Adolescent Suicidal Risk: Psychological,Problem Solving,and Environmental Factors

This study examined the life stress and problem-solving interactional model of suicide proposed by Clum, Patsiokas, and Luscomb (1979) . Thirty-three hospitalized suicidal adolescents were compared with 21 adolescents hospitalized for other psychiatric problems and with 89 controls. The assessment battery was composed of psychological measures, problem-solving measures, and environmental and family measures. The discriminant analyses revealed that the suicide group could be discriminated from the psychiatric control group but not from the high school control group. Unexpectedly, life stresses did not contribute to the identification of current suicide risk. The results suggest the importance of assessing suicide risk at the time of admission to minimize any subsequent changes in the risk group.     

Attentional bias towards angry faces in trait-reappraisal

Emotion regulation (ER) strategies differ in when and how they influence emotion experience, expression, and concomitant cognition. However, no study to date has directly compared cognition in individuals who have a clear disposition for either cognitive or behavioural ER strategies. The present study compared selective attention to angry faces in groups of high trait-suppressors (people who are hiding emotional reactions in response to emotional challenge) and high trait-reappraisers (people who cognitively reinterpret emotional events). Since reappraisers are also low trait-anxious and suppressors are high trait-anxious, high and low anxious control groups, both being low in trait-ER, were also included. Attention to angry faces was assessed using an emotional dot-probe task. Trait-reappraisers and high-anxious individuals both showed attentional biases towards angry faces. Trait-reappraisers’ vigilance for angry faces was significantly more pronounced compared to both trait-suppressors and low anxious controls. We suggest that threat prioritization in high trait-reappraisal may allow deeper cognitive processing of threat information without being associated with psychological maladjustment.     

The Visual Spatial Learning Test: Differential impairment during the premanifest and manifest stages of Huntington's disease

Visual spatial memory was assessed using the Visual Spatial Learning Test (VSLT) in individuals with mild to moderate Huntington's disease (HD), pre‐manifest gene carriers for HD, and demographically similar controls. The VSLT has been demonstrated to be a valid, normed measure of non‐verbal memory involving minimal motoric responses. The VSLT assesses immediate and delayed memory for designs, positions of the designs, and design/position associations. The HD group was significantly impaired (p < .05) relative to both the control and Pre‐HD groups on immediate and delayed memory for the designs, positions, and design/position associations. Although there were no differences between the Pre‐HD and control groups on immediate or delayed memory for designs or positions, the Pre‐HD group was significantly impaired (p < .05) relative to the control group on immediate and delayed memory for design/position associations. The results offer novel insight into a relatively unexamined memory deficit that may occur in gene carriers for HD prior to phenoconversion. The data indicate that the VSLT may be a useful measure of visuospatial memory during the premanifest and manifest stages of HD.     

THE WORLDWIDE BURDEN OF INFANT MENTAL AND EMOTIONAL DISORDER: REPORT OF THE TASK FORCE OF THE WORLD ASSOCIATION FOR INFANT MENTAL HEALTH

Children worldwide experience mental and emotional disorders. Mental disorders occurring among young children, especially infants (birth –3 years), often go unrecognized. Prevalence rates are difficult to determine because of lack of awareness and difficulty assessing and diagnosing young children. Existing data, however, suggest that rates of disorders in young children are comparable to those of older children and adolescents (von Klitzing, Dohnert, Kroll, & Grube, 2015 ). The lack of widespread recognition of disorders of infancy is particularly concerning due to the unique positioning of infancy as foundational in the developmental process. Both the brain and behavior are in vulnerable states of development across the first 3 years of life, with potential for enduring deviations to occur in response to early trauma and deprivation. Intervention approaches for young children require sensitivity to their developmental needs within their families. The primacy of infancy as a time of unique foundational risks for disorder, the impact of trauma and violence on young children's development, the impact of family disruption on children's attachment, and existing literature on prevalence rates of early disorders are discussed. Finally, global priorities for addressing these disorders of infancy are highlighted to support prevention and intervention actions that may alleviate suffering among our youngest world citizens.     

Social perspective-taking skills in maltreated children and adolescents

The primary goal of this study was to assess the ability of maltreated school-age children and adolescents to understand the thoughts, feelings, and points of view of others. Level of egocentrism and social perspective-taking coordination were assessed in a group of 49 maltreated and 49 demographically matched nonmaltreated children. Twenty-six elementary and 23 high school students in each group were individually interviewed and their responses to hypothetical interpersonal situations coded for egocentricity and level of perspective-taking ability. The findings revealed that maltreated children and adolescents were more egocentric and delayed in their social perspective-taking development than their nonmaltreated peers and that they reported lower levels of global self-worth. However, differences within the group of maltreated children and adolescents emerged with regard to negotiating novel relationships, as those with fewer internalizing or externalizing symptoms exhibited better skills in this area than their peers who displayed more symptoms.     

Analytical Psychology after Jung with Clinical Case Material from Stephen Mitchell's Influence and Autonomy in Psychoanalysis

This discussion focuses on the contributions of Drs. Loew and Richman, both children of Holocaust survivors and hidden children in the Holocaust, and the transformation of their traumatic experiences of loss and disconnection through sculpture and memoir writing. The influence of the analyst's disclosure of his or her personal self exploration on clinical work is also explored.     

Out of the Blue: Reflections on a Shared Trauma

Richard Almond’s paper challenges us to think deeply about the analyst’s impactful desires on the patient. My discussion considers different aspects of this impact: phallic, maternal, ethical. Specifically, I assert that Almond’s position in relation to the female patients he describes is more maternal, or “matricial,” than phallic. Chetrit-Vatine’s concept of matricial space is used to elucidate this point. Further, Almond’s paper asks us to consider seriously psychoanalysis as an ethics regarding responsibility for desire as it relates to countertransference and enactment. The specific desire I focus on is Almond’s desire for his patients’ love. Such as desire involves inherent clinical difficulties.     

Inconsistency in natural languages

An argument for Trivialism, the view that natural languages are logically inconsistent, is provided that does not rely on contentious empirical assumptions about natural language terms such as “and” or “or.” Further, the view is defended against an important objection recently mounted against it by Thomas Hofweber.