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    1906 results match your criteria Bulletin of the Menninger Clinic[Journal]

    1 OF 39

    Psychometric evaluation of the Inventory of Interpersonal Problems 32.
    Bull Menninger Clin 2018 ;82(2):93-113
    Department of Psychology, Sam Houston State University, Huntsville, Texas.
    The Inventory of Interpersonal Problems 32 (IIP-32; Horowitz, Aiden, Wiggins, & Pincus, 2000) is a brief, 32-item, self-report questionnaire used to screen for interpersonal problems. While studies of the IIP-32's psychometric properties have been conducted in other nations, and studies have examined the psychometric properties of the IIP-32's circumplex structure, no studies have examined the factor-analytic structure in the United States since the original standardization sample. The aim of this study was to examine the psychometric properties of the IIP-32 in American college women for the first time and explore its structural validity as a circumplex measure and its concurrent validity with measures of attachment. Read More

    Shame and interpersonal sensitivity: Gender differences and the association between internalized shame coping strategies and interpersonal sensitivity.
    Bull Menninger Clin 2018 ;82(2):137-155
    Department of Psychology, Umeå University, Umeå, Sweden.
    The present study investigated gender differences in interpersonal sensitivity and internalized shame coping strategies in 252 undergraduate students. To measure interpersonal sensitivity and shame coping strategies, the self-assessment forms Interpersonal Sensitivity Measure and Compass of Shame Scale were used. The analyses revealed that compared to men, women display interpersonal sensitivity to a higher degree, and they use internalized shame coping strategies to a greater extent. Read More

    Perceived pubertal timing and borderline personality pathology in female adolescent inpatients.
    Bull Menninger Clin 2018 ;82(2):157-170
    University of Houston, Houston, Texas, and the Menninger Clinic, Houston, Texas.
    Borderline personality pathology typically onsets during adolescence. An important consideration in understanding adolescent psychopathology is pubertal development. Perceived pubertal timing is one facet of puberty that is especially relevant to adolescent psychopathology, especially when timing is perceived to be early. Read More

    Schizophrenia as a psychosomatic illness: An interdisciplinary approach between Lacanian psychoanalysis and the neurosciences.
    Bull Menninger Clin 2018 9;82(1):1-18. Epub 2017 Nov 9.
    Assistant professor, Research Center for Psychoanalysis and Society, EA3522, UFR Psychoanalytic Studies, University Paris-Diderot Sorbonne-Cité, Paris, France.
    According to Lacan's theory of schizophrenia (as well as other delirious forms of psychosis), under certain conditions the signifying function breaks down, thus turning the schizophrenic individual's world into one in which a number of events become enigmatic and signal him or her. The schizophrenic individual tries to deal with these signs that besiege him or her either by means of an interpretative attitude (a stable delusional mood) or by apathy. These two types of responses correspond with the stereotypical (and mood) processes by which the schizophrenic individual attempts to avoid the distress provoked by the enigmatic desire of the Other, while simultaneously corresponding with psychosomatic processes of the brain organ. Read More

    Listening to a patient: An exploratory experimental investigation into the effects of vocalization and therapist gender on interpreting clinical material.
    Bull Menninger Clin 2018 9;82(1):19-45. Epub 2017 Nov 9.
    University of Detroit Mercy, Detroit, Michigan.
    Carefully listening to the patient is of paramount importance for psychoanalysis and psychoanalytic psychotherapy. The present study explored whether patient vocalization as well as the gender of the analyst play significant roles in clinical listening. Fifty-one psychoanalysts and psychoanalytic therapists were randomly assigned to listen to one of two dramatized psychoanalytic sessions. Read More

    Sexual functioning and disordered eating: A new perspective.
    Bull Menninger Clin 2018 9;82(1):71-91. Epub 2017 Nov 9.
    Central Texas Veterans Health Care System, Olin E. Teague Veterans' Center, Austin, Texas.
    Fears about sexual maturity and intimacy were among early explanations for the etiology of eating disorders and related concerns, and research with clinical samples revealed a relationship between eating disorders and atypical sexual experiences. In contrast, feminist scholars offer explanations for both eating disorders and sexual dysfunction that emphasize societal pressures. As an alternative approach to understanding these difficulties, the authors empirically explored the relationship between the cognitive and affective aspects of sexuality and disordered eating among a nonclinical sample of 167 university women. Read More

    Like grandparents, like parents: Empirical evidence and psychoanalytic thinking on the transmission of parenting styles.
    Bull Menninger Clin 2018 9;82(1):46-70. Epub 2017 Nov 9.
    Department of Psychology, University of Milano-Bicocca, Milano, Italy.
    The authors discuss the issue of intergenerational transmission of parenting from an empirical and psychoanalytic perspective. After presenting a framework to explain their conception of parenting, they describe intergenerational transmission of parenting as a key to interpreting and eventually changing parenting behaviors. Then they present (1) the empirical approach aimed at determining if there is actually a stability across generations that contributes to harsh parenting and eventually maltreatment and (2) the psyphoanalytic thinking that seeks to explain the continuity in terms of representations and clinical phenomena. Read More

    Short-term psychodynamic therapy for obsessive-compulsive disorder: A manual-guided approach to treating the "inhibited rebel".
    Bull Menninger Clin 2017 26;81(4):341-389. Epub 2017 Jul 26.
    Department of Psychosomatics and Psychotherapy, University of Giessen, Germany.
    Obsessive-compulsive disorder (OCD) is a chronic disabling disorder characterized by recurrent obsessions and uncontrolled compulsions. Recent research on anxiety disorders suggests that manual-guided short-term psychodynamic therapy (STPP) may be a promising approach. Building on this, a model of STPP for OCD was developed based on Luborsky's supportive-expressive (SE) therapy. Read More

    The coconstruction of interpersonal recognition in the clinical dialogue of the diagnostic process: A multilevel analysis of the verbal content and vocal nonverbal dimension.
    Bull Menninger Clin 2017 26;81(4):314-340. Epub 2017 Jul 26.
    Lecturer at the Università degli Studi di Milano-Bicocca.
    The present study is an empirical evaluation of a clinical setting from a particular point of view, able to integrate the vocal dimension-used in different fields of psychology as an indicator of rational phenomena-with the linguistic dimension of contents. Starting from the "interpersonal recognition" extracted from the contents of the verbatim transcripts of some diagnostic processes using the Strumento di Valutazione del Riconoscimento Interpersonale (Evaluation Tool for Interpersonal Recognition), the variation of vocal parameters both in the clinician and in the patient were analyzed. The goal consists in identifying possible nonverbal vocal micro indicators used in the dyadic process of interpersonal recognition. Read More

    Identity Narrative Density: Preliminary findings from scoring emotional valence of autobiographical events.
    Bull Menninger Clin 2017 26;81(4):299-313. Epub 2017 Jul 26.
    Department of Psychiatry, University of California Irvine School of Medicine, Orange, California.
    Autobiographical Memory is a form of declarative episodic memory known to have a significant role in identity, self-regulation, and socialization. Conceivably, it may also influence outcome of psychopathology. This is a preliminary report in which the authors are proposing the notion of Identity Narrative (IdN), a set of implicit memories acquired throughout life and consolidated according to a gradient of emotional valence. Read More

    Mentalization-based treatment for borderline personality disorder in adults and adolescents: For whom, when, and how?
    Bull Menninger Clin 2017 26;81(3):264-280. Epub 2017 Jul 26.
    Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands.
    Borderline personality disorder (BPD) is common in clinical practice. Psychotherapy is the treatment of choice, and mentalization-based treatment (MBT) is one of the empirically supported treatments that are currently available. For adults, two variants of MBT (MBT day hospital [MBT-DH] and MBT intensive outpatient [MBT-IOP]) have been developed and empirically evaluated. Read More

    Elena: A case of dissociative identity disorder from the 1920s.
    Bull Menninger Clin 2017 26;81(3):281-298. Epub 2017 Jul 26.
    In 1930, Italian psychiatrist Giovanni Enrico Morselli described the history, diagnosis, and treatment of his patient Elena. The case of Elena has been considered in literature as one of the most remarkable cases of multiple personality ever published. In fact, before treatment, Elena showed alternating French- and Italian-speaking personalities, with the Italian personality knowing nothing of her French counterparts. Read More

    Need to screen for clinical levels of OCD? Four questions are the key.
    Bull Menninger Clin 2017 26;81(3):247-263. Epub 2017 Jul 26.
    Cognitive and therapy specialist at The Menninger Clinic, Houston, Texas.
    The aim of this study was to investigate a new measure, the Wetterneck-Hart OCD Screener (WHOS), as a self-report screening tool for obsessive-compulsive disorder (OCD). The authors examined relationships between the WHOS and severity scores of OCD measures taken via three methods of data collection: online, at OCD consumer conferences, and from an intensive, residential OCD program. Severity measures included the Yale-Brown Obsessive-Compulsive Scale-Self Report (Y-BOCS-SR), the Dimensional Obsessive-Compulsive Scale (DOCS), and the Obsessive-Compulsive Inventory-Revised (OCI-R). Read More

    Integrating caring into patient-centered care through interprofessional education and ethics: The Caring Project.
    Bull Menninger Clin 2017 26;81(3):233-246. Epub 2017 Jul 26.
    McNair Scholar and a senior psychologist, The Menninger Clinic, and an associate Professor, Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine.
    In an era of health care that is driven by biological and technical advances, there is a need to safeguard the caring component of care, the humanistic part of care. With this in mind, the authors constructed a Patient-Centered Caring model consisting of three overlapping constructs: delivering customer service, understanding the illness experience, and providing trauma-informed care. These practices operate within an interprofessional competency context. Read More

    The empirically derived Violence and Aggression Risk Index from the Personality Assessment Inventory: Development, validation, and application in general psychiatric settings.
    Bull Menninger Clin 2017 26;81(3):213-232. Epub 2017 Jul 26.
    Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School.
    The current study developed a new index of violence risk from scales within the Personality Assessment Inventory (PAI). Clinical patients from inpatient and outpatient settings completed the PAI along with reports of violence history and arrest record. A forward-selection hierarchical logistic regression was employed (N = 388) to identify the PAI scales (AGG-P, AGG-A, NON, PAR-H, and ANT-A) that could effectively distinguish patients with and without a history of violence. Read More

    REACT: A paraprofessional training program for first responders-A pilot study.
    Bull Menninger Clin 2017 ;81(2):150-166
    Department of Psychology, University of Central Florida, Orlando, Florida.
    The purpose of this study was to evaluate a newly designed peer support training program for first responders titled Recognize, Evaluate, Advocate, Coordinate, and Track (REACT). REACT was developed in partnership with public safety agencies to address the need for promoting psychological health. This resulted in the development of a program that uses train-the-trainer methodology to address primary prevention of stress injuries. Read More

    An intensive outpatient treatment program for combat-related PTSD: Trauma Management Therapy.
    Bull Menninger Clin 2017 ;81(2):107-122
    Department of Psychology, University of Kansas, Lawrence, Kansas.
    An estimated 18.5% of veterans returning from Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn are suffering from posttraumatic stress or posttraumatic stress disorder (PTSD). The number of veterans and service duty personnel requesting VA health care services is increasing, and the VA's ability to handle requests is dwindling. Read More

    Transference and countertransference: A review.
    Bull Menninger Clin 2017 ;81(2):167-211
    Department for Psychoanalysis and Psychotherapy, Medical University Vienna, Austria.
    Originally a psychodynamic concept, the therapeutic relationship (also therapeutic alliance, helping alliance or simply alliance) has become a pan-theoretical model for the professional relationship between a therapist and his or her client (Kivlighan, 1995). With the development of this concept in the latter half of the 20th century, psychotherapeutic theory and practice saw a paradigm shift away from strict adherence to technique with little room for responsive, individual behavior from the therapist and toward the "authentic" human relationship at the core of therapy. This meant that more consideration was given to the idea of mutual influence from patient and therapist to the success of therapy (Safran & Muran, 2006). Read More

    Chronic pain management group psychotherapy for psychiatric inpatients: A pilot study.
    Bull Menninger Clin 2017 ;81(2):123-149
    Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
    Individuals with serious mental illness (SMI) experience significant comorbid chronic pain (CP). Little is known about CP management in psychiatric inpatient settings. To address this gap in clinical practice, the authors developed CP management group psychotherapy for adult inpatients with SMI. Read More

    A comprehensive overview of the neuropsychiatry of Parkinson's disease: A review.
    Bull Menninger Clin 2017 ;81(1):53-105
    Center for Mind & Brain, University of California, Davis.
    Parkinson's disease is a widespread neurological illness. However, its psychiatric links have also been discussed lately by many authors, which has brought more depth to the specialized field of neuropsychiatry. Neuropsychiatric complications are commonly seen in Parkinson's patients, including major depression, anxiety, psychosis and hallucination, and cognitive abnormality. Read More

    Discovering the impact of psychotherapeutic hospital treatment for adults with serious mental illness.
    Bull Menninger Clin 2017 ;81(1):1-38
    The Menninger Clinic, Houston, Texas.
    The authors summarize findings from a multiyear research project designed primarily to investigate outcomes of intensive, psychotherapeutic hospital treatment lasting several weeks. Patients are assessed with well-established measures at admission, and their progress is reassessed biweekly up to discharge. A follow-up component was added recently to track outcomes for 1 year after discharge. Read More

    Paradoxical increase in synthetic cannabinoid emergency-related presentations after a citywide ban: Lessons from Houston, Texas.
    Bull Menninger Clin 2016 ;80(4):357-370
    Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
    Synthetic cannabinoids (SCs) have become a major drug of abuse associated with severe hospital presentations. There have been a variety of legislative efforts to regulate these drugs: The authors focus on trends in SC-related hospitalizations at Ben Taub General Hospital before and after a ban enacted by the city of Houston. Data from all consults seen by Ben Taub's Licensed Chemical Dependency Counselor were examined for changes in SC-related presentations before and after the ban. Read More

    Psychiatrists' emotional reactions: Useful for precise diagnosis in adolescence?
    Bull Menninger Clin 2016 ;80(4):316-325
    Medical University Vienna, Department for Psychoanalysis and Psychotherapy, Vienna, Austria.
    Therapist response (countertransference) can be defined as the range of emotions a clinician experiences when interacting with a patient. Previous research has shown that this reaction plays an important role in the establishment of the therapeutic relationship, and that certain psychiatric disorders are systematically related to strong countertransference reactions in clinicians. For this study, 30 videotaped sessions were retrospectively analyzed by one observer using the Therapist Response Questionnaire (TRQ). Read More

    Psychosomatic patients in integrated care: Which treatment mediators do we have to focus on?
    Bull Menninger Clin 2016 ;80(4):326-347
    Department of Psychoanalysis and Psychotherapy at the Medical University of Vienna, Vienna, Austria.
    The field of psychosomatics has gained increasing significance; it has been struggling to establish its position as either an independent discipline or a subdomain of specific areas such as internal medicine or psychiatry. However, the rise of psychosomatic syndromes and disease patterns as well as an increase of specific integrated psychosomatic wards is a clear indication for the growing importance of interdisciplinary approaches to psychosomatic disorders. The study presents data from an 8-week inpatient treatment at a psychosomatic facility and investigates whether patients improved in their subjective symptom experience. Read More

    Real time functional MRI training to decrease motion in imaging studies: Lack of significant improvement.
    Bull Menninger Clin 2016 ;80(4):348-356
    Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
    Functional magnetic resonance imaging (fMRI) is widely used to study brain circuitry in healthy controls and in psychiatry. A major problem of fMRI studies is motion, which affects the quality of images, is a major source of noise, and can confound data if, for example, the experimental groups move differently. Despite continual reminders to experimental subjects about keeping still, however, movement in the scanner remains a problem. Read More

    Mentalizing techniques used by psychodynamic therapists working with children and early adolescents.
    Bull Menninger Clin 2016 ;80(4):281-315
    Anna Freud Centre and in the Research Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London, UK.
    The aim of this study was to identify, categorize, and develop a conceptual frame of mentalization-based interventions used by experienced child and adolescent psychodynamic therapists. Two experienced therapists selected 14 sessions that represented their work during the first year of treatment. Sessions were transcribed and segmented to identify interactional units for coding. Read More

    The development and preliminary psychometric evaluation of an attachment Implicit Association Task.
    Bull Menninger Clin 2016 ;80(3):255-80
    University of Houston.
    The importance of measuring attachment insecurity is underscored by a vast literature tying attachment insecurity to numerous psychological disorders. Self-report measures assess explicit attachment beliefs and experiences, while interview measures, like the Adult Attachment Interview, assess implicit internal working models about the self as worthy of care and others as reliable sources of care. The present study is a preliminary psychometric evaluation of a potentially cost-effective method of assessing implicit internal working models of attachment through the development of an Implicit Association Test (IAT). Read More

    Birth order and memories of traumatic and family experiences in Greek patients with borderline personality disorder versus patients with other personality disorders.
    Bull Menninger Clin 2016 ;80(3):234-54
    First Department of Psychiatry, Center of Psychotherapies and Department of Personality Disorders, Athens University Medical School, Eginition Hospital, Athens, Greece.
    The purpose of this study was to assess the possible effect of recalled traumatic experiences, perceived parental rearing styles, and family parameters on the occurrence of borderline personality disorder (BPD) versus other personality disorders (other-PDs). A total of 88 adult outpatients with personality disorders completed the Traumatic Antecedents Questionnaire and the Egna Minnen av Barndoms Uppfostran, which measures perceptions regarding parental rearing. Results indicated that incidence of traumatic childhood experiences was higher among those in the BPD group compared to those in the other-PD group. Read More

    The relation between attachment, personality, internalizing, and externalizing dimensions in adolescents with borderline personality disorder.
    Bull Menninger Clin 2016 ;80(3):213-33
    William James Center for Research, ISPA - Instituto Universitário, Lisboa, Portugal.
    The relation between attachment and personality features is an important field to explore in adolescent borderline personality disorder (BPD), and previous research has shown that personality features may be conceptualized within latent internalizing and externalizing dimensions. This cross-sectional study used a structural equation model to examine the association between the BPD participants' perception of attachment and personality features, mediated by the underlying internalizing/externalizing personality dimensions. Data were analyzed for 60 adolescents, ages 15 to 18 years, diagnosed with BPD who completed attachment and personality self-report measures. Read More

    Operationalizing NIMH Research Domain Criteria (RDoC) in naturalistic clinical settings.
    Bull Menninger Clin 2016 ;80(3):187-212
    The Menninger Clinic, Houston, Texas.
    Recently, the National Institute of Mental Health (NIMH) introduced the Research Domain Criteria (RDoC) initiative to address two major challenges facing the field of psychiatry: (1) the lack of new effective personalized treatments for psychiatric disorders, and (2) the limitations associated with categorically defined psychiatric disorders. Although the potential of RDoC to revolutionize personalized psychiatric medicine and psychiatric nosology has been acknowledged, it is unclear how to implement RDoC in naturalistic clinical settings as part of routine outcomes research. In this article, the authors present the major RDoC principles and then show how these principles are operationalized in The Menninger Clinic's McNair Initiative for Neuroscience Discovery-Menninger & Baylor College of Medicine (MIND-MB) study. Read More

    A qualitative study of cognitive-behavioral therapy for Iranian migrants with mild/moderate depression in Austria.
    Bull Menninger Clin 2016 ;80(2):166-86
    Department of Psychology, University of Innsbruck, Innsbruck, Austria.
    This qualitative study was carried out to investigate the effectiveness of cognitive-behavioral therapy (CBT) for Iranian migrants suffering from major depressive disorder (MDD) and living in Austria for an average of 14 years. The qualitative data were collected through interviews based on the Farsi version of the Structured Clinical Interview for the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). However, to obtain more information from the participants, they were asked to talk in more detail about their childhood and teenage years, reasons for immigration, their lifestyle before and after immigration, and their social activities. Read More

    Cross-cultural bias in the diagnosis of borderline personality disorder.
    Bull Menninger Clin 2016 ;80(2):146-65
    Associate professor of psychiatry, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
    Borderline personality disorder (BPD) is an internationally recognized disorder, although it is slightly varied in its nosology in the International Classification of Diseases, 10th Revision (ICD-10), the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), and the Chinese Classification of Mental Disorders (CCMD). While it is recognized by genetic and neurobiological patterns, instability of affect, impaired interpersonal relationships, and unstable sense of self, its manifestation is extremely varied based on environmental factors, particularly culture. Several studies of the manifestation of BPD between and across countries, particularly in immigrant populations, identify variations in symptom prevalence based on culture. Read More

    Factors discriminating creative engagement on an unstructured task: Creativity and the Rorschach.
    Bull Menninger Clin 2016 ;80(2):97-130
    Massachusetts General Hospital and Harvard Medical School, Cambridge, Massachusetts.
    In an attempt to find variables that would discriminate between creativity and psychopathology on the Rorschach, Rorschach data from two groups were compared. The first group was an inpatient sample of creative individuals who also carried a diagnosis of psychosis. The second was a group of creative writers. Read More

    Fact or fiction? A longitudinal study of play and the development of reflective functioning.
    Bull Menninger Clin 2016 ;80(1):60-79
    Department of Clinical, Educational and Health Psychology, University College London, London, UK.
    In Fonagy and Target's (1996, 2000) developmental model of mentalization, play is theorized as a precursor of later mentalization and reflective function (RF); however, the relationship between play and later mentalization and RF has yet to be empirically tested. These processes are particularly important in the context of trauma, but an empirical model of the relationships among mentalization, play, and trauma is currently lacking. The aim of this longitudinal study was to examine whether children's capacity to engage in pretend play, to symbolize, and to make play narratives was associated with later RF in those children. Read More

    Effectivenes of a track-based model for treating eating disorders in a general psychiatric hospital.
    Bull Menninger Clin 2016 ;80(1):49-59
    Staff of The Menninger Clinic, Houston, Texas.
    Due to comorbid disorders or the degree of severity of their eating disorder, individuals may not warrant treatment at a specialty eating disorder facility. This article examines the effectiveness of a track-based model for treating eating disorders at a general inpatient psychiatric hospital. One hundred seventy-six patients who participated on the Eating Disorder Track and completed the Eating Disorder Inventory-3 (EDI; Garner, 2004) were examined to determine whether their eating disorder symptoms improved over the course of their treatment. Read More

    Improving medication adherence for severely mentally ill adults by decreasing coercion and increasing cooperation.
    Bull Menninger Clin 2016 ;80(1):30-48
    Psychology interns affiliated with Alliant International University/California School of Professional Psychology (CSPP), San Francisco, California. They are former psychology practicum students at the John George Psychiatric Hospital, San Leandro, California.
    Severe mental illnesses, mainly schizophrenia and bipolar disorders, often go untreated until the afflicted persons become dangerous to themselves or others. In such states, they must be hospitalized and medicated, often involuntarily due to the stigma and low insight into need for treatment that can be considered characteristic of severe illnesses. Hospitalization and medications can help the mentally ill stabilize. Read More

    Should the century-old practice of psychotherapy defer to science and ignore its foundations in two millennia of ethical thought?
    Bull Menninger Clin 2016 ;80(1):1-29
    While agreeing with the mainstream view that psychotherapeutic practice must be grounded in science, including research on the effectiveness of psychotherapy, the author advocates giving more weight to the venerable philosophical literature on ethics that bears directly on what patients bring to therapists: problems in living. These problems have been the domain of ethics since Socrates, who--like psychotherapists--promoted reflective dialogue. This article reviews some contemporary thought regarding the importance of reflection and the limits that patients and therapists face in promoting it. Read More

    Commentary on Kim et al., Effects of therapeutic relationship, expectancy, and credibility in breathing therapies for anxiety.
    Bull Menninger Clin 2015 ;79(4):356-61
    President of Clinical Psychology Consultants, Ltd., LLP. He is a paid clinical advisor, on a consulting basis, to Palo Alto Health Sciences, a company providing a medical device intended to treat panic attacks and panic disorder through breathing retraining.
    Kim and colleagues (2015) explored influences on clinical outcomes related to nonspecific therapeutic factors, addressing the importance of client expectancy and development of the therapeutic alliance. In the process, however, the authors carry forward conclusions from their prior research on treatment of panic that two opposing breathing retraining protocols are equally effective. Neither the experimental design nor the sample size of the current or previous study warrants reaching those conclusions. Read More

    The Computerized Implicit Representation Test: Construct and incremental validity.
    Bull Menninger Clin 2015 ;79(4):335-55
    Professor of Psychiatry, Department of Psychiatry, McGill University, and Director of Psychotherapy Research, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada.
    Discrepancies in mental representations between self-aspects and significant others are associated with depression, personality disorders, emotional reactivity, and interpersonal distress. The Computerized Implicit Representation Test (CIRT) is a novel measure developed to assess discrepancies in mental representations. Inpatient participants (N = 165) enrolled in a longitudinal study completed baseline CIRT ratings of similarity between self-aspects (actual-self, ideal-self, and ought-self) and between actual-self and significant others (mother, father, liked others, and disliked others). Read More

    Neuropsychological functioning and profile validity on the Personality Assessment Inventory (PAI): An investigation in multiple psychiatric settings.
    Bull Menninger Clin 2015 ;79(4):305-34
    Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
    Psychologists in medical settings are frequently tasked with providing comprehensive evaluations of patients with complex medical and psychiatric conditions. In order to achieve these aims, standardized measures of neurocognitive and psychological functioning are often employed to empirically assess a patient's level of functioning across an array of relevant clinical domains. However, less is known about the degree to which cognitive impairment affects a patient's ability to complete these more comprehensive assessments, raising questions about test validity. Read More

    Correlates of interpersonal dependency and detachment in an adolescent inpatient sample.
    Bull Menninger Clin 2015 ;79(4):281-304
    Van Tauber Institute for Global Psychiatry, Nassau University Medical Center, East Meadow, New York.
    Interpersonal dependency has been linked to psychological distress, depression, help seeking, treatment compliance, and sensitivity to interpersonal cues in adult samples. However, there is a dearth of research focusing on dependency in child and adolescent samples. The current study examined the construct validity of a measure of interpersonal dependency. Read More

    The give and take of freedom: The role of involuntary hospitalization and treatment in recovery from mental illness.
    Bull Menninger Clin 2015 ;79(3):255-80
    The California School for Professional Psychology (CSPP).
    The authors reviewed and synthesized scholarly literature on the topic of involuntary confinement and treatment for severely mentally ill adults. Objectively, all facets of the issue are reported, including recurrent positive outcomes, negative outcomes, and patient experiences in common. Patient experiences are organized into related subthemes of autonomy, patient satisfaction, relationships with staff, perceived coercion, traumatization, and humiliation. Read More

    Development of a structure-validated Family Relationship Questionnaire (FRQ) with Chinese university students.
    Bull Menninger Clin 2015 ;79(3):232-54
    The Department of Clinical Psychology and Psychiatry, School of Public Health, Zhejiang University College of Medicine, Hangzhou, China.
    Consistent results have shown a relationship between the psychological world of children and their perceived parental bonding or family attachment style, but to date there is no single measure covering both styles. The authors designed a statement matrix with 116 items for this purpose and compared it with the Parental Bonding Instrument (PBI) in a study with 718 university students. After exploratory and confirmatory factor analyses, five factors (scales)--namely, Paternal/Maternal Encouragement (5 items each), Paternal/Maternal Abuse (5 items each), Paternal/Maternal Freedom Release (5 items each), General Attachment (5 items), and Paternal/Maternal Dominance (4 items each)--were defined to form a Family Relationship Questionnaire (FRQ). Read More

    The psychodynamics of borderline psychopathology.
    Bull Menninger Clin 2015 ;79(3):203-31
    Dr. Corradi is a professor of psychiatry at the Case Western Reserve University School of Medicine, Cleveland, Ohio.
    The concept of borderline personality disorder (BPD) remains problematic despite psychiatrists' general familiarity with its DSM diagnostic criteria. The diagnosis of BPD is frequently based simply on the DSM checklist of traits and symptoms without knowledge of their origins or significance. Misdiagnosis is common, as is lack of recognition of the full complexity of this severe personality disorder and the nature of the vulnerabilities that underlie its myriad forms of pathology. Read More

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