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Interpersonal Trauma and the Inventory of Altered Self-capacities
Marsha Runtz, University of Victoria
John Briere, University of Southern
California
Background Identity issues, problems relating
to others, and affect control problems are associated with some types of personality disorders
Survivors of child maltreatment and other forms of interpersonal trauma often have difficulties in these areas
Inventory of Altered Self-capacities (IASC) Developed by John Briere (2000), USC Standardized with 620 randomly
sampled U.S. participants 63-item test of Self-capacities (i.e.,
relatedness, identity, affect regulation)
7 scales (two with 2 subscales each)
Concept of Self-capacities Involves three important adult tasks:
Formation and maintenance of meaningful relationships
Maintenance of a stable sense of personal identity and self-awareness
Ability to control and tolerate strong affect
Briere (1997); Kohut (1977); McCann & Perlman (1990)
Self-capacities on the IASC Relatedness (3 scales): formation and
maintenance of meaningful relationships
Interpersonal Conflicts (IC)
Idealization-Disillusionment (ID)
Abandonment Concerns (AC)
Self-capacities on the IASC Identity (2 scales): stable personal
identity & self-awareness
Identity Impairment (II): 2 subscales Self-awareness (II-S) Identity Diffusion (II-D)
Susceptibility to Influence (SI)
Self-capacities on the IASC Affect Control (2 scales): control and
tolerance of strong affect
Affect Dysregulation (AD) : 2 subscales Affect Skills Deficits (AD-S) Affect Instability (AD-I)
Tension Reduction Activities (TRA)
Relatedness Scales Interpersonal Conflicts:
Problems in relationships (romantic relationships, friendships, work or school relationships)
Involvement in chaotic, emotionally upsetting, and sometimes short-lived relationships
Potential for early termination of therapy
Relatedness Scales Idealization-Disillusionment
Dramatic change of one’s opinions about significant others (very positive to very negative)
Initial idealization changes to feelings of betrayal or disappointment
Similar dynamic may appear in the course of therapy
Relatedness Scales Abandonment Concerns
Sensitivity to perceived or actual abandonment by significant others
Expect and fear the termination of important relationships
May react to therapist’s unavoidable absences with excessive distress
Identity Scales Identity Impairment
difficulty in maintaining a coherent sense of identity and self-awareness
Self-awareness: lack of awareness of one’s goals and needs, or basis of one’s behavior
Identity Diffusion: tendency to confuse one’s thoughts, feelings, and perspectives with those of others
Identity Scales Susceptibility to Influence
Tendency to follow the directions of others without sufficient self-consideration and to accept uncritically other’s statements or assertions
May be more suggestible to therapeutic suggestions
Affect Control Scales Affect Dysregulation
Problems in affect regulation, including mood swings and inhibiting anger expression
Affect Skills Deficits: underlying deficits in affect control
Affect Instability: actual rapid changes in mood
Affect Control Scales Tension Reduction Activities
Reacts to painful internal states and affects with externalizing behaviors
Attempts to distract, soothe, or reduce internal distress
Externalizes when feeling frustrated, angry, or otherwise internally stressed
Qualities of the IASC Standardized & validated in 4
sample Normative sample (n = 620) Clinical sample (n = 116) University sample (UVic; n = 290) Community sample (n = 33)
Strong reliability and validity
Participants
Total N 580 University students
Women 73% (n = 425)
Men 27% (n = 154)
Age 19.5 (range 16 – 54)
Marital status 95% single
Race 83% Caucasian13% Asian
SES Middle class
Measurement of Trauma Detailed Assessment of Post-traumatic
Stress (DAPS; Briere, 2001)
12 item checklist to screen for trauma
Assesses potential Interpersonal trauma (IPT) and Non-interpersonal trauma (NIPT)
Traumatic Events (DAPS) Interpersonal Trauma (IPT)
9 items including: Robbery or physical assault Child sexual and physical abuse Sexual assault Witness another person get seriously
hurt
Traumatic Events (DAPS) Non-Interpersonal Trauma (NIPT)
Automobile accident Serious work or home accident Natural disasters (e.g., fire,
earthquake)
Potentially Traumatic Experiences
0
10
20
30
40
50
60
70
80
90
Overall IPT NIPT
% who had theevent% traumatized bythe event
Results Examined the relationship of IPT
and NIPT to the subscales of the IASC (using sex as a covariate): only IPT was significant, F (7,553) =
4.26, p<.001
Univariate analyses: IPT was related to all 7 subscales of the IASC
Post-hoc Univariate Results:
IPT was associated with greater: Interpersonal Conflicts F (1,559) = 10.8 Idealization-Disillusionment F (1,559) = 22.0 Abandonment Concerns F (1,559) = 13.3 Identity Impairment F (1,559) = 10.1 Susceptibility to Influence F (1,559) = 11.9 Affect Dysregulation F (1,559) = 19.4 Tension Reduction Activities F (1,559) = 19.6
all at p < .001
Multiple Traumatic Events
56% with any trauma had more than one traumatic event
Higher numbers of traumas were correlated with higher the scores on all IASC scales (range, r = .11 to r = .25; all at p<.001)
Those with more than one trauma had higher scores on all scales except Identity Impairment
Conclusions Being victimized by other people appears
to influence difficulties with self-capacities
The ability to maintain a stable identity, to function well in relationships, and to effectively regulate strong affect are linked to interpersonal victimization events
Conclusions As expected, greater amounts of
trauma overall are associated with greater difficulties with self-capacities
Those individuals with clinical elevations on the self-capacity scales also tended to have experienced interpersonal trauma
Clinical Implications Interpersonal victimization “effects” may
influence the therapeutic relationship Therapists may be guided in their
treatment of victims of violence by their assessment of client self-capacities
“Corrective emotional experiences” in the interpersonal realm during therapy may be particularly helpful when working with victims of IPT
Limitations of the Study Alternative explanations: poor self-
capacities may be a risk factor for IPT
Generalization difficulties due to the sample type
Measurement limitations regarding use of only screening questions for important types of victimization (e.g., child sexual abuse)
Future Research Other studies are being conducted
using more in-depth questions to assess IPT
More diverse samples need to be tested More complex models (e.g., mediational
models) require examination Clinical outcome studies of therapies
dealing with self-capacities are needed
For more information… On this study:
Contact Marsha Runtz, PhDUniversity of Victoria, [email protected]
On the IASC: See John Briere’s web page: www.johnbriere.comOrder the test from PAR: 1-800-331-
TEST orGo to www.parinc.com