Psychiatry and Psychology Commons^™

Variations Of Emotion Dysregulation In Borderline Personality Disorder: A Latent Profile Analysis Approach With Adult Psychiatric Inpatients, Katrina A. Rufino, Thomas E. Ellis, Joshua Clapp, Catherine Pearte, J. Christopher Fowler

Faculty Publications

Background

The purpose of the present study was to identify variations in emotional dysregulation patterns among adults diagnosed with borderline personality disorder (BPD), with an eye toward implications for treatment.

Methods

Latent profile analysis (LPA) was utilized to classify 156 inpatients with BPD, based on patterns of Difficulties in Emotion Regulation Scale (DERS; Gratz and Roemer, J Psychopathol Behav Assess 26: 41-54, 2004) subscale scores.

Results

Results revealed that a three class solution best fit the sample (Low Impairment, Global Dysregulation, and Emotionally Aware). Further analysis of the classes at admission revealed that the Global Dysregulation group reported significantly higher …

Testing Emotion Regulation And Parasympathetic Nervous System Deficits As A Mechanism For The Transmission Of Borderline Personality Disorder, Julia R. Richmond

ETD Archive

The present study explored the role of parental physiological state and parental emotion regulation (ER) deficits on the relationship between parent borderline personality disorder (BPD) symptoms and child BPD symptoms. Participants were 110 adolescents aged 11-13 years and their legal guardians who completed measures of BPD symptom severity and emotion dysregulation before engaging in an interpersonal conflict discussion task while being monitored for peripheral psychophysiological signals (i.e., respiratory sinus arrhythmia; RSA). Multiple mediation analyses were conducted to examine the model proposed in this study. The results revealed that parent BPD symptoms predicted lower parent baseline RSA at trend level, but …

Gender Role Prescriptions And Apologies, Molly Fuller

ETD Archive

Malpractice litigations in the medical field are common occurrences. In fact, across specialties, 7.4% of physicians annually have a malpractice claim. Malpractice risk exists for all physicians regardless of their medical training, gender, specialization, or severity of damage caused to patients. Data from nearly 20 years of research revealed that male physicians face malpractice claims at a significantly higher rate than female physicians, but that female physicians pay more in malpractice settlements than their male counterparts. To date, we have found no research that investigates why this gender discrepancy among malpractice settlements occurs. This study examines Social Role Theory and …

The Clinical Features Of Paranoia In The 20th Century And Their Representation In Diagnostic Criteria From Dsm-Iii Through Dsm-5, Kenneth S. Kendler

Psychiatry Publications

This review traces, through psychiatric textbooks, the history of the Kraepelinian concept of paranoia in the 20th century and then relates the common reported symptoms and signs to the diagnostic criteria for paranoia/delusional disorder in DSM-III through DSM-5. Clinical descriptions of paranoia appearing in 10 textbooks, published 1899 to 1970, revealed 11 prominent symptoms and signs reported by 5 or more authors. Three symptoms (systematized delusions, minimal hallucinations, and prominent ideas of reference) and 2 signs (chronic course and minimal affective deterioration) were reported by 8 or 9 of the authors. Four textbook authors rejected the Kraepelinian concept of paranoia. …

A System To Monitor Cognitive Workload In Naturalistic High-Motion Environments, Bethany K. Bracken, Seth Elkin-Frankston, Noa Palmon, Michael Farry, Blaise De B Frederick

H-Workload 2017: Models and Applications (Works in Progress)

Across many careers, individuals face alternating periods of high and low attention and cognitive workload can impair cognitive function and undermine job performance. We have designed and are developing an unobtrusive system to Monitor, Extract, and Decode Indicators of Cognitive Workload (MEDIC) in naturalistic, high-motion environments. MEDIC is designed to warn individuals, teammates, or supervisors when steps should be taken to augment cognitive readiness. We first designed and manufactured a forehead sensor device that includes a custom fNIRS sensor and a three-axis accelerometer designed to be mounted on the inside of a baseball cap or headband, or standard issue gear …

Towards A Not Obtrusive Low Cost Biosystem To Assess Risk Perception In Workplace Through Stress Detection, Emanuele Bellini, Serena Benevenuti, Chiara Batistini

H-Workload 2017: Models and Applications (Works in Progress)

The main aim of the article is to build a method to assess risk perception in real time in order to early detect and prevent risk behaviors and possible human errors. To this end, the relation between mental workload and stress as critical factors affecting risk perception has been investigated. In particular the mental-physical activation generated by an increment of the workload has the effect of reducing the resources needed to perceive risk increasing the worker vulnerability. The complexity of the stress phenomenon suggested the adoption of an integrated view. The Functional Model has been adopted to for its holistic …

Evaluation Of Outcomes For Psychosis And Epilepsy Treatment Delivered By Primary Health Care Workers In Nepal: A Cohort Study., M J D Jordans, L Aldridge, N P Luitel, F Baingana, B A Kohrt

Psychiatry and Behavioral Sciences Faculty Publications

Background: Most evaluations of task-shifting have focused on common mental disorders. Much less work has been done on severe mental neurological and substance use (MNS) disorders, such as chronic psychosis and epilepsy. Given the high burden associated with severe MNS and the lack of mental health professionals in low and middle income countries, evaluations on the impact of task-shifting for these disorders are important.

Methods: In a rural district of Nepal, a community mental health program, based on World Health Organization's Mental Health Gap Action Programme guidelines, was evaluated using a cohort study design. People with epilepsy and psychotic disorders …

Addressing Culture And Context In Humanitarian Response: Preparing Desk Reviews To Inform Mental Health And Psychosocial Support., M Claire Greene, Mark J D Jordans, Brandon A Kohrt, Peter Ventevogel, Laurence J Kirmayer, Ghayda Hassan, Anna Chiumento, Mark Van Ommeren, Wietse A Tol

Psychiatry and Behavioral Sciences Faculty Publications

Delivery of effective mental health and psychosocial support programs requires knowledge of existing health systems and socio-cultural context. To respond rapidly to humanitarian emergencies, international organizations often seek to design programs according to international guidelines and mobilize external human resources to manage and deliver programs. Familiarizing international humanitarian practitioners with local culture and contextualizing programs is essential to minimize risk of harm, maximize benefit, and optimize efficient use of resources. Timely literature reviews on traditional health practices, cultural beliefs and attitudes toward mental health and illness, local health care systems and previous experiences with humanitarian interventions can provide international practitioners …

Different Not Less: An Evaluation Of The Autism Training Curriculum For The Kentucky Department Of Criminal Justice Training, Joseph Aaron Ellis

Online Theses and Dissertations

Autism spectrum disorder is one of the largest growing neurological behavioral disabilities in the United States, with a rise in diagnoses from 2012 (1 in 88) to present day (1 in 68). Studies have shown that individuals with disabilities are more likely to be victimized. Thus, the increasing diagnoses of ASD increases the chance that a victim of crime will have ASD. Police officers should have a working and growing knowledge of ASD from day one, for this reason. This exploratory study uses a literature review of autism spectrum disorder in order to develop an evaluation to analyze the curriculum …

To Nudge Or Not To Nudge: Promoting Environmentally Beneficial Behaviors, Emma Jean Cooper

Bard Center for Environmental Policy

In order to mitigate the effects of climate change, humans need to change how they act toward the environment. Unfortunately, as much as we may want to act in ways that would be best for us and for the environment, we often struggle to do just that due to cognitive biases. Nudge theory attempts to remedy this problem by helping us make the decision that would be in our best interests. To explore this issue, I conduct an extended review of the literature to examine how well nudge theory can be applied to the realm of environmental policy. Specifically, I …

Sharing Extended Summary Data From Contemporary Genetics Studies Is Unlikely To Threaten Subject Privacy, Silviu-Alin Bacanu

Psychiatry Publications

Background

Starting from a forensic problem, Homer et al. showed that it was possible to detect if an individual contributes only 0.5% of the DNA in a pool. The finding was extended to prove the possibility of detecting whether a subject participated in a small homogeneous GWAS. We denote this as the detection of a subject belonging to a certain cohort (SBCC). Subsequently, Visscher and Hill showed that the power to detect SBCC signal for an ethnically homogeneous cohort depends roughly on the ratio of the number of independent markers and total sample size. However, it …

Burnout-Depression Overlap: A Study Of New Zealand Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Mayor, Eric Laurent

Publications and Research

We examined the overlap of burnout with depression in a sample of 184 New Zealand schoolteachers. Burnout and depressive symptoms were strongly correlated with each other (r = .73; disattenuated correlation: .82) and moderately correlated with dysfunctional attitudes, ruminative responses, and pessimistic attributions. All the participants with high frequencies of burnout symptoms were identified as clinically depressed. Suicidal ideation was reported by 36% of those participants. Three groups of teachers emerged from a two-step cluster analysis: “low burnout-depression,” “medium burnout-depression,” and “high burnout-depression.” The correlation between the affective-cognitive and somatic symptoms of depression was similar in strength to the burnout-depression …

Whose Preferences Matter? A Patient-Centered Approach For Eliciting Treatment Goals, Nananda F. Col, Andrew J. Solomon, Vicky Springman, Calvin P. Garbin, Carolina Ionete, Lori Pbert, Enrique Alvarez, Brenda Tierman, Ashli Hopson, Christen Kutz, Idanis Berrios Morales, Carolyn Griffin, Glenn Phillips, Long H. Ngo

Department of Psychology: Faculty Publications

Background. Patients facing a high-stakes clinical decision are often confronted with an overwhelming array of options. High-quality decisions about treatment should reflect patients’ preferences as well as their clinical characteristics. Preference-assessment instruments typically focus on pre-selected clinical outcomes and attributes chosen by the investigator. Objective. We sought to develop a patient-centered approach to elicit and compare the treatment goals of patients with multiple sclerosis (MS) and healthcare providers (HCPs). Methods. We conducted five nominal group technique (NGT) meetings to elicit and prioritize treatment goals from patients and HCPs. Five to nine participants in each group responded silently to one question …

Virtual Reality And 2d Interfaces: A Comparison Of Visual Search Task Performance, Matthew Brown, Kathleen Van Benthem, James Howell, Jonathan Poisson, Scott Arburthnot, Chris Herdman

International Symposium on Aviation Psychology - 2017

Airborne surveillance operations present challenging environments for tactical operators and for the technologies that support these activities. Information from multiple sources is currently presented on 2D displays, but the influx of data hasmade it difficult to represent this informationusing traditional technologies. Recent innovations in VR have laid the groundwork for a promising solution to this problem by allowing users to immerse themselves in 3D representations of the real worldwith embodied tracking capabilities. The present research examined thefeasibility of transitioning two common tactical operator tasks from a 2D to a 3D/VR user interface. Naive participants searchedfor targets amongst a set of …

Does The Projected-Hand Illusion Help In Teleoperation?, Lloyd Wajon, M.M. (René) Van Paassen, David A. Abbink, Erwin Boer, Max Mulder

International Symposium on Aviation Psychology - 2017

A body illusion, commonly known in the form of the “Rubber Hand Illusion”, is an illusion wherein visual inputs on an inanimate object and simultaneous tactile inputs on a part of the body lead to a situation where the inanimate object is identified as the body part. This study investigated the possibility of inducing a body illusion during a teleoperated reaching task, to see if this leads toincreased telepresence and improved accuracy. Three conditions were presented in random order; the Direct Control (DC) condition, where the participant’s hand is shown on the screen, the Projected Hand Illusion (PHI) condition, showing …

A Pedagogical Approach To Teach Aviation Students How To Conduct Situation Awareness Research, Andrew R. Dattel, Andrey Babin, Tianhua Li, Ziyi Dong, Stephanie G. Fussell, Qianru Yang

International Symposium on Aviation Psychology - 2017

Situation awareness (SA) has been investigated in the aviation industry for decades and recently has become more prominent in other industries. For example, healthcare has experienced tremendous growth in SA research and training. Despite agreement among researchers that SA is important for performance and safety in complex domains, less agreement exists for defining and measuring SA. Certain industries (e.g., aviation, healthcare, process control operations) often have specific methods on how to approach SA. These approaches of introducing employees and students to SA in a specific context may inadvertently limit their full appreciation and understanding of this construct.

Pegasas: Weather Technology In The Cockpit, Ian Johnson, Geoff Whitehurst, Vladimir N. Risukhin, Lori J. Brown, William Rantz, Thomas K. Ferris, Trey Roady, Carolina Rodriguez-Paras, Kathryn Tippey, Mel J. Futrell

International Symposium on Aviation Psychology - 2017

Research showsthat a high percentage of weather-related General Aviation (GA) accidents can be attributed to pilots flying into Instrument Meteorological Conditions (IMC) without experience or appropriate certifications to safely operate beyond Visual Flight Rules (VFR). To makesafety-critical decisions, pilots oftenuse weather indication delivered on screens of portable electronic devices. This information often is obsolete with a latency up to20 minutes. Web-based experiential education modules, using a flight simulation system for demonstration of this weather indication latency, can potentially mitigate this problem.Modules will be designed to provide pilots with the ability to “experience” different weather phenomenaand will include tools to improve …

Role Of Early Flying Performance In Pilot Training Tracks, Rana Ihara, Yumi Shibata, Yuko Aiba, Takenori Nomiyama, Asao Kobayashi

International Symposium on Aviation Psychology - 2017

Early flying skills have been reported to strongly influence future flying skills. Few published studies have evaluated the comprehensive relationship among all flying training skills. This study evaluated three causal path models for flying skills that influenced flying performance rated by instructor pilots in five training phases. A covariance structure analysis showed that asequential model with a connection between the first and last phases was optimumfor representing flying training performance and skills. The flying skill acquired in the first training phase in a primary propeller aircraft influenced the last training skill in a fighter jet directly as well as indirectly. …

Predicting Air Traffic Control Student Success And Improving Placement Through Skill Aptitude Testing, Kerry Huston, Keith Baldwin, Susan Schultheis

International Symposium on Aviation Psychology - 2017

In orderto improve Air Traffic Control (ATC) training efficiency and reduce the risk of student failure, the FAA needstools that can predict student success and inform student placement in training. By considering student aptitude, the FAA could reduce training costs by reducing student failure rates and transfers between facilities.In order to explore the benefits of early aptitude assessment, The MITRE Corporation (MITRE) created a prototype Radar Vectoring Aptitude Test designed to be administered to students before they begin their training to assess their aptitude for the skill of radar vectoring. The FAA office of Safety and Technical Training (AJI-2) in …

Experimental Evaluation Of A Scalable Autonomy Concept For Cognitive Agents Aboard Reconnaissance Uavs, Georg Rudnick, Axel Schulte

International Symposium on Aviation Psychology - 2017

The concept of scalable autonomy with a guided access to lower automation levelsallows human UAV pilots to select the level of autonomy and enables the onboard automation to understand the pilot’s intent and offer support. To evaluate this concept, we conducted flightand simulationexperiments with German military personnel performing reconnaissance missions with a small UAV. We compared threeconfigurations. The high autonomy configuration completely prevents access to low-level functions. The naive approach configuration allows unrestricted access to all lower-level functions. The guided access configuration restricts access by forcing the pilot to communicate his intent first by entering mission tasks. As dependent variables, …

Evaluating Spatial-Auditory Symbology For Improved Performance In Low-Fidelity Spatial Audio Displays, Griffin D. Romigh, Jose Villa, Jason Ayers

International Symposium on Aviation Psychology - 2017

For decades, spatial auditory displays have been considered to be a promising technology to help fight pilot disorientation and loss of SA. Inherently heads-up, these displays can provide time-critical spatial information to pilots about navigational targets, air and runway traffic, wingman location, and even the attitude of one’s aircraft without placing additional demands on the already over-tasked visual system. Unfortunately, currently-fielded auditory displays often suffer from poor spatial fidelity, particularly in elevation, due to their use of a one-size-fits-all (i.e., non-personalized) head-related transfer function (HRTF), the set offilters responsible for creating the spatial impression. The current study investigated the utility …

Engineering For Humans: A New Extension To Systems Theoretic Process Analysis, Megan France, John Thomas

International Symposium on Aviation Psychology - 2017

Systems Theoretic Process Analysis (STPA) is a new hazard analysis method developed at MIT to address a broad range of accident causal factors including dysfunctional interactions among components, design flaws, and requirements problems. This paper presentsa new extension for analyzing human interactions with automation and understanding why unsafe behaviors may appear appropriate in the operational context. The extension is demonstrated by applying it to pilot control of aircraft pitch control during stall recoveryusing scenarios from theAir France 447 accident

An Interdisciplinary Approach To Evaluating U.S. Army Aviation Training, Martin S. Goodwin, Lauren Reinerman-Jones, Brian F. Goldiez, Robert A. Crapanzano

International Symposium on Aviation Psychology - 2017

The U.S. Army is seeking to update and expand its use of simulation-based aviation trainingto address operational and fiscal concerns that are driving the need for more efficient training solutions.This has created a needto evaluate whether lower-cost, game-based simulations may potentially augment higher-cost, traditional simulation-based trainingfor specific aviation training tasks.However, current approaches to Training Effectiveness Evaluation (TEE) do not address the complete range of factors to adequately evaluate today’s increasingly sophisticated simulation training environments. Leveraging recent research and drawing from the tools and techniques of human performance assessment, instructional science, and phenomenology, an interdisciplinary approach to performing TEEs is introduced …

Increasing Acceptance Of Haptic Feedback In Uav Teleoperations By Visualizing Force Fields, Victor Ho, Clark Borst, Rene Van Paassen, Max Mulder

International Symposium on Aviation Psychology - 2017

In tele-operating an UAV, human operators fully rely on cameras to control thevehicle from a distance. To increase operator situation awareness and reduce workload, haptic feedback on the control stick has been developed which acts as an automatic collision avoidance system. A virtual force field surrounding the moving vehicle interacts with obstacles surrounding it,yielding repulsive forces on the stick that leadthe vehicle away from them. Albeit successful in significantly reducing the number of collisions,thehaptic interfacereceivedlow user acceptance ratings.Operators do not always fully understand the collision avoidance automation intentions, and they experience the haptic forces as intrusive. This paper discusses thedevelopment …

Human Decision Making And Threat-Awareness Response During Emergency Aircraft Evacuations, Sarah Hubbard, Tim Ropp

International Symposium on Aviation Psychology - 2017

Aircraft emergencies requiring evacuation present unique safety challenges to both crew and passengers due to theconfined space and the speed at which fire, extreme heatand smoke propagate. In thisscenario, where a one or two second delay can literally determine survivability, rapid evacuation is paramount. Although evacuation capability is demonstrated through requiredand controlleddrillsfor aircraft certification, during a real emergencyhuman factorsaffect passenger decision making, in some cases resulting in the decisionto retrieve personal items during actual emergency evacuations. This may pose a significant threat to post-accident survivability. This research evaluates evacuation decision making and the associated impact on passenger exit flow, during …

Work Dynamics Of Task Work And Teamwork In Function Allocation For Manned Spaceflight Operations, Martijn Ijtsma, Lanassie M. Ma, Amy R. Pritchett, Karen M. Feigh

International Symposium on Aviation Psychology - 2017

This paper proposes a methodology for human-robot function allocation for future manned space exploration missions that uses fast-time computational simulation. Dynamics of taskwork and teamwork often result in emergent work patterns that are difficult to predict from static analysis of function allocations. Wemodel thedynamics of taskwork and teamwork and demonstrate our approach through a case study that explores the function allocation design space for an on-orbit maintenancemissioninvolving humans and various robots. The case study highlightsthe method’s ability to predict possible concerns associated with limited availability of physical resources, action interdependencies, and communication requirements with possible time delays, and shows the …

Empirically Evaluating Representational Aids For Target Tracking And Sensor Management, Taleri Hammack, Jared Neely, Terry Stanard, Jason Roll, John Flach

International Symposium on Aviation Psychology - 2017

Today, security officers at military and civilian installations are often required to track people and vehicles (targets) movingin a remote space using a distributed array of stationary security cameras. A pervasive tracking challenge is maintaining view of the target as it moves through the restricted fields of view of different cameras. The current research explores how different displaydesigns indicating camera fields of viewimpact the operator’s situation awareness of the next best camera to continue viewing a moving target. Three different interface displays(Full North-Up Map, Peripheral Display, and Track-Up Mini-Map) wereevaluated over four experimental conditions.While having all display types available was …

Human Performance Assessment: Evaluation And Experimental Use Of Wearable Sensors For Brain Activity Measures, Kurtulus Izzetoglu, Dale Richards, Lei Ding, Chen Ling, Ben Willems

International Symposium on Aviation Psychology - 2017

The emerging wearable human performance monitoring technologies can help evaluate the cognitive status and capacities of the crew in the cockpit as well as those operating ground control stations. Traditionally the use of behavioral measures and subjective metrics has been used to address cognitive factors associated with pilots or operators of safety critical systems. However, the advance in wearable physiologytechnologies could provide additional performance metrics directly driven from brain based measures, potentially validating subjective assessments and ultimately bringing us closer towardsmaintaining safe and effective performance. Furthermore, these techniques may also aidthe design and evaluation of new technologies that are being …

Student Perceptions On The Usefulness Of Simulation-Based Training, Andrea M. Georgiou, Megan E. Wertheimer, Megan E. Snodgrass

International Symposium on Aviation Psychology - 2017

The NASA Flight Operations Center Unified Simulation (FOCUS) lab is a high-fidelity simulation of an airline operations center. Its purpose is to train senior aerospace students to collaborate and communicate effectively with team members in a highly interdependent environment that mirrors the airline industry. Data wascollected from the participants on their perceptions and the lessons learned from running the lab. These results were analyzed across elevensemestersover the last five years. Specifically,the quantitative data captured student perceptions about whether the lab was helpful in preparing them for their future job demands. The qualitative questions assessed their most important lessons learned, the …

Toward Identifying Risk In Operational Performance Of Atc Procedures, Paul Krois, Julia Pounds

International Symposium on Aviation Psychology - 2017

Managing operationalperformance to reduce risk in the execution of air traffic control (ATC) procedures depends on understanding human performance in relation to patterns established in procedures. Procedures specify performance requirements meant to minimize unintended variation that is outside expected performance criteria and tolerances.We define human performance risk as unintended variation outside theenvelope of applicable procedures.