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Bulletin of the Menninger Clinic

Alessandro S De Nadai
While there is great enthusiasm about new data sharing initiatives in mental health research, some concerns have recently been expressed that reflect tension between those who generate data and those who engage in secondary data analysis. While many aspects of data sharing have been considered, some of this tension has not been fully addressed. If this tension continues to go unresolved, enthusiasm for data sharing initiatives may be hindered. The author suggests solutions to these issues after carefully considering respective stakeholder interests (including those of patients, researchers, and funding agencies)...
2018: Bulletin of the Menninger Clinic
Tracy A Prout, William H Gottdiener, Alexander Camargo, Sean Murphy
This study examined the factor structure of the Defense Style Questionnaire (DSQ-40) and explored the relationships between defense mechanisms and religious coping in a diverse sample of 380 college students. In contrast with the three-factor model of defenses proposed by the developers of the DSQ-40, principal axis factoring yielded two internally consistent components: adaptive and maladaptive defense styles. Endorsement of adaptive defenses was positively correlated with the use of positive religious coping strategies and negatively correlated with negative religious coping...
2018: Bulletin of the Menninger Clinic
Iratxe Redondo, Patrick Luyten
The objective of the study was to investigate whether mindfulness mediated the relationship between attachment and eating disorders in a sample of 323 female university students and 38 anorexic inpatients using structural equation modeling. All insecure attachment subscales were positively related to eating disorder symptoms and negatively to mindfulness. Furthermore, mindfulness scores were negatively associated with eating disorder symptoms. Mediation analyses showed that the relationship between all the insecure attachment subscales and eating disorders was partially mediated by the mindfulness effects...
2018: Bulletin of the Menninger Clinic
Eric A Storch
No abstract text is available yet for this article.
2018: Bulletin of the Menninger Clinic
Flynn O'Malley
The Compass Program at The Menninger Clinic was designed to assess and treat emerging adult psychiatric patients with severe disorders. Establishing a collaborative therapeutic relationship with these challenging patients is an essential step in facilitating effective assessment and treatment for them. The author presents a therapeutic model for engagement and collaboration. Three interrelated processes that are keys to promoting and creating collaborative behavior are described: (1) taking agency, the ability to accept responsibility for and believe in one's own contribution to solving problems; (2) mentalizing, the ability to reflect on, as opposed to react to, mental states in self and others, as well as to contemplate the issues in one's treatment process, and (3) the ability to examine one's problems from the standpoint of identifying core issues, those internal and external factors that have been impediments to one's progress...
2018: Bulletin of the Menninger Clinic
Cassandra Bailey, Anna Abate, Carla Sharp, Amanda Venta
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...
2018: Bulletin of the Menninger Clinic
Christopher D Corona, Thomas E Ellis, David A Jobes
The current study replicates a previously used methodology with a suicidal inpatient sample regarding word counts generated by participants writing about suicidal constructs. Word counts (i.e., the number of written words) on the Suicide Status Form from initial sessions with suicidal inpatients were compared to self-rated suicide risk scores as well as to continuous and repeated measures of hopelessness and suicide ideation assessed over the course of inpatient care. Results showed that higher word counts were associated with initially higher suicide ideation scores that steadily declined over the course of treatment...
2018: Bulletin of the Menninger Clinic
Markus B T Nyström, Emilie Kjellberg, Ulrica Heimdahl, Bert Jonsson
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. The results also showed that interpersonal sensitivity is highly correlated with shame coping strategies...
2018: Bulletin of the Menninger Clinic
Francesca Penner, Carla Sharp
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. Despite links between early pubertal timing and core features of borderline personality disorder, and between early pubertal timing and disruptions in the interpersonal context, perceived pubertal timing has yet to be studied in relation to adolescent borderline pathology...
2018: Bulletin of the Menninger Clinic
Yorgos Dimitriadis
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...
2018: Bulletin of the Menninger Clinic
Barry Dauphin, Stacey Halverson, Sarah Pouliot, Linda Slowik
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. The content of the sessions was the same for both versions, but the sessions were dramatized differently. Some differences emerged between the versions, especially on ratings of reality testing, impulse control, pressured speech, patient was confusing, and awareness of imagery...
2018: Bulletin of the Menninger Clinic
Annette S Kluck, Sheila Garos, Lucas Shaw
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...
2018: Bulletin of the Menninger Clinic
Pietro De Carli, Angela Tagini, Diego Sarracino, Alessandra Santona, Valentina Bonalda, Paola Elena Cesari, Laura Parolin
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...
2018: Bulletin of the Menninger Clinic
Falk Leichsenring, Christiane Steinert
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. Treatment consists of 12 modules, which include the characteristic elements of SE therapy, that is, a focus on the Core Conflictual Relationship Theme (CCRT) associated with OCD symptoms and on establishing a secure alliance...
2017: Bulletin of the Menninger Clinic
Federica Biassoni, Lisa Boga, Maria Rita Ciceri, Margherita Lang, Laura Rivolta
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...
2017: Bulletin of the Menninger Clinic
A Novac, R G Bota, B Blinder
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. IdN may constitute an implicit scaffolding for autobiographical memory. Identity Narrative Density (IND) is a score of emotional valence referring to life events that contribute to the construction of an IdN...
2017: Bulletin of the Menninger Clinic
Dine J Feenstra, Patrick Luyten, Dawn L Bales
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. The authors review research on the development, efficacy, and implementation of MBT. In conclusion, the authors focus on the implementation of treatment programs for BPD patients...
2017: Bulletin of the Menninger Clinic
Adriano Schimmenti
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. After a difficult treatment involving recovered memories of incestuous attacks by her father, which were proven to be true, Elena fully recovered from her symptoms...
2017: Bulletin of the Menninger Clinic
Judy H Hong, Eric B Lee, Chad T Wetterneck, John M Hart
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)...
2017: Bulletin of the Menninger Clinic
Jane S Mahoney, Cynthia Mulder, Susan Hardesty, Alok Madan
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. The authors describe an interprofessional educational project focused on understanding the illness experience and providing trauma-informed care to faculty, staff, and administrators in an inpatient psychiatric setting...
2017: Bulletin of the Menninger Clinic
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