Finding Home: A Qualitative Approach to Understanding Adolescent Mothers’ Housing Instability

Many low‐income Latina adolescent mothers face instability in their housing circumstances, which has implications for their long‐term prospects and that of their children. This study used longitudinal, ethnographic data from Welfare, Children, and Families: A Three‐City Study to explore experiences of low‐income, Latina adolescent mothers (N = 15) with unstable housing who primarily rely on their families or the families of their significant others for housing support. Results of analysis employing grounded theory and narrative approaches suggested two types of instability: “Horizontal moves” between family homes and “vertical moves” between family homes and independent living. Although family support often was fundamental in allowing for participants’ pursuit of independent housing (i.e., vertical moves), it also was associated with greater residential mobility (i.e., horizontal moves), most often in the context of intrafamilial conflict and family instability. These results are discussed with respect to inconsistencies in policies to address this vulnerable population.     

Suicide in Maine: A Social Psychological Approach

ABSTRACT: This paper reports the results of a field study on five proximal social psychological variables derived from Farber's theory of suicide: Hope in the Future Time Perspective; Demands for Interpersonal Giving; the Availability of Succorance; Demands for the Exercising of Competence; and the degree of Toleration of Suicide. The subjects were mature, long-term residents of counties of Maine that proved stable in their relative rate of suicide. The value for each variable was assessed by a questionnaire devised for this purpose by the author. The differences between the mean scale scores for the high and low suicide areas were analyzed by t-tests. The between group differences for all variables were significant at or beyond the .01 level of significance. A correlational study indicated that the relationship among the five variables was compatible with Farber's theory of suicide. The research generally offers strong support for Farber's theory of suicide at the social psychological level of analysis.     

A Single‐Stage Approach to Learning Phonological Categories: Insights From Inuktitut

To acquire one’s native phonological system, language‐specific phonological categories and relationships must be extracted from the input. The acquisition of the categories and relationships has each in its own right been the focus of intense research. However, it is remarkable that research on the acquisition of categories and the relations between them has proceeded, for the most part, independently of one another. We argue that this has led to the implicit view that phonological acquisition is a “two‐stage” process: Phonetic categories are first acquired and then subsequently mapped onto abstract phoneme categories. We present simulations that suggest two problems with this view: First, the learner might mistake the phoneme‐level categories for phonetic‐level categories and thus be unable to learn the relationships between phonetic‐level categories; on the other hand, the learner might construct inaccurate phonetic‐level representations that prevent it from finding regular relations among them. We suggest an alternative conception of the phonological acquisition problem that sidesteps this apparent inevitability and acquires phonemic categories in a single stage. Using acoustic data from Inuktitut, we show that this model reliably converges on a set of phoneme‐level categories and phonetic‐level relations among subcategories, without making use of a lexicon.     

Gender and Suicide in India: A Multiperspective Approach

The gap between male and female suicide rates in India is relatively small. However, society's views on female and male motives are quite different. In order to investigate the perceptions of male and female suicide, we interviewed a focus group of university professors as well as police inspectors, crime reporters, and hospital nurses in Bangalore. We also obtained four narratives of suicide. Women tended to be blamed for their own or their husband's suicide, although they were also viewed more often as victims of life adversities than men. A historical review illustrates that both men and women have been associated with culturally sanctioned suicides. One known form is sati, and we discuss the recent case of sari-murder of Roop Kanwar in 1987. The social sciences and the media also pay a lot of attention to the typical female suicides, symbolizing their role as martyrs of society, which seems to compensate for attribution of blame.     

Suicide Risk Prediction: A New Approach*

A computer program that collects suicide risk factors by computer interview from persons with thoughts of suicide and processes the data to provide risk predictions has been written and pilot tested. Patient acceptance of the interviewing technique was good; more than half of the patients interviewed preferred the computer to a doctor as an interviewer. Bayes Theorem is used to process the data collected against a subjective data base. In a retrospective study comparing risk predictions made by the computer with predictions by experienced clinicians, the computer was more accurate in predicting suicide attempters (p .01) and slightly less accurate in predicting nonattempters. The program is economical, can be used wherever a telephone and a computer terminal are available, and is readily and uniformly modified to include new data.     

Community-Based Guidance: A ‘Tupperware Party’ Approach to Mid-Life Decision Making

This article examines a community-based approach to assisting women in their mid-life decisions through networking, peer-counseling, and professional support.     

A Storytelling Approach: Insights from the <Emphasis Type="Italic">Shambaa</Emphasis>

Narrative medicine explores the stories that patients tell; this paper, conversely, looks at some of the stories that patients are told. The paper starts by examining the ‘story’ told by the Shambaa people of Tanzania to explain the bubonic plague and contrasts this with the stories told by Ghanaian communities to explain lymphatic filariasis. By harnessing insights from memory studies, these stories’ memorability is claimed to be due to their use mnemonic devices woven into stories. The paper suggests that stories can be unpatronising, informative, and appropriate vehicles for communicating medical information to all age groups across all cultures.     

A DDL Approach to Pluralistic Ignorance and Collective Belief

A group is in a state of pluralistic ignorance (PI) if, roughly speaking, every member of the group thinks that his or her belief or desire is different from the beliefs or desires of the other members of the group. PI has been invoked to explain many otherwise puzzling phenomena in social psychology. The main purpose of this article is to shed light on the nature of PI states – their structure, internal consistency and opacity – using the formal apparatus of Dynamic Doxastic Logic, and also to study the sense in which such states are “fragile”, i.e. to identify plausible conditions under which a PI state cascades into a state of shared belief as the result of announcement.     

A Model-Based Approach to Understanding Apraxia in Corticobasal Syndrome

Limb apraxia is a neurological disorder of higher cognitive function characterized by an inability to perform purposeful skilled movements and not attributable to an elementary sensorimotor dysfunction or comprehension difficulty. Corticobasal Syndrome (CBS) is an akinetic rigid syndrome with asymmetric onset and progression with at least one basal ganglia feature (rigidity, limb dystonia or myoclonus) and one cortical feature (limb apraxia, alien hand syndrome or cortical sensory loss). Even though limb apraxia is highly prevalent in CBS (70–80%), very few studies have examined the performance of CBS patients on praxis measures in detail. This review aims to (1) briefly summarize the clinical, neuroanatomical and pathological findings in CBS, (2) briefly outline what limb apraxia is and how it is assessed, (3) to comprehensively review the literature on limb apraxia in CBS to date and (4) to briefly summarize the literature on other forms of apraxia, such as limb-kinetic apraxia and buccofacial apraxia. Overall, the goal of the review is to bring a model-based perspective to the findings available in the literature to date on limb apraxia in CBS.     

The meaning of ‘life’ and other abstract words: Insights from neuropsychology

There are a number of long‐standing theories on how the cognitive processing of abstract words, like ‘life’, differs from that of concrete words, like ‘knife’. This review considers current perspectives on this debate, focusing particularly on insights obtained from patients with language disorders and integrating these with evidence from functional neuroimaging studies. The evidence supports three distinct and mutually compatible hypotheses. (1) Concrete and abstract words differ in their representational substrates, with concrete words depending particularly on sensory experiences and abstract words on linguistic, emotional, and magnitude‐based information. Differential dependence on visual versus verbal experience is supported by the evidence for graded specialization in the anterior temporal lobes for concrete versus abstract words. In addition, concrete words have richer representations, in line with better processing of these words in most aphasic patients and, in particular, patients with semantic dementia. (2) Abstract words place greater demands on executive regulation processes because they have variable meanings that change with context. This theory explains abstract word impairments in patients with semantic‐executive deficits and is supported by neuroimaging studies showing greater response to abstract words in inferior prefrontal cortex. (3) The relationships between concrete words are governed primarily by conceptual similarity, while those of abstract words depend on association to a greater degree. This theory, based primarily on interference and priming effects in aphasic patients, is the most recent to emerge and the least well understood. I present analyses indicating that patterns of lexical co‐occurrence may be important in understanding these effects.     

Suicide by Teenagers in Middle School: A Postvention Team Approach

Volumes have been written (American Association of Suicidology, 1998) and programs have been developed (Befrienders International, 2000) to deal with the prevention of and intervention for teen suicides in middle school. Less prominent is attention to postvention efforts in the aftermath of these acts. The authors describe a child's suicide through the eyes of the school counselor, identify issues unique to teenagers, present symptoms common to presuicidal youth, and suggest a postvention CAPT (counselors, administrators, parents, and teachers)Team Approach.     

Addressing Concealed Suicidality: A Flexible and Contextual Approach to Suicide Risk Assessment in Adults

Concealed suicidality can be a major impediment for clinicians conducting a suicide risk assessment. Client minimization and denial of suicidal thoughts can lead clinicians to undertreat and under-monitor clients experiencing a suicidal crisis. Five recommendations are given to address potential weak areas of suicide assessment with adults including routinized processes and a reliance on assessment instruments that may underestimate risk when individuals have no prior attempts or significant mental illness. Specifically, the authors highlight the importance of continued training and education in suicide assessment, how considering the context of the assessment can heighten one’s sensitivity to concealment of suicidal ideation and how different assessment instruments and interview techniques, when chosen with care, can increase the candor of client expression. The authors also recommend attending to clinician anxiety both as a way of maintaining rapport as well as a method of identifying clues that the assessment is not producing accurate information. Finally, application of recommendations is demonstrated through case vignettes.

     

Understanding the Pathways from Depression to Suicidal Risk from the Perspective of the Interpersonal–Psychological Theory of Suicide

Suicide is a major public health concern, especially in adolescence. Identifying risk factors for suicide is important to effectively prevent such behavior. Depression is one of the most widely examined risk factors for suicidal risk. How depression and suicidal risk are related, however, is still not clear. This study tested a model with three key constructs of the interpersonal–psychological theory of suicidal behavior (IPTS)—perceived burdensomeness, thwarted belongingness, and nonsuicidal self‐injury (NSSI)—as mediators in the relationship between depression and suicidal risk among Chinese adolescents. Chinese high school students (N = 1,074; 54.2% male; M_age = 13.87 years, SD = 1.48) completed questionnaires assessing all study variables. Results suggested that perceived burdensomeness and NSSI partially mediated the relationship between depression and suicidal risk. Findings of this study emphasize the importance of the IPTS framework in understanding the possible mechanisms underlying the relationship between depression and suicidal risk, and suggest a possible avenue for suicide interventions.     

Multigenerational Sexual Abuse: A Cognitive Developmental Approach to Understanding Mothers in Treatment

This paper takes a cognitive developmental perspective in the qualitative analysis of 9 interviews of women who were sexually abused as children and whose children were also sexually abused. It discusses ways in which the development of cognitive self-understanding can by stymied by childhood sexual abuse and how this, in turn, can affect a woman's ability to parent her children and take full advantage of psychotherapy. It studies the recovery process that participants describe at various stages of a social cognitive developmental model of self-understanding. Finally, it promotes the use of a cognitive developmental perspective in clinical work and offers suggestions for counselors addressing issues of childhood sexual victimization.