Post Abortion Syndrome is a Clinical Reality: A Critical and Methodological Reflection on the Politics,Biology and Phenomenology of Unwanted Pregnancy and Abortion

Macleod (2009) criticizes Boulind and Edwards (2008) for using the concept of post-abortion syndrome (PAS) in their conceptualization of the case of Grace. This article responds to this by arguing the following points: 1) the appropriation of PAS into anti-abortion rhetoric is not sufficient reason to abandon it since this rhetoric distorts the facts, 2) methodological difficulties cited by Macleod in identifying the nature of the distress experienced by some women post-abortion are an artifact of the use of multivariate statistical methods which are not appropriate for answering these questions; 3) the well documented process of maternal foetal attachment, which has a neurobiological basis, shapes a pregnant women's experience of the foetus in the direction of experiencing it in personal terms; 4) the incorporation of this into the clinical concept of PAS carries no implications about foetal personhood; 5) there is considerable documentation of the loss of a foetus being experienced as a bereavement by some women and giving rise to a traumatic grief response; 6) there is a difference between a formal diagnosis in a diagnostic manual and a clinical syndrome which can guide case formulation. It is concluded that the presentation of the case of Grace, rather than offering evidence that supports a pro-life stance on abortion, is an example of the kind of emancipatory theory and practice that is advocated by Macleod.     

“Whenever Jack sees a condom,he falls asleep”: experiences of condom use and erectile disorder among HIV positive men in a Zimbabwean rural setting

In this qualitative inquiry, we set out to explore the experience of condom use and erectile disorder (ED) among men living with HIV in a rural district of Zimbabwe. Data on condom use related erectile disorder with antiretroviral (ART) medication were collected from a purposive sample of 18 men living with HIV and AIDS (age range 23–54 years). These data were supplemented with those from a convenience sample of 23 women living with HIV who self-identified as partners of men living with HIV and AIDS (age range 26–37 years). The data were thematically analyzed. Results suggest that men attributed their experiencing of erectile problems to two main explanations: use of condoms and ART medication. These men reported inconsistent use of condoms and/or adherance to ART therapy due to a belief that these cause their ED. The women informants reported similar observations, including the shared gendered perspective that the men perceived a loss of sense of manhood from ED. Beliefs that influence health promotion with men living with HIV and AIDS are important to public health interventions with them.     

Educators' Perceptions of Attention Deficit Hyperactivity Disorder: An Exploratory Study

The study investigated the perceptions of educators about Attention Deficit Hyperactivity Disorder, specifically their views on its incidence, causes and appropriate interventions in school settings. Five purposively selected educators from a private school participated in the study. Ethnographic interview was used to collect and analyze the data. The results revealed that the educators considered ADHD mainly a physiological disorder with primarily genetic and environmental causes. Regardless the educators preferred medication as the intervention method despite being aware of additional intervention methods.     

The Relation between Mind‐mindedness in Mothers with Borderline Personality Disorder and Mental State Understanding in their Children

This study investigated relations between mind‐mindedness in mothers with borderline personality disorder (BPD) and mental state understanding in their children. Participants were 20 mothers with BPD and 19 mothers without personality disorder and their children, aged 39–61 months. Children's mental state understanding was examined via a battery of theory of mind and emotion labelling tasks. Maternal mind‐mindedness was assessed by mothers' use of mental state references to describe their children relative to other attributes. Maternal BPD was associated with fewer references to children's mental states as well as poorer levels of mental state understanding in their children. Findings lend some empirical support to recent theoretical suggestions that BPD is associated with a reduced capacity for mentalization, as well as reduced capacity for mental state understanding in children of mothers with BPD. Copyright © 2012 John Wiley & Sons, Ltd.     

Sexuality,Intimacy, and Recovery

Human sexuality is an inseparable part of the yearning for intimacy, merging, and touch, both for people in general and for those with severe mental disorders. The exploration and acceptance of sexuality and the yearning for intimacy are vital to the recovery process of people with severe mental disorders. Despite this importance, therapists appear to disregard sexual issues in therapy with people with severe mental disorders. This article discusses the sexuality difficulties of these patients resulting from their personal history and examines the difficulties of therapists and therapeutic institutions in dealing with these patients’ sexuality-related issues.     

From “It's Not Me” to “It Was Me,After All”: A Case Presentation of a Patient Diagnosed with Dissociative Identity Disorder

In cases of extreme childhood trauma associated with abuse and neglect, one's sense of self is seriously compromised. Attachment patterns, symptoms, defensive operations, and character formation will differ depending upon the level of interference and impingement. When repeated trauma occurs in early childhood, the dissociative response may become the first line of defense for the person to rely upon. In its most severe form, patients are diagnosed with Dissociative Identity Disorder (DID). This paper addresses the case of a woman diagnosed with DID. It describes the restoration of a cohesive sense of self from the eight parts of a dissociated and fragmented self in the course of therapy. The clinical case material presented is that of the child part of her, known as Lucy. Her treatment resulted in the integration of the “it's not me!” self to the patient's knowledge that “it was me, after all.”     

Gratitude and PTSD symptoms among Israeli youth exposed to missile attacks: examining the mediation of positive and negative affect and life satisfaction

Based on a sample of Israeli adolescents living in a city which was under missile attack 2½ months prior to this study, we examined the possible affective and cognitive mechanisms through which gratitude may serve as a protective factor against PTSD symptoms. Specifically, we focused on how this process might be mediated by positive affect, negative affect, and life satisfaction. These are widely understood as the emotional and cognitive components of subjective well-being and have each been significantly associated with gratitude and with pathology in the literature. Using pathway analysis, our findings revealed that life satisfaction and negative affect, but not positive affect, mediated the relationship between gratitude and PTSD symptoms. Our study suggests that gratitude may serve as a protective factor primarily through cognitive appraisal processes tied to greater appreciation of life in a way that distinguishes it from other positive emotions.     

Categorization behaviour in adults,adolescents, and attention-deficit/hyperactivity disorder adolescents: A comparative investigation

Although significant progress has been made with respect to our understanding of categorization and concept learning behaviour in adults, much less is known about how this key capacity plays out with respect to more restrictive populations. This is unfortunate because much may be revealed about the nature of concept learning by examining the limits exhibited by special populations. With this tenet in mind, in what follows, we investigated key aspects of concept learning in terms of the unexplored comparative performance of three populations—adults, adolescents, and adolescents with attention-deficit/hyperactivity disorder (ADHD). To do so, we employed a novel parainformative experimental task involving categorical stimuli with four objects defined over three dimensions. The learning difficulty ordering for these types of three-dimensional stimuli has proven robust and has been replicated by several researchers. Indeed, in our experiment, we observed the same concept learning ordering in adults and adolescents, but not in ADHD adolescents: For example, the latter group showed greatly impaired categorization performance on stimuli characterized by an “exclusive-or” rule. However, categorization performance on such type of stimuli indicated good reliability in discriminating between adolescents with and without ADHD (receiver-operating characteristic, ROC?=?.82). We accurately predicted and accounted for these results using generalized invariance structure theory (GIST; Vigo, 2013. The GIST of concepts. Cognition, 129, 138–162), which posits that organisms detect invariance patterns in stimuli that are necessary precursors to concept formation.     

The overall pattern of the evolution of information in dissipative,material systems

I have argued for the reality of a second law of infodynamics. That is, that the information carrying capacity in a system, as viewed from within, must continue to increase as long as the system supports internal observation. I will be concerned here with matters of scale, as well as with system senescence (rigidity produced by the asymptotic approach to maximum information storage within a system). My major categories derive from a view of system development, and are: immaturity, maturity and senescence. As an immature system grows in size, It deploys information over ever smaller scales as it transforms from the vagueness of immaturity toward ever more definite embodiment. This eventually results in an information overload, gradually eroding system adaptability as it increasingly inhibits the variety of system responses by limiting its ability to further qualify stored information;     

Emerging as a Personality Disorder Service

Personality Disorder Services working along psychotherapeutic lines are gaining appeal with Health Care Commissioners following the publication of the NICE guidelines for Borderline & Antisocial Personality Disorders and the emerging successful application of psychoanalytically-derived approaches.

Establishing a new Personality Disorder Service is akin to constructing a ‘home’ within which the therapeutic work with patients can develop. As clinicians, we are required to question what facets are important to the development of this new home, and to further to endure the unfamiliar state of being ‘not at home’ while the identity of the service is established.

We address how this process parallels the task facing the patient as they struggle to establish their own identity. We also highlight some important tenets in the work of securing a robust identity for both the service and the patient suffering from a personality disorder.