Anguish and despair in adolescents with eating disorders--helping to manage suicidal ideation and impulses

Adolescents struggling against anorexia nervosa or bulimia nervosa often experience self-punishing thoughts and behaviors, including self-mutilation, and suicidal ideation and attempts. These arise out of the profound anguish and despair frequently experienced by these young people. This paper outlines four particularly salient clinical themes underlying this despair that have significant implications for treatment. A practice perspective is discussed which emphasizes empathic listening and the development of a strong therapeutic alliance with the adolescent. Treatment recommendations draw from narrative theory and practice, and from feminist perspectives. The paper also draws on cognitive therapy and on recent developments in the areas of spirituality and motivational enhancement. Involving the distressed adolescent's family is also addressed.     

New pitfall for the pharmaceutical industry

Legal context This article reviews the Commission decision thatfined AstraZeneca 60 million for abuse of Article 82 EC. Itlooks at the decision in the context of the EU legal frameworkfor pharmaceuticals and considers the legal basis for the Commissiondecision. Key points The article highlights the key points of the allegedabusive practices that do not appear to be consistent with theEU regulatory legal framework and the ECJ jurisprudence in particular,read in conjunction with the principle of commercial freedom. Practical significance The Commission decision (if upheld bythe courts) would have an significant impact on the way thatpharmaceutical companies run their business. This would constitutean unprecedented interference with the principle of commercialfreedom afforded to pharmaceutical companies and specificallyrecognised by the ECJ.     

A latent variable model of the Family-of-Origin Scale for adolescents

The Family-of-Origin Scale (FOS) is a recently developed 40-item instrument originally designed to assess adults' perceptions of the family in which they were raised. A modified version of the FOS has shown promise for assessing adolescents' perceptions of the extent to which their family fosters autonomy and intimacy. The current study involved administration of the FOS to a large sample of adolescents currently residing with their family of origin. Confirmatory factor analysis supports the scale's original 13 theoretical constructs and establishes factorial validity. Follow-up hierarchical tests indicate the current confirmatory model provides a significant refinement over other plausible models proposed by several different authors finding a similar unitary factor employing exploratory factor analyses.     

If Immigrants Could Vote in the UK: A Thought Experiment with Data from the 2015 General Election

The distribution of voting rights in the UK is an artefact of history rather than a product of clear legal or philosophical principles. Consequently, some resident aliens (i.e. immigrants) have the right to vote in all UK elections; others can vote in local elections but are excluded from national elections; still others are excluded from all elections. In England and Wales alone, roughly 2.3 million immigrants are excluded from voting in national elections. This exclusion is inconsistent with the founding principle of democracy and distorts political discourse. What if all immigrants could vote in national elections? We estimate that up to ninety‐five parliamentary seats could have been won by a different party in the 2015 general election. More substantially, enfranchising all immigrants would require re‐drawing UK constituency boundaries. The new electoral map would increase the relative power of urban constituencies and would incentivise some political entrepreneurs and parties to temper anti‐immigration rhetoric.     

Identifying Critical Points of Trajectories of Depressive Symptoms from Childhood to Young Adulthood

Journal of Youth and Adolescence - Depression is a common mental illness and research has focused on late childhood and adolescence in an attempt to prevent or reduce later psychopathology and/or...     

Was the 2016 United States’ presidential contest a deviating election? Continuity and change in the electoral map – or “Plus ça change,plus ç’est la mème géographie”

Several commentators before and after the 2016 US presidential election claimed that it involved a “redrawing of the country’s electoral map”, which in the context of the Key/Pomper classification of elections suggested that it was a deviating election, and potentially a critical election heralding a realignment. Analysis of the geography of the result of the 2016 contest, however, indicates considerable continuity at the county scale: the main trend was an increase in the spatial polarization of the US electorate. Trump not only performed best in 2016 in those counties where Republican party candidates had done well at the previous nine elections, he also increased the Republican share of the votes cast in many of them relative to his performance in counties where the Democratic party candidates were strong then. The main deviations from this trend were in counties with large Black and/or Hispanic populations and those with relatively large numbers of well-qualified, well-paid adults. It was not a potential critical election, therefore, but a continuation of a sequence now nearly four decades old.     

Psychosocial and Symbolic Dimensions of the Breast Explored through a Visual Matrix

This article explores knowledge about the breast in lived experience, addressing a gap in empirical research on a highly gendered cultural trope and embodied organ. We present findings from a study that used a free-associative psychosocial method—the Visual Matrix—in order to stimulate expressions of tacit aspects of the breast, aiming to generate an understanding of relations between embodied and enculturated experiences. Our data revealed how an aesthetic of the grotesque in one matrix allowed the mainly female group to use humour as a “creative psychic defence” against culturally normative and idealized aspects of the breast. This was expressed through symbolizations, affectively delivered in an exuberant mode, emphasizing the breast‘s potency and its potential for nurturance and “weaponization”. Through this feminine poetic, life and death became inseparable yet ambiguous dimensions of breasts. The breast’s life-affirming qualities included the sensual, the visceral, and the joyful—a material-semiotic knowing. This was incontrast to a second matrix, which expressed a more ambivalent and troubled response, and in which associations were weighted towards the spectacular breast of an ocular-centric culture that privileges hetero-masculine looking. We discuss differences between the two matrices in terms of psychosocial tensions between embodied and enculturated experiences.     

AMERICAN LIBERALISM AND THE DEMOCRATIC DREAM: TRANSCENDING THE AMERICAN DREAM

The "American Dream" is a compromise between an elitist dream and a democratic dream. While citizens enjoy equal political and legal rights, democracy is undermined in the economic sphere by vast inequalities of wealth, status and power. The American Dream can and should be transcended through a rediscovery of the "democratic dream" of Thomas Jefferson. Jefferson was a defender of popular government and equality, who viewed vast inequalities of wealth as incompatible with a society of free and independent citizens living together in social harmony. Jefferson favored a variety of policies to expand economic equality. In Jefferson one finds an authentically American set of ideas for challenging the consensus that limits democracy to political and legal rights.