ABSTRACT
The extent to which observed differences in emotion processing and regulation neural circuitry in adolescents with a history of suicide attempt are paralleled by structural differences is unknown. We measured brain cortical thickness and grey- and white-matter volumes in 100 adolescents: 28 with a history of suicide attempt and major depressive disorder (MDD); 31 with a history of MDD but no suicide attempt; and a healthy control group (n = 41). The first group compared with controls showed reduction in grey-matter volume in the right superior temporal gyrus (BA38), a region important for social emotion processing.
Subject(s)
Depressive Disorder, Major/physiopathology , Gray Matter/anatomy & histology , Gyrus Cinguli/anatomy & histology , Suicide, Attempted/psychology , Temporal Lobe/anatomy & histology , White Matter/anatomy & histology , Adolescent , Emotions , Humans , Magnetic Resonance Imaging , Organ SizeABSTRACT
This article provides case studies in professional boundaries violations from a state regulatory perspective. All cases discussed are actual cases that occurred in the state of Ohio, based on complaints investigated by the Ohio Board of Nursing. The studies set forth basic factual information related to the boundary violation, relevant law and administrative regulations, and disciplinary outcomes. One can conclude that boundaries violations that result in licensure board disciplinary sanctions typically involve gross or egregious conduct rather than subtle or transitional zone conduct. These cases tend to involve recurring patterns that may be categorized as involving 2 factors: (1) high patient vulnerability and (2) prolonged patient contact. Often, the 2 patterns coalesce. Administrators, directors of nursing, and supervisors in these patient populations and in the settings discussed should be particularly mindful of potential boundary violation behavioral indicators.
