Borderline personality features are associated with worse perceptions of (but not compliance with) chronic pain treatment.

Treating chronic illness requires ongoing patient-provider cooperation, but individual differences in patients' negative perceptions of care can undermine this cooperation. Research suggests people high on borderline personality disorder (BPD) features may react negatively to and comply less with mental health and medical treatment. This might be particularly problematic in chronic pain treatment, where BPD features are over-represented and the dysregulation typifying BPD likely undermines consistent care.

Truthfulness Predominates in Americans' Conceptualizations of Honesty: A Prototype Analysis.

Honesty is a near universally valued trait. However, the term captures a litany of traits and behaviors, obscuring research on social perceptions and trait measurement of honesty and creating philosophical difficulties in accounting for what (if anything) unifies this diversity. We applied a prototype analysis approach to identify the most central elements of lay honesty conceptualizations, identifying elements that come to mind and are explicitly acknowledged as important to honesty.

Consensus, controversy, and chaos in the attribution of characteristics to the morally exceptional.

Objective: What do people see as distinguishing the morally exceptional from others? To handle the problem that people may disagree about who qualifies as morally exceptional, we asked subjects to select and rate their own examples of morally exceptional, morally average, and immoral people.

Method: Subjects rated each selected exemplar on several enablers of moral action and several directions of moral action. By applying the logic underlying stimulus sampling in experimental design, we evaluated perceivers' level of agreement about the characteristics of the morally exceptional, even though perceivers rated different targets.

Investigating corroboration of self-perceived posttraumatic growth among Sri Lankan Tamil survivors of ethnopolitical warfare through trait, domain, and profile agreement approaches.

Though research on assessing posttraumatic growth has been severely critiqued, some evidence suggests close others can observe and report changes in individuals following traumatic life events and are sensitive to idiosyncratic ways in which changes manifest. We extended these findings by investigating corroboration of self-perceived posttraumatic growth (PTG) and depreciation (PTD) as measured by the Posttraumatic Growth Inventory-42 (PTGI-42) among Sri Lankan Tamil war survivors (n = 200). Informants slightly corroborated overall levels of PTG and PTD, while a more nuanced profile analysis procedure revealed overall-but not distinctive-profile agreement.

Testosterone and cortisol do not predict rejecting harm or maximizing outcomes in sacrificial moral dilemmas: A preregistered analysis.

Contemporary moral psychology explores the biological underpinnings of morality, including how neuromodulators influence moral judgment and decision making. Some studies suggest that higher circulating testosterone is associated with increased acceptance of sacrificial harm, such as killing one person to save five lives, consistent with utilitarian ethics and inconsistent with deontological ethics. However, most studies employ conventional analytic techniques that conflate concern about outcomes with reduced concern about sacrificial harm, many are statistically underpowered, and none examine potential regulating effects of cortisol.

APRNs' controlled substance prescribing and readiness following Florida legislative changes.

Two years after the Florida legislature expanded APRN prescribing to include schedule II-IV drugs in 2017, we studied APRN utilization of this prescriptive authority. Study results reveal that Florida APRNs are meeting the educational requirements to prescribe and apply the use of these drugs in practice, improving patient access to care.

Borderline Personality Disorder Features and Risk for Prescription Opioid Misuse in a Chronic Pain Sample: Roles for Identity Disturbances and Impulsivity.

Although borderline personality disorder (BPD) is associated with both chronic pain and substance abuse, little research examines how BPD features in chronic pain patients may constitute a risk factor for misuse of prescription opioids, and no prior research has examined which particular component(s) of BPD might put chronic pain patients at risk-an oversight that undermines prevention and treatment of such problematic opioid use. In a cross-sectional study of patients in treatment for chronic pain ( = 147), BPD features were associated with several measures of prescription opioid misuse, even controlling for pain severity and interference. Specifically, the identity disturbances and self-harmful impulsivity facets of BPD were most consistently associated with opioid misuse, and exploratory analyses suggested that these factors may be interactive in their effects.

Mirror, mirror, on the wall, who is deontological? Completing moral dilemmas in front of mirrors increases deontological but not utilitarian response tendencies.

Recent evidence suggests moral dilemma responses reflect concerns about image and identity. If so, enhancing self-awareness should impact dilemma responses-possibly increasing both harm-rejection (consistent with deontological philosophy) and outcome-maximization tendencies (consistent with utilitarian philosophy). Yet, conventional analyses may not detect such effects because they treat harm-rejection and outcome-maximization tendencies as diametric opposites.

Borderline Personality Disorder Features Are Associated with Concurrent Pain-Related Disability in a Chronic Pain Sample.

Objective: To determine whether core features of borderline personality disorder are associated with increased rates of being on disability benefits due to chronic pain conditions.

Subjects: A total of 147 patients currently in treatment for chronic pain at a multimodal chronic pain clinic.

Methods: We tested for a concurrent relationship between borderline personality disorder features and employment status using self-report measures.

Not just bad actions: Affective concern for bad outcomes contributes to moral condemnation of harm in moral dilemmas.

Moral dilemmas typically entail directly causing harm (said to violate deontological ethics) to maximize overall outcomes (said to uphold utilitarian ethics). The dual process model suggests harm-rejection judgments derive from affective reactions to harm, whereas harm-acceptance judgments derive from cognitive evaluations of outcomes. Recently, Miller, Hannikainen, and Cushman (2014) argued that harm-rejection judgments primarily reflect self-focused-rather than other-focused-emotional responses, because only action aversion (self-focused reactions to the thought of causing harm), not outcome aversion (other-focused reactions to witnessing suffering), consistently predicted dilemma responses.

Accounting for the association between BPD features and chronic pain complaints in a pain patient sample: The role of emotion dysregulation factors.

Although borderline personality disorder (BPD) features consistently show strong relations with chronic pain, the mechanisms underlying this association remain unclear. BPD is characterized by dysregulated emotion. Given previously observed relationships between emotion dysregulation and pain, we hypothesized that components of this dysregulation-elevated and labile negative affect and emotion sensitivity-would account for the relationship between BPD features and various pain complaints in a chronic pain patient sample.

Impulsivity and risk for prescription opioid misuse in a chronic pain patient sample.

Misuse of, and addiction to, prescription opioid pain relievers is a growing concern, in both non-clinical samples and chronic pain patients receiving opioid analgesic therapy. Research is needed to identify which patients may be more prone to misuse or dependence on opioids in a chronic pain treatment setting. Based on literature showing the role of impulsivity in substance use disorders generally, we predicted that impulsivity may also be important to understanding which individuals may be at risk for opioid misuse when opioids are prescribed for pain.