Redefinition in family therapy

Abstract

In the wider context of an epistemological renewal, the author describes the possibility of a redefinition of therapy from that of an intervention focused on the patient to one of an opportunity for participation and growth of a group which shares a common history. The author speaks of the necessity of giving alternative meanings to the presenting symptoms, citing examples from his work with families.     

The Church–Fitch knowability paradox in the light of structural proof theory

Anti-realist epistemic conceptions of truth imply what is called the knowability principle: All truths are possibly known. The principle can be formalized in a bimodal propositional logic, with an alethic modality ${\diamondsuit}$ and an epistemic modality ${\mathcal{K}}$ , by the axiom scheme ${A \supset \diamondsuit \mathcal{K} A}$ (KP). The use of classical logic and minimal assumptions about the two modalities lead to the paradoxical conclusion that all truths are known, ${A \supset \mathcal{K} A}$ (OP). A Gentzen-style reconstruction of the Church–Fitch paradox is presented following a labelled approach to sequent calculi. First, a cut-free system for classical (resp. intuitionistic) bimodal logic is introduced as the logical basis for the Church–Fitch paradox and the relationships between ${\mathcal {K}}$ and ${\diamondsuit}$ are taken into account. Afterwards, by exploiting the structural properties of the system, in particular cut elimination, the semantic frame conditions that correspond to KP are determined and added in the form of a block of nonlogical inference rules. Within this new system for classical and intuitionistic “knowability logic”, it is possible to give a satisfactory cut-free reconstruction of the Church–Fitch derivation and to confirm that OP is only classically derivable, but neither intuitionistically derivable nor intuitionistically admissible. Finally, it is shown that in classical knowability logic, the Church–Fitch derivation is nothing else but a fallacy and does not represent a real threat for anti-realism.     

Using online social media,Facebook, in screening for major depressive disorder among college students

This study explored the feasibility of using Internet social networking media in an online program for Major Depressive Disorder (MDD) screening and psychoeducation targeting college students. A Facebook advertisement targeted students at five colleges in the United States to complete a mental health research survey that screened for MDD using the Patient Health Questionnaire-9 (PHQ-9). Students who screened positive for MDD were offered an eightweek follow-up survey. Of the 259 students who consented to participate in the study, 26.7% screened positive for MDD, while only 14.2% were receiving treatment. The use of Facebook to advertise for online screening for MDD required very little start-up time, and the average cost was $11.45 per subject recruited. It is feasible to use online, commercially available social networking media such as Facebook for online screening for MDD among college students. However, conducting online screening and offering treatment resources alone did not increase treatment rate in this population.     

Peer and Teacher-Selected Peer Buddies for Adolescents With Autism Spectrum Disorders: The Role of Social,Emotional, and Mentalizing Abilities

This study examined mentalizing abilities, social behavior, and social impact of adolescents who expressed the willingness to become peer buddies for adolescents with Autism Spectrum Disorders, and adolescents selected by their teachers and peers. Twenty-seven teachers and 395 adolescents from public high schools completed mentalizing abilities, social status, behavioral, and peer buddy nomination measures. Findings suggest that social status and preference play a significant role in the selection of peer buddies by both teachers and classmates. Furthermore, more advanced Theory of Mind (ToM) abilities and the engagement in prosocial behaviors differentiated peers selected as buddies from other classmates. When compared with nonparticipating students, adolescents who expressed willingness to participate were more often girls, and were more prosocial. Agreement between teacher and peer nominations of best peer was moderate.     

Contextual and individual influences on antisocial behaviour and psychobiosocial states of youth soccer players

Purpose

The aim of the study was to assess the effects of contextual and individual variables (perceived motivational climate and moral atmosphere, task/ego orientation and perceived competence) on antisocial behaviour and emotion-related psychobiosocial (PBS) states as conceptualised within the individual zones of optimal functioning model.

Participants

The study was conducted on a sample of 382 young male soccer players, aged from 14 to 16 years, drawn from 27 Italian teams.

Method

A cross-sectional design was used. Assessment included measures of reported antisocial behaviour, perceived moral atmosphere, perceived motivational climate, goal orientation, perceived competence, and PBS states. Data analysis involved confirmatory factor analysis of measures and path analysis of the hypothesized relationships.

Results

Results suggest that performance climate and a moral atmosphere, in which aggressive behaviours are encouraged, are likely to determine antisocial behaviour and a range of unpleasant PBS states in young sports participants.

Conclusions

Findings substantiate the importance of the situational factors on ethical aspects and emotional states in youngsters.     

Sociodemographic and Clinical Differences Between Suicide Ideators and Attempters: A Study of Mood Disordered Patients 50 Years and Older

Our study sought to characterize mood disordered suicide ideators and attempters 50 years and older admitted to a psychiatric ward either for a recent suicide attempt or for ongoing suicidal ideation. We enrolled 50 patients with suicide ideation consecutively admitted to an inpatient department and 50 patients admitted for a suicide attempt made in the last 48 hours. Suicide attempters more frequently had low social support and an age of onset of mood disorder of 46 years and older, and less frequently had a history of suicidal behaviors in the family members and pharmacological treatment, despite the fact that the groups did not differ with regard to antidepressants prescribed. The groups were not distinguishable based on several variables assumed to be risk factors for suicide behavior, such as proximal life events and stressors or alcohol use disorders. In both samples, comorbidity with organic diseases, the presence of stressful life events in the past 12 months, and a diagnosis of major depression were frequently reported. In conclusion, the presence of low social support and the absence of a pharmacotherapy may increase suicidal behaviors in patients at risk.     

Suicide Attempts in Major Depressed Patients with Personality Disorder

Suicide attempters who met criteria for borderline personality disorder (BPD) comorbid with major depressive disorder (MDD) were compared to both suicide attempters suffering from MDD alone and to attempters with comorbid MDD and other personality disorders (PD). Participants were 239 (158 patients with comorbid PD and 81 patients with MDD without comorbidity) inpatients consecutively admitted after a suicide attempt made in the last 24 hours. Suicide attempters with comorbid MDD and BPD had more frequent previous suicide attempts and were more likely to have a history of aggressive behaviors and alcohol and drug use disorders compared with patients suffering from MDD without Axis II comorbidity.     

Childhood Parental Death and Lifetime Suicide Attempt of the Opposite‐Gender Offspring in a Nationwide Community Sample of Korea

Although previous studies have shown that childhood parental death influences suicide attempts of their offspring, few studies have examined influence of gender and age at exposure. Koreans show the third highest suicide rate in the world, and many children and adolescents lost their parents during and after the Korean War. A total of 12,532 adults, randomly selected through a one‐person‐per‐household method, completed the Korean version of the Composite International Diagnostic Interview and questionnaire for suicidal ideation, plan, and attempt (response rate 80.2%). A total of 2,332 subjects experienced biological parental death in childhood (18.6%). Male suicide attempts were associated with age of exposure to maternal death from 0 to 4 years (adjusted OR = 4.48, 95% CI 1.32–15.18) and from 5 to 9 years (adjusted OR = 5.52, 95% CI 1.97–16.46), but not with paternal death, after adjusting for age, education years, marital status, monthly income, and psychiatric comorbidities. Female suicide attempts were associated with paternal death from 5 to 9 years (adjusted OR = 2.20, 95% CI 1.13–4.27), but not with maternal death. Childhood parental death is significantly associated with lifetime suicide attempt in the opposite‐gender offspring, especially when exposure occurs before age 10.     

Internal and external spaces: The emotional capital of Tianjin’s Italian concession

This article concentrates on the relationship between emotions and space. The specific terrain of investigation is the former Italian concession in the Chinese port city of Tianjin. This site is currently renegotiating its identity between reinvention of the past (1901–1945) and property-led regeneration. Elaborating on the notion of emotional capital, the article explores the dialectics of power between the internal and external spaces. The aim is to shed light on the role that emotions played in the construction of a unified Italian national identity projected onto the colonial space of Tianjin. The current re-packaging of the colonial past to promote Tianjin’s globalising ambitions reveals another kind of emotional capital, which is embodied by the Yi(dali)shi fengqingqu, the so-called ‘Italian Business Park’.