The Effects of Childhood ADHD Symptoms on Early-onset Substance Use: A Swedish Twin Study

Research has documented that children and adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of substance use problems. Few studies, however, have focused on early-onset substance use. This study therefore investigated how the two symptom dimensions of ADHD (hyperactivity/impulsivity and inattention) are associated with early-onset substance use, the role of persistent ADHD for the association, and to what extent the association is influenced by genetic and environmental factors. Twins (1,480 pairs) in the Swedish Twin Study of Child and Adolescent Development were followed from childhood to adolescence. ADHD symptoms were measured at age 8–9 and age 13–14 via parent-report, whereas substance use was assessed at age 13–14 via self-report. Results revealed that hyperactive/impulsive symptoms predicted early-onset “sometimes” tobacco use (adjusted odds ratios, 1.12, for one symptom count), controlling for inattentive symptoms and conduct problem behaviors. There is no independent effect of inattentive symptoms on early-onset substance use. Children with persistent hyperactivity/impulsivity (defined as scoring above the 75th percentile at both time points) had a pronounced risk of both early-onset tobacco and alcohol use (adjusted odds ratios from 1.86 to 3.35, compared to the reference group). The associations between hyperactivity/impulsivity and early-onset substance use were primarily influenced by genetic factors. Our results indicated that hyperactivity/impulsivity, but not inattention, is an important early predictor for early-onset substance use, and a shared genetic susceptibility is suggested to explain this association.     

Predictors of Boys’ ADHD Symptoms from Early to Middle Childhood: The Role of Father–Child and Mother–Child Interactions

This prospective 3 year longitudinal study investigated preschool paternal and maternal parenting predictors of Attention-Deficit/Hyperactivity Disorder(ADHD) in a community sample of 93 school-age boys. Participants were recruited on the basis of inattention-hyperactivity at age 4 and fathers and mothers were observed interacting with their sons. Teachers, fathers, and mothers reported children's ADHD symptoms and impairment. Results from dimensional analysis showed that less observed paternal sensitivity and maternal positive regard predicted higher levels of inattentiveness in middle childhood, and that intrusive paternal behavior was predictive of hyperactive-impulsive behavior at school. In categorical analysis, less maternal warmth and sensitivity were predictive of later ADHD. These predictions held after statistical adjustment for the effects of preschool ADHD behaviors and conduct problems. At follow-up, parents of boys with ADHD reported more negative child-parent relationship perceptions than comparison parents. Findings highlight the importance of examining responsive parenting behaviors of both fathers and mothers in relation to multi-informant ratings of ADHD symptoms.     

Self-esteem modulates attentional responses to rejection: Evidence from event-related brain potentials

Individuals with low self-esteem have been shown to exhibit an attentional bias for social rejection cues. The present study investigated whether individuals with low self-esteem would demonstrate greater reactivity to rejection-related stimuli during an attention shifting task than was exhibited by those with high self-esteem. Individuals with low self-esteem showed higher amplitude event-related potentials (ERPs) in response to rejection cues than was observed for those with high self-esteem. These results suggest that individuals with low self-esteem allocate more attentional resources to rejection cues than those with high self-esteem. Discussion will focus on the implications of these findings for understanding the connection between low self-esteem and social rejection.     

Referential coding contributes to the horizontal SMARC effect

The present study tested whether coding of tone pitch relative to a referent contributes to the correspondence effect between the pitch height of an auditory stimulus and the location of a lateralized response. When left-right responses are mapped to high or low pitch tones, performance is better with the high-right/low-left mapping than with the opposite mapping, a phenomenon called the horizontal SMARC effect. However, when pitch height is task irrelevant, the horizontal SMARC effect occurs only for musicians. In Experiment 1, nonmusicians performed a pitch discrimination task, and the SMARC effect was evident regardless of whether a referent tone was presented. However, in Experiment 2, for a timbre-judgment task, nonmusicians showed a SMARC effect only when a referent tone was presented, whereas musicians showed a SMARC effect that did not interact with presence/absence of the referent. Dependence of the SMARC effect for nonmusicians on a reference tone was replicated in Experiment 3, in which judgments of the color of a visual stimulus were made in the presence of a concurrent high- or low-pitched pure tone. These results suggest that referential coding of pitch height is a key determinant for the horizontal SMARC effect when pitch height is irrelevant to the task.     

Sándor Ferenczi: From Clinical Turmoil to Theoretical Articulations

The article deals with concepts proposed by Sándor Ferenczi: confusion of tongues, disavowal and progressive trauma, illustrated by a clinical example, in which excessive life experiences deeply determined the psychic construction, compromising the integrity of the self-image and the potentiality of egoic capacities. We attempt to understand the uniqueness of the patient's history, and the ethical practice of deep analytic listening.     

No More Away: Techno-Attachments and the Relational Future

This paper speculates about the impact of techno-connectedness on our children, ourselves, our grandchildren. Triggered by recollections from Victorian novels that describe European summers “away” from home, a concern about loss of opportunity, the “space” for self-discovery in this young generation will be explored in a relational context. Brought about by pervasive dependence upon computer technology, is self-experience fragmented and attachment changed by the ubiquitous technological presence and is the more isolated, reflective experience being eroded?