Are Suicide Note Writers Representative of All Suicides? Analysis of the National Violent Death Reporting System

While suicide notes can offer insights into the causes of suicide and clues for prevention, there is disagreement regarding the degree to which note leavers are representative of the general population of suicides. Previous relevant research on the United States is marked by a series of limitations: small local samples, an over focus on demographic constructs, and lack of multivariable analysis. This study uses a large national sample, a wide range of predictor variables, and multivariable statistical techniques to estimate more reliable similarities and differences between note leavers and other suicides. All data are taken from the National Violent Death Reporting System, which covers 17 states. A total of 9,048 note writers were compared to 21,522 other suicides in terms of 39 variables. In both bivariable (32/39 variables) and multivariable analyses (30/39 variables), note leavers differed from other suicides in most demographic variables, stressful life events, psychiatric issues, and methods of suicide. The national evidence suggests that caution be exercised in generalizing patterns found among writers of suicide notes to suicides in general. This is the first analysis of suicide notes using US data on the issue.     

Health Impact of Jewish Religious Observance in the USA: Findings from the 2000–01 National Jewish Population Survey

Using data from the 2000–01 National Jewish Population Survey (NJPS) (N = 5,148), effects of eight religious measures were investigated in relation to two health outcomes, standard single-item indicators of self-rated health and presence of an activity-limiting health condition. Seven of the religious measures were associated bivariately with one or both health indicators. Through two-step OLS regression of each health indicator onto all of the religious measures, adjusting for age and other sociodemographic correlates, two measures of synagogue involvement remained statistically significant. Follow-up analysis revealed a net health impact of religious observance primarily limited to Orthodox and Conservative Jews.     

Suicides from the Golden Gate Bridge: have they changed over time?

224 suicides from the Golden Gate Bridge in 1999-2009 were younger than other suicides handled by the Marin County Coroner but did not differ by sex or race. Those witnessed did not differ from those not witnessed. Compared to suicides from the bridge in the 1970s, recent suicides were older, more often male, and more often nonwhite.     

Identity Thieves and Levels of Sophistication: Findings from a National Probability Sample of American Newspaper Articles 1995–2005

Identity theft continues to be a problem in the United States, yet research on identity thieves is limited. This study complements previous work by exploring the correlates of identity thieves (n = 257) and offense sophistication levels via a content analysis of a nationally representative probability sample of newspaper articles (1995–2005). Sample demographics are presented along with the results from bivariate correlations and a multinomial logit model focused on exploring variation in correlate influence on four levels of identity theft sophistication.     

Youth’s Help-Seeking Intentions for ADHD and Depression: Findings from a National Survey

This study investigates the role that youth-level factors play in predicting help-seeking intentions in a nationally representative sample. Eleven help-seeking intentions were examined separately by target conditions (ADHD and depression), gender, race/ethnicity, and self-reported diagnosed/non-diagnosed in respect to the target conditions, and interaction effects were tested. Using factor analysis, a traditional help-seeking scale was created, which captured four help-seeking items, and predictive power of youth-level factors in accounting for traditional help-seeking was tested. Study findings provide practitioners and researchers with fresh evidence on what youth-level factors are associated with which help-seeking intentions, and illustrate the challenges involved in better understanding the complexity of the help-seeking process among youth in the context of ADHD/Depression. With increased understanding of youth’s perceptions and the complexity of their help-seeking behavior, community-based efforts to develop effective strategies that support active help-seeking behavior and eliminate barriers to appropriate care can have a greater likelihood of success.     

Parental Participation in Religious Services and Parent and Child Well-Being: Findings from the National Survey of America’s Families

Using data from the 1999 and 2002 National Survey of America’s Families, a large-scale nationally representative sample, this study finds that parental religious attendance is positively associated with parent self-rated health, parent mental well-being, positive parenting attitudes, child health, and child school engagement. Although the strength of these associations varies to some extent according to socio-demographic factors, the interactive patterns are not consistently predictable. Moreover, parental health and well-being and positive attitudes toward parenting appear to be important pathways linking parental religious attendance to child well-being. These findings suggest that opportunities for participation in local religious services offered by faith-based organizations may be fruitful avenues through which the government and society can help American families enhance parent and child well-being.     

Heterosexuals’ Attitudes Toward Transgender People: Findings from a National Probability Sample of U.S. Adults

Using data from a national probability sample of heterosexual U.S. adults (N?=?2,281), the present study describes the distribution and correlates of men’s and women’s attitudes toward transgender people. Feeling thermometer ratings of transgender people were strongly correlated with attitudes toward gay men, lesbians, and bisexuals, but were significantly less favorable. Attitudes toward transgender people were more negative among heterosexual men than women. Negative attitudes were associated with endorsement of a binary conception of gender; higher levels of psychological authoritarianism, political conservatism, and anti-egalitarianism, and (for women) religiosity; and lack of personal contact with sexual minorities. In regression analysis, sexual prejudice accounted for much of the variance in transgender attitudes, but respondent gender, educational level, authoritarianism, anti-egalitarianism, and (for women) religiosity remained significant predictors with sexual prejudice statistically controlled. Implications and directions for future research on attitudes toward transgender people are discussed.     

Adolescents of the USA National Longitudinal Lesbian Family Study: Can Family Characteristics Counteract the Negative Effects of Stigmatization?

This investigation examines the impact of homophobic stigmatization on the well-being of 17-year-old adolescents who were conceived through donor insemination and whose mothers enrolled before they were born in the largest, longest-running, prospective study of lesbian families, with a 93% retention rate to date. The data for the current report were collected through questionnaires completed by the adolescents and their mothers. The adolescents (39 girls and 39 boys) were queried about family connection and compatibility. They were also asked to indicate if they had experienced discrimination based on their mothers' sexual orientation. Adolescent well-being was assessed through the parental report of the Child Behavior Checklist/6-18. Forty-one percent of the adolescents had experienced stigmatization based on homophobia. Hierarchical, multiple-regression analyses revealed that stigmatization was associated with more problem behavior in these adolescents, but that family compatibility neutralized this negative influence. The results indicate that adolescents who have close, positive relationships with their lesbian mothers demonstrate resilience in response to stigmatization.     

Age group differences and longitudinal changes in approach–avoidance sensitivity: Findings from an 8-year longitudinal study

An increasing number of studies point to normative changes in personality occurring during adulthood. We examined age group differences and longitudinal changes in approach–avoidance sensitivities across adulthood using a population-based sample of younger, midlife, and older adults (N = 7468) assessed on three occasions over an 8 year interval. Younger adults reported higher approach sensitivity (assessed using BAS-Drive and BAS-Reward subscales) relative to midlife and older adults. Approach sensitivity tended to decline between Times 1 and 3 for all age groups. Cross-sectional age differences were not evident for avoidance sensitivity at Time 1 (assessed using the BIS); however there was evidence for different patterns of change in avoidance over time across the age groups. Results are discussed in the context of lifespan developmental perspectives on self-regulation of emotion and behaviour.     

Mother–child relationship quality from preschool to adolescence: Variation by maternal education

Using longitudinal data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N = 1088), we examine changes in maternal perception of closeness and conflict in the mother–child relationship from the child's preschool to adolescent years, with attention to variation by maternal education. Analyses using individual growth models show that mother–child closeness increases, while mother–child conflict decreases, from preschool to first grade. From first grade to age 15, mother–child closeness decreases, while mother–child conflict increases, both gradually. The decrease in mother–child conflict from preschool to first grade and the increases in mother–child conflict from first to fifth grade, sixth grade, and age 15 are less steep for mothers with a college degree than for mothers without a college degree. These findings underscore the importance of examining changes in parent–child relationships using longitudinal data across children's developmental stages and their variations by parental social and economic status.     

The Dependency–Counterdependency Dynamic: Interactive Effects of System Justification and Power-Distance Orientation on Radicalization against the Political System

System Justification Theory posits that individuals are less prone to engage in radical action against a system on which they depend. In the present research, we investigated how the association between system-justifying tendencies and radical intentions is moderated by individuals' orientation towards power differentials, namely their “power distance.” A stronger power distance orientation implies that individuals perceive power differentials as a fixed feature of society, curtailing prospects for change. We hypothesized that, at lower levels of power distance orientation, system-justification tendencies would be associated with reduced radical intentions. We contend this will occur because individuals feel dependent on a system perceived as malleable (dependency hypothesis). Conversely, at higher levels of power distance orientation, we expected system-justification tendencies to be associated with stronger radical intentions. We argue that this effect reflects the rejection of dependency on a system perceived as fixed (counterdependency hypothesis). This dependency-counterdependency dynamic was tested using a multigroup latent structural equation model and samples from four countries (N_Total = 2,502), South Korea, Italy, the United Kingdom, and the United States. Results were consistent with the hypothesized dynamic across all countries. Theoretical implications of the findings, limitations, and future research directions are discussed.     

PCIT-Health: Preventing Childhood Obesity by Strengthening the Parent–Child Relationship

Childhood obesity is a costly, yet preventable, public health concern. Strengthening the parent–child relationship and teaching parents strategies to manage children’s general and health-related behaviors has the potential to reduce childhood obesity risk. Selective prevention interventions may help parents of young children establish positive parenting and feeding practices to actively reduce risk factors. We review the existing literature on childhood obesity interventions and describe an adaptation to a behavioral parent training program—parent–child interaction therapy (PCIT)—to address children’s behaviors in obesity-salient (e.g., mealtime, screen time, bedtime) contexts. In a case example, we describe how PCIT-Health can be effectively implemented.     

Voices from the Front Lines: An Analysis of Physicians’ Reflective Narratives about Flaws with the ‘System’

Physicians often express frustration with the ‘system’ in which they work. Over time, this frustration may put them at risk of burnout and disengagement, which may impact patient care. In this study, we aimed to understand the nature of the system flaws that physicians identified in their published narratives and to explore their self-representation as agents of change. We reviewed all reflective narratives published in four medical journals (NEJM, JAMA, CMAJ, Annals IM) between January 2015 and December 2017 (n?=?282). By consensus, we identified those that addressed system flaws (n?=?87). Using content and narrative analysis, we analyzed the types of flaws and the physicians’ orientation to the flawed system. We identified seven recurring system flaws—five related to medical culture: failures of communication, erosive impact of the hidden curriculum, inadequate health advocacy, frenzied pace of work, and experience of stigma. Less frequently, physicians’ narratives also exposed limited and disparate healthcare resources and restrictive institutional practices as impeding patient-centered care. Physicians expressed agency to create change foremost when writing about flaws related to medical culture. While physicians are challenged by system flaws, they strive to practice in ways that do not succumb to them. We saw tension between the elements outside the physician’s control and those within it. This tension becomes a source of distress when the compromises that emerge from system flaws move physicians away from the values that define their professional identity.

     

Integrating Psychopathology and Personality Disorders Conceptualized by the MMPI–2–RF and the MCMI–III: A Structural Validity Study

Twenty Es administered Rorschachs expecting Ss to give high or low total numbers of responses, high or low animal in relation to human percentages, and one or another extreme of select personality characteristics. Additionally, each tested a control S expecting “nothing remarkable.” Results indicated tester-bias and suggested that within each comparison group, one expectancy condition contributed disproportionately more to the bias effect than did the other. Video tapes of 20 sessions were analyzed to see whether a Bandura modeling paradigm could account for the mediation of bias; i.e., whether Es modeled their expectancies for the benefit of their Ss and whether Ss consequently imitated their models. This was not supported.     

Introductory remarks by the issue editors: The multiple dimensions of the parent–baby story

Abstract

In their introductory remarks, the guest editors, themselves presenters at the conference “Parent–Infant Disturbance: Theory and Therapy,” introduce the philosophy and methodology underlying this interdisciplinary psychoanalytic conference and outline the multiple dimensions of the issue at hand, as they are addressed by the individual contributions to this volume. The paper concludes with a remembrance of and dedication to the victims of the Paris terrorist attack of November 13, 2015.     

Selective auditory grouping by zebra finches: testing the iambic–trochaic law

Humans have a strong tendency to spontaneously group visual or auditory stimuli together in larger patterns. One of these perceptual grouping biases is formulated as the iambic/trochaic law, where humans group successive tones alternating in pitch and intensity as trochees (high–low and loud–soft) and alternating in duration as iambs (short–long). The grouping of alternations in pitch and intensity into trochees is a human universal and is also present in one non-human animal species, rats. The perceptual grouping of sounds alternating in duration seems to be affected by native language in humans and has so far not been found among animals. In the current study, we explore to which extent these perceptual biases are present in a songbird, the zebra finch. Zebra finches were trained to discriminate between short strings of pure tones organized as iambs and as trochees. One group received tones that alternated in pitch, a second group heard tones alternating in duration, and for a third group, tones alternated in intensity. Those zebra finches that showed sustained correct discrimination were next tested with longer, ambiguous strings of alternating sounds. The zebra finches in the pitch condition categorized ambiguous strings of alternating tones as trochees, similar to humans. However, most of the zebra finches in the duration and intensity condition did not learn to discriminate between training stimuli organized as iambs and trochees. This study shows that the perceptual bias to group tones alternating in pitch as trochees is not specific to humans and rats, but may be more widespread among animals.     

Methodological Issues in the Direct Observation of Parent–Child Interaction: Do Observational Findings Reflect the Natural Behavior of Participants?

This review examines evidence for the utility and validity of direct observational techniques for answering particular research and clinical questions. Observational techniques often involve recording behavior in settings that are relatively unnatural for families. However, it is argued that construct validity of observational methods depends partly on whether the findings are representative of participants' typical everyday behavior. Evidence is reviewed concerning whether observational findings are affected by the presence of the observer, and by two factors which have been neglected in the literature, namely the type of task imposed by the observer (e.g., directing parent and child to play rather than observing spontaneous interaction) and the location of the observations (e.g., clinic or laboratory rather than home). The review suggests that the presence of an observer does not necessarily distort the nature of interactions. However, the small number of studies in this area suggest that interactions in structured or artificial settings are not necessarily representative of those normally taking place at home.