Syftet med den här studien är att undersöka om de kommunikativa svårigheter som kännetecknar barn med autismspektrumtillstånd (AST) leder till svårigheter i den nu rådande kommunikationsinriktade matematikundervisningen. Efter att den senaste skollagen trädde i kraft har inte barn med AST längre samma rättighet som tidigare att gå i grundsärskolan (såvida de inte också har en utvecklingsstörning) utan i inkluderas i grundskolan.  Samtidigt som denna skollag började gälla fick grundskolan en ny läroplan med en ny kursplan i matematik. Denna kursplan lägger stort fokus på kommunikation. Detta kan bli problematiskt för elever med AST på grund av de kommunikationssvårigheter som ingår i diagnosen. I den här studien intervjuades fem lärare med erfarenhet av matematikundervisning av elever med AST i årskurs 4-6. I resultatet framkommer att samtliga lärare uppger att de elever med funktionsnedsättningen som de har erfarenhet av att undervisa uppvisar eller har uppvisat svårigheter med den kommunikativa förmågan i matematikundervisningen. Tre av de intervjuade lärarna uppgav även att de anser sig ha otillräckliga kunskaper om AST för att kunna tillgodose behoven hos eleverna med diagnosen i matematikundervisningen.

Nonsuicidal self-injury (NSSI) is a behavior recently added to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a condition for further study. In this dissertation, I present findings from three studies that inform the clinical description of NSSI as well as some of the cognitive and emotional aspects of NSSI. In Study 1, I examined data from a community sample of adult women who met proposed DSM-5 criteria for NSSI or subthreshold NSSI. The findings show that any experience with NSSI is associated with significant impairment. Further, they suggest that greater self-criticism may be a key variable capable of distinguishing between people who engage in more versus less frequent NSSI. In Study 2, I examined the extent to which cognitive deficits in inhibiting emotional information may characterize people who engage in NSSI. Although NSSI participants endorsed greater difficulty with negative thoughts relative to controls, the groups demonstrated no differences on a directed forgetting task. These findings are consistent with previous research on emotional reactivity and impulsivity in NSSI that shows a similar dissociation between self-report and behavioral-based results. In Study 3, I examined how people process NSSI images. Results suggest that people who engage in NSSI view NSSI stimuli as relatively non-aversive. This is in sharp contrast to healthy controls, who consider NSSI images as highly aversive. These finding are consistent with models of NSSI that regard self-injury as providing reinforcement (positive and negative). Overall, the findings from these studies add to the clinical description of NSSI and support its diagnostic validity. Our examination of the clinical characteristics of the NSSI as described in DSM-5 highlights the importance of assessing the presence of any NSSI behavior as well as highly self-critical thoughts. Importantly, we found no evidence of memory deficits in NSSI. Of great clinical concern, however, is the extent to which engaging in NSSI appears to erode the aversive nature of NSSI stimuli. Taken together, our findings support a model in which self-criticism may reduce the initial barriers to engaging in NSSI, with the mood benefits associated with NSSI subsequently serving to maintain it. / Psychology

Asperger’s was eliminated as a distinct diagnosis in the DSM-5. While controversy lingers over the assimilation of Asperger’s into autism spectrum disorder, my study explores the experience of stigma through interviews with four adults with Asperger’s and two with high functioning autism. I examine the phenomenology of autistic stigma, stigma management, and how stigma is impacted by diagnosis. The results provide an understanding of stigma as it is experienced by individuals who, in the words of one participant, suffer from a “relationship disability.” The term ASHFA evolves during the write-up to become more than an acronym for Asperger’s/high functioning autism; it comes to represent a way of being present in the world that transcends diagnosis. A relational methodology derived from Gadamer’s hermeneutics and Merleau-Ponty’s phenomenology provides a philosophical framework for the project and also guides ethical engagement during the study. Methods used in the data analysis are drawn from constructivist grounded theory. The report itself may contain clues into ASHFA because I, the organizing participant, am also diagnosed with Asperger’s. I attempt to make sense of the paradoxical conclusion that diagnosis can provide a therapeutic explanation for autistic difference even as medicalization disempowers us as a validating narrative / Graduate / 0452 / 0422 / canadagates@gmail.com

Callous-unemotional (CU) traits are associated with severe and aggressive youth antisocial behavior (ASB) and are under consideration as a potential specifier for the diagnosis of Conduct Disorder in DSM-5 (Frick & Moffitt, 2010). This proposal demands more inquiry into the impact that CU traits have on behavioral subtypes of youth ASB. Normal-range personality traits, trait levels of anxiety, and hormonal stress reactivity (i.e., changes in the stress hormone, cortisol) are all factors that have been studied extensively in relation to ASB, but these relationships have not yet been considered in combination with CU traits. The purpose of the current set of studies was to examine the extent to which CU traits moderated links between these three factors and both overall and behavioral subtypes of ASB. In the first study, data were collected on children’s personality, CU traits, and three behavioral categories of ASB (physical aggression, relational aggression and non-violent rule-breaking behavior) for community (N = 742) and clinical (N = 183) samples of children. In the community sample, CU traits moderated links between Neuroticism, Extraversion, Agreeableness, Openness to Experience and ASB overall and externalizing behaviors, between Neuroticism, Extraversion and physical aggression and between Agreeableness, Extraversion and rule-breaking behaviors. In the clinical sample, CU traits moderated the link between Agreeableness and externalizing behaviors. In the second study, data were collected on children’s trait anxiety, CU traits, and the same three behavioral categories of ASB in a follow-up adolescent community sample (N = 145). Reactivity of cortisol in response to an unanticipated social stress test was also measured. Results revealed that CU traits moderated links between trait anxiety and ASB overall, externalizing behaviors and physical aggression. In females only, CU traits also moderated links between cortisol reactivity and ASB overall and externalizing behaviors. Combined, the results of these studies support the proposal that CU traits are a clinically useful diagnostic specifier with different implications for behavioral subtypes of ASB. Further, the present findings allow recommendations to be made for future research to further our understanding of the role CU traits play in CD, and to develop targeted interventions.

Callous-unemotional (CU) traits are associated with severe and aggressive youth antisocial behavior (ASB) and are under consideration as a potential specifier for the diagnosis of Conduct Disorder in DSM-5 (Frick & Moffitt, 2010). This proposal demands more inquiry into the impact that CU traits have on behavioral subtypes of youth ASB. Normal-range personality traits, trait levels of anxiety, and hormonal stress reactivity (i.e., changes in the stress hormone, cortisol) are all factors that have been studied extensively in relation to ASB, but these relationships have not yet been considered in combination with CU traits. The purpose of the current set of studies was to examine the extent to which CU traits moderated links between these three factors and both overall and behavioral subtypes of ASB. In the first study, data were collected on children’s personality, CU traits, and three behavioral categories of ASB (physical aggression, relational aggression and non-violent rule-breaking behavior) for community (N = 742) and clinical (N = 183) samples of children. In the community sample, CU traits moderated links between Neuroticism, Extraversion, Agreeableness, Openness to Experience and ASB overall and externalizing behaviors, between Neuroticism, Extraversion and physical aggression and between Agreeableness, Extraversion and rule-breaking behaviors. In the clinical sample, CU traits moderated the link between Agreeableness and externalizing behaviors. In the second study, data were collected on children’s trait anxiety, CU traits, and the same three behavioral categories of ASB in a follow-up adolescent community sample (N = 145). Reactivity of cortisol in response to an unanticipated social stress test was also measured. Results revealed that CU traits moderated links between trait anxiety and ASB overall, externalizing behaviors and physical aggression. In females only, CU traits also moderated links between cortisol reactivity and ASB overall and externalizing behaviors. Combined, the results of these studies support the proposal that CU traits are a clinically useful diagnostic specifier with different implications for behavioral subtypes of ASB. Further, the present findings allow recommendations to be made for future research to further our understanding of the role CU traits play in CD, and to develop targeted interventions.

The current thesis tests empirically the relationship of the dimensional trait model proposed for the fifth edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders with five-factor models (FFM) of personality disorder (PD). The DSM-5 Personality and Personality Disorders Work Group proposes to diagnose the disorders largely in terms of a 25 trait dimensional model organized within five broad domains (i.e., negative affectivity, detachment, antagonism, disinhibition, and psychoticism). Consistent with the authors of DSM-5, it was predicted that negative affectivity would align with FFM neuroticism, detachment with FFM introversion, antagonism with FFM antagonism, disinhibition with low FFM conscientiousness and, contrary to the authors of DSM-5, psychoticism would align with FFM openness. Suggested changes in trait placements according to FFM of PD research were also tested. Four measures of five factor models of general personality were administered to 445 undergraduates along with the Personality Inventory for DSM-5. The results of the present study provided support for the hypothesis that all five domains of the DSM-5 dimensional trait model are maladaptive variants of general personality structure, including the domain of psychoticism; however, the findings provided mixed support for suggested trait placement changes in the DSM-5 model.

The Five Factor Obsessive Compulsive Inventory (FFOCI) was developed in part to facilitate a shift from the categorical classification of personality disorder to a dimensional model; more specifically, the five-factor model. Questions though have been raised as to whether obsessive-compulsive personality disorder can be understood as a maladaptive variant of FFM conscientiousness. The purpose of the present study was to provide a further validation of the FFOCI, as well as to compare and contrast alternative measures and models of OCPD. A total of 380 participants, including 146 oversampled for OCPD traits, were recruited from introductory psychology courses at the University of Kentucky. Administered were the FFOCI, measures of general personality (e.g.,, International Item Pool, 5-Dimensional Personality Test), trait scales associated with OCPD (e.g.,, workaholism, compulsivity, propriety), and alternative measures of obsessive compulsive personality disorder. All measures were administered via SurveyMonkey, a secure online survey service. Results supported the validity of the FFOCI, but also demonstrated substantive differences among the alternative measures of OCPD, particularly with respect to their relationship with FFM conscientiousness, antagonism, and introversion.

2 ABSTRACT In the Alternative DSM-5 Model for Personality Disorders (AMPD), the diagnosis of specific personality disorders is obtained through an evaluation of the level of impairment in personality functioning and an assessment of dimensional personality traits associated in 25 "lower order" facets and 5 "higher order" domains. The Personality Inventory for DSM-5 (PID-5) was developed for examination of personality traits within this system. This Ph.D. thesis covers five relevant publications regarding AMPD, particularly PID-5. First, the authors introduce the theoretical background of the PID-5. Attention is paid on its ease of use, data interpretation and use of these data for treatment planning in different clinical settings. Two empirical studies test PID-5 psychometric properties (internal consistency, validity, discrimination capacity and unidimensional structure) in the sample of community volunteers (n=351) and a clinical sample of psychiatric patients (n=143). PID-5 was administered individually and in a group setting using pen-paper method and online data collection. 33 respondents completed the inventory twice to check test-retest reliability. Authors presumed, evidence will be found to support internal consistency and convergent validity of the PID-5 personality trait domains, as well as their...

The research aimed to use social constructionism as a methodology to explore Xhosa men’s constructions of depression. The theoretical framework chosen for this research was intersectionality. Purposive sampling was conducted to obtain between four to six participants who self-identified as Xhosa men. In the end four participants were interviewed through semi structured interviews. Interviews were conducted in the language of convenience for the participants. This was noted to be a mixture of English and isiXhosa. The interviews were transcribed and translated to English. Thematic analysis was used as a method of analysis. The analysis followed a systematic process which consists of six steps that were proposed by Braun and Clarke. Emerging themes related to how culture influenced Xhosa men’s constructions of depression, how masculinity influences Xhosa men’s constructions of depression, and How masculinity and the Xhosa culture intersect and interact in men’s constructions of depression. The findings showed that Xhosa men valued and accepted their cultural values, and gender roles, and thus their constructions of depression were influenced by that. The findings also revealed that depression also played a role in how Xhosa men construct gender and their culture. Hence highlighting the idea of intersectionality. / Mini Dissertation (MA)--University of Pretoria, 2019. / DST-NRF Centre of Excellence in Human Development / Psychology / MA (Clinical Psychology) / Unrestricted

Mothers who have children with a previous Asperger's syndrome diagnosis had to go through a process to maintain or obtain services for their child when the fifth edition of the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5) removed the diagnosis. Prior to and since the release of the DSM-5 in 2013, there has been an expression of concern in the literature about how this diagnostic change would affect services for children with a previous Asperger's syndrome diagnosis. Current research has not sufficiently explored the experiences mothers have had with this process. The purpose of this hermeneutical phenomenological study was to explore the experiences of mothers since this diagnostic change. Data were collected and saturation was reached at 6 participants using semistructured interviews. Interpretive phenomenological analysis was used to interpret the experiences of these mothers which produced 3 main themes related to the process of obtaining a new diagnosis, insurance-funded services, and educationally-funded services. The results included both subthemes and superordinate themes that highlighted the need for more stakeholder education, difficulty navigating systems, the need for advocacy, concerns about new diagnoses and loss of services, and the public's perception and the stigma associated with the Asperger's syndrome diagnosis both before and after this diagnostic change. Study results may assist with improving counselors and other stakeholder's knowledge about the importance of the mothers' experiences when there is a diagnostic change of this nature. Also, counselor educators can instill the importance of diagnostic accuracy and supporting all stakeholders when teaching new counselors.