A. Jill Clemence's research while affiliated with Rutland Regional Medical Center and other places
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Publications (18)
Performance-based assessment methods provide important insight into psychological functioning in ways that differ from those accorded by more structured tasks. Data obtained through performance-based methods can reveal the underlying issues, concerns, and preoccupations that are salient in understanding a respondent’s personality functioning and pr...
The two polarities model (TPM) of personality organizes psychological assessment and psychotherapy and connects to personality disorder diagnosis using the DSM-5 Alternative Model for Personality Disorders (AMPD). The authors developed scales assessing the TPM from an existing self-report measure for level of personality functioning (LPF), a core c...
Research has shown differences in the characteristics of suicidal behavior in individuals with dependent (anaclitic) versus self-critical (introjective) personality styles. Questions remain, however, as to what factors distinguish suicidal from nonsuicidal individuals within each personality style. The current study examined clinical and interperso...
The Social Cognition and Object Relations Scale–Global Rating Method (SCORS–G; Westen, 1995 Westen, D. (1995). Social Cognition and Object Relations Scale: Q-sort for Projective Stories (SCORS-Q). Unpublished manuscript. Cambridge, MA: Department of Psychiatry, The Cambridge Hospital and Harvard Medical School. [Google Scholar]) has been widely use...
Objective:
This study's objective was determine the incremental association of reasons for living to the lifetime number of suicide attempts in relation to other known risk and protective factors in a sample of psychiatric patients with extensive psychopathology in residential treatment.
Methods:
Participants (n = 131) completed a demographic qu...
Objective:
Patients with a history of suicidal ideation or attempts, especially if they have serious psychopathology with repeated hospitalizations, are burdened by ongoing risk for suicide. We studied this high-risk group to assess their psychological status following their most recent suicide attempt, in contrast to equally ill patients without...
The Substance Abuse and Mental Health Services Administration (SAMHSA) has recently begun to fund programs that train medical residents on how to utilize an evidence-based validated system known as Screening, Brief Intervention, and Referral to Treatment (SBIRT) for providing early detection and brief treatment of unhealthy substance use. This pape...
Screening, Brief Intervention, and Referral to Treatment (SBIRT), an evidence-based validated system for providing early detection and brief treatment of substance use disorders, has been widely used in the training of medical residents across specialties at a number of sites. This paper investigates the effectiveness of SBIRT training during short...
While studies have demonstrated connections between impairments in object relations and self-destructive behaviors in individuals with borderline personality disorder (BPD), few have investigated whether these impairments relate to actual suicidal behaviors. The current study utilized the Social Cognition and Object Relations Scale-Global Method to...
Research in psychoanalysis is in many ways dependent on some level of engagement with patients in ongoing treatments. The use of patients as study participants may complicate the process of research as well as affect treatment outcomes, and, thus, requires that researchers and clinicians give careful thought to the ways in which they involve patien...
This study examines the interviewer's use of immediacy during a dynamic interview to enhance the patient's ability to process affective material and deepen personal exploration. Using a microprocess design, immediacy events were identified and rated using the Consensual Qualitative Rating method. Moment-to-moment in-session activity was rated by tr...
Calls for more rigorous psychoanalytic studies have increased over the past decade. The field has been divided by those who assert that psychoanalysis is properly a hermeneutic endeavor and those who see it as a science. A comparable debate is found in research methodology, where qualitative and quantitative methods have often been seen as occupyin...
Long-term data about recovery from suicidal and self-destructive phenomena are limited. We examined these phenomena in a naturalistic, follow-along study of 226 adults with treatment-refractory disorders admitted at the Austen Riggs Center. Follow-along interviews systematically rated suicidal ideation, suicide attempts, self-mutilation, and other...
This study investigates the facets of the alliance and their relationship with estimated effectiveness of psychotherapy using a measure called the Combined Alliance Short Form (CASF; Hatcher, 1999; Hatcher & Barends, 1996; Hatcher, Barends, Hansell, & Gutfreund, 1995). Because the CASF has both patient and therapist versions, it was possible to com...
Citations
... In general, the utility of the SCORS-G as an interpretive framework for understanding TAT narratives has been demonstrated in a number of previous studies conducted across a wide range of clinical and nonclinical populations (Ackerman et al., 1999(Ackerman et al., , 2001Clemence & Lewis, 2018;Freedenfeld et al., 1995;Hibbard et al., 1995;Lewis et al., 2014Lewis et al., , 2016Lewis, Meehan, et al., 2021;Lewis & Ridenour, 2020;Lewis, Ridenour, et al., 2021;Orndu et al., 1994;Orndu & Kelsey, 1996;Peters et al., 2006;Porcerelli et al., 1995;Ridenour et al., 2019;Stricker & Healey, 1990;Westen, 1991aWesten, , 1991bWesten, Lohr, et al., 1990;Westen, Ludolph, Block, et al., 1990;Westen, Ludolph, Lerner, et al., 1990). Recent extensions of SCORS-G research beyond investigations into its nomothetical network have included the establishment of preliminary norms for nonclinical populations (Bram, 2014), exploration of alternative scoring and interpretation approaches for predicting long-term psychiatric outcomes (Clemence & Lewis, 2018;Ridenour et al., 2022), studies of the longitudinal stability of the SCORS-G dimensions in clinical populations (Ridenour et al., 2022), and evaluation of the in uence of TAT card stimuli and rater bias on respondent subscale performance (e.g., "card pull" e ects; Auletta et al., 2018;Ridenour et al., 2021;Siefert et al., 2016;Stein et al., 2014). ...
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... It is noteworthy that a considerable body of research regarding suicidal behavior in schizophrenia has focused on the description of its risk factors and prevention strategies (7,8,9,10,11), whilst less research has been conducted to elucidate its potential protective factors (12,13). Protective factors in this sense, are de ned as personal and psychosocial conditions which diminish an individual's probability of displaying suicidal behaviors (2). ...
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... [LPO]) may be calculated by averaging dimension scores across all eight SCORS-G dimensions . The assessor may also report additional subscale data, such as the respondent's highest and lowest scores on each subscale, as an index of their relative exibility versus rigidity of functioning within each domain (Clemence & Lewis, 2018). This approach may be particularly useful on subscales that include neutral codes. ...
... When the literature is examined, the level of depression decreases as the reasons for living increase. It becomes a protective factor for suicidal behavior (Bakhiyi et al., 2017;Flowers, Walker, Thompson & Kaslow, 2014;Tillman et al., 2017). When the reasons for living are evaluated as life goals and expectations, it can play a role as a protective factor against suicidal ideation (Luo, Wang, Cai & Wang, 2016). ...
... [13][14][15][16][17] Feasibility studies from the early phases of these projects determined that infusing SBIRT curriculum into existing training programs was indeed possible. [13][14][15][18][19][20][21][22][23][24] The progress of developing and implementing curricula that yielded changes in resident attitudes and behaviors has been substantial. Residents not only reported satisfaction with training, 13-14, 17, 25 they also demonstrated improvements in knowledge. ...
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... 12 The goal of these grants was to train future health care providers to identify and address unhealthy alcohol and drug use through a process known as Screening, Brief Interventions, and Referral to Treatment (SBIRT), in hopes that they would carry these skills into their future practices. [13][14][15][16][17] Feasibility studies from the early phases of these projects determined that infusing SBIRT curriculum into existing training programs was indeed possible. [13][14][15][18][19][20][21][22][23][24] The progress of developing and implementing curricula that yielded changes in resident attitudes and behaviors has been substantial. ...
... In general, the utility of the SCORS-G as an interpretive framework for understanding TAT narratives has been demonstrated in a number of previous studies conducted across a wide range of clinical and nonclinical populations (Ackerman et al., 1999(Ackerman et al., , 2001Clemence & Lewis, 2018;Freedenfeld et al., 1995;Hibbard et al., 1995;Lewis et al., 2014Lewis et al., , 2016Lewis, Meehan, et al., 2021;Lewis & Ridenour, 2020;Lewis, Ridenour, et al., 2021;Orndu et al., 1994;Orndu & Kelsey, 1996;Peters et al., 2006;Porcerelli et al., 1995;Ridenour et al., 2019;Stricker & Healey, 1990;Westen, 1991aWesten, , 1991bWesten, Lohr, et al., 1990;Westen, Ludolph, Block, et al., 1990;Westen, Ludolph, Lerner, et al., 1990). Recent extensions of SCORS-G research beyond investigations into its nomothetical network have included the establishment of preliminary norms for nonclinical populations (Bram, 2014), exploration of alternative scoring and interpretation approaches for predicting long-term psychiatric outcomes (Clemence & Lewis, 2018;Ridenour et al., 2022), studies of the longitudinal stability of the SCORS-G dimensions in clinical populations (Ridenour et al., 2022), and evaluation of the in uence of TAT card stimuli and rater bias on respondent subscale performance (e.g., "card pull" e ects; Auletta et al., 2018;Ridenour et al., 2021;Siefert et al., 2016;Stein et al., 2014). ...
... In general, the utility of the SCORS-G as an interpretive framework for understanding TAT narratives has been demonstrated in a number of previous studies conducted across a wide range of clinical and nonclinical populations (Ackerman et al., 1999(Ackerman et al., , 2001Clemence & Lewis, 2018;Freedenfeld et al., 1995;Hibbard et al., 1995;Lewis et al., 2014Lewis et al., , 2016Lewis, Meehan, et al., 2021;Lewis & Ridenour, 2020;Lewis, Ridenour, et al., 2021;Orndu et al., 1994;Orndu & Kelsey, 1996;Peters et al., 2006;Porcerelli et al., 1995;Ridenour et al., 2019;Stricker & Healey, 1990;Westen, 1991aWesten, , 1991bWesten, Lohr, et al., 1990;Westen, Ludolph, Block, et al., 1990;Westen, Ludolph, Lerner, et al., 1990). Recent extensions of SCORS-G research beyond investigations into its nomothetical network have included the establishment of preliminary norms for nonclinical populations (Bram, 2014), exploration of alternative scoring and interpretation approaches for predicting long-term psychiatric outcomes (Clemence & Lewis, 2018;Ridenour et al., 2022), studies of the longitudinal stability of the SCORS-G dimensions in clinical populations (Ridenour et al., 2022), and evaluation of the in uence of TAT card stimuli and rater bias on respondent subscale performance (e.g., "card pull" e ects; Auletta et al., 2018;Ridenour et al., 2021;Siefert et al., 2016;Stein et al., 2014). ...
... Clinicians tend to feel devaluated, unappreciated, demeaned, or belittled by narcissistic patients during psychotherapy (e.g., Kernberg, 1975Kernberg, , 2014Gabbard, 2009b). These reactions may reflect patients' typical affective-interpersonal difficulties, which frequently involve behavior that is domineering, controlling, competitive, hostile, and cold, as well as a defensive tendency to criticize and devalue others due to feelings of inferiority and attempts to stabilize fluctuating self-esteem (e.g., Perry and Perry, 2004;Clemence et al., 2009;Ogrodniczuk and Kealy, 2013). ...
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... The second was a clinical sample that consisted of 63 therapists who completed ratings on 259 different patients. Previous research found α's ranging from 0.75 to 0.86 (Hatcher, 1999), and Clemence et al. (2005) examined a subset of the current participants and found coefficient α's ranging from 0.74 to 0.91. The scale has adequate reliability and validity per the original article by Horvath and Greenberg (1989) that used data from three studies. ...
