Some questions concerning states of fragmentation: unintegration,under-integration,disintegration, and the nature of early integrations

The paper attempts some clarifications and differentiations concerning (1) Bick's classic distinction between states of helpless unintegration and states of defensive disintegration; (2) the difference between a state and a phase, and Bick's apparent challenge to some aspects of object relations thinking. The paper then lists some types of early pre-depressive and pre-Oedipal integrations and integrators: these include, as well as various kinds of containment, the role of the interested, interesting, and occasionally reclaiming object.     

Investigation of eating and deviant behaviors in bodybuilders according to their competitive engagement

ABSTRACT

This study investigated eating and deviant behaviors in bodybuilders according to their competitive engagement. Semi-structured interviews were conducted with 16 bodybuilders of different skill levels. Results revealed that dietary strategies and deviations (e.g., disordered eating, doping use, addictive training) developed with competitive commitment. Bodybuilders who intend to engage in competition are in a critical period for the development of deviant behaviors, in relation with increasing drive for muscularity and performance, and coaching pressure. These findings extend the existing literature on deviant behaviors in bodybuilding by providing better insight in the dynamics of development of disordered eating and associated behaviors.     

Psychometric Evaluation of the Spanish Versions of the Perceived Religious Influence on Health Behavior Scale and the Illness as Punishment for Sin Scale in a Sample of Churchgoing Latinas

The present study evaluated the psychometric properties of the Spanish versions of the Perceived Religious Influence on Health Behavior scale and the Illness as Punishment for Sin scale in a sample of churchgoing Latina women (N = 404). For the Perceived Religious Influence on Health Behavior scale, confirmatory factor analysis provided support for the expected one-factor model, internal consistency reliability was good, and there was evidence of convergent validity. For the Illness as Punishment for Sin scale, confirmatory factor analysis provided support for the expected one-factor model, but on a revised seven-item version of the measure. Internal consistency reliability and convergent validity for this revised version were good. It is recommended that future studies use the Perceived Religious Influence on Health Behavior scale and the revised Illness as Punishment for Sin scale when examining these constructs among Latina women.     

The Spectrum of Autism Spectrum Disorder: A Spectrum of Needs,Services, and Challenges

The dramatic rise in the diagnosis of autism spectrum disorders (ASDs) has resulted in a significant explosion in visibility and a substantial increase in the understanding of this complex group of disorders. Over the last decade, what was once defined only as “autism” has become a spectrum of neurodevelopmental disorders, with variable presentations and levels of impairment that requires an equally broad continuum of care. A wealth of research has not discovered a single “cause” for ASDs, but rather has found a range of genetic/genomic variations that likely play a significant role in the etiology of these disorders. Routine screening for autism is becoming more common, allowing for more timely diagnosis, and hopefully for earlier entry into appropriate and effective treatment. Although there remains no single ‘‘cure’’, there are treatments available that can improve overall functioning and decrease problematic or interfering symptoms across the full spectrum of this disorder. The wide spectrum of ASD presentations complicates treatment planning, with overall ASD severity a factor in determining type, intensity, and duration of interventions and services. This article presents a two-dimensional model of “ASD severity” that considers both the level of specific ASD symptoms/deficits and the level of cognitive resources/limitations as a framework for understanding needs, challenges, and potentially effective interventions for individuals across the ASD spectrum.     

Increased intraindividual variability is a marker of ADHD but also of dyslexia: a study on handwriting

It has been suggested that intraindividual variability (IIV) in neuropsychological tasks may be a specific characteristic of Attention-Deficit Hyperactivity Disorder (ADHD), but previous research has not thoroughly examined whether IIV also concerns academic performance or other types of developmental disabilities. The present study investigates the role of IIV in 15 children with ADHD without reading difficulties, 15 children with dyslexia without associated symptoms of ADHD, and 15 typically developing children (TDC) in a simple response time (SRT) task and in a skill more directly related with school learning—handwriting. Results show that children with ADHD and those with dyslexia have a greater IIV than the TDC in both tasks. However, the pattern of the relationship between IIV in SRT and handwriting was different in children with ADHD and dyslexia: the IIV in the handwriting task was found to depend on IIV in the SRT task only in children with dyslexia. These findings support the crucial role of IIV not only in ADHD but also in other developmental disabilities, but suggest that in children with ADHD it may present specific aspects related with motor control.     

Rage and hatred in infants: conditions which facilitate development versus those which result in tragic delays or alarming distortions

The paper traces some possible trajectories of aggressive behaviour in children and adolescents. It distinguishes three contributing factors: 1. Disturbance or Disorder; 2. Deficit and Neglect; and 3. Deviance. Therapeutic technique may need adjusting depending on which factor is dominant at any moment. Two dimensions which seem to run through these categories are first, the question of which type of violence is occurring - that is, the motivation and emotion which accompany the violence; the second question is whose violence: that is, when we study the inner world of aggressive children we discover vast differences in the relationships between the self and the internal objects or representational figures of other people. These two questions will be raised whenever we try to treat these children or adolescents.     

Sleep quality in healthy and mood-disordered persons predicts daily life emotional reactivity

Disordered sleep has been linked to impaired emotional functioning in healthy and depressed individuals. Little is known, however, about how chronic sleep problems influence emotional reactivity in everyday life. Participants with major or minor unipolar depressive disorder (n?=?60) and healthy controls (n?=?35) reported on sleep and emotional responses to daily life events using a computerised Experience Sampling Method. We examined whether impaired sleep quality influenced emotional reactivity to daily events, and if this relationship was altered by unipolar mood disorders. Among healthy individuals, sleep difficulties were associated with enhanced negative affect (NA) to unpleasant events and a dulled response to neutral events. However, among mood-disordered persons, sleep difficulties were associated with higher NA across all types of everyday life events. Impaired sleep quality differentially affects daily life emotional reactions as a function of depression.