Infants of chronically depressed mothers learn in response to male, but not female, infant-directed speech

Previous research using a conditioned-attention paradigm demonstrated that 4-month-old infants of depressed mothers (a) failed to acquire associations when a segment of their mothers' infant-directed (ID) speech signaled the presentation of a smiling face but (b) did acquire associations when a segment of an unfamiliar nondepressed mother's ID speech signaled the face (P. S. Kaplan, J. -A. Bachorowski, M. J. Smoski, & W. J. Hudenko, 2002). In the present study, 5- to 13-month-old infants of depressed mothers failed to acquire associations when either their own mothers' (Experiment 1) or an unfamiliar nondepressed mother's (Experiments 1 and 2) ID speech signaled a face. However, these infants acquired associations when a segment of an unfamiliar nondepressed father's ID speech served as the signal (Experiment 2). One possible explanation of these results is that infants of depressed mothers selectively "tune out" ID speech from their mothers and from other, nondepressed, women.     

Designs for studying the effectiveness of long-term psychoanalytic treatments: balancing level of evidence and acceptability to patients

Long-Term Psychoanalytic Treatments (LTPT) include both long-term psychoanalytic psychotherapy (LTPP) and psychoanalysis (PsAn). Current opinion seems to be that there is some evidence for the effectiveness of LTPP, but none for that of PsAn. This may be due in part to researchers not balancing the level of evidence of randomized controlled studies (RCTs), cohort studies, and pre-post studies with patients' acceptance of these various research designs used in studying the effectiveness of LTPT. After a review of the merits of eight possible control conditions for LTPT in RCTs and cohort studies, and a consideration of the limitations and merits of pre-post studies, it was found that RCTs pair high levels of evidence with limited degrees of patient acceptance, especially where PsAn is concerned. Cohort studies appear to provide at most a moderate level of evidence. Their acceptability is hardly better than that of RCTs, as it depends on the acceptability of control conditions similar to those of RCTs. The acceptability of pre-post studies is much better, but they can provide, at most, a moderate level of evidence. Apart from randomization, they can meet all methodological criteria for high-quality research (often they do not, but there are ways to correct this). In summary, in the long-term treatment of complex mental disorders with LTPT, RCTs often pair a high level of evidence with limited patient acceptance of the method. Compared to RCTs, cohort studies show a lower level of evidence without much gain in acceptability. Pre-post studies pair the highest level of acceptability with the lowest level of evidence of the three designs. Limited acceptability is not to be confused with no acceptability, nor moderate level of evidence with none.     

Predictors of therapeutic response to treatments for depression: a review of electrophysiologic and dichotic listening studies

There are few clinical or biologic predictors of response to treatments for depression. This article reviews growing evidence that electrophysiologic and neurocognitive measures of brain function may be of value as predictors of therapeutic response to antidepressants. Initial studies using dichotic listening, quantitative electroencephalography, or event-related brain potential measures have found differences between treatment responsive and nonresponsive subgroups of depressed patients. The neurophysiologic basis for these differences and the potential clinical utility of electrophysiologic and dichotic predictors of treatment outcome remain to be determined in future studies.     

To be or not to be: Buddhist selves in Toronto

Buddhist identity: a Buddhist by any other name?When we talk about a ‘Buddhist’ or ‘Buddhists’ in Canada and the United States, what exactly is our referent—a label or category, an identity, or perhaps something more? Is the term ‘Buddhist’ signifying a reified object (or subject?), one that subsumes all sorts of practices, beliefs, philosophies, and preconceptions under its umbrella? Or can the term be used to signify choice, personal commitment, motivation, partiality, and perhaps even struggle? We have a great many labels and categorizations of the differences among and between Buddhists, but can we really assume that the term ‘Buddhist’ itself is unproblematic? Calling someone a Buddhist in the West, or ‘naming’ them as such, appears initially and on the surface a fairly straightforward undertaking. And yet, the very act of naming itself is a composite of assumptions and expectations. In much of the anthropological literature on initiation rituals, the act of naming has been construed as more-or-less a societal quest for order and control of the individual. Naming marks who is ‘in’ and who is ‘out’. Being named is an important marker of social identity, socialness, and social belonging (inter alia, Jell-Bahlsen 1989; Jacquemet 1992; Cohen 1994).     

A metaphor analysis in treatments of depression: Metaphor as a marker of change

This paper examines the use of ‘burden' metaphors relating to the experience of depression in one good and one poor outcome process-experiential short-term psychotherapy dyad. Burden-metaphors are meaningful as they appear to characterize the way these clients experience the course of their depressions (e.g. Korman & Angus, 1995). Understanding how these experiences are dealt with in productive therapies, as compared to less-productive treatments, can aid in therapist training and in developing therapeutic programmes for depressed clients. The Experiencing Scale (Klein et al., 1970) and the Narrative Process Coding System (Angus et al., 1996) are used to examine the processes at play when burden-metaphors are used in the good and the poor therapy. Results indicate that, in the good outcome dyad, metaphors of ‘being burdened' were transformed into metaphors of ‘unloading the burden' over the course of the therapy, while there was no transformation evident in the poor-outcome dyad. The good outcome therapy tended to have a higher level of experiencing when discussing burden-metaphors, in comparison with the poor-outcome therapy. Furthermore, the successful dyad tended to more often use internal narrative sequences (as identified by the NPCS) in the exploraiton of metaphoric expression.     

Too good to be true: Publication bias in two prominent studies from experimental psychology

Empirical replication has long been considered the final arbiter of phenomena in science, but replication is undermined when there is evidence for publication bias. Evidence for publication bias in a set of experiments can be found when the observed number of rejections of the null hypothesis exceeds the expected number of rejections. Application of this test reveals evidence of publication bias in two prominent investigations from experimental psychology that have purported to reveal evidence of extrasensory perception and to indicate severe limitations of the scientific method. The presence of publication bias suggests that those investigations cannot be taken as proper scientific studies of such phenomena, because critical data are not available to the field. Publication bias could partly be avoided if experimental psychologists started using Bayesian data analysis techniques.     

To be is not always to be The hypothesis of cognitive universality in the light of studies on elliptic language behaviour

Abstract.— This paper introduces evidence as to whether the cognitive base of natural languages is universal or not. When a speaker or writer has too little time or space to use complete, grammatically well-formed sentences, he will first leave out the parts of speech which are least essential for the decoding process of the receiver. If, in two different languages, different parts are left out, the cognitive base of the languages cannot be the same. It was predicted that native Finnish-speaking subjects will be more prone to leave out the verb from newspapers headings and from reports of sporting events, than will native Swedish-speaking subjects. In addition, it was expected that Finnish subjects will rate sentences lacking verbs as more, and sentences lacking nouns, as less "language correct" than will Swedish subjects. It was also predicted that in perception of a sporting event, Finnish reporters will focus on topological, and Swedish, on vectorial, information. The predictions were borne out exactly by the findings, which thus are strongly negative to the universality hypothesis.     

To be or not to be: an exploration of ethnic identity development in context

This qualitative study focused on the intersection of personal and ethnic identities among forty African American, Puerto Rican, Dominican, and Chinese American high school students. The patterns in content indicated that for the Puerto Ricans, the intersection of their personal and social identities was a series of accommodations to a positive peer climate and a resistance to being Dominican. For the other ethnic groups, the intersection of their personal and social identities consisted of a process of resistance and accommodation to negative stereotypes projected on them by their peers and, for African Americans, themselves.     

Same-gender distractors are not so easy to reject: ERP evidence of gender categorization

Social categorization appears to be an automatic process that occurs during person perception. Understanding social categorization better is important because mere categorization can lead to stereotype activation and, in turn, to discrimination. In the present study we used a novel approach to examine event-related potentials (ERPs) of gender categorization in the “Who said what?” memory paradigm, thus allowing for a more in-depth understanding of the specific mechanisms underlying identity versus categorization processing. After observing video clips showing a “discussion” among female and male targets, participants were shown individual statements, each accompanied by one of the discussants’ faces. While we measured ERPs, participants had to decide whether or not a given statement had previously been made by the person with the accompanying face. In same-person trials, statements were paired with the correct person, whereas in the distractor trials, either a same-gender or a different-gender distractor was shown. As expected, participants were able to reject different-gender distractors faster than same-gender distractors, and they were more likely to falsely choose yes for a same-gender than for a different-gender distractor. Both findings indicate gender-based categorization. ERPs, analyzed in a 300- to 400-ms time window at occipito-temporal channels, indicated more negative amplitudes for yes responses both for the same person and for same-gender distractors, relative to different-gender distractors. Overall, these results show gender-based categorization even when the task was to assess the identifying information in a gender-neutral context. These findings are interpreted as showing that gender categorization occurs automatically during person perception, but later than race- or age-based categorization.     

Categories as symptoms: conceptions of love in the psychoanalytic relationship

An invitation to participate in a conference, especially the phrase, "we hope that your [contribution] might deal with same-sex love," reveals the persistent, lingering effects of the creation of the categories homosexual and heterosexual. Analysis of the phrase suggests a fantasy condensed in the invitation: that a gay psychoanalyst loves and works differently than his heterosexual colleagues and that this difference is determined by his sexual orientation. Approaching the creation of these categories as a symptom of a process of repudiation and projection, the author seeks to begin identifying and sorting through the projected psychic contents that keep these categories' specious effects alive.     

Understanding suicidal behaviour in young people referred to specialist CAMHS: a qualitative psychoanalytic clinical research project

A qualitative psychoanalytic clinical research project using a post-Kleinian contemporary approach was undertaken by a team of seven qualified and experienced child psychotherapists working in community Tier 3 Child and Adolescent Mental Health Services (CAMHS). A number of referred young people who deliberately harmed themselves or attempted suicide, who fulfilled the inclusion criteria and consented to participate, were offered an extended individual and family assessment. Grounded Theory analysis of the qualitative data led to the formulation of the Truth Danger Theory. Typical situations in which suicidal behaviour occurred were identified, including intergenerational confusion, neglect, physical and/or sexual abuse within the family, Oedipal conflict, maternal depression and families in which there was a chronically ill sibling. We found that there was a marked disparity between the young person's experience of relationships in the family and the family's own account of their situation, a fractured reality. This can be reflected in an incongruence in the young person's presentation, which may be misleading when assessing risk. The young person feels him/herself to be in a dead end from which there seems to be no escape. Self-harm, for some, contains this impossible dilemma (albeit pathologically) but when it does not, suicide may seem the only option. The Truth Danger Theory provides explanations and predictions for suicidal behaviour and has implications for clinical practice.     

Relationship between age and aspects of depression: consistency and reliability across two longitudinal studies

In this study, the authors examined cross-sectional and longitudinal age and gender differences in each of the Center for Epidemiological Studies Depression Scale's 4 subscales of depressive symptomatology. Two independent studies (Sample 1 = 2,076; Sample 2 = 943) were used for purposes of establishing stability of findings. Results indicate a reasonable degree of stability among adults under 70 years of age. However, there were significant age-related increases in somatic symptoms and lack of well-being after approximately 70 years of age, whereas symptoms related to depressed affect and interpersonal problems remained stable. Notably, depressive affect symptoms remained stable given significant age-related somatic changes. The addition of comorbid physical illness to the analysis did not reduce the association between age and depressive symptoms, indicating that part of the association was not substantially accounted for by physical health.