Gender-typed play and amniotic testosterone

Sex differences in play are apparent in a number of mammalian species, including humans. Prenatal testosterone may contribute to these differences. The authors report the first attempt to correlate gender-typed play in a normative sample of humans with measurements of amniotic testosterone (aT). Testosterone was measured in the amniotic fluid of 53 children (31 boys and 22 girls). A strong sex difference was observed in aT and, at ages 4.75 to 5.8 years, on a modified version of the Child Game Participation Questionnaire. Hierarchical regression analyses on the entire group and within-sex correlations suggested that variations in aT did not contribute to individual differences in game participation as reported by the mother. A critique of explanations for this finding is presented.     

Upward and downward physical appearance comparisons: Development of scales and examination of predictive qualities

Despite good theoretical and empirical rationale for assessing tendencies to make upward and downward physical appearance comparisons no measure for these specific constructs exists. The present work developed and tested the psychometric properties of upward and downward physical appearance comparison scales. The scales were administered to participants (N = 224) along with measures of general appearance comparison tendencies, body image, disordered eating, Antifat and Antigay attitudes. The scales displayed good psychometric properties. Importantly, the upward but not downward physical appearance comparison scale predicted lower Appearance Evaluation and higher EAT-26 scores. Conversely, the downward but not upward physical appearance comparison scale predicted higher Appearance Evaluation and greater Antifat Attitudes (Dislike). The scales were unrelated to a nonappearance related construct. These new measures fill a gap in the literature and may be of benefit to researchers interested in body image, appearance concerns, eating disorders, social comparison, and obesity prejudice.     

The professionalization of psychology within the apartheid state 1948-1978

When the National Party came to power in South Africa in 1948 it inherited an ageing colonial psychiatric system underpinned by British-based mental health legislation promulgated in 1916. This situation remained substantially unchanged until the late 1960s, despite the apartheid government's far-reaching attempts to restructure other aspects of the social landscape. The 1966 assassination of South Africa's prime minister by a schizophrenic parliamentary messenger led directly to a series of commissions of enquiry into the management of mental health services, followed by new mental health legislation in 1973 and the compulsory registration of clinical psychologists. The increasing professionalization of psychology, and the apartheid state's policy in relation to the profession, are considered in the light of local and international influences. Unlike the Nazi and Soviet governments, the apartheid state did not seek to create a new psychology and psychiatry in its own image but was instead motivated by a desire to emulate Western models and to identify and control the dangerous individual.     

Childhood Epilepsy and Autism Spectrum Disorders: Psychiatric Problems, Phenotypic Expression, and Anticonvulsants

Epilepsy and autism spectrum disorders (ASDs) frequently co-occur during childhood, however, the characteristics of psychiatric or behavioural problems in these children remains largely unknown. This article contributes to these discussions by reporting on the prevalence and presentation of psychiatric or behavioural problems in children with epilepsy and ASDs, as well as on the use of anticonvulsants in these children. The current evidence suggests that children with epilepsy and ASDs may present with a distinct clinical profile, with a greater number of developmental difficulties, and a more severe expression of the ASD phenotype that can not solely be accounted for by level of intellectual functioning. Positive effects of anticonvulsants on behavioural symptoms associated with ASDs were also reported, though pharmacoresistance and a lack of clear treatment guidelines may contribute to an elevated risk of adverse side effects. In relation to clinical presentation and management there is a need for careful consideration of potential interaction effects between disorder specific factors (e.g., age of seizure onset/ASD diagnosis), cognitive characteristics (e.g., intellectual functioning, memory), and psychosocial variables (e.g., coping strategies). Ultimately however, many conclusions are tentative and this review highlights the need for more empirically validated research on children with epilepsy and ASDs.     

Poetry for the Uninitiated: Dannie Abse’s “X-Ray” in an Undergraduate Medicine and Literature Class

I recently taught an upper-division Honors class in Medicine and Literature with students ranging from a pre-physician’s assistant student and nursing student to English, French, History, and Technical Writing majors. The common thread connecting these students initially was their self-described fear of and helplessness with poetry. However, as the semester drew to a close, their class discussion and journals revealed not only increased comfort with poetry but also a preference for it. The information and insight they got from poetry, they said, were the reason they took a medical humanities course in the first place and commented that the poetry we read provoked more substantial “medicine and literature” discussions than prose. Poetry provides a good starting place to analyze complex human relationships, and the focus on language and form levels the intellectual playing field: students are all unfamiliar with how to do it and are learning a new skill together. This could be accomplished, of course, with a literary short story, but for the diverse population of students in this class, the brevity of poetry made it all the more appealing.