The MGH (Keuthen et al., 1995) is a self-report instrument that assesses TTM through the measurement of the frequency, intensity, and perceived control of a participant's hair-pulling urges; the frequency, resistance, and perceived control over hair-pulling behaviors; and the participant's distress associated with hairpulling.
(For a detailed explanation about bootstrapping in an earlier issue of the Journal of Mental Health Counseling, see Gnilka, Ashby, Matheny, Chung, & Chang, 2015.) The indirect effect (ab) was the product of the effect of the independent variable (adaptive or maladaptive perfectionism) on the mediators (characterological, behavioral, and bodily shame; i.e., the a path) and the effect of the mediators on the dependent variable (TTM as measured by the MGH, i.e., the b path).
In the clinical sample, only behavioral shame mediated the relationship between maladaptive perfectionism and TTM symptom severity as assessed by the MGH. This finding suggests that counselors working with clients with TTM might benefit from attending to clients' feelings of shamefulness surrounding their inability to "just stop pulling" (Penzel, 2003).
The Massachusetts General Hospital (MGH) Hairpulling Scale: 1.
The new project is being constructed by and will also be operated by MGH and will add 3,000 MW of power to the grid when fully operational.
Once complete, the Baghdad Power Plant will take the total power produced by MGH in Iraq to 7,000 MW.
With a successful track-record of commissioning three power projects equipped with GE technologies already, we are committed to partnering with the government in building a strong efficient power infrastructure, said Ahmad Ismail, Chairman of MGH. The Baghdad Power Plant in Besmaya is truly path-breaking as it is the first of its kind by the private sector in central and south Iraq.
Through the Besmaya project, we are proud to set new benchmarks in the country with MGH for an independent power project that is financially sustainable, with lower emissions and reduced inspection and maintenance overheads.