Who Is the Sufferer and What Is Being Suffered? Subjectivity in Times of Social Malaise

This paper encourages clinicians to consider how patients’ conflicts and symptoms reveal not only familial etiology but the internalization of hegemonic structures and ideology. It explores how the subject evolves within the cultural matrix of neoliberalism, the contemporary hegemonic system that shapes unconscious fantasy, conflicts and defenses. Several clinical case vignettes illustrate the benefits to both analyst and patient of exploring within the transference and countertransference how neoliberal hierarchical arrangements of class, race and gender affect subjective and intersubjective experience.     

Children's interpretation of generic noun phrases

Generic utterances (e.g., "Cows say 'moo'") have 2 distinctive semantic properties: (a) Generics are generally true, unlike indefinites (e.g., "Bears live in caves" is generic; "I saw some bears in the cave" is indefinite), and (b) generics need not be true of all category members, unlike universal quantifiers (e.g., all, every, each). This article examined whether preschool children and adults appreciate both these features, using a comprehension task (Study 1) and an elicited production task (Study 2). In both tasks, 4-year-old children--like adults--treated generics as distinct from both indefinites ("some") and universal quantifiers ("all"). In contrast, 3-year-olds did not differentiate among generics, "all," and "some." By 4 years of age, generics emerge as a distinct semantic device.     

Prior Health Care Utilization Patterns and Suicide Among U.S. Army Soldiers

Suicides among U.S. Army soldiers are increasing and, in January 2009, outpaced deaths due to combat. For this study, 1,873 army suicides identified through death, inpatient, and emergency room records were matched with 5,619 controls. In multivariate models, older, male, White, single, and enlisted soldiers with a prior injury (OR = 2.04, 95% CI = 1.64‐2.54), alcohol (OR = 3.41, 95% CI = 2.32‐4.99), or mental health hospitalization (OR = 6.62, 95% CI = 4.77‐9.20) were at increased risk for suicide. Risk was greatest immediately following diagnoses, but remained elevated even after 5 or more years of follow‐up. Most injury hospitalizations were unintentional but, nonetheless, significantly associated with suicide. Interactions indicate soldiers with both mental health and injury history are particularly vulnerable.