The classical/relational schism and psychic conflict

The mind's ingrained need to reduce and resolve conflicting perspectives, it is argued, is at the root of struggles among "schools" of analytic thought. Focusing attention on the conflictual process in analytic work can help both patients and analysts appreciate the fundamentally complementary nature of mind and the value of embracing distinctive points of view.     

Psychoanalytic patients in the U.S., CANADA,and Australia: I. DSM-III-R disorders,indications, previous treatment,medications, and length of treatment

To determine the demographics, DSM-III-R disorders diagnosed, indications used in recommending psychoanalysis, previous treatment histories, use of medication, and length of treatment in patients in psychoanalysis in the U.S., Canada, and Australia, a mail survey of practice was sent to every other active member of the American Psychoanalytic Association and every member of the Australian Psychoanalytical Society. This supplemented an earlier survey sent to all Ontario psychoanalysts. The response rates were 40.1 % (n = 342) for the U.S., 67.2% (n = 117) for Canada, and 73.9% (n = 51) for Australia. Respondents supplied data on 1,718 patients. The employment rate for patients increases as analysis progresses (p < .0001). The mean number of concurrent categories of disorders (Axis I, Axis II, and Disorders First Evident in Childhood) per patient at the start of treatment is 5.01 (SD = 3.66; median = 4; mode = 3). There are no statistically significant differences across countries. Mood, anxiety, sexual dysfunction, and personality disorders are most common. American Psychiatric Association / American Psychoanalytic Association peer review criteria for indicating psychoanalysis are followed for 86.5% of patients. Over 80% of patients in all three countries had undergone previous treatments prior to analysis. In the U.S., 18.2% of analysands are on concurrent psychoactive medication; in Australia, 9.6%. The mean length of analyses conducted in the U.S. is 5.7 years, in Australia 6.6, and in Canada 4.8. Psychoanalytic patients in all three countries have similar rates of DSM-III-R psychopathology, and many indications of chronicity.     

Relationship between poverty and health among adolescents

Although the effect of low socioeconomic status on the health of adolescents has been documented, the mechanism by which this occurs is not well understood. Furthermore, improving adolescent health through public health policy typically requires the presence of one or more modifiable risk factors which can be targeted for intervention. In spite of the well-documented negative associations between poverty and health, few modifiable risk factors have been identified. This study used the Evans-Stoddart Model of Health and Well-Being as a framework to examine data on 1,759 adolescents, aged 12 to 19, collected as part of the 1994 National Population Health Survey. Results not only confirm the relationship between income and health, but suggest how the pathway operates through the social environment, lifestyle differences, access to health care, and a reduced sense of self-esteem and self-mastery. Bivariate and multivariate analyses found positive associations between physical activity levels and self-esteem and mastery. We interpret these findings as preliminary evidence that it might be possible to buffer the impact of poverty on health through policies which increase physical activity levels among those living in poverty. Such policies could also include a secondary goal of increasing the activity levels among inactive adolescents who are not living in poverty, as they will derive benefits from this increase, both psychologically and physiologically.     

Differences between students' estimated and attained grades in a first-year introductory psychology course as a function of identity development

Two hundred sixty-eight first-year university students were surveyed about the state of their identity development and their perceptions regarding chances for academic success in an introductory psychology course. In general, it was found that students who had an adult identity had a more accurate assessment of their chances for success in the course and also used more efficient study strategies. Students who had not completely formed an adult identity, however, were more inaccurate in estimates of their final grades and also seemed to use less productive study strategies. It was concluded that those who have formulated an adult identity might have also developed a more complete understanding of both themselves and their situation. Implications of the findings for further research regarding the effects of identity development on university life, as well as the implications for academic intervention programs, are discussed.     

Are high school students accurate or clueless in estimating substance use among peers?

The purpose of this study was to assess adolescents' estimations of the prevalence of alcohol and other drug use and to examine the consistency between these estimations and reported use. A survey was administered to 223 students in three northwestern U.S. high schools. Results showed that students in each of the three high schools grossly overestimated the prevalence of substance use when compared to self-reports of use. Still, students were not entirely clueless about the relative normativeness of substance use when comparing estimates and rates of use among the three schools. The school with the highest estimated prevalence of a particular substance use behavior generally also had the highest self-reported use of that same substance. These findings imply the need for high school personnel to provide students with accurate information about the actual prevalence of substance use within each school.     

An adolescent version of the Michigan Alcoholism Screening Test

Item content of the Michigan Alcoholism Screening Test (MAST) was modified to make it more appropriate for young persons. The resulting test was found to have lower internal consistency than the adult MAST, but the elimination of five items with comparatively poor psychometric properties yielded an acceptable alpha coefficient of .73. A unitary factor model for the adolescent MAST was not confirmed; indeed, the revised test appeared to be factorially complex. Recommendations for further revisions are discussed.     

Reduced or increased influence of non-pertinent information in patients with schizophrenia?

We tested the ability of 18 patients with schizophrenia and 18 matched controls to filter non-pertinent information in orientation matching tasks. The non-pertinent information consisted of pictures conveying semantic information. The pertinent information consisted of oriented line-segments drawn inside pictures or was represented by the overall orientation of the picture itself. The results showed that non-pertinent information interfered with performance of control subjects in all tasks. In contrast, non-pertinent information interfered with the performance of patients with schizophrenia to the same extent as that of matched controls only when non-pertinent and pertinent information was physically mingled, but not when they were separated. Yet, patients processed non-pertinent information in all experiments, as shown by reversed interference effects when non-pertinent and pertinent information was physically separated. These results suggest a deficit at linking physically distinct visual information in patients with schizophrenia. Additionally, performance was more impaired in patients with schizophrenia than in control subjects when the amount of displayed information increased. The results suggest the coexistence, and a possible relationship between attentional deficits and impairments at linking distinct visual information in patients with schizophrenia.     

No evidence for overgeneral memories in borderline personality disorder

The hypothesis that borderline personality disorder (BPD) is related to overgeneral memories was tested in a mixed sample of 39 patients. A memory test with emotional cue words and the instruction to produce specific autobiographical memories was used. Specificity was judged by an independent rater. Regression analyses indicated that age and major depressive disorder were related to the production of less specific memories, whereas educational level and presence of personality disorder were positivily related to number of specific memories. Borderline personality disorder, anxiety disorders and childhood traumas were not related to number of specific memories.