The importance of impaired physical health and age in normal cognitive aging

The objective of this study was to investigate the importance of impaired physical health and age in normal cognitive aging. In our cross-sectional, clinical and explorative study, medical and neuropsychological data from 118 voluntary healthy controls aged 26-91 years were collected from five recruitment occasions. Health was assessed according to a criterion reflecting clinical and subclinical severity. The examinations included a clinical investigation, brain neuroimaging, and a comprehensive neuropsychological assessment. Regression analyses showed a significant incidence of clinical and subclinical medical disorders that explained 10.8% of the variation in cognitive performance, while age-related impairment explained 5.6%. Findings of the central nervous system were important but various other medical findings explained about half of the health-related variation. Cognitively demanding tasks were more susceptible to impaired physical health while tasks comprising salient motor- and visual spatial elements were more prone to be impaired by age. Our findings suggest (1) that impaired physical health is more important than chronological age in accounting for cognitive impairment across the adult lifespan, (2) that age and health dissociate with regard to cognitive functions affected, and (3) that selection for so-called "super healthy" elderly people might be justified in cognitive research. Because the prevalent diseases in normal aging are potentially preventable, the present findings promise good prospect for prevention of future cognitive disability among elderly people.     

The Judas Within: A Look at the Sexual Abuse Crisis in the Catholic Church

Drawing from normal accident theory, high reliability theory, and systems theory, we analyze the Charter for the Protection of Children and Young People that is promulgated by the United States Conference of Catholic Bishops in response to the sexual abuses of minors by clergy members. Although the Charter is a step in the right direction, there remain some areas that require immediate attention. In spite of the goodwill processes, the safety of minors must remain the concerted efforts and responsibilities of individuals at all the various levels if the Catholic Church is to prevent further cases of abuse from happening.     

Grounded Theory methods in child psychotherapy research

This article considers the place of qualitative research in psychoanalysis and child psychotherapy. It discusses why research methodology for many years occupied so small a place in these fields, and examines the cultural and social developments since the 1960s which have changed this situation, giving formal but also qualitative methods of research much greater significance. It reflects on the different pressures to develop explicit research methods which arise both from outside the psychoanalytic field, as a condition of its continued professional survival, and from within it, where its main aim is the development of fundamental psychoanalytic knowledge. It suggests that the conduct of mainly quantitative research into treatment outcomes is largely a response to these external pressures, whilst the main benefits to be gained from the development of qualitative research methods, such as Grounded Theory, are in facilitating the knowledge-generating capacities and achievements of child psychotherapists themselves. The paper describes Grounded Theory methods, and explains how they can be valuable in the recognition of hitherto unrecognised meanings and patterns as these are made visible in clinical practice. Finally, it briefly describes three examples of completed doctoral studies, all of which have added significantly to the knowledge-base of child psychotherapy, and which demonstrate how much can be accomplished using this method of research.     

Investigating the effects of movement speed on the lumbopelvic coordination during trunk flexion

Movement speed during trunk flexion has long been reported to affect task performance and biomechanical responses. The current study investigated how movement speed changed lumbopelvic coordination, especially lumbopelvic continuous relative phase and phase variability during trunk flexion. Eighteen subjects executed a paced trunk flexion routine over time periods of 3, 7, 11 and 15 seconds. The results demonstrated that compared with the 3-s condition, lumbopelvic continuous relative phase was 98.8% greater in the 15-s condition, indicating a more anti-phase coordination pattern. This pattern is suggested to mitigate the increased spinal loading associated with the longer duration of muscle exertion. Additionally, phase variability was 18.8% greater in the 15-s trials than the 3-s trials, such an unstable coordination pattern is likely caused by the more active neuromuscular control. Findings of this study provide important information about the effects of movement speed on lumbopelvic coordination during trunk flexion.     

The psychological nature of subjective memory complaint in non-demented older adults: The respective predictive values of psycho-affective,lifestyle, and cognitive inhibition variables

Introduction/ObjectiveThe aim of this study was to investigate, using path analysis (Lisrel 8.52), the relationships between subjective memory complaint and cognitive inhibition, lifestyle, and psycho-affective variables on a sample of non-demented older adults.MethodOur sample was composed of 109 older adults, who were required to undertake two cognitive inhibition tasks (stroop and verbal fluency) and to respond to scales designed to measure individuals’ psycho-affective status (depression/subjective health) and subjective memory complaint level (Mac Nair). Lifestyle predictors (education and activity levels) were also assessed.Results/ConclusionThis study highlights the importance of adopting a multifactorial approach to the study of subjective memory complaint. In addition to executive variables (verbal fluency task), predictors such as subjective health and activity levels seem to be crucial in our understanding of the psychological nature of subjective memory complaint.     

The psychoanalyst's normal and pathological superegos

The first section of the paper explores a number of differing views regarding the concept of the superego, essentially in terms of its formation and its functions. Two broad theories of superego development, both of which were introduced by Freud, are described. The first takes the superego to be principally oedipal in origin; the second traces the superego to an earlier period. The controversy about the usefulness of the concept of the death instinct is also implicated in the different views. It is then suggested that it is worthwhile to distinguish between a normal superego and a pathological superego and that these two distinct models of the superego are implicit in the work of both Freud and Klein. Strachey's (1934) views on the nature of the mutative effect of psychoanalytic treatment are briefly reviewed in the light of this distinction. It is suggested that Strachey was hesitant in clarifying the full implications of his views, particularly regarding the reasons for the difficulty the psychoanalyst will experience in making a transference interpretation. It is argued that the difficulty will relate to the psychoanalyst's anxiety about having sufficiently worked through the countertransference, particularly in relation to superego functioning. Two brief clinical vignettes are considered in support of this view. The last section of the paper offers some comments on the emotional development of the psychoanalyst and the ways that maturing as a psychoanalyst will involve a certain mellowing of the analyst's stance and a greater tolerance of the patient's prerogative to bring the full range of his or her personality into the treatment.     

The positive eating scale: relationship with objective health parameters and validity in Germany,the USA and India

Objective: The prevailing focus regarding eating behaviour is on restriction, concern, worry and pathology. In contrast, the purpose of the present studies was to focus on a positive relationship with eating in non-clinical samples from Germany, the USA and India.

Design: In Study 1, the Positive Eating Scale (PES) was tested and validated in a large longitudinal sample (T1: N = 772; T2: N = 510). In Study 2, the PES was tested in online samples from the USA, India and Germany (total N = 749).

Main Outcome Measures: Health risk status was measured in Study 1 with objective health parameters (fasting serum glucose, triglycerides, high-density lipoprotein cholesterol, blood pressure, waist circumference, BMI).

Results: Study 1 revealed acceptable psychometric properties of the PES, internal consistency (α = .87), as well as test–retest reliability after six months (r = .67). Importantly, a positive relationship with eating was associated with decreased health risk factors six months later. In Study 2, the structure of the PES was confirmed for German, Indian and US-American adults, suggesting validity across remarkably different eating environments.

Conclusion: A positive relationship with eating might be a fruitful starting point for prevention and intervention programmes promoting physical and psychological health.     

免费师范生职业认同感与生命意义的关系

该研究采用师范生职业认同感量表和生命态度剖面图(LAP)中的"生命意义的追寻与肯定"分量表,对258名一至三年级的免费师范生进行问卷调查,探讨免费师范生职业认同感与生命意义的关系。结果表明,免费师范生职业认同感及其各因子均与生命意义及其各因子呈显著正相关;高中低不同职业认同感组的生命意义及其各因子的组别效应显著;免费师范生职业认同感的职业效能、职业意愿与期望、职业价值三因子是生命意义的显著预测变量。     

ATTENTIONAL FLEXIBILITY AND PERSEVERATION: DEVELOPMENTAL ASPECTS IN YOUNG CHILDREN

Whereas a growing interest in the development of attentional flexibility (AF) and in perseverative behavior, being one marker of this component, exists in neuropsychological studies and in the domain of developmental psychopathology (e.g., PKU, infantile schizophrenia, autism and Parkinson's disease) (Pennington &; Ozonoff, 1996 Pennington, B. and Ozonoff, S. 1996. Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37: 51–88. [PUBMED][INFOTRIEVE][CSA][Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Stahl &; Pry, 2002 Stahl, L. and Pry, R. 2002. Joint attention and set-shifting in young children with autism. Autism, 6(4): 383–396. [PUBMED][INFOTRIEVE][CROSSREF][Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), only a few studies have concerned themselves with this subject in normal children. It is thus of interest to add more empirical data to the existing literature in this domain. Therefore, the aim of our study was to explore the development of AF and of perseverative errors in young preschool children with normal development, aged 1.5 to 6 years. Using set-shifting tasks of increasing difficulty level, three age groups were compared with respect to their AF skills.Results show a developmental factor underlying AF, with different levels of this form becoming more and more complex with age, ranging from a rudimentary visual form to a complex representational form of flexibility. Overall, few perseverative errors occurred and they decreased with age. Results are discussed from a developmental and neuropsychological perspective.     

Behavioral Treatment of Self-Choking in a Developmentally Normal Child

ABSTRACT

In the past, self-choking behavior has been associated with individuals who were either developmentally disabled or experienced psychosis symptoms, and has usually been treated with aversive procedures. A time-series design using several different non-aversive behavioral procedures was used to analyze these treatment effects on an 11-year-old girl whose habit of self-choking interfered with normal functioning. Habit reversal procedures, which implement an incompatible response in place of the target behavior, did not, as first hypothesized, have a positive effect on self-choking behavior. However, attention from a male therapist as a positive reinforcer initially decreased the frequency of self-chokes and percent of time spent self-choking. Attention contingent on performance was not as effective on the child's behavior as attention administered noncontingently. Overall, the behavioral treatment approach applied here does not appear to reduce the target behavior in a clinically significant manner. Implications for future treatment approaches for this behavior are discussed.