Depressed Adolescents and Comorbid Psychiatric Disorders: Are There Differences in the Presentation of Depression?

Patterns and correlates of comorbidity, as well as differences in manifest depressive profiles were investigated in a sample of depressed adolescents. A sub-sample of the youth were characterized as belonging to either a Pure depression group, an Internalizing group (depression and co-occurring internalizing disorders), or an Externalizing group (depression and co-occurring externalizing disorders). Item response theory (IRT) and differential item functioning (DIF) were used to assess whether the depressed adolescents from the different comorbidity groups presented with different depressive symptoms. Results indicated that the comorbidity groups were meaningfully distinct in terms of psychosocial correlates as well as showed differences in depressive symptom profiles as informed by DIF analyses. In particular, the comorbidity groups differed in terms of presentation of psychomotor changes and cognitive impairments. Implications for assessment are discussed.

Self-Reported Symptoms of Depression by Changes in Sleeping Patterns and Appetites for Outpatients with a Major Depressive Disorder

To determine whether self-reported symptoms of depression are differentiated by changes in sleeping patterns or appetite, the Beck Depression Inventory-II (BDI-II; Beck et al. 1996) was administered to 1,250 outpatients diagnosed with a major depressive disorder. A series of focused contrasts supported the hypothesis that the mean BDI-II total scores and the majority of the symptom ratings of the outpatients who described increases or decreases in their sleeping patterns or appetites were comparable and higher than the mean BDI-II total scores and symptom ratings of the patients who reported no changes in their sleeping patterns or appetites. However, the patients who were sleeping less described themselves as being more agitated than those who were sleeping more. Decreases and increases in sleep or appetite were both discussed as indicating comparable levels of depressive symptomatology.

What’s the 411? Assessing the Feasibility of Providing African American Adolescents with HIV/AIDS Prevention Education in a Faith-Based Setting

This study examines African American faith based leaders’ attitudes and beliefs about providing HIV prevention education and services to adolescents. Using a convenience sample, we identified priority adolescent health issues, attitudes about abstinence messages, and willingness to provide and participate in HIV prevention. Leaders identified drugs, gangs, alcohol, sex, and pregnancy as priority health issues affecting youth in their institutions. Leaders’ strongly preferred to emphasize abstinence messages. Although leaders were willing to provide youth with health education, they were not willing to discuss specific behaviors associated with HIV transmission. African American churches provide a venue to reach African American youth; however, there are limitations to relying on faith-based HIV prevention services. HIV prevention education should continue to be supplemented via parents, schools, and public health agencies.

Public and Private Meaning in Hume: Comments on Ted Morris’ “Meaningfulness without Metaphysics: Another Look at Hume’s Meaning-Empiricism”

This paper raises questions concerning Ted Morris’ interpretation of Hume’s notion of meaning and investigates the private and public aspects of Hume’s notion of meaning.

Cognitive and Interpersonal Predictors of Stress Generation in Children of Affectively Ill Parents

Stress generation is a process in which individuals, through their depressive symptoms, personal characteristics, and/or behaviors, contribute to the occurrence of stressful life events. While this process has been well documented in adults, few studies have examined it in children. The present study examines whether cognitive and interpersonal vulnerability factors to depression contribute to stress generation in children, independent of their current depressive symptoms. Participants included 140 children (ages 6 to 14) and one of their parents. During an initial assessment, children completed self-report measures assessing cognitive and interpersonal vulnerability factors to depression. Children and their parents also completed measures assessing depressive symptoms. One year later, children and their parents participated in a semi-structured interview assessing the occurrence of stressful life events in the past year. Multi-level modeling results provided strong support for the stress generation process in children of affectively ill parents and highlight the importance of considering gender and age moderation effects.

A phenomenology of political apathy: Scheler on the origins of mass violence

In his criticisms of the German youth movement and the emergence of fascism across Europe during the early 1920s, Max Scheler draws a distinction between the different senses of political apathy that give rise to mass political movements. Recent studies of mass apathy have tended to treat all forms of apathy as the same and as a consequence reduced the diverse expressions of mass violence to the same, stripping mass movements of any critical function. I show in this paper that Scheler’s distinction provides the means by which to locate the various origins of mass violence and the practical means by which to address this violence that preserves the liberating potential of collective political movements.

A Further Reply to Beyer on Omniscience

I provide a further response to Jason A. Beyer’s objections to the alleged inconsistency between God’s omniscience and His other attributes.

Perceived Academic Control: mediating the effects of optimism and social support on college students’ psychological health

The first year of college presents numerous challenges experienced as overwhelming by some freshmen who may become overly stressed and depressed. This longitudinal study examined perceived academic control (PAC) as a mediator of optimism and social support’s buffering effects on freshman students’ psychological health. Multiple regressions assessed optimism and social support (at the start of the academic year) as predictors of year-end stress and depression among 288 freshmen. PAC (at the start of the year) was then examined as a mediator of the effects of optimism and support. Lastly, stress and depression were assessed as predictors of year-end degree commitment and cumulative GPA. As expected, optimism and support predicted less stress and depression, yet their beneficial effects were mediated by students’ PAC. Depression subsequently predicted less year-end degree commitment and lower cumulative GPAs. PAC mediates the protective effects of optimism and support, providing additional protection for students against poor psychological health. Findings have implications for shielding students’ health against the demands of the freshman year.

Motivational climate and changes in young athletes’ achievement goal orientations

Development of achievement-related motives in young athletes is believed to be influenced by the motivational climate created by coaches. In a longitudinal multilevel design utilizing 47 youth basketball teams, coach-initiated motivational climate was used to predict changes in 9–13 year old athletes’ achievement goal orientations over the course of a season. Mastery climate scores on the Motivational Climate Scale for Youth Sports were associated with significant increases in mastery goal orientation and decreases in ego orientation scores on the Achievement Goal Scale for Youth Sports. Ego motivational climate scores were significantly related to increases in ego goal orientation scores. These relations were not influenced by athletes’ age or gender. Intraclass correlations indicated low within-team consensus in athletes’ motivational climate scores, suggesting an individual- rather than team-level perceptual construct. These and other findings indicate that achievement goal orientation research can be extended downward to children below the age of 11.

Remarks on Grandi’s Comments

This note is a reply to some of Giovanni Grandi’s comments on my paper “Berkeley’s Contingent Necessities.”

The Subject of Pastoral Care: A Discussion Based on the Theology of Henning Luther

In this article the author discusses the differences between pastoral care and psycho-social therapy. She clarifies the specific identity of pastoral care on the basis of Henning Luther’s theology. He distinguishes different anthropological presuppositions in pastoral care and psycho-social therapy. Consequently, she demonstrates the relevancy of Luther’s theology for today’s Practical Theology.

Common and Specific Dimensions of Self-Reported Anxiety and Depression in Adolescent Outpatients

To investigate the common and specific dimensions of anxiety and depression in adolescents, the Beck Anxiety Inventory (BAI; Beck, A. T., & Steer, R. A. Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation 1993a) and Beck Depression Inventory-II (BDI-II; Beck, A. T., Steer, R. A., & Brown, G. K. Manual for Beck Depression Inventory (2nd Ed.). San Antonio, TX: Psychological Corporation 1996) were administered to 840 adolescent (13–17 years old) outpatients who were diagnosed with various types of psychiatric disorders. A Schmid-Leiman transformation was used with the iterated-principal-factor pattern matrix of the BAI and the BDI-II loadings. The amounts of orthogonalized common variance that were explained by the one second-order (56%), one first-order depression (22%), and two first-order anxiety (22%) dimensions were comparable to those previously reported for adult psychiatric outpatients. The results were discussed as supporting the construct of negative affectivity that is proposed in L. A. Clark and Watson’s (1991) tripartite model of anxiety and depression.

Knowledge as aptness

I raise several objections to Sosa’s account of knowledge as aptness. I argue that aptness is neither necessary nor sufficient for knowledge. I also raise some objection to Sosa’s treatment of dreaming skepticism.

Ways an actualist might be

I discuss Stalnaker’s views on modality. In particular, his views on actualism, anti-essentialism, counterpart theory, and the Barcan formulas.

On that peculiar practice of promising

T. M. Scanlon has alleged that the social practice of promising fails to capture the sense in which when I break my promise I have wronged the promisee in particular. I suggest the practice of promising requires the promisee to have a normatively significant status, a status with interpersonal authority with respect to the promisor, and so be at risk of a particular harm made possible by the social practice of promising. This formulation of the social practice account avoids Scanlon’s concern without collapsing into what Elinor Mason has recently referred to as deflationism about promising.

Seeing Through Technology

In examining representations of cities, disease, and human biology, this paper reflects on what technologies reveal of the conditions to which they’re turned.

Divine Incoherence

In this note I show that Noreen Johnson misunderstands my argument and consequently fails to refute my thesis that God’s omnipotence conflicts with his omniscience.

Relational Services

Recent research projects have looked for social innovations, i.e., people creating solutions outside the mainstream patterns of production and consumption. An analysis of these innovations indicates the emergence of a particular kind of service configuration—defined here as relational services—which requires intensive interpersonal relations to operate. Based on a comparative analysis between standard and relational services, we propose to the Service Design discipline an interpretative framework able to reinforce its ability to deal with the interpersonal relational qualities in services, indicating how these qualities can be understood and favored by design activities, as well as the limits of this design intervention. Martin Buber’s conceptual framework is presented as the main interpretative basis. Buber describes two ways of interacting (“I-Thou” and “I-It”). Relational services are those most favoring “I-Thou” interpersonal encounters.

Adolescent Conduct Problems and Bulimic Tendencies: Study of an Emotional Distress Hypothesis

Prior research has documented an association between adolescent conduct problems and bulimic tendencies. However, there is limited theoretical modeling to explain this association, and prior studies have generally failed to assess for potential mediating variables of impulsivity, anxiety, and depression. The current study assessed these mediating variables in further exploring for unique associations between adolescent conduct problems and bulimic tendencies. A non-referred adolescent sample was assessed for bulimic tendencies, conduct problems, impulsivity, anxiety, and depression using a multi-informant assessment battery including parent, teacher, and self-report measures. There was a significant bivariate association between conduct problems and bulimic tendencies, r = 0.29, p < 0.01. However, this association was fully mediated by anxiety and depression symptoms. This suggests that emotional distress could be a primary factor linking adolescent conduct problems and bulimic tendencies. Implications include the potential for more regular screening of youth with conduct problems for associated eating disturbances.

Mother, Melancholia, and Humor in Erik H. Erikson’s Earliest Writings

Erik H. Erikson wrote three articles when he was in his late-twenties and an up-and-coming member of the psychoanalytic community in Vienna. At the time he wrote these articles, he was in a training psychoanalysis with Anna Freud, teaching at the Heitzing School in Vienna, and learning the Montessori method of teaching. These articles focus on the loss of primary narcissism and the development of the superego (or punitive conscience) in early childhood, especially through the child’s conflict with maternal authority. They support the idea that melancholia, with its internalized rage against the mother, is the inevitable outcome of the loss of primary narcissism. I note, however, that the third of these articles makes a case for the restorative role of humor, especially when Freud’s view that humor is a function of the superego is taken into account.