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251.
252.
Research has documented that children and adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased
risk of substance use problems. Few studies, however, have focused on early-onset substance use. This study therefore investigated
how the two symptom dimensions of ADHD (hyperactivity/impulsivity and inattention) are associated with early-onset substance
use, the role of persistent ADHD for the association, and to what extent the association is influenced by genetic and environmental
factors. Twins (1,480 pairs) in the Swedish Twin Study of Child and Adolescent Development were followed from childhood to
adolescence. ADHD symptoms were measured at age 8–9 and age 13–14 via parent-report, whereas substance use was assessed at
age 13–14 via self-report. Results revealed that hyperactive/impulsive symptoms predicted early-onset “sometimes” tobacco
use (adjusted odds ratios, 1.12, for one symptom count), controlling for inattentive symptoms and conduct problem behaviors.
There is no independent effect of inattentive symptoms on early-onset substance use. Children with persistent hyperactivity/impulsivity
(defined as scoring above the 75th percentile at both time points) had a pronounced risk of both early-onset tobacco and alcohol
use (adjusted odds ratios from 1.86 to 3.35, compared to the reference group). The associations between hyperactivity/impulsivity
and early-onset substance use were primarily influenced by genetic factors. Our results indicated that hyperactivity/impulsivity,
but not inattention, is an important early predictor for early-onset substance use, and a shared genetic susceptibility is
suggested to explain this association. 相似文献
253.
Keown LJ 《Journal of abnormal child psychology》2012,40(4):569-581
This prospective 3 year longitudinal study investigated preschool paternal and maternal parenting predictors of Attention-Deficit/Hyperactivity
Disorder(ADHD) in a community sample of 93 school-age boys. Participants were recruited on the basis of inattention-hyperactivity
at age 4 and fathers and mothers were observed interacting with their sons. Teachers, fathers, and mothers reported children's
ADHD symptoms and impairment. Results from dimensional analysis showed that less observed paternal sensitivity and maternal
positive regard predicted higher levels of inattentiveness in middle childhood, and that intrusive paternal behavior was predictive
of hyperactive-impulsive behavior at school. In categorical analysis, less maternal warmth and sensitivity were predictive
of later ADHD. These predictions held after statistical adjustment for the effects of preschool ADHD behaviors and conduct
problems. At follow-up, parents of boys with ADHD reported more negative child-parent relationship perceptions than comparison
parents. Findings highlight the importance of examining responsive parenting behaviors of both fathers and mothers in relation
to multi-informant ratings of ADHD symptoms. 相似文献
254.
255.
The article deals with concepts proposed by Sándor Ferenczi: confusion of tongues, disavowal and progressive trauma, illustrated by a clinical example, in which excessive life experiences deeply determined the psychic construction, compromising the integrity of the self-image and the potentiality of egoic capacities. We attempt to understand the uniqueness of the patient's history, and the ethical practice of deep analytic listening. 相似文献
256.
Griffin CR 《American journal of psychoanalysis》2012,72(1):65-75
This paper speculates about the impact of techno-connectedness on our children, ourselves, our grandchildren. Triggered by recollections from Victorian novels that describe European summers “away” from home, a concern about loss of opportunity, the “space” for self-discovery in this young generation will be explored in a relational context. Brought about by pervasive dependence upon computer technology, is self-experience fragmented and attachment changed by the ubiquitous technological presence and is the more isolated, reflective experience being eroded? 相似文献
257.
Bowins BE 《American journal of psychoanalysis》2012,72(2):152-165
Based on the evolution of human intelligence and the tremendous cognitive capacities arising from it, we have an innate tendency for the extreme thought content, thought form, and sensory perceptions of psychosis. During the conscious and awake state, cognitive regulatory control processes block these more extreme variants to facilitate reality congruency necessary for adaptive functioning. While asleep there is no need for reality congruency and the cognitive regulatory control processes are deactivated allowing psychotic equivalents to be expressed in dreams. This paper helps synthesize the two dominant perspectives regarding the etiology of psychosis: the neuroscience defect perspective and the psychoanalytic motivational perspective. Regarding the former, defective cognitive regulation arising from certain conditions, such as the deficit state of schizophrenia, allows extreme cognitive distortions, thought form variants, and sensory perceptual experiences to intrude into the conscious and awake state, thereby producing psychosis. Consistent with the psychoanalytic motivational perspective, defensive processes can motivate extreme cognitive distortions, thought form variants and sensory perceptual experiences, and also facilitate their expression by deactivating the relevant cognitive regulatory control processes. 相似文献
258.
259.
L Mélèse 《American journal of psychoanalysis》2012,72(3):223-241
In this paper, the author presents a summary of a brief treatment with a young woman, suffering from severe epileptic illness, which describes the mutuality of cross-transferences of deep and intense feelings and the unorthodox way to receive, to take in persons affected with critical phenomena. This treatment was deeply influenced by the traumatic triad, borrowed from Ferenczi: "amnesia, anaesthesia, aboulia," the ways of forgetting (or erasing) the past/the present/the future. The investigation led us to clarify, on the one hand, the incestophilic-or perhaps incestuous-source in the family, and on the other, the burdensome and tragic genealogy and history of each parent. At the end of this short treatment, which took place at a frequency of one session a week (with the patient sitting, standing, lying on the floor; with sometimes severe fits, deliria, threats; bringing of letters, texts, drawings; and a few phone calls), there was an alleviation of the critical phenomena and revival. 相似文献
260.
JM Malancharuvil 《American journal of psychoanalysis》2012,72(3):242-250
Empathic difficulty is a highly consequential characteristic of antisocial personality structure. The origin, maintenance, and possible resolution of this profound deficit are not very clear. While reconstructing empathic ability is of primary importance in the treatment of antisocial personality, not many proven procedures are in evidence. In this article, the author offers a psychodynamic formulation of the origin, character, and maintenance of the empathic deficiency in antisocial personality. The author discusses some of the treatment implications from this dynamic formulation. 相似文献