A study of the personality characteristics, interests, and abilities of Boston University freshman women students in residence in relation to their choice of professional school or college

Thesis (Ed.M.)--Boston Universit

The Value of Clinical Practice Guidelines as Malpractice "Safe Harbors"

Examines the extent to which evidence-based recommendations for optimizing patient care could help reduce provider defensiveness and overutilization. Outlines context for and challenges in designing and implementing clinical guidelines as policy reform

Age Differences in the Desirability of Narcissism

Young adult narcissism has been the focus of much discussion in the personality literature and popular press. Yet no previous studies have addressed whether there are age differences in the relative desirability of narcissistic and non-narcissistic self-descriptions, such as those presented as answer choices on the Narcissistic Personality Inventory (NPI; Raskin & Hall, 1979). In Study 1, younger age was associated with less negative evaluations of narcissistic (vs. non-narcissistic) statements in general, and more positive evaluations of narcissistic statements conveying leadership/authority. In Study 2, age was unrelated to perceiving a fictional target person as narcissistic, but younger age was associated with more positive connotations for targets described with narcissistic statements and less positive connotations for targets described with non-narcissistic statements, in terms of the inferences made about the target’s altruism, conscientiousness, social status, and self-esteem. In both studies, age differences in the relative desirability of narcissism remained statistically significant when adjusting for participants’ own narcissism, and the NPI showed measurement invariance across age. Despite perceiving narcissism similarly, adults of different ages view the desirability of NPI answer choices differently. These results are important when interpreting cross-generational differences in NPI scores, and can potentially facilitate cross-generational understanding

Self-Compassion, Self-Injury, and Pain

We conducted an experiment to examine self-compassion and responses to pain among undergraduate women with and without histories of self-injury. After a writing task that has been shown to increase self-compassion in a values-affirming condition relative to a neutral control condition, participants completed a self-report measure of state self-compassion and the cold pressor task. As predicted, participants with a history of self-injury reported lower trait self-compassion than those without such a history, and participants in the values-affirming condition reported significantly higher state self-compassion than those in the control condition. Moreover, participants with a history of self-injury demonstrated significantly less insensitivity to pain in the values-affirming condition than the control condition. Future research should investigate the possibility that interventions involving self-compassion and/or affirmation of values may help correct high-risk responses to pain among those who self-injure

What You Don\u27t Know About Motivational Laptop Stickers

Mental health problems are on the rise among young adults in the U.S. (Kingkade, 2016). At the same time, today’s U.S. young adults are significantly more invested than their older counterparts in portraying themselves as “positive” (self-confident, easy-going, and happy; Berenson et al., 2018). Although many have begun to speculate that these two trends may be linked (e.g., Fagan, 2017), little empirical research on this issue exists

Hope, Ethnic Pride, and Academic Achievement: Positive Psychology and Latino Youth

Previous studies have found that hope has beneficial effects in athletics, academics, physical health, and mental well being in majority populations. Given the challenges Latino youth face in the United States, ethnic identity and hope may be a powerful buffer from these negative stressors. The current study aimed to identify whether chronic levels of hope related to academic performance, whether an ethnic pride manipulation altered state hope levels, and whether there was a link between ethnic identity and chronic hope among a sample of Latino youth. Results indicated that GPA and chronic hope levels were not related, a manipulation to boost ethic pride increased state hope, and that ethnic identity was related to chronic levels of hope. The findings suggest that ethnic identity is an important contributor to hope levels

Explicit and Inferred Motives for Nonsuicidal Self-Injurious Acts and Urges in Borderline and Avoidant Personality Disorders

Nonsuicidal self-injury (NSSI) is a perplexing phenomenon that may have differing motives. The present study used experience sampling methods (ESM) which inquired explicitly about the motives for NSSI, but also enabled a temporal examination of the antecedents/consequences of NSSI; these allow us to infer other motives which were not explicitly endorsed. Adults (n = 152, aged 18–65) with borderline personality disorder (BPD), avoidant personality disorder (APD), or no psychopathology participated in a 3-week computerized diary study. We examined 5 classes of explicit motives for engaging in NSSI, finding support primarily for internally directed rather than interpersonally directed ones. We then used multilevel regression to examine changes in affect, cognition, and behavior surrounding moments of NSSI acts/urges compared with control moments (i.e., without NSSI). We examined changes in 5 scales of inferred motives, designed to correspond to the 5 classes of explicit motives. The results highlight differing motives for NSSI among individuals with BPD and APD, with some similarities (mostly in the explicit motives) and some differences (mostly in the inferred motives) between the disorders. Despite their infrequent explicit endorsement, fluctuations in interpersonally oriented scales were found surrounding NSSI acts/urges. This highlights the need to continue attending to interpersonal aspects of NSSI in research and in clinical practice. Additionally, NSSI urges, like acts, were followed by decline in affective/interpersonal distress (although in a delayed manner). Thus, interventions that build distress tolerance and enhance awareness for affective changes, and for antecedent/consequence patterns in NSSI, could help individuals resist the urge to self-injure

Out of the Frying Pan, Into the Fire: Mixed Affective Reactions to Social Proximity in Borderline and Avoidant Personality Disorders in Daily Life

Social proximity typically helps individuals meet their belongingness needs, but several forms of psychopathology, including borderline and avoidant personality disorders (BPD and APD, respectively) are characterized by social difficulties. This experience-sampling study is one of the first to directly investigate the affective reactions of individuals with BPD and APD (compared with healthy controls [HC]) to social proximity in daily life. We examined both person-level and day-level reactions. At the person level, the rate of social proximity across the diary period was associated with diminished feelings of rejection, isolation, shame, and dissociation in the HC group. In contrast, it was not associated with any affective reaction in the BPD group, and was associated with decreased rejection and isolation on the one hand, but also with increased anxiety in the APD group. At the day level, we used multilevel regression to examine affective reactions when in social proximity. The HC group showed a consistent benefit when in social proximity. In contrast, both PD groups exhibited mixed affective reactions to social proximity; specifically, benefits (increased positive affect, decreased rejection, isolation, and dissociation) were interspersed with costs (increased shame for both PD groups; increased anger for BPD; increased anxiety for APD). The mixed reactions found in both PDs may contribute to the disturbed relationships of individuals with these disorders

Improving the Quality and Efficiency of the Medicare Program Through Coverage Policy

Outlines Medicare coverage and payment policy on new technologies and recommends changes that could help achieve the Triple Aim goals of enhancing the individual experience of care, improving population health, and reducing per capita costs of care

Age, Gender, and Socioeconomic Status Differences in Explicit and Implicit Beliefs About Effortlessly Perfect Self-Presentation

Feeling pressure to project an image of effortless perfection -- always appearing to perform with self-confidence and ease --- has been portrayed in the media as an increasingly common mental health vulnerability with potentially serious implications for college women. Despite this, almost no empirical research exists on effortlessly perfect self–presentation (EPSP) or demographic differences in it. • Some recent research suggests that perfectionism is on the rise among young people (Curran & Hill, 2017), and that it is more associated with mental health problems among students with high rather than low socioeconomic status (Lyman & Luthar, 2014). However, these studies did not focus specifically on EPSP, which differs from more typical perfectionism in that it prohibits apparent effort or anxiety while striving for perfection. Of the two published studies on EPSP, one did not examine demographic differences (Flett et al., 2016) and the other found higher endorsement of EPSP among men than among women (Travers et al., 2016). • Anonymous interviews we conducted about EPSP in 40 college students (Glazer et al., in prep) yielded very complex, self-contradictory responses suggesting that beliefs about EPSP may be characterized by stigma and ambivalence. For this reason we decided to focus the current study on indirect and implicit measures of EPSP. • In this study, participants completed three new scales about EPSP, along with the two existing measures of this phenomenon, several mental health measures, and demographics questions. They also rated the perceived social status and self-esteem of two target individuals in a within-person experimental design