Grief in two guises: ‘Mourning and melancholia’ revisited

¹ 1. A version of this paper was given at the Institute of Psychoanalysis Conference: ‘Mourning and Melancholia through the Life Cycle’, London, 1998. This paper is a re-reading of Freud’s classic paper. The themes of mourning and melancholia are viewed in relation to children and adolescents with illustrations from case histories. Mourning is interpreted in a broader sense: not only as grief (both expectable and traumatic) but as a response to the developmental process itself as phases of childhood are shed and an emerging newer identity is assumed. The author argues that Freud’s paper left the way open to make a number of further distinctions of the processes involved within melancholia.     

Hodgkin's disease in adolescence: A psychoanalytical approach

As a general rule, adolescents suffering from severe organic diseases experience more difficulty than adults and children in recognizing the illness and undergoing treatment, because there is a conflict between accepting the sick body and the sexual body. Dependence on medical treatment, moreover, clashes with the normal drive to autonomy. Long experience as a consultant psychiatrist in the haematology department of a hospital enables the author to propose a hypothesis as to the emotional significance of Hodgkin's disease and chemotherapy, concentrating particular attention on the refusal reaction to the chemotherapy itself. The psychoanalytical psychotherapy of a female adolescent suffering from Hodgkin's disease is presented and discussed to illustrate the theoretical and technical implications.     

Evaluating social fears in late adolescence: Study with a Portuguese sample

This work intends to psychometrically evaluate a measure of social fears for late adolescents, who may differently perceive social fear stimulus. A community sample of 794 late adolescents was recruited and assessed, using the Social Anxiety and Avoidance Scale for Adolescents. Internal structure analysis indicates that late adolescents adopt a unique perspective on social experiences. Internal consistency and convergent validity relating to thoughts typical of social anxiety were found. The instrument may be useful for evaluating social fears throughout adolescence.     

Handbook of adult resilience,edited by John W. Reich,Alex J. Zautra,and John Stuart Hall

This study investigated differences in adolescents’ life satisfaction (LS), apprehension of personal and non-personal events, and the influence of recalled life events on LS. The affective temperament (AFT) classification was the framework for the research. Seventy male and 65 female adolescents participated. AFTs were developed through self-reported affect, generating four temperaments: self-actualizing, high affective, low affective, and self-destructive. LS was also self-reported. Apprehension for events was assessed through two tasks: (1) life event recollection and (2) interpretation and recognition of words in a short story. High and low affectives interpreted and remembered events as both self-actualizers and self-destructives. All AFTs, with the exception of self-destructives, showed positive biases. Only individuals with high positive affect were positively primed for non-personal events. Life events predicted self-destructives’ and low affectives’ LS. Self-actualizers showed higher LS, measured for a second time in a sub-sample, than self-destructives. The importance of the AFTs is discussed.     

Hope and emotional well-being: A six-year study to distinguish antecedents,correlates, and consequences

Hope is a motivational factor that helps initiate and sustain action toward long-term goals, including flexible management of obstacles that get in the way of goal attainment. Despite an abundance of research on the benefits of hope, little attention has been given to this aspect of youth development via longitudinal studies. In this study, we collected ratings of hope and positive and negative affect from 975 adolescents over a six-year assessment period (Grades 7–12). Using cross-lagged structural equation modeling, we found that hope led to greater positive affect, with little evidence for the reverse direction. In contrast, hope and negative affective states were reciprocally related. Hope predicted future well-being particularly well in years when the young people where in transition (e.g. starting high school and transitioning to senior high school). Our data support the position that hope is a malleable attribute that fosters positive youth development.     

“It’s Like Playing with a Nuclear Bomb”

Abstract

Most observers of the evangelical purity culture situate it within a form of contemporary evangelicalism that prioritizes personal spiritual growth and self-fulfillment. As a result, portrayals of the movement emphasize the therapeutic individualism and optimism of new paradigm spirituality. But the new paradigm does not help us explain the language of spiritual warfare and what Jason Bivins calls a religion of fear within purity rhetoric. Evangelical purity culture is as equally informed by a religion of accommodation and new paradigm spirituality as it is by a religion of fear and the remnants of cold war fundamentalism. This discordance makes sense only when the contemporary purity culture is placed within a broader historical trajectory that marks its genesis in the fundamentalist resurgence of the 1940s, not the 1970s when new paradigm churches first emerged. By examining the seemingly discordant elements of evangelical purity culture, historians are able to recognize the theological and historical continuity between evangelicalism’s religion of fear and religion of accommodation.     

Direct and interactive effects of parent,friend and schoolmate drinking on alcohol use trajectories

Objective: This study considered the unique and interactive roles of social norms from parents, friends and schools in predicting developmental trajectories of adolescent drinking and intoxication.

Design and outcome measures: Using data from the National Longitudinal Study of Adolescent Health, which followed adolescents (N = 18,921) for 13 years, we used discrete mixture modelling to identify unique developmental trajectories of drinking and of intoxication. Next, multilevel multinomial regression models examined the role of alcohol-related social norms from parents, friends and schoolmates in the prediction of youths’ trajectory group membership.

Results: Results demonstrated that social norms from parents, friends and schoolmates that were favourable towards alcohol use uniquely predicted drinking and intoxication trajectory group membership. Interactions between social norms revealed that schoolmate drinking played an important moderating role, frequently augmenting social norms from parents and friends. The current findings suggest that social norms from multiple sources (parents, friends and schools) work both independently and interactively to predict longitudinal trajectories of adolescent alcohol use.

Conclusions: Results highlight the need to identify and understand social messages from multiple developmental contexts in efforts to reduce adolescent alcohol consumption and alcohol-related risk-taking.     

Associations between authoritative parenting and the sun exposure and sun protective behaviours of adolescents and their friends

Associations between the sun exposure and sun protective behaviours of adolescents and their friends were examined along with the role played by authoritative parenting and other family and peer socialisation factors. Four hundred and two adolescents (198 males, 204 females) participated in the research. It was found that these adolescents and their friends shared similar sun exposure and sun protective behaviours and had similar parenting backgrounds. Parental authoritativeness was positively associated with the use of sun protection, even after the effects of other familial and peer variables were controlled, but not with the time spent sunbathing which was associated with friends’ behaviours. The theoretical and practical implications of these findings are discussed.     

Early attachment quality moderates eating disorder risk among adolescent girls

Objective: There is growing evidence that children’s early relational environment has lasting implications for physical and mental health. In this paper, we test whether attachment insecurity in early childhood is associated with increased responsivity to risk factors for eating disorders (EDs; e.g. pubertal weight gain, maternal negative affect) during adolescence.

Design: Hypotheses were tested with longitudinal data from 447 girls (final mean age?=?15.1?years) over a 12-year period. Tests of direct effects, moderation and moderated mediation were conducted using nested structural equation models and bootstrapped estimates of direct and indirect effects.

Results: Early attachment quality was not directly associated with disordered eating attitudes and behaviours (DEABs), but did moderate relations between adolescent ED risk factors and DEABs. Specifically, among girls with an insecure attachment history, higher BMI at age 15 directly predicted more DEABs, while maternal negative affect and pubertal weight gain indirectly predicted DEABs via greater preoccupation with parental relationships. These same direct and indirect paths did not emerge among adolescent girls with a secure attachment history.

Conclusion: Results delineate one way early attachment quality may contribute to EDs among some adolescent girls, and support recent efforts to incorporate relational components into obesity and ED prevention programmes.     

Predictors of Diabetes Self‐care,Metabolic Control,and Mental Health in Youth with Type 1 Diabetes

The purpose of this study was to explore the psychosocial predictors of diabetes self‐care (adherence to care regimes), metabolic control (glycated haemoglobin), and mental health among rural‐ and urban‐dwelling youth with type 1 diabetes. One hundred and twenty three adolescents/young adults (aged 13?25 years, mean = 16 years, standard deviation = 3.8 years) with type 1 diabetes, 50 males and 73 females, completed questionnaires reporting on diabetes self‐care, metabolic control, mental health (negative affect, quality of life), risk‐taking behaviours and attitudes, diabetes self‐efficacy, community engagement, and perceived social support. No rural/urban differences were detected on key predictors or outcome variables. Structural equation modelling revealed that high diabetes self‐efficacy, lower risk behaviour, and more conservative attitudes to risk taking predicted better diabetes self‐care, which in turn predicted better metabolic control and mental health. Social support and engagement in community activities did not influence diabetes self‐care. The study has significance because both diabetes self‐efficacy and propensity towards risk behaviour are potential targets for educational and counselling interventions designed to improve diabetes self‐care regimes and resultant metabolic and mental health outcomes.