Longitudinal changes in the contribution of genetic and environmental influences to symptoms of depression in older male twins

Genetically informative longitudinal data on self-reported symptoms of depression allow for an investigation of the causes of stability and change in depression symptoms throughout adult life. In this report, the authors investigated the relative contribution of genetic and environmental influences to symptoms of depression in 83 monozygotic and 84 dizygotic male twin pairs from the National Heart, Lung, and Blood Institute (NHLBI) Twin Study. Participants first completed the Center for Epidemiologic Studies-Depression (CES-D) scale in 1985-1986 and again during 1995-1997. Mean age of twins at baseline was 63 years, range 59 to 70. From cross-sectional genetic analyses we estimated the heritability of CES-D to be 25% (95% confidence interval [CI], 11%-39%) at baseline and 55% (95% CI, 40%-71%) at follow-up. Fitting longitudinal genetic models to the two-wave data, we found that stability of symptoms over the 10-year follow-up was due primarily to continuity of genetic influences.     

Biparental failure in the childhood experiences of borderline patients

The purpose of this study was to assess the role of biparental abuse and neglect in the development of borderline personality disorder (BPD). A semistructured research interview was used to blindly assess the childhood experiences of biparental abuse and neglect reported by 358 borderline inpatients and 109 axis II controls. Eighty-four percent of borderline patients reported having experienced some type of biparental abuse or neglect before the age of 18; 55% reported a childhood history of biparental abuse; 77% reported a childhood history of biparental neglect. These experiences were also reported by a substantial percentage of Axis II controls (biparental abuse or neglect [61%], biparental abuse [31%], and biparental neglect [55%]). However, borderline patients were significantly more likely than axis II controls to report having been verbally, emotionally, and physically but not sexually abused by caretakers of both sexes. They were also significantly more likely than controls to report having caretakers of both sexes deny the validity of their thoughts and feelings, fail to provide them with needed protection, neglect their physical care, withdraw from them emotionally, and treat them inconsistently. It was also found that female borderlines who reported a previous history of neglect by a female caretaker and abuse by a male caretaker were at significantly higher risk for having been sexually abused by a noncaretaker. Taken together, the results of this study suggest that biparental failure may be a significant factor in the etiology of BPD. They also suggest that biparental failure may significantly increase a preborderline girl's risk of being sexually abused by someone other than her parents.     

Some Developmental Implications of Structural Aspects of Preschoolers' Relations with Classmates

To gain insight into children's peer relations and their developmental significance, it is important to know not only how many relations children have but also to consider the structure of these relations. To demonstrate this, we used a multiple-study design in which we applied social network analyses to sociometric ratings and nominations from 1,082 4- to 5-year-old children in 83 school classes. Results showed that isolation in the classroom was more strongly associated with the choices that were given than those that were received. Gender plus the negative behavioral characteristics, aggressiveness and rejection, were the most important cues for social clustering. The structure of positive choices reflected the formation of friendship networks, whereas negative choices tended to be given directly to individual “problem” children. Finally, structure indices tapped aspects of children's relations that were not reflected in the traditional two-dimensional classification system and provided additional explanatory power for predicting developmental outcomes.     

Demonstration of a socially transmitted flavor aversion in rats? Kuan and Colwill (1997) revisited

In each of three experiments that differed only in procedural detail, observer rats interacted with pairs of conspecific demonstrators, one fed a cocoa-flavored diet (Diet Coc) and the other a cinnamon-flavored diet (Diet Cin). Immediately after both members of a pair of demonstrators had been fed, and 5 min before they interacted with an observer or observers, one of the demonstrators was made ill by intraperitoneal injection with lithium chloride. After interacting with a pair of demonstrators for 15 min, each observer was allowed to choose between Diet Cin and Diet Coc for 22 h. In all three experiments, observer rats consumed as much Diet Cin after interacting simultaneously with both an ill demonstrator that had eaten Diet Cin and a healthy demonstrator that had eaten Diet Coc as after interacting simultaneously with both a healthy demonstrator that had eaten Diet Cin and an ill demonstrator that had eaten Diet Coc. These results raise questions about the generality of Kuan and Colwill’s (1997) demonstration of socially transmitted flavor aversions in Norway rats.     

Onset of obsessive-compulsive disorder: premorbid conditions and prodromal phase

This article focuses on the clinical onset of obsessive-compulsive disorder (OCD), specifically addressing the age of onset, gradual and acute onset, and whether there are some types of premorbid conditions or a prodromal phase that predispose individuals to the onset of OCD. Clinical and epidemiological studies have come to different conclusions regarding age at onset as well as regarding differences between the sexes. Data gleaned from research to date have demonstrated a relationship between OCD and obsessive-compulsive personality disorder (OCPD), although OCPD does not appear to be the more prevalent personality disorder among patients with OCD. Preliminary research has suggested that Axis I disorders may predispose individuals to OCD onset; however, the significance of this relationship remains to be clarified. Evidence of the association between OCD and subthreshold obsessive-compulsive syndrome suggests that these disorders lie on a continuum of severity, with some cases developing OCD while others do not.     

If You're an Egalitarian, How Come You're so Rich

Many people, including many egalitarian political philosophers, professa belief in equality while enjoying high incomes of which they devotevery little to egalitarian purposes. The article critically examinesways of resolving the putative inconsistency in the stance of thesepeople, in particular, that favouring an egalitarian society has noimplications for behaviour in an unequal one; that what's bad aboutinequality is a social division that philanthropy cannot reduce; thatprivate action cannot ensure that others have good lives; that privateaction can only achieve a ``drop in the ocean'; that private effortis not called for, since justice is a matter for the state to enforce;that private effort cannot remove the fundamental injustice, whichis inequality of power; and that private effort involves an unreasonablylarge psychological burden.     

Prayer, Process, and the Future of Medicine

The wall of separation between spirituality and medicine is crumbling. Physicians are discovering the importance of prayer, spirituality, and religious participation in enhancing physical and mental health and responding to stressful life circumstances. A new metaphysical model is needed to replace the dualistic Cartesian-Newtonian model that has undergirded modern biomedicine. The process-relational metaphysics, influenced by the seminal thought of Alfred North Whitehead, is a fruitful alternative model for the future partnership of spirituality and medicine. A process-relational metaphysic supports this new partnership through its affirmation of (1) the relational nature of life, (2) the essential relatedness of mind, body, and spirit, (3) the multifactorial nature of causation in terms of health and illness, and (4) the affirmation of creativity and the redefinition of divine and human power in terms of partnership. This new metaphysical foundation provides a basis for including spiritual concerns in the care of patients, the education of physicians, and in professional self-care. Physicians are called to be partners with their patients, nurturing their own spiritual well-being even as they care for the spiritual well-being of their patients.     

Clients in Treatment for Alcohol Problems: Treatment Experiencesand Outcomes

This report presents an analysis of National Treatment Improvement Evaluation Study data describing the characteristics and treatment experiences of clients entering treatment for alcohol problems. Three client groups were contrasted—those entering treatment for alcohol only, for alcohol plus other drugs, or for other drugs only. Clients using alcohol only were more often white, male, and currently employed. Alcohol only clients were treated predominantly in outpatient settings. Alcohol only clients were frequently referred to treatment by the criminal justice system, and less often self-referred. In all 3 study groups, employment, general health, and mental health outcomes were improved following treatment. Illicit drug use increased marginally for the alcohol only group following treatment. No significant posttreatment reductions in reports of total abstinencefrom alcohol were found for any of the groups. Findings are discussed as they relate to research, treatment practice, and policyareas.     

Error management theory: a new perspective on biases in cross-sex mind reading

A new theory of cognitive biases, called error management theory (EMT), proposes that psychological mechanisms are designed to be predictably biased when the costs of false-positive and false-negative errors were asymmetrical over evolutionary history. This theory explains known phenomena such as men's overperception of women's sexual intent, and it predicts new biases in social inference such as women's underestimation of men's commitment. In Study 1 (N = 217), the authors documented the commitment underperception effect predicted by EMT. In Study 2 (N = 289), the authors replicated the commitment bias and documented a condition in which men's sexual overperception bias is corrected. Discussion contrasts EMT with the heuristics and biases approach and suggests additional testable hypotheses based on EMT.