Identity Distress During the Era of Globalization: A Cross-National Comparative Study of India,China, and the United States

In recent decades, globalization has become a growing concern for developing countries. Eastern countries in particular, who have traditionally adhered to group-focused interests and the development of an interpersonal sense of identity, have endured sweeping changes as Western values, opinions, and attitudes begin to pervade its younger generations. With the ease of connection that technological advances such as the Internet provides, late adolescents and emerging adults must negotiate between adopting an identity that is based on the traditional viewpoints of their local culture and adopting an identity that is consistent with the values of a global culture. In this study, the identity distress reported by 422 late-adolescent college students in India, China, and the United States was compared as it relates to the endorsement of individualistic and collectivistic value systems. Identity distress was found to significantly vary by country, with participants from China and India scoring significantly higher than those in the United States. Collectivism was associated with less identity distress in India and more distress in China. Reasons for this disparity are explored and questions for future research are discussed.     

Psychoanalytic Supervision in a Heterogeneous Theoretical Context: Benefits and Complications

This paper explores the influences of a heterogeneous psychoanalytic training setting, such as the Israel Psychoanalytic Institute, on the individual supervision of trainees. While this kind of institute reduces the dangers of submission, uniformity and indoctrination, it creates its own difficulties, “the perils of diversity.” The examples offered include the impact of divergent views of analyzability; aspirations encouraged by certain theoretical models, which may be frustrated in a supervision guided by different views; and controversies regarding psychoanalytic technique, which may confuse a candidate and create inconsistency vis-à-vis the analysand. The open joint exploration of such issues, and of their influence on the supervisory process, is strongly recommended.     

Nonsuicidal self-injury: relationship to behavioral and self-rating measures of impulsivity and self-aggression

Previous research using self-report measures has shown an association between nonsuicidal self-injurious behavior (NSSI) and impulsive tendencies. However, self-injurers have not been shown to be different from comparison groups on laboratory tasks putatively assessing impulsive behavior. One explanation for these contradictory findings is that self-report and laboratory measures of impulsive behavior tap into distinct but related constructs. Moreover, performance on laboratory measures of impulsive behavior can be influenced by myriad contextual and affective factors not present during past self-reported NSSI events. Accordingly, a relationship between behavioral tasks of impulsivity and self-injurious behavior could emerge if both are assessed relatively close in time under controlled laboratory conditions. To test this possibility, both self-ratings and laboratory task measures of self-injurious and impulsive behavior were employed in the current study. This multi-modal assessment approach revealed that self-rated impulsivity was associated with both self-report and behavioral measures of self-injurious behavior. Moreover, behavioral measures of impulsivity were associated with self-injurious behavior, but not NSSI history. These results provide support for the notion that a multi-modal approach to assessing self-injurious behavior is important for better understanding the correlates of nonsuicidal self-injury.     

Perceived control and posttraumatic stress: A temporal model

In this article we present a temporal model for understanding the relations between perceived control and posttraumatic distress. Although perceived control generally is seen as adaptive, a review of the research using a temporal framework reveals that the relations between different types of control and distress vary greatly. Specifically, present and future control tend to be associated with better adjustment and fewer posttraumatic stress disoorder (PTSD) symptoms, whereas past control tends to be unrelated to distress or associated with more distress. Following this review, we outline an agenda for future research on past, future, and present control and posttraumatic distress using our temporal framework and discuss general methodological issues that need to be addressed in future research.     

1. The Adolescent: The Individual in Cultural Perspective

Case vignettes are presented to highlight the idiosyncratic dynamics and special cultural influences that describe adolescent suicides. Extrapolated from these cases are a series of aphorisms about the study of adolescent suicide and about adolescence, meant to inform both clinicians and researchers on the need to better attend to the individual in context of his or her cultural influences.     

A critical look at our adolescence: notes on turning 18 (and 75)

Within the contexts of both the American Association of Suicidology's (AAS's) history and the history of associating suicidologists, an integrative identity based on the tenets of science is urged for the AAS. Two propositions are made: first, that we must promote and adopt more discriminative, standardized terminology; second, that we must promote and implement standards of informational competency for professionals and paraprofessionals alike.     

Suicide and the Standard of Care: Optimal vs. Acceptable

ABSTRACT: The accepted standard of care in the treatment of suicidal patients is discussed from the perspectives of the law, malpractice insurance claims, the mental health professions, and the ideal. A review of decisions of professional liability in suits for wrongful death provides guidelines for what the court considers to be adequate care. Out of court settlements further connote accepted standards of reasonable care. Although attention to potential malpractice issues is necessary and appropriate, what appear to result are an acceptance of minimal standards and the practice of defensive care. It is argued that by demanding more optimal standards the consequent quality of care not only serves the patient best but provides the best legal protection as well.