We Should Improve Personalization of Management in Patients with a Diagnosis of Schizophrenia

The current management of patients with schizophrenia is marked by a lack of personalization. After the diagnosis is made, a second-generation antipsychotic is usually prescribed based on the current clinician’s preferences, sometimes accompanied by a psychosocial intervention which is typically not evidence-based and not targeted to the specific needs of the individual patient. In this opinion paper, some steps are outlined that could be taken in order to address this lack of personalization. A special emphasis is laid on the clinical characterization of the patient who has received a diagnosis of schizophrenia. Considerations are put forward concerning the assessment of the negative dimension in ordinary clinical practice, which is often neglected; the evaluation of cognitive functioning using a simple test battery which requires limited professional training and takes no more than 15 min to administer; the evaluation of social functioning using a validated instrument focusing on personal care skills, interpersonal relationships, social acceptability, activities, and work skills; and the assessment of the unmet needs of the person (including practical, social, and emotional needs, and existential or personal recovery). The implications of the assessment of these domains for the formulation of the management plan are discussed.

Subjective Aging in Context: Neighborhood Social Environment and Self-perceptions of Aging among Older Adults

Self-perception of aging (SPA), one’s attitude toward one’s own aging, has been associated with health and well-being in later life. Whereas existing literature identifies individual-level predictors of SPA (e.g., education and health), little is known about the role of neighborhood context. The present study examines whether 1) neighborhood social environment is related to SPA and 2) age moderates this relationship. Our analytic sample includes 11,394 adults aged 50+ from the 2014 and 2016 waves of the Health and Retirement Study (Mean Age=68, SD=10.14, range 50-98). Indicators of neighborhood social environment include (a) perceived neighborhood social cohesion (the trust and social ties among community residents), (b) neighborhood friends, and (c) relatives living in the neighborhood. Regression analyses were performed to investigate the associations of each neighborhood-level indicator with the positive and negative dimensions of SPA. The models controlled for demographic, socio-economic, and health covariates. Greater neighborhood social cohesion (B=0.13, SE=0.01, p<.001) and having neighborhood friends (B=0.14, SE=0.02, p<0.001) were associated with higher levels of the positive SPA. As for the negative dimension of SPA, neighborhood social cohesion was the only significant predictor (B=-0.13, SE=0.01, p<0.001). Furthermore, we found significant interaction effects between neighborhood social cohesion and age: higher neighborhood cohesion was associated with more positive (B=-.003, SE=.00, p<.001) and less negative SPA ratings (B=-.003, SE=.00, p<.001) at younger ages than older ages. Our findings provide insights into how neighborhood social context shapes subjective aging, suggesting that a socially cohesive neighborhood may promote more favorable perceptions of aging, particularly for younger residents.

Populism vs. Demagogism: What if Anti-populists are the Real Demagogues?

As the partisan meaning attached to ‘populism’ has provided this word with a negative stigma used to demonize alternative discourses, this article seeks to fill two gaps in the populist literature. First, it aims at retrieving the term ‘populism’ from a spurious understanding and reintroducing a forgotten word, which has become a synonym of populism and contributed to its negative aura: demagogy. Populism (bottom-up) and demagogy (top-down) are defined as opposite terms. While this distinction could be easily grasped from their etymological roots, it takes on a different dimension when seen from a hegemonic perspective. Second, elaborating on Gramsci and Laclau’s theory, it provides a theoretical basis for the study of anti-populism. Like populism, anti-populism results from a dislocatory experience as it is (negatively) defined by its populist antagonist. Besides considering its negative dimension, the article discusses the positivization of the anti-populist discourse, which resides in the (re)production of broken normality. Demagogism is a weapon in the hegemonic struggle between different discourses that aims to restore mainstream common sense (normality) against a counter-hegemonic project (populism). Finally, the article suggests that beyond anti-populism, demagogism, understood as a normalizing practice, could potentially be applied in the empirical analysis of neo-traditionalist discourses.

Development, Validity, and Reliability of a Japanese Version of End-of-Life in Dementia Scales

Background: End-of-life care quality should ideally be evaluated by patients themselves. However, patients suffer clinical symptoms and conspicuous cognitive and physical decline in end-stage dementia. Therefore, family members and nurses are often good proxies for evaluating patients’ satisfaction with end-of-life care and symptoms in end-stage dementia. The End-of-Life in Dementia scales, originally written in English, were specifically designed to examine the quality of end-of-life care for persons with dementia. This study aimed to develop a Japanese version of the End-of-Life in Dementia scales and evaluate its validity and reliability in Japan.Methods: The Japanese version of the End-of-Life in Dementia scales (EOLD-J) was created by translating the following original scale measurements: Satisfaction with Care (SWC-EOLD-J), Symptom Management (SM-EOLD-J), and Comfort Assessment in Dying with dementia (CAD-EOLD-J). Participants were 113 family members of deceased residents who received end-of-life care and died at 33 participating nursing homes, and 113 nurses who provided care to the residents. Participants were asked to recall residents’ last months and select related items on an evaluation form. The reliability of the scales was evaluated using a Cronbach’s alpha. The construct validity of the relationships between the SWC-EOLD-J scores and the Japanese Decision Regret Scale (DRS-J), the SM-EOLD-J and the short version of Quality of Life Questionnaire for Dementia (short QOL-D), and the CAD-EOLD-J and the short QOL-D were evaluated using Spearman’s rank correlation coefficient.Results: Responses from 83 deceased residents’ family members, and 62 nurses were analyzed. The Cronbach’s alphas of the SWC-EOLD-J was 0.77, the SM-EOLD-J was 0.60, and the CAD-EOLD-J was 0.88. The SWC-EOLD-J score was significantly correlated with DRS-J (γ＝0.504, p < 0.001). The SM-EOLD-J score was significantly correlated with subscale of the short QOL-D: negative dimension ( γ＝0.587, p < 0.001), the CAD-EOLD-J score was significantly correlated with subscale of the short QOL-D: negative dimension (γ＝0.509, p < 0.001). Conclusions: This study developed the EOLD-J and confirmed the reliability and validity of this scale.

Tradycja i zmiana – rytuały bożonarodzeniowe i ich znaczenie dla młodych polskich rodzin

The first generation of Polish migrants in Germany in the 1980s and 1990s sought to improve the economic situation of their families and tried to blend in with German society. Only their descendants managed to do so. They experienced the upward mobility that their parents expected of them. However, they were not prepared for the generational change related to it. The change involved the transformation of the cultural capital in the migrant family. The article presents an analysis of the intergenerational transmissions in Polish families in Germany, based on autobiographical interviews with the second generation of migrants. The article explains why the eff orts of the first generation to build a life in Germany did not translate into a happy family life. Neither did it bring enough economic resources for the first generation to pass economic capital to descendants. Social capital turned out to be a strong feature of Polish families. The supportive role of grandmothers and other family members has often proved to be of a huge value. Paradoxically, the absence of their parents gave their children a lot of freedom and free time to build their own networks of friends. The article also draws attention to the negative dimension of social capital in Polish families. It manifests itself in limiting expectations and pressure exerted by the family on the second generation.

Znaki na czarnym płótnie, czyli o estetyce przemijającego piękna i o twórczej melancholii Charles’a Baudelaire’a

[Signs on Black Canvas, or Charles Baudelaire’s Aesthetics of Transient Beauty and Creative Melancholy] This article focuses on Charles Baudelaire’s poetics of negativity which exploits absence, blackness, negation, defectiveness, associated by the poet in a paradigmatic way with melancholy and the aesthetics of transient beauty. The basis of the proposed interpretation is the paradoxical metaphor of luminous blackness (a black sun, a radiance without source, a black star, a black canvas), which the poet exploits in his metatextual works. The paper focuses on poems in which Baudelaire approaches that which is beyond the limits of expressibility and is symbolised by blackness and emptiness. Baudelaire’s melancholic poetry appears as a poetry about poetry, a poetry that is paradoxical in the sense that it contradicts stillness, acedia, and creative stagnation, while retaining its negative dimension, rising up against itself.

Peer network Status and Depressive Symptoms Among Early Adolescents: Testing the Mediating Effects of Metaperception and Loneliness

Previous research shows that deficits in social relationships increase the risk of depression. This study tests the hypothesis that among early adolescents, their status in their peer network (likeability/dislikeability) will be associated with depressive symptoms but only indirectly, through the subjective perception of this status (positive/negative metaperception) and loneliness (feeling of social isolation). Data were collected using sociometric methods and self-report scales from 388 students aged 12–13. Path analysis was applied to verify the hypothesized relationships between the study variables. The findings indicate that: (1) status in the peer network and its perception affect depressive symptoms only indirectly, through loneliness; (2) depressive symptoms depend directly on loneliness alone; (3) status in the peer network does not directly translate into loneliness—its effect is mediated by metaperception; (4) the negative dimension of the peer network status indirectly affects both loneliness and depressive symptoms more strongly than the positive one. The main limitation of the research is its cross-sectional design, which precludes definite conclusions about the direction of the relationships observed. The results obtained help to clarify the complex mechanisms through which objective status in the peer network, its subjective perception and feelings of loneliness contribute to the severity of depressive symptoms among early adolescents. On the practical side, the findings highlight the importance of developing and implementing interventions targeting both the objective and subjective aspects of social relations for the prevention of depression in this age group.