Variables which differentiate placement of adolescents into juvenile justice or mental health systems

Studies of the variables that determine whether an adolescent is placed in the mental health or juvenile justice system for treatment have led to conflicting conclusions based on impressionistic data. The primary hypothesis of this study--that demographic variables would and personality/psychopathology variables would not differentiate into which system a youth will be placed--was supported. Adolescents were studied at intake into both the juvenile justice system and the mental health system. Data were collected on demographics (structured interviews), personality/psychopathology (MMPI), social adjustment (CAAP), and academic achievement (PIAT). A discriminant function analysis identified eight statistically significant variables which differentiated the two groups. In order of decreasing importance they are: ethnicity, gender, MMPI-depression, previous mental health history, CAAP-productivity, drug use, parental marital history, and parental religious preference.     

Identity conflict in Mexican-American adolescents

Mexican-American adolescents of migrant origin present conflicting attitudes in their selection of ideal characters and images for identification. As minority members, identification with members of outside groups appears blocked for them. At the same time, encounters with outside society seem to undermine identification processes that develop within their own group, their families, and community. This study concludes that relationships of dominance and dependence in the outside society foster inhibitions to the process of identification, and disturbances in the mechanisms of defense in the minority member. These relationships seem to interfere with the internalization and adoption of significant others' characteristics and attitudes.     

The princess in the tower: Zelda Fitzgerald's creative impasse

Gifted women often find it difficult to integrate an acceptable social image with an autonomous artistic identity. This paper explores the ambitions and conflicts of Zelda Fitzgerald, who aspired to be an artist in several fields, but whose fame is largely contingent on the role she played in the life of her husband, F. Scott Fitzgerald. Zelda's flamboyant public pose, which served as a model for many of her husband's literary characters, is interpreted as an attempt to organize a consistent identity configuration by means of constant appeals for applause from an admiring audience. But although this configuration provided some stability and cohesion for her during her twenties, it was a superficial and vulnerable structure which failed to support her serious artistic aspirations. An examination of the separation conflicts and difficulties in internalization which contributed to Zelda's dilemma leads to a consideration of the role of the father in the organization of differentiated female achievements. Although Zelda Fitzgerald's pathology was extreme, her struggles suggest useful insights into the intrapsychic and social barriers commonly confronting creative women.     

A preliminary report on defenses and conflicts associated with borderline personality disorder

The authors present preliminary psychodynamic findings from a naturalistic study of borderline personality disorder compared to antisocial personality disorder and bipolar type II (depression with hypomania) affective disorder. An independent psychodynamic interview of each subject was videotaped from which ratings were made of the presence of 22 defense mechanisms and 11 psychodynamic conflicts. A factor analysis of ratings from 81 subjects supported the separation of borderline (splitting, projective identification) from narcissistic defenses (devaluation, omnipotence, idealization, mood-incongruent denial). While certain groups of defenses were associated with each diagnosis, defense ratings did not significantly discriminate the three diagnostic groups, suggesting a limit to their diagnostic value. Among 27 subjects rated, borderline personality was strongly associated with two conflicts: separation-abandonment, and a global conflict over the experience and expression of emotional needs and anger. Antisocial personality was psychodynamically distinct and more heterogeneous. Bipolar type II was associated with two hypothesized depressive conflicts: dominant other and dominant goal. Chronic depression, which was more common in both personality disorder groups than in bipolar type II, was associated with a third depressive conflict, overall gratification inhibition. Overall, conflicts were powerful discriminators of the three diagnostic groups. The heuristic value of these findings is discussed.