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At least 199 records · Page 11Linked to original sources
PubMed1998

A typology of antisociality in methadone patients.

Multistage cluster analyses with replications were used to sort score profiles of 252 methadone maintained men on 4 continuous measures of antisociality--childhood conduct disorder and adult antisocial personality disorder symptoms, the revised Psychopathy Checklist, and the Socialization scale of the California Psychological Inventory. The analysis yielded 6 replicable and temporally stable cluster groups varying in degree and pattern of antisociality. The groups were statistically compared on sets of external criterion variables--Addiction Severity Index measures of past and recent substance abuse and functioning and lifetime criminal history. Axis I and II symptomatology, anxiety and depression, object relations and reality testing, hostility, guilt, and machiavellianism. The expression of antisociality in the 6 groups and differences found among them on the external variables supported the validity of a more complex conceptualization of antisociality than is provided by antisocial personality disorder.

Adult↗
PubMed1990

Self-esteem and perceptions of conveyed impressions: is negative affectivity associated with greater realism?

Two studies examined the notion that negative affectivity (Watson & Clark, 1984) is associated with more accurate perceptions of conveyed impressions in social interactions. In Study 1 (n = 160), low self-esteem (LSE) and high self-esteem (HSE) subjects were paired with either an LSE or an HSE partner. After a 15-min interaction, they rated themselves, their partners, and how they believed their partners would rate them on 20 adjectives related to social competence. Study 2 (n = 40) was identical except that each interaction was observed by 2 observers who rated each participant, and participants also rated how they believed an observer would rate them. LSE subjects exhibited greater accuracy only with respect to the elevation component of observers' ratings; HSE subjects overestimated the positivity of observers' evaluations, whereas LSE subjects were relatively accurate. However, LSE subjects exhibited less overall accuracy with respect to their partners' ratings. We argue that when these results are considered with earlier research, there is no support for the notion of depressive realism in assessing conveyed impressions.

Adult↗
PubMed2000

Exemplar representation without generalization? Comment on Smith and Minda's (2000) "Thirty categorization results in search of a model".

J. D. Smith and J. P. Minda (2000) conducted a meta-analysis of 30 data sets reported in the classification literature that involved use of the "5-4" category structure introduced by D. L. Medin and M. M. Schaffer (1978). The meta-analysis was aimed at investigating exemplar and elaborated prototype models of categorization. In this commentary, the author argues that the meta-analysis is misleading because it includes many data sets from experimental designs that are inappropriate for distinguishing the models. Often, the designs involved manipulations in which the actual 5-4 structure was not, in reality, tested, voiding the predictions of the models. The commentary also clarifies various aspects of the workings of the exemplar-based context model. Finally, concerns are raised that the all-or-none exemplar processes that form part of Smith and Minda's (2000) elaborated prototype models are implausible and lacking in generality.

Humans↗
PubMed2001

Freud's relevance to hypnosis: a reevaluation.

In this paper we examine Freud's life and thinking, based on his collected works, and reevaluate some of his ideas in the light of various aspects of contemporary hypnosis research. Although Freud has often been blamed for simplistic thinking about hypnosis and for its eclipse during the opening decades of this century, his writings reveal a rich theory of hypnosis and a frank acknowledgement of the debt psychoanalytic theory and practice owe to it. Even though he abandoned hypnosis as a clinical tool, Freud maintained a theoretical interest in the subject and in many respects anticipated issues in current research. Whereas his emphasis on the hypnotist's skill may have been exaggerated, his insights concerning attention, social expectations, group dynamics, reality testing, and the relationship between hypnosis and sleep have been borne out by empirical investigations.

Freudian Theory↗
PubMed1990

Rorschach structure of a hospitalized sample of Vietnam veterans with PTSD.

Rorschach structural summary data are presented for a group of 41 posttraumatic stress disorder (PTSD) patients who were being treated in a specialized inpatient PTSD treatment program. Results suggest that patients suffering from PTSD exhibit impaired reality-testing abilities and tend to utilize ineffective coping strategies. The group's structural summary factors are presented as incipient normative data for the Exner Comprehensive System on patients with PTSD. Implications that these protocols suggest a more severe and pervasive level of psychopathology than would be expected from theoretical descriptions of the disorder are discussed.

Adult↗
PubMed1990

Representation of interpersonal interactions on the Rorschach and level of psychopathology.

Recent theoretical formulations emphasize the importance of the quality of interpersonal relationships in personality development and psychopathology and have resulted in the construction of methods for assessing the representation of interpersonal experiences. The Urist Mutuality of Autonomy (MOA) Scale is one of the most frequently used methods for assessing the quality of interpersonal relationships by evaluating interactions portrayed on the Rorschach between people, animals, and/or things. This study of the relationship of the MOA scale to independent assessments of interpersonal relationships and clinical symptoms in a group of seriously disturbed adolescents and young adults recently admitted to a long-term, open, residential treatment facility revealed that the average quality of interactions portrayed on the Rorschach relates significantly to the severity of clinical symptoms and the presence of thought disorder, but not to the quality of interpersonal relations. In addition, the portrayal of at least one intensively malevolent and destructive interaction on the Rorschach is correlated primarily with measures of thought disorder and impaired reality testing, whereas not giving at least one mutual and benevolent interaction response is correlated with impaired capacity for social adaptation (e.g., inappropriate interpersonal behavior and unmodulated affect). The relative failure to give at least one mutual and benevolent response is also correlated with the severity of clinical symptoms. Though the MOA scale was developed to assess object relations, it seems more consistently to assess aspects of psychopathology, such as the severity of clinical symptoms and the extent of thought disorder, and only secondarily the quality of interpersonal relationships.

Adolescent↗
PubMed1990

Assessing object representations as a continuous variable: a modification of the concept of the object on the Rorschach scale.

Current methods for assessing the quality of internalized object representations have not provided a continuous variable that simultaneously includes both an accuracy and a maturity component. A modification of Blatt, Brooks, Brenneis, and Schimek's (1976) Concept of the Object on the Rorschach scale that would combine the two components by weighting the quality of each response according to its form level was proposed. Initial discriminant and convergent validity of this modification was checked through correlations and multiple regression analyses using behavioral, diagnostic, and demographic data from 84 adolescent inpatients as dependent variables. Results indicate the modified score was directly related to measures of peer relatedness, intelligence, psychological health, and reality testing, and indirectly related to measures of psychosis and hostile, unmanageable behavior. The results support the utility of the modification for providing a continuous score that assesses both developmental maturity and accuracy, the two dimensions on which the concept of object representation is based.

Adolescent↗
PubMed1990

Rorschach characteristics of mothers of incest victims.

Investigated the Rorschach characteristics of 28 mothers of incest victims, using the Rorschach Comprehensive System. Their characteristics were compared to those from a control group of 28 women, matched with the target group for socioeconomic status (SES), age, education, marital status, and the presence of children. Chi-square, analysis of variance, and a stepwise linear discriminant function analysis were used to evaluate Rorschach differences between the control and target groups. Major findings indicate that mothers of incest victims demonstrated significantly greater weaknesses in reality testing, more frequent signs of depression, and greater interpersonal guardedness than control group mothers. Discriminant function analysis, based on scores from the schizophrenia index (SCZI), conventional form (chi + %), and texture responses (t), yielded an overall accurate classification rate of 87.5% for placement of women into the target and control group categories.

Adult↗
PubMed1976

Time and Schizophrenia.

It is possible, albeit reductionistic, to consider the many dysfunctions of reality testing found in schizophrenia as manifestations of a defective time sense. This perspective on schizophrenic discourse, for instance, permits a new grasp of "schizophrenic logic" and a novel approach to therapeutic interpretation. The present paper describes the use of time-related interventions in the psychotherapy of a schizophrenic patient. Several aspects of time sense are outlined. Under each heading are examples from the psychotherapy of Carrie, demonstrating her idiosyncratic notion of that particular temporal concept. Interpretations are aimed at clarifying the cognitive assumptions underlying the patient's expressions.

Female↗
PubMed1980

Staff countertransference reactions in the hospital treatment of borderline patients.

The aim of this paper is to elucidate a systematic framework for understanding the nature of the borderline patient's reactions to the hospital milieu and for comprehending the responses of hospital staff to such patients. The theory and principles of the therapeutic milieu or milieu therapy are not the focus of this paper; rather, the unique ways in which borderline patients create their own reality and interact with that reality are examined. The borderline patients considered here constitute a group who present severe character pathology, including pronounced distortions in reality testing, marked paranoid trends, minimal distinction between self and others, and multiple hospitalizations that have proven ineffectual. Overall, these patients are functioning at a level more regressed than most borderline patients and their histories often reveal many psychotic episodes. Because of their severe psychopathology, long-term intensive treatment in a hospital setting, termed "reconstructive hospital treatment" by Zee (1975), is indicated. The goal of such treatment is to augment the patient's failing ego functioning, to help the patient develop constructive alternatives for dealing with conflict, and to aid the patient develop constructive alternatives for dealing with conflict, and to aid the patient in embarking upon a psychoanalytically oriented exploration of his highly conflicted object relations. Without the use of the hospital as a treatment modality these patients tend to continue in a downward spiral of destructive relationships. These remarks, therefore, are addressed to the effect severely ill borderline patients have upon the hospital milieu and to the impact of the milieu upon them.

Adult↗
PubMed1982

Differential diagnosis of altered mind/body perception.

Considerable confusion exists in the psychiatric literature concerned with states of consciousness in which there is an altered perception of the mind/body relationship; related but different terms are often used interchangeably, with a lack of definitional rigor. The purpose of this paper is to bring clarity to this group of related phenomena by differentiating out-of-body experience (OBE) from depersonalization, autoscopic phenomena and schizophrenic body distortions (such as boundary loss), which are the principal entities with which the syndrome may be confused. The problem of variable definition of the syndromes is compounded by the fact that some studies deal with psychiatric or medical patients, others focus on nonpatients, and still others deal with both groups. The fact that some groups of persons with experiences of altered mind/body perception do not define themselves as patients, do not seek treatment, and may not need treatment underscores the need for clarification. Following an explication of the different syndromes and their characteristics, we will briefly consider treatment implications.

Adolescent↗
PubMed2004

Self-recognition in everyday life.

INTRODUCTION: A sample of everyday difficulties was collected, encompassing errors and unusual experiences participants had encountered when recognising their own faces in everyday life, with the aim of characterising similarities and differences between the reported difficulties and the major forms of self-recognition impairments described in the neuropsychological and neuropsychiatric literatures (prosopagnosia, mirrored-self misidentification, and Capgras delusion). METHOD: A total of 70 participants recalled experiences from memory. Incidents (n = 51) were recorded on questionnaire sheets that were filled out at home. Reports of three categories of incidents were analysed: misidentifications (the participant misidentified her/his own face as being that of another familiar person; n = 5), recognition failures (the participant judged that his/her own face was that of an unfamiliar person; n = 20) and perception of unusual aspects (the participant confidently recognised his/her own face but found that the seen face did not fit well the representation she/he had of his/her own face; n = 26). RESULTS AND DISCUSSION: In the reported incidents, experiences showing some similarities to those of patients with prosopagnosia, Capgras delusion or mirrored-self misidentification were noted. However, across the whole study, no incident involved a failure of reality testing; in contrast to pathological forms of error, in all of the reported incidents from our study the participant realised that a mistake had been made. The importance of decision processes in pathological forms of own-face misrecognition is discussed.

Journal Article↗
PubMed1990

Frontal lobe influences on delusions: a clinical perspective.

The presence of delusions, a significant feature of many schizophrenic patients, implies a disturbance of reality testing. Through descriptions of a number of organic delusion syndromes featuring frontal damage, and a theory of prefrontal functions, a correlation of schizophrenic delusions and prefrontal malfunctions is postulated.

Adult↗
PubMed1979

Visual hallucinations during hallucinogenic experience and schizophrenia.

The visual hallucinations experienced by a 26-year-old woman under the influence of hallucinogens and during schizophrenia are described. Three types of hallucinations are delineated: (1) superimposed hallucinations, (2) spatial and depth distortions, and (3) animations. These three types of hallucinations appear to represent consecutive gradations on a continuum of the ego function of reality testing, with superimposed hallucinations revealing the least and animations the greatest degree of disorientation. The findings of the present study indicate the need for a research design that compares the hallucinations of schizophrenics to the toxic hallucinations of nonschizophrenics.

Adult↗
PubMed1998

A comparison of mental activity during sleep onset and morning awakening.

The aims of the experiment were: (1) to establish the proportion of sleep stages in morning spontaneous awakening and to observe whether any stage-dependent differences can be found in the mentation reports; and (2) to compare the characteristics of mental activity during sleep onset (SO) and during the latest sleep period. One hundred forty-four dream reports and their association reports were collected from 36 subjects in a lab experimental design. Dream reports were analyzed as to structure (length, narrative continuity), content (self, setting, lab references, nonself characters, dimensional distortions, body feelings, bizarreness and emotions), and awareness (reality testing). Associations were classified as episodic, abstract self-referred, and semantic memories. The morning awakenings results were not affected by the stage of sleep during which dreaming occurs. SO reports prevalently show a lifelike nature, while sleep-offset reports are prevalently dreamlike. On the other hand, there seems to be a similar availability of mnemonic systems in the two sleep conditions.

Adult↗
PubMed1977

Psychological effects of mastectomy on a woman's feminine self-concept.

Previous literature on mastectomy indicates that the operation may be perceived by the patient as a threat to her feminity. Accordingly, the present study attempted to measure changes in body image, self-concept, and total self-image in mastectomy patients and two control groups (biopsy and surgical controls). Patients were given a questionnaire measuring the concepts in question three times: 1 day before surgery; 6 days after surgery; and 6 to 11 months later. There were distinctly different patterns of results for the three groups. Mastectomy patients did indeed evince a decline in body image and total self-image, but not until months after surgery. This was not unexpected in light of previous findings of massive denial in mastectomy patients. Immediately after surgery, this denial would be at its strongest, and it is feasible that it would take some months of reality testing until the denial is no longer a necessary defense. Biopsy patients showed a decline in body image and total self-image immediately after surgery, when their denial was no longer needed. Surgical control patients showed little overall change. Thus, mastectomy patients do appear to react to the operation with a decline in self-image, although this does not appear until some time after the operation.

Adult↗
PubMed1982

Psychopathology of latency age children. Relation to treatment planning.

One hundred three children, ages 6 to 12 years, who were evaluated in a psychiatric outpatient clinic and an inpatient unit of a large municipal hospital, were compared with regard to suicidal and assaultive behaviors, recent and chronic affects and behaviors, recent environmental stresses, family background, and ego functioning. The hospitalized children showed multiple deficits in ego functioning, more dangerous acting out behaviors, disabilities in regulation of affect states, and more severe psychopathology of the parents, primarily the mother. Multiple regression analyses showed that the child's assaultive behavior, suicidal behavior, antisocial behavior, reality testing, parental separation, and parental pregnancy complications accounted for 51.2 per cent of the variance in the prediction of psychiatric hospitalization. Recommendations are made concerning indications for psychiatric hospitalization.

Aggression↗
PubMed1995

Dissociation and vulnerability to psychotic experience. The Dissociative Experiences Scale and the MMPI-2.

Prior research on the MMPI has cautioned against misdiagnosing schizophrenia in patients with dissociative identity disorder. The present study examined the full spectrum of the dissociative experience in relation to MMPI-2 profiles. Ninety-eight women in treatment for trauma-related disorders completed the Dissociative Experiences Scale and the MMPI-2 in routine inpatient diagnostic evaluations. Consistent with prior research, severe dissociation was associated with high elevations on MMPI-2 scales typically associated with psychotic symptoms. Contrary to hypotheses, the ostensibly most benign form of dissociation, absorption and imaginative involvement, was somewhat more strongly related to MMPI-2 scores than the more pathognomonic forms of dissociation, depersonalization and amnesia. Although it should not be misdiagnosed, severe impairment on the MMPI in conjunction with dissociation should be taken seriously as suggesting vulnerability to psychotic experience. The dissociative retreat from the stressors of outer reality opens the door to the inner world of traumatic images and affects, along with compromised reality testing and disorganized thinking.

Adult↗