Medically Documented Suicide Ideation Among U.S. Army Soldiers

We used administrative data to examine predictors of medically documented suicide ideation (SI) among Regular Army soldiers from 2006 through 2009 (N = 10,466 ideators, 124,959 control person‐months). Enlisted ideators (97.8% of all cases) were more likely than controls to be female, younger, older when entering service, less educated, never or previously deployed, and have a recent mental health diagnosis. Officer ideators were more likely than controls to be female, younger, younger when entering service, never married, and have a recent mental health diagnosis. Risk among enlisted soldiers peaked in the second month of service and declined steadily, whereas risk among officers remained relatively stable over time. Risk of SI is highest among enlisted soldiers early in Army service, females, and those with a recent mental health diagnosis.     

Age Differences and Similarities in Identity Distress Following the Katrina Disaster: Theoretical and Applied Implications of Erikson��s Theory

This study examined predictions from Erikson??s lifespan developmental theory in the context of severe disaster exposure. Relationships among traumatic stress exposure, age, identity distress, and posttraumatic stress (PTS) symptoms were explored among 401 individuals (age 18?C86, mean = 32.83, SD = 14.1 years) exposed to Hurricane Katrina. Traumatic exposure experiences were related to identity distress ratings, but results suggested that the association was a function of PTS symptoms. Identity distress was negatively correlated with age, but the association between identity distress and age was moderated by the level of PTS symptoms. Identity distress was associated with PTS symptoms even while controlling for general psychological symptoms. The utility of the identity distress construct and theoretical implications for identity research in the wake of disaster are discussed.     

Processing Speed and Neurodevelopment in Adolescent-Onset Psychosis: Cognitive Slowing Predicts Social Function

Onset of psychosis may be associated with abnormal adolescent neurodevelopment. Here we examined the neurocognitive profile of first-episode, adolescent onset psychosis (AOP) as compared to typically developing adolescents, and asked whether neurocognitive performance varied differentially as a function of age in the cases compared with controls. A comprehensive neuropsychological battery was administered to 35 patients experiencing a first-episode of a DSM-IV psychotic disorder and to 31 matched controls. Clinicians also rated subjects’ social and role functioning, both at the time of neuropsychological assessment and 1 year later. Although patients displayed a wide range of impairments relative to controls, their most pronounced deficits included verbal memory, sensorimotor dexterity and cognitive processing speed. Among these, only processing speed showed a significant group-by-age interaction, consistent with an aberrant developmental course among AOP patients. Processing speed also accounted for substantial variance in other areas of deficit, and predicted social functioning 1 year later. AOP patients fail to show normal age-related increases in processing speed, which in turn predicts poorer functional outcomes. This pattern is consistent with the view that adolescent brain developmental processes, such as myelination, may be disrupted in these patients.     

Youth-caregiver Agreement on Clinical High-risk Symptoms of Psychosis

Early identification of individuals who will go on to develop schizophrenia is a difficult endeavor. The variety of symptoms experienced by clinical high-risk youth make it difficult to identify who will eventually develop schizophrenia in the future. Efforts are being made, therefore, to more accurately identify at-risk individuals and factors that predict conversion to psychosis. As in most assessments of children and adolescents, however, both youth and parental report of symptomatology and resulting dysfunction are important to assess. The goals of the current study were to assess the extent of cross-informant agreement on the Structured Interview for Prodromal Symptoms (SIPS), a widely-used tool employed to determine clinical high-risk status. A total of 84 youth-caregiver pairs participated. Youth and caregiver raters displayed moderate overall agreement on SIPS-rated symptoms. Both youth and caregiver ratings of youth symptomatology contributed significantly to predicting conversion to psychosis. In addition, youth age and quality of youth-caregiver relationships appear to be related to cross-informant symptom ratings. Despite differences on individual SIPS domains, the majority of dyads agreed on youth clinical high-risk status. Results highlight the potential clinical utility of using caregiver informants to determine youth psychosis risk.     

Effects of Response Blocking and Programmed Stimulus Control on Motor Stereotypy: A Pilot Study

We evaluated response blocking with programmed stimulus control, wearing tennis wrist bands, to reduce motor stereotypy in a student with autism. Response blocking was effective and subsequent analysis revealed that wearing the tennis wrist bands alone maintained low frequency stereotypy. Results suggest that controlling effects from a procedure such as response blocking can be transferred to a programmed stimulus in the absence of physical intervention.     

“Yes,I Have Sometimes Stolen Bikes”: Blindness for Norm‐Violating Behaviors and Implications for Suspect Interrogations

Across two experiments, we studied a phenomenon akin to choice blindness in the context of participants' accounts of their own history of norm‐violating behaviors. In Experiment 1, N = 67 participants filled in an 18‐item questionnaire about their history of norm‐violating behaviors (QHNVB). Subsequently, they were questioned about four of their answers, two of which had covertly been manipulated by the experimenter. Of the 134 manipulations, 20 (14.9%) remained undetected concurrently and 13 were accepted in retrospect (9.7%). In Experiment 2 (N = 37), we inserted a one‐week interval between questionnaire and interview. Twenty‐seven (36.5%) of the 74 manipulations remained undetected concurrently and three were accepted in retrospect (8.1%). Data obtained in a four‐week follow‐up indicated that our manipulations may have long‐term effects on participants' perception of their own history of norm‐violating behaviors. Implications for the occurrence of false confessions during the course of an interrogation are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Forms of Transformation in the Reflective Space: Clarifying “Mentalization” Theory Through a Clinical Application: Commentary on Paper by Stephen Seligman

In responding to discussions of my paper “Jonah: A Fantasy of Flight” by Fishman, Salberg, and Shulman, I focus on some of my critical assumptions in reading this or any other biblical text. Prominent among these is the need to relinquish the stance of “already knowing” the meaning of the text. This irreducibly enigmatic book demands close, informed, and literary reading. Within the context of a sustained reflection on the methodology and spirit of my enterprise, I discuss the main points of difference or disagreement that arise in the papers of my discussants, as well as celebrating the places of accord and enrichment.