Common Etiological Sources of Anxiety,Depression, and Somatic Complaints in Adolescents: A Multiple Rater twin Study

Somatic complaints in children and adolescents may be considered part of a broader spectrum of internalizing disorders that include anxiety and depression. Previous research on the topic has focused mainly on the relationship between anxiety and depression without investigating how common somatic symptoms relate to an underlying factor and its etiology. Based on the classical twin design with monozygotic and dizygotic twins reared together, our study aimed to explore the extent to which the covariation between three phenotypes in adolescent girls and boys can be represented by a latent internalizing factor, with a focus on both common and specific etiological sources. A population-based sample of twins aged 12–18 years and their mothers and fathers (N?=?1394 families) responded to questionnaire items measuring the three phenotypes. Informants’ ratings were collapsed using full information maximum likelihood estimated factor scores. Multivariate genetic analyses were conducted to examine the etiological structure of concurrent symptoms. The best fitting model was an ACE common pathway model without sex limitation and with one substantially heritable (44 %) latent factor shared by the phenotypes. Concurrent symptoms also resulted from shared (25 %) and non-shared (31 %) environments. The factor loaded most on depression symptoms and least on somatic complaints. Trait-specific influences explained 44 % of depression variance, 59 % of anxiety variance, and 65 % of somatic variance. Our results suggest the presence of a general internalizing factor along which somatic complaints and mental distress can be modeled. However, specific influences make the symptom types distinguishable.     

Das Restless-Legs-Syndrom

In 1995, the International Restless Legs Syndrome Study Group (IRLSSG) developed the first consensus-based diagnostic criteria, which were revised in 2003. These criteria allowed the implementation of numerous epidemiological, pathophysiological, and therapeutic approval studies. To increase the specificity, the guidelines were augmented regarding differential diagnoses, clinical severity, and objective examination in 2012. RLS, one of the most common neurological diseases worldwide, is often misdiagnosed and greatly underdiagnosed. Symptomatic treatment with dopaminergic agents is standard treatment for primary RLS; however, opioids are also used.     

On "risk" and reward: investigating state anhedonia in psychometrically defined schizotypy and schizophrenia

Anhedonia, defined as dysfunction in the experience of pleasant emotions, is a hallmark symptom of the schizophrenia spectrum. Of interest, it is well documented that patients with schizophrenia, at least as a group, do not show reductions in their state experience of pleasant stimuli. However, there is emerging evidence to suggest that individuals with schizotypy--defined as the personality organization reflecting the latent vulnerability for schizophrenia--do show these state deficits. This is paradoxical in that schizophrenia reflects a more pathological state in virtually every conceivable domain as compared with schizotypy. The present study examined self-reported affective reactions to neutral-, bad-, and good-valenced stimuli in individuals with psychometrically defined schizotypy and schizophrenia. Two separate control groups were also included, comprising psychometrically defined controls and stable outpatients with affective disorders. With no exceptions, the schizotypy group reported significantly less pleasant affect for each of the three conditions than each of the other groups. Conversely, the schizophrenia group did not statistically differ from the control groups for any of the conditions. Within both the schizotypy and schizophrenia groups, severity of negative symptoms/traits was associated with less pleasant report. We found that individuals with prominent negative symptoms and traits from the schizophrenia and schizotypy groups resembled each other in terms of state anhedonia. The present findings did not appear to reflect comorbid depression or anxiety. Our discussion centers on this apparent paradox in the schizophrenia spectrum--that individuals with schizotypy exhibit state anhedonia, whereas patients with schizophrenia do not.     

Understanding the Linguistic Turn and the Quest for Meaning: Historical Perspectives and Systematic Considerations

Although the linguistic turn is usually described in historical terms this article aims at combing the significant historical transitions with systematic philosophical considerations. Against the background of earlier rationalistic and empiricist trends particular attention is given to the successive epistemic ideals manifest in the conceptual rationalism of the Enlightenment, followed by the historicism of the 19 ^th century and subsequently by the linguistic turn. An assessment of these transitions will explore systematic issues, in particular the relationship between universality and what is individual, the difference between functional laws and type laws, and regarding the limits of concept formation the distinction between conceptual knowledge and concept-transcending knowledge. This distinction enables the introduction of a new understanding of the difference between rationalism and irrationalism. Apart from Dilthey the linguistic turn penetrated also the thought of thinkers such as Freud, Wittgenstein, Frankl, Heidegger, Habermas, Dooyeweerd and Gadamer, all of them (implicitly or explicitly) elaborated the initial criticism raised by Herder, Jacobi, Hamann, Heidegger and Gadamer against Kant‘s Critique of Pure Reason for neglecting language. After briefly referring to the connection between the linguistic turn and the idea of the meaningful construction of reality, the article ends with a concluding remark emphasizing the fact that no single concept-transcending usage of modal (aspectual) terms should be elevated above others or employed at the cost of other equally legitimate idea-statements.     

The Retarded Child. A Guide for Parents,Teachers and Social Workers by Herta Loewy

Abstract

Emotional abuse in childhood, in contrast to physical or sexual abuse, is a form of maltreatment which has been slow to receive widespread discussion. Categorizing emotional abuse highlights the ongoing realities of emotionally abused individuals. The five categories introduced here help to classify developmental problems, create treatment plans, and identify preventive opportunities. After a discussion of these categories, representative case histories from therapy groups are presented. These case histories are then traced through major phases of group therapy conducted within a structured setting and occurring on a time-limited basis.     

The social image of drinking – mass media campaigns may inadvertently increase binge drinking

Mass media campaigns that promote responsible drinking are rarely tested for their usefulness in reducing heavy alcohol consumption. Existing campaigns that appeal to responsible drinking while simultaneously displaying young people in social drinking situations may even have paradoxical effects. To examine such possible effects, we drew on a real-world media campaign, which we systematically modified on the basis of recent prototype research. We pilot tested questionnaires (using n = 41 participants), developed two different sets of posters in the style of an existing campaign (n = 39) and investigated their effectiveness (n = 102). In the main study, young men were randomly assigned to one of three conditions: sociable or unsociable binge drinker prototype condition or a control group. Outcome variables were intention, behavioural willingness, attitude, subjective norm, self-efficacy, prototype evaluation and prototype similarity with respect to binge drinking. Binge drinking as a habit was included to control for the fact that habitual drinking in social situations is hard to overcome and poses a particular challenge to interventions. The manipulation check showed that the experimental variation (sociable vs. unsociable drinker prototype condition) was successful. Results of the main study showed that the sociable drinker prototype condition resulted in a higher willingness and – for those with less of a habit – a higher intention to binge drink the next weekend. The unsociable drinker prototype condition had no effects. The results imply that the social components of mass media campaigns might inadvertently exacerbate binge drinking in young men. We therefore advocate against campaigns including aspects of alcohol consumption that might be positively associated with drinker prototype perception. Finally, we provide suggestions for future research.     

Effect of Representational Distance Between Meanings on Recognition of Ambiguous Spoken Words

Previous research indicates that mental representations of word meanings are distributed along both semantic and syntactic dimensions such that nouns and verbs are relatively distinct from one another. Two experiments examined the effect of representational distance between meanings on recognition of ambiguous spoken words by comparing recognition of unambiguous words, noun–verb homonyms, and noun–noun homonyms. In Experiment 1, auditory lexical decision was fastest for unambiguous words, slower for noun–verb homonyms, and slowest for noun–noun homonyms. In Experiment 2, response times for matching spoken words to pictures followed the same pattern and eye fixation time courses revealed converging, gradual time course differences between conditions. These results indicate greater competition between meanings of ambiguous words when the meanings are from the same grammatical class (noun–noun homonyms) than when they are from different grammatical classes (noun–verb homonyms).     

Teaching a perspective‐taking component skill to children with autism in the natural environment

We evaluated procedures for teaching three children diagnosed with autism spectrum disorder the perspective‐taking component skill of tacting what others are sensing across all five senses: see, taste, feel, hear, and smell. Using a multiple baseline across participants design, we evaluated a training package consisting of multiple exemplar training, reinforcement, and error correction. The treatment package was implemented in the natural environment and was effective for teaching participants to tact what others sensed. Generalization across untrained stimuli and people was observed from baseline to posttraining for all participants. We discuss how this component skill may be related to teaching further skills related to perspective taking such as tacting what others know, predicting future behavior based upon one's beliefs, and creating false beliefs in others for the purpose of adaptive deceptive behaviors such as keeping secrets, surprises, and bluffing during games.     

Identifying the multi-risk family prenatally: Antecedent psychosocial factors and infant developmental trends

Little is known about the relationship between mother and infant within multiproblem, so-called “hard to reach” families. In an effort to understand factors contributing to problems in caring for the young children of these parents, a group of 47 families was recruited for study by the Clinical Infant Development Program of the National Institute of Mental Health. Serious social pathology was found within 75 percent of families. The lives of mothers in these families was marked by long term disruptions: 64 percent were from families characterized by recurring poverty and psychiatric illness, and 69 percent reported disruptions in parental care prior to age twelve, while more than two-thirds reported a history of being physically and/or sexually abused as children. More than 75 percent of this group of women presently showed psychiatric distress. Many of these women have difficulty in providing adequately for their young children and require innovative intervention programs in order to facilitate parenting.