Taxonomic Examination of ADHD and Conduct Problem Comorbidity in Elementary School Children Using Cluster Analyses

Cluster analysis was used to investigate the classification of comorbid Attention Deficit Hyperactivity Disorder (ADHD) +Conduct Problems (CP). Teachers rated 1394 elementary school children on symptoms of inattention, hyperactivity/impulsivity, opposition, and conduct problems using the ADS-IV behavior-rating scale. Results suggested that a seven-cluster solution, including two distinct comorbid clusters, was the most appropriate method of classifying children according to behavioral symptoms. A one-way MANOVA showed that overall cluster profiles differed significantly from each other, whereas one-way ANOVAs indicated that clusters differed on age and symptom scores. Chi-square analyses indicated that clusters differed on gender. Post hoc analyses and effect sizes calculations revealed that the comorbid clusters differed from each other and from their single-disorder counterparts on some variables, but not on all. These results provide support for an additive conceptualisation of ADHD +CP.     

Pathways to reading: the role of oral language in the transition to reading

What is the role of oral language in reading competence during the transition to school? Is oral language in preschool best conceptualized as vocabulary knowledge or as more comprehensive language including grammar, vocabulary, and semantics? These questions were examined longitudinally using 1,137 children from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Children were followed from age 3 through 3rd grade, and the results suggest that oral language conceptualized broadly plays both a direct and an indirect role in word recognition during the transition to school and serves as a better foundation for early reading skill than does vocabulary alone. Implications of these findings are discussed in terms of both theoretical models of early reading and practical implications for policy and assessment.     

Cancer and the body: Reflections from a Lacanian perspective

This paper discusses psychotherapeutic work with cancer patients using a Lacanian approach to illness. In the first part of the paper, some of Lacan's notions of the body are discussed. In the second half, Lacan's understanding of the body is used to show how an appreciation of Lacan's work might enhance clinical/psychotherapeutic work with cancer patients.     

Psychotherapie auf Palliativstationen

Exemplary for psychotherapeutic activity in the ??sphere of death?? the article focuses on the present situation of psychotherapists working on palliative care units in Germany. For that a questionnaire has been developed which includes 17 items dealing with fields of concrete psychotherapeutic work, psychotherapy training, relations with teams and institutions, subjectively felt burden and contentment etc. The questionnaire was sent to most of the German palliative care infirmaries. There is a high presence of psychotherapists in these units who are well trained in different therapeutic methods, numerically led by behavior therapy and non-directive therapy. In addition most colleagues are qualified in psychooncology and specialized pain management. Surprisingly topics, such as death or spirituality are not so often found in therapeutic contacts as would be expected. Furthermore there is a rather negative outlook on the preparation for the palliative working field during psychotherapy training. This requires extensions and supplementary curricula concerning existential themes in psychotherapy. The psychotherapists feel well integrated in their therapeutic teams but many of them have a feeling of at best a mediocre appreciation in their institutions. In spite of the difficult and stressful work the general job satisfaction is stated as high to very high.     

Die Ambivalenz mit der Therapieforschung

Due to a presently growing demand for evidence-based medicine different psychotherapeutic methods are facing increasing political pressure to demonstrate their efficacy. The realization of evaluative projects is not only in need of study patients but also of study therapists. Although many psychoanalysts support the general need for research the number of actual participants is rather low. In this paper the motives of psychoanalysts to decide for or against participation in evaluative research were investigated. Guided interviews were conducted with six psychoanalysts working in outpatient practice. The results support the hypothesis that in particular the need for security and protection influence a psychoanalyst willingness by causing either a driving or inhibition force. Both the intraindividual and interindividual areas of the interviews displayed unresolved ambivalences towards participation in psychotherapy research. It was concluded that changes in psychoanalytic training could have the most profound influence on the personal motivation to participate.     

The Associations Between Infant Homicide,Homicide, and Suicide Rates: An Analysis of World Health Organization and Centers for Disease Control Statistics

Previous studies have found that rates of homicide of children aged under one (infant homicide) are associated with rates of suicide, but not with rates of homicide. Linear regression was used to examine associations among infant homicide, homicide, and suicide in samples of regions in the United States and other countries. Infant homicide rates were significantly and independently associated in all analyses with both total homicide and total suicide rates. The epidemiological evidence supports the clinical observation that infant homicides are due to a range of causes, including maternal mental illness, but are also related to the level of serious violence within a community.     

Help‐Seeking for Suicidal Thoughts and Self‐Harm in Young People: A Systematic Review

There is a growing body of evidence to suggest that only a minority of young people experiencing suicidal thoughts or self‐harm present to any health services. This is of concern given that young people with suicidal thoughts or self‐harm often require treatment for mental illness as well as to reduce their risk of completed suicide. We reviewed previously published international community epidemiological studies examining help‐seeking for suicidal thoughts or self‐harm in young people up to the age of 26. The studies confirm that the majority of these young people do not seek professional help, and this includes seeking medical help after an overdose. The majority of young people studied do, however, seek help from social networks that most commonly are peers. Factors influencing and barriers to help‐seeking are discussed and highlight a need for further research into the role that peers and family play in the help‐seeking process for young people with suicidal thoughts or self‐harm.     

The Opinions of GP's Patients About Suicide,Assisted Suicide,Euthanasia, and Suicide Prevention: An Italian Survey

A survey about opinions on end‐of‐life issues of a population represented by 1,171 people in the waiting room of general practitioners' surgeries was conducted in a province of northern Italy. Most subjects did not consider suicide as a reasonable option even in cases of a serious and incurable disease. Moreover, subjects did not consider euthanasia as a possible option either; however, they did express an opposite attitude when considering euthanasia in a third‐person perspective. People with a personal history of suicidal behavior appear to present as a different population, overall expressing more open attitudes.