Altered states of consciousness refer to qualitative shifts in an individual's overall pattern of mental functioning. This article presents the 3-part development and validation of a multidimensional self-report measure of autonomous sensory meridian response (ASMR). ASMR is an intensely pleasurable, head-orientated tingling sensation that typically occurs in response to specific, audiovisual triggers, producing feelings of comfort, relaxation and euphoria. A mixed-methods approach was adopted, conducting a content analysis on 303 accounts of ASMR, to derive a comprehensive self-report measure. Exploratory (n ϭ 453; n ϭ 448) and confirmatory analyses (n ϭ 448) were utilized to determine the underlying factor structure of the ASMR measure and replicability of findings across assessment applications. Convergent and divergent validity were assessed through comparisons with other, established alterations of consciousness, including frisson, absorption, alexithymia, flow, misophonia and anxiety. The resultant ASMR-15 demonstrated sufficient internal consistency (␣ ϭ .78) and validity as a measure of ASMR propensity, and may be useful to researchers interested in further exploring and disentangling ASMR from other alterations of consciousness.

AbstractBackgroundPersonality traits may influence development and adjustment to ongoing pain. Over the past 120 years, there has been considerable research into the relationship between pain and personality. This paper presents new evidence for common personality traits found amongst chronic pain sufferers. In particular, it evaluates evidence for Cloninger’s biopsychosocial model of personality in distinguishing typical personality features of chronic pain sufferers. It evaluates this evidence in the context of the past 120 years of research including psychodynamic formulations, MMPI studies, personality disorder investigations, and the influence of neuroticism on chronic pain.MethodsA literature search was conducted using PubMed, Medline, PsyclNFO, SCOPUS and Cochrane library. Search terms included chronic pain, pain, personality, neuroticism, harm avoidance, self-directedness, attachment, Temperament and Character Inventory (TCI-R), MMPI, MMPI-2, NEO-PI, EPI, Millon Clinical Multiaxial Inventory, Millon Behavioral Health Inventory, Millon Behavioral Medicine Diagnostic, the Personality Assessment Inventory, the Locus of Control Construct and different combinations of these terms.ConclusionsRecent descriptive studies using Cloninger’s Temperament and Character Inventory (TCI-R) suggest that higher harm avoidance and lower self-directedness may be the most distinguishing personality features of chronic pain sufferers. High harm avoidance refers to a tendency to be fearful, pessimistic, sensitive to criticism, and requiring high levels of re-assurance. Low self-directedness often manifests as difficulty with defining and setting meaningful goals, low motivation, and problems with adaptive coping. Evidence for this personality profile is found across a wide variety of chronic pain conditions including fibromyalgia, headache and migraine, temporomandibular disorder, trigeminal neuropathy, musculo-skeletal disorders and heterogeneous pain groups. Limitations are also discussed. For example, high harm avoidance is also found in those suffering anxiety and depression. While many studies control for such factors, some do not and thus future research should address such confounds carefully. The evidence is also evaluated within the context of past research into the existence of ‘a pain personality’. Psychodynamic formulations are found to be deficient in objective scientific methods. MMPI studies lack sufficient evidence to support ‘a pain personality’ and may be confounded by somatic items in the instrument. More recent neuroticism studies suggest a relationship between neuroticism and pain, particularly for adjustment to chronic pain. Personality disorders are more prevalent in chronic pain populations than non-pain samples.Clinical implicationsBecause harm avoidance reflects a tendency to developed conditioned fear responses, we suggest that higher harm avoidance may create more vulnerability to developing a fear-avoidance response to chronic pain. Furthermore, lower self-directedness may contribute to keeping a sufferer within this vicious cycle of fear, avoidance and suffering. Moreover, we suggest that harm avoidance and self-directedness are broader and more complex constructs than current clinical targets of CBT such as fear-avoidance and self-efficacy. Thus, assessing such personality traits may help to address the complexity of chronic pain presentations. For example, it may help to identify and treat sufferers more resistant to treatment, more prone to comorbidity and more vulnerable to entering the vicious cycle of chronic pain, suffering and disability.

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Autonomous sensory meridian response (ASMR) is a multidimensional sensoryaffective experience typically described as a head-oriented tingling sensation that occurs upon exposure to specific audiovisual triggers. Previous work using a 15-item multidimensional measure of ASMR propensity (Autonomous Sensory Meridian Response Scale [ASMR-15]), with sensory, affective, relaxation, and altered consciousness subscales, established the relationships between openness, absorption, and ASMR. However, the altered consciousness dimension of ASMR experiences remains relatively unexplored. As a result, this article explores the relationships between ASMR and a number of constructs associated with alterations in consciousness. Additional aims of the study were to assess the replicability of the established four factor structure of the modified ASMR-15, when administered to online interest group samples, and to explore the relationships between common ASMR trigger preferences and dimensions of ASMR propensity. To achieve this, the ASMR-15 was administered to participants from Facebook (n ϭ 201) and Reddit (n ϭ 256) ASMR interest groups, alongside measures of transliminality (Revised Transliminality Scale), unusual experiences (Unusual Experiences subscale), mindfulness (Mindful Attention and Awareness Scale), and body consciousness (Private Body Consciousness subscale). Additional items assessed participants' stimulus preferences from a list of common ASMR triggers, with an opportunity for the nomination of additional triggers, via free response. Through quantitative analyses, and categorization of qualitative responses, significant variation in preferences was observed across the sample. Correlational analyses indicated convergence between ASMR, transliminality, body consciousness, and unusual experiences, and divergence between the ASMR-15 and mindfulness scores. These findings open new avenues of ASMR exploration in relation to consciousness, specifically whether ASMR may be an altered state experience facilitated by thinner psychological boundaries.

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Scientific psychology involves both identifying and classifying phenomena of interest (description) and revealing the causes and mechanisms that contribute towards these phenomena arising (explanation). Within personality psychology, some propose that aspects of behavior and cognition can be explained with reference to personality traits. However, certain conceptual and logical issues cast doubt upon the adequacy of traits as coherent explanatory constructs. This paper discusses “explanation” in psychology and the problems of circularity and reification. An analysis of relations and intrinsic properties is then developed to address the logical requirements necessary for circumventing these problems. An examination of McCrae and Costa's defense of traits as explanatory constructs, in terms of “tendencies” and “dispositions” highlights logical issues that prevent traits, so defined, from explaining trait-like behaviors and cognitions. The logical requirements for a coherent trait-explanatory account are outlined and possible explanatory directions in trait-approaches are discussed. The ongoing tendency towards fallacious reasoning in psychology and suggestions for preventing this are further examined.

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This paper addresses the relationship between the ego, id, and internal objects. While ego psychology views the ego as autonomous of the drives, a less well-known alternative position views the ego as constituted by the drives. Based on Freud’s ego-instinct account, this position has developed into a school of thought which postulates that the drives act as knowers. Given that there are multiple drives, this position proposes that personality is constituted by multiple knowers. Following on from Freud, the ego is viewed as a composite sub-set of the instinctual drives (ego-drives), whereas those drives cut off from expression form the id. The nature of the “self” is developed in terms of identification and the possibility of multiple personalities is also established. This account is then extended to object-relations and the explanatory value of the ego-drive account is discussed in terms of the addressing the nature of ego-structures and the dynamic nature of internal objects. Finally, the impact of psychological conflict and the significance of repression for understanding the nature of splits within the psyche are also discussed.