Depressive disorders and depressive personality traits in offspring aged 10–17 of bipolar and of normal parents

Sixty proband children (P) of bipolar I parents and 60 control children of normal parents (C), in the age range 10–17, were investigated clinically by K-SADS-E interview and psychologically by personality inventories. In the global psychopathology rate of 63% in P children and 25% in C children, depressive disorders reached 8% in P children and 0% in C children, while depressive personality traits reached 22% in P children and 15% in C children. Cluster analysis evidenced a variety of personality structures, but 3 clusters were striking: a cluster characterized by high anxiety and depressive reactivity (17% P and 5% C children), a cluster characterized by high depressive reactivity and emotional instability (5% P children), and a hyperthymic cluster (5 % P children). Sixty-seven percent of P children and 36% of C children showed deviant personality traits (p<.01).     

Working with street children

In September 1990 we became involved with the Centre for the Defence of the Child (CDM) in Brazil, hoping to participate in a survey of the lives of street children that was being conducted by the group. The CDM, a branch of its parent organisation The Young Street Vendors' Association, takes on individual cases of street children, providing crisis management with social, psychological, and legal support. It was decided to start a project of regularly taking a team of staff on to the streets and into the areas where the street children were, with the aim of providing a programme of support and self-esteem building, principally for the street girls. This project proved a success with the street children and remains so following our departure from Brazil.     

Perspective and procedural justice: Attorney and litigant evaluations of court procedures

A comparison of the procedural justice judgments of attorneys and those of lay people judging the same procedures offers an opportunity to generate new information on what factors affect judgments of fairness. In a survey of reactions to conventional and innovative procedures in a United States district court, attorneys and lay people involved in tort and contract cases were asked to judge the overall fairness of court procedures and the fairness of specific procedures used in arbitration hearings. The respondents were also asked for their judgments concerning the favorability of the procedure's outcome, the opportunity to have the case heard and decided by an impartial third party, and their side's control over what happened in the case, all of which are factors found in previous studies to affect procedural fairness judgments. The results showed that, while attorneys gave higher overall fairness ratings than did litigants, the difference was not affected by the procedure assigned to the case. In addition, attorneys and litigants appeared to use the same standards to evaluate the fairness of procedures, although they disagreed about where the procedures they experienced fell on these dimensions. The theoretical and practical implications of the results are discussed.     

Internalizing Symptoms in Latinos: The Role of Anxiety Sensitivity

Latin American youth in the United States tend to report more internalizing symptoms than white non-Latino youth, yet little is known about the factors that may contribute to such differences. The present study examined the role that anxiety sensitivity, gender, and ethnic minority status may play in the expression of internalizing symptoms across Latin American adolescents (n = 116) and white non-Latino adolescents (n = 72) in the United States and Colombian adolescents in Colombia (n = 163). Results provide evidence that because fear of anxiety related phenomena and physiological symptoms of anxiety in particular may be normative in Latino culture anxiety sensitivity does not amplify somatic complaints for Latin American and Colombian youth as it does for white non-Latino youth. Results further suggest that anxiety sensitivity and being female predicted anxiety and depressive symptoms independent of cultural background. Implications of the findings to our understanding of cultural variability in internalizing symptoms are discussed. R. Enrique Varela, PhD, is an assistant professor of psychology at Tulane University. He received his PhD from the University of Kansas Clinical Child Psychology Program. His research interests are cross cultural manifestations of childhood anxiety and parenting practices in Latin American families. He is also interested in adherence issues in chronically ill children. Carl F. Weems, PhD, is an associate professor of psychology at the University of New Orleans. He received his PhD from Florida International University and did post doctoral work at Stanford Medical School. His research focuses on the developmental psychopathology of anxiety and depression. In particular, his research integrates developmental, cognitive, biological and behavioral theories in attempting to understand the etiology and course of internalizing disorders in childhood. Special areas of interest include the assessment and treatment of childhood anxiety disorders, the role of cognitive behavioral development, brain function, and cognitive processing in anxiety and depression. Steven L. Berman, PhD, is an assistant professor of psychology at the University of Central Florida. He received his PhD from Florida International University. His research interests are identity development including associated anxiety and distress, cross-national comparisons, and the development of identity interventions. Lauren Hensley, MS, is a graduate student in psychology at Tulane University. Her main research interest is anxiety development, with a focus on anxiety sensitivity and children’s responses to traumatic events. Maria Clara Rodriguez de Bernal, MS, is an assistant professor of psychology at Universidad de la Sabana, Bogota, Colombia. Her research interests are in the area of program evaluation dealing with anxiety disorders, posttraumatic stress disorder in particular.     

An Unusual Case Showing Fatal Rupture of a Gastric Ulcer or Gastromalacia? The Importance/Role of Histology for Differential Diagnosis

Gastromalacia is the acute autolytic erosion of the gastric wall. It generally occurs postmortem, and it appears as a slimy brownish black region of the wall which occurs principally in the gastric fundus. A 59‐year‐old woman died in the Emergency Department following a 2‐day period of mild abdominal pain, vomiting, and diarrhea. A forensic autopsy was performed which revealed a rupture of the gastric fundus that had caused leakage of gastric content into the abdominal cavity. There was no macroscopic evidence of peritonitis, and the stomach wall adjacent to the rupture site showed marked thinning. The gross appearance was typical of gastromalacia. In contrast, histological observations revealed the presence of an ulcer at the site of perforation and a severe acute inflammatory reaction indicating a robust reaction with an antemortem rupture.