Adverse caregiving in early life: The trauma and deprivation distinction in young children

Knowledge and understanding about the impact of cumulative adverse experiences on the health and wellbeing of children, adolescents, and adults has rapidly expanded over the past 30 years. Despite the invaluable attention and support this proliferation has drawn to the importance of early childhood experiences, we believe that it is time to move beyond broad indices of risk and toward more specific and individualized understanding of how risk exposures are linked to clinical outcomes in young children. Within infant and early childhood mental health, there is a need for greater specificity in linking adverse caregiving experiences in early life to psychopathology in children. We highlight a framework distinguishing experiences of trauma from experiences of deprivation and use the examples of posttraumatic stress disorder and reactive attachment disorder to demonstrate how greater specificity in our understanding of early adverse caregiving can lead to more accurate and targeted diagnosis and treatment for young children. Both researchers and clinicians benefit from an approach to gain a greater appreciation of the links between specific types of experiences and outcomes in the children that we serve.     

Psychological distance as a means of evaluation

The psychological distance of objects (e.g., things, places, other people) affects how we think about them. Research suggests that psychological proximity and distance might be also related to positive and negative evaluations, respectively. In this study, we examined whether we can infer how children aged 13–16 years evaluate objects based on their statements regarding the psychological distance between themselves and these objects. Using a mixed-methods design, we verified the relationship between evaluations of objects and whether they are perceived as psychologically close or distant, in a sample of secondary school students. School subjects were predominantly used as evaluation objects. Students used a worksheet that allowed them to visually demonstrate perceived psychological distance between themselves and objects, and then they were asked to explain their choice. Results suggested a strong association between psychological distance and positive or negative evaluation. Thus, the implications of our findings may be relevant for psychodiagnostics.     

Reflections on the role of the analytic setting in the light of COVID-19

There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger’s (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when ‘the setting begins to weep’, are explored.     

Investigating the impact of a novel active gap metering signalization strategy on driver behavior at highway merging sections

A safe headway to the lead vehicle is important to reduce conflicts with merging vehicles from highway on-ramps. Previous research has outlined the advantage of gap metering strategies to yield sufficient space to merging vehicles and improve highway capacity during peak hours. However, prevailing gap metering systems fail to indicate the minimum required gap and leave it to the drivers’ judgment to adjust their headway. This paper proposes a new Active Gap Metering (AGM) signalization that helps outer lane drivers to adjust their headway to the lead vehicle when approaching highway ramps with incoming vehicles. This AGM signalization represents a combination of pavement markings and an innovative Variable Message Sign (VMS). The AGM system was tested alone and in combination with additional variable speed limits (VSL) in distinct environments of the Doha Expressway in the State of Qatar using a driving simulator. The driving behavior of 64 drivers was analyzed using repeated-measures ANOVA. The results showed that the AGM effectively influenced the drivers’ behavior on the right stream lane. Drivers did gradually increase the distance to the lead vehicle, which resulted in optimal headways to merging on-ramp vehicles. Most importantly, the minimum time-to-collision (TTC_min) to the merging vehicle was increased by an additional 1–1.5 s as compared to no treatment. The proposed AGM signalization can, therefore, be considered by policymakers to influence drivers’ headways at critical merging sections.     

不患不均？容忍和支持经济不平等的心理学解释

不断加剧的经济不平等问题对个体和社会有着巨大危害,然而人们对经济不平等却有着较高的容忍性。基于个体心理的研究证据,本文提出认知和动机双重路径模型来解释个体容忍和支持经济不平等问题。在认知路径上,个体倾向于低估当前社会的经济不平等程度和将经济不平等评价为公平的;在动机路径上,个体预期经济不平等将带来自我利益的增加。未来研究应进一步整合多重心理机制间的关系,并探索有效干预手段以增加人们对减少经济不平等的支持。     

Opposite strain-dependent differences for intermale aggressive behavior elicited by individual housing and housing with a female in the mouse

Male mice of the C57BL/6 strain show a significant increase in aggression toward a nonaggressive male conspecific following 72 hr of individual housing. However, this increase was no longer evident following 2 weeks of individual housing. When housed with a female, C57BL/6 mice show significantly more aggression than singly housed mice of the same strain after 72 hr as well as 2, 4, 8 weeks of differential housing. Male C57BL/6 mice housed with a female also show significantly higher levels of aggression than DBA/2 mice living in the same housing condition after 4 or 8 weeks of differential housing. Finally, male DBA/2 mice individually housed for 8 weeks are significantly more aggressive than mice of the same strain housed with a female for the same time. These results indicate that the increase in aggressive behavior observed following isolation and cohabitation with a female in the mouse is not the same phenomenon. © 1994 Wiley-Liss, Inc.     

Be a Mom,a Web-Based Intervention to Prevent Postpartum Depression: Results From a Pilot Randomized Controlled Trial

Be a Mom is a self-guided web-based intervention, grounded in cognitive behavioral therapy, delivered to postpartum women to prevent persistent postpartum depression [PPD] symptoms. We aimed to evaluate Be a Mom in terms of its preliminary efficacy, feasibility, and acceptability. A pilot randomized, two-arm controlled trial was conducted. Eligible women (presenting PPD risk-factors and/or early-onset PPD symptoms) were enrolled in the study and were randomly assigned to the intervention (Be a Mom) or to the waiting-list control group. Participants in both groups completed baseline (T1) and postintervention (T2) assessments. The 194 women presenting risk factors/early-onset PPD symptoms were allocated to the intervention (n = 98) or to the control (n = 96) group. A significant Time × Group interaction effect was found for both depressive and anxiety symptoms, with women in the intervention group presenting a larger decrease in symptoms from T1 to T2 (p < .05). Less than half of the women (41.8%) completed Be a Mom. Most women (71.4%) would use Be a Mom again if needed. Results provide preliminary evidence of the Be a Mom’s efficacy, acceptability and feasibility, although further research is needed to establish Be a Mom as a selective/indicative preventive intervention for persistent PPD.     

Framing a Theological Response to COVID-19 in the Presence of the Religious Other

The Christian faith has a long history of responding to pandemics. Its past practice bore witness to the desire to care for others: it furnished an exemplary model with some notable exceptions. The dilemma that COVID-19 presents is that the understanding of viral spread now lies within the preserve of a professionalized health system. The evident risk as a consequence is one of theological quietism and being “unavailing.” Now is not the time for simple hyper compliance at the expense of an enquiring confessional claim. The ecumenical witness in solidarity with other faiths/religions lends itself to a desire to consider how the present pandemic crisis might serve as an invitation for a theological enquiry into wider planetary issues.