The Effects of Childhood ADHD Symptoms on Early-onset Substance Use: A Swedish Twin Study

Research has documented that children and adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of substance use problems. Few studies, however, have focused on early-onset substance use. This study therefore investigated how the two symptom dimensions of ADHD (hyperactivity/impulsivity and inattention) are associated with early-onset substance use, the role of persistent ADHD for the association, and to what extent the association is influenced by genetic and environmental factors. Twins (1,480 pairs) in the Swedish Twin Study of Child and Adolescent Development were followed from childhood to adolescence. ADHD symptoms were measured at age 8–9 and age 13–14 via parent-report, whereas substance use was assessed at age 13–14 via self-report. Results revealed that hyperactive/impulsive symptoms predicted early-onset “sometimes” tobacco use (adjusted odds ratios, 1.12, for one symptom count), controlling for inattentive symptoms and conduct problem behaviors. There is no independent effect of inattentive symptoms on early-onset substance use. Children with persistent hyperactivity/impulsivity (defined as scoring above the 75th percentile at both time points) had a pronounced risk of both early-onset tobacco and alcohol use (adjusted odds ratios from 1.86 to 3.35, compared to the reference group). The associations between hyperactivity/impulsivity and early-onset substance use were primarily influenced by genetic factors. Our results indicated that hyperactivity/impulsivity, but not inattention, is an important early predictor for early-onset substance use, and a shared genetic susceptibility is suggested to explain this association.     

Predictors of Boys’ ADHD Symptoms from Early to Middle Childhood: The Role of Father–Child and Mother–Child Interactions

This prospective 3 year longitudinal study investigated preschool paternal and maternal parenting predictors of Attention-Deficit/Hyperactivity Disorder(ADHD) in a community sample of 93 school-age boys. Participants were recruited on the basis of inattention-hyperactivity at age 4 and fathers and mothers were observed interacting with their sons. Teachers, fathers, and mothers reported children's ADHD symptoms and impairment. Results from dimensional analysis showed that less observed paternal sensitivity and maternal positive regard predicted higher levels of inattentiveness in middle childhood, and that intrusive paternal behavior was predictive of hyperactive-impulsive behavior at school. In categorical analysis, less maternal warmth and sensitivity were predictive of later ADHD. These predictions held after statistical adjustment for the effects of preschool ADHD behaviors and conduct problems. At follow-up, parents of boys with ADHD reported more negative child-parent relationship perceptions than comparison parents. Findings highlight the importance of examining responsive parenting behaviors of both fathers and mothers in relation to multi-informant ratings of ADHD symptoms.     

Committing to implementation intentions: Attention and memory effects for selected situational cues

Two studies tested whether forming implementation intentions (Gollwitzer, Am Psychol 54:493?C503 in 1999) results in a heightened activation of specified situational cues. Going beyond prior studies, participants of the present studies specified these opportunities on their own (i.e., the action cues were not assigned by the experimenter), and activation level was assessed by attraction of attention and recall performance rather than lexical decisions. In Study 1, situational cues associated with the where and when to act on an everyday life goal attracted more attention than non-specified cues when presented to the non-attended channel in a dichotic listening task. In Study 2, the recall of specified cues was better than that of non-specified cues both 15?min after forming implementation intentions and after a delay of 2?days. Importantly, goal commitment and implementation intention commitment moderated this effect.     

Simple Objects of Comparison for Complex Grammars: An Alternative Strand in Wittgenstein's Later Remarks on Religion

The predominant interpretation of Wittgenstein's later remarks on religion takes him to hold that all religious utterances are non‐scientific, and to hold that the way to show that religious utterances are non‐scientific is to identify and characterise the grammatical rules governing their use. This paper claims that though this does capture one strand of Wittgenstein's later thought on religion, there is an alternative strand of that thought which is quite different and more nuanced. In this alternative strand Wittgenstein stresses that religious utterances and beliefs can come in both scientific and non‐scientific varieties. More than that, he claims that the grammar of religious utterances, and the logic of religious beliefs, is often complex – in that individual utterances and beliefs will often be mixed between, indeterminate between, or fluid between being scientific and being non‐scientific. This complexity means that it will often be unhelpful to try to pin down one particular grammar or logic for a given utterance or belief. Wittgenstein therefore suggests a new method of grammatical and logical investigation, which is less likely to distort complex grammars or logics by being overly simplistic or rigid. This method is to use simple examples of utterances and beliefs as objects of comparison, so as to illuminate the different aspects of the more complex actual utterances and beliefs under examination. This alternative strand in Wittgenstein's later remarks on religion is a manifestation of a broader strand of Wittgenstein's later thought as a whole, which was first described by Friedrich Waismann, and later developed by Gordon Baker and Oskari Kuusela. The paper concludes by providing examples of religious beliefs which are logically mixed, indeterminate, and fluid, and showing how simple objects of comparison can be used to illuminate them.     

Sándor Ferenczi: From Clinical Turmoil to Theoretical Articulations

The article deals with concepts proposed by Sándor Ferenczi: confusion of tongues, disavowal and progressive trauma, illustrated by a clinical example, in which excessive life experiences deeply determined the psychic construction, compromising the integrity of the self-image and the potentiality of egoic capacities. We attempt to understand the uniqueness of the patient's history, and the ethical practice of deep analytic listening.     

No More Away: Techno-Attachments and the Relational Future

This paper speculates about the impact of techno-connectedness on our children, ourselves, our grandchildren. Triggered by recollections from Victorian novels that describe European summers “away” from home, a concern about loss of opportunity, the “space” for self-discovery in this young generation will be explored in a relational context. Brought about by pervasive dependence upon computer technology, is self-experience fragmented and attachment changed by the ubiquitous technological presence and is the more isolated, reflective experience being eroded?