Body Mass Index Is an Important Predictor for Suicide: Results from a Systematic Review and Meta‐Analysis

Public health concerns for the independent management of obesity and suicidal behavior are rising. Emerging evidence suggests body weight plays an important role in quantifying the risk of suicide. In light of these findings, we aimed to clarify the association between body mass index (BMI) and suicidal behavior by systematically reviewing and evaluating the literature. Studies were identified by searching MEDLINE, EMBASE, PsycINFO, and CINAHL from inception to January 2015, supplemented by hand and grey literature searches. Study screening, data extraction, and risk of bias assessment were conducted in duplicate. We included 38 observational studies. Meta‐analyses supported an inverse association between BMI and completed suicide. Pooled summary estimates demonstrated that underweight was significantly associated with an increased risk of completed suicide (HR = 1.21, 95% CI 1.07 to 1.36, p = .002), and obesity (HR = 0.71, 95% CI 0.56 to 0.89, p = .003) and overweight (HR = 0.78, 95% CI 0.75 to 0.82, p < .0001) were significantly associated with a decreased risk of completed suicide relative to normal weight. A qualitative summary of the literature demonstrated conflicting evidence regarding the association between BMI and attempted suicide and revealed no association between BMI and suicidal ideation. BMI may be used to aid the assessment of suicide risk, especially that of completed suicide. However, unmeasured confounders and systematic biases of individual studies limit the quality of evidence.     

From Drive to Affectivity: Contextualizing Psychological Life

It is the thesis of this article that the shift in psychoanalytic thinking from the primacy of drive to the primacy of affectivity moves psychoanalysis toward a phenomenological contextualism and a central focus on dynamic intersubjective systems. Unlike drives, which originate deep within the interior of a Cartesian isolated mind, affect—that is, subjective emotional experience—is something that from birth onward is regulated, or misregulated, within ongoing relational systems. Therefore, locating affect at the center automatically entails a radical contextualization of virtually all aspects of human psychological life.     

Legacies of the Golden Age: A Memoir of a Collaboration

This article tells the story of an intellectual and personal relationship, spanning more than 4 decades. The account begins with a golden age period in the 1970s at Rutgers University, where an effort was made to resurrect the personological tradition in psychology under the leadership of Silvan Tomkins. In spite of the eventual failure of this effort, the foundation of our collaboration had been lastingly formed. The focus of the discussion is on a series of epiphanies that occurred, moments of shared inspiration that in each instance gave rise to significant writings over the ensuing years. We also describe the deepening personal connection that was the context of these developments.     

Causality-Interpretation and Obsessive versus Hysterical Functioning

Relationships were predicted between the relative salience of the theme of voluntary control (VC) and the relative predominance of obsessive versus hysterical personality traits, and between the relative salience of VC and the relative predominance of obsessive versus hysterical neurotic symptoms. A coding system for VC was applied to TAT stories written by 89 males and 96 females solicited from undergraduate populations. 20 males and 20 females who scored high on VC and 20 males and 20 females who scored low on VC were given further instruments pertaining to obsessive/hysterical personality traits and neurotic symptoms. As predicted, high VC Ss were significantly more obsessive (or less hysterical) in their personality traits than low VC Ss. Predicted relationships between VC and obsessive/hysterical neurotic symptoms were not significant.     

Walking the Tightrope of Emotional Dwelling

This essay seeks to characterize an active, relationally engaged form of therapeutic comportment called emotional dwelling. Distinctive features of this mode of comportment are identified by contrasting it with corresponding formulations appearing in other theoretical viewpoints, including those of Freud, Ferenczi, Sullivan, and Kohut. Central in emotional dwelling is the therapist’s capacity to enter into a patient’s reality even while simultaneously holding to his or her own.