Psychodynamic psychotherapy for children and adolescents: an updated narrative review of the evidence base

While the evidence base for psychodynamic therapy with adults is now quite substantial, there is still a lack of research evaluating the effectiveness of psychodynamic therapies with children and young people. Those studies that have been carried out are also not widely known in the field. To help address the second point, in 2011, we carried out a review of the evidence base for psychodynamic psychotherapy for children and adolescents, which identified 35 studies which together provided some preliminary evidence for this treatment for a range of childhood disorders. The present study is an updated review, focusing on research published between March 2011 and November 2016. During this period, 23 additional studies were published, of which 5 were reports on randomised controlled trials, 3 were quasi-experimental controlled studies and 15 were observational studies. Although most studies covered children with mixed diagnoses, there were a number of studies examining specific diagnostic groups, including children with depression, anxiety and disruptive disorders. whilst the quality of studies was mixed, some were well-designed and reported, and overall indicated promising findings. Nevertheless, further high-quality research is needed in order to better understand the effectiveness of psychodynamic psychotherapy across a range of different disorders, and to ensure that services can provide a range of evidence-based treatments for children and young people.     

Different measures of risk perceptions and distress yield different patterns of results: the importance of specificity in measurement and theory

There is little consensus on how to conceptualize and measure both cognitive perceptions of risks and affective responses to risks. We report data on two measures of risk perceptions and affective responses, as well as attendance behaviour, for 226 women who received a normal test result and 180 women who received a first or non-consecutive inadequate cervical smear test result. Different measures of risk perceptions (cognition) and distress about test result (affect) were not always strongly associated, often yielding markedly different patterns of results. This highlights the need for more precise reporting of measures and greater specificity of theoretical predictions. Suggestions for further studies investigating cognitive and affective reactions to health risk information are outlined.     

Standardized Human Pedigree Nomenclature: Update and Assessment of the Recommendations of the National Society of Genetic Counselors

In 1995, the Pedigree Standardization Task Force (PSTF) of the National Society of Genetic Counselors (NSGC) proposed a system of pedigree nomenclature. Recently, the PSTF (now called the Pedigree Standardization Work Group or PSWG) sought evidence that the published symbols met the needs of health professionals, were incorporated into health professional training and were utilized in publications. We searched PubMed and reference lists of select publications, reviewed the Instructions for Authors of several journals, searched the websites of professional societies, sought comment from the membership of the NSGC, and looked at recommendations and training practices of various health professional organizations. Many journals still do not cite specific standards for pedigrees, but those found cited the PSTF nomenclature. We did not find significant objections or alternatives to the 1995 nomenclature. Based on our review, we propose only a few minor stylistic changes to the pedigree symbols. The pedigree nomenclature of the NSGC is the only consistently acknowledged standard for drawing a family health history. We recommend regular and continued review of these pedigree standards to determine if additional symbols are needed to accommodate changes in clinical practice to ensure that the symbols continue to meet the needs of health professionals and researchers as well as adhere to evolving ethical and privacy standards. All health professionals, trainees, and researchers should be made aware of the utility of using a common pedigree nomenclature in clinical practice and publication. This will become particularly important as electronic medical records become more widely utilized.     

Lessons From Markey et al. (2015) and Bushman et al. (2015): Sensationalism and Integrity in Media Research

This article presents a response to the comment by B. J. Bushman, D. Romer, and P. E. Jamieson (2015). This reply addresses 2 issues raised by the commenters. First, they claim they and others have not made sensationalistic statements linking violent media to horrific acts of real‐world violence. In response, we supply numerous examples of sensationalistic statements made by them and others. Second, they claim they did not expect violence in films to be related to violent behavior among adults, but only among youths. However, by examining homicide arrests and homicide gun mortality rates among youths, we found that as films have become increasingly violent over time, both homicide arrests and gun‐related homicides have tended to decrease among this age group.     

Does adolescent heavier alcohol use predict young adult aggression and delinquency? Parallel analyses from four Australasian cohort studies

While the association between heavy alcohol consumption and aggression has been well documented, the causal direction of this association, particularly at a population level, is disputed. A number of causal sequences have been proposed. First, that aggression leads to heavy alcohol use. Second, that heavy alcohol use leads to aggression. Third, that the association between alcohol use and aggression is due to confounding by (a) sociodemographic variables or (b) delinquency. We report here data from four Australasian prospective longitudinal studies of adolescents, to assess the temporal sequence of heavy drinking and aggression over the period from adolescence to young adulthood. The four cohort studies provide a total sample of 6,706 persons (Australian Temperament Project, n = 1701; Christchurch Health and Development Study, n = 931; Mater-University of Queensland Study of Pregnancy, n = 2437; Victorian Adolescent Health Cohort Study, n = 1637). We use multinomial logistic regression to determine whether early adolescent aggression predicts subsequent age of onset of heavy episodic drinking (HED), after adjustment for concurrent sociodemographic factors and delinquency. We then consider whether HED predicts subsequent aggression, after adjusting for past aggression, concurrent delinquency, and a range of confounders. There are broadly consistent findings across the four cohort studies. Early aggression strongly predicts subsequent HED. HED predicts later aggression after adjustment for prior aggression and other confounders. Policies that alter population levels of alcohol consumption are likely to impact on levels of aggression in societies where HED linked to aggression is more common.     

A formal framework for quantum non-individuality

H. Post's conception of quantal particles as non-individuals is set in a formal logico-mathematical framework. By means of this approach certain metaphysical implications of quantum mechanics can be further explored.The authors would like to thank Prof. Newton C. A. da Costa and the anonymous referee for their comments and suggestions. S. French would also to thank his colleagues at Southeast Missouri State University for their support during the preparation of this work.     

An assessment of teratology training provided by masters level genetic counseling programs

The increasing demand in the clinical genetics setting for information about teratogen exposures has created a need for genetic counselors to have the capabilities to appropriately address patient concerns. In order to assess how training in teratogen counseling is currently being conducted, the GLaRGG Teratogen Subcommittee surveyed all 17 genetic counseling training programs in North America in September 1993. Information was obtained from training programs about coursework, resources, and clinical training. In addition, each training program was asked to provide information about how their teratogen training needs could better be met. While all programs responded that some information in their coursework applicable to teratogen counseling was provided, there was wide variation in the amount of time devoted to this topic. The programs also greatly differed in the provision of clinical training in teratogen counseling. For both coursework and clinical work, genetic counselors were the main trainers in teratogen counseling. In spite of this, fewer than 25% of training programs have a defined teratogen clinical rotation. Data from the survey are discussed and recommendations presented.     

Apparent Distortions in Photography and the Geometry of Visual Space

In this paper I contrast the geometric structure of phenomenal visual space with that of photographic images. I argue that topologically both are two-dimensional and that both involve central projections of scenes being depicted. However, I also argue that the metric structures of the spaces differ inasmuch as two types of “apparent distortions”—marginal distortion in wide-angle photography and close-up distortions—which occur in photography do not occur in the corresponding visual experiences. In particular, I argue that the absence of marginal distortions in vision is evidence for a holistic metric of visual space that is spherical, and that the absence of close-up distortions shows that the local metric structure possesses a dynamic variable curvature which is dependent upon the distance away of objects being viewed at a given time.