Microstructural integrity of the corpus callosum linked with neuropsychological performance in adolescents

Background: Diffusion tensor imaging (DTI) has revealed microstructural aspects of adolescent brain development, the cognitive correlates of which remain relatively uncharacterized. Methods: DTI was used to assess white matter microstructure in 18 typically developing adolescents (ages 16–18). Fractional anisotropy (FA) and mean diffusion (MD) were evaluated within the splenium and body of the corpus callosum in relation to cognitive performance. Results: Visuospatial construction abilities were associated with white matter integrity in both the splenium and body of the corpus callosum, while only splenium integrity was associated with language and psychomotor function. Conclusion: Results suggest that, for typically developing adolescents, white matter coherence positively relates to visuospatial, psychomotor, and language skills. These findings may have implications for the cognitive functioning of clinical populations in which typical white matter development is altered.     

Thanatos and massive psychic trauma: the impact of the death instinct on knowing,remembering, and forgetting

The connection between massive psychic trauma and the concept of the death instinct is explored using the basic assumptions that the death instinct is unleashed through and is in a sense characteristic of traumatic experience, and that the concept of the death instinct is indispensable to the understanding and treatment of trauma. Characteristics of traumatic experience, such as dissolution of the empathic bond, failure to assimilate experience into psychic representation and structure, a tendency to repeat traumatic experience, and a resistance to remembering and knowing, are considered as trauma-induced death instinct derivatives. An initial focus is on the individual, on how death instinct manifestations can be discerned in the survivors of trauma. Next the intergenerational force of trauma is examined; a clinical vignette illustrates how the death instinct acts on and is passed on to the children of survivors. Finally, the cultural or societal aspects of trauma are considered, with an eye to how death instinct derivatives permeate cultural responses (or failures to respond) to trauma. Because trauma causes a profound destructuring and decathexis, it is concluded that the concept of the death instinct is a clinical and theoretical necessity.     

Adolescents' use of tobacco and alcohol: correlations with habits of parents and friends

Correlations for use of tobacco and alcohol of a Finnish sample of 321 adolescents (164 boys, 157 girls; age range 12-16 years) and those of their mothers, fathers, and best friends showed adolescents' use of both tobacco and alcohol correlated more with use by their friends than with parental use. The r for tobacco smoking was higher with maternal than with paternal smoking.     

Hispanic Infants with Cystic Fibrosis Show Low CFTR Mutation Detection Rates in the Illinois Newborn Screening Program

States develop specific protocols for cystic fibrosis (CF) newborn screening to reflect the population served. We hypothesized that mutation distribution and detection rates would differ between Hispanic and non-Hispanic CF patients diagnosed by IL newborn screen with more Hispanic infants carrying mutations not detected by the state panel. Data from CF cases diagnosed via newborn screen in IL between 3/1/2008 and 10/31/2010 were reviewed. More Hispanic infants with CF had one or more undefined mutations after screening, in comparison to non-Hispanic Caucasian patients (40% vs. 9.5%; p?相似文献   

Healthcare Policy in the United States: A Primer for Medical Family Therapists

As family therapists increasingly practice in healthcare settings, they need to be aware of forthcoming changes in healthcare policy and the impact of these changes on their clinical work and the lives of their clients. In this paper, we provide a primer on healthcare policy for family therapists, which describes current and proposed changes in healthcare that will potentially revolutionize healthcare delivery for families. We describe three key initiatives: (1) Triple Aim; (2) the Accountable Care Organization; and (3) the Patient Centered Medical Home. We conclude with a discussion about future directions and healthcare policies that include families.     

The Inner Eye and the Inner Scribe of Visuo-spatial Working Memory: Evidence from Developmental Fractionation

Abstract

Evidence for two major hypotheses that attempt to explain the development in memory span with age is reviewed: the identification time hypothesis and the rehearsal hypothesis. The rehearsal hypothesis is also strongly related to the recent application of the working memory model to memory development. In this model, rehearsal is assumed to occur from an extremely young age. This assumption is critically evaluated. It is concluded that there is no strong support for the identification time hypothesis, except as a facet of familiarity. Neither was there good evidence that very young children use verbal rehearsal, although it did appear to be a factor later on. A revised model is proposed, based on three factors. The first is a speech perception system and phonological store; the second is a speech output system which can be used for sublexical segmentation and later rehearsal. The third system is long-term memory with links to both the speech perception and speech output systems. These links enable active strategies to be developed.     

Attention and Attachment Related Behavior Toward Professional Caregivers in Child Care Centers: A New Measure for Toddlers

The authors attempted to develop and validate the Toddler Attention Questionnaire (TAQ) by examining the relationship between attention and attachment to a professional caregiver. The psychometric reliability and validity of the TAQ was tested with 72 children ranging from 20 to 36 months old. Attentive processes were also measured by the Italian Questionnaire on Temperament, while attachment behaviors to professional caregivers were measured by the Attachment Q-Sort. Factor analysis supported four identifiable factors reflecting different concepts, theoretically discussed, related to attentive processes: attentive flexibility, attentive lability, attentive detachment, and attentive disorientation. Attachment security to professional caregivers is predicted through attentive flexibility and negative emotionality. Secure attachment behaviors were found to be related to flexibility of attention. The implications of the findings for future theoretical and empirical development of research in this field are also discussed.