The mental health consequences of dealing with self-inflicted death in custody

The impact of dealing with a death in custody was explored in 49 prison officers who had dealt with such an event in the period 3–7 months prior to the study. A 36.7% incidence rate of post-traumatic stress disorder (PTSD) was identified. Optimism, avoidance problem solving style, prior experience of suicide and level of involvement in the incident were direct mediators of the impact of the event for the total sample, while perceived control, emotional support and other aspect of problem-solving style had an indirect effect. Separate analysis of the PTSD and non-PTSD groups showed that the only mediator for the PTSD group was prior experience. For the non-PTSD group a range of variables mediated the impact. It is argued that this provides a case for preventive rather than treatment interventions.     

An unusual case of dyslexia with dysgraphia

A 63 year old lady suffered dense right homonymous hemianopia, severe dyslexia and dysmorphic and dysphasic dysgraphia for single letters, short words and text. By contrast, she matched these same words from dictation to visually presented word and picture choices, spelled aloud words dictated to her, and named aloud words dictated to her in spelled form.The findings bear on the unsettled issue of lesion site in the syndrome, and prove exception to the ‘bi-directional’ disconnection hypothesis. The use of such tests in other cases may prove these findings common in the syndrome of dyslexia and dysgraphia.     

Epidemiology and preventive interventions: Parental death in childhood as a case example

Illustrates how standard epidemiologic principles form the knowledge base to justify a preventive intervention for an at-risk population. These principles were applied to a sample of 92 from the population of children aged 8 to 15 at alleged risk for mental health disorders because a parent died. Prior work on this alleged risk population is sparse and flawed. Validly determining the population effect of an alleged risk factor requires assessing the influence of sampling bias. The bias found, underrepresentation of deaths of a mother, did not influence the relations among death of a parent and children's depression and conduct disorder, and the modifiable mediators of risk to be changed by the preventive intervention. The epidemiologic measure of effect indicated that death of a parent is a risk factor for major depression but not for conduct disorder among youth. Families recruited for the preventive intervention by epidemiologic methods (ES families) did not differ significantly from the earlier families on whom the knowledge base was formed. Families referred to the intervention by self or others significantly differed from the ES families in two ways that constituted serious biases. The implications of these biases for prevention were discussed.     

Developmental changes in death anxiety in childhood

A sample of 49 children divided into three age groups (3–4 years, 7–8 years, and 10–11 years) responded to a pictorial derivation of Spielberger's State Anxiety Inventory for Children (STAIC). Three pictures were used as stimuli, in addition to words, for the measure of death anxiety. The intensity measure was the response to six Hebrew mood adjectives as the child chose one of seven schematic face drawings ranging from positive to negative expressions. Reliabilities were comporable to the longer versions of the Hebrew STAIC with older children. Findings indicated significant differences in anxiety scores between the age groups, with older subjects showing higher levels of anxiety. The advantage of a single measure of death anxiety appropriate for a wide age range is discussed, as well as the implication for a developmental pattern of death anxiety.     

Learning about life and death in early childhood

have argued that young children initially understand biological phenomena in terms of vitalism, a mode of construal in which "life" or "life-force" is the central causal-explanatory concept. This study investigated the development of vitalistic reasoning in young children's concepts of life, the human body and death. Sixty preschool children between the ages of 3 years, 7 months and 5 years, 11 months participated. All children were initially given structured interviews to assess their knowledge of (1) human body function and (2) death. From this sample 40 children in the Training group were taught about the human body and how it functions to maintain life. The Control group (n=20) received no training. All 60 children were subsequently reassessed on their knowledge of human body function and death. Results from the initial interviews indicated that young children who spontaneously appealed to vitalistic concepts in reasoning about human body functioning were also more sophisticated in their understanding of death. Results from the posttraining interviews showed that children readily learned to adopt a vitalistic approach to human body functioning, and that this learning coincided with significant development in their understanding of human body function, and of death. The overall pattern of results supports the claim that the acquisition of a vitalistic causal-explanatory framework serves to structure children's concepts and facilitates learning in the domain of biology.     

An unusual case of after-imagery following fixation of an “imaginary” visual pattern

The case of a healthy normal subject is described in which negative after-images were reported to follow fixation of an “imaginary” pattern. The size of the after-image was measured at various distances and found to agree closely with the size of an after-image induced by fixation of a “real” visual pattern, and to conform roughly with Emmert's Law. No evidence for chromatic after-images was obtained. Two controls were conducted, one indicating that the results could not be attributed to after-images resulting from objective aids used to maintain an “imaginary” pattern of constant size; the other discounting the possibility of the subject's having guessed the correct values. Similar phenomena reported in the early literature are briefly mentioned, and some theoretical implications discussed.     

Oral and written language in a case of childhood phonemic deafness

Neuropsychologic and neurolinguistic studies performed on an 11-year-old Landau-Kleffner boy are reported. At age 3 his language began to deteriorate progressively until complete disappearance. At the same time, the patient developed epileptic seizures. When 6 years old, he was taught to match objects to the corresponding written word, and subsequently he was able to learn reading and writing to such extent that he could attend primary school. BAER and primary cortical auditory responses were normal, whereas late cortical components were grossly retarded and distorted. Phonemic discrimination, identification, and production were absent, and in contrast, lexical-semantic abilities tested through reading and writing were normal. In visual STM tasks, phonologic mediation was absent. The role of phonologic mediation in language acquisition is then hypothesized.     

In case of death,cling to the ingroup

An experiment investigated whether the enhanced importance of the ingroup as a consequence of the salience of death thoughts is a unconscious defense mechanism. Scottish participants were subliminally primed with either the word death or field. Subsequently, they were asked to classify a series of pictures as either English or Scottish, and to state whether a series of negative traits applied to the English or not. Results showed that participants primed with the word death were more likely to exclude targets that looked more like outgroup than ingroup members, than participants in the field (control) prime condition. The pattern observed on the categorization‐latency also supported the claim that death‐prime participants are more careful in classifying targets. Finally, death‐prime participants also conveyed more negative, stereotypical judgments of the English in a trait attribution task. The implications of the results are discussed in relation to terror management theory and social identification phenomena. Copyright © 2004 John Wiley & Sons, Ltd.     

Effects on an adult of incest in childhood: a case report

Recognition of the widespread incidence of overt incest in childhood has significantly increased in recent years. The described long-term effects range from severe psychopathology and behavioral disorder to mild and subtle manifestations. The interplay of the child's sexual developmental processes and intrapsychic fantasies with the overtly incestuous behaviors adds complexity to the understanding of longterm effects. In this case presentation successful analysis revealed previously repressed extensive father-daughter incest resulting in typically autoplastic neurotic symptomatology and character formation. Effects on ego development and function were traced, and an attempt was made to develop recognition of cues suggestive of past overt incest. The case suggests that many additional factors contribute to the final long-term effects of overt incest in childhood.     

An examination of the cognitive processes involved in childhood obsessive-compulsive disorder

The cognitive theory of obsessive-compulsive disorder (OCD) is the most widely accepted account of the aetiology and maintenance of this disorder in adults. This paper investigated whether cognitive processes were evident in a sample of children with a primary diagnosis of OCD. Using an idiographic approach, as proposed by the Obsessive-Compulsive Cognitions Working Group, this paper assessed cognitive appraisals of responsibility, probability, severity, thought-action fusion, self-doubt and cognitive control. Ratings of these cognitive appraisals were obtained across a sample of children with OCD, and were compared with ratings from a clinical control group of anxious children and a non-clinic control group. It was hypothesised that consistent with the cognitive theory of OCD, children in the OCD group would display higher estimations of these cognitive processes in comparison to anxious and non-clinic children. Results of this investigation provide preliminary support for a cognitive conceptualisation of OCD during childhood. OCD children reported significantly higher ratings of responsibility, severity, thought action fusion and less cognitive control in comparison to non-clinic children. OCD children could also be clearly differentiated from anxious children on ratings of cognitive control. Implications of this investigation are discussed and directions for future research are highlighted.