Dissociation and Dissociative Disorders Reconsidered: Beyond Sociocognitive and Trauma Models Toward a Transtheoretical Framework.

For more than 30 years, the posttraumatic model (PTM) and the sociocognitive model (SCM) of dissociation have vied for attention and empirical support. We contend that neither perspective provides a satisfactory account and that dissociation and dissociative disorders (e.g., depersonalization/derealization disorder, dissociative identity disorder) can be understood as failures of normally adaptive systems and functions. We argue for a more encompassing transdiagnostic and transtheoretical perspective that considers potentially interactive variables including sleep disturbances; impaired self-regulation and inhibition of negative cognitions and affects; hyperassociation and set shifts; and deficits in reality testing, source attributions, and metacognition. We present an overview of the field of dissociation, delineate uncontested and converging claims across perspectives, summarize key multivariable studies in support of our framework, and identifyempirical pathways for future research to advance our understanding of dissociation, including studies of highly adverse events and dissociation.

Looking under the tinfoil hat: Clarifying the personological and psychopathological correlates of conspiracy beliefs.

OBJECTIVE: We sought to replicate and extend provisional research on the personological correlates of conspiracy beliefs by examining their associations with abnormal- and normal-range personality domain-level traits and, for the first time, lower-order personality facets; we also examined internalizing symptoms. METHOD: The study comprised four samples of community and student participants (Ntotal  = 1,927), and examined the cross-sectional relations between self-reported conspiratorial ideation and measures of (a) the six-factor model of general personality, (b) intellectual humility (IH), (c) traits relevant to certain personality disorder features (narcissism, psychopathy, disinhibition), and (d) internalizing symptoms (depression, anxiety, anger). RESULTS: Agreeableness and conscientiousness were significant, albeit modest, negative correlates of conspiracy beliefs, although other general personality dimensions tended to manifest negligible associations. Significant associations between lower-order personality facets and conspiracy beliefs, not evident at the domain level, emerged. Indices of IH were significant negative correlates. Conspiracy beliefs were also associated with a range of personality disorder features and internalizing symptoms. CONCLUSIONS: Our results suggest that the nonclinical individual prone to conspiratorial ideation is somewhat likely to display a complex mixture of traits including distress, immodesty, impulsivity, and negative affect. Future research should investigate potential multiplicative relations among personological variables in predicting conspiracy beliefs.

Third time's the charm or three strikes you're out? An updated review of the efficacy of dolphin-assisted therapy for autism and developmental disabilities.

CONTEXT: Dolphin-assisted therapy (DAT) is a popular form of animal-assisted therapy for autism spectrum disorders and other psychological conditions. OBJECTIVE: In this review, our third, we analyze the most recent DAT studies in terms of construct and internal validity criteria to determine if there is empirical support for DAT. METHOD: To ensure a systematic review, we searched for peer-reviewed studies on DAT by submitting relevant search terms to Google Scholar from 2007 to 2020, conducted a further search of all DAT papers in several peer-reviewed journals, and reviewed reference sections of DAT articles to ensure a thorough review of the literature between 2007 and the present. RESULTS: The DAT literature continues to be marked by several weaknesses in both internal and construct validity that preclude confident inferences regarding the intervention's efficacy. CONCLUSION: There is still insufficient evidence that DAT has therapeutic value.

Do psychopathic birds of a feather flock together? Psychopathic personality traits and romantic preferences.

OBJECTIVE: The goal of the present studies was to investigate whether people are especially attracted to psychopathic traits, and whether there are individual differences in such attraction. METHOD: Female undergraduates (N = 270; Mage = 19; 57% White, 20% Asian, 8% Black) and female and male community members (N = 426; Mage = 37; 56% female; 81% Caucasian, 10% African American, 4% Asian) reported on their own personality and constructed their ideal mate for a dating, short-term, and long-term relationship from a list of 70 characteristics drawn from well-validated criteria for psychopathic personality and diagnostic criteria for DSM-5 personality disorders (PDs). RESULTS: Across both studies, absolute romantic preferences for psychopathic traits collapsed across time point were low on average, but higher than those for most all other PDs. In addition, they were higher for Factor 1 (i.e., interpersonal/affective) as opposed to Factor 2 (i.e., impulsive, antisocial) psychopathy traits. Participants with marked PD features, including Factor 2 psychopathy traits, were more inclined than others to endorse a preference for psychopathic males. CONCLUSIONS: Relative attraction to psychopathic males and observed homophily may be avenues through which psychopathic traits persist in the population across time.

Direct replication and clinical psychological science.

Zwaan et al. make a compelling case for the necessity of direct replication in psychological science. I build on their arguments by underscoring the necessity of direct implication for two domains of clinical psychological science: the evaluation of psychotherapy outcome and the construct validity of psychological measures.

Clashing Diagnostic Approaches: DSM-ICD Versus RDoC.

Since at least the middle of the past century, one overarching model of psychiatric classification has reigned supreme, namely, that of the Diagnostic and Statistical Manual of Mental Disorders and the International Statistical Classification of Diseases and Related Health Problems (herein referred to as DSM-ICD). This DSM-ICD approach embraces an Aristotelian view of mental disorders as largely discrete entities that are characterized by distinctive signs, symptoms, and natural histories. Over the past several years, however, a competing vision, namely, the Research Domain Criteria (RDoC) initiative launched by the National Institute of Mental Health, has emerged in response to accumulating anomalies within the DSM-ICD system. In contrast to DSM-ICD, RDoC embraces a Galilean view of psychopathology as the product of dysfunctions in neural circuitry. RDoC appears to be a valuable endeavor that holds out the long-term promise of an alternative system of mental illness classification. We delineate three sets of pressing challenges--conceptual, methodological, and logistical/pragmatic--that must be addressed for RDoC to realize its scientific potential. We conclude with a call for further research, including investigation of a rapprochement between Aristotelian and Galilean approaches to psychiatric classification.

The Contribution of Personality and Refugee Camp Experience to Callous and Unemotional Traits Among Immigrant Adolescents in the United States: Implications for the DSM-5 "Limited Prosocial Emotions" Specifier.

Callous and Unemotional (C&U) traits characterize a group of adolescents who engage and persist in especially severe antisocial behaviors. These traits have been included in DSM-5 within a "Limited Prosocial Emotions" (LPE) specifier for Conduct Disorder. To investigate the generalizability of this specifier to non-Western cultures, we examined associations among Big Five personality, refugee camp experience, and C&U traits among 81 immigrant adolescents from non-Western cultures. Adolescents with refugee camp history endorsed higher levels of Uncaring than other adolescents. Personality traits explained 6 (Unemotional) to 18 % (Callousness) of the variance in C&U traits. The association between Neuroticism and Callousness held only for adolescents with a refugee camp history. Our results corroborate the importance of considering personality to understand C&U traits and the LPE specifier. Results also raise questions regarding the applicability of C&U traits to non-Western adolescents with varying pre-immigration experiences, and raise the possibility that the LPE specifier is vulnerable to false-positive identifications among such individuals.

What Do People Believe About Memory? Implications for the Science and Pseudoscience of Clinical Practice.

We examine the evidence concerning what people believe about memory. We focus on beliefs regarding the permanence of memory and whether memory can be repressed and accurately recovered. We consider beliefs about memory among the undergraduate and general population, mental health professionals, judges, jurors, and law enforcement officers to provide a broad canvass that extends to the forensic arena, as well as to psychiatry, psychology, and allied disciplines. We discuss the implications of these beliefs for the education of the general public and mental health professionals regarding the science and pseudoscience of memory and the use of suggestive procedures in psychotherapy.

Psychopathy Deconstructed and Reconstructed: Identifying and Assembling the Personality Building Blocks of Cleckley's Chimera.

The psychopathy field has long been beset by confusion and contention regarding the boundaries and features of this chimerical condition. We propose that this disagreement stems largely from the historical separation between psychopathy and basic personality psychology. Using findings from a meta-analysis of the correlations between the Psychopathy Checklist-Revised (PCL-R) and normal-range personality traits as a launching point, we (a) deconstruct widely used measures of psychopathy into their constituent subdimensions and (b) examine the associations of these subdimensions with higher-order and lower-order personality dimensions drawn from the Big Five and Big Three frameworks. Our review of the adult psychopathy literature reveals broad agreement that psychopathy measures are imbued with low Agreeableness and low Conscientiousness. Nevertheless, substantial disagreement revolves around the place of largely adaptive features, especially high agentic Extraversion, low Neuroticism, and high Openness, within the psychopathy construct. We propose that ongoing debates regarding the nature and boundaries of psychopathy reflect a focus on two differing operationalizations of this condition, each of which reflects a different "species" of individual.

Why psychopathy matters: Implications for public health and violence prevention.

Psychopathy is an early-appearing risk factor for severe and chronic violence. The violence largely attributable to psychopathy constitutes a substantial portion of the societal burden to the public health and criminal justice systems, and thus necessitates significant attention from prevention experts. Yet, despite a vast base of research in psychology and criminology, the public health approach to violence has generally neglected to consider this key variable. Fundamentally, the public health approach to violence prevention is focused on achieving change at the population level to provide the most benefit to the maximum number of people. Increasing attention to the individual-level factor of psychopathy in public health could improve our ability to reduce violence at the community and societal levels. We conclude that the research literature on psychopathy points to a pressing need for a broad-based public health approach with a focus on primary prevention. Further, we consider how measuring psychopathy in public health research may benefit violence prevention, and ultimately society, in general.

DSM-5 antisocial personality disorder: predictive validity in a prison sample.

Symptoms of antisocial personality disorder (ASPD), particularly remorselessness, are frequently introduced in legal settings as a risk factor for future violence in prison, despite a paucity of research on the predictive validity of this disorder. We examined whether an ASPD diagnosis or symptom-criteria counts could prospectively predict any form of institutional misconduct, as well as aggressive and violent infractions among newly admitted prisoners. Adult male (n = 298) and female (n = 55) offenders were recruited from 4 prison systems across the United States. At the time of study enrollment, diagnostic information was collected using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; APA, 1994) Axis II Personality Disorders (SCID-II; First, Gibbon, Spitzer, Williams, & Benjamin, 1997) supplemented by a detailed review of official records. Disciplinary records were obtained from inmates' respective prisons covering a 1-year period following study enrollment and misconduct was categorized hierarchically as any (general), aggressive (verbal/physical), or violent (physical). Dichotomous ASPD diagnoses and adult symptom-criteria counts did not significantly predict institutional misconduct across our 3 outcome variables, with effect sizes being close to 0 in magnitude. The symptom of remorselessness in particular showed no relation to future misconduct in prison. Childhood symptom counts of conduct disorder demonstrated modest predictive utility. Our results offer essentially no support for the claim that ASPD diagnoses can predict institutional misconduct in prison, regardless of the number of adult symptoms present. In forensic contexts, testimony that an ASPD diagnosis identifies defendants who will pose a serious threat while incarcerated in prison presently lacks any substantial scientific foundation.

Lack of political diversity and the framing of findings in personality and clinical psychology.

I extend the arguments of Duarte et al. by examining the implications of political uniformity for the framing of findings in personality and clinical psychology. I argue that the one-sided framing of psychological research on political ideology has limited our understanding of the personality correlates of liberalism and conservatism.

Are the "memory wars" over? A scientist-practitioner gap in beliefs about repressed memory.

The "memory wars" of the 1990s refers to the controversy between some clinicians and memory scientists about the reliability of repressed memories. To investigate whether such disagreement persists, we compared various groups' beliefs about memory and compared their current beliefs with beliefs expressed in past studies. In Study 1, we found high rates of belief in repressed memory among undergraduates. We also found that greater critical-thinking ability was associated with more skepticism about repressed memories. In Study 2, we found less belief in repressed memory among mainstream clinicians today compared with the 1990s. Groups that contained research-oriented psychologists and memory experts expressed more skepticism about the validity of repressed memories relative to other groups. Thus, a substantial gap between the memory beliefs of clinical-psychology researchers and those of practitioners persists today. These results hold implications for the potential resolution of the science-practice gap and for the dissemination of memory research in the training of mental-health professionals.

A review of systems for psychology and psychiatry: adaptive systems, personality psychopathology five (PSY-5), and the DSM-5.

We outline a crisis in clinical description, in which atheoretical categorical descriptors, as in the Diagnostic and Statistical Manual of Mental Disorders (DSM), has turned focus away from the obvious: evolved major adaptive systems. Adaptive systems, at the core of a medical review of systems (ROS), allow models of pathology to be layered over an understanding of systems as they normally function. We argue that clinical psychology and psychiatry would develop more programmatically by incorporating 5 systems evolved for adaptation to the external environment: reality modeling for action, short-term danger detection, long-term cost-benefit projection, resource acquisition, and agenda protection. These systems, although not exhaustive, coincide with great historical issues in psychology, psychopathology, and individual differences. Readers of this journal should be interested in this approach because personality is seen as a relatively stable property of these systems. Thus, an essential starting point in ROS-based clinical description involves personality assessment. But this approach also places demands on scientist-practitioners to integrate across sciences. An ROS promotes theories that are (a) compositional, answering the question: What elements comprise the system?; (b) dynamic, answering: How do the elements and other systems interact?; and (c) developmental: How do systems change over time? The proposed ROS corresponds well with the National Institute of Mental Health's recent research domain criteria (RDoC) approach. We urge that in the RDoC approach, measurement variables should be treated as falsifiable and theory-laden markers, not unfalsifiable criteria. We argue that our proposed ROS promotes integration across sciences, rather than fostering the isolation of sciences allowed by atheoretical observation terms, as in the DSM.

Equine-related treatments for mental disorders lack empirical support: a systematic review of empirical investigations.

CONTEXT: Equine-related treatments (ERT) for mental disorders are becoming increasingly popular for a variety of diagnoses; however, they have been subjected only to limited systematic investigation. OBJECTIVE: To examine the quality of and results from peer-reviewed research on ERT for mental disorders and related outcomes. METHOD: Peer-reviewed studies (k = 14) examining treatments for mental disorders or closely related outcomes were identified from databases and article reference sections. RESULTS: All studies were compromised by a substantial number of threats to validity, calling into question the meaning and clinical significance of their findings. Additionally, studies failed to provide consistent evidence that ERT is superior to the mere passage of time in the treatment of any mental disorder. CONCLUSION: The current evidence base does not justify the marketing and utilization of ERT for mental disorders. Such services should not be offered to the public unless and until well-designed studies provide evidence that justify different conclusions.

Threat bias, not negativity bias, underpins differences in political ideology.

Although disparities in political ideology are rooted partly in dispositional differences, Hibbing et al.'s analysis paints with an overly broad brush. Research on the personality correlates of liberal-conservative differences points not to global differences in negativity bias, but to differences in threat bias, probably emanating from differences in fearfulness. This distinction bears implications for etiological research and persuasion efforts.

Locating triarchic model constructs in the hierarchical structure of a comprehensive trait-based psychopathy measure: Implications for research and clinical assessment.

The triarchic model posits that distinct trait constructs of boldness, meanness, and disinhibition underlie psychopathy. The triarchic model traits are conceptualized as biobehavioral dimensions that can be assessed using different sets of indicators from alternative measurement modalities; as such, the triarchic model would hypothesize that these traits are not confined to any one item set. The present study tested whether the triarchic model dimensions would emerge from a hierarchical-structural analysis of the facet scales of the Elemental Psychopathy Assessment (EPA), an inventory designed to comprehensively index psychopathy according to the five-factor personality model. Study participants (Ns = 811, 170) completed the EPA and three different scale sets assessing the triarchic traits along with criterion measures of antisocial/externalizing behaviors. Bass-ackwards modeling of the EPA facet scales revealed a four-level structure, with factors at the third level appearing similar to the triarchic trait dimensions. An analysis in which scores for the Level-3 EPA factors were regressed onto corresponding latent-trait dimensions defined using the different triarchic scale sets revealed extremely high convergence (ßs = .84-.91). The Level-3 EPA factors also evidenced validity in relation to relevant criteria, approximating and sometimes exceeding that evident for the Level-4 EPA factors. Together, these results indicate that the triarchic trait constructs are embedded in a psychopathy inventory designed to align with a general personality model and effectively predict pertinent external criteria. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The double-edged sword of grandiose narcissism: implications for successful and unsuccessful leadership among U.S. Presidents.

Recent research and theorizing suggest that narcissism may predict both positive and negative leadership behaviors. We tested this hypothesis with data on the 42 U.S. presidents up to and including George W. Bush, using (a) expert-derived narcissism estimates, (b) independent historical surveys of presidential performance, and (c) largely or entirely objective indicators of presidential performance. Grandiose, but not vulnerable, narcissism was associated with superior overall greatness in an aggregate poll; it was also positively associated with public persuasiveness, crisis management, agenda setting, and allied behaviors, and with several objective indicators of performance, such as winning the popular vote and initiating legislation. Nevertheless, grandiose narcissism was also associated with several negative outcomes, including congressional impeachment resolutions and unethical behaviors. We found that presidents exhibit elevated levels of grandiose narcissism compared with the general population, and that presidents' grandiose narcissism has been rising over time. Our findings suggest that grandiose narcissism may be a double-edged sword in the leadership domain.

The research-practice gap: bridging the schism between eating disorder researchers and practitioners.

OBJECTIVE: The field of eating disorders (EDs) treatment has been beset by a marked disjunction between scientific evidence and clinical application. We describe the nature and scope of the research-practice gap in the ED field. METHOD: We draw on surveys and broader literature to better understand the research-practice gap in ED treatment and reasons for resistance to evidence-based practice. RESULTS: We identify three sources of the research-practice gap: (1) attitudinal factors, (2) differences in the definition of "evidence," and (3) cognitive factors, especially naïve realism and confirmation bias. We affirm the role of science as a safeguard against human fallibility and as a means of bridging the research-practice gap, and delineate key principles of scientific thinking for ED researchers and practitioners. DISCUSSION: We conclude with proposals for narrowing the research-practice gap in ED treatment and enhancing the quality of interventions for ED clients.