Borderline Personality Disorder in Adolescence Through the Lens of the Interview of Personality Organization Processes in Adolescence (IPOP-A): Clinical Use and Implications

Borderline personality disorder can be assessed in adolescence mainly through a dimensional approach that takes into account strengths and weaknesses of emerging personality patterns. Clinical interviews could help clinicians to gather information about adolescent’s functioning, fostering therapeutic alliance and promoting a mentalizing stance during the assessment of borderline adolescents. In this article, the Interview of Personality Organization Processes in Adolescence (IPOP-A) is presented through clinical case material to show its usefulness in clinical and research settings. The IPOP-A assesses an adolescent’s emerging personality along three dimensions: identity, quality of object relations and affect regulation. These dimensions are the core of borderline personality in adolescence.     

Psychiatric Disorders and Childhood Parental Loss in Obesity: Relationship with the Mode of Weight Gain

We assessed the association between psychiatric disorders, childhood parental loss, and weight gain mode in 150 obese patients seeking bariatric surgery and with a history of sudden or gradual weight gain mode. Subjects with sudden weight gain mode (47%) showed significantly higher bipolar II disorder (p < .001), childhood parental death (p < .01), and separation (p < .01), but lower pure hypomania (p < .001) prevalence than subjects with gradual weight gain mode. We found preliminary evidence that lifetime bipolar spectrum disorders and childhood parental loss may influence weight gain mode in obese subjects. These findings may contribute to predict patients’ weight trajectories and implement preventive interventions.     

Dynamic sensory–motor oscillation and cerebral development

Drawing from Freud’s Project, the author proposes a model of cerebral development whose sensory–motor structure is defined by a frontal–occipital oscillatory dynamic with a twofold function: the oscillation explains the formation and maintenance of mother–infant attunement in cerebral growth, while, at the same time, also explaining the functioning of the projective–introjective dynamic at the basis of psychoanalytic theory. The oscillatory dynamic, according to this perspective, operates as a “bridge” between two seminal theoretical models of developments—the psychoanalytic and the infant research model—which, in turn, leads to the formulation of some neurological hypotheses on how oscillation regulates the elaboration of maternal interaction in the infant’s brain, and how the mother may act to modify it. The paper discusses how the oscillatory dynamic offers an innovative framework for the reconceptualization of the development of mentalization, the function of mirror neurons, and, most interestingly, of the development of language, explaining the non-verbal properties of ordinary linguistic communication and the function of oscillation in the regulation of information exchange processing.     

Cerebellar ataxia: quantitative assessment and cybernetic interpretation

To assess neuromotor disorders clinicians often rely on rating scales. Unfortunately, these scales lack the sensitivity and accuracy needed to detect the small changes in motor coordination that reflect the clinical progression of the disease on the basis of which treatment programmes can be adjusted. As a contribution to this topic, the present paper proposes a straightforward kinematic and kinetic analysis of reaching movements of patients with cerebellar ataxia in conjunction with a cybernetic interpretation of the data. The aim of the approach is to capture key deficits in the underlying motor control processes. We suggest that cerebellar ataxia may be characterized by defective feedforward control.     

Power corrupts (or does it?): An examination of the boundary conditions of the antisocial effects of experienced power

One of the most common conclusions in the power literature is that when people feel powerful, they behave in selfish and antisocial ways. While this conclusion tends to permeate the literature, research also recognizes that there are factors that can mitigate the corrupting nature of power, and that the experience of power may also lead to more positive and prosocial outcomes. In this article, we review findings that illustrate how individual differences, the contexts in which people experience power, and their construal of power all help determine how powerful people will ultimately behave toward others. We then consider these findings in totality, and suggest that they may articulate a more complex conceptualization of power as it relates to social behaviors. Specifically, we suggest considering not only the amount of power one has but also focusing on the way individuals experience power may provide a way to reconcile the disparate findings in the social power literature. We argue that research should expand upon the possible dualistic nature of power, and how the existence of both positive and negative construals of power can influence behaviors.     

Metacognitive Interpersonal Therapy for Treating Auditory Verbal Hallucinations in First-onset Schizophrenia

Auditory verbal hallucinations (AVHs) are perceptive-like experiences happening without appropriate stimuli, occurring in two thirds of schizophrenia patients, where they often cause emotional suffering and dangerous behaviors, and interfere with social relationships. Patients with schizophrenia involving AVHs can also be drug-resistant or they may discontinue medications. The most well-known psychotherapeutic intervention for voice-hearing is cognitive behavioral therapy (CBT), which focuses on reducing distress by modifying hearers’ beliefs about their voices. We hypothesize that it is possible to reinforce the clinical approach to AVHs by taking into consideration (a) that patients generally hear voices in particular interpersonal contexts where they experience negative emotions; (b) the relationship between AVHs and metacognition, namely the ability to make sense of mental states. On this basis, AVHs can be seen not just as a cause of emotional distress as CBT postulates, but the outcome of difficulties in meta-cognitively making sense of interpersonal exchanges. In this paper, we describe the treatment of a young man at the onset of schizophrenia with pervasive negative AVHs. The patient was treated with metacognitive interpersonal therapy (MIT), aimed to promote the patient’s metacognition. With this aim, in the first part of the treatment, each time AVHs emerged, the patient’s level of arousal was high and his metacognitive ability very low, the therapist treated AVHs helping the patient to understand and cope with the emotional suffering connected with AVHs. At a more advanced stage of therapy, the therapist helped the patient reach the point of understanding the social triggers which, together with the patient’s self-schemas, ignited his auditory hallucinations; this created the conditions for a significant reduction of the pervasiveness of AVHs.     

Do Humans and Deep Convolutional Neural Networks Use Visual Information Similarly for the Categorization of Natural Scenes?

The investigation of visual categorization has recently been aided by the introduction of deep convolutional neural networks (CNNs), which achieve unprecedented accuracy in picture classification after extensive training. Even if the architecture of CNNs is inspired by the organization of the visual brain, the similarity between CNN and human visual processing remains unclear. Here, we investigated this issue by engaging humans and CNNs in a two-class visual categorization task. To this end, pictures containing animals or vehicles were modified to contain only low/high spatial frequency (HSF) information, or were scrambled in the phase of the spatial frequency spectrum. For all types of degradation, accuracy increased as degradation was reduced for both humans and CNNs; however, the thresholds for accurate categorization varied between humans and CNNs. More remarkable differences were observed for HSF information compared to the other two types of degradation, both in terms of overall accuracy and image-level agreement between humans and CNNs. The difficulty with which the CNNs were shown to categorize high-passed natural scenes was reduced by picture whitening, a procedure which is inspired by how visual systems process natural images. The results are discussed concerning the adaptation to regularities in the visual environment (scene statistics); if the visual characteristics of the environment are not learned by CNNs, their visual categorization may depend only on a subset of the visual information on which humans rely, for example, on low spatial frequency information.     

Dialogical Relationship Patterns in Narcissistic Personalities: Session Analysis and Treatment Implications

Patients with narcissistic features are difficult to treat in psychotherapy, in particular because of problems in building sound therapeutic relationships with them. Therapists can get easily involved in dysfunctional relationship patterns that have a negative impact on the therapeutic alliance. Tracing the typical patterns that can recur in persons with narcissistic features should, therefore, prove useful in helping therapists to recognize their involvement in them at an early treatment stage and to deal with them effectively. A dialogical theory of the self offers a promising perspective from which to recognize and describe these patterns. From this vantage point, we discuss the treatment of a client diagnosed as having a narcissistic personality. What occurred during this therapy lends support to the idea that there are typical dialogical relationship patterns in patients with narcissistic features and that knowing them might help therapists to make treatment effective, avoid early dropouts, and successfully manage the therapeutic relationship. In addition, we put forward the hypothesis that some of the therapeutic techniques described here also can be applied to other patients displaying similar narcissistic features.     

Reauthoring One's Own Life in the Face of Being HIV+: Promoting Healthier Narratives with Metacognitive Interpersonal Therapy

We describe here a narrative-based psychotherapy for a woman in her 40s who had been HIV+ since the age of 21 and who suffered from posttraumatic symptoms related to having received the diagnosis. She had also suffered from self-stigma and had lost the capacity to envision a future filled with hope. Treating individuals with HIV who face posttraumatic symptoms and stigma can be challenging for the clinician. A narrative approach to therapy can be helpful for these persons, in order to overcome symptoms, build a more benevolent self-image, feel accepted by society, and promote posttraumatic growth. Current evidence indicates that such an approach is mostly lacking. We describe how we applied metacognitive interpersonal therapy—an approach rooted in narrative constructivism. By using this treatment, the patient could overcome posttraumatic symptoms, participate in social activities after years of avoidance and isolation, and recover her sense of being a person able to make plans for the future with strength and dignity. Discussion includes ideas of how to generalize some of the mechanisms that have likely been effective in this therapy to other individuals with HIV.     

The magnitude of binocular disparity modulates search time for targets defined by a conjunction of depth and colour

Nakayama and Silverman (1986) proposed that, when searching for a target defined by a conjunction of color and stereoscopic depth, observers partition 3D space into separate depth planes and then rapidly search each such plane in turn, thereby turning a conjunctive search into a "feature" search. In their study, they found, consistent with their hypothesis, shallow search slopes when searching depth planes separated by large binocular disparities. Here, the authors investigated whether the search slope depends upon the extent of the stereoscopically induced separation between the planes to be searched (i.e., upon the magnitude of the binocular disparity. The obtained slope shows that (1) a rapid search only occurs with disparities greater than 6 min of arc, a value that vastly exceeds the stereo threshold, and that (2) the steepness of this slope increases in a major way at lower disparities. The ability to implement the search mode envisaged by Nakayama and Silverman is thus clearly limited to large disparities; less efficient search strategies are mandated by lower disparity values, as under such conditions items from one depth plane may be more likely to "intrude" upon the other. (PsycINFO Database Record (c) 2008 APA, all rights reserved).