Prevalence of mental health problems in Australian university health services

General practice patients report greater mental health problems than the general population, and students attending one university health service have reported greater prevalence rates at the end of the academic year. This study assessed the overall prevalence rate of mental health problems in university students using a cross‐sectional survey design of 1,168 students from three large, predominantly urban, Australian university health services. Approximately half of the students attending university health services reported elevated levels of psychological distress. The majority of severely distressed students had not sought any professional assistance for mental health problems. While there is scope for general practitioners to take a lead role in the identification of mental health problems in tertiary students, adequate treatment pathways need to be available. Implications for the role of universities in prevention work are discussed.     

The psychogenesis of the ego: notes on Freud's 'case of homosexuality in a woman'

This paper examines Freud's (1920) case study 'The psychogenesis of homosexuality in a woman' in the light of the second topography that was being elaborated in his theoretical writing at that time. The analysis of the ego and its defence mechanisms, which was to become such an important part of clinical technique in Anglo-American psychoanalysis, psychoanalytic psychotherapy and psychodynamic counselling, is not set out explicitly in any of Freud's case studies. However, in this last case study presented by Freud, it is possible to see how an attention to family dynamics, Oedipal structures and patterns of identification set the stage for the new notion of the ego to emerge. This 'turning point' in theory and clinical technique is also, in this case, intimately related to theories of sexuality, and Freud's own assumptions about homosexuality and heterosexuality are considered here in relation to his account of the ego.     

Reliability and validity of the Norwegian translation of the Child Eating Disorder Examination (ChEDE)

Frampton, I., Wisting, L., Øverås, M., Midtsund, M. & Lask, B. (2011). Reliability and validity of the Norwegian translation of the Child Eating Disorder Examination (ChEDE). Scandinavian Journal of Psychology 52, 196–199. The Child Eating Disorder Examination (ChEDE) is a valid and reliable semi‐structured interview, which measures eating‐disorder specific psychopathology in children and young adolescents. The instrument is an adaptation of version 12.0D of the original Eating Disorder Examination (EDE 12.0) for adults. The Norwegian translation of the ChEDE is currently the only instrument for assessing eating disorder psychopathology in Norwegian children and adolescents. This study aimed to investigate the psychometric properties of the Norwegian translation of the ChEDE 12.0. The Norwegian version of ChEDE 12.0 was administered to 15 Norwegian children with anorexia nervosa (AN), 15 children with diabetes mellitus type 1 (DM) and two groups of 15 age‐matched controls. The groups were compared using a matched pairs design. The results showed that the subscale scores of the AN group were significantly higher than those of the other groups, and the DM comparison group did not differ from its control group. The current AN group scored significantly higher on the Shape Concern subscale than the previous UK sample, with implications for construct validity or cross‐cultural effects worthy of further study. Inter‐rater reliability was generally high (r = 0.91 to 1.00), although there were significant differences between raters on specific items for individual participants. Alpha coefficients for each of the ChEDE subscales indicated a high degree of internal consistency. It was concluded that the Norwegian version of the ChEDE 12 has adequate psychometric properties and can be recommended for clinical and research use with young people with eating disorders in Norway.     

The Body of Christ: Rethinking a Classic Ecclesiological Model

Abstract:   The image of the church as the body of Christ is deployed by Karl Barth and Robert Jenson in the service of very different and equally unsatisfactory ecclesiologies. While Barth's concern for divine freedom causes him to accentuate the distinction between head and members to the point of positing two churches, Jenson's stress on Christ's objective presence in the world risks collapsing Christ into the church. Against both positions, attention to the fact that human bodies can be encountered in what may be distinguished as second- and third-person modes allows the image of the body of Christ to be deployed in a way that precludes both any confusion of divine and human agency and any separation of Christ from the earthly-historical community.