Institutional care and iron deficiency increase ADHD symptomology and lower IQ 2.5–5 years post‐adoption

Increased ADHD symptomology and lower IQ have been reported in internationally adopted (IA) children compared to non‐adopted peers (Hostinar, Stellern, Schaefer, Carlson & Gunnar, 2012; Kreppner, O'Connor & Rutter, 2001). However, it is unclear whether these outcomes are due to institutional deprivation specifically or to co‐occurring micronutrient deficiencies that disrupt brain development (Fuglestad, Rao & Georgieff, 2008b). In this study, IA children were compared to children raised in their biological families to examine differences in ADHD symptomology and IQ 2.5–5 years post‐adoption and to assess the contributions of iron deficiency (ID) and duration of deprivation to these cognitive outcomes. ADHD symptoms (parent‐ and experimenter‐reported) and IQ were evaluated in 88 IA (M = 62.1 months, SD = 2.4) and 35 non‐adopted children (M = 61.4 months, SD = 1.6). IA children were assessed 29–64 months post‐adoption (M = 41.9 months, SD = 10.2). ID was assessed during the initial post‐adoption medical visit in 69 children, and children were classified into four groups by iron status, ranging from normal to ID anemia (most severe). IA children had greater ADHD symptomology, p < .01, and lower IQ, p = .001, than non‐adopted children. Within the IA group, children with more severe ID at adoption had greater ADHD symptomology, r(69) = 0.40, p = .001, and lower IQ, r(68) = −0.28, p < .05. Duration of institutional care was positively correlated with ADHD symptoms, r(86) = .28, p < .01, but not IQ, r(85) = −.08, p = .52. Longitudinal results indicate improvement in IQ from 12 months post‐adoption to age 5 for children with greater ID severity at adoption and longer duration of institutional care but no improvement in ADHD symptoms. These results signify continuing effects of early deprivation and ID on ADHD symptoms and IQ years after adoption. A video abstract of this article can be viewed at http://www.youtube.com/watch?v=vUFDAS3DD1c     

Structural Aspects of Synchronistic Moments in Psychotherapy—Findings of an Empirical Study of Synchronicities in Psychotherapy and Psychoanalysis1

Synchronicity describes a meaningful coincidence of events, which is familiar to us from treatments of our patients, but unfortunately has not yet been empirically substantiated. Adding to previous findings that point out beneficial aspects of synchronicity (Marlo, 2022; Lagutina, 2021; Connolly, 2015), in this paper I will show through a series of five synchronistic moments which happened in the context of therapy and analysis and which have been documented empirically, how synchronicities occur and can be used therapeutically. In my research I found several situational factors that can be considered structural aspects of synchronistic moments. Furthermore, I will show that synchronistic phenomena can have a positive influence if certain relational and transference-countertransference referential aspects are considered by the therapist and analyst. The concept of synchronicity brings the possibility of a further therapeutical instrument for the patient-analyst-dyad.     

Manual training of mental rotation

The aim of this study was to investigate the timing relations between phonological encoding that is, the generation of an abstract phonological representation of a to-be-produced utterance and the initiation of articulation. Previous research (Meyer &; Schriefers, 1991) using a picture-word paradigm suggested that, in the production of simple one-word naming responses, a speaker completes phonological encoding of the complete word before articulation is initiated. In the present study, this question was investigated for the production of German no-determiner noun phrases (e.g. roter Tisch, “red table”;). The results showed reliable facilitation effects for distractors that are identical to the first syllable of the first word of the noun phrase. For the second syllable of the first word, only weak facilitation effects were obtained. For the second word, no significant facilitation effects were obtained. However, additional analyses showed that two groups of speakers can be distinguished, one showing only facilitation effects for the first syllable of the first word, and the other showing an additional facilitation effect for the second syllable of the first word. Together with related results, our findings lead to two conclusions. First, the (phonological) word is not the lower limit of phonological encoding before articulation can be initiated. Second, speakers can adjust the size of the advance planning unit at the phonological level based on the specific speaking context.     

Realism of Confidence,Modes of Apprehension,and Variable-Use in Visual Discrimination of Relative Mass

We investigated the role of movement in the perception of a novel affordance for wheelchair locomotion. Healthy adults without prior wheelchair experience judged the lowest lintel under which they could roll in the wheelchair. Prior to judgments, some participants were given brief (~2 min) practice at self-controlled wheelchair locomotion. There were 2 main results. First, participants who had this brief practice accurately judged their own minimum passage height (even when practice did not include passage under low lintels), whereas participants who had no practice gave inaccurate judgments. Second, prejudgment practice strongly influenced movement of the head and torso during judgment sessions. The results demonstrate that affordance perception can be learned through brief, indirect practice and suggest that such practice can inform exploratory movement.     

The Moment of a Star: The Ethics of Narration

The main theme of the following presentation of Ric?ur's philosophical preoccupations with religion is the interrelationship between reflection and revelation. In a first section, Ric?ur's philosophical profile is outlined in order to indicate the tone between sadness and joy, negativity and affirmation, in which religion has its existential and philosophical ambience. The following part discusses the pertinence of Ric?ur's position in light of contemporary debates about divine otherness and kenosis. Finally, a third section examines the antagonism between philosophy of reflection and biblical revelation, which marks the range and limits of Ric?ur's hermeneutic philosophy. The kind of dependency or heteronomy implied in religion, especially in the biblical idea of the absolute as an external truth-event, presents a genuine challenge to both phenomenology and hermeneutics. This problem is addressed in Ric?ur's theories of revelation and testimony.     

Couples' Experience of Enactments and Softening in Marital Therapy 1

Abstract

Beginning therapists are not prepared to deal with the complexity that families bring to the therapeutic setting and have a reductionistic approach to understanding what is occurring in a family. In order to move beyond a simplified approach, therapists with the assistance of a supervisor have the power to leave the security of their own being and can learn to take risks. This paper explores the development of a “therapeutic story” with the goal of assisting the beginning therapist in approaches that can be utilized to incorporate all available resources that will help to empower a family to change.     

Psychosocial and Behavioural Assessment of Chronic Pain: Recommendations for Clinicians and Researchers

Abstract

A variety of methods have been developed for the assessment of chronic benign pain. In research or in clinical practise, choosing an adequate measurement technique can be a laborious task. This article has two main purposes: to report on some basic features to consider when selecting assessment instruments, and to present a review of some psychosocial and behavioural measurement methods for the assessment of chronic benign pain. The selected methods have, with one exception, been evaluated on Swedish chronic pain populations and are used in international pain research. In conclusion, we recommend the use of psychometrically sound instruments, and that the purposes for use of a measure have to be thoroughly considered in advance. We also emphasize that in clinical practise, each separate measure must be interpreted in a wider context, where clinical findings and judgements are considered as a whole. In addition, none of the single reviewed assessment techniques can replace the communication between the patient and the clinician.     

Emotional Stroop via Internet among individuals with eating disorders

The present study investigated whether Stroop interference in eating disordered individuals for food - and body-related words, as repeatedly found previously using standard emotional Stroop tasks, would also be demonstrated when using an Internet based emotional Stroop task. Participants were anorexic women (n= 13), bulimic women (n= 20), non-clinically eating disordered women nevertheless over-concerned about eating and body appearance (n= 27) and normal control women (n= 31). Bulimic individuals showed Stroop interference for body-related words whereas anorexic individuals showed Stroop interference for food-related words. The present results thus suggest that administration of the emotional Stroop task is possible via the Internet. Furthermore, it is possible that the time consuming response delivery, relative to previous studies, could lead to Stroop interference only for the most emotionally significant information, in turn, differentiating between the core concerns of anorexic and bulimic individuals.