The role of childhood and adulthood trauma and appraisal of self-discrepancy in overgeneral memory retrieval

The aim of this study was to examine the contributory role of childhood and adulthood trauma events and the appraisal of self-discrepancy (the magnitude and distress) in overgeneral memory retrieval (OGM) using a non-clinical sample. Participants with a history of childhood trauma (n=29); adulthood trauma only (n=17) or no-trauma (n=26) participated in this study. The childhood trauma group showed a significantly higher level of general negative memory retrieval than the no-trauma group. Conversely, the adulthood trauma group showed a significantly higher level of general threat memory retrieval than the no-trauma group. The perceived similarity and distress relating to the perceived similarity between participants' “actual self” and “feared self” significantly predicted the level of OGM, even after controlling for the impact of a history of adult or child trauma.     

Understanding symptoms of medical frontal lobe disorder: A clinical case study

A case of anterior communicating artery aneurysm with damage to inferior medial frontal areas (Brodmann areas 25, 32, 24-inferior) is presented. Four prominent deficits are discussed: (1) anterograde amnesia, (2) inert perseverative card sorting, (3) motor stereotypies, and (4) reduplicative paramnesia. These four deficits are discussed as negative or positive symptoms, related either to damage in inferior medial frontal (Brodmann areas 25, 32, 24-inferior) regions or release phenomena of superior medial frontal (Brodmann areas 6-medial and 24-superior) regions. It is concluded that the inferior and superior medial frontal regions act as opponent processors, with the inferior (B25, 32) area functioning to switch current mental set while the superior (B24-superior, 6-medial) region functions to maintain current mental set. Testable hypotheses about the opponent processor mechanism are suggested, as applied to neuropsychiatric disorders.     

Crisis Assessment and Psychiatric Hospitalization of Children and Adolescents in State Custody

We investigated the clinical characteristics and placement decisions among a group of children who were wards of the state and had been evaluated for a crisis assessment. The sample consisted of 383 children and adolescents (ages 2-20 years) who were wards of the Illinois Department of Children and Family Services (DCFS). This study retrospectively reviewed the symptoms, risk factors, functioning and co-morbid variables, and placement or system characteristics of these children using a structured assessment tool, the Childhood Severity of Psychiatric Illness (CSPI). Results indicated that risk behaviors as rated on the CSPI, including suicidality, dangerousness, and runaway tendency, were significant predictors of psychiatric hospitalization. The importance of more widespread usage of standardized assessment tools in evaluating children's mental health needs is discussed.     

The social dynamics of boys with callous and unemotional traits: Uncooperative and proud of it

This study examined the social dynamics of boys with callous and unemotional (CU) traits when experiencing betrayal by peers and engaging in such betrayal themselves. Participants (n = 90 boys; ages 10–13 years) completed a novel prisoner’s dilemma game in which they could cooperate with, or betray, a computerized co-player. They also reported on their subjective experience of emotions during game-play and were provided with bogus feedback regarding the emotions of their co-players. Boys’ CU traits, conduct problems, and anxiety, were indexed independently via parent reports. Higher levels of CU traits were associated with lower rates of cooperation, independent of anxiety and conduct problem severity. Boys’ CU traits were also uniquely associated with greater pride following their betrayal of a co-player.     

Assessment of eating disorder psychopathology in obese children and adolescents: interview versus self-report questionnaire

The present study compared two methods for assessing binge eating and related eating disorder psychopathology in obese children and adolescents. A comparison was made between the child version of the Eating Disorder Examination (ChEDE) and the self-report version of the interview (ChEDE-Q). A total of 139 children and adolescents (aged 10-16 years) seeking inpatient treatment for obesity completed the ChEDE questionnaire and were administered the ChEDE interview afterwards. The ChEDE and ChEDE-Q were significantly correlated for the four subscales: restraint, eating concern, weight concern and shape concern. The ChEDE-Q generated consistently higher levels of eating disorder psychopathology. There was a significant discrepancy for the assessment of a more complex feature such as binge eating. Overall, the current study found lower levels of agreement between the EDE and EDE-Q than previously reported in adult samples. It appears that children and adolescents have difficulties in identifying binge-eating episodes when they receive no detailed instruction. It is concluded that a clinical interview is necessary to identify eating disorders in obese children and that a self-report questionnaire can only be used as a screening tool. Even then, thorough clarification of the definition of the eating disorder features is needed when using a self-report questionnaire.     

Thought suppression mediates the relationship between negative affect and borderline personality disorder symptoms

The purpose of this study was to examine the relationships among negative affect, childhood sexual abuse (CSA), thought suppression, and diagnostic symptoms of borderline personality disorder (BPD) in a community sample (n=127). Findings suggest that the temperamental variable negative affect intensity/reactivity was a stronger predictor of BPD symptoms than CSA. In addition, results indicated that higher thought suppression mediated the relationship between negative affective intensity/reactivity and BPD symptoms, after controlling for a history of CSA. Overall, findings suggest that (a) negative affectivity may be a better predictor of BPD symptoms than CSA, and (b) chronic efforts to suppress unpleasant thoughts may be a regulation strategy underlying the relationship between intense negative emotions and BPD symptoms.     

Memory for the Events of Early Childhood

There has been much recent interest in the phenomenon of childhood amnesia, the difficulty most adults have in recalling at least the first 3 years of life. In contrast, it has been shown that infants 18 months of age or less can retain information over long periods. Although there is no agreed-upon explanation of this paradoxical phenomenon, there are proposed biological, cognitive, and social-cognitive explanations. Distinguishing among these accounts involves investigating both adults' memories for childhood events and the mnemonicabilities of young children. These studies may not only reveal the reason why our earliest years are shrouded from us as adults, but also shed light on the memory processes that allow us a rich representation of the remainder of our personal past.     

The Development of Infant Memory

Over the first year and a half of life, the duration of memory becomes progressively longer, the specificity of the cues required for recognition progressively decreases after short test delays, and the latency of priming progressively decreases to the adult level. The memory dissociations of very young infants on recognition and priming tasks, which presumably tap different memory systems, are also identical to those of adults. These parallels suggest that both memory systems are present very early in development instead of emerging hierarchically over the 1st year, as previously thought. Finally, even young infants can remember an event over the entire "infantile amnesia" period if they are periodically exposed to appropriate nonverbal reminders. In short, the same fundamental mechanisms appear to underlie memory processing in infants and adults.     

Role of Secondary Stressors in the Parental Death–Child Distress Relation

This study examined the psychological consequences and secondary stressors associated with death of a parent. The sample (N = 116) consisted of 26 youths who had lost a parent to homicide, 45 youths who had lost a parent to natural death, and 45 nonbereaved youths. Youngsters completed face-to-face interviews, while their guardians completed measures assessing the children's functioning. Results based on both child and guardian reports indicated that parental death was associated with an increase in secondary stressors, regardless of the mode of death. Findings based on guardian reports also revealed that parental death was related to increased internalizing distress, and that parental death due to homicide was related to increased externalizing distress. Furthermore, secondary stressors mediated the parental death–child distress relation such that parental death led to an increase in stressors, which in turn led to increased child distress. Implications for secondary and tertiary preventive interventions are discussed.     

Exploring mechanisms that affect retrograde memory for public events in amnestic mild cognitive impairment: A longitudinal update

Here, we examined mechanisms that affect retrograde memory in amnestic mild cognitive impairment (a-MCI) as a function of longitudinal clinical outcome. 8 a-MCI who converted to Alzheimer's dementia (AD) during the subsequent 3-year follow-up (converter a-MCI) and 10 a-MCI who remained clinically stable during the same period (stable a-MCI) were compared at the baseline evaluation (i.e., when they were diagnosed as a-MCI) using a remote memory questionnaire for public events that allows disentangling the differential contribution of storage and retrieval mechanisms to performance accuracy. Results suggest that deficits in remote memory are primarily explained by impaired retrieval abilities in stable a-MCI and by impaired storage in converter-to-AD a-MCI. This distinction between retrograde amnesia due to defective trace utilisation in stable a-MCI and trace storage in converter a-MCI is consistent with the temporal unfolding of declining anterograde memory over the course of disease progression to AD.