Emergent self-regulation skills among very young ethnic minority children: A confirmatory factor model

Emerging self-regulation skills were assessed in 407 low-income African American and Latino (primarily Mexican-origin) preschoolers. A battery of self-regulation tasks was administered when children were 2½ years old and again approximately 1 year later. Confirmatory factor analyses supported four components of self-regulation: inhibitory control, complex response inhibition, set shifting, and working memory. Complex response inhibition was too rare a skill in this sample to be detected reliably from measures collected at 2½ years of age, but it emerged from measures collected at 3½ years. In addition, significant ethnic differences were found in that African American children scored better on measures of complex response inhibition and set shifting, whereas Latino children scored better on measures of inhibitory control and working memory. Implications of study findings for measuring self-regulation in low-income ethnic diverse populations of young children, as well as for developing interventions to enhance self-regulation development, are discussed.     

Understanding suicidal behaviour in young people referred to specialist CAMHS: a qualitative psychoanalytic clinical research project

A qualitative psychoanalytic clinical research project using a post-Kleinian contemporary approach was undertaken by a team of seven qualified and experienced child psychotherapists working in community Tier 3 Child and Adolescent Mental Health Services (CAMHS). A number of referred young people who deliberately harmed themselves or attempted suicide, who fulfilled the inclusion criteria and consented to participate, were offered an extended individual and family assessment. Grounded Theory analysis of the qualitative data led to the formulation of the Truth Danger Theory. Typical situations in which suicidal behaviour occurred were identified, including intergenerational confusion, neglect, physical and/or sexual abuse within the family, Oedipal conflict, maternal depression and families in which there was a chronically ill sibling. We found that there was a marked disparity between the young person's experience of relationships in the family and the family's own account of their situation, a fractured reality. This can be reflected in an incongruence in the young person's presentation, which may be misleading when assessing risk. The young person feels him/herself to be in a dead end from which there seems to be no escape. Self-harm, for some, contains this impossible dilemma (albeit pathologically) but when it does not, suicide may seem the only option. The Truth Danger Theory provides explanations and predictions for suicidal behaviour and has implications for clinical practice.     

On the Meaning of Being Real: Fantasy and ‘the Real’ in Personal Identity-Formation

Abstract

With the help of Lacanian psychoanalytic theory, this article addresses certain perplexities concerning personal identity that emerge from different kinds of interpersonal encounters. Lacan’s notion of the ‘fundamental fantasy’ incorporates the insight that phantasmic projections (of both self and other) form the basis of personal identity and interpersonal relations are a complex interplay between such projections. Nevertheless, in face of disconcerting pretence phenomena, the notion of a real self plays a profoundly important part in interpersonal relations. To call some phantasmic projections ‘pretensions’ or ‘delusions’ is simultaneously to admit that some must, by contrast, embody or express a real self. Lacan’s paradoxical answer to the question of whether the fundamental fantasy embodies the real self is ‘yes and no’. To explain this, I unpack the notion of the fundamental fantasy insofar as it is construed as the basis upon which we construct a complex identity (a semblance) imperfectly shielded from the traumatic Real. I offer an indirect account of the Real, via a critique of Rowlands on absurdity. I then sketch the developmental formation of a complex semblance, guided at its core by the fundamental fantasy, which structures the comportment of the self with a three-fold other. While the fundamental fantasy forms the core of a person’s identity and might be named the basis of the real self, Lacan warns that one must traverse it to acknowledge the Real in oneself. I elaborate on this via Derrida’s conception of the parergon. My aim is to demonstrate the irreducible complexity of identity formation and to show that to be real is to accept the uncertainty associated with acknowledging the Real in me that exceeds both my pretensions and the phantasmic reality that structures my identity.     

Do adolescents take "baby think it over" seriously?

Infant simulators are a popular means for providing a realistic experience of caring for an infant and are often used as a supplement in sexuality education programs. The goal of this activity is to help adolescents realize the enormous responsibility that raising a child entails and to motivate them to avoid risking pregnancy. The little research conducted to date on the effectiveness of infant simulators has yielded mixed results. The present study compared the reactions of 8th- and 10th-grade males and females at the end of their experience with infant simulators. Data were collected via student surveys and technical readouts from the simulators. Overall, the findings support the use of infant simulators, with the impact being greater for females and the younger group (8th graders). Data from the simulators were consistent with the self-reports. These promising results support the continued use of infant simulators, but further research with stronger experimental designs and long-term follow-up is needed.     

Evaluation of Potential Kidney Donors with the Personality Assessment Inventory: Normative Data for a Unique Population

Many transplant centers require personality assessment and/or psychiatric clearance prior to allowing an individual to donate a kidney. This is a unique cohort for personality assessment, and there is no normative information available for this population on standardized self-report measures such as the Personality Assessment Inventory (PAI). We evaluated a prospective sample of 434 kidney donor candidates with development of normative T-scores relevant to this specific comparison group. Compared to the original normative group from the PAI manual, potential kidney donors are 5–7 T-score points above the mean on PIM, RXR, DOM, and WRM and 4–6 points below the mean on the majority of the remaining scales. Raw score/T score conversion tables are provided. The normative data provided here is meant to supplement the original normative information and aid psychologists in evaluation of this unique medical population.