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The NEO Personality Inventory was given to 33 married patients with bipolar disorder. Consistent with previous findings, patients with bipolar disorder did not show an abnormal personality profile as a group. Extremely wide variation on all scales indicated that the group profile tells little about individual patients. Trait neuroticism robustly predicted psychiatric symptoms at entry to the study when assessed retrospectively for the two years prior to entry and when averaged over a year of treatment. Neuroticism also negatively predicted the self-confidence of the patients in this sample. The patients identified as outliers on neuroticism form a clinically difficult group for whom the distinction between Axes I and II appears to be less meaningful.

01 Apr 1996·The Family Journal

Uncovering Secret Extramarital Affairs in Marriage Counseling

Author: Cottone, R. Rocco ; Lewis, Thomas ; Mannis, Jill

The extramarital sexual underground is defined by its prevalence and by its secret nature, even to the degree that marriage counselors may not be informed that an extramarital affair has occurred or is occurring. Reasons for affairs and for secrecy are provided, and the identifying characteristics of extramarital affairs are described. The authors present ethical methods that can be used by marriage counselors to promote revelation ofsecret andpotentially detrimental extramarital affairs. A strict ethical and legal position is taken regarding counselor responsibilities.

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