The authors assessed effects of paraplegic and quadriplegic spinal cord injuries (SCIs) on posttraumatic stress disorder (PTSD) by comparing severity and prevalence of PTSD in these groups to a sample of controls who experienced traumatic injuries other than SCI. The authors found that veterans with quadriplegia reported significantly less severe current PTSD symptoms than controls who were not significantly different from veterans with paraplegia. These results suggest that sustaining a quadriplegic SCI decreases risk of current PTSD, whereas sustaining a paraplegic SCI is associated with greater risk of PTSD, although the risk is no greater than that incurred from experiencing the trauma itself.

Although well received by the clinical community, there have been few published reports on the use of the Millon Adolescent Clinical Inventory (MACI). There have been no published studies describing use of the MACI with a residential treatment population. In addition, there have been no published reports investigating the factor structure of the MACI. A principal components factor analysis was performed for all MACI scales and sex for 251 adolescents referred to a residential treatment facility. Five factors were found accounting for 77.4% of the variance. Factor-based prototypes were generated from these results: Factor 1 defines a prototype for Defiant Externalizers, Factor 2 for Intrapunitive Ambivalent Types, Factor 3 for Inadequate Avoidants, Factor 4 for Self-Deprecating Depressives, and Factor 5 for Reactive Abused Types. Prototype descriptions and clinical vignettes are included for each of the 5 factor-based prototypes. These results are consistent with our clinical experience with this population. Prototype analysis may offer a powerful way of enhancing the utility of the MACI in clinical settings.

People with disabilities are subject to the full range of psychopathology found among people in general. We have chosen to focus on assessment of disorders that may be especially relevant to those with disabilities such as mood, anxiety, substance abuse, and psychotic disorders. MS (Coyle & Roberge, 1992).

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R. Bockian describes a promising new approach to treating complicated depression, cases in which progress is painfully slow, elusive, or followed by relapse. The causes and experience of depression are influenced by personality style, or deeply rooted patterns of functioning in the world. Depression in a person with a dependent style, for example, differs markedly from that in someone with an antisocial personality. This volume demonstrates how, drawing insights from major theoretical orientations, psychotherapy can be tailored to address patients' varying issues and communication styles. As treating personality disorders alleviates depression, and vice versa, this approach offers new hope for progress in both realms.Using Theodore Millon's personality-guided therapy as framework, Bockian illuminates how specific personality types play into depression, and how taking personality into account enables psychologists to tailor their interventions to the patient and thus improve the prospects for long-term recovery. For each personality type, the author explores how prevalent depression is, what promotes and maintains it, how psychological, biological, and social factors contribute to it, and the role of medications and of therapist reactions to the patient. This groundbreaking book offers practitioners, researchers, and students a framework for understanding how personality factors increase vulnerability to depression or help buffer against it. 2006. 328 pages. Hardcover.