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.     

Reimagining Sutherland 80 years after white‐collar crime*

Eighty years ago, Edwin H. Sutherland conceptualized and defined white‐collar crime. In this article, I engage retrospectively with Sutherland's ideas and work to emphasize important aspects that continue to guide research today; to note where he was prescient as well as shortsighted. I center this discussion around “corporate crime” or crimes by business. Four main themes are discussed: 1) law and official responses to corporate offending—the data problem, 2) corporate crime and the life cycle of organizations, 3) psychological and trait‐based explanations, and 4) consequences of definitional ambiguity.     

Massively parallel sequencing and the emergence of forensic genomics: Defining the policy and legal issues for law enforcement

Use of DNA in forensic science will be significantly influenced by new technology in coming years. Massively parallel sequencing and forensic genomics will hasten the broadening of forensic DNA analysis beyond short tandem repeats for identity towards a wider array of genetic markers, in applications as diverse as predictive phenotyping, ancestry assignment, and full mitochondrial genome analysis. With these new applications come a range of legal and policy implications, as forensic science touches on areas as diverse as ‘big data’, privacy and protected health information. Although these applications have the potential to make a more immediate and decisive forensic intelligence contribution to criminal investigations, they raise policy issues that will require detailed consideration if this potential is to be realised. The purpose of this paper is to identify the scope of the issues that will confront forensic and user communities.     

An investigation into the presence of petrol on the clothing and shoes of members of the public

First, the clothing and shoes from 29 participants who had recently filled their vehicles with petrol were analysed for any traces of petrol. No traces of petrol were found on any of these items. Secondly, the clothing and shoes from 17 participants who had recently used a petrol-powered lawn mower were also analysed for petrol. Petrol was detected on two pairs of shoes from different participants. Components of petrol were detected on a set of clothing from a third participant, however, there were insufficient components present in this sample to confirm the presence of petrol. No traces of petrol were found on the items from the remaining 14 participants. Thirdly, the clothing from a forecourt attendant, a mechanic and a professional lawn mower were analysed at the end of a number of shifts. Petrol was detected on the upper and lower clothing from the forecourt attendant at the end of one shift. No petrol residues were found on the forecourt attendant after a second shift, or on the mechanic's clothing after two separate shifts or on the professional lawn mower's clothing after three separate shifts. These results can be used to assist the forensic analyst in assessing the chance of finding traces of petrol on clothing and shoes after the wearer has performed common activities that involve petrol.     

The Human Fertilisation and Embryology Act (2008) and the Tenacity of the Sexual Family Form1

The new parenthood provisions set out in Part 2 of the Human Fertilisation and Embryology Act 2008 have been attacked as dangerous and radical, offering a ‘lego‐kit model of family life’ and a ‘magical mystery tour’ in how legal fatherhood is to be determined. In this paper, we explain what is innovative about these new provisions but also explore what they owe to deep‐rooted traditional assumptions about the family. Relying both on published documentation relating to this reform process and a small number of key actor interviews, we trace the imprint of what Fineman has described as the ‘sexual family’ model on the provisions. We conclude that the way that parenthood is framed within the legislation relies on a number of important normative assumptions which received very little scrutiny in this process. We also highlight a number of tensions within this framing which, we suggest, may create future problems for judicial determination.     

A Comparison of Victimization and Perpetration of Intimate Partner Violence Among Drug Abusing Heterosexual and Lesbian Women

The study describes types and rates of intimate partner violence (IPV) reported by active drug using women enrolled in a street outreach HIV prevention research study located in Tucson, Arizona. IPV data were collected on 434 women at the baseline assessment who reported being in a current intimate partner relationship. The data collected included types of violence as well as rates of victimization and perpetration of IPV. Using profile analysis, we examined similarities and differences in patterns of incidence rates of both victimization and perpetration of IPV across different IPV behaviors experienced by heterosexual and lesbian women. Results indicate substantial rates of IPV among both heterosexual and lesbian women with both similarities and differences in IPV behaviors reported. Results suggest that type of relationship and type of IPV behavior are important factors in identifying and preventing IPV, and improving interventions aimed at addressing IPV.