The wish to die and the wish to commit suicide in the adolescent: two different matters?

We shall try to demonstrate the difference between two wishes--the wish to die and the wish to commit suicide--as they express themselves during adolescence. First, death is seen as irreversible, while the suicidal act, at least during adolescence, is seen as reversible. While thoughts of suicide may be a part of normal adolescence, and the suicidal act a manifestation of pathological development specific to this stage in life, the wish to die has no age restrictions and may accompany life as a shadow, devoid of any suicidal act, for many years. It should be noted that both of these wishes may be balanced with the wish to live. Pathology appears when there is an imbalance of wishes and abnormal developmental processes. This imbalance can result in two distinct activities: suicidal acts and death behaviors. We suggest that the two stem from different mechanisms and personality pathologies. Therefore, they should be evaluated separately in order to better understand differences between suicidal and other aggressive acts and manifestations of the death wish during adolescence.     

Suicide and the contemporary woman: Are male and female suicide rates converging?

Nationwide statistics on White suicide rates for the years 1960–1978 are examined to assess whether the suicide rates of women are increasing relative to those of men. This is accomplished by calculating for the total population and for several age groupings the sex differential (SD), which is defined as the percentage of suicides which are female after adjustments are made for the sex distribution in the population. The data reveal that the SD narrowed from 1960–1967, held steady from 1968–1972, and then widened slightly from 1973–1978. The most important aspects of these trends are that (a) the narrowing of the SD is due more to declining suicide rates among older (over-40) males than to increasing female suicide rates, and (b) the narrowing of the SD and the small increases in female suicide rates occurred prior to 1970 and thus were earlier than would be expected on the basis of changing sex-role expectations. Post hoc explanations of these patterns refer to methodological factors and to changes in social integration resulting from a variety of sociohistorical factors.     

Physician-assisted suicide: what's the story?

After telling a story of a family's inquiry into physician-assisted suicide on behalf of a loved one, John F. Kilner uses the story to discuss some specific ways in which modern medicine often fails to supply life-affirming alternatives in situations like the one this family faced. Knowing about these alternatives is important for Christians, since God is the author of freedom, justice, and life itself. Moreover, when medicine has nothing more to offer suffering patients, it should be prepared to assist them in their suffering, rather than simply eliminate the sufferer. The example of Jesus' suffering is important here.     

Cannabis use and the risk behavior syndrome in Italian university students: are they related to suicide risk?

The aim of this study was to examine the association of cannabis use with risky behaviors and suicide risk in university students. A convenience sample of 246 students was recruited from four universities in Rome during the 2004 academic year. Participants completed the Zung scales for anxiety and depression, the Suicide Score Scale, and an ad hoc questionnaire assessing risky behaviors. The findings indicated a widespread use of cannabis among students and its association with risky behaviors, anxiety and depression, and suicide risk. A regression tree analysis resulted in 3 splits indicating that the Zung Self-Rating Depression Scale is a good predictor of suicide risk, discriminating individuals at lower risk from those at higher risk. Individuals at higher risk for suicide could also be discriminated by self-reported lifetime drug use. Limitations of the study are related to the small sample size and use of a convenience sample.     

From biography to theory: the role of Anna Freud in the emergence of the ‘adolescent process’

Some aspects of Anna Freud’s life reveal the existence of specifically adolescent conflicts, which can be tied to some of her theoretical and clinical discoveries in the field of adolescent psychoanalysis. Her historical input in the gradual construction of a theoretical corpus on adolescence has often been ignored. These links between biography and theory gave rise to a movement of conceptualisation, making it possible to develop a psychoanalytic metapsychology of adolescence: indeed, emerged such notions as asceticism, intellectualisation in relationship with anorexia and the struggle against the genitalisation of the adolescent body. Today, the Annafreudian school of thought has remained the main source of investigation and theoretical transmission of what is now called the adolescent process.     

What is the mechanism by which suicide attempts predispose to later suicide attempts? A mathematical model

A state dependence model of serial behavior suggests that each occurrence increases the subsequent likelihood of that behavior being repeated. A heterogeneity model, by contrast, suggests that the likelihood of a behavior occurring is predetermined, and uninfluenced by intervening occurrences. We have applied the random-effects probit model of Gibbons and Bock (1987) to examine the fit of the state dependence and heterogeneity models to longitudinal data on suicide attempts by 928 patients with affective disorder. Heterogeneity but not state dependence was required to model these data. The findings suggest that when considering patients with moderate to severe major affective disorder, the clinician should not interpret the absence of any recent suicide attempts to mean that the patient is at relatively low risk for attempting suicide in the future. An implication of the heterogeneity model is that suicide attempts made many years ago may have equal value to recent attempts when estimating an individual's "predisposition" to nonlethal attempts in the future.     

Child and adolescent psychotherapy outcomes in experiments versus clinics: Why the disparity?

In a recent article, Weisz, Weiss, and Donenberg (1992) compared the effects of child and adolescent psychotherapy in experimental studies and in studies of clinic practice. Here we update that report with new information and we explore 10 possible reasons why, to date, therapy in experiments appears to have shown larger effect sizes than therapy in clinics. We find that beneficial therapy effects are associated with three factors which are more common in research therapy than in clinic therapy: (a) the use of behavioral (including cognitive-behavioral) methods, (b) reliance on specific, focused therapy methods rather than mixed and eclectic approaches, and (c) provision of structure (e.g., through treatment manuals) and monitoring (e.g., through review of therapy tapes) to foster adherence to treatment plans. These three factors all involve dimensions along which clinic procedures could be altered.     

Risk‐taking and the adolescent brain: who is at risk?

Relative to other ages, adolescence is described as a period of increased impulsive and risk-taking behavior that can lead to fatal outcomes (suicide, substance abuse, HIV, accidents, etc.). This study was designed to examine neural correlates of risk-taking behavior in adolescents, relative to children and adults, in order to predict who may be at greatest risk. Activity in reward-related neural circuitry in anticipation of a large monetary reward was measured with functional magnetic resonance imaging, and anonymous self-report ratings of risky behavior, anticipation of risk and impulsivity were acquired in individuals between the ages of 7 and 29 years. There was a positive association between accumbens activity and the likelihood of engaging in risky behavior across development. This activity also varied as a function of individuals' ratings of anticipated positive or negative consequences of such behavior. Impulsivity ratings were not associated with accumbens activity, but rather with age. These findings suggest that during adolescence, some individuals may be especially prone to engage in risky behaviors due to developmental changes in concert with variability in a given individual's predisposition to engage in risky behavior, rather than to simple changes in impulsivity.     

Psychology and Culture: Back to the Future?

Psychology has a poor record in addressing cultural phenomena. One response is to turn to ancient concepts from local traditions and to use these as alternative analytic categories to explain behavior. However, there are problems with such an approach. These concepts will be read from the vantage point of the present and interpreted differently so as to propose different diagnoses (and solutions) for contemporary social problems. As an alternative, rather than using ancient resources as analytic categories in the explanation of behavior, we could instead examine how they are used as categories of practice as people actively make sense of their social context and themselves. Attending to such contemporary ‘lay’ usage (and the contestation it entails) allows for a more dynamic conception of cultural processes than is typical in psychology. More generally, I believe that it is possible to use our psychological constructs so that we can see the distinctive particularities of the phenomena before us in new and interesting ways, and in ways that respect their cultural specificity. This claim is illustrated through reference to recent work using the concept of social identity to illuminate aspects of Hindu pilgrimage.     

Listening to the Language,Listening to the Words and Listening to the Spaces between the Words: Rhetoric and Pragmatics in the Performance of Christian–Muslim Relations

The article argues for the need to look beyond the texts used within the context of interreligious dialogue, and to focus just as much on the context and the way in which the texts are expected to be heard. It focuses specifically on Christian–Muslim dialogue at an event in Iran where the author was present. By looking at the use of rhetoric and pragmatics within his own contribution to this event, he raises questions about the way in which those contributing to dialogue communicate with the many different audiences involved, and the way in which their messages are received by those audiences. By focussing on this one event, the aim is to show what might be achieved through this kind of analysis and to call for more work to be done in this kind of way.     

Returning to the Fire: Surviving the Holocaust and “Going Back”

This paper examines the multiply determined factors in Holocaust survivors who return to their native countries and sites of persecution. Citing material from archived interviews and consultations with a gravely ill survivor, as well as published accounts from others, the author explores historical, cultural, and psychodynamic dimensions. Intrapsychic, developmental, and traumatic aspects are considered, such as the fantasy of reunion with the lost maternal object, unresolved grief, the repetition compulsion, attempts at mastery, and the use of counterphobic or hypomanic defenses. This constellation of factors is seen in the context of the Jewish premium on remembering and the political realities of post war Europe. The role of the Second Generation in assisting the survivor parents in the working through process is also emphasized.     

Transcendental Phenomenology and the Way to Happiness: Husserl’s Reply to Csikszentmihalyi

It is an unprecedented task to interpret Husserl’s transcendental phenomenology as a fundamental philosophy of happiness. Although happiness has been discussed in many psychologies, Csikszentmihalyi’s positive psychology defines happiness as “flow”, a psychic state of ongoing immersion guided by intrinsic motivations and rewards. In this paper, I interpret our transcendental consciousness as a radical “flow” maker and claim that in our transcendental life, happiness is what we ourselves are. Then, I propose this not only as an appeal to a change of attitude (i.e. reduction) for happiness, but also as a deep hermeneutics of the mental skills and activity designs suggested by positive psychology. In this way, worldly happiness dictums can be profoundly re-examined. Understood as such, Husserl’s transcendental phenomenology leaves us the task of how to make a concrete form of qualitative or hermeneutical research on happiness out of it.     

Ultrasound: A Window to the Womb?: Obstetric Ultrasound and the Abortion Rights Debate

This paper explores the rhetoric of obstetric ultrasound technology as it relates to the abortion debate, specifically the interpretation given to ultrasound images by opponents of abortion. The tenor of the anti-abortion approach is precisely captured in the videotape, Ultrasound: A Window to the Womb. Aspects of this videotape are analyzed in order to tease out the assumptions about the (female) body and about the access to truth yielded by scientific technology (ultrasound) held by militant opponents of abortion. It is argued that the ultrasound images do not offer transparent confirmation of the ontological status of the embryo and fetus. Rather, the window of ultrasound is constructed through a complex combination of visual and verbal devices: ultrasound images, photographic images, verbal argument, and emotional appeal.     

Where's poppa? The relative lack of attention to the role of fathers in child and adolescent psychopathology.

Compared with mothers, fathers are dramatically underrepresented in clinical child and adolescent research. The author reviewed empirical and theoretical clinical child and adolescent literature to ascertain the reasons for this underrepresentation. Four somewhat interrelated factors are discussed: practical issues in participant recruitment, differential base rates of paternal vs. maternal psychopathology, theory-driven research based on sexist theories, and research assumptions based on outdated societal norms. Suggestions for future research are discussed, including parallel investigations of paternal characteristics whenever maternal characteristics are investigated, assessment of both similarities and differences in the role of fathers and mothers in child and adolescent psychopathology, and investigation of parenting factors for both fathers and mothers (e.g., time spent in actual caretaking, career vs. family orientation) in relation to child and adolescent psychopathology.     

Easy to remember?: genocide and the philosophy of religion

Philosophers of religion have written a great deal about “the problem of evil.” Their reflections, however, have not concentrated, at least not extensively or sufficiently, on the particularities of evil that manifest themselves in genocide. Concentrating on some of those particularities, this essay reflects on genocide, which has sometimes been called the crime of crimes, to raise questions such as: how should genocide affect the philosophy of religion and what might philosophers of religion contribute to help check that crime against humanity?     

Miracles in Sport: Finding the ‘Ears to Hear’ and the ‘Eyes to See’

Paralympic Games (PG), involving people with disabilities (PWD), are a manifestation of excellence in sport. They show that athletics performed by PWD counts as genuine sport. They also support a wider meaning of the term ‘health,’ understood not just like a utopian state of perfection, but like the ability to realize oneself in the projects and activities of one’s own choosing. Notwithstanding these virtues, PG—in their current form—may paradoxycally reinforce social prejudice against PWD. This is due to the fact that PG and Olympic Games (OG) are now two distinct events. In this article, I argue that PG should be integrated in the OG, just like women’s and ‘minor’ sports, because the separation of PG and OG indicates a morally arbitrary separation between people with and without disabilities. I also propose to remove the word ‘Para-lympic’ because it stigmatizes the sport performed by PWD as an appendix of ‘normal’ sport. Athletes with disabilities deserve special attention because they have special needs; but they also deserve an arena where their excellence is offered to the public, and this arena should not be different from that of normal-bodied athletes.