DC:0–5: DIAGNOSTIC CLASSIFICATION OF MENTAL HEALTH AND DEVELOPMENTAL DISORDERS OF INFANCY AND EARLY CHILDHOOD

The significant growth in the clinical literature on early childhood psychopathologysince the publication of the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Zero to Three–Revised (DC:0–3R; ZERO TO THREE) in 2005 necessitated substantial revisions to the manual, which resulted in the publication of the DC:0–5: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Zero to Five (ZERO TO THREE) in 2016. In addition to the decision to extend the early childhood diagnoses to include children through age 5 years, significant revisions were made to many diagnoses, and new diagnostic categories were added such as the Relationship Specific Disorder of Infancy/Early Childhood. Other additions, such as guidance for the development of a Cultural Formulation for the young child and his or her family and the inclusion of functional impairment criteria also contribute to making the DC: 0–5a substantially more comprehensive and robust diagnostic framework than its predecessor.     

Cell phone-induced ostracism threatens fundamental needs

Cell phones are useful tools with both practical and social benefits. However, using them in the context of face-to-face conversations may be problematic. We consider this behavior a form of ostracism and test its effects on the satisfaction of basic psychological needs for belonging, self-esteem, control, and meaningful existence. In Study 1 participants who recalled a time in which a friend was checking a cell phone during a serious conversation reported feeling more ostracized (ignored and excluded), greater pain, and threat to basic needs than participants recalling a conversation without a cell phone interruption or a control event. Study 2 replicated and extended this effect: Cell phone-induced ostracism’s effects were partially mediated by decreased feelings of relational evaluation, and threatened basic needs both in serious and casual conversation contexts. Findings from both studies also indicated that cell phone-induced ostracism hurts women more so than men.     

THE TEXTURE OF TRAUMATIC ATTACHMENT: PRESENCE AND GHOSTLY ABSENCE IN TRANSGENERATIONAL TRANSMISSION

Work on the transgenerational transmission of trauma refers to unspoken stories across generations, but the actual mode of transmission has remained somewhat mysterious. Utilizing examples from her own life, the author illustrates how attachment patterns are a primary mode of transmission of trauma. When trauma revisits a person transgenerationally through dysregulated and disrupted attachment patterns, it is within the child's empathic attunement and search for a parental bond that the mode of transmission can be found. This will become the texture of traumatic attachment: how it feels to this child to feel connected to the parent.     

Object relational disturbances that may underlie the diagnosis of attention-deficit disorder in adults

Extensive case material is used to show how some adult patients who have been diagnosed with and medicated for attention-deficit disorder (ADD) may be actually suffering from underlying unconscious object relational conflicts that interfere with their ego-functioning, creating an inhibition of basic concentration, focus, expression, and learning. Early childhood experiences of trauma and neglect can create destructive patterns of projective identification based paranoia, guilt, and intense anxiety. The author proposes that these patients have to sacrifice their own identity, psychological organization, and ability to learn or teach in order to keep the peace with others. In order to avoid conflict, difference, and uncertainty, these patients do whatever they can to placate, please, and not disturb the object. However, they often end up extremely resentful, oppositional, and passive-aggressive in reaction. The overwhelming anxiety these patients experience in relationship to the object and to their own internalized demanding critic blocks their ability to learn and grow. In addition, new knowledge, mastery, and creativity are seen as dangerous, forced upon them, or bringing unsafe attention to them. So, in defense, they adapt an inert, scattered, or formless way of living to keep under the radar. This paper advocates the psychoanalytic treatment of such internal conflicts over the popular diagnosis of ADD. Difficulties of learning, attention, concentration, and organization can be better understood and treated as a set of core psychological issues open to gradual working through and healing rather than neurological defects that can only be controlled or managed with strong medication and behavioral exercises.     

How Norms (Might) Guide Belief

Abstract

Belief normativism is roughly the view that judgments about beliefs are normative judgments. Kathrin Glüer and Åsa Wikforss (G&W) suggest that there are two ways one could defend this view: by appeal to what might be called ‘truth-norms’, or by appeal to what might be called ‘norms of rationality’ or ‘epistemic norms’. According to G&W, whichever way the normativist takes, she ends up being unable to account for the idea that the norms in question would guide belief formation. Plausibly, if belief normativism were true, the relevant norms would have to offer such guidance. I argue that G&W’s case against belief normativism is not successful. In section 1, I defend the idea that truth-norms can guide belief formation indirectly via epistemic norms. In section 2, I outline an account of how the epistemic norms might guide belief. Interestingly, this account may involve a commitment to a certain kind of expressivist view concerning judgments about epistemic norms.     

Beware of friends: The cultural psychology of relational mobility and cautious intimacy

Previous research has contrasted patterns of cautious or prevention‐oriented relationality in various West African settings with patterns of growth or promotion‐oriented relationality in many North American settings. The present research draws upon the concept of relational mobility to test the hypothesis that different patterns of relationality have their source in respective affordances for embedded interdependence or abstracted independence. Study 1 investigated the relationship between cautious intimacy and perception of relational mobility among a sample of Hong Kong students. Study 2 compared students in Hong Kong and North American settings to test whether differences in perception of relational mobility mediated the hypothesized differences in caution about friends. Study 3 used an experimental manipulation among a sample of Hong Kong students to test the hypothesis that increased perception of relational mobility reduces caution about friends. Results reveal broad support for the hypotheses. Whether as a measured variable or as an experimental treatment, the perception of relational mobility was negatively related to caution about friends. Moreover, this relationship mediated hypothesized cross‐national differences in caution about friendship. A discussion of the results considers intersections of cultural and ecological approaches to psychology and implications for theoretical conceptions of interdependence.     

Children’s prayers from a Hospital Chapel

Children’s prayers, from prayer books left in the Chapel of a Children’s Hospital between 1998 and 2002, were studied for what the children’s God-talk would reveal about their perceptions of God. Of the 3893 prayers written during this period, 346 were confidently identified as being authored by children. The sample of 346 prayers, which gave rise to 558 expressions of prayer, was explored through a content analysis, used quantitatively to summarise and describe the data, and a thematic analysis, informed by methods from Grounded Theory. The psychological and spiritual significance of the prayers is drawn out, demonstrating the richness and relationality of children’s spirituality. The predominance of prayers written by female writers, suggests that the extent to which relationality is present is related to gender. Questions concerning possible gender-related differences in girls’ and boys’ spirituality are raised and implications for practice are considered.