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A reflection on how the absence of a psychodynamic perspective may disadvantage gender care and decision-making.
Australas Psychiatry
January 2025
Institute of Contemporary Psychoanalysis, Los Angeles, CA, USA.
Objective: To reflect on factors that may have led to the widespread implementation of gender affirming care (GAC) for minors by psychiatric clinical leaders despite the absence of a robust evidence base and the known risks of harm.
Conclusions: The progressive rejection of psychodynamic thinking by the profession of psychiatry may have contributed to psychiatrists failing to question key aspects of GAC for minors. Further, numerous unconscious factors potentially contribute to the foreclosure of thinking about the risks of gender medicine.
Lateralization of Neural Speech Discrimination at Birth Is a Predictor for Later Language Development.
Dev Sci
March 2025
Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Newborns are able to neurally discriminate between speech and nonspeech right after birth. To date it remains unknown whether this early speech discrimination and the underlying neural language network is associated with later language development. Preterm-born children are an interesting cohort to investigate this relationship, as previous studies have shown that preterm-born neonates exhibit alterations of speech processing and have a greater risk of later language deficits.
View Article and Find Full Text PDFSomatic symptom disorder and the role of epistemic trust, personality functioning and child abuse: Results from a population-based representative German sample.
J Affect Disord
December 2024
Department of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany; Department for Psychosomatic Medicine and Psychotherapy, Medical Center of the Philipps University Marburg, Marburg, Germany.
Background: A growing body of evidence explored symptom burden of somatic symptom disorder (SSD) and its complex etiology involving psychosocial aspects. Child abuse has been linked to numerous psychopathologies including somatic symptoms as well as impaired personality functioning and disruptions in epistemic trust. This work aims to investigate personality functioning and epistemic trust in the association between child abuse and somatic symptom burden.
View Article and Find Full Text PDFObject constancy and absence in Winnicott through the lens of the piggle.
Am J Psychoanal
December 2024
Adult and Child Psychoanalyst, British Psychoanalytical Society, 25 Drylands Rd, N89HN, London, United Kingdom.
This paper revisits D. W. Winnicott's famous account of his patient Piggle to examine the profound nature of her response to the birth of her baby sister in the light of the concepts of object constancy and absence.
View Article and Find Full Text PDFParental considerations about their childs' mental health: Validating the German adaptation of the Parental Reflective Functioning Questionnaire.
PLoS One
December 2024
Clinical Psychology of Childhood and Adolescence & Counseling Psychology, Ludwig-Maximilians-Universität, Munich, Germany.
Article Synopsis
- The study focuses on the Parental Reflective Functioning Questionnaire (PRFQ), an 18-item self-report tool that assesses parents' awareness of their child's mental states, and aims to validate it in a German context.
- Researchers analyzed data from 378 mothers of young children using statistical methods like Confirmatory Factor Analysis to confirm the questionnaire's structure and reliability, ultimately reducing it to a 16-item version with three relevant subscales.
- The modified German version of the PRFQ showed valid connections to factors like parental attachment and parenting stress, though its reliability could still be enhanced.
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