On the adolescent process as a transformation of the self

The purpose of this paper is to clarify and extend the psychoanalytic theory of adolescence. Three sources of data are used: biographical source material about Freud's adolescence, introspective accounts from the self-analysis of psychoanalysts, and other biographical vignettes and reports from the psychoanalytic literature. It is proposed that a change in the self emerges as the pivotal focus during adolescent development. An intense peer relationship serves to maintain narcissistic balance and the cohesion of the self. This allows deidealization of archaic parental imagoes and their transformation into newly internalized idealizations. The newly acquired idealizations consolidate into a stable ego ideal which eliminates the need for an alter ego relationship. The self-objects chosen for these new idealizations are related to the need to overcome specific disappointments in the archaic self-objects. The stability of the new ideals depends on the invulnerability of the idealized self-objects. Transient states of narcissistic disequilibrium manifest as turmoil. Presented at a meeting of The Chicago Psychoanalytic Society on May 23, 1972.Received M.D. from the University of Maryland; psychiatric training at the Cincinnati General Hospital; graduate of The Chicago Institute for Psychoanalysis. Main interests are the development of psychoanalysis from a historical perspective and the psychology of adolescence.Received M.D. from New York University; psychiatric training from Associated Psychiatric Faculties of Chicago; graduate of The Chicago Institute for Psychoanalysis. Main interest is the intellectual history of psychoanalysisReceived M.D. from the University of Chicago; psychiatric training at Michael Reese Hospital, Chicago; graduate of The Chicago Institute for Psychoanalysis. Main interest is psychoanalytic metapsychology of development.     

Hyperostosis cranii ex vacuo in adults: a consequence of brain atrophy from diverse causes

Hyperostosis cranii ex vacuo is diffuse thickening of the bones of the cranium occurring after successful ventricular shunting in hydrocephalic children, presumably as a compensatory phenomenon. We present three adults with severe brain atrophy and correspondingly severe skull thickening. In each, the cause of cerebral atrophy was well defined, and none had undergone ventricular shunting. In two, brain atrophy resulted from different temporally discrete insults sustained in adult life, ischemic in one and traumatic in the other. In the third case. progressive brain atrophy resulted from a primary neurodegenerative disorder, Hallervordan Spatz disease. Our observations suggest that hyperostosis cranii ex vacuo is a more general phenomenon than has been previously recognized, and point to a relationship between dynamic changes in brain size and skull thickness. We suggest that such relationships should be taken into account in anthropometric evaluation of the skull.     

How Democratic Is “Governance”? Lessons from Swiss Drug Policy

Public action increasingly takes place in self-organizing networks that are remote from direct governmental control. While these transformations have been subject to scrutiny in regard to their efficiency, less attention has been paid to their democratic quality. This article discusses governance-induced problems of democracy by isolating two major criticisms. Deliberative criticism argues that governance, rather than allowing for true deliberation in the public space, may lead to a loss of accountability. Participatory criticism stresses that governance impinges on participatory venues. The article discusses these criticisms theoretically and empirically, drawing from research on drug policy in Switzerland. The findings show that the criticisms are relevant, albeit not entirely justified.     

Brain amino acid abnormalities in liver disease--a postmortem study

In a postmortem exploratory study, we examined whether specific amino acid abnormalities associated with liver diseases in vivo may also be detected in human brain samples obtained at clinical autopsies. The branched-chain amino acids (BCAA: valine, leucine, isoleucine) were decreased in the group of patients with liver diseases compared with the control group, whereas the aromatic amino acids (AAA: phenylalanine, tyrosine) were increased. However, the ranges overlapped significantly and were not statistically different. The molar ratio BCAA/AAA was determined to be 1.92 in the collection of patients with liver diseases compared with 2.27 in the control group. In patients with liver disease, ornithine concentrations in the brain appeared significantly decreased whereas glutamine was significantly increased. No significant difference was found in the brain concentrations of proline. Amino acid analysis may contribute to the understanding of pathophysiological mechanisms of liver disease, which are discussed, and may supplement the postmortem diagnosis.     

The use of pulmonary interstitial emphysema as an indicator of live birth

Making the determination of live birth versus stillbirth in a discarded newborn infant based on gross and microscopic autopsy findings can be a challenging task for the forensic pathologist. The traditional criteria for live birth determination are frequently challenged in court, and indisputable evidence of live birth remains elusive. The histologic finding of pulmonary interstitial emphysema has not been considered as a useful determinant of live birth. The authors report two cases of discarded newborn infants in which the finding of pulmonary interstitial emphysema was used as an indicator of live birth.     

Prisoners' perception of informing to the authorities: an analysis in terms of functional moral judgment

A series of functional measurement experiment show that prisoners modulate their moral judgments of violations of their in-group regulations. The participants were 67 women and 80 men, sentenced for at least three years for murder, robbery, drug-traffic or white collar offenses. Each was asked, individually, to imagine a series of incidents where incriminating information on in-group or out-group inmates is delivered to the prison authorities or to an ingroup source and to rate the deserved denigration of the informer, who was characterized as a leader or not and as a drug-addict or not who had a prison-leave or not. An assignment of approximately equal weight for social status, drug use and prison leave was found, beyond gender and type of offense. In line with the hypothesis of judgmental modularity, informing to an out-group source was judged much more severely than informing to in-group arbiter and than informing on an out-group inmate.     

Romantic partners and young adult offending: Considering the role of partner's socioeconomic characteristics

In this study, we examined whether and to what extent the effects on offending of marriage and different types of cohabitating partnerships depend on the romantic partner's socioeconomic status (SES). Such research addresses a key gap in knowledge regarding potential heterogeneity of effects on behavior of romantic partnerships. Drawing on the National Longitudinal Survey of Youth 1997, we examined the within‐individual effects of three romantic partner's socioeconomic characteristics–education, employment, and income–on offending from ages 18 to 34. Results revealed that marriage was related to reductions in arrest only for those whose spouse was employed (full or part time) and had income. In contrast to marriage, partner SES was not related to arrest among those who cohabited with a partner they never married. Additionally, partner SES was often associated with reductions in arrest among those who cohabited with a partner they later married, but the reductions were statistically indistinguishable across levels of partner SES. Lastly, these effects were experienced similarly for low‐ and high‐SES individuals alike, and no gender differences were detected in these effects. Our findings suggest that important life events such as marriage and cohabitation can be behavior‐altering transitions, but the effects of these events are variable.     

A Novel Method for Removing a Spinal Cord with Attached Cervical Ganglia from a Pediatric Decedent

A diagnosis of child abuse is dependent on a comprehensive and accurate assessment of injury in the context of a thorough investigation. However, signatures of trauma are often subtle and interpretation can be very difficult. Recently, researchers have refocused their attention from the head to the neck in search of traumatic signatures of abusive head trauma. HCIFS has developed a technique to remove the cervical spinal cord with the ganglia attached that is less destructive and more time and cost efficient than alternative methods previously published. Once removed, the dorsal nerve roots and ganglia are evaluated for the presence of hemorrhage. The authors performed a small pilot study using the novel method to evaluate 20 decedents with a history of blunt force trauma and eight without a traumatic history. Fifteen of the traumatic deaths and two of the nontraumatic deaths were found to have dorsal nerve root and/or ganglia hemorrhage.     

School Suspensions and Adverse Experiences in Adulthood

The “school-to-prison pipeline” and the negative effects of suspensions, expulsions and school arrests have received increasing national attention recently. Researchers have documented some of the potential harms of these exclusionary school discipline practices for students, including academic difficulties, increased misconduct, and future justice system contact. However, these investigations have been somewhat limited in scope, as they tend to focus only on students’ academic outcomes and juvenile justice system involvement. In this paper we seek to expand upon prior studies by considering how school suspensions may affect youth in peripheral and long-lasting ways. Using data from the National Longitudinal Survey of Adolescent to Adult Health, we analyze whether being suspended from school relates to the likelihood of students experiencing a number of adverse events and outcomes when they are adults. We find that being suspended increases the likelihood that a student will experience criminal victimization, criminal involvement, and incarceration years later, as adults.