The Effectiveness of Substance use Measures in the Detection of Denial and Partial Denial

The Effectiveness of Substance use Measures in the Detection of Denial and Partial Denial

Date: May 2011
Creator: Wooley, Chelsea Nichole
Description: Many substance users deny their substance use to avoid negative consequences, thus diluting the accuracy of assessment. To address this issue, indirect items are often included on substance use measures to identify those who deny their use. The purpose of this study was to examine the effect of complete denial and partial denial on substance use measures. Partial denial, also termed denial of effects, is the denial of substance use interfering in multiple domains of a person's functioning. The study used a mixed within- and between-subjects design with participants from a dual diagnosis inpatient unit. Each participant completed the study under two different conditions which include an honest condition and an experimental condition (either complete denial or partial denial). Results show that partial denial is distinctly different from complete denial across three self-report substance use measures. Importantly, substance users engaging in these denial conditions were often undetected by these measures.
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Similarities and Differences in Borderline and Other Symptomology Among Women Survivors of Interpersonal Trauma with and Without Complex Ptsd

Similarities and Differences in Borderline and Other Symptomology Among Women Survivors of Interpersonal Trauma with and Without Complex Ptsd

Date: December 2012
Creator: Marchesani, Estee Simpkins
Description: Women interpersonal chronic trauma survivors are frequently misdiagnosed with borderline personality disorder (BPD) or post traumatic stress disorder (PTSD), which often results in mistreatment. Neither PTSD nor BPD adequately describes the unique character alterations observed among those exposed to prolonged early childhood trauma. Researchers suggest survivors of interpersonal and chronic trauma should be subsumed under complex PTSD (CPTSD)(MacLean & Gallop, 2003). The primary purpose of this study was to test the validity of complex PTSD as a construct. MANOVA, ANOVA, chi- Square, and independent samples t- Tests were utilized to test hypotheses. Results revealed that women who experienced higher frequencies of trauma met more CPTSD criteria and had higher mean base rate scores on the Major Depression, Depressive, Avoidant, Masochistic, Anxiety, PTSD, and Borderline scales of the MCMI- III than women who experienced fewer traumas. Additionally, findings suggest that the Major Depression, Depressive, Anxiety, PTSD, and Borderline scales may highlight differences among women interpersonal trauma survivors who meet five of six CPTSD criteria versus those who meet full CPTSD diagnostic criteria. Lastly, the mean Borderline scale score for women who met full CPTSD diagnostic criteria was below the cutoff for personality traits. Overall, these findings provide evidence and validation for ...
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Posttraumatic Growth: Behavioral, Cognitive, and Demographic Predictors

Posttraumatic Growth: Behavioral, Cognitive, and Demographic Predictors

Date: August 2011
Creator: Schuettler, Darnell
Description: Recent trauma research argues trauma results in distinct positive and negative consequences, however; many trauma variables positively correlate with both outcomes. This study examined posttraumatic growth (PTG) and post-traumatic stress disorder (PTSD) symptoms as positive and negative trauma outcomes. Behavioral, cognitive, and demographic correlates and predictors were assessed to help clarify differences between the two outcomes. While several behavioral factors were common to both PTG and PTSD symptoms, centrality of event and problem focused coping were the strongest PTG predictors, whereas centrality of event and avoidant coping were the strongest PTSD predictors. These findings indicate while greater incorporation of a trauma/stressful event into one’s identity is a key component of both PTG and PTSD development, behavioral response may be a determining factor between growth or debilitation.
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Decentering and the Theory of Social Development

Decentering and the Theory of Social Development

Date: August 2012
Creator: Fincher, Jennie
Description: The concept of decentering originated with Piaget, who defined decentering as a feature of operational thought, the ability to conceptualize multiple perspectives simultaneously. Feffer applied Piaget’s concept of decentering to the cognitive maturity of social content. This study used Feffer’s Interpersonal Decentering scoring system for stories told about TAT pictures to investigate the developmental hierarchy of decentering for children and adolescents. The participants originated from the Berkeley Guidance Study, a longitudinal sample of more than 200 individuals followed for more than 60 years by the Institute of Human Development at the University of California, Berkeley. The hypotheses tested were: (1) chronological age will be positively related to Decentering as reflected in Feffer’s Interpersonal Decentering scores obtained annually between ages 10 and 13 and at 18; (2) children born into higher class homes would have higher Age 12 Decentering scores; (3) children born later in birth order will have higher Age 12 Decentering scores; (4) children whose parents were observed to have closer bonds with their children at age 21 months will have higher Age 12 Decentering scores; (5) adolescents with higher scores from the Decentering Q-sort Scale (derived from adolescent Q-sorts) will have higher Age 12 Decentering scores; and (6) ...
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A psychosocial interaction study of adulthood demographics and non-compulsory education participation using the National Household Education Survey.

A psychosocial interaction study of adulthood demographics and non-compulsory education participation using the National Household Education Survey.

Date: December 2011
Creator: Chillis, Jimmy, L.
Description: This report analyses the NHES: 2005 data to present the state of American education in reference to “adult” participation in education. Psychosocial interaction theory is applied to the social event of attaining adulthood to analyze and report the propensity of American adults to participate in non-compulsory adult education. The review of the literature of perceptual demographic variables of adult attainment: age, prior education, subordinate responsibility, child-age dependent care, marital status, job stability, and home ownership. The analysis compares the data of participants and non-participants of non-compulsory adult education using binomial logistic regression analysis with tests, for a 95% confidence level and .05 significance. Included is a discussion of how appropriately aligned development opportunities and experiences may further increase education effectiveness and performance outcomes.
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Psychopathic and Antisocial Personality Disorder Traits As Predictors of Reactive and Instrumental Aggression

Psychopathic and Antisocial Personality Disorder Traits As Predictors of Reactive and Instrumental Aggression

Date: May 2012
Creator: Steadham, Jennifer A.
Description: Aggression has traditionally been subdivided into two correlated, but distinct, subtypes: reactive and instrumental. Reactive aggression (RA) is considered impulsive, emotionally driven behavior, whereas instrumental aggression (IA) is planned and incentive-motivated. This thesis examines the relationships between RA, IA, psychopathy, and antisocial personality disorder (APD) symptoms in male and female offenders recruited from a jail in north Texas. Contrary to predictions, psychopathic traits did not account for more variance in aggression than did APD symptoms. Impulsivity demonstrated slight incremental validity over psychopathy for RA, and to a lesser degree, IA. the continued utility of the reactive-instrumental distinction and implications for professional practice in relation to the current study are examined. Study limitations and directions for future research are discussed.
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Effects of Defensiveness on the Reporting of Personality Disorder Symptoms

Effects of Defensiveness on the Reporting of Personality Disorder Symptoms

Date: December 2011
Creator: Fiduccia, Chelsea E
Description: Personality disorders are not granted the same clinical attention accorded Axis I disorders despite their instrumental role in treatment and outcome. Even when standardized assessments are used, their clinical utility may be limited by an overly favorable self-presentation. The current study focused on defensiveness, the intentional denial of symptomatology, by examining individuals’ ability to minimize their presentation on personality disorder diagnostic measures. Using a within-subjects simulation design, dually diagnosed inpatients were assessed under both honest and defensive conditions. The study used self-report (Structured Clinical Interview for DSM-IV – Axis II – Personality Questionnaire, SCID-II-PQ) and interview-based (Structured Interview for DSM-IV Personality, SIDP-IV) diagnostic measures and a self-report measure of favorable self-presentation (Paulhus Deception Scales, PDS). The inpatients were quite capable of hiding maladaptive personality traits on diagnostic measures, with similarly large effect sizes on both the SCID-II-PQ and SIDP-IV. In addition to the PDS, two new detection strategies for identifying defensiveness showed promise.
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Comparing the 2010 and 2011 Appic Match: Applicant Characteristics and Unmatched Applicant Distress

Comparing the 2010 and 2011 Appic Match: Applicant Characteristics and Unmatched Applicant Distress

Date: May 2012
Creator: Hogan, Lindsey R.
Description: The internship is one of the most important components of doctoral training in professional psychology. Given the serious problem of the internship imbalance, applicant and program characteristics that constitute a good “fit” with internship training programs have become of greater interest as securing an internship becomes a more competitive process. This study surveyed internship applicants from programs part of the Council of University Directors of Clinical Psychology (CUDCP), before and after the 2010 and 2011 match days. Number of interview offers was found to be the factor most consistently associated with successfully matching, and several other applicant characteristics salient to matching and obtaining interview offers were identified, including applicant personality. Additionally, personal accounts, but not empirical evidence, of going unmatched have attested to the psychological distress associated with this event. in the current study, while going unmatched was not found to be equitable to a traumatic stressor, evidence was found to support significant decrease in subjective well-being with respect to immediate distress. Findings are discussed in terms of the predictability of and implications for the match process and internship imbalance, and recommendations are made for future research directions.
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Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology

Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology

Date: August 2013
Creator: Ernest, Kimberly Dawn
Description: Previous research has suggested that adult attachment disturbance is related to maladaptic interaction patterns and personality disorder constructs. Specifically, research indicates that those with attachment disturbance are significantly more likely to meet criteria for a number of personality disorders, including borderline personality disorder, narcissistic personality disorder, and antisocial personality disorder. The purpose of this study was to investigate the associations between adult attachment and the new dimensional model of personality disorders scheduled to be released in the Diagnostic and Statistical Manual for Mental Health Diosrders (5th ed.) in spring 2013. Participants completed the Schedule for Adaptive and Nonadaptive Personality (SNAP) to measure dimensional personality functioning and the Experiences in Close Relationships (ECR-R) and the Attachment Prototypes to measure adult attachment patterns. Additionally, select scales from the Personality Assessment Inventory (PAI) and the Five Factor Model (FFM) will be utilized as secondary measures of personality patterns. The results suggest strong associations between adult attachment orientations and specific maladaptive personality characteristics.
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An Examination of Resnick's Model of Malingering: a Pai Study of Feigned Ptsd

An Examination of Resnick's Model of Malingering: a Pai Study of Feigned Ptsd

Date: August 2013
Creator: Wooley, Chelsea N.
Description: Malingered posttraumatic stress disorder (PTSD) poses a formidable clinical challenge in personal injury and disability cases because of the apparent ease in feigning PTSD and the supposed link (proximate cause) to the claimed damages. The effective assessment of feigned PTSD is particularly challenging because this diagnosis is both easier to fake than other Axis I disorders and more difficult to detect. As an additional confound, some patients with genuine PTSD produce highly variable, elevated profiles on multiscale inventories that are difficult to distinguish from feigned PTSD. The current study examined whether the Personality Assessment Inventory (PAI) can effectively differentiate between genuine and feigned PTSD in 109 inpatients from a trauma unit. The two most effective scales were the MAL and the NDS scales. As a primary focus, the current study was the first empirical investigation of Resnick's model of malingered PTSD that is comprised of three subtypes: pure malingering (pure-M), partial malingering (partial-M), and false imputation (false-I). The primary goal was to evaluate whether each feigning group was able to (a) effectively simulate PTSD symptoms and diagnoses and (b) avoid being classified as feigning. The partial-M group proved to be the best feigning group in achieving these two goals. Furthermore, ...
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