Growing up hidden: notes on understanding male homosexuality

Beginning with Freud and briefly reviewing some contemporary approaches to the treatment of gay men, this paper explores theoretical attempts to understand and explain homosexuality. The author finds covert and not-so-covert remnants of pathologizing in most theoretical approaches that contribute to the phenomenon of being hidden even in psychoanalysis. Further, the author emphasizes the nonmonolithic structure of homosexuality and the consequent need to look at each case individually. The author advocates a nonjudgmental, sustained empathic approach to the understanding and treatment of gay men. Clinical examples illustrate the individual meanings of homoerotic longings.     

Where did the ventricular localization of mental faculties come from?

During the Middle Ages it was widely believed that the various mental faculties-sensation, cognition, memory, and so forth-were each located in a specific part of the three ventricles that were thought to be housed in the brain. The origin of this scheme was commonly attributed to the ancient scholars, but it was rare for a specific individual to be identified as the originator. Modern researchers sometimes attribute it to Galen, but Galen was clear in his contention that the mental faculties were located in the substance of the brain rather than in the ventricles. It was only later scholars who, using Galen's anatomy as their basis, placed the mental faculties in the ventricles themselves. The system came together piece by piece over a period of centuries, probably not appearing fully in the form known to the Medieval world until the Middle Ages themselves. This article traces the development of the theory of ventricular localization of the mental faculties from the Ancient world to the early part of the Middle Ages.     

Effect of action video games on the spatial distribution of visuospatial attention

The authors investigated the effect of action gaming on the spatial distribution of attention. The authors used the flanker compatibility effect to separately assess center and peripheral attentional resources in gamers versus nongamers. Gamers exhibited an enhancement in attentional resources compared with nongamers, not only in the periphery but also in central vision. The authors then used a target localization task to unambiguously establish that gaming enhances the spatial distribution of visual attention over a wide field of view. Gamers were more accurate than nongamers at all eccentricities tested, and the advantage held even when a concurrent center task was added, ruling out a trade-off between central and peripheral attention. By establishing the causal role of gaming through training studies, the authors demonstrate that action gaming enhances visuospatial attention throughout the visual field.     

Neurocognitive outcomes in children with chronic kidney disease: Current findings and contemporary endeavors

Given the rise in chronic kidney disease (CKD) in both children and adults, CKD has recently been targeted as a public health priority. Childhood onset kidney disease is generally a noncurable and progressive condition that leads to kidney failure by early adulthood. Fortunately, improved identification of kidney problems allows for early intervention, which is thought to slow progression toward end-stage renal disease. In addition, medical interventions for pediatric end-stage renal disease have also improved, allowing children to take advantage of lifesaving renal replacement treatments such as dialysis and kidney transplantation. In spite of improvements in identification and treatment, CKD causes both direct and indirect insults to a variety of organ systems. This paper reviews recently published studies pertaining to the neurocognitive and psychosocial impact of CKD on children of various ages and at various stages of kidney failure. Specific attention is focused on summarizing peer reviewed research that describes associations between kidney functioning and cognitive functioning, language acquisition, visual spatial abilities, memory, and executive functioning. In addition, peer reviewed research describing psychosocial outcomes associated with CKD related to academic achievement, social-behavioral functioning, and quality of life are summarized. The authors also identified disease-specific factors that likely mediate neurocognitive outcomes (e.g., anemia, hypertension, cardiovascular) and endorse the importance of continued interdisciplinary research collaborations that will provide a better understanding of the mechanisms responsible for improved neurocognitive functioning after transplantation. The authors conclude this review by describing a multicenter, prospective, longitudinal, National Institutes of Health funded study that is currently examining the developmental outcomes of children with mild to moderate CKD. The authors speculate that the Chronic Kidney Disease in Children Prospective Cohort Study (CKiD) findings will provide additional evidence-based guidance for clinicians and researchers working with children and adolescents with deteriorating kidney function to improve medical and developmental outcomes.     

Postnatal depression among mothers in the United Arab Emirates: socio-cultural and physical factors

Postnatal depression (PND) has been found to affect women in cultures around the world. This study sought to further identify the prevalence and related socio-cultural and physical factors in Arab women from the United Arab Emirates (UAE). The study involved a sample of Emirati women recruited in a government maternity hospital in Abu Dhabi who completed demographic questionnaires soon after giving birth (n=125) and the Edinburgh Postnatal Depression Scale (EPDS) at 3 months (n=86) and 6 months postpartum (n=56). Data are presented in three categories of: No Depression (scores of 0-9), Borderline Depression (scores of 10-12) and Depression (scores of 13+). It was found that at 3 months, this sample had 22% of mothers falling into the Depression category and another 22% falling in the Borderline Depression category. At 6 months, this fell to 12.5% Depression category and 19.6% Borderline Depression category. Relationships between higher depression scores and risk factors included; not breastfeeding, giving birth to the first child, poor self body image and view of weight, poor relationship with mother-in-law, and an older age at marriage. Results are discussed in relation to UAE and Islamic culture.     

Level of functioning and recidivism risk among adolescent offenders

The assessment of offending youth is important in determining the most appropriate disposition for adolescents involved in the justice system. Recent studies have found a relationship between justice system involvement and level-of-functioning (LOF). This study investigated the relationship between LOF and recidivism risk among adolescents involved in a community-based, juvenile justice treatment program. The results document that conceptually similar domains are substantively correlated; however, a range of functioning was found among youth considered to have the same risk of recidivism. Overall, the results suggest that LOF measures may be associated with risk measures due to a convergence of areas assessed and that the two constructs also may have a relationship analogous to LOF and clinical diagnosis.     

An enriched teaching program for reducing resistance and indices of unhappiness among individuals with profound multiple disabilities

We evaluated an enriched teaching program for reducing resistance and indices of unhappiness displayed by 3 individuals with profound multiple disabilities during teaching sessions. The program involved presentation of preferred activities before, during, and after each teaching session, discontinuation of identified nonpreferred activities, and a brief break and preferred activity following occurrence of resistance. Implementation of the enriched teaching program was accompanied by reductions in resistance and indices of unhappiness for each participant. Results also indicated no negative impact of the program on participant performance of the teaching steps or staff teaching proficiency. Staff questionnaire responses provided a degree of social validation for the observed changes in that staff reported the participants liked the enriched teaching program more than the traditional teaching process. Directions for future research discussed include identifying critical aspects of the overall program and the potential relation between teaching proficiency and the program's enrichment effectiveness.     

Combined expectancies: event-related potentials reveal the early benefits of spatial attention that are obscured by reaction time measures

Visual spatial attention has been likened to a "spotlight" that selectively facilitates the perceptual processing of events at covertly attended locations. However, if participants have advance knowledge of the likely location of an impending target and the likely response it will require, facilitation in response performance does not occur for targets at the expected (or attended) location that require an unexpected response. Event-related potentials (ERPs) were recorded during a discrimination task in which the most likely target location and target response were simultaneously cued prior to target onset. The ERPs showed evidence of enhanced perceptual-level processing for all targets at attended locations. These results suggest that the lack of response facilitation for unexpected targets at attended locations is likely due to postperceptual processes that are activated by the inclusion of nonspatial stimulus expectancies, response expectancies, or both.