Sex differences in depression across the high school to college transition

Although adolescent and adult females have consistently been found to experience depression at twice the rate of males, the college population has represented a notable exception, with equal rates of depression reported for males and females. Using a cross-sectional design with equivalent measures, we explored the nature of these shifting population statistics by the following: (a) examining whether college females were reporting lower levels of depression, or college males were reporting higher levels of depression, relative to same-sex high school peers; and (b) exploring a number of relevant psychological and psychosocial/environmental variables that might explain these shifts. Replicating previous findings on the presence or absence of gender differences in depression in adolescent vs. college subjects, our data also indicated that this shift could be accounted for by lower levels of depression reported by college, relative to high school, females. Moreover, although psychological variables were the best overall predictors of females' depression levels, differences between high school and college females were best explained by psychosocial/environmental variables. Results are discussed in terms of the contextual features associated with the college environment that might protect women against depression and account for differential depression levels.Graduate student in the Ph.D. program in clinical psychologyResearch interests include cognitive, interpersonal, and social-environmental factors associated with depression.Received Ph.D. from Northwestern University. Research interests include cognitive and developmental aspects of depression. This research was supported, in part, by a faculty grant from Emory University to Linda Koenig.     

"Holding the child down" for treatment in paediatric haematology: the ethical,legal and practice implications

Very little has been written about involuntary treatment for adult patients and even less about such treatment for paediatric patients. Ethical dilemmas for nurses in such situations have not been clearly articulated and there are no clear guidelines available in this area. The following findings from a qualitative, longitudinal study on the psycho-social aspects of treatment for childhood leukaemia and related diseases are offered as preliminary work on this important professional issue. The feelings of parents when confronted with the necessity of holding their child down so that they may receive probably curative treatments for acute lymphoblastic leukaemia are described and some of the ethical and legal issues confronting nurses who provide these treatments are explored.     

Postmortem concentrations of citalopram

The postmortem concentrations of citalopram in blood, bile, liver, and vitreous humour were investigated in 14 cases using a specially developed high performance liquid chromatography assay. Concentrations from drug and non-drug related deaths were categorized to determine a postmortem therapeutic and toxic range. Therapeutic citalopram concentrations for blood, bile, liver, and vitreous humour ranged to 0.4 mg/L, 2.1 mg/l, 6.6 mg/kg, and 0.2 mg/L, respectively. In one potentially fatal response to citalopram, concentrations were 0.8 mg/L, 6.0 mg/L, 0.3 mg/L for blood, bile and vitreous humour, respectively.     

The Bottom Line: The Effect of Written Expert Witness Statements on Juror Verdicts and Information Processing

Mock jurors recruited from jury rolls were either not given written statements of expert witnesses' direct testimony or were provided with such statements before or after the presentation of that testimony. Presentation of the statements before the testimony and cross-examination provided jurors with a schema that allowed them to distinguish more effectively among the claims of four differentially worthy plaintiffs because they processed more probative evidence than other jurors. Jurors in receipt of written statements before the testimony found the evidence to be more comprehensible than other jurors. Jurors provided with written statements following testimony and cross-examination were able to differentiate between the most and least severely injured plaintiffs, whereas jurors not in receipt of any written statements were unable to differentiate among any of the differentially worthy claimants. The limitations of this case management technique and of the study are discussed.     

Female undergraduate attitude toward distribution of the birth control pill on the campus

A sample of 150 female college students was interviewed about their attitudes toward the University Health Center's distributing birth control pills to students who wanted them. More than two-thirds of the students responded favorably to the proposal. The influence of the campus community as opposed to the general community seemed to be a factor for these attitudes.Received Ph.D. from the University of Wisconsin in Sociology. Current research interests are in the areas of cognitive complexity and evaluation of persons and cross-cultural comparisons of definition of self.Received B.A. from New York City Community College. Will receive M.A. in sociology from Tulane in June 1972. Current interests are in rehabilitation and sociology of religion.     

Constructing the self in mental health practice: identity,individualism and the feminization of deficiency

The discursive production of the ‘self’ in the context of mental health care has potential implications for how the subjects of intervention come to understand and experience themselves. Eating disorders provide an illustrative example of the ways in which conceptualizations of the self that structure mental health practices can be gendered, because they are mainly diagnosed in women and dominant explanations of their origins are feminized. This discourse analytic study examines the gendered nature of mental health workers' constructions of the eating-disordered self through the psychological construct of ‘identity’, examining the dominant discourses implicated in the feminization of deficient identity, and addressing the implications of this construction for mental health practice.     

Consociationalism and Intergovernmental Relations ‐ Linking Internal and External Power‐Sharing in the Swiss Federal Polity1

For several decades, comparative politics has treated the Swiss political system as the prime example of a power‐sharing polity in which consociationalism and cooperative intergovernmental relations co‐exist in a mutually reinforcing manner. Surprisingly enough, so far the linkages between these two types of power‐sharing have been neither adequately theorized nor empirically analyzed. In order to substantiate how intra‐governmental power‐sharing facilitates intergovernmental cooperation, this paper proposes a rational choice approach specifying different mechanisms driving actors' choices in favour of or against strong intergovernmental arrangements (IGAs). Just to mention two of the mechanisms at work: given multi‐party executives in the cantons, over time, party compositions hardly change and ideological differences between cantonal executives are moderate. Hence, a fairly stable horizontal interest profile characterized by little ideological divergence facilitates the setting‐up of strongly institutionalized IGAs. These mechanisms are examined empirically, first, by systematically assessing the organization of Swiss intergovernmental relations and second, by identifying the motives of Swiss intergovernmental actors to establish the given structures on the basis of in‐depths interviews. While the results indicate that intra‐cantonal power‐sharing facilitates inter‐governmental institutionalization, they also reveal what culturalist approaches on Swiss federalism presupposing actors' inclination towards cooperation commonly overlook, namely Swiss actors' strategic moves to guard own powers and defend institutional self‐interests affecting organizational developments in the intergovernmental arena.     

Psychiatrists' concept of adolescent self-image

The objectives of the study were as follows: (1) to determine the accuracy of psychiatrists' concepts of the self-image of healthy and disturbed adolescents, and (2) to examine the effects of psychiatrists' gender, experience, and specialization on the accuracy of these concepts. Toward this end, eighty-four psychiatrists completed a modified Offer Self-image Questionnaire as they believed a mentally healthy 15-year-old of their gender would respond. These responses were compared to those of 140 nonpatient 15-year-olds. Sixty-one psychiatrists completed the questionnaire as they believed a disturbed 15-year-old of their gender would respond. These responses were compared to the responses of 70 psychiatric inpatient 15-year-olds of the same diagnosis. The results were that psychiatrists had a more accurate concept of normal adolescents' self-image than was found in 1981. However, their view of the self-image of disturbed adolescents was more psychopathological than the disturbed adolescents viewed themselves. Psychiatrists' gender, number of years postresidency, and type of training had no effect on the accuracy of the psychiatrists' concepts. The results demonstrate that while psychiatrists work with disturbed adolescents, they have a more accurate perception of the self-image of normal adolescents. This can effect the diagnosis and treatment of adolescent patients.Presented on May 24, 1994, at the annual meeting of the American Psychiatric Association, Philadelphia, Pennsylvania.Received M.D. from Rush Medical College. Research interest is in adolescent psychology.Received M.D. from University of Chicago. Research interests are in adolescent development psychology and psychopathology.Received Ph.D. from University of Chicago. Research interests are in psychotherapy research and adolescent psychology.Received Ph.D. in Clinical Psychology from Northwestern University. Research interests are in adolescence and child development.     

NGOs,international courts,and state backlash against human rights accountability: Evidence from NGO mobilization against Tanzania at the African Court on Human and Peoples' Rights

When nongovernmental organizations (NGOs) encounter state resistance to human rights accountability, how do NGOs use international courts for their human rights advocacy strategies? Considering the overlapping phenomena of shrinking civic space within authoritarian, hybrid, and democratically backsliding regimes, and state backlash against international courts, NGOs navigate two potential levels of state backlash against human rights accountability. Building on the interdisciplinary scholarship on legal mobilization, we develop an integrated framework for explaining how states' two-level (domestic and international) backlash tactics can both promote and deter NGOs' strategic litigation at international human rights courts (IHRCs). States' backlash tactics can influence NGOs' opportunities, capacities, and goals for their human rights advocacy, and thus affect whether and how they pursue strategic litigation at IHRCs. We elucidate the value of this framework through case studies of NGOs' litigation against Tanzania at the African Court on Human and Peoples' Rights, an understudied IHRC. Drawing on an original data set, interviews, and documentation, we process-trace how Tanzania's various backlash tactics influenced whether and how NGOs litigated at the Court. Our framework and analysis show how state backlash against human rights accountability affects NGOs' mobilization at IHRCs and, relatedly, IHRCs' opportunities for influence.