Brief psychodynamic psychotherapy in adolescent depression: Two case studies

In this paper the authors outline the basic principles of a manualized, brief psychodynamic approach that was evaluated as part of an outcome study within the National Health Service researching the effectiveness of two different forms of psychotherapy for major depression in childhood/adolescence: Focused Individual Psychodynamic Psychotherapy and Systems Integrative Family Therapy. As well as describing some of the difficulties encountered in short-term dynamic psychotherapy with adolescents, the authors present therapeutic work with two adolescents with major depressive disorder who were both seen as part of the research study. The authors depict some of the challenges and unavoidable difficulties which emerged during the therapy, arising from the needs of the research programme.     

Wearable computing: Will it make people prosocial?

We recently reported that people who wear an eye tracker modify their natural looking behaviour in a prosocial manner. This change in looking behaviour represents a potential concern for researchers who wish to use eye trackers to understand the functioning of human attention. On the other hand, it may offer a real boon to manufacturers and consumers of wearable computing (e.g., Google Glass), for if wearable computing causes people to behave in a prosocial manner, then the public's fear that people with wearable computing will invade their privacy is unfounded. Critically, both of these divergent implications are grounded on the assumption that the prosocial behavioural effect of wearing an eye tracker is sustained for a prolonged period of time. Our study reveals that on the very first wearing of an eye tracker, and in less than 10 min, the prosocial effect of an eye tracker is abolished, but by drawing attention back to the eye tracker, the implied presence effect is easily reactivated. This suggests that eye trackers induce a transient social presence effect, which is rendered dormant when attention is shifted away from the source of implied presence. This is good news for researchers who use eye trackers to measure attention and behaviour; and could be bad news for advocates of wearable computing in everyday life.     

Explanatory models of mental illness: a qualitative study with Emirati future mental health practitioners

Cultural traits have an influence on the person's interpretation of mental illness, the expression of distress and help-seeking attitudes. UAE has a unique sociological context where Eastern and Western traditions coexist. Given that there is a scarcity of mental health studies and no study on the explanatory models (EM) of mental illness, it is important to examine the connections between Western biomedical approaches and traditional Emirati illness explanations and how those affect the Emirati EM. In order to explore the influence of those connections on Emirati future clinicians, the present study focuses on young Emirati psychology students in a Western-oriented university. In-depth interviews were performed regarding their EM. The results highlighted the influence of cultural traits on the EM formulation, the importance of family in the Emirati society and the impact of the UAE socio-economic and religious reality in forming the participants’ beliefs on mental illness.     

Sense of Coherence (SOC) in Christian Orthodox Monks and Nuns in Greece

This paper aims to investigate the stress management skills of Christian Orthodox monks and nuns, as measured by Antonovsky’s scale sense of coherence (SOC). A case–control study was designed to test the hypotheses whether monks and nuns have higher SOC than secular people. The study population consisted of 193 individuals, 96 monks and nuns (study group) and 97 secular men and women (control group). SOC score was higher in monks and nuns as compared to the secular population (p = 0.002), men as compared to women (p = 0.012) and persons of older age (p = 0.004) as compared to younger individuals.     

Relationship of Prosody Perception to Personality and Aggression

One-hundred-fifteen participants (73 female, 42 male) were evaluated for prosody, or vocal emotion, perception, personality factors, relational aggression and physical aggression. The male participants reported higher levels of physical aggression, and the female participants reported greater Neuroticism, consistent with other data. For the male participants, better perception of prosody was related to both greater Extraversion and greater Conscientiousness, all involved in interpersonal functioning. These relationships were not found in the female participants, but there was a relationship between perception of prosody and relational aggression. Women who were better at perceiving the emotional status of others based on vocal cues were less relationally aggressive. Perhaps greater relational aggression reflects a poor adaptation to diminished ability to perceive emotional status.     

Family wealth and parent–child relationships

This study examined associations between self-reported family wealth and parent–child relationships, by contrasting three theoretical perspectives on the shape of the association. The study utilized data from the Norwegian part of the “Health behaviour in school-aged children study (HBSC) 2013/2014”, with a sample of 3383 children aged 11–15 years old. The shape of associations between family wealth and parent–child communication were tested using regression spline models with knots at 1 SD below mean family wealth and at 1 SD above mean family wealth. The regression spline models showed that increasing family wealth was associated with easier family communication, clearer family communication, and higher family support. Results revealed that for boys, the association between family wealth and outcomes was stronger for the lower segment of family wealth, than in medium and high segments of family wealth. For girls, the gradient across level of wealth was monotone, with higher parent–child communication and higher family support at higher family wealth. To conclude, the results from this study suggest a nonlinear pattern of inequality in parent–child relationships across the range of family wealth.     

Impact of a Father Figure’s Presence in the Household on Children’s Psychiatric Diagnoses and Functioning in Families at High Risk for Depression

The consequences of living in single-parent households on children’s wellbeing are well documented, but less is known about the impact of living in single-mother households among children with high familial risk for depression. Utilizing data from an ongoing three-generation study of high-risk families, this preliminary study examined a sample of 161 grandchildren of probands diagnosed with major depressive disorder, comparing those in single-parent households to those in dual-parent households with household status defined as the full-time presence of a resident male in the home. High-risk children were compared across households in terms of psychiatric diagnoses (measured by Schedule for Affective Disorders and Schizophrenia for School-Age Children; K-SADS-PL) and global functioning (assessed by Global Assessment Scale, child version; C-GAS). Results indicated that high-risk children in single-parent households had 4.7 times greater odds for developing a mood disorder and had significantly lower mean C-GAS scores (p = 0.01) compared to those in dual-parent households. Differences remained significant when controlling for household income, child’s age, and either parent’s depression status. There were no significant differences between high-risk children across households when household status was instead defined as legal marital status. This study has several limitations: sample size was small, probands were recruited from a clinical population, and participants had not passed completely through the period of risk for adult psychiatric disorders. These findings point towards the importance of identifying and closely monitoring children at risk for depression, particularly if they reside in households without a resident father figure.     

Interpreting Survey Questions About Sexual Aggression in Cross-Cultural Research: A Qualitative Study with Young Adults from Nine European Countries

Examining equivalence in the interpretation of survey items on sexual assault by participants from different cultures is an important step toward building a valid international knowledge base about the prevalence of sexual aggression among young adults. Referring to the theoretical framework of contextualism, this study presents qualitative data from semi-structured interviews with 128 young adults from nine EU countries on their understanding of survey items from the Sexual Aggression and Victimization Scale (SAV-S). The measure had previously been used to collect quantitative data on the prevalence of sexual aggression perpetration and victimization in the same countries that had yielded substantial differences in the rates of victimization and perpetration between countries. Based on the methodological approach of a mixed research design, the current study was conducted as a follow-up to the quantitative study with a new sample to explore whether systematic differences in the interpretation of the survey items in the different countries might explain part of the variation in prevalence rates. The interviews showed that participants from the nine countries interpreted the items of the SAV-S in a similar way and as intended by the authors of the scale. Systematic differences between men and women in interpreting the survey items were revealed. Implications of the findings for conducting survey research on sexual aggression across cultures are discussed.     

The “Endura” of The Cathars’ Heresy: Medieval Concept of Ritual Euthanasia or Suicide?

The aim of the study is to explore the medieval concepts on the voluntary death of severely sick people, as they emerge through the endura (endurance) of the heresy of the Cathars in France (twelfth to fourteenth centuries). The endura was the prerequisite act of repentance that would allow the fallen soul to return to heaven. The endura was a necessary act of repentance, after the performance of a ceremonial purification of the soul (consolamentum), and consisted of the patients’ voluntary abstention from vital food. The consolamentum and endura could be performed in the final stage of a disease with the consent of the patients or their relatives. The role of the Cathar physician was only to determine the severity of the disease and the forthcoming death of the patient. The physician was not allowed to take steps that would deprive the life of the patient, and the performance of the ritual endura was duty of the spiritual leaders of the community. The modern ethical approach to this subject is dictated by the medieval belief on the salvation of the soul and tries to answer the question of whether the endura could be seen as a medieval concept of a ritual euthanasia or fell within the theological sin of suicide.