Psychological Adjustment Among Adult Children of Alcoholics: A Cross-Cultural Study

In this study, we compared Hispanic and Caucasian college students identified as adult children of alcoholics in terms of psychological adjustment using the Diagnostic Inventory of Personality and Symptoms (DIPS; Vincent, 1985). Results of the study suggested that, among college students, Caucasian men seem to be at a greater risk for using alcohol and drugs than Caucasian women or Hispanic men and women.     

Collected Stories: Play in Four Acts

This article evolved from a group process where members of a psychoanalytic institute were faced with planning workshops for a professional weekend around the theme of “play.” The workshop that evolved consisted of four vignettes of play taking place in the therapeutic sessions of a child, an adolescent, an adult, and an elderly woman. The discussion of these vignettes that began at the conference and then was developed for this article focuses on tracing the development of play from childhood into adulthood (Mayes & Cohen, 1996; Russ, 2004) and on the relationship between play and the development of reflective functioning (Fonagy & Target, 1996). One area of particular interest that was focused upon was the use of play with adults who are described as “concrete,” people who function, at times, at a level of differentiation more typical of a young child. Play is described as being particularly helpful in facilitating a more differentiated and, thus, more reflective mode of psychic functioning for this group of individuals as well as for people at all levels of development.     

Logit Model to Predict Outcomes of Litigated Employee Obesity Cases

Purpose  

Given that there are no specific legal protections for obese employees, the purpose of this study was to investigate the relationship between the litigated case characteristics and case outcomes when an employee is subjected to negative consequences in the workplace and subsequently sues the employer.     

Interactions between anxious mothers and their infants: An integration of theory and research findings

Children of highly anxious mothers are at risk for developmental difficulties including anxiety disorders, and “anxious maternal behavior” and disturbed mother–infant interactions have been implicated in the transmission of risk. In this article, we describe interactions between mothers who are highly anxious and their young infant, based on the few directly relevant observation studies that are available. For more detail, we draw on a broader literature including studies of depressed mothers and developmental theory. Our goal is to describe how the interactions between anxious mothers and infants look to an outside observer and how they may feel to mothers and infants. We also discuss possible bases for their disturbed interactive behavior, the impact that the disturbances can have on both mothers and infants, buffers and risk factors, and routes to short‐term intervention. Finally, we suggest directions for future research on maternal anxiety and anxious maternal behavior and the significance of such research for clinicians and researchers.     

The Ecology of Experiences for African American Women in Clinical Doctoral Programs

African American women must navigate higher education, in particular, clinical doctoral programs, as a gendered racial minority. These women often endure multiple levels of discrimination to obtain their degree. Findings of this study highlight these experiences and suggest the importance of increasing supports for African American women in clinical doctoral programs. Practices and supports should be put in place so that students of color are not marginalized because of their race. Las mujeres afroamericanas tienen que pasar por la educación superior, y particularmente en programas de doctorado clínico, como una minoría racial y de sexo. Estas mujeres sufren con frecuencia múltiples niveles de discriminación para poder obtener su titulación. Los hallazgos de este estudio destacan estas experiencias y sugieren la importancia de incrementar los apoyos para mujeres afroamericanas en programas de doctorado clínico. Deberían implementarse prácticas y apoyos para que las estudiantes de color no sean marginadas por su raza.     

Subtyping children and adolescents with loss of control eating by negative affect and dietary restraint

OBJECTIVE: Research suggests that subtyping adults with binge eating disorders by dietary restraint and negative affect predicts comorbid psychopathology, binge eating severity, and treatment outcome. Little research has explored the validity and clinical utility of subtyping youth along these dimensions. METHOD: Children (aged 8-18 years) reporting loss of control eating (n=159) were characterized based upon measures of dietary restraint and negative affect using cluster analysis, and then compared regarding disordered eating attitudes and behaviors, and parent-reported behavior problems. RESULTS: Robust subtypes characterized by dietary restraint (n=114; 71.7%) and dietary restraint/high negative affect (n=45; 28.3%) emerged. Compared to the former group, the dietary restraint/high negative affect subtype evidenced increased shape and weight concerns, more frequent binge eating episodes, and higher rates of parent-reported problems (all ps<0.05). CONCLUSION: Similar to findings from the adult literature, the presence of negative affect may mark a more severe variant of loss of control eating in youth. Future research should explore the impact of dietary restraint/negative affect subtypes on psychiatric functioning, body weight, and treatment outcome.     

Children At-Risk for Borderline Personality Disorder

Adult patients who have been diagnosed with borderline personality disorder (BPD) have provided valuable information about events and family dynamics that are frequently associated with BPD. Clinicians who work with children are frequently aware of family or individual characteristics that may put a child at risk for developing BPD. Such situations frequently involve attachment issues with the child's caregivers and can include sexual abuse, divorce, alcoholism/substance use, illness/ death, and neglect. Child characteristics such as learning difficulties and temperament may also predict BPD. Yet, many children are resilient and seemingly unaffected by these events or situations, especially when early intervention may prevent development of BPD.     

Ambivalence and attitudes in consumer replacement decisions

This research examines consumer replacement decisions and the ambivalence that may accompany such decisions. Durable goods replacement decisions are complex in that they involve two interconnected but distinct subdecisions: whether to replace the good, and what to do with the incumbent possession. This research proposes and tests a decision model that incorporates both of these subdecisions. It also examines sources of conflict associated with the ambivalence that may accompany replacement decisions. In so doing, it describes some potential problems associated with conflict measures that have been previously used in the ambivalence literature and describes methods to avoid these problems. Findings from a longitudinal study demonstrate that a model incorporating elements of both replacement subdecisions offers superior prediction of intentions over a traditional decision model. Findings also reveal that ambivalence may have effects at both the pre- and post-purchase stages of the decision process, and that the relationship between conflict and ambivalence may be more complex than previously recognized.     

Shame as a prospective predictor of self-inflicted injury in borderline personality disorder: A multi-modal analysis

The primary aim of this study was to examine the prospective association of shame with self-inflicted injury (SII), including suicide attempts and nonsuicidal self-injury, among women with borderline personality disorder (BPD) who were enrolled in a clinical trial (N = 77). A multi-method approach was used to assess self-reported shame, nonverbal shame behaviors, and assessor ratings of shame during an interview regarding antecedents for a recent episode of SII. Higher levels of nonverbal shame behaviors predicted a higher likelihood of subsequent SII, and shorter time to SII, after controlling for past SII as well as other emotions associated with SII. Self-reported state shame and assessor ratings of shame were associated with prospective SII, but not after controlling for other emotions. These findings underscore the important role of shame in SII, particularly shame in the presence of contextual prompts for events that surround episodes of SII.     

The Mind and the Machine. On the Conceptual and Moral Implications of Brain-Machine Interaction

Brain-machine interfaces are a growing field of research and application. The increasing possibilities to connect the human brain to electronic devices and computer software can be put to use in medicine, the military, and entertainment. Concrete technologies include cochlear implants, Deep Brain Stimulation, neurofeedback and neuroprosthesis. The expectations for the near and further future are high, though it is difficult to separate hope from hype. The focus in this paper is on the effects that these new technologies may have on our ‘symbolic order’—on the ways in which popular categories and concepts may change or be reinterpreted. First, the blurring distinction between man and machine and the idea of the cyborg are discussed. It is argued that the morally relevant difference is that between persons and non-persons, which does not necessarily coincide with the distinction between man and machine. The concept of the person remains useful. It may, however, become more difficult to assess the limits of the human body. Next, the distinction between body and mind is discussed. The mind is increasingly seen as a function of the brain, and thus understood in bodily and mechanical terms. This raises questions concerning concepts of free will and moral responsibility that may have far reaching consequences in the field of law, where some have argued for a revision of our criminal justice system, from retributivist to consequentialist. Even without such a (unlikely and unwarranted) revision occurring, brain-machine interactions raise many interesting questions regarding distribution and attribution of responsibility.