The influences of chronic illness and ego development on self-esteem in diabetic and psychiatric adolescent patients

Self-esteem as measured by the Coopersmith Self-Esteem Inventory [Coopersmith, S. (1967),The Antecedents of Self-Esteem, Freeman, San Francisco] and ego development as measured by the Washington University Sentence Completion Test [Loevinger, J., and Wessler, R. (1970),Measuring Ego Development, Vol. I, Jossey-Bass, San Francisco] were evaluated in three groups of early adolescents: diabetic patients, nonpsychotic psychiatric patients, and a nonpatient group of high-school students. We found that low levels of ego development were associated with low levels of global and domain-specific self-esteem in all three subject groups. Levels of self-esteem among diabetic patients were not significantly different from those of nonpatients. While psychiatric patients had significantly lower self-esteem levels than the other groups, this difference was accounted for by preconformists, i.e., those at the lowest stages of ego development. Psychiatric patients reaching higher ego levels showed self-esteem levels indistinguishable from those of the diabetics and nonpatients.This study was supported by the youth development project of the Joslin DRTC (NIH AM20530-01), a grant from the Joslin Diabetes Center (NIH-BRSG), and NIH Grant AM27845. The authors thank John Houlihan, M.A., for statistical and computer consultations and Jennifer Johnson for data analyses.Received M.D. from The University of Chicago. Currently studying psychosocial consequences of diabetes mellitus.Received M.D. from Yale University and Ph.D. from Harvard University (Psychology). Currently studying family contexts of adolescent development.Received Ed.D. from Harvard University (School of Education). Currently studying family coping processes in response to stressful events.Received Dipl. Psych. from Freie Universitat, Berlin (Clinical Psychology). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.     

Sex differences within the family: Studies of adolescent and parent family interactions

Sex differences in verbal family interactions were investigated in a group of 79 adolescents and parents from normal and psychiatric settings. The analyses were designed to study these differences in both generations, parent and adolescent. Parent and adolescent interactions with one another were observed in a semistructured, revealed-differences family discussion. All of the individual speeches were then scored with our Constraining and Enabling Coding System (CECS). Initial predictions involved both adolescent and parent differences. These hypotheses were only partially confirmed. The strongest findings pertained to parent sex differences, as we found strikingly higher levels of cognitive enabling speeches expressed by fathers and significantly more speeches addressed to fathers. We discuss several alternative interpretations of these findings. Perspectives included in our considerations are direction of effect and influences of task/context upon the expression of family sex differences.This study was supported through a grant from the National Institute of Child and Human Development (NICHD Grant No. R01 HD18684-02) and a Research Scientist Development Award No. 5 K-02-MH-70178 (Dr. Hauser) from the NIMH.Received M.D. from Yale University and Ph.D. from Harvard University (psychology). Currently studying family contexts of adolescent development.Received B.A. from Michigan University. Currently graduate student in organizational behavior, Northwestern University. Current interests are women and work.Received his Ph.D. from Boston University. Research interests are in methodology and statistics.Henry A. Murray Research Center of Radcliffe College. Received Ed. D. from Harvard University (School of Education). Currently studying family coping processes in response to stressful events.Received Ph.D. from Ohio State University (psychology). Current interests in assessing ego development and family systems.Parent-Place, Judge Baker Guidance Center. Received Ph.D. from the University of Miami (clinical psychology). Research interests are in family studies and adolescent development.Received M.D. from the University of Chicago. Currently studying psychological consequences of diabetes mellitus.the Children's Unit of McLean Hospital. Received Diploma Psych. from Freie Universitat, Berlin (clinical psychology), and Ed.D. from Harvard University (School of Education). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.     

British Abortion Law: Speaking from the Past to Govern the Future

This paper analyses the poor alignment of the aging statutory framework and modern understandings of medical best practice in the context of abortion services. With a particular focus on medical abortion, it assesses the significant challenges that the gulf between the two poses for clinicians, service providers, regulators and the courts. Law is said to be at its most effective where there is a shared regulatory community that accepts and endorses the values that underpin it. It is suggested that the example of abortion law provides a marked example of what happens when legal norms once justified by broadly shared moral understandings, concerns for patient safety and requirements of best practice are now either unsupported by or, indeed, sit in opposition to such concerns.     

A forensic international market survey of condom lubricants and personal hygiene products using ATR-FTIR coupled to chemometrics

Condom residues may be encountered in forensic investigations as traces in sexual assault or rape cases. Casework studies have shown the value of distinguishing condom residues from other types of personal products used by women. However, up to now, there has been no investigation of their chemical variability within an international context. This work employed attenuated total reflectance Fourier transform infrared spectroscopy with chemometrics to provide objective characterisation of condom lubricants and personal hygiene products from the international market. 166 samples were obtained covering five major classes of products likely to be used by women. Principal component analysis distinguished most major classes based on their spectral profiles, with subsequent support vector machine models yielding discrimination accuracies over 90%. A two-step approach was subsequently developed and enabled both classification and a discrimination accuracy of 100%. This could provide greater confidence in chemical discrimination of residues from these products when conducting investigations and help assess the origin of the chemical profile obtained. Further testing using three validation sets produced an identification accuracy of 100% for generic classes, which may allow investigative leads to be more readily obtained from recovered evidence.