The Impact of Parental Suicide on Child and Adolescent Offspring

Child and adolescent survivors of parental suicide experience two stressful events simultaneously: (1) the loss of a primary caregiver, and (2) suicidal death of a significant person. These youths are thought to be at increased risk for mental health problems, but a systematic review of studies on these survivors has not yet been conducted. A comprehensive search for published literature identified nine studies. The existent studies provided modest yet inconsistent evidence on the impact of parental suicide on offspring psychiatric and psychosocial outcomes. More methodologically rigorous research is needed to inform and guide postvention efforts for these survivors.     

Recent Suicidal Ideation Among Patients in an Inner City Emergency Department

The rates and associated features of suicidal ideation among 5,641 patients seeking routine, nonsuicide related care in an inner‐city emergency department were examined. Approximately 8% of patients seeking routine care in the emergency department reported some form of suicidal ideation within the past 2 weeks. Suicidal ideation was common in individuals who were single with poorer mental health, had higher depression, and had received some drug or alcohol treatment in the past 3 months or had used cocaine or marijuana in the past 30 days. Improved screening procedures could help to identify routine care patients who are at risk for suicide.     

Is Gayness a Test from Allah? Typologies in Muslim Stances on Homosexuality

The article presents a spectrum of views within Muslim discourse on questions such as: “Is non-hetero predilection congenital and as such created by God?,” “Are non-hetero feelings/actions sinful as such?,” “Should the authorities in Muslim states punish homosexual acts?,” “Should lesbian and gay Muslims marry partners of the opposite gender?” The stances presented are based on texts by Yusuf al-Qaradawi, Heba Gamal Kotb, Abdelwahab Bouhdiba, Amreen Jamal and Scott Siraj al-Haqq Kugle. Stances presented by various Muslim internet sites are also considered. The review is grouped into a four-way typology: strongly traditional; moderately traditional; moderately progressive; and strongly progressive. The second part of the article reflects on how non-hetero Muslims cope theoretically and practically with their religious and sexual identity. The various stances and practices are grouped into six types based on the correlation/tension between “right” (divinely revealed) and “good” (in a human sense): (i) rejecting all kinds of non-hetero identities, feelings and practices; (ii) accepting feelings and identity, but rejecting practice; (iii) unsuccessful efforts to reject practice; (iv) accepting one's identity and practice due to interpretations of the Qur'an and theological reflection; (v) accepting non-hetero practices without regard to religious rules pertaining to this issue; (vi) accepting non-hetero identity and practices combined with (secretly) rejecting Islam due to the question of homosexuality.     

Clinical Strategies for Integrating Medication Interventions Into Behavioral Treatment for Adolescent ADHD: The Medication Integration Protocol

Attention-Deficit/Hyperactivity Disorder (ADHD) is prevalent among adolescents enrolled in behavioral health services but remains undertreated, and the first-line treatment option, stimulant medication, is underutilized. To address this gap, this article introduces the Medication Integration Protocol (MIP): ADHD Assessment and Medication Consult; ADHD Psychoeducation and Client Acceptance; ADHD Symptoms and Family Relations; ADHD Medication and Family Decision-Making; and Medication Management and Integration Planning. The article concludes by highlighting what behavior therapists should know about integrating medication interventions into primary care; managing medication priorities for adolescents with multiple diagnoses, including substance use problems; and the compatibility of MIP with everyday practice conditions.     

Beyond the representation field

Abstract

This article outlines the importance of representation and several Freudian concepts such as Vorstellung, Trieb, and word and object representations. The author refers to the division of the analytical process into two main fields: the field of representation, and the field of the Real, which is characterized by impossibility. He then states that this field is the proper field of psychoanalysis. The author presents two clinical vignettes in an attempt to demonstrate the significance of the analytical act as a tool to deal with such extreme psychic situations.