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The smart house for older persons and persons with physical disabilities: structure, technology arrangements, and perspectives.

Smart houses are considered a good alternative for the independent life of older persons and persons with disabilities. Numerous intelligent devices, embedded into the home environment, can provide the resident with both movement assistance and 24-h health monitoring. Modern home-installed systems tend to be not only physically versatile in functionality but also emotionally human-friendly, i.e., they may be able to perform their functions without disturbing the user and without causing him/her any pain, inconvenience, or movement restriction, instead possibly providing him/her with comfort and pleasure. Through an extensive survey, this paper analyzes the building blocks of smart houses, with particular attention paid to the health monitoring subsystem as an important component, by addressing the basic requirements of various sensors implemented from both research and clinical perspectives. The paper will then discuss some important issues of the future development of an intelligent residential space with a human-friendly health monitoring functional system.

Activities of Daily Living↗

Personal goals and psychological growth: testing an intervention to enhance goal attainment and personality integration.

We hypothesized that semester goal attainment provides a route to short-term psychological growth. In an attempt to enhance this process, we randomly assigned participants to either a goal-training program or to a control condition. Although there were no main effects of program participation on later goal attainment, important interactions were found. Consistent with a "prepared to benefit" model, participants already high in goal-based measures of personality integration perceived the program as most useful and benefited the most from the program in terms of goal attainment. As a result, they became even more integrated and also increased in their levels of psychosocial well-being and vitality. Implications for theories of short-term growth and positive change are discussed, as is the unanswered question of how to help less-integrated persons grow.

Adaptation, Psychological↗

Finding the person in personal relationships.

The search for dispositional factors that influence the course and conduct of close relationships has long and popular roots. No cogent theory of interpersonal processes would deny that dispositional factors matter, and, furthermore, both scholarly and lay analyses often emphasize them. Although existing research has made progress in understanding how dispositions affect behavior in ongoing relationships, when all is said and done, this progress has been modest. In this paper, we discuss several interlocking theoretical and methodological principles that may facilitate movement to the next (and more sophisticated) generation of theory and research. We draw particularly on interdependence theory to discuss the concepts of relationship and persons-in-relationship. Central to our analysis is the principle that interaction in relationships is an inherently dynamic, temporal, and thoroughly interdependent process that cannot be properly understood from examination of the static, global dispositions of one of its members. To provide grounding for our analysis, we also discuss several specific implications of these concepts for the conduct of research seeking to understand personality in relationships.

Data Interpretation, Statistical↗

Family connections: a program for relatives of persons with borderline personality disorder.

This study assessed changes in family members who participated in Family Connections, a 12-week manualized education program for relatives of persons with borderline personality disorder (BPD). Family Connections, led by trained family members, is based on the strategies of standard Dialectical Behavior Therapy (DBT) and DBT for families. The program provides (a) current information and research on BPD, (b) coping skills, (c) family skills, and (d) opportunities to build a support network for family members. Forty-four participants representing 34 families completed the pre-, post-, and 6-month postbaseline self-report questionnaires. Analyses employing hierarchical linear modeling strategies showed significant reductions in grief and burden, and a significant increase in mastery from pre- to post-group assessment. Changes were maintained at 6 months post baseline.

Adaptation, Psychological↗

Psychological adjustment, close personal relationships and personality.

The finding (Cramer, 1985) that psychological adjustment is positively related to facilitative relationship quality for females but not for males was not supported in a study of 61 couples. For males, both relationship quality and personality characteristics of neuroticism and extraversion were significantly related to psychological adjustment. However, for females, perceived relationship quality was not related to well-being once the effects of personality characteristics were controlled for. These findings are consistent with other reports of gender and sex-role differences in the process of social relationship support utilization. The findings may have implications for marital counselling.

Adaptation, Psychological↗

'Psychosomatic personality'--a personality constellation or an illness-related reaction?

Personality-specific features as opposed to illness-related reactions were studied in 101 patients with ulcerative colitis, duodenal ulcers or irritable colon syndrome (experimental group) and 81 patients with gallstone disease, inguinal hernia or varicose veins (control group). The method used was the Lazare-Klerman-Armor personality test. Results indicated that features previously suggested to characterize the experimental group, such as egocentricity and dependency, were likely to be illness-related reactions expressed by all patients with an acute disease. The greatest difference between the groups was found on emotionality: the control group found it difficult to control their emotions when they were ill while the experimental group felt emotionally more stable when they were ill.

Adult↗

Characteristics of effective day treatment programming for persons with borderline personality disorder.

Day treatment, or partial hospitalization, may have unique advantages for the treatment of patients with borderline personality disorder. Such treatment may offer patients the optimal level of intensiveness and containment, resulting in less regressive dependency and acting-out behavior. To be successful in treatment of patients with borderline personality disorder, a day treatment program should facilitate the patient's need to experience and express affect safely, optimize the program's ability to provide less restrictiveness than inpatient treatment but more sustained and intensive support than outpatient treatment, and use verbal and nonverbal approaches to help patients maintain primary responsibility for their well-being. A length of stay of three weeks allows patients to regain baseline functioning and resume long-term outpatient care. Treatment goals should be clear and resolvable in three weeks.

Acting Out↗

Stability and change in personality assessment: the revised NEO Personality Inventory in the year 2000.

The Revised NEO Personality Inventory (NEO-PI-R) consists of 30 facet scales that define the broad domains of the Five-Factor Model of personality. No major revisions of the basic model are anticipated in the near future. Despite their popularity, social desirability and inconsistency scales will not be added to the NEO-PI-R because their validity and utility have not yet been demonstrated. Among possible changes are minor modifications in wording and more extensive adaptations for adolescents and for populations with low reading levels. Contextualized (e.g., work-related) versions of the instrument will be further explored. Many changes are more easily implemented on the computer than the print version of the instrument.

Adolescent↗

Personality in proportion: a bipolar proportional scale for personality assessments and its consequences for trait structure.

Trait structures resulting from personality assessments on Likert scales are affected by the additive and multiplicative transformations implied in interval scaling and correlational analysis. The effect comes into view on selecting a plausible alternative scale. To this end, we propose a bipolar bounded scale ranging from -1 to +1 representing an underlying process in which the assessor would review and discount positive and negative behavioral instances of a trait. As an appropriate index of likeness between variables X and Y, we propose LXY = SigmaXY/N, the average of the raw scores cross products. Using this index, we carried out a raw scores principal component analysis on data consisting of 133 participants who had each been rated by 5 assessors including self on 914 items. Contrary to the Big-Five structure that was found in these data on standard analysis, the results showed a relatively large first principal component F1 and 2 very small ones, F2 and F3. The sizes LFF=SigmaF2/N, the averages of the squared component scores, were modest to small. It thus appears that the scale, bipolar proportional versus standard, has a profound impact on the size and structure of personality assessments. The dissimilarity remains on analyzing self-ratings rather than averaged (over the 5 assessors) ratings.

Humans↗

Multiple microswitches for persons with multiple disabilities: a basic procedure to examine the persons' choice behavior.

This study examined a basic choice-analysis procedure to clarify choice between two responses and related stimuli by five persons with multiple disabilities ages 17.1 to 50.2 yr. The procedure was based on reversing the links between responses and stimuli to assess whether the stimuli accounted for differences in response levels. When this was not the case, the procedure added extra stimuli for the less preferred response to judge whether such an increase would compensate for the apparent disadvantage of that response, e.g., its higher physical cost. Analysis showed that the choice of three of the five participants seemed motivated by the stimuli following the responses. The choice of the other two persons seemed related to a preference for one of the responses which was partially or largely modified when extra stimuli were added.

Adolescent↗

[A study on the relationships of discomfort, self-esteem, personality and life satisfaction in persons with rheumatoid arthritis].

The purpose of this study was to investigate the correlation of discomfort, self-esteem, personality and life-satisfaction in persons with rheumatoid arthritis and to provide basic data to help them attain a better quality of life. From Jan. 27 to Feb. 24, 1988, 53 patients, registered at a rheumatic clinic at one general hospital in Seoul, were accepted as subjects for this study. The instruments used for this study were a discomfort scale and life-satisfaction scale developed by the researcher, Rosenberg's Self-esteem Scale and Wallston and Wallston's Multidimensional Health Locus of Control (MEILC) Scale. The reliability of the scales were tested by Cronsbach's alpha. The collected data were analyzed by the SAS program using unpaired t-test, ANOVA, and Pearson's Correlation Coefficients. The results were as follows: 1. There was a significant difference in the subjects perceived discomfort level (t = -3.49, p = .0010) between the onset of the disease (14.87 +/- 9.02) and the present (19.87 +/- 8.44). 2. There was a significant correlation between the MHLC-internal score and the MHLC-chance score (r = -.4366, p = .0011). 3. The findings related to the demographic variables regarding the MHLC scores were as follows: 1) Regarding sex, there was a significant difference for the MHLC-internal score (t = 4.2572, df = 15.2, p = .0007) between male (32.13 +/- 2.47) and female (27.56 +/- 4.17). But the MHLC-chance score for male (15.13 +/- 2.85) was lower (t = 3.153 9, df = 21.8, p = .0047) than for female (19.47 +/- 6.29). 2) Regarding educational background, the MHLC-chance score for the below-high school group (20.52 +/- 5.81) was higher (t = 2.5450, df = 51.0, p = .0140) than the college graduate group (16.41 +/- 5.76). 4. The average Self-esteem score was 26.87 (S.D. = 5.29) and there was a significant correlation between the Self-esteem score and the MHLC-chance score (r = .3122, p = .0026). 5. It was found that the subjects' Discomfort score was correlated with the Self-esteem score (r = -.3788, p = .0051) and the Life-satisfaction score (r = -.3570, p = .0087). It was also found that subjects' Self-esteem score was correlated with the Life-satisfaction score (r = .4474, p = .0008).

Arthritis, Rheumatoid↗

[Negativity bias in evaluation of own personality traits in depressed persons].

There have been two views on how depressed people perceive themselves. One argues that they attend excessively to negative aspects of their selves. The other views that the depressed attend evenly to positive and negative sides of themselves, and the nondepressed persons attend more to their positive aspects. This study examined these views of cognitive bias, through a comparison of self-referent judgments of trait adjectives by mildly depressed and nondepressed groups of people. The Beck Depression Inventory was used to measure the severity of depression, and mildly depressed and nondepressed students, 342 in total, made self-referent judgments with a list of trait adjectives. The list consisted of pairs of semantically similar adjectives with contrasting desirability. With negative words, the mildly depressed tended to judge themselves more negatively than the nondepressed control. With positive words, no significant differences were found between the judgments by the two groups. It was concluded that negativity bias in self judgments was characteristic of the depressed persons.

Adult↗

[Personality features and social activity of disabled persons with lesions of the central nervous system].

A study of 252 disabled persons with locomotor dysfunction because of infectious, degenerative and traumatic lesions of the central nervous system allowed the authors to specify three variants of the personality characteristics of the disabled. They were shown to play a determinant role in the social activity of the disabled and thus in their adaptation to the conditions of nursing homes.

Adolescent↗

'Schizoid' personality in childhood and adult life. II: Adult adjustment and the continuity with schizotypal personality disorder.

In a controlled follow-up study into adulthood of 32 children diagnosed 'schizoid', three-quarters fulfilled DSM-III criteria for schizotypal personality disorder and two developed schizophrenia. Overall their psychosocial adjustment was somewhat, but not markedly, worse than that of other attenders at a child psychiatry clinic, although as a group they remained more solitary, lacking in empathy, oversensitive, with odd styles of communicating, and often with circumscribed interests.

Adolescent↗

Borderline and avoidant personality disorders and the five-factor model of personality: a comparison between DSM-IV diagnoses and NEO-PI-R.

A self-report measure of the Five-Factor Model (FFM) of personality, NEO-PI-R, was administered to a sample of patients with borderline (BPD, N = 29) or avoidant PD (AVPD, N = 34), admitted to a day treatment program, to investigate the NEO-PI-R profiles of the disorders, and the ability of NEO-PI-R to discriminate between the two disorders. The diagnoses were assessed according to the LEAD standard. AVPD was associated with high levels of Neuroticism and Agreeableness, and low levels of Extraversion and Conscientiousness. BPD was associated with high levels of Neuroticism and low levels of Agreeableness, Extraversion, and Conscientiousness. Eighty-eight percent of the AVPD group had high scores on Neuroticism and low scores on Extraversion, whereas 65% of the BPD group were high on Neuroticism and low on Agreeableness. The Extraversion and Agreeableness scales of NEO-PI-R discriminated between patients with BPD and those with AVPD. Patients with BPD scored significantly higher on the Angry Hostility and Impulsiveness subscales of Neuroticism and significantly lower on three Extraversion subscales, three Agreeableness subscales, and one Conscientiousness subscale. At the DSM-IV criterion level, there were more significant relationships between the subscales of NEO-PI-R and the AVPD criteria than with the BPD criteria. The findings suggest that the FFM has good discriminating ability regarding BPD and AVPD. However, there may be a closer conceptual relationship between the FFM and AVPD than between the FFM and BPD.

Adult↗

Extending the search for folk personality constructs: the dimensionality of the personality-relevant proverb domain.

College students (95 men and 264 women) rated how well 211 familiar proverbs described their behavior and beliefs. A factor analysis of these data yielded 7 major dimensions; many of the factors were similar to recognized lexical personality factors. Big Five Conscientiousness and Neuroticism were each strongly associated with a single proverb dimension (interpreted as Restraint and Enjoys Life, respectively). Big Five Agreeableness, Extraversion, and Intellect/Imagination were all associated with several proverb dimensions. Agreeableness was most strongly associated with proverb dimensions representing Machiavellian behavior and strong Group Ties, and both Extraversion and Intellect showed particularly notable associations with an Achievement Striving dimension. The 2 remaining proverb dimensions, which represented a belief that Life is Fair and an attitude of Cynicism, could not be accounted for by the Big Five.

Aphorisms and Proverbs as Topic↗

['Commitment-adequate' personality diagnosis using the Seitz (revised) Personality Questionnaire for Prisoners within the scope of forensic-psychologic-psychiatric expert assessment].

In this contribution, the necessity and expediency, but also the limits of the application of psychodiagnostic methods within the scope of forensic-psychological-psychiatric expertises are discussed. A survey is given on results of statistical analysis, revision and validation gained with a personality questionnaire relevant to prison situation (PFI acc. Seitz, 1983).

Aggression↗