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Consultation for and identification of child and adolescent psychological problems in Dutch general practice.

BACKGROUND: Child and adolescent psychological problems are rarely brought to the attention of GPs. Children and adolescents with psychological problems who do visit their GP are seldom identified as such by GPs. OBJECTIVE: To investigate in a general population sample of 2,449 Dutch children and adolescents (4-17 years) GP consultation and GP diagnoses of child psychological problems, and the influence of child and family characteristics upon these variables. METHODS: The degree to which parent, teacher, and adolescent reports of the presence of child psychological problems are in concordance with GP diagnoses of these problems was determined. Logistic regression analyses were used to examine correlates of GP consultation and psychological diagnoses. RESULTS: Approximately 80% of children and adolescents with psychological problems had visited their GP within the preceding year. GP consultation was most strongly associated with child/adolescent chronic physical disorders. Concordance between GP psychological diagnoses and parent, teacher, and adolescent reports of psychological problems was limited. Children and adolescents with psychological problems according to parent or teacher report, children with school problems, young boys, adolescents with negative health perceptions, and adolescents from single parent families were more likely to be diagnosed with psychological problems by GPs. CONCLUSION: Improving GPs' interview techniques, introducing standardised screening measures in general practice, increasing GPs' awareness of the possible presence of psychological problems in children consulting for physical problems, and strengthening collaboration between GPs and mental health professionals may increase GP identification of child psychological problems and enhance access to care for those in need.

Adolescent↗

When multiple identities interfere: the role of identity centrality.

The current study extends research in the area of identity conflict or interference by focusing on a new identity combination, the woman and scientist identities. In addition, it examines the influence of identity centrality, or importance, as a predictor of interference and moderator of the relation between interference and well-being and science performance. Supporting hypotheses, greater identity interference was related to lower levels of performance and well-being. Furthermore, woman centrality was unrelated to interference for those with a central scientist identity, but for those without a central scientist identity, they were positively related. Although central identities were related to positive outcomes in the absence of interference, the outcomes of all women suffered when interference was high, contrary to the hypothesis. The implications of identity centrality for understanding the negotiation of potentially conflicting identities, and for the retention of women in the sciences, are discussed.

Adolescent↗

Elements of change and cure in psychoanalysis.

Many elements are involved in the process of change and cure in psychoanalysis, some of which are seen as facilitative and others as definitive. I attempted to establish and illustrate the role of the interpersonal interactions between analysand and analyst. As a result of the traditional analytic process, the patient relives at a regressive level some of the unresolved developmental conflicts and crises in the relationship with the analyst. Thus, he has an opportunity to find, through the current experience, a more satisfactory and appropriate developmental resolution of previous psychopathology.

Cognition↗

Achievement orientation and fear of success in Asian American college students.

One hundred eighty-five Asian American undergraduates participated in a study designed to examine the relationships among gender, acculturation, achievement orientation, and fear of academic success. Acculturation was modestly correlated with achievement orientation. Endorsement of Asian and Anglo values were significantly related to individual-oriented achievement. Marginal significance, however, was obtained for endorsement of Asian values and beliefs to social-oriented achievement. These findings suggest that persons with a bicultural identity tend to adopt a multifaceted achievement style. Achievement orientation, in turn, predicted fear of academic success, with gender and perceived discrepancies from parental achievement values contributing minimal additional variance. Social-oriented achievement was related to high fear of academic success, whereas an individualistic orientation buffered against such conflicts.

Acculturation↗

Human figure drawings of sex offenders.

The D-A-P was administered to 60 male sex offenders from a correctional institution. The drawings of the inmates, taken as a whole, seemed to be indicative of narcissism, assertion, sex disturbance, aggression, and anxiety. Significant differences in the drawings of rapists, child molesters, and incest offenders were found. The following D-A-P aspects appeared to be prominent in the drawings of the Ss, in descending order: reinforcement, long nose, large head, legs wide apart, too much hair, waistline emphasis, slash mouth, long feet, pointy fingers, distorted heads, and opposite sex drawn first.

Adult↗

Psychoanalysis.

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Adolescent↗

The distinction between self and not-self in children and adolescents.

The direction and extent of age-related differences in self-definition were studied in 120 students from age 6 to 16 years who were asked to identify 42 items as self or not-self. Total number of self-responses increased with age, and girls responded to slightly more items as self than boys. Body parts, identifying personal characteristics, and psychological processes were identified as self more frequently at all ages than significant others, self-related objects, and possessions. The direction of age-related change was toward greater self-extension and appeared to involve a reconceptualization of self and not-self relations.

Adolescent↗