Self-injurious behavior a biological analysis

A review of self-injurious behavior (SIB) indicates several biological variables that should be considered in future research. A current hypothesis, that SIB is reinforced by attention, receives support but inadequately accounts for evidence that SIB can arise in the absence of reinforcement, is often difficult to modify, and has features unlike those of conditioned behavior. Alternative possibilities are suggested. Neurological damage is common in populations displaying SIB and may produce inadequate pain perception or avoidance. Stereotyped behavior, also common in these populations, may also be related to SIB. Stress and isolation, both strongly correlated with SIB, may evoke this behavior by altering levels of biogenic amines and affecting the probability of aggressive responses. Finally, SIB may have been favored in evolution by group and kin selection, as the loss of a damaged individual may actually favor his genotype through promotion of relatives. These alternatives are not necessarily mutually incompatible nor do they preclude a degree of flexibility in SIB. SIB may result from the interaction of several variables that independently increase its probability.     

Assessment of DSM-IV personality disorders in obsessive-compulsive disorder: comparison of clinical diagnosis, self-report questionnaire, and semi-structured interview

In patients with obsessive-compulsive disorder, personality disorders are not many times assessed according to DSM-IV criteria. The purpose of the present study is to examine the prevalence of personality disorders diagnosed according to the DSM-IV in a severely disordered OCD population (n=65) with three different methods of assessing personality disorders (structured interview, questionnaire, and clinical diagnoses). Furthermore, correspondence between these different methods was investigated and their construct validity was examined by relating the three methods to external variables. Each method resulted in a predominance of Cluster C personality disorders, and obsessive-compulsive personality disorder had the highest prevalence. However, there was generally low correspondence regarding which patient had which personality disorder. Results concerning the relation of external variables were the most promising for the structured clinical interview.     

Efficacy of Invasive and Non-Invasive Brain Modulation Interventions for Addiction

Neuropsychology Review - It is important to find new treatments for addiction due to high relapse rates despite current interventions and due to expansion of the field with non-substance related...     

Obsessionality & compulsivity: a phenomenology of obsessive-compulsive disorder

Mindfulness as a clinical and nonclinical intervention for a variety of symptoms has recently received a substantial amount of interest. Although the application of mindfulness appears straightforward and its effectiveness is well supported, the concept may easily be misunderstood. This misunderstanding may severely limit the benefit of mindfulness-based interventions. It is therefore necessary to understand that the characteristics of mindfulness are based on a set of seemingly paradoxical structures. This article discusses the underlying paradox by disentangling it into five dialectical positions - activity vs. passivity, wanting vs. non-wanting, changing vs. non-changing, non-judging vs. non-reacting, and active acceptance vs. passive acceptance, respectively. Finally, the practical implications for the medical professional as well as potential caveats are discussed.     

How new is the new philosophy of psychiatry?

In their recent paper, Natalie Banner and Tim Thornton evaluate seven volumes of the Oxford University Press series “International Perspectives in Philosophy and Psychiatry,” an international book series begun in 2003 focusing on the emerging interdisciplinary field at the interface of philosophy and psychiatry. According to Natalie Banner and Tim Thornton, the series represents a clear indication that the interdisciplinary field of philosophy of psychiatry has been flourishing lately. Philosophers and psychiatrists face a “new philosophy of psychiatry”. However, the optimism which the “new” philosophy of psychiatry celebrates is precisely the exiling of philosophy from the foundations of psychiatry. The 150 year old belief that psychopathology cannot do without philosophical reflection has virtually disappeared from common psychiatric education and daily clinical practice. Though the discipline of psychiatry is particularly suited to contributions from philosophy, the impact of philosophy on psychiatry nowadays remains limited. With some exceptions, philosophical papers are embedded in a philosophical context inscrutable to ordinary psychiatrists. Much current philosophical work is perceived by psychiatrists as negativistic. I would encourage the field of psychiatry to incorporate once again basic philosophical attitudes which render possible true dialogue with philosophy and enrich both disciplines. The views developed here should not discredit the value and importance of Natalie Banner and Tim Thornton’s paper and the excellent series “International Perspectives in Philosophy and Psychiatry.” As Jaspers said “Everybody inclined to disregard philosophy will be overwhelmed by philosophy in an unperceived way”.     

Enhancing the training integrity of human service staff using pyramidal behavioral skills training

This experiment used a pyramidal training model to evaluate the effects of behavioral skills training (BST), delivered in a 1-time group-training format, on the extent to which 25 human service staff implemented BST when training others how to implement behavioral procedures. Results indicated that (a) the training workshop increased BST integrity to mastery levels for the majority of participants with varying levels of education, organizational positions, and training experience, (b) the training effects generalized to teaching an untrained skill, and (c) high levels of BST integrity maintained at follow-up 4 to 6 weeks after training for all 3 participants with whom probes were conducted. Moreover, participants indicated high levels of satisfaction with both the training workshop and BST as a training procedure.     

Defining Compulsive Behavior

Neuropsychology Review - Compulsive tendencies are a central feature of problematic human behavior and thereby are of great interest to the scientific and clinical community. However, no consensus...     

Androgen dynamics in the context of children's peer relations: an examination of the links between testosterone and peer victimization

Testosterone levels have been shown to decrease in the face of social defeat in several mammalian species. Among humans, the loss of social status has been studied primarily in the context of athletic competition, with winners having higher testosterone levels than losers. This study examined testosterone levels in relation to peer victimization (bullying) in a sample of 151 boys and girls aged 12–13. Statistically controlling for age and pubertal status, results indicated that on average verbally bullied girls produced less testosterone and verbally bullied boys produced more testosterone than their nonbullied counterparts. Similar trends were evident comparing social and physical bullying with testosterone. Sex differences are discussed in terms of empirically validated differences in coping styles, as girls tend to internalize, whereas boys tend to externalize, their abuse. Aggr. Behav. 35:103–113, 2009. © 2008 Wiley‐Liss, Inc.     

On Denying the Right God: Aquinas on Atheism and Idolatry

Thomas Aquinas appears not to have been intellectually challenged by formal atheisms, nor are his 'five ways' of proving the existence of God best understood as arguments with formal statements of philosophical atheism. But his emphatically 'negative' theology does seem to offer a response to an over‐optimistic and potentially idolatrous 'affirmativeness', and we might see the relevance of this negative theology as challenging atheisms of our times to come up with more radical forms of denial than they customarily achieve. In the light of this account of Thomas' natural theology, how are we to view his 'five ways'? As on the one hand valid as rational proofs and at the same time as avoiding the pitfalls of a Scotist 'onto‐theological' metaphysics.