Sweden: income and suicide

Previous publications have reported two conflicting patterns describing the relationship between income and suicide in Sweden; positive and negative. Methodologically the studies have differed, and the analysis has been limited to a few areas. To better understand the relationship, a nationwide, cross-sectional, ecological study of the 290 municipalities in Sweden was planned. OLS regression analyses showed the overall and female suicide rates were negatively related to income, while the effect on male suicide rates was not statistically significant. The results confirm earlier findings of a negative relationship between income and suicide.     

Risk and Religion: Toward a Theology of Risk Taking

Historically the concept of risk is rooted in Renaissance lifestyles, in which autonomous agents such as sailors, warriors, and tradesmen ventured upon dangerous enterprises. Thus, the concept of risk inseparably combines objective reality (nature) and social construction (culture): Risk = Danger + Venture. Mathematical probability theory was constructed in this social climate in order to provide a quantitative risk assessment in the face of indeterminate futures. Thus we have the famous formula: Risk = Probability (of events) × the Size (of future harms). Because the concept of harm is always observer relative, however, risk assessment cannot be purely quantitative. This leads to the question, What are the general conditions under which risks can be accepted? There is, after all, a difference between incurring a risk and bearing the costs of risks selected for by other agencies. Against this background, contours of a theology of risk emerge. If God creates a self‐organizing world of relatively autonomous agents, and if self‐organization is favored by cooperative networks of autopoietic processes, then the theological hypothesis of a risk‐taking God is at least initially plausible. Moreover, according to the Christian idea of incarnation, God is not only taking a risk but is also bearing the risks implied by the openness of creation. I thus argue for a twofold divine kenosis—in creation as well as in redemption. I discuss some objections to this view, including the serious counterargument that risk taking on behalf of others remains, even for God, a morally dubious task. What are the conditions under which the notion of a risk‐taking God can be affirmed without leaving us with the picture of God as an arbitrary, cosmic tyrant? And what are the practical implications for the ways in which human agents of faith, hope, and love can learn to cope with the risks of everyday life and of political decisions?     

Support of Theological Education in a Cross‐cultural Setting

Based on recent reports on the global status quo of theological education, including a mapping of Danish organizations supporting theological education in a cross‐cultural setting, the paper asks how theological education is best supported. It argues that theological education, while referring to a historical heritage and sacred text, is also exposed to developments in church and society. Stretched between the historical and contemporary perspective, theological education includes a cultural component that we need to consider when discussing development and support. The paper argues further that support of theological education offered in a cross‐cultural setting is susceptible to failure if the cultural aspect is not considered, primarily through engaging in the cultural background of the supporting agencies. As a help to identifying the cultural element, the paper proposes four indicators, challenging agencies of the global North to face latent aspects of culture and secularization, presenting a global and social perspective of theological education. The cultural component visualized in cross‐cultural support reveals that we must complement the classical notion of theological education as Christian leadership training with an understanding of formation, where spiritual and cognitive aspects accompany social and cultural critique of totalitarian regimes both inside and outside churches. Critique in this setting is not a matter of giving in to secularization, but rather expresses an openness to historical and contemporary perspectives and a commitment to the sources of faith.     

Coping and financial strain as predictors of mental illness in over‐ indebted individuals in Sweden

This cross‐sectional study examined psychological mechanisms in order to increase knowledge regarding mental illness amongst 561 over‐indebted individuals in Sweden. Differences were explored between individuals with probable clinical depression and/or anxiety and individuals without probable clinical depression and/or anxiety, considering objective measures of the debt, financial strain, coping strategies as well as sociodemographic variables. Furthermore, binary logistic regression analyses were performed in order to construct a model of predictors of mental illness. In order to collect the data, Hospital Anxiety and Depression Scale (HADS), Brief Coping Orientation to Problems Experienced (COPE_, as well as questions formulated by the research team, were used as measures. Prominent results showed that over‐indebted individuals with probable clinical depression and/or anxiety were younger, showed greater levels of financial strain, used adaptive coping strategies to a lesser extent, and maladaptive coping strategies to a greater extent. Additionally, financial strain, use of maladaptive and emotion‐focused coping, age and employment status were significant predictors of mental illness. These results put emphasis on the importance of adaptive coping as well as the psychological exposure of over‐indebted individuals.     

Capacity limitations and the detection of correlations: comment on Kareev (2000)

Y. Kareev (2000) argued that the limited capacity of working memory may be an adaptive advantage for the early detection of useful correlations. His analysis indeed suggests that the optimal sample size is close to G. A. Miller's (1956) "magical number 7 +/- 2." The authors point out logical and statistical limitations of Y. Kareev's (2000) analysis, including that it neglects that the adaptive value is not determined by the hit rate but by the posterior probability of hit and that only signal trials are considered. The authors' analysis demonstrates that when these limitations are corrected for, the alleged benefit for small samples does not occur, and larger samples imply considerable improvement in the detection of correlations.     

Models of white matter injury: comparison of infectious, hypoxic-ischemic, and excitotoxic insults

White matter damage (WMD) in preterm neonates is strongly associated with adverse outcome. The etiology of white matter injury is not known but clinical data suggest that ischemia-reperfusion and/or infection-inflammation are important factors. Furthermore, antenatal infection seems to be an important risk factor for brain injury in term infants. In order to explore the pathophysiological mechanisms of WMD and to better understand how infectious agents may affect the vulnerability of the immature brain to injury, numerous novel animal models have been developed over the past decade. WMD can be induced by antenatal or postnatal administration of microbes (E. coli or Gardnerella vaginalis), virus (border disease virus) or bacterial products (lipopolysaccharide, LPS). Alternatively, various hypoperfusion paradigms or administration of excitatory amino acid receptor agonists (excitotoxicity models) can be used. Irrespective of which insult is utilized, the maturational age of the CNS and choice of species seem critical. Generally, lesions with similarity to human WMD, with respect to distribution and morphological characteristics, are easier to induce in gyrencephalic species (rabbits, dogs, cats and sheep) than in rodents. Recently, however, models have been developed in rats (PND 1-7), using either bilateral carotid occlusion or combined hypoxia-ischemia, that produce predominantly white matter lesions. LPS is the infectious agent most often used to produce WMD in immature dogs, cats, or fetal sheep. The mechanism whereby LPS induces brain injury is not completely understood but involves activation of toll-like receptor 4 on immune cells with initiation of a generalized inflammatory response resulting in systemic hypoglycemia, perturbation of coagulation, cerebral hypoperfusion, and activation of inflammatory cells in the CNS. LPS and umbilical cord occlusion both produce WMD with quite similar distribution in 65% gestational sheep. The morphological appearance is different, however, with a more pronounced infiltration of inflammatory cells into the brain and focal microglia/macrophage ("inflammatory WMD") in response to LPS compared to hypoperfusion evoking a more diffuse microglial response usually devoid of cellular infiltrates ("ischemic WMD"). Furthermore, low doses of LPS that by themselves have no adverse effects in 7-day-old rats (maturation corresponding to the near term human fetus), dramatically increase brain injury to a subsequent hypoxic-ischemic challenge, implicating that bacterial products can sensitize the immature CNS. Contrary to this finding, other bacterial agents like lipoteichoic acid were recently shown to induce tolerance of the immature brain suggesting that the innate immune system may respond differently to various ligands, which needs to be further explored.     

Parent and Family Characteristics and Their Associates in a Follow-Up of Outpatient Children with ADHD

We examined associations between child symptoms, demographic variables, parent and family characteristics in a long-term follow-up study of 214 outpatient children with attention-deficit/hyperactivity disorder (ADHD). The children’s mean age was 12.6 (SD = 2.1) years, and the mean interval from diagnosis to follow-up was 3.7 (SD = 2.2) years. We compared the characteristics of the clinical group with a community group (n = 110) recruited from the same catchment area. Parents filled out questionnaires on child symptoms, parent characteristics, and family functioning. The results showed that parents of young boys (<13 years) experienced more parenting stressors than those of adolescent boys (≥13 years), but the opposite was true for parents of girls. Parents of children with both ADHD and oppositional defiant disorder symptoms in the clinical range experienced significantly more parent and family dysfunctions than those of children with ADHD only (even after controlling for levels of ADHD symptoms in the child). Parents of children in the community group experienced significantly less parent and family dysfunctions than those of children with ADHD. Partial correlations between parent characteristics and child symptoms showed that oppositional symptoms were most strongly associated with parent and family dysfunction. Fathers experienced significantly less parenting stress, parental efficacy, and child involvement than mothers. We conclude that parents of children with ADHD experienced considerable strain related to a broad range of parent and family characteristics. Assessment of such characteristics should be part of routine assessment procedures and a prerequisite for family-focused treatment of children with ADHD.     

Validation of the Greek Cypriot Translation of the Triarchic Psychopathy Measure

Psychopathy is conceived of as a pathological constellation of personality traits, manifested in aberrant behavioral, interpersonal, and emotional tendencies. This study examined within a Greek-speaking nonclinical sample (N = 419) associations between differing phenotypic dimensions of psychopathy (boldness, meanness, disinhibition) assessed via the Triarchic Psychopathy Measure (TriPM) and self-report criterion measures of psychopathology, personality, and history of abuse and neglect. Consistent with predictions of the triarchic model of psychopathy, evidence was found for distinct correlates of the 3 phenotypic dimensions. Boldness was associated with both adaptive (immunity to anxiety/distress, fearlessness, low hostility) and maladaptive tendencies (grandiose manipulative traits, Machiavellian features including desire for control/status, and verbal aggression). Meanness was related to callous and unemotional traits, features of Machiavellianism (e.g., amoral manipulation and distrust of others), physical aggression, and absence of positive parenting. Disinhibition, by contrast, was characterized by anxiety and distress, exposure to violence, and retrospective accounts of abuse history, along with impulsive, irresponsible, and hostile tendencies. These findings indicate that the Greek-Cypriot translation of the TriPM effectively assesses the constructs of the triarchic model and extend what we know about their empirical correlates.     

The Validity of the Child Problematic Trait Inventory in 6–12 Year Old Italian Children: Further Support and Issues of Consistency Across Different Sources of Information and Different Samples

In the present study, teacher’s ratings, mother’s ratings, and father’s ratings on the Child Problematic Trait Inventory (CPTI) were obtained on two independent samples (N?=?381 and N?=?406, respectively) of Italian school age children (age range: 6–12 years). Cronbach alpha values greater than 0.80 were observed for all CPTI scale scores based on teacher’s ratings, mother’s ratings, and father’s ratings respectively. Although intraclass correlation values suggested poor parent-teacher agreement, robust weighted least square Confirmatory Factor Analyses (WLSMV CFAs) suggested that the three-factor model of the CPTI was consistently replicated as the best fitting model across all informants. Logistic regression analysis conducted in one of the samples showed that teacher’s ratings and mother’s ratings of the CPTI, but not CPTI father’s ratings, significantly predicted child’s problem behavior at school. Multiple regression analyses showed that CPTI scores were significantly predicted by selected temperament dimensions, but with different relationships for different sources of information. Overall, our findings suggest that the CPTI is a reliable and valid measure of problematic traits with a three-factor structure, although this study indicates that multiple sources of information may prove necessary when assessing psychopathy in school-age children with the CPTI.     

Underconfidence in sensory discrimination: The interaction between experimental setting and response strategies

In a recent issue of this journal, Baranski and Petrusic (1994) presented empirical data revealing overconfidence in sensory discrimination. In this paper, we propose an explanation of Baranski and Petrusic’s results, based on an idiosyncrasy in the experimental setting that misleads subjects who are using an unwarranted symmetry assumption. Experiment 1 showed that when this hypothesis is controlled for, a large underconfidence bias is obtained with Baranski and Petrusic’s procedure. The results of Experiment 2 confirmed that overconfidence is difficult to obtain in subject-controlled sensory discrimination tasks, even for a very low proportion of correct responses. The different results obtained in sensory and cognitive tasks suggest that one should not uncritically draw parallels between confidence in sensory and cognitive judgments.