Putting families in the center: family perspectives on decision making and ADHD and implications for ADHD care

Objective: To examine components of family-centered care in families' stories about treatment decision making for their child with ADHD. Method: Twenty-eight families participated in qualitative interviews that addressed families' perspectives on (a) the treatment decision-making process, (b) the cause and impact of their child's symptoms, and (c) treatment goals and preferences. Results: The majority of families preferred to be primary or shared decision makers regarding treatment decisions. Families' perspectives on the cause of the child's symptoms varied and often were not consistent with a biomedical framework. Families described multiple areas of impairment on child, family relationships, and family functioning. Perspectives toward evidence-based treatments were mixed, with families also expressing interest in and pursuing interventions not delineated in current treatment guidelines. Conclusion: These findings reinforce the importance of eliciting families' perspectives and involving these important stakeholders in shared decision making as critical components of family-centered care for children with ADHD.     

Insufficient Referral for Genetic Counseling in the Management of Hereditary Haemochromatosis in Portugal: A Study of Perceptions of Health Professionals Requesting HFE Genotyping

There is a general consensus that HFE- related Hereditary Haemochromatosis (HFE-HH) should be diagnosed at early stages in pre-symptomatic individuals, in order to prevent the most severe consequences of iron overload. In Portugal, despite an increasing number of requests for genetic diagnosis of this rare disease, there is not a corresponding increase in requests for genetic counselling. The objective of the present study was to evaluate physicians’ main motivations for requesting HFE genotyping or genetic counselling for HFE-HH. We assessed current medical practices regarding family testing and diagnosis and discuss whether these can be improved in order to increase the effectiveness of disease prevention. Our results show there is a general lack of knowledge about the selection of patient cases that should be sent for genetic counseling or for molecular testing of HFE-HH by physicians (especially by general practitioners). The lack of family-based screening may indirectly compromise the efficiency of disease prevention in terms of early diagnosis and treatment. We concluded it is necessary to circulate more information about Hereditary Haemochromatosis among health professionals in order to improve strategies for its early diagnosis.     

Cognitive load and semantic analogies: Searching semantic space

The aim of the present study is to investigate the performance of children of different ages on an analogymaking task involving semantic analogies in which there are competing semantic matches. We suggest that this can best be studied in terms of developmental changes in executive functioning. We hypothesize that the selection of common relational structure requires the inhibition of other salient features, in particular semantically related matches. Our results show that children's performance in classic A ∶ B ∶∶ C ∶ D analogy-making tasks seems to depend crucially on the nature of the distractors and the association strength between both the A and B terms and the C and D terms. These results agree with an analogy-making account (Richland, Morrison, & Holyoak, 2006) based on different limitations in executive functioning at different ages.     

Deeper attentional masking by lateral objects in children with autism

Autism spectrum disorder (ASD) is often associated with a detail-oriented perception and overselective attention in visual tasks, such as visual search and crowding. These results were obtained manipulating exclusively the spatial properties of the stimuli: few is known about the spatio-temporal dynamics of visual processing in ASD. In this study we employed an attentional masking (AM) paradigm comparing children with ASD and IQ-matched typically developing (TD) controls. The AM effect refers to an impaired identification of a target followed by a competitive masking object at different proximities in space and time. We found that ASD and TD groups did not differ in the AM effect provoked by the competitive object displayed in the same position of the target. In contrast, children with ASD showed a deeper and prolonged interference than the TD group when the masking object was displayed in the lateral position. These psychophysical results suggest that the inefficient attentional selection in ASD depends on the spatio-temporal interaction between competitive visual objects. These evidence are discussed in the light of the ASD altered neural connectivity hypothesis and the reentrant theory of perception.     

Role of the Disease in the Psychological Impact of Pre-Symptomatic Testing for SCA2 and FAP ATTRV30M: Experience with the Disease, Kinship and Gender of the Transmitting Parent

To identify possible factors affecting the psychological impact of pre-symptomatic testing for spinocerebellar ataxia type 2 (SCA2) and familial amyloid polyneuropathy (FAP ATTRV30M), we studied (1) the effect of previous experience with the disease in the family, (2) kinship with the closest affected relative and (3) gender of affected parent, when adapting to test results; as well as (4) differences in the course of psychological wellbeing in 63 subjects ( 28 at-risk for FAP ATTRV30M, and 35 at risk for SCA2), who pursued predictive testing for these diseases, in Cuba and in Portugal. Our research shows that individuals with little or no experience with the disease in their family exhibited more anxiety; at-risk subjects for SCA2 or FAP ATTRV30M who had a first degree relative with the disease showed lower levels of anxiety and depression during pre-symptomatic testing. Also those with an affected mother had lower levels of depression, either immediately, or one year after receipt of test results. Adaptation to pre-symptomatic testing results differed for subjects at-risk for the two different conditions. Unlike the FAP ATTRV30M families, carriers for SCA2 reported pathological levels of depression immediately after-testing (3 weeks), although those levels had returned to normal levels at 6 months. Subjects at-risk for FAP ATTRV30M tended to have less anxiety than those tested for SCA2, at the one-year follow-up. Overall, depression levels improved over time, while anxiety remained more constant. A longer awareness of the disease in the family, closer kinship, and a transmitting mother all lessened the impact of pre-symptomatic testing, as expressed by the post-test levels of anxiety and depression.     

Improving self‐regulated learning of preschool children: Evaluation of training for kindergarten teachers

Background In the context of lifelong learning, self‐regulated learning is an important competence. Children between 4 and 6 years of age are at a crucial step in their life to develop self‐regulatory competence. That is why their kindergarten teachers play an important role as instructors as well as role models. Aim This study tested the effects of self‐regulation training for kindergarten teachers concerning their own self‐regulation and methods to foster self‐regulation in children at preschool age whom they were teaching. Sample In this study, 35 German kindergarten teachers and 97 children participated. All adult participants were graduated kindergarten teachers. Method The kindergarten teachers were tested with a questionnaire 2 weeks before and after the training. At the same time, the preschoolers were interviewed. A waiting control group design was applied. Results and conclusions The results obtained by means of analyses of variance show that the self‐regulation of the kindergarten teachers as well as the self‐regulated learning of preschoolers whose kindergarten teachers took part in the training improved significantly. The results indicate that it is possible to improve self‐regulated learning of preschool children by a training programme for kindergarten teachers.     

Attention allocation modulates the processing of hierarchical visual patterns: a comparative analysis of capuchin monkeys (Cebus apella) and humans

Humans show a global advantage when processing hierarchical visual patterns, and they detect the global level of stimulus structure more accurately and faster than the local level in several stimulus contexts. By contrast, capuchins (Cebus apella) and other monkey species show a strong local advantage. A key factor which, if manipulated, could cause an inversion of this effect in monkeys is still to be found. In this study, we examined whether it was possible to induce attention allocation to global and local levels of perceptual analysis in capuchin monkeys and if by doing so, their local dominance could be reversed. We manipulated attentional bias using a matching-to-sample (MTS) task where the proportion of trials requiring global and local processing varied between conditions. The monkeys were compared with humans tested with the same paradigm. Monkeys showed a local advantage in the local bias condition but a global advantage in the global bias condition. The role of attention in processing was confined to the local trials in a first phase of testing but extended to both local and global trials in the course of task practice. Humans exhibited an overall global dominance and an effect of attentional bias on the speed of processing of the global and local level of the stimuli. These results indicate a role for attention in the processing of hierarchical stimuli in monkeys and are discussed in relation to the extent to which they can explain the differences between capuchin monkeys and humans observed in this and other studies.     

Das psychische Erbe der Menschheit

The historical development and importance in theory and practice of the term archetype, the core concept of Analytical Psychology, is extensively presented. Beginning with C.G. Jung’s definition of archetype through to the current state of the discussion, various conceptualizations of biological, developmental psychological and cultural theoretical basis are presented. The results show that there is empirical evidence for psychological archetypes, for instance in the neurosciences, developmental psychological and anthropological research and that the classical conception of inheritance of complex symbolic patterns cannot be substantiated by more recent results in human genetics and particularly in epigenetics. The prominent attempts at solving this problem from the contempory Analytical Psychology will be discussed, in particular emergence and system theoretical argumentation. Finally, various empirical, partially experimental studies from Analytical Psychology, among others from the authors themselves, will be presented which confirm the hypothesis of the existence of archetypes and of a collective (unconscious) memory. The article gives a total overview of the state of specialist discussions on the archetype concept for the readership above and beyond the narrow field of Analytical Psychology.