to a multiple linear regression setting by analyzing distributional properties of residuals of competing multiple regression models. It is shown that, under certain conditions, the third central moments of estimated regression residuals can be used to decide upon direction of effects. In addition, three different approaches for statistical inference are discussed: a combined D’Agostino normality test, a skewness difference test, and a bootstrap difference test. Type I error and power of the procedures are assessed using Monte Carlo simulations, and an empirical example is provided for illustrative purposes. In the discussion, issues concerning the quality of psychological data, possible extensions of the proposed methods to the fourth central moment of regression residuals, and potential applications are addressed.     

Meta-Analysis of Pragmatic and Theoretical Research: A Critique

Meta-analysis refers to a set of statistical procedures used to summarize and integrate many empirical studies that focus on one issue. This numerical method of integrating research findings is said to be superior to the narrative type of reviews because it is more objective, reliable, and rigorous. Moreover, the meta-analytic approach is supposedly capable of resolving research controversies, strengthening empirical hypotheses, and discovering new relationships among variables. In this study, these claims are examined and found to be wanting. Some objections to the use of meta-analysis as a means of substantiating theoretical assertions are raised with reference to the rationale of experimentation and to how knowledge evolves. It is concluded that it is inappropriate to apply meta-analysis to integrate theoretical research.     

Philosophy Unbound: The Idea of Global Philosophy

The future of philosophy is moving towards “global philosophy.” The idea of global philosophy is the view that different philosophical approaches may engage more substantially with each other to solve philosophical problems. Most solutions attempt to use only those available resources located within one philosophical tradition. A more promising approach might be to expand the range of available resources to better assist our ability to offer more compelling solutions. This search for new horizons in order to improve our clarity about philosophical issues is at the heart of global philosophy. The idea of global philosophy encourages us to look beyond our traditions to improve our philosophical problem‐solving by our own lights. Global philosophy is a new approach whose time is coming. This essay offers the first account of this approach and an assessment of its future promise.     

A Data Analysis Method for Using Longitudinal Binary Outcome Data from a SMART to Compare Adaptive Interventions

Sequential multiple assignment randomized trials (SMARTs) are a useful and increasingly popular approach for gathering information to inform the construction of adaptive interventions to treat psychological and behavioral health conditions. Until recently, analysis methods for data from SMART designs considered only a single measurement of the outcome of interest when comparing the efficacy of adaptive interventions. Lu et al. proposed a method for considering repeated outcome measurements to incorporate information about the longitudinal trajectory of change. While their proposed method can be applied to many kinds of outcome variables, they focused mainly on linear models for normally distributed outcomes. Practical guidelines and extensions are required to implement this methodology with other types of repeated outcome measures common in behavioral research. In this article, we discuss implementation of this method with repeated binary outcomes. We explain how to compare adaptive interventions in terms of various summaries of repeated binary outcome measures, including average outcome (area under the curve) and delayed effects. The method is illustrated using an empirical example from a SMART study to develop an adaptive intervention for engaging alcohol- and cocaine-dependent patients in treatment. Monte Carlo simulations are provided to demonstrate the good performance of the proposed technique.     

Liberal internationalism and global social justice

Theories of global justice have moved from issues relating to crimes against humanity and war crimes or, furthermore, ‘negative duties’ with respect to non-citizens, towards problems of distributive justice and global inequality. Thomas Nagel's Storrs Lectures from 2005, exemplifying Rawlsian internationalism, argue that liberal requirements concerning duties of distributive justice apply exclusively within a single nation-state, and do not extend to duties of this nature between rich and poor countries. Nagel even argues that the demand for global equality is not a demand of justice at all. In the present article I will try to offer a normative basis for the criticism of such a view. Following Kant and more recently Philip Pettit, I locate this normative basis on political freedom conceived as non-domination. Such a conception opens up the possibility of a political cosmopolitanism, which is based not on an empirical interdependence among people at a global level, but on a normative interdependence. Subsequent cosmopolitan duties extend both to the elimination of domination everywhere in the world and to the equal enjoyment of non-dominated choice. Thus, it will be argued that modern republicanism is falsely identified with a particular, bounded community, but supports a political, not simply a moral, cosmopolitanism. This kind of cosmopolitanism conceives of sovereign states neither as useless constructions, nor as mere instruments for realizing the pre-institutional value of justice among human beings. Instead, their existence is what gives the value of justice its application. Cosmopolitanism is not after all about the abolishment of all boundaries, but about the essential capacity to draw and redraw them infinitely under conditions of global justice.