Case vignette: child abuse or acceptable cultural norms -- child psychiatrist's response; ethical issues in culturally relevant interventions; cultural contexts

Three families from the nation of the Gambia have become socially acquainted in the greater Metropolis area where they have relocated from their native country. All three families have preadolescent daughters. None of the girls has as yet undergone the ritual "female circumcision" commonly practiced in their native country. Five of the six parents think it would be a good idea to hold such a ritual ceremony in Metropolis next month. The sixth parent is uneasy about the procedure and wonders if it is appropriate anyway. The parent comes to talk with you, a physician or mental health professional, about this. The parent describes concerns about the procedure and the practice in general, but notes that some groups in the United States do "similar things," referring to the ritual circumcision of Jewish boys at 8 days of age. The parent adds that if the procedure is not possible in the United States, it could be done in the Gambia when the family returns there on holiday. Discussants were asked for their opinions regarding advice to the parent's ethical obligations (especially in the case of mandated reporting of suspected child abuse).     

SYMLOG: Clinical technology for therapist family of origin and family system appraisal

SYMLOG, an acronym for Systematic Multiple Level Observation of Groups, reflects a technology for the quantification and graphic organization of subjective observational data. The SYMLOG field diagram-a graphic diagram which reflects relational interactions on three dimensions-provides the opportunity to analyze the admixture of therapist family of origin dynamics in conjunction with family relational behaviors. This article presents a sample SYMLOG clinician family of origin evaluation with accompanying elaboration surrounding SYMLOG field theory.     

WHIMSICAL DESIRES

To desire is to want, but not necessarily to be disposed to do anything. That is to say, desiring does not necessarily involve having any disposition to act. To lend plausibility to this view I appeal to the example of whimsical desires that no action could help us to realise. What may lead us to view certain desires as whimsical is precisely the absence of any possibility of realizing them. While such desires might seem less than full‐blooded, I argue that we can have full‐blooded desires concerning such matters because of our (non‐whimsical) concern for others. That is to say, whimsical desires can have a borrowed seriousness. The article goes on to strengthen the separability of dispositions and desires by narrowing down the concept of triggering conditions for a disposition. If we allow the triggering conditions to be too broad then it will always make sense to say that someone with a desire simply must have a disposition because, all other things being equal, they would bring about what they desire if they were able to do so.     

An integrative theory of desistance from sex offending

Despite the fact that most offenders eventually desist from committing further crimes, there is an absence of comprehensive psychological and social accounts of the desistance process, beginning at the point when an individual decides to stop further offending, and finishing at the point of successful reentry and social reintegration. Building on previous work, the Integrated Theory of Desistance from Sex Offending represents an attempt to advance our understanding of desistance. The theory describes the desistance process in four phases: (1) decisive momentum (initial desistance), (2) rehabilitation (promoting desistance), (3) re-entry (maintaining desistance), and (4) normalcy (successful maintenance of desistance over a long period of time). The theory has significant implications for further theorizing, empirical research, clinical practice, and policy making.     

Kin rejection: social signals,neural response and perceived distress during social exclusion

Across species, kin bond together to promote survival. We sought to understand the dyadic effect of exclusion by kin (as opposed to non‐kin strangers) on brain activity of the mother and her child and their subjective distress. To this end, we probed mother–child relationships with a computerized ball‐toss game Cyberball. When excluded by one another, rather than by a stranger, both mothers and children exhibited a significantly pronounced frontal P2. Moreover, upon kin rejection versus stranger rejection, both mothers and children showed incremented left frontal positive slow waves for rejection events. Children reported more distress upon exclusion than their own mothers. Similar to past work, relatively augmented negative frontal slow wave activity predicted greater self‐reported ostracism distress. This effect, generalized to the P2, was limited to mother‐ or child‐rejection by kin, with comparable magnitude of effect across kin identity (mothers vs. children). For both mothers and children, the frontal P2 peak was significantly pronounced for kin rejection versus stranger rejection. Taken together, our results document the rapid categorization of social signals as kin relevant and the specificity of early and late neural markers for predicting felt ostracism.     

Adaptability in organisms and artifacts: A multi level perspective on adaptive processes

Adaptability to changing circumstances is a key feature of living creatures. Understanding such adaptive processes is central to developing successful autonomous artifacts. In this paper two perspectives are brought to bear on the issue of adaptability. The first is a short term perspective which looks at adaptability in terms of the interactions between the agent and the environment. The second perspective involves a hierarchical evolutionary model which seeks to identify higher-order forms of adaptability based on the concept of adaptive meta-constructs.Task orientated and agent-centered models of adaptive processes in artifacts are considered from these two perspectives. The former is represented by the fitness function approach found in evolutionary learning, and the latter in terms of the concepts of empowerment and homeokinesis found in models derived from the self-organizing systems approach. A meta-construct approach to adaptability based on the identification of higher level meta-metrics is also outlined.     

Gaze behavior predicts memory bias for angry facial expressions in stable dysphoria

Interpersonal theories suggest that depressed individuals are sensitive to signs of interpersonal rejection, such as angry facial expressions. The present study examined memory bias for happy, sad, angry, and neutral facial expressions in stably dysphoric and stably nondysphoric young adults. Participants' gaze behavior (i.e., fixation duration, number of fixations, and distance between fixations) while viewing these facial expressions was also assessed. Using signal detection analyses, the dysphoric group had better accuracy on a surprise recognition task for angry faces than the nondysphoric group. Further, mediation analyses indicated that greater breadth of attentional focus (i.e., distance between fixations) accounted for enhanced recall of angry faces among the dysphoric group. There were no differences between dysphoria groups in gaze behavior or memory for sad, happy, or neutral facial expressions. Findings from this study identify a specific cognitive mechanism (i.e., breadth of attentional focus) that accounts for biased recall of angry facial expressions in dysphoria. This work also highlights the potential for integrating cognitive and interpersonal theories of depression.     

The duplication of love's reasons

If X loves Y does it follow that X has reasons to love a physiologically exact replacement for Y? Can love's reasons be duplicated? One response to the problem is to suggest that X lacks reasons for loving such a duplicate because the reason-conferring properties of Y cannot be fully duplicated. But a concern, played upon by Derek Parfit, is that this response may result from a failure to take account of the psychological pressures of an actual duplication scenario. In the face of the actual loss of a loved one and the subsequent appearance of a duplicate, how could we resist the inclination to love? Drawing upon duplication scenarios from Parfit and from Stanislaw Lem's Solaris, this paper will argue that there could be reasons for X to come to love a duplicate of Y but that these would not be identical with the reasons that X had (and may still have) to love Y. Nor (in the case of an agent with a normal causal history) could they be reasons for a love that violates the requirement that love is a response to a relationship and therefore takes time to emerge.