Depression in the Context of Disability and the “Right to Die”

Arguments in favor of legalized assisted suicide often center on issues of personal privacy and freedom of choice over one's body. Many disability advocates assert, however, that autonomy arguments neglect the complex sociopolitical determinants of despair for people with disabilities. Specifically, they argue that social approval of suicide for individuals with irreversible conditions is discriminatory and that relaxing restrictions on assisted suicide would jeopardize, not advance, the freedom of persons with disabilities to direct the lives they choose. This paper examines the idea promoted by some proponents of assisted suicide that it is reasonable to be depressed about one's diminished quality of life in cases of irreversible illness or disability and, therefore, such depression should not call into question the individual's competence to request assistance in dying. The concept of rational depression is defined and examined in the context of: four real-life cases involving individuals with disabilities who requested assistance in dying; a set of criteria commonly applied to decision-making to determine rationality; and research bearing on the emotional status of people with disabilities. It is concluded that although disability is associated with particular socially mediated stressors, there is no theoretical or empirical evidence to indicate that depression and its role in the right to die is dynamically different, more natural, or more reasonable for disabled people than for non-disabled people.     

Evolved sex differences in the number of partners desired? The long and the short of it

Do men seek more short-term mates than women? Buss and Schmitt (1993) showed a pattern of mean difference in the ideal number of sexual partners men and women desired over various time frames. We replicated these mean sex differences (e.g., ideal number over the next 30 years: Ms = 7.69 and 2.78 for men and women, respectively), but in both data sets the sampling distributions were highly skewed. In Study 1, we found few sex differences in medians across time frames (e.g., ideal number over the next 30 years: Mdn = 1 for both men and women). In Study 2, most college men (98.9%) and women (99.2%) said they wanted to settle down with one mutually exclusive sexual partner at some point in their life, ideally within the next 5 years. Neither medians in number of partners desired overall before settling down (replicating Study 1) nor medians in short-term partners desired before settling down (Mdn = 0) differed significantly by gender. Rather, men and women concurred: Short-term mating is not what humans typically seek.     

Psychoanalysis as Prevention: Using PATHS to Enhance Ego Development, Object Relationships, & Cortical Integration in Children

For over a century, psychoanalysis has improved the lives of many individuals, as well as humanity in general. However, the great potential for psychoanalysis to vastly enhance cultural evolution has not yet been actualized. Employing psychoanalysis in the service of prevention could assist with this goal if it could be made exportable, user-friendly, and available to a large segment of the population. PATHS (Promoting Alternative THinking Strategies) is one specific application of psychoanalytic prevention that was developed with these objectives in mind. PATHS is a comprehensive, developmentally-based curriculum for teachers to use in their classrooms with latency-aged children throughout the elementary school years. Some of the major goals of PATHS include teaching emotional literacy, improving social competence, alleviating and preventing emotional distress and behavior problems, reducing risk factors, improving classroom atmosphere, enhancing student–teacher relationships, and promoting optimal development. The present paper provides an overview of the content and process of PATHS, discusses PATHS as psychoanalytic prevention, and summarizes research conducted with PATHS over the past 15 years. It is suggested that emotional literacy is now critical for our basic knowledge repertoire and that children not taught this information will likely be at a distinct disadvantage as adults.     

The impact of internalized homophobia on HIV preventive interventions

A growing body of research implicates internalized homophobia—the internalization of society's antihomosexual sentiments by gay and lesbian people—as a factor contributing to HIV-related sexual risk behavior in gay and bisexual men. Although accumulating evidence links internalized homophobia and sexual risk behavior, no study has explored the impact of internalized homophobia on efforts to prevent these behaviors. This paper examines the effect of internalized homophobia on gay and bisexual men's awareness of, participation in, and perceptions of programs offered by a community-based HIV prevention organization. In Study 1, 595 gay and bisexual men reported their levels of awareness of and participation in HIV prevention programming offered by one community organization. Internalized homophobia was negatively related to men's awareness of the services offered by the organization. However, among the men who were aware of at least one service, internalized homophobia did not further predict service utilization. Study 2 examined 89 gay and bisexual men who participated for a single session in a group-structured, community-based HIV preventive intervention. Pre- to immediate postintervention change in perceptions of condom use self-efficacy was inversely related to internalized homophobia. Internalized homophobia was also a significant negative predictor of the extent to which participants felt similar to and related well with other members of the group. Together, these findings suggest that internalized homophobia may pose multiple barriers to community-based HIV prevention efforts.     

Early school competence: the roles of sex-segregated play and effortful control

The purpose of this research was to examine the role that young children's same-sex peer interactions play in influencing early school competence. The authors also examined the degree to which effortful control (EC) moderated these relations. The same-sex play preferences of 98 young children (50 boys and 48 girls; mean age = 54.77 months) were observed during the fall semester. At the end of the fall semester, one set of teachers reported on children's EC, and at the end of the following springsemester, another set reported on children's school competence (social, academic, and perceptual-motor). Results revealed that EC moderated the relations of children's same-sex play to their school competence. These patterns differed for boys and girls such that same-sex play was positively related to school outcomes for boys high in EC and for girls low in EC.     

The Anxiety Sensitivity Index - Revised: psychometric properties and factor structure in two nonclinical samples

Anxiety sensitivity (AS) is the fear of anxiety-related sensations based on beliefs about their harmful consequences. Despite its status as the most popular measure of AS, the anxiety sensitivity index is too abbreviated to adequately measure the somatic, cognitive, and social facets of the construct. The Anxiety Sensitivity Index - Revised (ASI-R) is a revised and expanded version of the ASI that was developed to improve the assessment of AS and its dimensions. The present study was conducted to examine the psychometric properties and factor structure of the ASI-R. Two large undergraduate samples completed a psychometric assessment package that included the ASI-R and measures of anxiety, depression, and related constructs. Exploratory factor analysis revealed four lower-order ASI-R factors: (1) beliefs about the harmful consequences of somatic sensations; (2) fear of publicly observable anxiety reactions; (3) fear of cognitive dyscontrol; and (4) fear of somatic sensations without explicit consequences. These factors loaded on a single, higher-order factor. Correlations between the ASI-R factors and related variables were consistent with AS theory. Results across both samples in the present study were highly similar. The strengths and limitations of the ASI-R are discussed, and the implications of our findings for the nature and measurement of AS are considered.     

Genetic linkage in bipolar disorder

Bipolar disorder is an etiologically complex syndrome that is clearly heritable. Multiple genes, working singly or in concert, are likely to cause susceptibility to bipolar disorder. Bipolar disorder genetics has progressed rapidly in the last few decades. However, specific causal genetic mutations for bipolar disorder have not been identified. Both candidate gene studies and complete genome screens have been conducted. They have provided compelling evidence for several potential bipolar disorder susceptibility loci in several regions of the genome. The strongest evidence suggests that bipolar disorder susceptibility loci may lie in one or more genomic regions on chromosomes 18, 4, and 21. Other regions of interest, including those on chromosomes 5 and 8, are also under investigation. New approaches, such as the use of genetically isolated populations and the use of endophenotypes for bipolar disorder, hold promise for continued advancement in the search to identify specific bipolar disorder genes.     

Psychological defense in anticipation of anxiety: eliminating the potential for anxiety eliminates the effect of mortality salience on worldview defense

A large body of research has shown that when people are reminded of their mortality, their defense of their cultural worldview intensifies. Although some psychological defenses seem to be instigated by negative affective responses to threat, mortality salience does not appear to arouse such affect. Terror management theory posits that the potential to experience anxiety, rather than the actual experience of anxiety, underlies these effects of mortality salience. If this is correct, then mortality-salience effects should be reduced when participants believe they are not capable of reacting to the reminder of mortality with anxiety. In a test of this hypothesis, participants consumed a placebo purported to either block anxiety or enhance memory. Then we manipulated mortality salience, and participants evaluated pro- and anti-American essays as a measure of worldview defense. Although mortality salience intensified worldview defense in the memory-enhancer condition, this effect was completely eliminated in the anxiety-blocker condition. The results suggest that some psychological defenses serve to avert the experience of anxiety rather than to ameliorate actually experienced anxiety.