THE WORLDWIDE BURDEN OF INFANT MENTAL AND EMOTIONAL DISORDER: REPORT OF THE TASK FORCE OF THE WORLD ASSOCIATION FOR INFANT MENTAL HEALTH

Children worldwide experience mental and emotional disorders. Mental disorders occurring among young children, especially infants (birth –3 years), often go unrecognized. Prevalence rates are difficult to determine because of lack of awareness and difficulty assessing and diagnosing young children. Existing data, however, suggest that rates of disorders in young children are comparable to those of older children and adolescents (von Klitzing, Dohnert, Kroll, & Grube, 2015 ). The lack of widespread recognition of disorders of infancy is particularly concerning due to the unique positioning of infancy as foundational in the developmental process. Both the brain and behavior are in vulnerable states of development across the first 3 years of life, with potential for enduring deviations to occur in response to early trauma and deprivation. Intervention approaches for young children require sensitivity to their developmental needs within their families. The primacy of infancy as a time of unique foundational risks for disorder, the impact of trauma and violence on young children's development, the impact of family disruption on children's attachment, and existing literature on prevalence rates of early disorders are discussed. Finally, global priorities for addressing these disorders of infancy are highlighted to support prevention and intervention actions that may alleviate suffering among our youngest world citizens.     

Fear and its vicissitudes

Abstract

The USA has been a changed society since 9/11: the Zeitgeist either has a background of low-level angst, or when an attack occurs or a threat is sounded, the fear peaks and comes to the foreground for a time. Perhaps nothing demonstrates the degree to which fear permeates contemporary culture more than the continual presence of the measures the USA takes to be safe: airport security, the Patriot Act, the mining of formerly private information by the government, to name but a few. Can we account for the pervasive nature of fear solely by the devastating and deadly attacks 15 years ago, unspeakably horrifying though they were? This paper will explore this omnipresent fear in contemporary American culture from a psychoanalytic perspective, and in so doing hopes to shed light on the nature of that fear, why it is so persistent despite 15 years without any sequels, and what the consequences of that fear are for the American way of life. The discussion will be rounded out by linking this pervasive fear to the violence that is endemic to our age.     

A socio-emotional relational framework for infidelity: the relational justice approach

Current clinical models for addressing infidelity tend not to make social context issues a central focus; yet, societal gender and power structures, such as female responsibility for relationships and limited male vulnerability, affect the etiology of affairs and create power imbalances in intimate relationships. How therapists respond to these societal influences may either limit or enhance the mutual healing of both persons in the relationship. Thus attention to these societal processes is an ethical issue. This paper presents one perspective, the Relational Justice Approach, for working with infidelity. It places gender, power, and culture at the center of intervention in couple therapy, and includes three stages: (1) creating an equitable foundation for healing, (2) placing the infidelity in a societal context, and (3) practicing mutuality. Each stage is illustrated with case examples and contrasted with current practice regarding infidelity.     

Six Ways of Salvation: How Does Jesus Save?

Abstract : Using the model method for comparative analysis of theological theories, this article compares and contrasts six models of atonement: (1) Jesus as teacher of true knowledge; (2) Jesus as moral example and influence; (3) Jesus as the victorious champion and liberator; (4) Jesus as our satisfaction; (5) Jesus as the happy exchange; and (6) Jesus as the final scapegoat.     

Relationship between psychological stress and lymphocytic 5′-ectonucleotidase

The relationship between psychological stress and lymphocytic 5-ectonucleotidase, an enzyme marker for lymphocyte differentiation, was studied. Lymphocytic 5-ectonucleotidase was decreased significantly by about twofold in persons experiencing psychological stress, with a corresponding change in Total Mood Disturbance scores of the Profile of Mood States. Enzyme values were reversible in that they returned to normal once the stress had been reduced. Administration of high doses of ascorbate to severely depressed patients also normalized 5-ectonucleotidase activities, and implied that low enzyme values in stressed persons may be mediated by oxygen radical damage. This finding was consistent with previous reports of heightened inflammatory responses occurring in depressed patients. The primary cause of lowered 5-ectonucleotidase during stress may be the breakdown in the homeostatic mechanisms of the hypothalamic-pituitary-adrenal axis and immune system resulting in lymphoid tissue resistance to corticosteroids. It is suggested that this lowering of lymphocyte 5-ectonucleotidase may contribute to stress-mediated immune suppression by inhibiting lymphocyte maturation.     

Bounded contraction and Gentzen-style formulation of Łukasiewicz logics

In this paper, we consider multiplicative-additive fragments of affine propositional classical linear logic extended with n-contraction. To be specific, n-contraction (n 2) is a version of the contraction rule where (n+ 1) occurrences of a formula may be contracted to n occurrences. We show that expansions of the linear models for (n + 1)- valued ukasiewicz logic are models for the multiplicative-additive classical linear logic, its affine version and their extensions with n-contraction. We prove the finite axiomatizability for the classes of finite models, as well as for the class of infinite linear models based on the set of rational numbers in the interval [0, 1]. The axiomatizations obtained in a Gentzen-style formulation are equivalent to finite and infinite-valued ukasiewicz logics.Presented by Jan Zygmunt     

Having a voice and getting a hearing: An educational perspective on free speech in a plural society

This paper examines Ronald Dworkin's claim that the right to free speech does not include a right to circumstances that encourage citizens to speak nor a right to competent and sympathetic understanding on the part of listeners. Drawing on familiar arguments for the existence of other human rights, the paper challenges Dworkin's claim. Even if, however, the challenge fails and it is not possible to show that there is such a right, that is not the end of the story. It is argued that democratic societies should try to foster conditions in which citizens are encouraged to speak and are listened to sympathetically in the interests of the well-being and flourishing of the polity. The important role education has to play in this is explored.     

Open live supervision in family therapy

This article reviews changes in models of supervision, resulting from technological developments and reflecting a variety of theoretical approaches. The focus is on open live supervision, conducted in the presence of the family. The supervisor and a therapeutic team join the therapist and the family, creating a complex supra-system that opens up several options for therapeutic intervention. Sessions are videotaped, and therapists use recordings for additional supervision and independent study. Therapists may also show recordings to the family as part of the therapeutic process. The advantages and disadvantages of the model are considered, and examples of some of the therapeutic options are described.This model was developed in the course of the author's work teaching and supervising students at the Counseling Department of the School of Education at the Hebrew University of Jerusalem, and supervising a multi-disciplinary team including physicians, psychologists, and social workers engaged in family therapy at the Municipal Psychological Services for Schools in Jerusalem. A shorter version of this article appeared in Hebrew inSihot 5 1991. Appreciation is expressed to Batya Stein for translating the final version of this article from Hebrew. Reprint requests should be addressed to Katrit Ron, Neve Granot 3-B, Jerusalem 93706, Israel.