Psychiatric and substance use disorders as risk factors for attempted suicide among adolescents: a case control study

The objective of this research was to test substance-related and non-substance-related psychiatric disorders as predictors of attempted suicide among adolescents. Ninety-six psychiatrically disordered suicide attempters were matched one-to-one to 96 psychiatrically disordered non-attempters on age, race, gender, and the presence/absence of major depression. Conditional logistic regression was used to test psychiatric risk factors for their power to predict attempted suicide among adolescents. Bipolar disorder, cocaine use disorders, and conduct disorder were found to be predictive of attempted suicide in univariate testing. Bipolar disorder, inhalant use disorders, cocaine use disorders, and hallucinogen use disorders were found to be predictive of attempted suicide, after adjusting for all other covariates. Loglinear analyses revealed high odds ratios associated with the comorbidities of alcohol use disorder with conduct disorder and drug use disorders with conduct disorder in both groups. Higher rates of cocaine use disorder/conduct disorder, hallucinogen use disorder/conduct disorder, and alcohol use disorder/ conduct disorder were found among suicide attempters. Evaluation of these particular comorbid conditions should be part of the adolescent suicide risk assessment.     

Measuring differences in preactivation on the Internet: the content category superiority effect

Preactivation of particular content categories in memory yields latency differences in a visual recognition task. Two Internet studies demonstrate this content category superiority effect (CCSE). Target words are repeatedly flashed for 400 ms and then masked for 200 ms. Experiment 1 shows that differences in pre-activated memory content, related to participants' use of computer operating systems, influence z-scored visual word recognition latencies. Experiment 2 shows that this influence is susceptible to instruction. Participants expecting to find positive words recognized those words faster, whereas participants expecting to find negative words were faster on negative words. The CCSE provides a basis on which new measures of implicit memory content can be founded. Two such applications are discussed--the Motive Superiority Measure of implicit motives, and a latency-based measure of self-focused attention.     

Searching for reliable relationships with statistics packages: an empirical example of the potential problems

Many social scientists appear to possess an overconfidence in the reliability of research results from a single, small-sample, inferential study. In this article, the authors speculate that "user-friendly" statistics packages have the potential to exacerbate statistical misinterpretation by providing researchers with a tool to explore data easily and identify what is interpreted as "reliable" relationships. This article contains an empirical demonstration of the potential problems that arise when a large number of statistical tests are interpreted. Results show that statistically significant results may be unreliable. Also, a zero relationship can erroneously appear as a medium to large effect size relationship when a small sample is used (e.g., n = 30). The authors suggest the need for multiple replications as the criterion of a reliable finding.     

Professional Autonomy and the Normative Structure of Medical Practice

Professional autonomy is often described as a claim of professionalsthat has to serve primarily their own interests. However, it can also beseen as an element of a professional ideal that can function as astandard for professional, i.e. medical practice. This normativeunderstanding of the medical profession and professional autonomy facesthree threats today. 1) Internal erosion of professional autonomy due toa lack of internal quality control by the medical profession; 2)the increasing upward pressure on health care expenses that calls for ahealth care policy that could imply limitations for the professionalautonomy of physicians; 3) a distorted understanding of theprofession as being based on a formal type of knowledge and relatedtechnology, in which other normative dimensions of medical practice areneglected and which frustrates meaningful communication betweenphysicians and patients. To answer these threats a normative structureanalysis of medical practice is presented, that indicates whichprinciples and norms are constitutive for medical practice. It isconcluded that professional autonomy, normatively understood, should bemaintained to avoid the lure of the technological imperative and toprotect patients against third parties' pressure to undertreatment.However, this professional autonomy can only be maintained if members ofthe profession subject their activities and decisions to a criticalevaluation by other members of the profession and by patients and ifthey continue to critically reflect on the values that regulate today'smedicine.     

Global Progress I: Empirical Evidence for ongoing Increase in Quality-of-life

This paper argues that both the relativist and the pessimist critiques of the idea of progress are inadequate. Progress is defined as increase in global quality of life (QOL). Such QOL is intrinsically subjective, but not relative. It can be reliably measured through life satisfaction-type questions. The World Database of Happiness provides extensive data on social, economic and psychological factors that correlate with overall QOL. They include wealth, health, security, knowledge, freedom and equality. Various statistical data suggest that all these QOL indicators have undergone significant improvements during the last half century, in most of the world. This gives strong support to the thesis that progress objectively occurs.     

Evaluating gene x psychological risk factor effects in the pathogenesis of anxiety: a new model approach

The present study evaluated the singular and interactive effects of a functional polymorphism (variation) in the serotonin transporter (5-HTT) gene and a psychological trait (anxiety sensitivity [AS], i.e., fear of arousal symptoms) in predicting subjective and physiological responses to a 35% carbon dioxide (CO2) challenge in a community sample (N = 72). Genotypes were divided into 2 groups in accord with prior research. Findings were partially supportive of the hypothesized risk model. These indicated that the Group L genotype (homozygous for the 1 allele), compared with the Group S genotype (homozygous for the s allele plus heterozygous individuals), predicted greater fearful response to the biological challenge. There was also an AS x Genotype interaction predicting heart rate variability (HRV) in response to the CO2, suggesting that high AS plus Group L status predicts decreased HRV.     

Visual perception of mean relative phase and phase variability

Perception of relative phase and phase variability may play a fundamental role in interlimb coordination. This study was designed to investigate the perception of relative phase and of phase variability and the stability of perception in each case. Observers judged the relative phasing of two circles rhythmically moving on a computer display. The circles moved from side to side, simulating movement in the frontoparallel plane, or increased and decreased in size, simulating movement in depth. Under each viewing condition, participants observed the same displays but were to judge either mean relative phase or phase variability. Phase variability interfered with the mean-relative-phase judgments, in particular when the mean relative phase was 0 degrees. Judgments of phase variability varied as a function of mean relative phase. Furthermore, the stability of the judgments followed an asymmetric inverted U-shaped relation with mean relative phase, as predicted by the Haken-Kelso-Bunz model.