Faculty Bibliography

Abrams, currently the longest serving editor of The Psychoanalytic Study of the Child, offers his views of emerging models and themes in the understanding of children, which has characterized The PSOC since its inception in 1945. In his view, the first of its published papers, Hartmann and Kris's "The Genetic Approach in Psychoanalysis," set the stage for examining innovative ways to view the growth of the mind in general and the psychological development of children in particular. In his judgment, many of its published papers have highlighted expectable dispositional discontinuities as well as recognizable continuities interacting with a varying and sometimes unexpected set of environment circumstances. That interaction occurs within a dialectical space that contributes its own unique influences. This investigative trend, scattered throughout its nearly seventy-year history, may reflect the recognition for the need for a different foundational theory for our discipline or perhaps a new paradigm altogether.

This paper introduces the readership of The Psychoanalytic Study of the Child to the topic of transgender children, which will be investigated in the papers that follow. A flashpoint in the recent discourse that escorts children who self-describe as gender nonconforming is whether or not to support the practice of the medical suspension of puberty of these children by the administration of hormonal treatment. Relevant up-to-date research findings on this subject will be reviewed here. Despite those advocates and opponents who swarm around both poles, any reliable conclusions as to the long-term safety and psychological effects of puberty suppressants will remain provisional until future studies proffer more definitive answers. While we await further study, the journal sees the necessity to press for dialogue concerning this conundrum. Anchoring this section is a clinical paper by Diane Ehrensaft, Ph.D., which documents the psychotherapeutic treatment of a transgender child who was prescribed puberty suppressants. The commentaries that follow and that are briefly summarized in this introduction will accent the psychoanalytic developmental point of view. This will provide the principal framework for the study of this controversy, which underscores the complementary dimensions of linear and nonlinear progressive hierarchical growth. In this context, features such as the developmentally normative fluidity of self-structures, including gender role identity, and the evolution of concrete thinking toward metaphoricity and figurative meaning-making in middle childhood and adolescence will be examined and applied to the clinical data. In addition, the argument that the use of puberty suppressants exacts a premature foreclosure on the reorganizing potential of developmental growth, and the proposed effects of the crosscurrents of the sociocultural body politic on these children and on the decision to opt for the suspension of pubertal growth will be explored.

The author offers his own historical review of the celebrated "Frankie" case, contextualizing it within political as well as scientific challenges. In addition, he provides an introductory survey of the three contributions that are to follow in the section. Similarities and differences are underscored, as contemporary child analysts revisit this acknowledged "classic" reported more than sixty years ago. In the revisiting and even in one instance where it is surprisingly a first reading, similarities and differences between there-and-then as contrasted with here-and-now reflections prove quite illuminating. There is considerable lauding of the revolutionary nature of the original case on the one hand, along with some open criticisms on the other. Several of the scholars suggest that the technique and the theories of pathogenesis and therapeutic action might well benefit from some selective updating of cognitive stance to the organization of clinical data. In this regard, adding nonlinear thinking to the original reductionism bias gets a strong boost-although that proposal doesn't quite achieve the decisive definition that permits it to flourish.

I wish to showcase the importance of plasticity of narrative in fantasy formations, as exemplified in Achilles' psychological trajectory in The Iliad. Applying conceptual formulations concerning the psychoanalytic developmental process to Achilles' growth piques my reflections about the sibling experience and its unique position in the mental life of children and adolescents. With developmental advance and the capacity for measured fluidity of self and other structures, the original sibling experience whether it be tilted toward aggressiveness or toward loving concern or a place in between-may acquire new meanings. By locating it within this contextual framework, Achilles' story line can be seen as a metaphorical description of the continuous and discontinuous patterns in growth. This poses intriguing questions: What contexts are useful in pondering Achilles' psychological shifts? Might the domain of disposition prove useful? Is birth order another? Is his gradual empathic concern for the enemy a demonstration of an elasticity of imaginative capacity that reassembles murderous potential? Child and adult analysts alike may find a rich trove in Homer's masterpiece for contemplating potential sources within their patients that spur forward movement.

One useful approach for fitting linear models with scalar outcomes and functional predictors involves transforming the functional data to wavelet domain and converting the data-fitting problem to a variable selection problem. Applying the LASSO procedure in this situation has been shown to be efficient and powerful. In this article, we explore two potential directions for improvements to this method: techniques for prescreening and methods for weighting the LASSO-type penalty. We consider several strategies for each of these directions which have never been investigated, either numerically or theoretically, in a functional linear regression context. We compare the finite-sample performance of the proposed methods through both simulations and real-data applications with both 1D signals and 2D image predictors. We also discuss asymptotic aspects. We show that applying these procedures can lead to improved estimation and prediction as well as better stability. Supplementary materials for this article are available online.

Currently, the developmental trajectories of neural circuits implicated in autism spectrum disorders (ASD) are largely unknown. Here, we specifically focused on age-related changes in the functional circuitry of the posterior superior temporal sulcus (pSTS), a key hub underlying social-cognitive processes known to be impaired in ASD. Using a cross-sectional approach, we analysed resting-state functional magnetic resonance imaging (fMRI) data collected from children, adolescents and adults available through the autism brain imaging data exchange repository [n = 106 with ASD and n = 109 typical controls (TC), ages 7-30 years]. The observed age-related changes of pSTS intrinsic functional connectivity (iFC) suggest that no single developmental pattern characterizes ASD. Instead, pSTS circuitry displayed a complex developmental picture, with some functional circuits showing patterns consistent with atypical development in ASD relative to TC (pSTS-iFC with fusiform gyrus and angular gyrus) and others showing delayed maturation (pSTS-iFC with regions of the action perception network). Distinct developmental trajectories in different functional circuits in ASD likely reflect differential age-related changes in the socio-cognitive processes they underlie. Increasing insight on these mechanisms is a critical step in the development of age-specific interventions in ASD.

BACKGROUND: Depression frequently co-occurs with diabetes. The associations between risk factors for insulin resistance and depression and diabetes can help determine the relative importance of factors that contribute toward the comorbidity. METHOD: Analyses of the NHANES I (n = 10,025) to examine the cross-sectional relationships between depression and risk factors for insulin resistance at baseline using logistic regression and to explore the longitudinal relationships between risk factors for insulin resistance and diabetes incidence using Cox proportional hazards modeling. RESULTS: Many risk factors for insulin resistance were associated with depression and diabetes incidence. Depression was cross-sectionally associated with diabetes, but did not increase the risk for diabetes incidence.These counterintuitive results can be explained primarily by the differing relationships between risk factors for insulin resistance, depression, and diabetes. LIMITATIONS: Lack of repeated measures of depression. CONCLUSIONS: Lack of physical activity, hypertension, and inadequate sleep were the risk factors for insulin resistance with the highest associations with both depression and diabetes incidence.

The mediodorsal thalamic nucleus (MDT) is a higher order thalamic nucleus and its role in cognition is increasingly well established. Interestingly, components of the MDT also have a somewhat unique sensory function as they link primary olfactory cortex to orbitofrontal associative cortex. In fact, anatomical evidence firmly demonstrates that the MDT receives direct input from primary olfactory areas including the piriform cortex and has dense reciprocal connections with the orbitofrontal cortex. The functions of this olfactory pathway have been poorly explored but lesion, imaging, and electrophysiological studies suggest that these connections may be involved in olfactory processing including odor perception, discrimination, learning, and attention. However, many important questions regarding the MDT and olfaction remain unanswered. Our goal here is not only to briefly review the existing literature but also to highlight some of the remaining questions that need to be answered to better define the role(s) of the MDT in olfactory processing.

The medial prefrontal cortex is important for cognitive flexibility, a capability that is affected by environmental conditions and specific experiences. Aversive experience, such as chronic restraint stress, is known to impair performance on a task of cognitive flexibility, specifically attentional set-shifting, in rats. Concomitant with this performance decrement, chronic stress reduces the number of dendritic spines on pyramidal neurons in the medial prefrontal cortex. No previous studies have examined whether a rewarding experience, namely mating, affects cognitive flexibility and dendritic spines in the medial prefrontal cortex of male rats. To test this possibility, we exposed adult male rats to sexual receptive females once daily for one week, assessed attentional set-shifting performance, and then analyzed their brains for changes in dendritic spines. We found that sexual experience improved performance on extradimensional set-shifting, which is known to require the medial prefrontal cortex. Additionally, we observed increased dendritic spine density on apical and basal dendrites of pyramidal neurons in the medial prefrontal cortex, but not the orbitofrontal cortex, after sexual experience. We also found that sexual experience enhanced dendritic spine density on granule neurons of the dentate gyrus. The ventral hippocampus sends a direct projection to the medial prefrontal cortex, raising the possibility that experience-dependent changes in the hippocampus are necessary for alterations in medial prefrontal cortex structure and function. As a first attempt at investigating this, we inactivated the ventral hippocampus with the GABA agonist muscimol, after each daily bout of sexual experience to observe whether the beneficial effects on cognitive flexibility were abolished. Contrary to our hypothesis, blocking hippocampal activity after sexual experience had no impact on enhanced cognitive flexibility. Taken together, these findings indicate that sexual experience enhances medial prefrontal cortex dendritic spine density and cognitive flexibility but that these effects may not require continual input from the hippocampus.

A rapidly growing body of literature indicates that adult neurogenesis in the hippocampus is sensitive to a variety of environmental factors. The effects of emotionally salient experiences, such as stress and physical exercise, have been characterized extensively with regard to both adult neurogenesis and behaviors associated with the hippocampus. Experience-dependent changes in the production and function of new neurons may serve as a means to fine-tune the hippocampus to the predicted environment. Here, we discuss this possibility along with the argument that more naturalistic experimental conditions may be a necessary step toward understanding the adaptive significance of neurons born in the adult brain.