The child verbal competence effect in court: a comparative study of field investigative interviews of children in child sexual abuse cases

The purpose of this study is to compare field investigative interviews of children (FIIC) with three different legal outcomes in child sexual abuse cases: (i) insufficient evidence to proceed (IEP); (ii) convictions; or (iii) acquittals by the court. One hundred FIIC were divided into one of the three outcome possibilities. Amongst the female interviewees older than 10 years, there were no cases of acquittals and the convicted cases were over-represented. The children's response to open questions was found to be the main difference between the three FIIC outcomes. The responses to these open questions were 1.9 and 2.3 times longer in the convicted cases compared to acquittals and IEP. Possible explanations for the result are discussed. Copyright © 2009 John Wiley & Sons, Ltd.     

Reply to William R. Ferrell’s paper “A model for realism of confidence judgments: Implications for underconfidence in sensory discrimination”

Ferrell’s decision-variable partition model and our subjective distance model belong to the same family of Thurstonial models. The subjective distance model is limited to sensory discrimination with the method of constant stimuli and rooted in such notions as discriminal dispersion and sense distance. Ferrell’s model is intended to be wider in scope and to apply to both cognitive and sensory tasks. Both models need supplementary assumptions to predict calibration phenomena. The point of departure for us is the fact that the model predicts under-confidence under “guessing” and the empirical finding that people are about 100% correct when they report “absolutely certain.” Ferrell makes assumptions about cutoffs on the decision variable. The respondent is assumed to adjust or not adjust cutoffs according to “cues to difficulty.” We disagree with Ferrell’s claim that the hard-easy effect is explained by the respondent’s failure to adjust cutoffs sufficiently when there is a change in level of difficulty, and argue that this amounts to little more than a translation of the hard-easy effect into the lingua of Ferrell’s decision-variable partition model. Our argument is that the hard-easy effect is a consequence of the post hoc division of items according to solution probability. In addition, error variance may contribute to regression effects that enlarge the hard-easy effect. Finally, in contrast to Ferrell’s position, we regard inference (cognitive uncertainty) and discrimination (sensory uncertainty) as different psychological processes. An understanding of calibration in these two areas requires separate models.     

A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

A child's emotional and social development depends on the parents’ provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents’ experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists’ technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.     

Personality,mental distress,and risk perception in subjects with multiple chemical sensitivity and toxic encephalopathy

Personality, mental distress, and risk perception were assessed in (a) cases of multiple chemical sensitivity (MCS; n = 17), (b) chemically intolerant toxic encephalopathy cases (TE), type 2A (n = 31) and 2B (n = 26), and (c) healthy referents (n = 200). MCS cases showed elevated mental distress scores on the Depression, Interpersonal Sensitivity, Global Severity Index, and Somatization scales in the Symptom Checklist 90 (SCL-90). In the Karolinska Scales of Personality (KSP) the MCS group showed an elevation only on the Psychasthenia scale. Both TE groups showed elevations across the KSP anxiety scales Muscular Tension, Psychasthenia, and Somatic Anxiety. TE type 2B subjects also showed elevations on the Irritability and Indirect Aggression scales. However, neither MCS nor TE groups showed deviating personality characteristics in the Meta Contrast Technique test. Similarly, none of the groups deviated from referents in a risk perception inventory.     

The effect of sensitization and coping style on post-traumatic stress symptoms and quality of life: two longitudinal studies

The present study investigated the effects of multiple trauma exposure and coping style on post-traumatic stress symptoms and quality of life. It was hypothesized that sensitization would occur in subjects repeatedly exposed to life-threatening situations (study 1), and different coping styles would act as a resilience or facilitating factor in symptom development (study 2). The results showed that the single-exposure group revealed a decrease in trauma specific stress reactions from three weeks to four months, with a persistent reduction at 12-month follow-up, while the repeated-exposure group showed an increase in symptom reporting over the 12-month period. The same pattern emerged for perceived quality of life-measured by the General Health Questionnaire (GHQ-30). The second study revealed a correlation between scores on avoidant-focused coping style and the Impact of Event Scale-avoidance dimension, Post-traumatic Symptom Scale and GHQ-30. Furthermore, only subjects with a dominant coping style of emotion-focused or task-focused coping showed a reduction in trauma-specific symptom scores over time.     

The myth of technology in health care

Technology is believed to have liberated health care from dogmas, myths and speculations of earlier times. However, we are accused of using technology in an excessive, futile and even detrimental way, as if technology is compelling our actions. It appears to be like the monster threatening Dr. Frankenstein or like the socerer’s broom in the hand of the apprentice. That is, the same technology that should liberate us from myths, appears to be mythical. The objective of this article is to investigate the background for the re-entrance of the myth: How we encounter it and how we can explain it. The main point is that a myth of technology is normative: it relates ‘is’ and ‘ought’ and directs our actions. This becomes particularly clear in health care. Hence, if there is a myth of technology, it is an ethical issue, and should be taken seriously.     

Attribution of aggression to acts: a four-factor model

Factors determining why acts are regarded as aggressive were investigated in a sample of 303 subjects (140 males, 163 females, M age = 17.7 yr., SD = 1.4). A model was tested, according to which people base their attribution of aggression to acts on four factors: (1) intention (yes/no), (2) reason (attack/defense), (3) injury (death/injury/no injury), and (4) mode (weapon/bare hands/nonphysical means). All four factors contributed to the explanation of attribution of aggression, and the order of importance was the one mentioned above, intention being most important. The interaction between intention and reason was the second most important, contributing more than reason alone. The findings are consistent with the severity of punishment in sentences for different crimes of violence.     

Sensory sensitivity, attachment experiences, and rejection responses among adults with borderline and avoidant features

Both avoidant and borderline personality disorder (APD and BPD) are theoretically associated with temperamental vulnerabilities, adverse attachment experiences, and negative (pessimistic or catastrophic) reactions to the threat of perceived rejection; however, more work is needed to differentiate how these processes account for the etiology and maintenance of both disorders. In this study, 156 adults completed questionnaires measuring APD and BPD features, temperament (sensory-processing sensitivity), mood, and attachment experiences. A vignette task was devised to examine pessimistic cognitive-affective reactions in situations signaling potential rejection. Both APD and BPD were associated with temperamental sensitivity, but BPD was uniquely linked with a subscale measuring sensitivity to mental and emotive stimuli, whereas APD was uniquely linked with a subscale measuring the control and avoidance of aversive stimulation. Compared to APD, BPD was more strongly linked with negative moods (anxiety, anger, sadness) and insecure attachment to parents, whereas APD was more strongly linked (than BPD) to pessimistic cognitive-affective responses to rejection-related situations.     

What's in a (neutral) face? Personality disorders, attachment styles, and the appraisal of ambiguous social cues

Attachment theory suggests that borderline, avoidant, and schizoid personality disorders are differentially associated with anxious and avoidant attachment styles. The variations of insecure attachment in these disorders, in turn, might influence how others are perceived or appraised. To test these ideas, 176 college students completed questionnaires measuring attachment styles and personality disorder features, and each rated 10 emotionally neutral faces on 18 bipolar appraisal dimensions. As expected, borderline personality was associated with anxious attachment, avoidant personality was associated with anxious and avoidant attachment, and schizoid personality was weakly associated only with avoidant attachment. Furthermore, path analyses showed that borderline and avoidant personality features were associated with anxious attachment, which in turn related to negative face appraisals (e.g., tendencies to rate faces as less friendly and more rejecting). Discussion highlights the potential of simultaneously studying biases in social information processing and attachment disturbances among individuals with personality disorders.