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Diagnostic and Statistical Manual-III: a perspective from family court.

The third edition of the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-III) is evaluated from the standpoint of forensic science experience in a family court setting. The importance of diagnosis in developing pertinent recommendations within an adversarial system is discussed, with particular emphasis on difficulties in coordinating the Manual with the mental disorders frequently found in such a population. The limitations of the current criteria of the developmental disabilities are noted, and problems of reconciling incest and child abuse with the nomenclature are investigated. Some inconsistencies in the conceptualization of the conduct disorders and antisocial personality disorder are explored in terms of the needs of the juvenile justice system. An additional coding procedure is proposed for DSM-III, in order to identify more easily prodromal or emerging disorders of clinical significance.

Adolescent↗

Issues in fertility control for mentally retarded female adolescents: I. Sexual activity, sexual abuse, and contraception.

Little information is available about sexual activity, sexual assault, and contraceptive use among mentally retarded adolescents. The experience in these areas among 87 mentally retarded females is reviewed. (A companion paper focuses on these patients' parental attitudes toward sterilization.) All subjects attended a multiservice adolescent clinic with a large developmentally disabled patient group. Charts were reviewed and 69 parents were interviewed. The patients had an age range from 11 to 23 years (mean 16.7). Forty-one subjects were mildly retarded (IQ 55 to 69), 23 were moderately retarded (IQ 41 to 54), and 23 were severely retarded (IQ less than 41). Half of the mildly retarded had had sexual intercourse, a proportion comparable to the general adolescent population. Thirty-two percent of the moderately retarded and nine percent of the severely retarded adolescents had had intercourse. One third of the mildly retarded and one fourth of the moderately retarded adolescents had been victims of rape or incest. Continued sexual activity correlated with sexual abuse, but the majority of victims had no prior or subsequent evidence of intercourse. Forty-two subjects (48%) had used contraception at some time; intrauterine devices and injectable medroxyprogesterone acetate were preferred to oral contraceptives. Six of the 14 patients (43%) who continued sexual activity became pregnant, suggesting that currently available contraception is not providing sufficient protection.

Adolescent↗

Detection of the rare PGM1(3) allele. Further biochemical and genetic characterization of the PGM1(3) isozymes.

A family possessing the rare PGM1(3) allele has been found in North Carolina, and criteria for the electrophoretic separation and accurate typing of the PGM1(3) isozymes are outlined. The PGM1(3) isozymes detected proved to be useful in helping to determine parentage in an incest investigation. The pattern of segregation of the PGM1(3) allele in four generations of this family and thermostability studies on the PGM1(3) isozymes are presented.

Alleles↗

Mirror masturbation.

A case is presented of an analytic patient who reported adolescent and adult mirror masturbation in the context of a struggle for psychic differentiation and separation from his mother. A model is elaborated in which magical manipulation and transformation of the self- and object images are facilitated by masturbatory mirror play. The role of impersonation and transformation as another man or woman is explored. Visual hunger, traumatic overstimulation, incestuous games, and fear of actually committing incest with a seductive parent are proposed as genetic contributants . Mirror masturbation is understood as a dramatic play which defends against castration anxiety and attempts to master childhood sexual overstimulation by active repetition and re-creation.

Adult↗

Sexual abuse of children. A hospital-based study.

Five child victims of rape, 9 of indecent assault and 4 of incest presenting at the Red Cross War Memorial Children's Hospital, Cape Town, over a 6-month period were investigated. The children ranged in age from 2 to 12 years, and the majority were female. In 65% of cases the offender was known to the child. Although all cases of rape were reported to the police, very few indecent assaults were reported. In 7 cases of sexual abuse there were no abnormal physical findings, but rape resulted in extensive physical injury. It is emphasized that regardless of the nature of the abuse, the child and the family involved are under a great deal of emotional stress, and management requires the expertise of a multidisciplinary team.

Child↗

[Sexuality in Ancient Egypt].

The present article explores the sexuality in ancient Egypt. In particular in this article are presented the ways of concubinage (marriage, concubinage, adultery), the incest, loves of the pharaohs and of the common people, the freedom of choice in garments, the status of the hetairas and of the whores, the sexual perversions (male and female homosexuality, necrophilia, sodomism, bestiality, rape, masturbation, exhibitionism), the operations of the genitals (circumcision, excision, castration) and finally the level of knowledge in gynaecology, fertility, contraception and obstetrics that even today demands our admiration.

Castration↗

Survivors of abuse. Health care issues.

This article has discussed the most common sequelae of victimization with regard to incest, rape, and battering. Although legislators and law-enforcement officials have traditionally been viewed as having primary responsibility for the prevention and control of violence, it is now known that physicians must also act in this regard. Their action is especially required with regard to victim assessment and treatment. Physicians serve as the entry points not only to the health care system, but also to other resources for victims of violence. By identifying their victimized patients and by understanding the antecedents of their patients' symptoms, physicians can go much further in meeting their patients' needs for physical, mental, and social well-being. Given the scope and impact of violence, physicians have a moral and ethical obligation to inquire about the possibility of current violence, past violence, or both in their patients' lives.

Adaptation, Psychological↗

[The son of man. Freud's Oedipus myth].

In formulating his psychology of the unconscious, Freud makes constant reference to Sophocles' version of the Oedipus myth. The author provides detailed proof of the fundamental differences between the two versions, demonstrating that Freud's interpretation does violence to the source. Bollack marshals impressive evidence to substantiate his contention that from the early letters to Fliess all the way up to Moses and Monotheism Freud's sole concern was to point up the ubiquitous power of the unconscious (incestual desire, patricide) within the "holy" (nuclear) family, whereas Sophocles was preoccupied with an entirely different problem. In Bollack's view, Oedipus rex is the drama of the self-destruction of a royal family, a drama in which incest and murder have no very essential significance. Freud, by contrast, set out to de-mystify the fate that dogs the royal family from one generation to the next and to naturalise it into a form of unconscious behaviour--a tendency which Bollack sees as deriving from the tradition of the "drama of destiny", a genre prevalent in the 19th century.

Freudian Theory↗

Group psychotherapy for persons with multiple personality and dissociative disorders.

Group psychotherapy is a valuable part of the treatment of patients with multiple personality and dissociative disorders. After reviewing the sparse literature on the subject, the author describes the use of group psychotherapy with these patients alone, as well as with two types of groups in which these patients may participate: incest survivors and general group therapy patients. She concludes by emphasizing the need for expert training for therapists who conduct group psychotherapy with multiple personality and dissociative disorder patients.

Dissociative Disorders↗

[Blood relationship].

In every-day medical practice, blood relationship of spouses hardly ever play an important part. Mainly for genetic counselors and pediatricians the question of consanguinity of a child's parents arises when either a rare, often hereditary, disorder is diagnosed for the first time in a family, or potential parents want information on the risk for hereditary diseases. A probability calculus based on the corresponding hereditary factors of the joint ancestors establishes how likely homozygotes for hereditary diseases among the offspring of [blood]-related spouses - often cousins of the first or second degree - is. Furthermore, proof of the parents' consanguinity may explain a child's unexpected hereditary disease [especially autosomal recessive disorders] and, at the same time, it means a higher risk of repetition for the affected child's desired siblings. Incest represents a special form of genetic risk; this question arises either in connection with the adoption of a child, which was conceived by an incestuous couple, or with such a child's own family planning later on. Even the parents' descent from an ethnically, politically, religiously or linguistically isolated background may gave a similar impact on the appearance of hereditary disorders: an accumulation of rare genes has to be taken into account; factors causing disorders have to be expected among these genes, too. In the following, all major aspects of the situations described above will be given in detail.

Consanguinity↗

Testing the validity of an instrument for assessing family of origin history.

Family of origin history information is often gathered for research and clinical purposes in psychology, but there has been relatively little examination of the validity of the data obtained. This report describes several tests of the validity of the recently developed Family Background Questionnaire, a relatively behaviorally specific instrument designed to comprehensively assess characteristics of one's family of origin. Using a sample of 678 nonclinical and clinical participants, it was found that a history of incest, parental chemical dependency, clinical status, socioeconomic status, and birth order all predicted Family Background Questionnaire scores as hypothesized and that 38% of the variance in Total Scale scores was accounted for by these variables.

Adolescent↗

Ovarian growth and folliculogenesis in breeding and nonbreeding females of a social rodent, the Zambian common mole-rat, Cryptomys sp.

Zambian common mole-rats are subterranean rodents that live in families with only one female breeding. Her offspring remain in the parental nest and do not reproduce. Behavioral experiments (Burda, '95) demonstrated that their apparent "sterility" is based on incest avoidance and individual recognition of family members. To elucidate whether some kind of morphologically apparent ovarian suppression still takes place in daughters, ovaries of females of known age, weight, and reproductive histories were examined histologically and morphometrically. The body mass of old females (more than 3 years of age) begins to decrease, and the ovaries seem to begin to atrophy at the age of about 3-6 years. Ovaries in neonates exhibited primordial and primary follicles, sometimes clustered in nests. Ovaries of adult nonbreeding females expressed all stages of the follicular development up to tertiary follicles. Many unruptured luteinized follicles were present, but true corpora lutea as a morphological sign of ovulation were missing. Unruptured luteinized follicles also could be found (additionally to true corpora lutea) in ovaries of breeding females. The number of primordial follicles dropped rapidly during the first 2 years of age; the number of primary, secondary, and tertiary follicles was subject to individual variation; and there was no clear correlation with age or reproductive status. While a tendency to form accessory unruptured luteinized follicles may just reflect taxonomic affinities of bathyergids to hystricomorphs, the otherwise complete folliculogenesis in "sterile" daughters and the presence of unruptured luteinized follicles even in breeding females are further evidence that there is no hormonal suppression of the ovarial cycle. We suggest that ovulation in nonbreeding females is not actively suppressed by the breeding female, but instead that it is not released because the triggering mechanisms, most probably repeated copulation, are missing.

Age Factors↗

Social mechanisms in the population genetics of Tay-Sachs and other lethal autosomal recessive diseases: a computer simulation model.

A computer simulation model was developed to study the effects of various feudal social customs on the incidence of lethal autosomal recessive genes. Populations of 500 individuals were created in which each person was characterized by sibship, genotype, and sex. The numbered sibships were sorted into numerical order. Each individual then sought a mate from 6 or 12 sibships on either side of his or her own sibship. The resulting couples were sorted in order of the husband's sibship number, after which the couples produced children in accordance with the prevailing birth rate. This ordering of sibships made the probability of a gene remaining in one locality higher than the probability of it drifting to distant localities. A lethal autosomal recessive gene was introduced into populations at a starting carrier rate of 10%. This fell after 20 generations to 2.54 +/- 0.17% (SEM) which was significantly less than the 5.00% carrier rate predicted by a deterministic model in which random mating occurred in an infinite population. The excessive loss of the lethal gene was caused by the high incidence of consanguineous marriages and by the occurrence of random inequalities in the distribution of the gene. The avoidance of sib marriages raised the final carrier frequency (3.28 +/- 0.19%) as did reproductive compensation (4.33 +/- 0.26%). The combination of the incest taboo and reproductive compensation raised the final carrier rate to 5.05 +/- 0.28%. It is concluded that the social factors which may have operated over a period of many centuries in the past have had a significant effect on the population genetics of lethal autosomal recessive genes.

Computer Simulation↗

Longevity factor in hominoid social organization.

In most primate groups emigration of the maturing young of one or the other sex tends to serve as an incest avoidance mechanism. Among most primate species it is the males who change groups. This supports the theory that, in terms of reproductive success, males should compete for mates and females should compete for resources. In hominoids the combination of increased longevity and greater female discrimination in mate selection seems responsible for female emigration. This may relate to the high frequency of patrilocality and male control of resources among human groups.

Animals↗

The antisocial attitudes and associates of sex offenders.

INTRODUCTION: Meta-analyses have demonstrated that attitudes and associates (peer group behaviour) are among the best predictors of antisocial behaviour in offender populations. Research on sex offender attitudes has typically focused on sex-related content and not antisocial attitudes in general. This study investigates the antisocial attitudes of sex offenders by comparing them with non-sex offenders on responses to the Measures of Criminal Attitudes and Associates (MCAA). METHOD: The MCAA comprises two parts. Part A is a quantified self-report measure of criminal friends. Part B contains four attitude scales: Violence, Entitlement, Antisocial Intent and Associates. Ninety sex offenders were compared with 119 nonsex offenders on their endorsement of the MCAA and criminal history. RESULTS: Sex offenders endorsed fewer antisocial attitudes, reported fewer criminal friends and had fewer incarcerations than did non-sex offenders. Rapists endorsed antisocial attitudes more than did child molesters and incest offenders. However, these differences disappeared on controlling for age. A finding of fewer previous incarcerations among sex offenders was robust even controlling for age. CONCLUSION: The MCAA appears to be a reliable and valid instrument with sex offender samples. General antisocial attitudes appear to have a similar relationship with criminal history for both sex offenders and non-sex offenders, and should not be ignored in future studies or clinical practice. While a general sense of entitlement was not associated with sex offending per se, its stronger association with incarceration among sex offenders than non-sex offenders might suggest that this has the potential for identifying an important, perhaps more serious sub-group of sex offenders.

Adult↗

Relations between social status and the gonadotrophin-releasing hormone system in females of two cooperatively breeding species of African mole-rats, Cryptomys hottentotus hottentotus and Cryptomys hottentotus pretoriae: neuroanatomical and neuroendocrinological studies.

In common (Cryptomys hottentotus hottentotus) and highveld (Cryptomys hottentotus pretoriae) mole-rats, reproduction is subject to two forms of regulation in addition to incest avoidance. These are the only social bathyergids known to restrict breeding to a particular season; furthermore, subordinate members of their colonies show suppressed reproduction throughout the year. Females from both species were assessed and compared for social and seasonal effects on the gonadotrophin-releasing hormone (GnRH) system. GnRH-immunoreactive (ir) structures were visualized immunohistochemically; GnRH content was determined by radioimmunoassay. In both species, GnRH-ir cell bodies and processes are loosely distributed along the septopreopticoinfundibular continuum, with dense fiber aggregations in the region of the organum vasculosum of the lamina terminalis and median eminence. The two species differ in the rostrocaudal distribution of their GnRH-ir cell bodies. In highveld mole-rats, most of these cells are in the septal/preoptic area; in common mole-rats, more than half of them are in the mediobasal hypothalamus. Compared with common mole-rats, highveld mole-rats have a greater total number of GnRH-ir cell bodies, higher GnRH content, and more intense GnRH immunoreactivity in the median eminence. Within highveld colonies, the nonreproductive females have larger GnRH-ir cell bodies, more intense GnRH immunoreactivity in the median eminence, and higher GnRH content than the reproductive females; these findings suggest inhibited release of GnRH in the nonreproductive, subordinate females. In contrast, in common mole-rat females, neither status nor season appears to affect the investigated parameters of the GnRH system; this suggests a predominantly behavioral basis to their suppressed reproduction.

Animals↗

Genetic self-management in a captive colony of mandrills (Mandrillus sphinx) as revealed by DNA minisatellite fingerprints.

DNA fingerprints using three oligonucleotide probes, a (GTG)5 short tandem repeat sequence, and 2 corresponding to the core sequences of minisatellites 33.15 and 33.6, have been used to generate DNA fingerprints of a captive colony of mandrills (Mandrillus sphinx) housed at the Centre International de Recherches Médicales de Franceville (CIRMF), in order to monitor paternity. A colony of 6 males and 7 females was established in a 6 ha. rain-forested enclosure in 1983. Band sharing scores indicated that none of the founders were related. By April 1994 the colony had increased to 84 individuals. Forty-nine of the 77 births were first-generation infants, a further 27 were second-generation offspring, and one was a third-generation mandrill. Five animals died during the study, and one was removed for husbandry reasons. Overall band sharing between individuals increased markedly and the power to discriminate between first- and second-generation infants was reduced; the probability of two individuals sharing the same pattern increased 1000-fold from 10(-6) to 10(-3). The dominant male in the group effectively guards access to all receptive females during the annual breeding season. Paternity analysis confirmed that the dominant male is the father of the great majority of offspring born during this term of dominance. Daughters born before 1991 to either of the two dominant males reached sexual maturity during this tenure. Incestual inbreeding occurred with both males, but only 25% of all possible cases resulted in the birth of a viable infant; one male fathered infants on 3 of 13 possible occasions and a second male on 2 of 7 occasions. Female avoidance strategies and shifts in male dominance in this closed mandrill colony appeared to be timed in a way that reduces incest.

Animals↗