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This latter result is not surprising given that a person s ability to carry out reality testing functions effectively is not readily amenable to assessment via introspection and self-report From a psychodynamic perspective, two issues are central to the PD-ego strength relationship: overall impairment in reality testing and variability in reality testing over time and across situation Certain PDs are characterized by a greater degree of ego impairment (and poorer reality testing) than other PDs, and certain PDs are associated with greater temporal and situational variations in ego functioning A physiological analogue helps illustrate this process Just as individuals differ in overall level of reality testing and variability in reality testing over time, they differ with respect to baseline (resting) heart rate, as well as variation in heart rate in response to internal and external stimuli (what physiologists refer to as cardiovascular reactivity) Table 9.



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well-de ned procedures, hierarchical lines of communication, and a structured staff system (George & Stern, 1998, p 203) In evolutionary terms, they seek to preserve life by minimizing pain Competitive chief executives encourage more open and uninhibited expression of diverse opinions, analysis, and advice and tolerate or encourage organizational ambiguity, overlapping jurisdictions, and multiple channels of communication to and from the president (George & Stern, 1998, p 203) In evolutionary terms, they seek to enhance life by maximizing pleasure Collegial chief executives attempt to bene t from the advantages of both the competitive and formalistic approaches while avoiding their pitfalls Thus, they strive for diversity and competition in the policymaking system, balanced by encouraging cabinet of cers and advisers to identify at least partly with the presidential perspective and encouraging collegial participation (George & Stern, 1998, p 203).





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In evolutionary terms, collegial executives are intermediate on both the pleasure-seeking and pain-avoidant polarities The systematic import of a generative theory is implicit in the suggestion that Johnson s (1974) management model fails to account for at least two additional executive styles: complex types high on both the pleasure-seeking and pain-avoidant polarities, and undifferentiated types low on both valences Modes of Adaptation: The Passive Active Polarity The passive active polarity (Millon, 1990, pp 64 77; Millon, this volume) is conceptualized in terms of ecologic modi cation (active) and ecologic accommodation (passive); that is, whether initiative is taken in altering and shaping life s events or whether behaviors are reactive to and accommodate those events (Millon, this volume)..

Tomkins, 1947) was developed during the late 1930s by Henry Murray and Christiana Morgan at Harvard University. The TAT was originally designed to measure personality factors in research settings. Specifically, it was used to investigate goals, central conflicts, needs, press (i.e., factors that facilitate or impede progress towards reaching goals) and achievement strivings associated with Henry Murray s theory of personology (Murray, 1938). The TAT consists of 31 pictures

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2. Enter the number of elements in the array. Remember that the first element of an array is 0. If you re creating an array with 20 elements, enter 19. Listing 8-7 shows the code for an associative array with 20 elements.

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Department of Chemical Engineering1 , and Division of Biological Engineering2 , Massachusetts Institute of Technology, 77 Massachusetts Avenue, E25-342, Cambridge, Massachusetts 02139 Corresponding author: rlanger@mitedu 1 2 Embryonic Stem Cells Maintenance and Expansion of Human Embryonic Stem (HES) Cells 21 Preparation of Media and Reagents 211 Stock Solutions 212 Murine Embryonic Fibroblast (MEF) Medium 213 ES Cell Medium 214 Embryoid Body (EB) Cell Media 22 Preparation of MEF Cells Protocol 31 Seeding Cryopreserved Murine Embryonic Fibroblast (MEF) Cells Protocol 32 Seeding Mitotically Inactivated Murine Embryonic Fibroblasts (MEF) for hES Culture 23 ES Cell Expansion and Passaging Protocol 33 Passaging Human Embryonic Stem Cells (hES) with Collagenase 62 63 64 64 65 65 65 66 66 66 67 67.

with the theoretically relevant personality factor or facet (for preliminary evidence, see Felker, 2000; Hammond, 2000) Base rates also need to be examined so that rare problems can be eliminated from routine consideration Step 2 the systematic assessment of personality-related problems in living should be a part of all but the briefest and most focused psychotherapeutic encounters The patient may not wish to deal with some of these problems, or the clinician may feel they do not merit attention, but a broad understanding of how the patient adapts to his or her world should facilitate almost any intervention, from pastoral counseling to psychiatric hospitalization A focus on Step 2 problems constitutes what Westen and Arkowitz-Westen characterize as a functional assessment of personality, because it specifies concretely how the individual s personality traits create difficulties in his or her life.

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