Clinical Correlates of Co-occurring Psychiatric and Autism Spectrum Disorder (ASD) Symptom-Induced Impairment in Children with ASD

Although psychiatric symptom severity and impairment are overlapping but nevertheless distinct illness parameters, little research has examined whether variables found to be associated with the severity are also correlated with symptom-induced impairment. Parents and teachers completed ratings of symptom-induced impairment for DSM-IV-referenced syndromes, and parents completed a background questionnaire for a consecutively referred sample of primarily male (81 %) 6-to-12 year olds with autism spectrum disorder (ASD) (N?=?221). Some clinical correlates (e.g., IQ?<?70, maternal level of education, pregnancy complications, current use of psychotropic medication, season of birth) were associated with impairment for several disorders, whereas others were correlated with only a few syndromes (e.g., gender, co-morbid medical conditions) or were not related to impairment in any disorder (e.g., family psychopathology). There was little convergence in findings for parents’ versus teachers’ ratings. Some clinical correlates (e.g., season of birth, current psychotropic medication, maternal education) were unique predictors of three or more disorders. Pregnancy complications were uniquely associated with social anxiety and schizoid personality symptom-induced impairment. IQ was a unique predictor of schizophrenia, ASD, oppositional defiant disorder symptom-induced impairment. Children whose mothers had relatively fewer years of education had greater odds for symptom-induced impairment in social anxiety, depression, aggression, and mania and greater number of impairing conditions. Season of birth was the most robust correlate of symptom-induced impairment as rated by teachers but not by parents. Children born in fall evidenced higher rates of co-occurring psychiatric and ASD symptom-induced impairment and total number of impairing conditions. Many variables previously linked with symptom severity are also correlated with impairment.     

Subjective trajectories for life satisfaction: A self-discrepancy perspective

Although the belief that life gets better and better over time is widespread, individuals who perceive their lives to be improving over time report less positive functioning. Here we report an experimental study based on self-discrepancy theory (Higgins in Psychol Rev 94:319–340, 1987) in which the type of future self-guide (ideal, ought, undesired, unspecified) was manipulated across young adult participants. Perceived self-discrepancy and subjective life satisfaction trajectories (derived from ratings of past, current, and anticipated future life satisfaction) were impacted as expected. Subjective trajectories (current-to-future) were associated with greater perceived discrepancies in the undesired future condition only. Emotional distress was associated with greater perceived discrepancy from a positive future (ideal, ought, unspecified) and more steeply inclining subjective trajectories (current-to-future), along with less perceived discrepancy from an undesired future and less steeply declining subjective trajectories (current to undesired future). Thus, temporal self-discrepancy may shape temporal life satisfaction evaluations and associated emotional reactions.     

Self-affirmation and affective forecasting: Affirmation reduces the anticipated impact of negative events

When forecasting how they will feel in the future, people overestimate the impact that imagined negative events will have on their affective states, partly because they underestimate their own psychological resiliency. Because self-affirmation enhances resiliency, two studies examined whether self-affirmation prior to forecasting reduces the extremity of affective forecasts. Participants in self-affirmation conditions completed a values scale or wrote an essay asserting their most important value, whereas participants in the no-affirmation condition asserted a relatively unimportant value. Participants then predicted their affective reactions to a negative or positive imagined event. In both studies, self-affirmation reduced the unpleasant affect expected to result from a negative event, but had no impact on affective forecasts for a positive event. This pattern was mediated by participants’ cognitive appraisals of the imagined event, but not by differential focus on that event. Results are consistent with self-affirmation activating or enhancing psychological resiliency to counteract immune neglect during affective forecasting of a negative event.     

Healing Faith: A Qualitative Exploration of Latina Breast Cancer Survivors

Latina cancer survivors report higher levels of distress and depression and lower levels of social quality of life and overall health‐related quality of life when compared with all other cancer survivors. Cultural values influence cancer survivorship; however, little research to date has examined how aspects of the Latina culture may be healing during the cancer journey. Therefore, the purpose of this article is to present findings from a qualitative study exploring the influence of culture on quality of life for Latina breast cancer survivors. The authors use consensual qualitative research to understand the lived experiences of Latina breast cancer survivors.     

Presupposition Projection and Conditionalization

I explain what exactly constrains presupposition projection in compound sentences and argue that the presuppositions that do not project are conditionalized, giving rise to inferable conditional presuppositions. I combine elements of (Gazdar in Pragmatics: implicature, presupposition, and logical form. Academic Press, New York 1979) and (van der Sandt in Context and presupposition. Croom Helm, London 1988) which, together with an additional, independently motivated assumption, make it possible to construct an analysis that makes correct predictions. The core of my proposal is as follows: When a speaker felicitously utters a compound sentence whose constituent clauses (considered in isolation) require presuppositions, the hearer will infer that the speaker presupposes those propositions, unless the sentence contains some element that makes the hearer realize that, if the speaker actually presupposed them, she would be either uninformative or inconsistent in her beliefs. In these cases, the propositions that would have been presupposed, had the clauses been uttered in isolation, will not be presupposed, i.e. the clausal presuppositions will not project.