Cultural Identity and Groups of Belonging

Research into the cultural foundations of psychic structure must take place simultaneously at the individual, group, and psychosocial level of analysis. Identity, as both an individual and a collective phenomenon, and the primacy of the group dimension become manifest in the imaginary space created by groups, in Bion's protomental system. Cultural incorporates function like somatic processes and establish the synchrony of all cultural interactions. Individuation would thus emerge from the shared common base, which in turn is related to the individual's internalization of his group of belonging. A distinction is drawn between primary groups of belonging, which are extensions of family structure and supply the group's cultural identity, and secondary belonging groups, which are instituted by the society. The relationship between transcultural experiences, aiming at achieving unity, and intercultural experiences, which recognize limits and differences, is a source of tension for the individual and the group. Examples are given of the function of excitation screens within instituted groups and of the cultural dimension of the analytic setting.     

Menarche,Menstruation, and Gender Identity: Retrospective Accounts from Women Who Have Undergone Premenopausal Hysterectomy

Hysterectomy (the surgical removal of the uterus) precipitates the end of menstrual cycles in premenopausal women. In this article I explore whether that premature termination of menstrual function negatively affects women's subjective gender identities. Using the grounded theory research approach, I conducted in-depth interviews with 40 diverse respondents who had undergone premenopausal hysterectomy. These women generally acknowledged that, since the time of menarche, they had closely associated menstruation with their gender identities. However, despite some regrets, respondents' primary reaction was almost unanimous relief that they had ceased menstruating. This finding must be viewed in the context of overwhelming and uncontrollable menstrual pain and bleeding that many respondents had previously experienced. Contrary to expressing remorse that they no longer identified with normal women, who menstruate, most respondents sought to disassociate themselves from the normalized suffering that they perceived is endured by all menstruating women.     

Effects of methylphenidate on sensitivity to reinforcement in children diagnosed with attention deficit hyperactivity disorder: an application of the matching law

The behavior of children diagnosed with attention deficit hyperactivity disorder (ADHD) has been hypothesized to be the result of decreased sensitivity to consequences compared to typical children. The present study examined sensitivity to reinforcement in 2 boys diagnosed with ADHD using the matching law to provide more precise and quantitative measurement of this construct. This experiment also evaluated the effects of methylphenidate (MPH) on sensitivity to reinforcement of children with ADHD. Subjects completed math problems to earn tokens under four different variable-interval (VI) schedules of reinforcement presented in random order under both medicated and nonmedicated conditions. Results showed that, in the medicated condition, the matching functions for both subjects resulted in higher asymptotic values, indicating an overall elevation of behavior rate under these conditions. The variance accounted for by the matching law was also higher under the medicated conditions, suggesting that their behavior more closely tracked the changing rates of reinforcement while taking MPH compared to placebo. Under medicated conditions, the reinforcing efficacy of response-contingent tokens decreased. Results are discussed with respect to quantifying behavioral changes and the extent to which the drug interacts with prevailing contingencies (i.e., schedule values) to influence behavioral variability.     

Cardiac disorders and antidepressant medications

Tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) have been associated with an increase in cardiovascular disorders, especially in depressed patients who have pre-existing cardiac disease. These disorders are less likely to occur when a therapeutic dosage is administered. Injuries because of falls are more likely in elderly depressed patients, and orthostatic hypotension occurs with the use of TCAs. Selective serotonin reuptake inhibitor (SSRI) antidepressants differ structurally and in side effects from TCAs and MAOIs. They appear to be effective for treatment of depression, and their side-effect profiles appear safer than those of earlier approved antidepressants used by depressed patients with cardiovascular disorders.     

Immediate serial recall of words and nonwords: Tests of the retrieval-based hypothesis

In two experiments, the immediate serial recall of lists of words or nonwords was investigated under quiet and articulatory suppression conditions. The results showed better item recall for words but better order recall for nonwords, as measured with proportion of order errors per item recalled. Articulatory suppression hindered the recall of item information for both types of lists and of order information for words. These results are interpreted in light of a retrieval account in which degraded phonological traces must undergo a reconstruction process calling on long-term knowledge of the tobe-remembered items. The minimal long-term representations for nonwords are thought to be responsible for their lower item recall and their better order recall. Under suppression, phonological representations are thought to be minimal, producing trace interpretation problems responsible for the greater number of item and order errors, relative to quiet conditions. The very low performance for nonwords under suppression is attributed to the combination of degraded phonological information and minimal long-term knowledge.     

Effortful control in early childhood: continuity and change, antecedents, and implications for social development

The course, antecedents, and implications for social development of effortful control were examined in this comprehensive longitudinal study. Behavioral multitask batteries and parental ratings assessed effortful control at 22 and 33 months (N = 106). Effortful control functions encompassed delaying, slowing down motor activity, suppressing/initiating activity to signal, effortful attention, and lowering voice. Between 22 and 33 months, effortful control improved considerably, its coherence increased, it was stable, and it was higher for girls. Behavioral and parent-rated measures converged. Children's focused attention at 9 months, mothers' responsiveness at 22 months, and mothers' self-reported socialization level all predicted children's greater effortful control. Effortful control had implications for concurrent social development. Greater effortful control at 22 months was linked to more regulated anger, and at 33 months, to more regulated anger and joy and to stronger restraint.     

Apparatus for conditioning treatment of enuresis

Recent experimental work is cited which has implications for basic equipment design. Some unsatisfactory earlier innovations are also briefly discussed.

The traditional pad and bell apparatus is not superseded but commonly exhibits defects and hazards for which the recessed electrode principle is introduced as a solution. New high-sensitivity requirements in circuitry to match the recessed electrode pad are met in an unusual and inexpensive way.     

Psychiatric correlates of childhood shyness in a nationally representative sample

Relations between adult anxiety and mood disorders and retrospective reports of excessive childhood shyness were investigated in the US National Comorbidity, Survey (n=5877). Results indicated that 26% of women and 19% of men described themselves as 'very shy' when they were growing up. Of these shy individuals, 53% of women and 40% of men met criteria for a lifetime diagnosis of one or more anxiety or mood disorders. Relations between excessive shyness and each of the anxiety and mood disorders were examined after adjusting for elevated neuroticism, self-criticism, and low maternal care. The largest odds ratios were found for social phobia in both men and women, particularly for the complex subtype of this disorder. Significant associations also emerged for posttraumatic stress disorder in women and for major depressive disorder in men. Childhood shyness remained significantly associated with a lifetime history of social phobia when individuals with current (past year) social phobia were excluded from the analysis. The results of this study suggest that childhood shyness is strongly related to the complex subtype of social phobia in the general population. Excessive shyness does not appear to be strongly associated with other anxiety and mood disorders when related psychosocial and developmental dimensions are statistically controlled. Finally, many individuals who report excessive childhood shyness do not meet criteria for any anxiety or mood disorder. In a similar fashion, approximately 50% of individuals with a lifetime history of complex social phobia did not view themselves as very shy when growing up.     

An abbreviated PTSD checklist for use as a screening instrument in primary care

Although the importance of recognizing posttraumatic stress disorder (PTSD) in primary care has been well-established, routine screening for PTSD remains unfeasible for many primary care clinics because of the length of the available screening instruments. Thus, the purpose of this work was to develop and validate a brief screening tool for PTSD. In Study 1, four short forms of the PTSD Checklist-civilian version were identified that captured a majority of the variance in the measure. In Study 2, the performance of these short forms was evaluated in a separate sample of primary care patients. We found that both two-item and six-item versions have adequate psychometric properties for screening purposes and suggest that the selection of one version over the other depends on the specific needs of each primary care clinic.