La satisfaction au travail des adultes handicapés mentaux : Adaptation du Questionnaire de Satisfaction du Minnesota

The purpose of the study was to present an adaptation of the Minnesota Satisfaction questionnaire (MSQ) for workers with mental disorders. Based on a sample of 181 respondents, the alpha coefficients indicated high reliability for all scores. The average scores of satisfaction are high for these workers. The original and theoretical two-factor model demonstrated inadequate model fit. A four-factor 17-item model provided an acceptable fit to the data. The results are discussed in the light of previous studies; suggestions for professional use and for future research are proposed.     

A critical engagement with the DSM-5 and psychiatric diagnosis

Classifications in psychiatry can result in the reification of hypothetical approaches, arbitrary categorisation and social injustice. This article applies a social constructivist approach to critique the DSM-5 as a neurobiological model of psychiatric diagnosis which ignores psychosocial factors such as poverty, unemployment and trauma as causes of mental distress. It challenges the universality of psychiatric diagnosis and proposes that cultural psychiatry's framing of ‘culture-bound syndromes,’ or ‘cultural case formulation’ guidelines, is oversimplified. Use of the DSM in the South African context risks perpetuating injustice by labelling and stigmatising people who have in the past been racially stigmatised by apartheid. In culturally diverse South Africa, psychiatric diagnosis should take into account alternative explanatory models that provide a more balanced view of the complex and dynamic relationship between biological and sociocultural forces in the manifestation of psychopathology.     

Dyadic Flexibility in Early Parent–Child Interactions: Relations with Maternal Depressive Symptoms and Child Negativity and Behaviour Problems

Lower levels of parent–child affective flexibility indicate risk for children's problem outcomes. This short‐term longitudinal study examined whether maternal depressive symptoms were related to lower levels of dyadic affective flexibility and positive affective content in mother–child problem‐solving interactions at age 3.5 years (N = 100) and whether these maternal and dyadic factors predicted child emotional negativity and behaviour problems at a 4‐month follow‐up. Dyadic flexibility and positive affect were measured using dynamic systems‐based modelling of second‐by‐second affective patterns during a mother–child problem‐solving task. Results showed that higher levels of maternal depressive symptoms were related to lower levels of dyadic affective flexibility, which predicted children's higher levels of negativity and behaviour problems as rated by teachers. Mothers' ratings of child negativity and behaviour problems were predicted by their own depressive symptoms and individual child factors, but not by dyadic flexibility. There were no effects of dyadic positive affect. Findings highlight the importance of studying patterns in real‐time dyadic parent–child interactions as potential mechanisms of risk in developmental psychopathology. Copyright © 2012 John Wiley & Sons, Ltd.     

Autistic Patterns

Abstract

Over the last three decades, researchers have tried to identify the etiology of eating disorders. In examining the connections between different types of self-and-body dissatisfaction evident in eating disorders, the psychodynamic approach is the most feasible. Implicated are deficits of the self, unresolved problems in separation-individuation and self-definition, and the difficulty in expressing needcalled the “Black Hole.” The current article presents three case studies of anorexia, bulimia, and obesity and compares them through the ability to express neediness. Basic terms from the research of Tustin and others are used to explain the dynamics related to the capacity to express need, as exemplified in the different types of eating disorders.     

The Symbolic Object

Abstract

The term “symbolic object” is introduced as a way to understand the moments between analyst and patient where “something” new and dynamic emerges within the dyadic relationship. The symbolic object is the bridge between the idealized, all-good object and symbolization proper. The intrapsychic atmosphere between self and object representations is in a relatively non-conflicted state during this process. By reformulating the Nirvana principle and the principle of constancy as ways in which the organism economically strives for the most organized and homoeostatic state possible, the infant or adult can be seen to be searching for the position of lowest unpleasure possible. This is the optimum balance between the libidinal and aggressive forces in the self and object representational field. These moments of “truce” between often highly conflicted phantasies usher in a more refined use of projective identification as a form of intrapsychic/interpersonal communication. This is a particular atmosphere from which both parties, within the projective/introjective, back-and-forth dyadic world, can begin to co-create and rediscover assorted amalgams of self and object functioning. This newly awakened psychic entity is the symbolic object. This outgrowth of something fresh to the dyadic orbit is a mutative moment that propels the relationship into a different direction. Within the pairing of minds, a novel and mutual understanding is produced. Both parties share this new symbolic object and each is shaped by it.     

The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence: A Systematic Review of 38 Randomized Trials

Systemic therapy (ST) is one of the most widely applied psychotherapeutic approaches in the treatment of children and adolescents, yet few systematic reviews exist on the efficacy of ST with this age group. Parallel to a similar study on adults, a systematic review was performed to analyze the efficacy of ST in the treatment of children and adolescents. All randomized or matched controlled trials (RCT) evaluating ST in any setting with child and adolescent index patients were identified by database searches and cross‐references, as well as in existing meta‐analyses and reviews. Inclusion criteria were: index patient diagnosed with a DSM‐IV or ICD‐10 listed psychological disorder, or suffering from other clinically relevant conditions, and trial published by December 2011. Studies were analyzed according to their sample, research methodology, interventions applied, and results at end‐of‐treatment and at follow‐up. This article presents findings for internalizing and mixed disorders. Thirty‐eight trials were identified, with 33 showing ST to be efficacious for the treatment of internalizing disorders (including mood disorders, eating disorders, and psychological factors in somatic illness). There is some evidence for ST being also efficacious in mixed disorders, anxiety disorders, Asperger disorder, and in cases of child neglect. Results were stable across follow‐up periods of up to 5 years. Trials on the efficacy of ST for externalizing disorders are presented in a second article. There is a sound evidence base for the efficacy of ST as a treatment for internalizing disorders of child and adolescent patients.     

Depressive Cognition: A Test of Depressive Realism Versus Negativity Using General Knowledge Questions

This research is an examination of whether cognition in depressed individuals incorporates a realistic view of the world or a general tendency toward negativity. Participants provided two types of probability judgments of the likelihood that they correctly answered general knowledge questions: the probability that they correctly answered each of the individual questions and an aggregate judgment, after completing the questionnaire, of the percentage of all the questions they thought they had correctly answered. These tasks generally elicit overconfidence and accuracy in nondepressives. In accord with theories of both depressive realism and general negativity, in their item-by-item assessments of their answers to the individual questions, depressed participants demonstrated less overconfidence than nondepressed participants. In accord with the theory of general negativity but not with the theory of depressive realism, however, depressed participants demonstrated underconfidence in their aggregate judgments. The implications of these findings on theories of depressive cognition are discussed.     

Error monitoring recovery after abstinence and treatment in cocaine addicts / Recuperación del procesamiento de errores tras abstinencia y tratamiento en adictos a cocaína

Abstract

Cocaine addiction is associated with different cognitive functions. Error monitoring and inhibition of behaviour are of great significance, they are specifically relevant because of their connection with problems in decision making and relapse. The aim of this work is to not only study the deficits but also to see if recovery is possible after treatment and abstinence. We evaluated 23 participants with cocaine dependence and 23 control subject with a modification of the Eriksen Flanker Task. Participants with addiction showed lower scores than control subjects in congruent and incongruent conditions. As treatment time increased the number of correct responses improved, especially in post-error hits. We conclude that the processes of rehabilitation and detoxification could improve the ability to monitor errors and inhibiting behaviour.     

Morality‐ and identity‐related antecedents of children's guilt and shame attributions in events involving physical illness

It is theorised that guilt‐ and shame‐related appraisals vary on two separate dimensions. Guilt implies an appraisal that one has either committed a moral transgression or that one has otherwise been involved in the creation of a morally wrong outcome. Shame implies one's appraisal that the current event or condition reflects negatively on one's identity. To test these claims, 206 7‐ to 16‐year‐old children gave shame and guilt ratings of three types of events that were drawn from the domain of physical illness and that were designed to elicit primarily guilt, primarily shame, or both emotions. The 12‐year‐olds and older children's ratings were fully consistent with our hypothesis. Younger children's greatest difficulty was in not attributing shame to protagonists who were involved in causing a moral wrong without there being the threat of an unwanted identity.     

The reliability and validity of the Swedish version of the Body Shape Questionnaire

Psychometric properties of the Swedish version of the Body Shape Questionnaire (BSQ) were examined using data from three samples: (1) a sample from the general population (n= 1157), (2) a student sample (n= 124) and (3) a clinical sample (n= 90). Analyses showed that a single factor solution might be a reasonable solution as 32 of the 34 items loaded heavily on the first factor. The derived short 14-item version of the BSQ also showed a coherent structure with all the items loading on one single factor. The BSQ showed high test-retest reliability, very high internal consistency, ranging from 0.94 to 0.97, and high split-half reliability (above 0.93). Furthermore, it showed high validity by correlating highly with the body dissatisfaction subscale of the Eating Disorders Inventory (r= 0.72 and higher), and high discriminant validity. Thus, the Swedish version of the BSQ showed good concurrent and discriminant validity as well as high reliability.