Understanding suicidal behaviour in young people referred to specialist CAMHS: a qualitative psychoanalytic clinical research project

A qualitative psychoanalytic clinical research project using a post-Kleinian contemporary approach was undertaken by a team of seven qualified and experienced child psychotherapists working in community Tier 3 Child and Adolescent Mental Health Services (CAMHS). A number of referred young people who deliberately harmed themselves or attempted suicide, who fulfilled the inclusion criteria and consented to participate, were offered an extended individual and family assessment. Grounded Theory analysis of the qualitative data led to the formulation of the Truth Danger Theory. Typical situations in which suicidal behaviour occurred were identified, including intergenerational confusion, neglect, physical and/or sexual abuse within the family, Oedipal conflict, maternal depression and families in which there was a chronically ill sibling. We found that there was a marked disparity between the young person's experience of relationships in the family and the family's own account of their situation, a fractured reality. This can be reflected in an incongruence in the young person's presentation, which may be misleading when assessing risk. The young person feels him/herself to be in a dead end from which there seems to be no escape. Self-harm, for some, contains this impossible dilemma (albeit pathologically) but when it does not, suicide may seem the only option. The Truth Danger Theory provides explanations and predictions for suicidal behaviour and has implications for clinical practice.     

Emotional arousal and negative affect in marital conflict: the influence of gender,conflict structure,and demand‐withdrawal

This report covers two studies that examined how spouses' emotional arousal and negative affect in response to marital conflict are shaped by gender, conflict structure, and demand‐withdraw communication. In Study 1, 86 couples participated in a video analogue presentation procedure, and in Study 2, 32 couples participated in an observational methodology. In both studies, spouses' evaluative reports of their emotional arousal and negative affect were collected within two experimental conditions in which either the husband's or the wife's issue was discussed. In both studies, husbands—but not wives—reported lower levels of post‐interaction arousal and negative affect in the wife's issue condition than in the husband's issue condition. In both studies, husbands' as well as wives' level of emotional arousal was positively associated with their level of negative affect. In Study 2, husbands who were less demanding and more withdrawing during marital conflict were less aroused after the discussion. In contrast, wives reported more emotional arousal and negative affect as they were more withdrawing and less demanding, respectively. Copyright © 2005 John Wiley & Sons, Ltd.     

Cultural Values and Volunteering: A Cross-cultural Comparison of Students�� Motivation to Volunteer in 13 Countries

Voluntary participation is connected to cultural, political, religious and social contexts. Social and societal factors can provide opportunities, expectations and requirements for voluntary activity, as well as influence the values and norms promoting this. These contexts are especially central in the case of voluntary participation among students as they are often responding to the societal demands for building a career and qualifying for future assignments and/or government requirements for completing community service. This article questions how cultural values affect attitudes towards volunteerism, using data from an empirical research project on student volunteering activity in 13 countries in North America, Europe, the Middle East, and the Asia Pacific region. The findings indicate that there are differences in motivation between countries which represent different cultural values. This article sets these findings in context by comparing structural and cultural factors which may influence volunteerism within each country.     

Stuttering, cluttering, and phonological complexity: case studies

The phonological complexity of dysfluencies in those who clutter and/or stutter may help us better understand phonetic factors in these two types of fluency disorders. In this preliminary investigation, cases were three 14-year-old males, diagnosed as a Stutterer, a Clutterer, and a Stutterer–Clutterer. Spontaneous speech samples were transcribed, coded for dysfluent words which were then matched to fluent words on grammatical class (i.e., function vs. content), number of syllables and word familiarity. An Index of Phonological Complexity was determined per word, and word frequency, density and phonological neighborhood frequency were derived from an online database. Results showed that compared to fluent words, dysfluent words were more phonologically complex and ‘sparser’, implying that they have fewer phonological neighbors or words in which a single phoneme is added, deleted or substituted. Interpretations and future directions for research regarding phonological complexity in stuttering and cluttering are offered.Educational objectives: 1. The reader can list three key symptoms of cluttering. 2. The reader will define phonological neighborhood density and neighborhood frequency. 3. The reader can calculate the Index of Phonological Complexity (IPC) for a given word. 4. The reader can state two findings from the current study and how each relates to other studies of phonological complexity and fluency disorders.     

Modeling the bullying prevention program design recommendations of students from grades five to eight: a discrete choice conjoint experiment

We used a discrete choice conjoint experiment to model the bullying prevention recommendations of 845 students from grades 5 to 8 (aged 9-14). Students made choices between experimentally varied combinations of 14 four-level prevention program attributes. Latent class analysis yielded three segments. The high impact segment (27.1%) recommended uniforms, mandatory recess activities, four playground supervisors, surveillance cameras, and 4-day suspensions when students bully. The moderate impact segment (49.5%) recommended discretionary uniforms and recess activities, four playground supervisors, and 3-day suspensions. Involvement as a bully or bully-victim was associated with membership in a low impact segment (23.4%) that rejected uniforms and surveillance cameras. They recommended fewer anti-bullying activities, discretionary recess activities, fewer playground supervisors, and the 2-day suspensions. Simulations predicted most students would recommend a program maximizing student involvement combining prevention with moderate consequences. The simulated introduction of mandatory uniforms, surveillance cameras, and long suspensions reduced overall support for a comprehensive program, particularly among students involved as bullies or bully-victims.     

Meet The Simpsons: top-down effects in face learning

We examined whether prior knowledge of a person affects the visual processes involved in learning a face. In two experiments, subjects were taught to associate human faces with characters they knew (from the TV show The Simpsons) or characters they did not (novel names). In each experiment, knowledge of the character predicted performance in a recognition memory test, relying only on old/new confidence ratings. In experiment 1, we established the technique and showed that there is a face-learning advantage for known people, even when face items are counterbalanced for familiarity across the experiment. In experiment 2 we replicated the effect in a setting which discouraged subjects from attending more to known than unknown people, and eliminated any visual association between face stimuli and a character from The Simpsons. We conclude that prior knowledge about a person can enhance learning of a new face.