When to Use Broader Internalising and Externalising Subscales Instead of the Hypothesised Five Subscales on the Strengths and Difficulties Questionnaire (SDQ): Data from British Parents,Teachers and Children

The Strengths and Difficulties Questionnaire (SDQ) is a widely used child mental health questionnaire with five hypothesised subscales. There is theoretical and preliminary empirical support for combining the SDQ’s hypothesised emotional and peer subscales into an ‘internalizing’ subscale and the hypothesised behavioral and hyperactivity subscales into an ‘externalizing’ subscale (alongside the fifth prosocial subscale). We examine this using parent, teacher and youth SDQ data from a representative sample of 5–16 year olds in Britain (N = 18,222). Factor analyses generally supported second-order internalizing and externalizing factors, and the internalizing and externalizing subscales showed good convergent and discriminant validity across informants and with respect to clinical disorder. By contrast, discriminant validity was poorer between the emotional and peer subscales and between the behavioral, hyperactivity and prosocial subscales. This applied particularly to children with low scores on those subscales. We conclude that there are advantages to using the broader internalizing and externalizing SDQ subscales for analyses in low-risk samples, while retaining all five subscales when screening for disorder.     

人与自然和谐的道德基础——古代"天人合一"思想的现代生态伦理启示

人与自然的和谐有着道德基础。古代的“天人合一”思想为我们从道德的视角研究人与自然的和谐,以及建构现代生态伦理观提供了一定的帮助。从道德的意义上,人与自然的和谐中人是道德主体,承担着全部道德责任,其行为是道德评价的对象。人对自然的适应与改造、尊重与利用是辩证的统一。     

‘As in a theatre’: scientific spectacle in Bacon's New Atlantis

Essay review of Reclaiming Reality, by Roy Bhaskar, London: Verso, 1989, 218 pages, pb £10.95.     

The concurrent validity of the N-back task as a working memory measure

The N-back task is used extensively in literature as a working memory (WM) paradigm and it is increasingly used as a measure of individual differences. However, not much is known about the psychometric properties of this task and the current study aims to shed more light on this issue. We first review the current literature on the psychometric properties of the N-back task. With three experiments using task variants with different stimuli and load levels, we then investigate the nature of the N-back task by investigating its relationship to WM, and its role as an inter-individual difference measure. Consistent with previous literature, our data suggest that the N-back task is not a useful measure of individual differences in WM, partly because of its insufficient reliability. Nevertheless, the task seems to be useful for experimental research in WM and also well predicts inter-individual differences in other higher cognitive functions, such as fluid intelligence, especially when used at higher levels of load.     

慢性心力衰竭患者临床管理与评估

尽管近年来在慢性心力衰竭(CHF)的治疗方面取得了较大的进展,但CHF患者仍有较高的住院率及病死率.CHF临床实践指南的发布促进了规范化治疗.为了取得良好的医疗效果,临床医生必须对心力衰竭患者提供一系列复杂的药物治疗及严格的自我控制措施.随着医学的不断发展,出现了包括心脏再同步化起搏、左心室辅助装置或心脏移植等治疗,而这些手段常需要在对患者进行危险性评估的基础上进行.严格遵循指南并使CHF患者出院后的教育与各种支持项目相结合才能够在一定程度上减低患者的再住院率及病死率.     

A Brief History of Ghosts: Commentary on Paper by Laurel Moldawsky Silber

Although Gerhardt's commentary points to substantial points of agreement between us—the claim that human being is embodied being, the critique of rationalisms, and the resistance to relativisms—we also have important differences. The chief of these, from my point of view, concern (1) the functions of theoretical language, (2) the level of commitment psychoanalysts owe to traditional language for the sake of community and continuity, and (3) the issue of reification. My reply suggests that Gerhardt has confused the functions of expressive and theoretical language; that, for the sake of a “gossipy connection,” she seems to deprive the psychoanalytic community of the self-reflective criticism of its own shared assumptions; and that there is a difference between metaphor and the misplaced concreteness that is sometimes called reification.     

Projective identification as a communication its grammar in borderline psychotic children

This paper distinguishes between the grammar of wishes in neurotic patients and the grammar of imperative needs in borderline patients. The treatment of a borderline psychotic boy 30 years ago was uninformed by subsequent developments in technique arising from the theory of projective identification as a communication rather than as an attack or a defense. Issues that need addressing in borderline patients, especially those who are children, include (a) developmental delay, (b) the distinction between defenses and overcomings in the paranoid position, (c) rectification fantasies of vengeance, and (d) rectification fantasies of justice and other moral imperatives.     

Reminiscence,Ritual, and Beyond Working Through: Commentary on Papers by Joyce Slochower and by Laura Impert and Margaret Rubin

The author examines, contextualizes, and elaborates upon Slochower's psychoanalytic exploration of commemorative rituals and, more specifically, the Jewish tradition of Yitzor as well as upon Impert and Rubin's understanding of embodied nostalgic reminiscences, considering them within a therapeutic context for the mourner entering into the clinical situation. Slochower's experience with commemorative rituals as facilitating environments for the restoration or support of potential space and memorial activity suggests that they can aid in the re-construction and re-shaping of emotional memory, going beyond a notion of “working through.” Impert and Rubin suggest that generative nostalgic reminisces, a soma-sensory based form of memory that holds the potential for activating arrested mourning, may be clinically usefully in awakening dormant or dissociated grief so that patients can access mourning. Extending upon these contributions, the author further considers the possibility that mourning might be more usefully conceived as processes of transformational work for which a fixed resolution or outcome is neither proscribed nor prescribed. This transformational work may be seen, in part, as ongoing cycles of self-surrender to the mourner's swirling constructions of attachments lost, re-found, re-remembered, and re-conceived.     

Warmth and Contingency and Their Relationship to Maternal Attitudes Toward Parenting

In this study, the authors addressed the question of whether maternal parenting behaviors in terms of sensitivity, warmth, and contingency with respect to small infants were equally represented in attitudes toward parenting. Sixty mothers from central Germany with middle-class socioeconomic backgrounds were videotaped with their 1st born 3-month-old infant in a free-play and a caregiving episode in their home. The different maternal parenting components were behaviorally analyzed. Maternal attitudes toward parenting were assessed with self-report measures. The results showed that behavioral sensitivity was significantly associated with attitudes related to contingency, whereas behavioral warmth and contingency were not associated with maternal attitudes. The authors interpreted differential associations as a reflection of intuitive and explicit parenting strategies, with only sensitivity being explicitly represented.     

Recent Adolescent MMPI Norms: T-Score Elevation Comparisons to Marks and Briggs

Minnesota Multiphasic Personality inventory (MMPI) norms developed by Marks and Briggs (1967/1972) have served as the standard adolescent norms used for over 10 years. Additional adolescent, norms, have recently been produced by Gottesman, Hanson, Kroeker, and Briggs (1987) and by Colligan and Offord (1989), thereby providing MMPI users with a potential choice of adolescent norms. Our study examines the effects of these adolescent norm sets on single-scale and profile elevations. In addition, we examine the ability of these norm sets to generate T-score values that would serve to discriminate accurately among adolescents in outpatient (n = 100), inpatient (n = 100), and normal (n = 100) settings. Results indicated teat the choice of adolescent norms resulted in important differences in profile elevation. Findings from the discriminant function analyses, however, indicated that these normative sets were roughly equivalent in discriminating among adolescents in the three settings.