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PubMed2006

[Comparative assessment of cognitive styles forming personal behavior in health and borderline personality disorder].

The author suggests a cognitive-analytical concept of personality focusing on cognitively mediated processes of cyclic interaction of different levels of consciousness and subconsciousness represented in the form of emotional-behavioral potential and functional-dynamic system. A cognitive type (cognitype)--a type of personality-centered cognitive operations that determines the pattern of behavioral cycle and distinctive features of social adaptation--is singled out as an integrative basic individual and psychological component of personality. Presented is classification of personality cognitypes, their adaptive and maladaptive variants, correlations between cognitypes and anomalies of personality. The principles of psychotherapy of maladaptive behavior, borderline and addictive disorders (positive reintegration of personality) are substantiated.

Adaptation, Psychological↗
PubMed1988

[Understanding the personality changes following craniocerebral injuries, with special reference to premorbid personality and family structure].

The personality changes frequently observed in the wake of craniocerebral trauma are a serious impediment to psychosocial rehabilitation of those concerned. Based on empirical research, the present contribution is intended as a pleading for adoption of a multidisciplinary and multidimensional approach to personality change post craniocerebral trauma, taking the dynamic complexities involved into consideration. The current, stereotyped characterizations of the changes of personality caused by organic brain damage have not been confirmed for the patient population investigated by us. Crucial to avoidance of a rigid, static view of the personality changes is direct inclusion of the familial and social environment in the process of diagnosis and rehabilitation of the person with craniocerebral trauma. As exemplified by a case analysis described, it is possible, above all, to trace the systemic-etiological forces active in determining the nature and contents of the personality changes, in stabilizing or reinforcing them.

Adult↗
PubMed1995

[Personality disorders in childhood. Classifications and clinical aspects of border-line personalities and narcissism].

The diagnosis of personality disorders is particularly difficult in childhood and requires prolonged psychiatric evaluation. Authors focus discussion upon the diagnosis of borderline and narcissistic personality disorders in children. Although Misès recently favours the term child borderline pathologies covering all personality disorders other than psychosis or neurosis, the american school of psychiatry tends to separate different personality disorders according to DSM-IV diagnosis propositions. The results of rare prospective studies suggest a pathological continuum which remains within the sphere of personality disorders. Further research is in fact necessary to determine the specific evolutive profiles of each personality disorder.

Borderline Personality Disorder↗
PubMedDate not supplied

Circumplex models for the similarity relationships between higher-order factors of personality and personality disorders: an empirical analysis.

Similarity relationships between personality factors and personality disorders (PDs) are usually described within the conceptual framework of the "big five" model. Recently, two-dimensional circumplex models have been suggested as alternatives, such as the interpersonal circle, the multifacet circumplex, and the circumplex of premorbid personality types. The present study is an empirical investigation of the similarity relationships between the big five, the 11 DSM-III-R personality disorders and four subaffective disorders. This was performed in a sample of 165 psychiatric inpatients. We tested the extent to which the relationships could be adequately represented in two dimensions and which circumplex model can be supported by the empirical configuration. Results obtained by principal-components analysis (PCA) strongly confirm the circumplex of premorbid personality, and to some extent the multifacet circumplex. However, the interpersonal circle cannot be confirmed.

Adolescent↗
PubMed1994

Personality disorder, personality traits, impulsive violence, and completed suicide in adolescents.

OBJECTIVE: This study was designed to assess the association between personality disorders, personality traits, impulsive violence, and suicide. METHOD: Personality disorders and traits in 43 adolescent suicide victims and 43 community controls were assessed from the parents, using semistructured interviews and self-report forms. RESULTS: Probable or definite personality disorders were more common in suicide victims than in controls, particularly Cluster B (impulsive-dramatic) and C type (avoidant-dependent) disorders. Suicide victims also showed greater scores on lifetime aggression, even after controlling for differences in psychopathology between suicides and controls. CONCLUSIONS: Personality disorders and the tendency to engage in impulsive violence are critical risk factors for completed suicide.

Adolescent↗
PubMed1986

Personality and psychosis: use of the Standardized Assessment of Personality.

The Standardized Assessment of Personality, a semistructured interview for use with an informant, was used with a relative or a close friend to determine the premorbid personality of 100 consecutive patients admitted with major psychiatric disorders - major affective disorders (18 manics, 35 depressives), schizophrenia (28) and other functional psychoses (19). Forty-four per cent of the entire sample had an abnormal personality as defined by the presence of one of 10 prominent traits to a marked degree. A further 6% had the same traits to a lesser degree. The proportion of patients with an abnormal personality (all types) was comparable across the four diagnostic groups (manics 39%, depressives 54%, schizophrenics 39%, other functional psychotics 37%). However, if one included all traits (marked and mild), patients with an affective disorder had more between them than did the non-affective groups. This difference was largely accounted for by cyclothymic, anxious and obsessional traits. The schizophrenics and other functional psychotics had surprisingly few prominent traits and, in particular, a schizoid personality rarely preceded a schizophrenic illness.

Adult↗
PubMedDate not supplied

Are self-reports of breathing effort and breathing distress stable and valid measures among persons with asthma, persons with COPD, and healthy persons?

BACKGROUND: Breathing is a subjective experience that includes physical sensations, such as effort to breathe, and an affective element, such as breathing distress. OBJECTIVE: The overall purpose of this investigation was to evaluate whether measurement of the physical sensations (breathing effort) and affective response to these sensations of breathing (breathing distress) are consistent and valid. DESIGN: A longitudinal repeated measures design was used to evaluate a 2-week daily breathing with a sub-sample (n = 43) who also recorded their daily breathing during 4 weeks. SUBJECTS: Age-matched, stable subjects (n = 92) with an average age of 62 were evaluated. The sample consisted of 32 subjects with chronic obstructive pulmonary disease, 27 subjects with asthma, and 33 healthy subjects. MEASURES: Visual Analogue Scales for breathing effort (VAS-E) and breathing distress (VAS-D) were scored daily. RESULTS: The VAS-E and VAS-D mean, highest, and lowest scores were found to be stable over time in the sub-sample and a significant difference (F = 2.56, P <.05) between VAS-E and VAS-D was found. Differences were found in mean and highest VAS-E and VAS-D by group, with the COPD group reporting the highest values. CONCLUSIONS: This investigation provided initial evidence of the stability and validity of daily VAS-E and VAS-D measures and preliminary support for the use of daily VAS logs to evaluate differences in breathing effort and breathing distress.

Analysis of Variance↗
PubMed1985

Person-to-person communication in an applied research/service delivery setting.

Data from a national survey (n = 1666) of researchers, practitioners, and policymakers in the field of rural mental health services were used to conduct a sociometric analysis of person-to-person communication in the field. This article describes the structure of the person-to-person communication network in terms of its connectedness, centrality, homogeneity, and differentiation. Despite the diversity of survey respondents, and apparently meager interorganizational communication, communication in he field is similar, in many respects, to that observed in "invisible colleges." While the probability of two randomly chosen individuals being in contact is low (0.0008), over 70% were connected indirectly. The person-to-person communication network is also highly centralized and exhibits higher than expected communication among respondents in the same professional role, type of work organization, and geographical region. It does not appear to be highly differentiated with respect to topic, since the majority of information providers are contacted with respect to a number of topics.

Analysis of Variance↗
PubMed1999

The relationship between health and human services and the personal goal-directed activities of persons living with AIDS.

This study evaluates the relationship between the social climate from different services and the personal goal-directed activities of 224 individuals with AIDS. The study's results supported the main hypothesis that "recipient" and "participatory" service involvement uniquely influence personal goal-directed activities, even after considering individuals with AIDS' physical symptoms, psychological distress, income, and recruitment site. Income and involvement with participatory services were both positively related to the amount of personal goal-directed activity. Longitudinal analyses suggest that personal initiative contributes to the subsequent amount of personal goal-directed activities a person pursues. These results suggest further examination of factors contributing to the selection of different service types and of the processes underlying the relationship between participatory services and positive outcomes for clients with AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed2005

Evaluation and quality control of personal nephelometers in indoor, outdoor and personal environments.

Personal nephelometers provide useful real-time measurements of airborne particulate matter (PM). Recent studies have applied this tool to assess personal exposures and related health effects. However, a thorough quality control (QC) procedure for data collected from such a device in a large-scale exposure assessment study is lacking. We have evaluated the performance of a personal nephelometer (personal DataRAM or pDR) in the field. We present here a series of post hoc QC procedures for improving the quality of the pDR data. The correlations and the ratios between the pDRs and the collocated gravimetric measurements were used as indices of the pDR data quality. The pDR was operated in four modes: passive (no pump), active (with personal sampling pumps), active with a heated inlet, and a humidistat. The pDRs were worn by 21 asthmatic children, placed at their residences indoors and outdoors, as well as at a central site. All fixed-site pDRs were collocated with Harvard Impactors for PM2.5 (HI2.5). By examining the differences between the time-weighted average concentrations calculated from the real-time pDRs' readings and recorded internally by the pDRs, we identified 9.1% of the pDRs' measurements suffered from negative drifts. By comparing the pDRs' daily base level with the HI2.5 measurements, we identified 5.7% of the pDRs' measurements suffered from positive drifts. High relative humidity (RH) affected outdoor pDR measurements, even when a heater was used. Results from a series of chamber experiments suggest that the heated air stream cooled significantly after leaving the heater and entering the pDR light-scattering chamber. An RH correction equation was applied to the pDR measurements to remove the RH effect. The final R2 values between the fixed-site pDRs and the collocated HI2.5 measurements ranged between 0.53 and 0.72. We concluded that with a carefully developed QC procedure, personal nephelometers can provide high-quality data for assessing PM exposures on subjects and at fixed locations. We also recommend that outdoor pDRs be operated in the active mode without a heater and that the RH effect be corrected with an RH correction equation.

Air Pollutants↗
PubMed2001

Day persons, night persons, and time of birth: preliminary findings.

The authors conducted 2 surveys to determine the relationship between time of birth and being a day person or a night person. Day persons are most alert during daylight hours; night persons are most alert during hours of darkness. In Survey 1, the authors asked U.S. high school students to complete the Alertness Questionnaire (B. Wallace, 1993) and to respond to other items related to daytime or nighttime activity. In Survey 2, the authors administered the same items to a U.S. college population. In both surveys, time of birth was significantly related to being a day person or a night person. The results suggest that a critical period for setting the biological clock for alertness may be the moment of birth.

Adolescent↗
PubMed2006

An investigation of the housing environment for persons with asthma and persons without asthma.

Asthma is a chronic disease affected by environmental factors that may increase symptoms that impact on a persons' well-being. An important issue in occupational therapy is to improve the relationship between a person's functional capacity and the physical environment. The aim of the study was to compare the housing environment of persons with asthma (cases, n = 49) and persons without asthma (controls, n = 48), with regard to building construction and condition, physical, chemical and biological factors, and cleaning routines. A secondary aim was to compare different types of accommodation within cases and controls. A specialist team, including a construction engineer, a biological scientist, and an occupational therapist, conducted the study. Data were collected using protocols, as well as a number of established technical methods from the field of occupational and environmental medicine. The primary results showed no major differences in the housing environment between the two groups. However, in individual homes environmental factors at levels that could increase symptoms were identified. When single-family houses were compared with multi-family houses, significant differences were found indicating that preventive interventions may be needed in some single-family houses. Further studies are needed to clarify the person-environment relationship for persons with asthma, focusing on their ability to perform daily activities.

Activities of Daily Living↗
PubMed1990

Considerations and techniques in the treatment of persons with multiple personality disorder.

Occupational therapy intervention with the patient with multiple personality disorder requires an understanding of the complex psychotherapeutic goals for the patient and of the process involved in resolution of the trauma that led to the development of multiple personality. The psychotherapeutic techniques of hypnosis and abreaction affect the provision of occupational therapy services. Hypnotic communication, particularly the use of ideomotor hand signals, often facilitates work with various alter personalities. Occupational therapists may use a developmental approach with both child and adult alter personalities and may also use projective techniques, self-care training, and role and task management techniques. Occupational therapy can act as a stabilizing force for the person with multiple personality disorder through the enhancement of function and competency during the psychotherapeutic process.

Abreaction↗
PubMed2005

Personality correlates of obese eating behaviour: Swedish universities Scales of Personality and the Three Factor Eating Questionnaire.

OBJECTIVE: To study the relationship between personality characteristics and eating behaviour in obese patients. METHOD: The participants were 45 patients with a mean body mass index (BMI) of 39 kg/m2. Eating behaviour was measured with the Three Factor Eating Questionnaire (TFEQ) also taking the subscales Flexible Control and Rigid Control into account, and Personality was assessed with the Swedish universities Scales of Personality (SSP). RESULTS: In linear regression analyses the personality characteristic greater Lack of Assertiveness could explain 17% of Disinhibited eating and 13% of Hunger scores, whereas less Lack of Assertiveness could explain 12% of Flexible Control. BMI was negatively related to one of the personality characteristics, Adventure Seeking. DISCUSSION: A lacking ability to be socially self-assertive and confident characterized obese patients with more problematic eating behaviours that imply a risk for over consumption of food. A greater self-assertiveness was found in patients with a relatively more efficient eating strategy such as flexible control over eating.

Adult↗
PubMed1989

Auditory P300 does not differentiate borderline personality disorder from schizotypal personality disorder.

The P300 response to an auditory two-tone discrimination task has previously been reported to have prolonged latency and reduced amplitude in schizophrenia and borderline personality disorder. In this study, P300 was recorded from 23 subjects with borderline personality disorder, 12 subjects fulfilling criteria for both borderline and schizotypal personality, and 11 subjects with schizotypal personality. The mean P300 latency was similar in each of these groups and was significantly longer than in 32 patients with neuroses and other personality disorders and 74 nonpatient controls. These findings suggest that borderline and schizotypal patients share a similar abnormality in auditory stimulus evaluation and question whether or not these disorders are separate.

Adolescent↗
PubMedDate not supplied

Karen Horney's "resigned person" heralds DSM-III-R's borderline personality disorder.

It is shown here that what Karen Horney called the resignation solution to the problem of basic anxiety leads to psychopathology very similar to DSM-III-R's borderline personality disorder (BPD). Both the "resigned person" and the borderline personality show instability of self-image, social relationships, and mood, and live out the associated deficits with similar styles. While not specifically using the term "splitting", Horney showed how alternating expansive and self-effacing trends can coexist in the resigned person, and how these oscillations in self-other-world constitution influence the resigned person's behavior in a way similar to borderline splitting. Horney's descriptive and psychodynamic analysis of the resignation phenomenon elaborates and gives additional credibility to DSM-III-R's BPD as a diagnostic category.

Borderline Personality Disorder↗
PubMed2006

Personality trait differences in boys and girls with clinical or sub-clinical diagnoses of conduct disorder versus antisocial personality disorder.

This study tested differences in personality traits measured by the Multidimensional Personality Questionnaire (MPQ) in a community sample of adolescents with definite or probable conduct disorder (CD) diagnoses that did not progress to a diagnosis of antisocial personality disorder (ASPD) by early adulthood (n=43), those with definite or probable ASPD that persisted into early adulthood (n=68), or controls with neither a CD nor an ASPD diagnosis (n=716) to examine whether antisocial behaviour disorders that differed in course were associated with differences in personality traits. As expected, boys and girls with ASPD were significantly different from controls on constraint, and those with ASPD were significantly lower on constraint than those with only CD. The results suggest that individual differences in certain personality traits may contribute to differences in the type of antisocial behaviour disorder that emerges and thereby to the course of antisocial behaviour.

Adolescent↗