“A Fire in the Blood”: Metaphors of Bipolar Disorder in Jamison’s An Unquiet Mind

Content analysis of three chapters of Jamison's memoir, An Unquiet Mind, shows that depression, mania, and Bipolar Disorder have a common metaphoric core as a sequential process of suffering and adversity that is a form of malevolence and destruction. Depression was down and in, while mania was up, in and distant, circular and zigzag, a powerful force of quickness and motion, fieriness, strangeness, seduction, expansive extravagance, and acuity. Bipolar Disorder is down and away and a sequential and cyclical process that partakes of the metaphors of its component moods. We conclude that metaphors of mood disorders share a number of structural features and are consistent across different authors.     

Psychotherapeutische Behandlung von depressiven Kindern und Jugendlichen

Background

Depression is a psychiatric disorder with debilitating symptoms (e.g. suicidal behavior) with a high prevalence rate even in children and adolescents and the disorder shows a chronic course in many cases. According to psychiatric guidelines, cognitive behavioral therapy and interpersonal therapy are the psychotherapeutic methods of choice.

Aim

This article gives an overview of the current studies on cognitive behavioral and interpersonal group therapy programs for the treatment of depression in children and adolescents as well as a short illustration of the most prevalent therapy programs.

Material and methods

A literature research (PsycInfo, Psyndex, Pubmed) revealed 280 hits. After a review of all titles and abstracts 25 studies were included in this study.

Results

Efficacy studies mainly exist for cognitive behavioral group therapy programs (effect sizes ranged from 0.02 to 1.34) from English-speaking countries. There are only a few German programs available. With respect to interpersonal group therapies there are only few articles published in English and to the best of our knowledge none in German.

Conclusion

There is a great need for further studies that investigate the efficacy of group therapies for the treatment of depression in children and adolescents especially in German-speaking countries.     

Residual reading capability in a patient with alexia without agraphia

A case of pure alexia due to an ischemic lesion of the occipital temporal region is described. Written words could be matched but not read. Immediate memory span for graphemes was defective. The reading defect probably depends on the inability to modify the written word “globally”; the phonological process was intact, but the memory disturbance impeded reading. The dissociation is explained by the preservation of word forms, which are linked to the semantic stage. Nonwritten stimuli trigger a “meaning” which evokes the word form and so the written word is recognized even though it cannot be read.     

Biases in children's and adults' moral judgments

Two experiments examined biases in children's (5/6- and 7/8-year-olds) and adults' moral judgments. Participants at all ages judged that it was worse to produce harm when harm occurred (a) through action rather than inaction (omission bias), (b) when physical contact with the victim was involved (physical contact principle), and (c) when the harm was produced as a direct means to an end rather than as an unintended but foreseeable side effect of the action (intention principle). The youngest participants, however, did not incorporate benefit when making judgments about situations in which harm to one individual resulted in benefit to five individuals. Older participants showed some preference for benefit resulting from action (commission) as opposed to inaction (omission). The findings are discussed in the context of the theory that moral judgments result, in part, from the operation of an inherent, intuitive moral faculty compared with the theory that moral judgments require development of necessary cognitive abilities.     

Memories of Mickey Mouse: Young children recount their trip to disneyworld

What young children remember and how long they retain such information are crucial issues for the study of young children's memory. In this research, these issues were examined by asking children who visited Disneyworld at 37 or 49 months of age to recall their experience. Half of the children were interviewed 6 months after their trip, and the remaining children were interviewed after 18 months. Surprisingly, there were no effects for age or retention interval on the amount children recalled; all children recounted a great deal of accurate information about their Disneyworld experience. However, older children's reports were more detailed than younger children's, and older children tended to recall more information spontaneously than did younger children. Finally, there is some suggestion that children who talked about their Disneyworld experience more frequently with their families subsequently recounted more information during the memory interview. Implications for these findings are discussed.     

Searching for the Self: An Identity Control Theory Approach to Triggers of Occupational Exploration

Identity control theory researchers have found evidence for two processes of identity development (identity defense and identity change) and have theorized a third process (identity exploration). College students (N = 123) self-rated as high or low in occupational identity certainty and importance received self-discrepant feedback to induce identity disturbance, and dependent measures of identity defense, identity change, and identity exploration were obtained. As predicted, high certainty about identity standards led to identity defense, while low certainty led to identity change. Although an interaction between certainty and importance was hypothesized to predict identity exploration, results showed that the two operated independently. Low certainty predicted exploration of additional occupational areas, whereas high importance predicted exploration of self, environment, and additional occupational areas.     

Family Communication and Genetic Counseling: The Case of Hereditary Breast and Ovarian Cancer

In familial breast/ovarian cancer, the information that the proband is able to supply about other family members is of critical importance for genetic counseling. This frequently requires family communication. Forty-six women attending a cancer genetics clinic were interviewed as part of a longitudinal study. Nearly all reported affected maternal, rather than paternal relatives, which may indicate lack of awareness by women with paternal histories. There was also much more communication among female relatives. Mothers, where they were still alive, were key figures in supplying family information. Although the majority of the sample contacted at least one relative regarding counseling, most named a relative with whom they did not feel able to communicate on this subject. Probands balanced the perceived obligation of passing on information with that of not causing alarm. Communication, both obtaining and giving information, was impeded by adoption, divorce and remarriage, family rifts, and large age gaps between siblings.