The training of psychoanalysts in Latin American countries without IPA institutions: antecedents, experiences and problems encountered

ILAP (The Latin American Institute of Psychoanalysis) is a relatively recent project of the IPA and FEPAL (The Latin American Psychoanalytical Federation). Its formal origin, marked by the signature of a memorandum recording an agreement between the presidents of both institutions, Claudio Eizirik and Alvaro Rey de Castro respectively, dates from January 2006, but the governing body of ILAP was formed in December of the same year. Given this, we might say that as of December 2008 ILAP had effectively existed for two years. This is a short and very intense period and for that reason the time for general assessment, conclusions, and suggestions for change has not yet come. We shall simply give a critical history of the project, its antecedents, what it has realized, and the difficulties and limitations encountered hitherto, as well as sketch future perspectives.     

Object naming in dyslexic children: more than a phonological deficit

In the present study, the authors investigate how some visual factors related to early stages of visual-object naming modulate naming performance in dyslexia. The performance of dyslexic children was compared with 2 control groups-normal readers matched for age and normal readers matched for reading level-while performing a discrete naming task in which color and dimensionality of the visually presented objects were manipulated. The results showed that 2-dimensional naming performance improved for color representations in control readers but not in dyslexics. In contrast to control readers, dyslexics were also insensitive to the stimulus's dimensionality. These findings are unlikely to be explained by a phonological processing problem related to phonological access or retrieval but suggest that dyslexics have a lower capacity for coding and decoding visual surface features of 2-dimensional representations or problems with the integration of visual information stored in long-term memory.     

Physicians' understanding of patients' personal representations of their diabetes: accuracy and association with self-care

The degree of accuracy with which physicians understand their patients' views may be of central importance for promoting self-care in the majority of chronic illnesses and in type 2 diabetes in particular. The objectives of this study were to measure the accuracy of the general practitioners' understanding of the patients' views and relate it to health behavioural outcomes in patients with non-complicated type 2 diabetes. The participants in this cross-sectional study consisted of 14 clinicians and 78 of their patients from Paris, France. The predictors were levels of accuracy in understanding the patients' views derived from the illness perception questionnaire-revised (IPQ-R). The outcomes were patient-reported self-care measures. In regression models controlling for clinical and personal variables, higher accuracy on chronicity beliefs was associated with an improved diet and increased blood glucose self-testing and higher accuracy in identifying treatment control beliefs was associated with better dietary self-care. Accuracy was higher with regard to beliefs about causes, treatment control and consequences. These results suggest that accuracy may impact self-care in specific domains of illness perception but not others. The results may help identify useful avenues of communication training designed for professionals.     

Parenting practices and internalizing and externalizing problems in Spanish adolescents

The goal of this study was to analyze the relationship between parenting practices and internalizing and externalizing problems presented by a group of adolescents according to their gender. Four hundred and sixty-nine secondary school students (aged between 12 and 18) participated in this study. The adolescents presented differences in perception of the educational practices of both parents as a function of their gender. Negative parenting practices were positively related to adolescents' internalizing and externalizing problems, whereas positive practices were negatively related to externalizing problems. Moreover, differences between boys and girls were found in predictor variables of problems, and the predictive power of the variables was higher for externalizing problems.     

Do adolescents who use stimulants have a different personality?

Stimulant consumption is especially important in our context because its use has greatly increased in recent years. The aim of the present study is to analyze the differences between stimulant users and nonusers (under 18 years old) in personality characteristics assessed with the MACI. The sample comprises 398 youths between 14 and 17 years old who were selected through random sampling in their homes or in recreational night spots. Results show important differences in personality features between stimulant users and nonusers. Stimulant users are characterized by having unruly, forceful, oppositional and borderline-tendency personality prototypes.     

Why are psychological treatments prolonged? Predictors of a longer duration of treatment and analysis of the differences between long- and short-term cases

The purpose of this study was to identify variables that may explain a longer psychological treatment and to analyze differences between short- and long-term cases. Data from 419 patients of the University Clinic of Psychology at the Complutense University of Madrid were analyzed. Number of intervention techniques, comorbidity, previous treatments, and a primary diagnosis of mood disorder or eating disorder were the factors that explained longer treatment duration. Significant differences were observed between short- and long-term cases in number of intervention techniques, number of therapeutic objectives, and also in some clinical variables (diagnostic group, comorbidity, previous treatment) and demographics (age and educational level). Results are discussed and some lines of intervention and/ or reflection are proposed.     

A model of the effects of child sexual abuse on post-traumatic stress: the mediating role of attributions of blame and avoidance coping

Employing structural equation modeling, the direct and indirect effects of the severity of Child Sexual Abuse (CSA), attributions of blame for the abuse, and coping strategies on Post-traumatic Stress Disorder (PTSD) symptomatology are analyzed. The effects of other types of child maltreatment on PTSD were also controlled. The sample comprised 163 female college students who were victims of CSA. The results suggested that victims of more severe abuse showed higher levels of avoidant coping, self blame, and family blame. Having suffered other kinds of abuse or neglect was also related to higher family blame attributions. Lastly, both attributions of blame scales were indirectly related to PTSD symptomatology through avoidant coping. The strong relationships between attributions of blame, coping strategies, and PTSD suggest that it might be useful to intervene early with children who have suffered CSA in an effort to modify the attributions they make about the abuse and the way they cope with it.     

Factor structure analysis of the Preschool and Kindergarten Behavior Scale scores in Spanish population

Social competence and antisocial behavior in children are interesting variables for researchers and educators. Nonetheless, there are few assessment instruments capable of measuring the two constructs in small children. The aim of this study is to verify the structural validity of the Preschool and Kindergarten Behavior Scale for Teachers and Caregivers (PKBS-2), in order to determine the theoretical model that best fits the data from a Spanish sample. 1509 children from preschool education (741 males and 768 females) from 3 to 6 years old (M= 3.78; SD= 0.815) participated in the study. Data was analyzed using the Statistical Package for the Social Sciences (SPSS-15.0) and the Structural Equations Program (EQS 6.1). The resulting models of social skills and behavioral problems show adequate fit indexes, statistically significant loadings, and a high internal consistency index (Cronbach's alpha). Lastly, the structural model confirms a two-factor structure: a first factor of Social Skills, comprising three variables (social cooperation, social interaction, and social independence), and a second factor of Behavior Problems, comprising two variables (externalization and internalization of problems).     

Weekend alcoholism in youth and neurocognitive aging

Numerous studies have shown that alcohol intake causes neuropsychological disorders that affect various brain structures. The ?premature ageing? hypothesis proposes that the brain areas of alcoholics undergo deterioration similar to that observed in old age. We investigated whether alcohol abuse by young people (binge drinking) causes alterations comparable to some found in elderly people. Ninety-one people were divided into four groups: a) young people who abused alcohol; b) young people who drank alcohol in moderation; c) young people who did not drink alcohol; and d) elderly adults without any significant cognitive deterioration. All of them were assessed with a neuropsychological battery. We observed some similarities in the results obtained by young drinkers and the elderly participants, which would provide some support for the hypothesis of premature aging. The tasks that young drinkers performed worse were those related to executive functions, in which the prefrontal cortex plays an essential role. We also found differences between the two groups of young drinkers (moderate and high consumption), which leads us to believe that the amount of alcohol consumed and the pattern of consumption are factors to consider in relation to cognitive impairment.     

The effect of body posture on long-range time-to-contact estimation

On Earth, gravity accelerates freely moving objects downward, whereas upward-moving objects are being decelerated. Do humans take internalised knowledge of gravity into account when estimating time-to-contact (TTC, the time remaining before the moving object reaches the observer)? To answer this question, we created a motion-prediction task in which participants saw the initial part of an object's trajectory moving on a collision course prior to an occlusion. Observers had to judge when the object would make contact with them. The visual scene was presented with a head-mounted display. Participants lay either supine (looking up) or prone (looking down), suggestive of the ball either rising up or falling down toward them. Results showed that body posture had a significant effect on time-to-contact estimation, but only when occlusion times were long (2.5 s). The effect was also rather small. This lack of immediacy in the posture effect suggests that TTC estimation is initially robust toward the effect of gravity, which comes to bear only as more time is allowed for post-processing of the visual information.