Dementia and suicidal behavior

Behavioral and psychological symptoms of dementia, including depression, might complicate the course of the disorder additionally. Dementia is more frequent in older people and suicide rates are higher in later life than in any other age group. To explore the phenomenology of suicidal behavior in patients with dementia, we searched electronic databases and key journals for original research and review articles on suicide in demented patients using the search terms “suicide, suicidal behavior, dementia, Alzheimer disease, and old age”. Although cognitive impairment could result in a diminishing ability to think flexibly and to solve problems or to cope with conflict, in the early stage of dementia such impairments are absent or mild, and suicidal behavior might be expected, especially following diagnosis. In addition, personality changes based on declining cognitive capacity and the neurochemical imbalances described in late-life depression and in dementia may predispose patients to aggressive or impulsive acts, such as suicide attempt. The literature on suicidal behavior and dementia highlights the need for further research in this area.     

The role of mother–child and teacher–child relationship on academic achievement

Robust findings have highlighted the importance of early cognitive abilities for academic performance. However, little is known about the role played by relational variables. In this longitudinal study, we examined children’s relationship with their mothers and teachers as predictors of later academic achievement. We addressed this issue following a group of 45 Italian children (29 boys) from the last year of preschool (mean age: five years and six months) until Year 4 of primary school (mean age: nine years and six months). Results showed that mother–child relationship at age 5 and teacher–child relationship at age 7 correlate with children’s academic achievement at age 9, controlling for early background and verbal abilities. Further analyses showed that teacher–child conflict partially mediates the relationship between early mother–child conflict and children’s later academic achievement. Mechanisms by which relational variables influence learning outcomes are discussed.     

Does sensitivity to criticism mediate the relationship between theory of mind and academic achievement?

This study adds to the growing research on school outcomes associated with individual differences in preschoolers’ theory of mind skills by considering whether “costs” of theory of mind (e.g., sensitivity to criticism) actually help to foster children’s academic achievement. A group of 60 Italian children was tested during the last year of preschool (Time 1, mean age = 5 years 6 months) and in their first year (Time 2, mean age = 6 years 5 months) and second year (Time 3, mean age = 7 years 5 months) of primary school. Children’s theory of mind, verbal ability, and social skills were evaluated at each time point. In addition, children’s sensitivity to teacher criticism was assessed at Time 2 and teachers’ ratings of children’s academic achievement were gathered at Time 3. Mediation analyses showed that, independent of verbal ability and social skills, sensitivity to criticism at Time 2 mediated the association between theory of mind at Time 1 and academic achievement at Time 3. These findings highlight the importance of investigating the educational consequences of individual differences in preschoolers’ theory of mind.     

The Practice of Psychotherapy in Mexico: Past and Present

This article explores the history of psychotherapy in Mexico and describes past and current practices of psychological services, training, and supervision for Mexican international students in the United States. Sample curricula, texts, and universities in Mexico are listed. Implications for training underscore the importance of collaboration and increased dialogue. Este artículo explora la historia de la psicoterapia en México y describe las prácticas pasadas y actuales de los servicios psicológicos, formación, y supervisión de estudiantes internacionales mexicanos en los Estados Unidos. Se presentan muestras de programas didácticos, textos, y universidades en México. Las implicaciones para la formación subrayan la importancia de la colaboración y un diálogo más profundo.     

Prolonged institutional rearing is associated with atypically large amygdala volume and difficulties in emotion regulation

Early adversity, for example poor caregiving, can have profound effects on emotional development. Orphanage rearing, even in the best circumstances, lies outside of the bounds of a species-typical caregiving environment. The long-term effects of this early adversity on the neurobiological development associated with socio-emotional behaviors are not well understood. Seventy-eight children, who include those who have experienced orphanage care and a comparison group, were assessed. Magnetic resonance imaging (MRI) was used to measure volumes of whole brain and limbic structures (e.g. amygdala, hippocampus). Emotion regulation was assessed with an emotional go-nogo paradigm, and anxiety and internalizing behaviors were assessed using the Screen for Child Anxiety Related Emotional Disorders, the Child Behavior Checklist, and a structured clinical interview. Late adoption was associated with larger corrected amygdala volumes, poorer emotion regulation, and increased anxiety. Although more than 50% of the children who experienced orphanage rearing met criteria for a psychiatric disorder, with a third having an anxiety disorder, the group differences observed in amygdala volume were not driven by the presence of an anxiety disorder. The findings are consistent with previous reports describing negative effects of prolonged orphanage care on emotional behavior and with animal models that show long-term changes in the amygdala and emotional behavior following early postnatal stress. These changes in limbic circuitry may underlie residual emotional and social problems experienced by children who have been internationally adopted.     

The Bible, the Empire and the Other

Book reviewed in this article:
R. S. Sugirtharajah, The Bible in the Third World: Precolonial, Colonial and Postcolonial Encounters     

Mixing against culture vs mixing against nature: ontologization of prohibited interethnic relationships

In this paper, we develop the theory of ontologization: Social representations that prevent members of minority and majority groups who are living in contact with each other to mingle. The process of ontologization consists of separating some humans from their own species, and anchoring them in another environment, that of an animal, for example. We propose that underlying the famous slogan “equal but separate” is the social representation of interracial mixing as a “counter‐nature” phenomenon. It is predicted that a sexual relationship between people of different “races” leads to a greater degree of ontologization, and, as such, this miscegenation will be explained in terms of biologistic thinking, like an instinctive nature or atavistic animal impulse. An experiment (N = 360) features the case of a woman who, though already in a stable relationship, is unfaithful to her partner. In a 2×3 factor design, the ethnic‐national identity of this woman (in‐group: Spanish/Italian vs out‐group: Senegalese) and the ethnic‐national identity of her lovers (in‐group: Spanish/Italian vs out‐group: Rumanian vs out‐group: Senegalese) were manipulated. In general, results fit the hypothesis of ontologization in interracial conditions better, rather than the customary in‐group favouritism and/or out‐group discrimination bias. We then go on to discuss the way in which a biologistic way of thinking enables a differentiation at the human level, in terms of culture groups and nature groups, in “races,” so that an interracial sexual relationship is seen as evidence of a wild and irrepressible impulse, which stigmatizes the people involved in these relationships.     

Information processing and aspects of visual attention in children with the DSM-III-R diagnosis “pervasive developmental disorder not otherwise specified” (PDDNOS): II. sustained attention

A group of 15 nonhyperactive children of normal intelligence with the DSM-III-R diagnosis “pervasive developmental disorder not otherwise specified” (PDDNOS) performed a sustained attention task. Adopting a cognitive-energetical linear stage model of human information processing, we investigated whether task performances deteriorated due to a diminishing level of arousal, activation, or by the active ‘effortful’ mode of information processing. In comparison to an age-matched group of normal children, the patients showed no sharper decrease in perceptual sensitivity (d'). D' is assumed to be a measure of arousal. However, the children with PDDNOS exhibited large fluctuations in their response bias beta (β), which is assumed to be a measure of activation. During the first part of the task, they shifted between under- and overestimating negative responses. In the latter part of the task this pattern altered to significantly overestimating the number of negative responses. This indicates that the patients were not able to appropriately tune to the task-inherent response probability. Moreover, as compared to the control children, the patients showed a significantly sharper decrease in hit rate with time on task, despite the fact that feedback was given on the errors. The findings are interpreted as an increasing loss of the ability to control the response bias due to difficulties in maintaining the voluntary effortful mode of processing information with prolonged time on task.     

Phenomenology,psychopathology, and short‐term therapeutic outcome of 102 infants aged 0 to 12 months consecutively referred to a community‐based 0 to 3 mental health clinic

Infants ages 0 to 1 year consecutively referred for psychiatric treatment during the year 2005 were followed, and variables associated with diagnosis and short‐term outcome were assessed. Infants were evaluated using the Psychiatric Infant Navigator Chart and Evaluation that includes nosological diagnoses [Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, (DC 0–3), Zero to Three, 1994] as well as risk and protective factors, treatment procedure, and outcomes. Seventy‐six percent of the infants had an Axis I diagnosis, with anxiety disorders and a mixed disorder of emotional expressiveness being the most frequent. Twenty‐five percent had an Axis II diagnosis. Multiple correspondence analyses showed that two dimensions corresponding grossly to DC 0–3 Axes I and II emerged. They emphasized three clinical profiles characterized by (a) good infant functioning, parent's awareness of their own difficulties, and a good outcome; (b) moderate child symptoms, overinvolved relating, and a good/intermediate outcome; (c) severe child symptoms, underinvolved relating, and a less favorable short‐term outcome, signaling the risk for developmental disorders. Among the associated risk factors were cumulative parental stress, maternal psychopathology, and family dysfunction. Clinical implications of these findings indicated that infants under the age of 1 year who are referred for mental health evaluation and intervention are a heterogeneous group in terms of both severity and prognosis. Clinicians should differentiate subgroups of young children to detect those infants at risk for persistent psychopathology.     

Student Perceptions of Sandtray in Solution-Focused Supervision

Sandtray supervision and solution-focused supervision (SFS) are both strengths-based approaches that may be effective in helping counselor trainees reduce their anxiety and develop clinical self-confidence. The purpose of this collective case study was to explore how a group of practicum students with a school counseling emphasis experienced a blending of sandtray and solution-focused supervision (SFS) approaches. Participants described how the blended approach fostered group cohesiveness in their supervision and promoted both personal and professional development. Participants indicated more awareness of the impact of sandtray than the influence of the solution-focused approach in their supervision.