Modeling Asymmetry in the Time–Distance Relation of Ordinal Personality Items

In analyzing responses and response times to personality questionnaire items, models have been proposed which include the so-called “inverted-U effect.” These models predict that response times to personality test items decrease as the latent trait value of a given person gets closer to the attractiveness of an item. Initial studies into these models have focused on dichotomous personality items, and more recently, models for Likert-type scale items have been proposed. In all these models, it is assumed that the inverted-U effect is symmetrical around 0, while, as will be explained in this article, there are substantive and statistical reasons to study this assumption. Therefore, in this article, a general inverted-U model is proposed which accommodates two sources of asymmetry between the response times and the attractiveness of the items. The viability of this model is demonstrated in a simulation study, and the model is applied to the responses and response times of the Temperament and Character Inventory–Revised, covering a broad range of personality dimensions.     

La psychothérapie assistée par la MDMA dans la prise en charge du syndrome de stress post-traumatique

Posttraumatic stress disorder (PTSD) is estimated to remain chronic and severe for 25–50% of patients despite psychotherapeutic treatment. Part of the reasons is that patients with PTSD can have difficulties in establishing a good therapeutical alliance with the therapist. Moreover, they often fail to re-think the content of the trauma without being overwhelmed by negative emotions and tend to rely on avoidance strategies and/or to abandon the therapy. MDMA (“ecstasy”) is a drug classified as an entactogen (en “within”, tactus “touch”, and gen “produce”), an amphetamine with psychedelic properties that possesses psychopharmacological properties to overcome these issues. Indeed, MDMA triggers the release of oxytocin, which favors the establishment of interpersonal relationship based on kindness and trust. Moreover, MDMA diminishes the activity of the amygdale, allowing patients to work on challenging memories with less fear and anxiety. Finally, MDMA may also provide access to meaningful spiritual experiences, release of tensions and a sense of healing on a non-verbal level that are not completely understood. But are viewed as important by patients. Today, there is no evidence that the use of MDMA in a clinical setting has bad neurologic, psychological or cognitive consequences. Results of phase II trials in the United States and Europe confirm that MDMA favors psychotherapy's outcome without severe adverse effects. Phase III trials are underway. The Multidisciplinary Association for Psychedelic Studies (MAPS) has published online a method proposal and trains therapists in MDMA-assisted psychotherapy.ConclusionFood and Drug Administration (FDA) and European Medicines Agency (EMA) could approve this therapeutic tool in the coming years.     

Do voices carry valid information about a speaker’s personality?

Research on links between peoples’ personality traits and their voices has primarily focused on other peoples’ personality judgments about a target person based on a target person’s vocal characteristics, particularly voice pitch. However, it remains unclear whether individual differences in voices are linked to actual individual differences in personality traits, and thus whether vocal characteristics are indeed valid cues to personality. Here, we investigate how the personality traits of the Five Factor Model of Personality, sociosexuality, and dominance are related to measured fundamental frequency (voice pitch) and formant frequencies (formant position). For this purpose, we conducted a secondary data analysis of a large sample (2217 participants) from eleven different, independent datasets with a Bayesian approach. Results suggest substantial negative relationships between voice pitch and self-reported sociosexuality, dominance and extraversion in men and women. Thus, personality might at least partly be expressed in people’s voice pitch. Evidence for an association between formant frequencies and self-reported personality traits is not compelling but remains uncertain. We discuss potential underlying biological mechanisms of our effects and suggest a number of implications for future research.     

自发性知觉经络反应中产生刺麻感和积极情绪的原因

自发性知觉经络反应(autonomous sensory meridian response,ASMR)是指在特定的视听刺激下,某些个体(ASMR敏感个体)在头皮后部、颈部乃至全身体验到一种令人极度愉快和放松的刺麻感的现象。其中,刺麻感的产生可能是个体大脑中负责感觉和肌肉运动的脑区高度激活引起的; 而与情绪和奖赏有关脑区的高度激活以及心率和呼吸频率的下降可能是产生愉快和放松感的重要原因。相比普通个体,ASMR敏感个体具有较高的神经质、共情特质、感觉受暗示性和特质正念。这可能说明ASMR敏感个体的感觉敏感性较高,情绪稳定性较弱,且比较关注自己身体的内外感受。这些个性特质可能导致ASMR敏感个体对某些视听刺激中所包含的一些感觉和情绪信息更加敏感,对其反应也更加强烈。目前,ASMR已经被用于抑郁,压力,失眠和慢性疼痛等的临床治疗以及商业广告之中。但ASMR可能会干扰个体的执行功能,在认知控制需求较高的情景下应尽量避免接触ASMR刺激。     

Conducting Prolonged Exposure for PTSD During the COVID-19 Pandemic: Considerations for Treatment

The unprecedented effects and duration of the COVID-19 crisis are likely to elevate the population’s level of anxiety due to psychological stress, economic hardship, and social isolation. This effect may be especially potent for individuals with preexisting mental health conditions, such as posttraumatic stress disorder (PTSD). Prolonged Exposure (PE) therapy is a highly effective treatment for PTSD across trauma-exposed populations, and has been implemented effectively via telehealth. Nevertheless, PE implementation via telehealth may require specific adaptations during the COVID-19 crisis due to public health mandates calling for sheltering in place and physical distancing. This paper discusses strategies for implementing PE for PTSD during the COVID-19 pandemic, which may also be applied to other situations in which physical distancing must be considered.     

Personality pathology severity,cluster type and specific therapeutic interventions in outpatient psychotherapy

We explored the relationship between severity of personality pathology, cluster type and therapeutic interventions (psychodynamic–interpersonal [PI] and cognitive–behavioural [CB]) in 76 outpatients across two early sessions (3rd and 9th) of psychodynamic psychotherapy, while accounting for patients' baseline global symptom severity. Pretreatment personality pathology severity was assessed using the Personality Disorder Index (PDI), where DSM‐IV Axis II PD was assigned a value of 2, subclinical traits and features were assigned a 1 and absence of Axis II psychopathology was assigned a 0. Interrater reliability of personality pathology severity was excellent (ICC [1, 1]: 0.85). Interrater agreement for Cluster A (κ = 0.75), Cluster B (κ = 0.92) and Cluster C (κ = 0.70) was high. Interventions were coded with Comparative Psychotherapy Process Scale (CPPS) from videotapes, and reliability was excellent (CPPS‐PI = 0.86; CPPS‐CB = 0.78). Stepwise linear regressions indicated that therapists' focus on mood shift/topic avoidance (B = 0.29, p = .009) and future events (B = ?0.26, p = .020) predicted Axis II severity. Overall use of PI techniques and Cluster A personality disorder (CLA) were positively correlated (r = .312, p = .006). Stepwise binomial logistic regressions indicated that therapists' focus on uncomfortable feelings (B = 1.915, p = .008) and explaining rationale behind approach (B = 1.276, p =. 038) predicted CLA. All results remained significant when controlling for patients' baseline general symptomatology (Brief Symptom Inventory‐Global Severity Index [BSI‐GSI]), except for the relation between explaining rationale and CLA. Discussion highlights how using psychodynamic treatment model, therapists' focus on patient's in‐session affect expression and explaining rationale behind approach are highly relevant when working with CLA patients.     

辩证行为疗法：理论背景、治疗效果及作用机制

辨证行为疗法（Dialectical Behavior Therapy, DBT）于20世纪90年代初由美国治疗师Linehan创立。作为第三代行为治疗之一,该疗法以行为主义理论、辩证哲学、生物社会理论及禅宗为哲学基础,通过增加患者的技能使用,提高其情绪调节能力,以达到治疗目的。临床研究已证明其在边缘人格障碍,自杀及自伤行为中具有良好的治疗效果,除此之外也广泛适用于其他心理障碍及群体。DBT的临床效果、改变机制及拓展应用都需进一步研究。