23rd International Society for the Study of Dissociation Fall Conference, November 9-11, 2006, Los Angeles, California: Beyond Dissociative Disorders: The Relationship Between Dissociative Processes and Other Mental Disorders

2006 ◽  
2020 ◽  
Author(s):  
Louise Mewton ◽  
Briana Lees ◽  
Lindsay Squeglia ◽  
Miriam K. Forbes ◽  
Matthew Sunderland ◽  
...  

Categorical mental disorders are being recognized as suboptimal targets in clinical neuroscience due to poor reliability as well as high rates of heterogeneity within, and comorbidity between, mental disorders. As an alternative to the case-control approach, recent studies have focused on the relationship between neurobiology and latent dimensions of psychopathology. The current study aimed to investigate the relationship between brain structure and psychopathology in the critical preadolescent period when psychopathology is emerging. This study included baseline data from the Adolescent Brain and Cognitive Development (ABCD) Study® (n = 11,721; age range = 9-10 years; male = 52.2%). General psychopathology, externalizing, internalizing, and thought disorder dimensions were based on a higher-order model of psychopathology and estimated using Bayesian plausible values. Outcome variables included global and regional cortical volume, thickness, and surface area. Higher levels of psychopathology across all dimensions were associated with lower volume and surface area globally, as well as widespread and pervasive alterations across the majority of cortical and subcortical regions studied, after adjusting for sex, race/ethnicity, and parental education. The relationships between general psychopathology and brain structure were attenuated when adjusting for cognitive functioning. There was evidence of a relationship between externalizing psychopathology and frontal regions of the cortex that was independent of general psychopathology. The current study identified lower cortical volume and surface area as transdiagnostic biomarkers for general psychopathology in preadolescence. The widespread and pervasive relationships between general psychopathology and brain structure may reflect cognitive dysfunction that is a feature across a range of mental illnesses.


Author(s):  
Nicolas Bommarito

After a brief overview of the nature of attention, I argue that attention (and inattention) can be morally virtuous or vicious independently of associated overt actions. This is not, as others have claimed, because attention itself has moral value, but because attention can manifest underlying moral concern. After discussing the relationship between attention and concern, I discuss problematic cases related to mental disorders, in particular attention-deficit disorder and scrupulosity. I then apply the account to particular virtues associated with attention: modesty and gratitude. Gratitude, I argue, involves attention to our benefits and their sources, while modesty involves special patterns of attention away from our own good qualities. This account best explains how attention can be relevant to moral character.


2021 ◽  
pp. 016327872110039
Author(s):  
Christopher J. Rogers ◽  
Marianne Gausche-Hill ◽  
Laurie Lee Brown ◽  
Rita V. Burke

The current study assesses the relationship between continuing education (CE) with a focus on pediatrics and children with special heath care needs and how CE influences the knowledge and comfort levels of prehospital providers who treat these cases. Data are survey responses provided by paramedic and emergency medical technician (EMT) level providers (N = 575) in Los Angeles County. Regression models assessed the relationship between pediatric-focused continuing education and EMTs’ knowledge of and comfort with pediatric cases, adjusting for relevant covariates. EMTs’ participation in continuing education focusing on pediatrics and special health care needs was significantly associated with an increase in perceived comfort and knowledge. Among EMTs who did not receive continuing education focused on either pediatrics or special health care needs, the most frequently reported barrier to education was a perceived lack of availability. The impact of continuing education on perceived comfort and knowledge was more pronounced than the effect of prior experience, especially considering the limited prevalence of provider exposure to pediatric and childhood special health care needs cases compared to adult cases. Expanding educational opportunities is a promising approach to increasing the comfort and knowledge of EMTs who transport and care for pediatric cases.


2021 ◽  
Vol 80 (3) ◽  
pp. 1963-1980
Author(s):  
Solomon Adomako ◽  
Christian John Engelsen ◽  
Rein Terje Thorstensen ◽  
Diego Maria Barbieri

AbstractRock aggregates constitute the enormous volume of inert construction material used around the globe. The petrologic description as igneous, sedimentary, and metamorphic types establishes the intrinsic formation pattern of the parent rock. The engineering properties of these rocks vary due to the differences in the transformation process (e.g. hydrothermal deposits) and weathering effect. The two most common mechanical tests used to investigate the performance of aggregates are the Los Angeles (LA) and micro-Deval (MD) tests. This study reviewed the geological parameters (including mineralogy, grain and crystal size, grain shape, and porosity) and the relationship to Los Angeles and micro-Deval tests. It was found that high content of primary minerals in rocks (e.g. quartz and feldspar) is a significant parameter for performance evaluation. Traces of secondary and accessory minerals also affect the performance of rocks, although in many cases it is based on the percentage. Furthermore, some studies showed that the effect of mineralogic composition on mechanical strength is not sufficient to draw final conclusions of mechanical performance; therefore, the impact of other textural characteristics should be considered. The disposition of grain size and crystal size (e.g. as result of lithification) showed that rocks composed of fine-grain textural composition of ≤ 1 mm enhanced fragmentation and wear resistance than medium and coarse grained (≥ 1 mm). The effect of grain shape was based on convex and concave shapes and flat and elongated apexes of tested samples. The equidimensional form descriptor of rocks somehow improved resistance to impact from LA than highly flat and elongated particles. Lastly, the distribution of pore space investigated by means of the saturation method mostly showed moderate (R = 0.50) to strong (R = 0.90) and positive correlations to LA and MD tests.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e040480
Author(s):  
Amaya Ayala-Garcia ◽  
Laura Serra ◽  
Monica Ubalde-Lopez

ObjectivesTo assess the relationship between early working life patterns, at privately and publicly held companies, and the course of sickness absence (SA) due to mental disorders.MethodsCohort study of workers aged 18–28 years, affiliated with the Spanish social security system, living in Catalonia, who had at least one episode of SA due to mental disorders between 2012 and 2014. Individual prior working life trajectories were reconstructed through sequence analysis. Optimal matching analysis was performed to identify early working life patterns by clustering similar individual trajectories. SA trajectories were identified using latent class growth modelling analysis. Finally, the relationship between early working life patterns and subsequent SA trajectories was assessed via multinomial logistic regression models.ResultsAmong both men and women, four labour market participation (LMP) patterns were identified: stable permanent employment (reference group), increasing permanent employment, fluctuating employment and delayed employment. Among women, an increasing permanent employment pattern in early working life was related to a decrease of accumulated SA days over time (adjusted OR (aOR) 2.08; 95% CI 1.18 to 3.66). In men, we observed a trend towards a middle stable accumulation of SA days in those with fluctuating employment (aOR 1.25, 95% CI 0.57 to 2.74) or delayed employment (aOR 1.79; 95% CI 0.59 to 5.41). In both men and women, an early working life in big companies was related to a more favourable SA trajectory.ConclusionsEarly LMP patterns characterised by an increasing stability—decreased number of transitions between temporary contracts and lack of social security coverage towards permanent contracts—were related to a better future SA course due to mental diagnosis.


2021 ◽  
pp. 1-26
Author(s):  
David A. Wiss ◽  
Marjan Javanbakht ◽  
Michael J. Li ◽  
Michael Prelip ◽  
Robert Bolan ◽  
...  

Abstract Objective: To understand the relationship between drug use, food insecurity (FI), and mental health among men who have sex with men (MSM). Design: Cohort study (2014-2019) with at least one follow-up. Setting: Visits at 6-month intervals included self-assessment for FI and depressive symptoms. Urine testing results confirmed drug use. Factors associated with FI were assessed using multiple logistic regression with random effects for repeated measures. General structural equation modeling tested whether FI mediates the relationship between drug use and depressive symptoms. Participants: Data were from HIV-positive and high-risk HIV negative MSM in Los Angeles, CA (n=431; 1,192 visits). Results: At baseline, FI was reported by 50.8% of participants, depressive symptoms in 36.7%, and 52.7% of urine screening tests were positive for drugs (i.e., marijuana, opioids, methamphetamine, cocaine, ecstasy). A positive drug test was associated with a 96% increase in the odds of being food insecure (95% CI: 1.26-3.07). Compared to those with high food security, individuals with very low food security have a nearly 7-fold increase in the odds of reporting depressive symptoms (95% CI: 3.71-11.92). Findings showed 14.9% of the association between drug use (exposure) and depressive symptoms (outcome) can be explained by FI (mediator). Conclusion: The prevalence of FI among this cohort of HIV-positive and high-risk HIV-negative MSM was high; the association between drug use and depressive symptoms was partially mediated by FI. Findings suggest that enhancing access to food and nutrition may improve mood in the context of drug use, especially among MSM at risk for HIV-transmission.


2017 ◽  
Vol 82 (5) ◽  
pp. 779
Author(s):  
Nisha Fahey ◽  
Apurv Soni ◽  
Jeroan Allison ◽  
Jagdish Vankar ◽  
Anusha Prabhakaran ◽  
...  

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