Prototypic typology and the Borderline Personality Disorder.

Based on interview data from 76 18–45 yr old outpatients, the implications of a prototypic rather than a classical model of personality-disorder classification were demonstrated for DSM-III Axis II Borderline Personality Disorder (BPD). Heterogeneity of membership is described, and conditional probabilities are used to demonstrate the relative efficiency of single diagnostic criteria and combinations of criteria and the degree of overlap among BPD and other personality disorders. The conditional probability approach can be used to determine empirically the covariation of symptoms and to link the study of prototypicality to the individual patient rather than to the group. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Phase transformations of calcium phosphates formed in wet field environments

The crystal phase and morphology of calcium phosphate salts precipitated in a wet field environment at temperatures between 30 and 70 °C and pHs between 3 and 8 were examined. Dicalcium Phosphate Dihydrate (DCPD) was the most prevalent phase precipitated. Using accelerated ageing study techniques, precipitates studied were aged, under dry conditions at 50 °C for 8 and 16 days, before being re-examined using XRD, FTIR and SEM techniques. DCPD was found to be most stable when precipitated at 40 °C and 5 pH. Considerably more phase transformation to Octacalcium Phosphate (OCP), Amorphous Calcium Phosphate (ACP) and Hydroxyapatite (HA) was seen at high temperatures and high pHs, and a greater tendency to form anhydrous salts was seen at high temperatures and low pHs. Using techniques such as XRD, FTIR and SEM the transformation of the DCPD precipitate to OCP was analysed and appeared to occur without the presence of an intermediate amorphous phase. However, transformation from OCP to HA did result in the formation of an intermediate amorphous phase.     

évaluation de la validité théorique de l'Inventaire de l'organisation de la personnalité.

Studied the psychometric properties and the theoretical validity of the French translation of the Inventory of Personality Organization (IPO; O. F. Kernberg and J. F. Clarkin, 1995). The IPO was administered to 845 males and females from a Quebec university and from the general Quebec population. Separate exploratory and 1st-level confirmatory factor analyses were performed. The results indicate a good level of conformity between IPO items and the tridimensional primary constructs of O. F. Kernberg's theoretical model of personality organization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparison of an experimental bone cement with surgical Simplex<Superscript>®</Superscript> P,Spineplex<Superscript>®</Superscript> and Cortoss<Superscript>®</Superscript>

Conventional polymethylmethacrylate (PMMA) cements and more recently Bisphenol-a-glycidyl dimethacrylate (BIS-GMA) composite cements are employed in procedures such as vertebroplasty. Unfortunately, such materials have inherent drawbacks including, a high curing exotherm, the incorporation of toxic components in their formulations, and critically, exhibit a modulus mismatch between cement and bone. The literature suggests that aluminium free, zinc based glass polyalkenoate cements (Zn-GPC) may be suitable alternative materials for consideration in such applications as vertebroplasty. This paper, examines one formulation of Zn-GPC and compares its strengths, modulus, and biocompatibility with three commercially available bone cements, Spineplex, Simplex P and Cortoss. The setting times indicate that the current formulation of Zn-GPC sets in a time unsuitable for clinical deployment. However during setting, the peak exotherm was recorded to be 33 degrees C, the lowest of all cements examined, and well below the threshold level for tissue necrosis to occur. The data obtained from mechanical testing shows the Zn-GPC has strengths of 63 MPa in compression and 30 MPa in biaxial flexure. Importantly these strengths remain stable with maturation; similar long term stability was exhibited by both Spineplex and Simplex P. Conversely, the strengths of Cortoss were observed to rapidly diminish with time, a cause for clinical concern. In addition to strengths, the modulus of each material was determined. Only the Zn-GPC exhibited a modulus similar to vertebral trabecular bone, with all commercial materials exhibiting excessively high moduli. Such data indicates that the use of Zn-GPC may reduce adjacent fractures. The final investigation used the well established simulated body fluid (SBF) method to examine the ability of each material to bond with bone. The results indicate that the Zn-GPC is capable of producing a bone like apatite layer at its surface within 24 h which increased in coverage and density up to 7 days. Conversely, Spineplex, and Simplex P exhibit no apatite layer formation, while Cortoss exhibits only minimal formation of an apatite layer after 7 days incubation in SBF. This paper shows that Zn-GPC, with optimised setting times, are suitable candidate materials for further development as bone cements.     

Comorbidity and treatment planning: Summary and future directions.

Blends the commentaries from T. A. Brown and D. H. Barlow, K. T. Mueser et al, M. T. Shea et al, P. C. Kendall et al, H. Abikoff and R. G. Klein, and S. P. Hinshaw (see PA, Vol 80:13821, 13794, 14471, 13663, 13603, and 13616, respectively). Included is a discussion of various definitions of comorbidity, the merits and demerits of a hierarchical diagnostic system, and consideration of the extent, patterning, and nature of comorbidity. Directive comments with reference to future intervention planning mention both assessment (distinguishing overlapping constructs) and treatment (sequencing and treatment manuals) issues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Late-life depression and functional disability: the role of goal-focused group psychotherapy

This study compares the efficacy of two time-limited group psychotherapies for depression and functional disability in late life. Goal-focused group psychotherapy (GFGP) utilized focused psychoeducation and skills training to assist each patient in the achievement of individualized goals. Reminiscence therapy (RT) emphasized individual life review to facilitate discussion. Subjects (N = 13), ages 55 and above, with major depression were randomly assigned to one of the two groups. Most were receiving antidepressant treatment. All had failed to achieve full remission. Whereas both treatment groups improved in depressed mood and disability, GFGP subjects had a far greater change in depressive symptomatology and also improved in the areas of hope, hopelessness, anxiety and social functioning.     

Diagnostic Interview for Borderlines: Psychometric properties and validity.

The Diagnostic Interview for Borderlines (DIB) developed by J. G. Gunderson and J. E. Kolb (1976) performed well in distinguishing 59 patients with Diagnostic and Statistical Manual of Mental Disorders (DSM-III) diagnoses of borderline personality disorder from 31 psychotic inpatients and 50 personality-disordered outpatients (ages 16–55 yrs). However, there was no evidence to support the psychometric rationale for combining the 29 statements used to assess the borderline construct into the 5 area scores (social adaptation, impulse, affects, psychosis, and interpersonal relations) presently utilized in making a DIB borderline diagnosis. Findings do not replicate a previous discriminant function model (Gunderson and Kolb; see record 1979-23763-001) and suggest that further improvements in the construct validity of the DIB will require a clearer delineation of the features of the construct as well as additional studies of the psychometric properties of the present instrument. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evaluation of two novel aluminum-free,zinc-based glass polyalkenoate cements as alternatives to PMMA bone cement for use in vertebroplasty and balloon kyphoplasty

Vertebroplasty (VP) and balloon kyphoplasty (BKP) are now widely used for treating patients in whom the pain due to vertebral compression fractures is severe and has proved to be refractory to conservative treatment. These procedures involve percutaneous delivery of a bolus of an injectable bone cement either directly to the fractured vertebral body, VB (VP) or to a void created in it by an inflatable bone tamp (BKP). Thus, the cement is a vital component of both procedures. In the vast majority of VPs and BKPs, a poly(methyl methacrylate) (PMMA) bone cement is used. This material has many shortcomings, notably lack of bioactivity and very limited resorbability. Thus, there is room for alternative cements. We report here on two variants of a novel, bioactive, Al-free, Zn-based glass polyalkenoate cement (Zn-GPC), and how their properties compare to those of an injectable PMMA bone cement (SIMPL) that is widely used in VP and BKP. The properties determined were injectability, radiopacity, uniaxial compressive strength, and biaxial flexural modulus. In addition, we compared the compression fatigue lives of a validated synthetic osteoporotic VB model (a polyurethane foam cube with an 8 mm-diameter through-thickness cylindrical hole), at 0–2300 N and 3 Hz, when the hole was filled with each of the three cements. A critical review of the results suggests that the performance of each of the Zn-GPCs is comparable to that of SIMPL; thus, the former cements merit further study with a view to being alternatives to an injectable PMMA cement for use in VP and BKP.     

Rapid colorimetric bioassay for screening of Fusarium mycotoxins

Ultrasound energy was applied to 137 segments of human cadaver atherosclerotic arteries, 90 with calcified and 47 with noncalcified atheromatous plaque, and to 100 segments of healthy swine aorta. The average depth of penetration was dependent on the forward force of the ultrasonic probe, the duration of treatment, and the degree of atherosclerosis. There was one perforation of a fibrous plaque using a forward force of 2 Newton and 45 sec of application time. Injury of healthy intima was minimal. It is concluded that catheter-delivered ultrasound is effective and safe for the disintegration of atherosclerotic plaques. Presently, the main limitations of the system are the lack of flexibility and steerability.     

Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder.

Changes in attachment organization and reflective function (RF) were assessed as putative mechanisms of change in 1 of 3 year-long psychotherapy treatments for patients with borderline personality disorder (BPD). Ninety patients reliably diagnosed with BPD were randomized to transference-focused psychotherapy (TFP), dialectical behavior therapy, or a modified psychodynamic supportive psychotherapy. Attachment organization was assessed with the Adult Attachment Interview and the RF coding scale. After 12 months of treatment, participants showed a significant increase in the number classified secure with respect to attachment state of mind for TFP but not for the other 2 treatments. Significant changes in narrative coherence and RF were found as a function of treatment, with TFP showing increases in both constructs during treatment. No changes in resolution of loss or trauma were observed across treatments. Findings suggest that 1 year of intensive TFP can increase patients' narrative coherence and RF. Future research should establish the relationship between these 2 constructs and relevant psychopathology, identify treatment components responsible for effecting these changes, and examine the long-term outcome of these changes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)