Relation of Psychiatric Symptoms with Epilepsy,Asthma, and Allergy in Youth with ASD vs. Psychiatry Referrals

The present study aimed to characterize the association of psychopathology with the clinical correlates of epilepsy, asthma, and allergy within and between neurobehavioral syndromes. Participants were consecutively evaluated youth (6–18 years, 75 % male) with autism spectrum disorder (ASD; n = 589) and non-ASD outpatient psychiatry referrals (n = 653). Informants completed a background questionnaire (parents) and a psychiatric symptom severity rating scale (parents, teachers). Youth with ASD had higher rates of epilepsy and allergy but not asthma than psychiatry referrals, even when analyses were limited to youth with IQ ≥ 70. Somatic conditions evidenced variable associations with medical services utilization, educational interventions, family income, and maternal education. Youth with ASD with versus without epilepsy had more severe ASD social deficits (parents’ ratings) and less severe ASD repetitive behaviors (teachers’ ratings). Epilepsy was associated with more severe depression, mania, and schizophrenia symptoms in youth with ASD. Youth with allergy (psychiatry referrals only) had more severe anxiety and depression symptoms (parents’ ratings) but less severe aggression (teachers’ ratings) thus providing evidence of both context- and diagnostic-specificity. Youth with ASD versus non-ASD psychiatry referrals evidence a variable pattern of relations between somatic conditions and a range of clinical correlates, which suggests that the biologic substrates and psychosocial concomitants of neurodevelopmental disorders and their co-occurring somatic conditions may interact to produce unique clinical phenotypes.     

Mental Health and Incarcerated Youth. I: Prevalence and Nature of Psychopathology

The incarceration of mentally ill youth is a serious problem not receiving the same attention as in adults. In this study, we examine the prevalence of psychopathology and level of behavioral symptomatology in incarcerated youth versus youth receiving community mental health services or hospitalization. We randomly recruited youth from middle South Carolina served by a local CMHC (n = 60), youth served by the state adolescent inpatient program (n = 50), and youth in the S.C. Dept. of Juvenile Justice facilities from the same region (n = 75). We used the DISC-PC 2.3 to evaluate DSM-III-R diagnoses and the CBCL and YSR to evaluate behavioral symptomatology. On the DISC, incarcerated youth had significantly higher mean number of diagnoses and symptoms than CMHC youth, but lower numbers than hospitalized youth. Level of caseness (at least one diagnosis) was 86% in hospital youth, 72% in incarcerated youth, and 60% in CMHC youth. The groups differed in CBCL mean total T, internalizing T, and externalizing T scores as well as mean YSR internalizing T scores. Our results indicate the comparability in level of psychopathology in incarcerated and community-treated populations of youth, and the need to develop diversionary programs to prevent the entry of such youth into the juvenile justice system.     

Madness Decolonized?: Madness as Transnational Identity in Gail Hornstein’s <Emphasis Type="Italic">Agnes’s Jacket</Emphasis>

The US psychologist Gail Hornstein’s monograph, Agnes’s Jacket: A Psychologist’s Search for the Meanings of Madness (2009), is an important intervention in the identity politics of the mad movement. Hornstein offers a resignified vision of mad identity that embroiders the central trope of an “anti-colonial” struggle to reclaim the experiential world “colonized” by psychiatry. A series of literal and figurative appeals makes recourse to the inner world and (corresponding) cultural world of the mad as well as to the ethno-symbolic cultural materials of dormant nationhood. This rhetoric is augmented by a model in which the mad comprise a diaspora without an origin, coalescing into a single transnational community. The mad are also depicted as persons displaced from their metaphorical homeland, the “inner” world “colonized” by the psychiatric regime. There are a number of difficulties with Hornstein’s rhetoric, however. Her “ethnicity-and-rights” response to the oppression of the mad is symptomatic of Western parochialism, while her proposed transmutation of putative psychopathology from limit upon identity to parameter of successful identity is open to contestation. Moreover, unless one accepts Hornstein’s porous vision of mad identity, her self-ascribed insider status in relation to the mad community may present a problematic “re-colonization” of mad experience.     

Collaboration and Social Inquiry: Multiple Meanings of a Construct and Its Role in Creating Useful and Valid Knowledge

The concept of collaboration in community research and intervention, although not new, has grown tremendously in importance in the past 20 years. Yet, it is both a contested concept in terms of its intent and a still evolving idea in terms of its meaning and implications. The purpose of this monograph is to begin to "unpack" the collaboration construct in terms of its many meanings, rationales, goals, models, dynamics, and accomplishments. Although models of collaboration are often well articulated there is "partial paradigm acquisition" (E. J. Trickett, 1984) in terms of understanding their behavioral and ethical implications. There is more theology than conclusion. The promise of collaboration, although considerable, is still in need of multiple and varied empirical examples of how collaboration contributes to both the process and goals of community research and intervention, however defined. The monograph closes with a brief overview of what we have learned from reviewing this literature, an articulation of the kinds of questions that need to be addressed, and a series of recommendations for how to increase our understanding of the collaboration construct in community research and intervention.     

T. S. Eliot's The Family Reunion—"Schizophrenia" Reconsidered

T. S. Eliot's play, The Family Reunion ( 4 ), can be interpreted as a representation of a "schizophrenic" and his family. As such it illustrates some of the clinical insights of both individual psychiatry and family psychiatry. This paper will discuss the play from a clinical vantage point and conclude with a re-consideration of the concept of schizophrenia.     

Capturing lightness between contours

Homogeneously coloured bars may exhibit lightness differences at the intersections. A well-known example is the Hermann grid illusion, where crossing white bars on a black background show dark patches at the crossings. Jung (1973, Handbook of Sensory Physiology volume VII/3, pp 1-152) found that the dark patches persist when thin outlines are drawn at the intersections, and are even visible in foveal vision. Recently, it has been shown that making distortions to the contours of a Hermann grid-like configuration results in the disappearance of the illusory dark spots (Geier et al, 2008 Perception 37 651 665). We show that thin outlines at the crossings of the distorted Hermann grid induce lightness differences in the same direction as in the original Hermann grid illusion, even in foveal vision and in displays consisting of two crossing bars. Our experiments reveal that the induced lightness differences are independent of the luminance polarity and shape of the contours at the intersection. We suggest that the effect results from lateral inhibition and an additional spreading and capturing of these differences between luminance contours. A similar capturing between collinear contours may play a role in peripheral vision in the original Hermann grid.     

Associations Between Conduct Disorder,Neurodevelopmental Problems and Psychopathic Personality Traits in a Swedish Twin Youth Population

Previous research has found a complex relationship between psychopathic traits, neurodevelopmental problems (NDPs), and conduct disorder (CD) in children. This study explores associations between psychopathic traits, assessed with the Child Problematic Traits Inventory—Short Version (CPTI-SV), and CD in children with and without coexisting NDPs (i.e., attention deficit/hyperactivity disorder [ADHD] and autism spectrum disorder [ASD]) in a community-based sample of Swedish twins (n?=?8762). Findings indicate weak to moderately strong correlations between psychopathic traits and CD, ADHD, and ASD, respectively. Furthermore, in univariable analyses, both psychopathic traits and NDPs displayed significant positive associations with being screened positive for CD, though only the grandiose-deceitful dimension of CPTI-SV and the ADHD domain concentration and attention deficits remained significantly associated with CD in a multivariable regression model. The results are relevant to screening and assessment in child and youth psychiatry, as a grandiose and deceitful interpersonal style may also be a valid sign of children at risk of developing CD.     

Long-Term Unemployment Among Young People: The Risk of Social Exclusion

The European Union considers long-term unemployment among youth an impediment to their full integration into society. The Commission of the European Union has, therefore, supported research into the mechanisms by which youth unemployment leads to social exclusion. This paper provides a brief summary of the project's findings. These imply that theories and previous research concerning social exclusion and social support can help explain the effects of youth unemployment although the phenomena vary from country to country. Results also suggest that the construct of social exclusion leads to interventions that reduce the personal and societal costs of youth unemployment.     

Parent and Teacher Agreement of Behavior Problems in Youth Diagnosed With and Without Autism Spectrum Disorders

The prevalence and severity of behavioral problems in youth with autism spectrum disorders (ASD) may be context dependent leading to discrepant informants’ reports and complicating case conceptualizations and treatment goals. This study examines the inter-rater agreement of parents and teachers on behavioral problems of 58 youth with ASD and 42 youth without an ASD diagnosis. Parents and teachers of 26 youth with ASD (M?=?4.08, SD?=?1.02) and 21 youth with non-ASD diagnoses (M?=?4.38, SD?=?0.80), ages 2–5 years, and 32 youth with ASD (M?=?7.47, SD?=?1.44), and 21 youth with non-ASD diagnoses (M?=?7.71, SD?=?1.23), ages 6–10, completed the Child Behavior Checklist and Teacher Report Form. Compared to youth with a non-ASD diagnosis (ages 2–5 years), youth with ASD also had poor to moderate agreement across subscales with the exception of comparable substantial agreement on Externalizing Behavior (ICC?=?0.73 and ICC?=?0.63, respectively) and Aggressive Behavior subscales (ICC?=?0.72 and ICC?=?0.69, respectively). Compared to youth with a non-ASD diagnosis (ages 6–10 years), youth with ASD similarly had poor agreement across subscales with the exception of moderate agreement on Anxious/Depressed subscale (ICC?=?0.41 and ICC?=?0.06, respectively). These results suggest that the severity and prevalence of behavior problems in youth may depend on the context and reporter of the symptoms.     

Self-esteem and institutionalized delinquent offenders: the role of background characteristics.

Some of the delinquency literature sustains the assumption that inept persons doing unworthy things is the self-view held by youth offenders, "Disadvantaged" or "adverse" background characteristics are often assumed to account for low self-esteem among delinquent offenders. However, the implications of control theory suggest that youths having few bonds to people and institutions are relatively "free" to drift into delinquency without serious damage to self-esteem. The hypothesis we examined was derived from the work of control theorists: that self-esteem would be higher for offenders "removed" from conventional ties, lower for those who maintained conventional attachments. Data from 75 male delinquent offenders incarcerated at a correctional youth institution are used in testing this relationship. Our hypothesis received strong support. The implication drawn from these results is that the impact of the correctional process on self-esteem may be far less important than the myriad relationships previously established with people and institutions. These results pertaining to a special category of youth are in keeping with the reported findings on the link between deprivation and self-esteem of general youth populations.     

Secular humanism and "scientific psychiatry"

The Council for Secular Humanism identifies Secular Humanism as a "way of thinking and living" committed to rejecting authoritarian beliefs and embracing "individual freedom and responsibility ... and cooperation." The paradigmatic practices of psychiatry are civil commitment and insanity defense, that is, depriving innocent persons of liberty and excusing guilty persons of their crimes: the consequences of both are confinement in institutions ostensibly devoted to the treatment of mental diseases. Black's Law Dictionary states: "Every confinement of the person is an 'imprisonment,' whether it be in a common prison, or in private house, or in the stocks, or even by forcibly detaining one in the public streets." Accordingly, I maintain that Secular Humanism is incompatible with the principles and practices of psychiatry.     

Helmholtz and Zoellner: nineteenth-century empiricism, spiritism, and the theory of space perception

J. K. F. Zoellner began writing on "experimental proofs" of a fourth spatial dimension, and of the existence of spirits, in 1878. His arguments caused strong controversy, with rebuttal essays by Wilhelm Wundt and others. The author argues that Zoellner's case that these matters are experimental questions rested on arguments which Hermann von Helmholtz, inveighing against rationalist views of space and space perception, had recently published. Zoellner's use of Helmholtz's arguments to advance and defend his spiritist views occasioned strong criticism of Helmholtz, affected careers and reputations of scholars in Berlin and Leipzig, and caused enduring controversy over the credibility of Helmholtz's empiricist theory of space perception.     

Effectiveness of mentoring programs for youth: a meta-analytic review

We used meta-analysis to review 55 evaluations of the effects of mentoring programs on youth. Overall, findings provide evidence of only a modest or small benefit of program participation for the average youth. Program effects are enhanced significantly, however, when greater numbers of both theory-based and empirically based best practices are utilized and when strong relationships are formed between mentors and youth. Youth from backgrounds of environmental risk and disadvantage appear most likely to benefit from participation in mentoring programs. Outcomes for youth at-risk due to personal vulnerabilities have varied substantially in relation to program characteristics, with a noteworthy potential evident for poorly implemented programs to actually have an adverse effect on such youth. Recommendations include greater adherence to guidelines for the design and implementation of effective mentoring programs as well as more in-depth assessment of relationship and contextual factors in the evaluation of programs.     

Straightness as the main factor of the hErmann grid illusion

The generally accepted explanation of the Hermann grid illusion is Baumgartner's hypothesis that the illusory effect is generated by the response of retinal ganglion cells with concentric ON-OFF or OFF-ON receptive fields. To challenge this explanation, we have introduced some simple distortions to the grid lines which make the illusion disappear totally, while all preconditions of Baumgartner's hypothesis remain unchanged. To analyse the behaviour of the new versions of the grid, we carried out psychophysical experiments, in which we measured the distortion tolerance: the level of distortion at which the illusion disappears at a given type of distortion for a given subject. Statistical analysis has shown that the distortion tolerance is independent of grid-line width within a wide range, and of the type of distortion, except when one side of each line remains straight. We conclude that the main cause of the Hermann grid illusion is the straightness of the edges of the grid lines, and we propose a theory which explains why the illusory spots occur in the original Hermann grid and why they disappear in curved grids.     

An early, on the borderline between dream and transference, unconscious fantasy of Freud on the psychoanalytic situation (1898). A contribution to psychoanalytic creativity

Taking 24 hours in the life of Freud, the author shows how significant the interplay of dream, day-dream, unconscious phantasy and transference can be in solving scientific problems. This is documented by using the correspondence between Freud and Fliess on March 9/10, 1898, by taking Freud's dream of a botanical monograph, his day-dream of a glaucoma operation, his remarks on the "real" course of the day, and segments of self-analysis.     

Anxiety Symptoms and Fears in Hispanic and European American Children: Cross-Cultural Measurement Equivalence

The cross cultural equivalence of child (n = 217) and parent (n = 283) versions of the revised children’s manifest anxiety scale (RCMAS), multidimensional anxiety scale for children (MASC), and the fear survey schedule for children—revised (FSSC-R) was examined in Mexican youth in Mexico, and Hispanic and white European American youth in the USA. The RCMAS, MASC, and FSSC-R showed cross ethnic measurement equivalence. The Mexican and Hispanic youth reported more worries, and the Mexican youth reported more somatic symptoms than the European American youth. Per mother report, Mexican and Hispanic youth express more somatic symptoms than European American youth who also show the least number of fears of the unknown and fears of danger and death. The results support the validity of commonly used child anxiety measures with these populations and accrue evidence for greater anxiety and fear expression by Hispanic and Mexican youth in certain domains.

Strategic self-marginalization: the case of psychoanalysis

Marginality is an important concept in the history of science, though it is often used in a manner that presumes marginality to be a static designation. We contend that the dynamics of marginality are crucial to the history of psychoanalysis, a discipline that has moved between dominant and marginal positions. We address psychoanalytic marginality via three specific "cases": the marginalization among Freud and his followers when psychoanalysis was an emergent discipline; the marginality trope in Erich Fromm's popular psychoanalytic writing when psychoanalysis was orthodoxy in American academic psychiatry; and the rhetorical marginality of psychoanalysis in Sweden as psychoanalysis entered a decline within psychiatry. Our aim is to show that marginalization and self-marginalization serve interpersonal, social, and professional strategies.     

Perceptions of Family Environment and Wraparound Processes: Associations with Age and Implications for Serving Transitioning Youth in Systems of Care

Addressing the unique needs of youth transitioning to adulthood has long been viewed as a priority in implementation of systems of care (SOCs) and wraparound. Developmental research and "practice-based evidence" suggest that there are differences between transitioning youth and their younger peers in family environment and wraparound team processes. Although these differences are thought to have significant implications for wraparound practice, few studies have examined them empirically. The present research involves two studies examining differences across several age cohorts (i.e., 10–12, 13, 14, 15, 16–17 year-olds) ranging from early adolescent to transitioning youth in: (1) caregiver perceptions of role-related strain and family environment quality, and (2) facilitator, caregiver, and youth perceptions of wraparound processes. In Study #1, older age was associated with higher levels of caregiver strain. In Study #2, age was associated with differences between youth and other team members' perceptions of wraparound processes, such that older youth perceived teams as less cohesive than others on their teams. These findings suggest that transitioning youth and their families merit special consideration in wraparound implementation and underscore the importance of considering the perceptions of transitioning youth in system change and practice improvement efforts (192 words).     

Dark adaptation and the Hermann grid illusion

The latency of the perception of the dark spot at the intersection of a Hermann grid was measured before and after dark adaptation. It was found that dark adaptation significantly increased the latency of perception of the spot while light adaptation had no effect. This finding was predicted from the Jung and Spillman account of the Hermann grid illusion and from the Kuffler et al. finding that inhibitory receptive fields of the cat’s retinal ganglion ceils are reduced in size and responsiveness after dark adaptation. The significance of this finding in relation to other simultaneous contrast phenomena is discussed.