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.

Past research indicates that social rejection predicts a wide range of psychological problems (e.g., depression), but laboratory studies examining self-reports of negative affect after social rejection have reported inconsistent results. Salivary cortisol was measured before and after a social rejection/acceptance manipulation for objective assessment of psychological distress subsequent to peer rejection. Rejected participants were predicted to show significantly greater salivary cortisol than accepted or control participants. The present research also examined several factors that may moderate the relationship between acute rejection and cortisol. As predicted, rejected participants exhibited significantly higher cortisol than accepted or control participants. Defensiveness moderated the relationship between rejection and cortisol; highly defensive rejected participants showed significantly lower cortisol than less defensive rejected participants after peer rejection. Results indicate that social rejection causes psychological distress, but highly defensive individuals appear to be less susceptible than less defensive individuals to increases in salivary cortisol after acute social rejection.

Background: Autism spectrum disorders (ASD) are a group of neuro-developmental disorders that are characterized by impaired social interaction, communication, and restricted or repetitive behavior. Children with an ASD also display significant sensory experiences due to sensory disintegration. This integrative review of literature examines the sensory experiences of children with an ASD and determines nursing interventions that will enable them to better cope within the hospital setting. Method: an extensive search of databases and current literature on sensory experiences of children with an ASD and interventions that facilitate coping. Results: Children with an ASD experience a wide range of sensitivity and defensiveness toward stimuli that differs on an individual basis. There is no current research that reflects nursing interventions for children with an ASD, therefore interventions from other heath care occupations were examined and applied to nursing. Conclusion: Further research is needed to better understand sensory defensiveness and research is needed in the area of nursing interventions to enable the best nursing care of children with an ASD.

The relationship of coronary-prone behavior, hostility, and defense style to atherosclerosis was examined. Subjects were 1,271 patients who underwent coronary angiography at Duke University Medical Center between 1974 and 1980. Type A behavior was assessed using both the Structured Interview and Jenkins Activity Survey. The Cook and Medley Hostility scale and Byrne's Repression-Sensitization scale, both subscales of the Minnesota Multiphasic Personality Inventory, were employed to measure hostility and defense style. The results revealed no significant association between the disease end-points CADSEV, history of myocardial infarction, and history of angina pectoris and either the Structured Interview Type A, hostility, or repression-sensitization, Jenkins Activity Survey defined Type B's, however, were found to more frequently complain of angina. It was suggested future research employ longitudinal or process designs to focus on adaptive functioning from a transactional and developmental perspective which may serve to promote coronary resistance.

The effects of graduated exposure, modeling and contingent social attention on tolerance to skincare products were evaluated with two boys with autism who displayed tactile defensiveness. Upon each presentation step of skincare products the number of positive and negative responses and successful step completion were measured. Procedures included modeling, presenting graduated opportunities, and providing social attention for step completion. Step advancement occurred if a child engaged in a step independently, without excessive refusals. A changing criterion design and a multiple baseline were employed to evaluate effects of this treatment package. Children demonstrated more positive and fewer negative responses as they completed the graduated steps. Effects maintained in follow-up observations.

<p>One major focus of anxiety research in recent years has been the identification of cognitive factors that promote increased vulnerability to anxiety. Cognitive formulations propose that anxiety is characterised by an increased tendency to attend to negatively valenced emotional information, and that this bias may play a causal role in the development and maintenance of clinical anxiety. Evidence suggests that this anxiety-linked processing bias occurs even in conditions in which the stimuli are masked in order to prevent awareness of the content (i.e., <i>preattentive bias</i>). The present thesis focused principally on the preferential processing of threat-related information that occurs outside awareness. Two different outcome measures were used to index preferential preattentive processing of threat-related information in non-clinical populations: The emotional Stroop task was used to index <i>selective attention</i> to masked presentation of threatening word stimuli, whereas skin conductance responses were used to index <i>selective autonomic responses</i> to masked presentation of threatening pictorial stimuli. The empirical studies in the present thesis showed that elevated levels of trait anxiety promote preferential preattentive processing of negatively valenced information, whereas elevated levels of social desirability (interpreted as defensiveness) generally prevent preferential preattentive processing of negatively valenced information, especially among those at higher levels of trait anxiety, irrespective of outcome measure used. Moreover, previous research has demonstrated that a person’s most common emotional reaction when encountering a stressful event is causally influenced by that person’s habitual tendency to selectively encode the most threatening aspects of all available information. Thus, preattentive bias (as measured with the emotional Stroop task) was used to predict the emotional responses (as seen on self-reported emotional distress and autonomic reactivity) following exposure to a laboratory stressor. This study showed that preattentive bias to negative information had significant effects on both self-reported and physiological measures in response to a laboratory stressor, but in diametrically opposite directions. Specifically, whereas preattentive bias was positively associated with self-reported negative emotional response, it was negatively associated with a physiological indicator of emotional response. The results were discussed in terms of an inability to automatically inhibit the processing of threatening cues, which seems to be a vulnerability marker for anxiety. Whether this bias is ultimately sufficient for the development of clinical anxiety remains to be examined in future research. Additionally, more information is needed before it can be established that the emotional Stroop task can be viewed as a reliable diagnostic tool for determining an individual’s anxiety status.</p>

One major focus of anxiety research in recent years has been the identification of cognitive factors that promote increased vulnerability to anxiety. Cognitive formulations propose that anxiety is characterised by an increased tendency to attend to negatively valenced emotional information, and that this bias may play a causal role in the development and maintenance of clinical anxiety. Evidence suggests that this anxiety-linked processing bias occurs even in conditions in which the stimuli are masked in order to prevent awareness of the content (i.e., preattentive bias). The present thesis focused principally on the preferential processing of threat-related information that occurs outside awareness. Two different outcome measures were used to index preferential preattentive processing of threat-related information in non-clinical populations: The emotional Stroop task was used to index selective attention to masked presentation of threatening word stimuli, whereas skin conductance responses were used to index selective autonomic responses to masked presentation of threatening pictorial stimuli. The empirical studies in the present thesis showed that elevated levels of trait anxiety promote preferential preattentive processing of negatively valenced information, whereas elevated levels of social desirability (interpreted as defensiveness) generally prevent preferential preattentive processing of negatively valenced information, especially among those at higher levels of trait anxiety, irrespective of outcome measure used. Moreover, previous research has demonstrated that a person’s most common emotional reaction when encountering a stressful event is causally influenced by that person’s habitual tendency to selectively encode the most threatening aspects of all available information. Thus, preattentive bias (as measured with the emotional Stroop task) was used to predict the emotional responses (as seen on self-reported emotional distress and autonomic reactivity) following exposure to a laboratory stressor. This study showed that preattentive bias to negative information had significant effects on both self-reported and physiological measures in response to a laboratory stressor, but in diametrically opposite directions. Specifically, whereas preattentive bias was positively associated with self-reported negative emotional response, it was negatively associated with a physiological indicator of emotional response. The results were discussed in terms of an inability to automatically inhibit the processing of threatening cues, which seems to be a vulnerability marker for anxiety. Whether this bias is ultimately sufficient for the development of clinical anxiety remains to be examined in future research. Additionally, more information is needed before it can be established that the emotional Stroop task can be viewed as a reliable diagnostic tool for determining an individual’s anxiety status.

Thesis (Ph.D.)--Psychology, Georgia Institute of Technology, 2009. / Committee Chair: Fredda Blanchard-Fields; Committee Member: Ann Bostrom; Committee Member: Christopher Hertzog; Committee Member: Jack Feldman; Committee Member: Paul Corballis

Made available in DSpace on 2015-04-11T13:59:27Z (GMT). No. of bitstreams: 1 Paulo Jose Silva da Fonseca.pdf: 695049 bytes, checksum: c59b2c97702f83a42291067b7d932096 (MD5) Previous issue date: 2011-03-23 / Fundação de Amparo à Pesquisa do Estado do Amazonas / Esta pesquisa tem como objetivo compreender as vivências de prazer-sofrimento dos sujeitos que ocupam cargo de liderança em uma empresa do Pólo Industrial de Manaus, desvelando os mobilizadores de prazer, os agravantes do sofrimento e as estratégias defensivas identificadas neste contexto, visando propor intervenções que contribuam para a saúde deste líder-trabalhador. No plano metodológico a pesquisa se caracteriza como um estudo qualitativo, em consonância com a abordagem teórico-metodológica da Psicodinâmica do Trabalho, que privilegia a fala e a escuta dos participantes. Foram realizadas seis entrevistas coletivas, com um grupo de seis líderes de uma empresa do Pólo Industrial de Manaus, que foram convidados a participar voluntariamente e a falar livremente sobre os temas mobilizadores de cada encontro: prazer, sofrimento, estratégias defensivas, cooperação, reconhecimento, adoecimento, em convergência com as categorias teóricas da psicodinâmica. A partir da gravação e transcrição das entrevistas foi realizada a análise dos dados, à luz da Análise de Comparação Constante Grounded Theory, por considerá-la pertinente aos fundamentos, ao objeto e aos objetivos dessa pesquisa. Os resultados apresentaram que o prazer está relacionado a ajuda que o líder presta as pessoas, através da escuta de seus problemas, sendo considerado, por parte de seus subordinados, uma pessoa de referência, o que fortalece o ego do líder pelo reconhecimento, contribuindo para a construção de sua identidade como sujeito e dando sentido ao seu fazer. O sofrimento aparece pela falta de autonomia quando confrontado por seus subordinados pelos baixos salários praticados pela empresa, pela alta exigência de qualidade que a alta direção lhe impõe, pela falta de reconhecimento de seus superiores e pela não cooperação entre seus pares. No tocante as estratégias de enfrentamento, utilizadas de maneira consciente para reduzir o sofrimento, utilizam a divisão das atividades pelas quais são responsáveis, em pequenos problemas e se concentram em ações que não exijam tanto esforço de energia, evitando assim o confronto com os problemas que demandariam maior esforço. As estratégias defensivas identificadas foram a clivagem, a racionalização e a ambivalência, decorrente do sentimento de impotência frente às exigências e limitações que lhe são impostas pela organização do trabalho. Quanto à patologias do trabalho, identificaram-se sinais e sintomas das patologias ligadas a sobrecarga (estresse, pressão alta, dores de cabeça e nas costas-coluna) e sintomas depressivos

Objectives: This study compares wearing time for four months after receiving a new spectacle correction in subjects within Autism Spectrum Disorder (ASD) population to typically developing (TD) children and adolescents age 9 to 17 years old. Methods: Children and adolescents who were ASD or TD were enrolled from subjects recruited from another pilot study focused on eye examination testing for children and adolescents with ASD. A psychologist determined group status/ eligibility using American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision (DSM-IV-TR) criteria after review of previous evaluations and parent report of symptomology on the Social Communication Questionnaire. Parents provided the subject's age, level of parent education, gender, race, ethnicity and urbanization level. Parents completed a telephone survey at 1, 2, 4, 8, 12, and 16 weeks after the child received their spectacles. The survey asked questions about wearing time, willingness to wear spectacles and amount of prompting required. Data was analyzed to determine if there were differences between the ASD and TD group. Results: 22 subjects were enrolled who met review criteria for ASD or TD group and needed refractive correction. No significant difference was found between ASD and TD wearing time (p > 0.05). Age, gender, ethnicity, level of parent education, urbanization level and grade in school did not demonstrate differences in adaptation between the TD and ASD groups. Conclusions: Parental reports of wearing time and resistant behavior demonstrate that children and adolescents with ASD adapt to spectacle wear for significant refractive error similarly to typical children and adolescents.