Prevalence and Significant Determinants of Post-traumatic Stress Disorder in a Large Sample of Patients with Multiple Sclerosis

Chronic and life-threatening neurodegenerative diseases may be associated with post-traumatic stress disorder (PTSD). Therefore, the current study was an investigation of the prevalence of PTSD in multiple sclerosis (MS) patients, and identification of significant determinants of PTSD. Two hundred thirty-two MS patients were consecutively recruited and screened for the presence of PTSD with the Impact of Event Scale-Revised, corroborated by the Structured Clinical Interview for DSM-IV. Furthermore, participants were administered the Hospital Anxiety and Depression Scale and the Fatigue Severity Scale. Twelve patients (12/232, i.e. 5.17 %) were diagnosed as suffering from PTSD. Levels of education, anxiety and depression were significant determinants of the presence of PTSD. The role played by the levels of education, anxiety and depression in determining the presence of PTSD has been discussed. Further research on the psychological features of neurodegenerative diseases is urgently needed in order to plan appropriate treatments and improve patients’ quality of life.     

A General Population Twin Study of Conduct Problems and the Auditory P300 Waveform

Reduced amplitude of the P300 event-related potential has been consistently associated with a variety of externalising problems, including conduct disorder. The few available genetically-informative studies of these relationships, however, were conducted among adolescents/adults (i.e., at an age when conduct disorder has typically already become manifest). Among 200 general population twins with a mean age of 9 years (range 6–14 years), we studied the relationship between the P300 waveform elicited by an auditory oddball task and the DSM-oriented conduct problems scale of the Child Behavior Checklist 6–18. Conduct problems scores were negatively and significantly correlated (r?=??0.19, p?=?0.01) with P300 amplitude; correlations between P300 amplitude and the other DSM-oriented Child Behavior Checklist scales were non-significant, except for oppositional defiant problems (p?=?0.01). We found moderate heritability estimates for both P300 amplitude (0.58, CI:0.37;0.73) and conduct problems (0.52, CI:0.25;0.70). Bivariate twin analyses indicated that the covariation between these two phenotypes can be explained by additive genetic factors only, with a genetic correlation of ?0.33. An association between reduced P300 amplitude and conduct problems can be substantiated already in childhood, at an age that precedes the most typical onset of conduct disorder. This relationship appears to be genetic in nature. Reduced P300 amplitude can represent a valuable marker for conduct problems, and can contribute to the early identification of children at high-risk for conduct disorder.     

On Replacing the Ethical Principle of Autonomy With an Ethical Principle of Accordance

The author defines and critiques the ethical principle of autonomy. As a concept, autonomy is most aligned with paradigms of counseling that focus on the individual as a psychological entity with moral agency. It is less consistent with frameworks that focus on relationships philosophically and in practice. Autonomy is paradoxical, because it is a consensually defined principle imposed on counseling practice while denying counselors a choice in its application. The author suggests accordance as an alternative ethical principle. Accordance is consistent with relational paradigms of practice and the other relationship‐focused ethical principles in counseling. Accordance fully contextualizes individual responsibility and choice.     

Long life to emotions: Emotional response categorisation across the lifespan

People perceive and organise their social world on the basis of their previous semantic knowledge as well as on the basis of their emotional responses. We tested the hypothesis that emotional response categorisation, namely the tendency to group stimuli on the basis of the emotion they evoke, increases across the lifespan. Young and older adults were asked to categorise target words and either conceptual or emotional response similarity could be used to perform the task. Results showed that older adults were more likely than younger adults to rely on emotional equivalence to categorise stimuli. In addition, current affective state was significantly related to emotional response categorisation. These findings are discussed in relation to recent models that propose a prominent role for emotions in the social life of older adults.     

Measurement,Classification, and Prediction of Paradigm Adherence of Marriage and Family Therapists

This study assessed the theoretical perspectives of marriage and family practitioners using the Paradigm Adherence Scale (PAS), which measures practitioner adherence to the psychological, systems, and social constructionist paradigms associated with marriage and family therapy. Results from a survey of clinical members of AAMFT ( N = 204) indicated that a majority of therapists were primarily adhering to the systems paradigm (43.6%) or practicing from a combination of paradigms (42.2%), while the social constructionism approach was used by a smaller but significant percentage of therapists (13.7%). Factors predicting membership in paradigm adherence groups included the current or most recent supervisor's preferred paradigm (most predictive), therapist gender, and years of clinical experience. While only 16.5% of the variance in paradigm adherence was accounted for by the set of predictor variables, this was viewed as having some practical significance in the difficult task of explaining choice and utilization of theoretical framework.     

Investigating the relationship between social behaviors and phonological awareness in preschool children

Purpose

This study examined the longitudinal effects of social behaviors in predicting phonological awareness outcomes in 4-year-old children.

Method

One hundred two children (52 boys, 50 girls) were recruited from 11 schools serving low-income neighborhoods in a large metropolitan city and were assessed at the beginning and end of the preschool year. All children received assessments of their phonological awareness skills, expressive vocabulary, non-verbal IQ, and teachers completed behavioral ratings at pretest. At the end of the academic year, children participated in tests of phonological awareness using standardized assessments.

Results

The results of a multiple regression analysis indicated that being excluded by peers contributed up to 3% of the variance in negatively predicting phonological awareness outcomes after controlling for initial phonological awareness skills, expressive vocabulary, and cognition which is a small effect size.

Conclusion

Early peer exclusion can impact negatively on the acquisition of phonological awareness skills in 4-year-old children in preschool. The results of this study suggest that a child's overall behavioral competence and how they are treated by the peer group may play an important role in their ease of academic skill attainment. Given the link between peer exclusion and difficulties with phonological awareness outcomes, additional professional development programs that provide teachers with strategies to create inclusive classrooms may be warranted in preventing against the emergence of maladaptive behaviors at first entry into formal schooling.     

Self-Control and the Self-Regulation of Dieting Decisions: The Role of Prefactual Attitudes,Subjective Norms,and Resistance to Temptation

This article investigates cognitive and motivational decision processes in the pursuit of dieting goals and implements the theory of trying in a field study. The theory of trying is an extension of the theory of planned behavior and investigates the effects on intentions of (a) 3 prefactual attitudes (attitudes toward success, failure, and the process of goal striving), (b) subjective norms, and (c) perceived behavioral control (i.e., resistance to temptation). Dieting decisions of 609 adult women were studied. Perceived behavioral control in the form of resistance to temptation was found to interact with subjective norms to influence intentions, and the 3 forms of prefactual attitudes had additive effects on intentions.     

The Normative Paradigm of Constitutional Democracy

This piece criticizes traditional formal and procedural conceptions of democracy, which fail to account for the development of contemporary constitutional democracy. The latter is characterized by a substantive dimension with respect to the content of the decisions taken through the democratic process. The validity of such decision is conditioned by the respect and actualization of fundamental rights, which are established by the constitution. The limits and constraints established by the constitution require juridical science to play a critical and programmatic role vis-à-vis the ‘unlawful’ exercise of public powers, when these enter in contrast with the limits imposed by the constitution.     

Some thoughts between body and mind in the light of Wilma Bucci's multiple code theory

The author proposes the usefulness of Wilma Bucci's Multiple Code Theory in clarifying some controversial issues in psychoanalytically inspired psychosomatics. Definition of a dialectic among different entities may appear difficult in an unitarian view of the organism, where body and mind are seen as having no kind of intrinsic existence, which may be differentiated from the organism as a whole, but as two categories having to do with the perspective of the observer. This aporia may find a solution in a redefinition of the body-mind relationship as that between symbolic systems and the subsymbolic system, both of which may be viewed as mind or as body depending on the point of observation. Similarly, somatic pathology, if we accept an unitary paradigm, need no longer be viewed as due to an influence of 'mind' on 'body': a definition of pathology as linked to a disconnection between different systems, as found in Bucci's theory, is proposed as a possible solution. Emergence of somatic symptoms, however, besides being witness to disconnection, may be seen as the subsymbolic first expression of an item of content, an attempt at reconnection, as already proposed, in a way, by Winnicott in 1949. This attempt has much better opportunities to succeed when it finds an adequate container, as in analysis. A clinical situation of this kind is presented.