Depression and Anxiety in Persons with Parkinson's Disease With and Without “On–Off” Phenomena

On–off phenomena in Parkinson's disease (PD) are unpredictable motor fluctuations associated with long-term levodopa use. Mood fluctuations have been found to coincide with the motor fluctuations in that depression and anxiety increase while the person with PD is in the off state. What has been relatively unexplored is whether those persons with PD who have on–off phenomena differ psychologically in fundamental ways from those who do not have on–off phenomena. In the present study, depression and anxiety symptoms were assessed in 36 persons with PD (n = 14 with on–off phenomena, n = 22 without on–off phenomena). All those with on–off phenomena were assessed in their on state. Those persons with PD with on–off phenomena had significantly higher levels of anxiety than those without on–off phenomena. However, both groups, regardless of on–off status, were mildly depressed. Neurobiological interpretations of the results implicate the locus coeruleus in the pathogenesis of both on–off phenomena and anxiety, whereas psychological interpretations of the results involve the issues of learned helplessness and control over health symptoms in PD.     

A partially ordered extention of the integers

This paper presents a monotonic system of Post algebras of order +* whose chain of Post constans is isomorphic with 012 ... -3-2-1. Besides monotonic operations, other unary operations are considered; namely, disjoint operations, the quasi-complement, succesor, and predecessor operations. The successor and predecessor operations are basic for number theory.The editing of this unified version of two previous papers [Epstein, Rasiowa 1990, 1991] by the authors was completed, except for footnotes, while the first author visited at Warsaw University during June–July, 1994. The footnotes were added by the first author in September, 1994.Presented byRyszard Wójcicki     

Distinctions between subgroups of asthmatic children: Parental reactions to experimental separation

Parental reactions to experimental separation were analyzed for two groups of asthmatic children, those for whom behavioral factors were judged highly relevant to asthma and those for whom such factors appeared unimportant. The former group of 13 (predicted positives) had shown a highly significant improvement in asthma during separation from their families; the latter group of 12 (predicted negatives) had not. Coding of standardized interviews conducted around the time of separation disclosed that parents (mothers, especially) of predicted positives scored significantly higher than parents of predicted negatives on such scales as fussing over the child at the time of leave taking, missing child, experiencing pain and discomfort during the separation, being anxious over child's welfare, etc. Psychological test data did not discriminate between the parents' or childrens' groups as clearly as the more focused separation interviews but the test results were consistent with interview differences. The separation elicited very strong emotional reactions from several mothers.This study was supported by United States Public Health Service Grant No. HD01060 from the National Institute of Child Health and Human Development. Kirk Brady, John Means, loan Muser, and Claire Purcell contributed to data collection and/or data analysis.     

A paradigm shift in Heidegger research

The Beiträge zur Philosophie mandates a paradigm shift in Heidegger scholarship. In the face of (1) widespread disarray in the current model, the new paradigm (2) abandons Sein as a name for die Sache selbst, (3) understands Welt/Lichtung/Da as that which gives being, (4) interprets Dasein as apriori openedness rather than as being-there, (5) understands the Kehre as the interface of Geworfenheit and Entwurf, not as a shift in Heidegger's thinking, (6) interprets Ereignis as the opening of the Da rather than as appropriation, and (7) understands human finitude as what gives all forms of being and all epochs in the history of being. The conclusion alludes to the function of Mitdasein (co-openness) as die Sache selbst.     

Children's understanding of some temporal terms denoting order,duration, and simultaneity

This study examined the comprehension by children of the concepts of order, duration, and simultaneity as reflected in certain linguistic structures. The children in the study were 3, 5, and 7 years old. Temporal order was examined through children's comprehension of two-clause sentences containing the conjunctions after, before, since, and until. Temporal duration was examined through children's understanding of one-clause sentences containing the progressive aspect and two-clause sentences containing the conjunctions since and until. These two conjunctions signal duration in the main clause when they conjoin two clauses. Simultaneity was studied through children's comprehension of two-clause sentences containing while. The results revealed that the order sentence structures (before and after) were generally comprehended by the children before the duration or simultaneous sentence structures, although at 7 years of age children were still not performing above chance on the order relation in since and until sentences. The duration sentence structures were comprehended by the children before the simultaneous sentence structures. The results support the literature in cognitive psychology and in philosophy which argues that order is simpler than duration is simpler than simultaneity.This report is based on a dissertation submitted to the University of Michigan in partial fulfillment of the requirement for the Ph.D.     

The Client Is the Most Important Common Factor: Clients' Self-Healing Capacities and Psychotherapy

I first briefly review the dodo bird verdict and suggest that we should be responding to it by looking for a new way to conceptualize how therapy works. Then I describe the dominant medical or treatment model of psychotherapy and how it puts the client in the position of a dependent variable who is operated on by supposedly potent therapeutic techniques. Next I argue that the data do not fit with this model. An alternative model is that the client is the most important common factor and that it is clients' self-healing capacities which make therapy work. I then argue that therapy has two phases—the involvement phase and the learning phase—and that the involvement phase is the most important. I next review the five learning opportunities provided by therapy. Finally, I argue that a relational model of therapy focused on consultation, collaboration, and dialogue is better than a treatment model.     

Hare on utilitarianism and intuitive morality

InMoral Thinking R. M. Hare offers a very influential defense of utilitarianism against intuitive objections. Hare's argument is roughly that utilitarianism conflicts with defensible moral intuitions only in unusual cases and that, in such cases, even defensible moral intuitions are unreliable. This paper reconstructs Hare's arguments and argues that they presuppose the success of his problematic proof of utilitarianism. Contrary to what many have thought, Hare's negative defense of utilitarianism against intuitive objections is not separable from his proof. In the second part of the paper I argue that Hare does not succeed in defending utilitarianism against the objection that it is too demanding. The final section of the paper sketches a substantially revised version of Hare's reply to intuitive objections. So revised, the argument is independent of Hare's proof and affords a plausible answer to the objection that utilitarianism is too demanding.Earlier versions of this paper were presented at Loyola University and Saint Olaf College. I am greatly indebted to my colleague Harry Gensler for helpful comments on numerous drafts of this paper. I would also like to thank Michael Gorr, Brad Hooker, Shelly Kagan, Heidi Malm, Richard Hare, Peter Singer, Onora O'Neill, George Trey, Joe Sullivan, and an anonymous referee. This paper developed out of a series of discussions with Mark Overvold. I dedicate the paper to his memory. I would also like to thank Loyola University for a paid leave of absence which enabled me to write the paper.     

Two Assessments of American Usage Frequencies for Ninety-Seven Sentence Complement-Taking Nouns

Two studies documented the American English usage frequencies for ninety-seven nouns that occur with sentence complements (e.g., rumor, The rumor that the student cheated ¨). An established usage preference methodology was used (see Connine, Ferreira, Jones, Clifton, & Frazier, 1984; Kennison, 1999).² In Study 1, participants completed short fragments that did not contain the overt complementizer that, as in The rumor ¨ In Study 2, participants completed short sentence fragments that contained the overt complementizer, as in The rumor that ¨ The results showed that when the complementizer was absent (Study 1), bare (i.e., unmodified) usages and prepositional phrase usages were frequently observed. In contrast, sentence complement and relative clause usages were rarely observed. When the complementizer was present (Study 2), the frequency of sentence complement and relative clause usages varied. The estimates of usage frequency obtained in these studies are intended to be a resource for language comprehension researchers.     

Counseling the abortion patient: A pastoral perspective

Unplanned pregnancies are common among women in every congregation. Ministers have an opportunity to offer pastoral abortion counseling to those who wish it that is different from secular problem pregnancy counseling; the minister can offer a value context and facilitate a deep investigation of the decision-making process in a personal way. Concrete information regarding abortion procedures, situational factors important in problem pregnancy decisions, and emotions associated with problem pregnancies are discussed under the headings healing, guiding, and reconciling.She has been involved professionally in the family planning field for six years.     

Computer content analysis of sex differences in the language of children

This study presents empirical procedures for the collection and content analysis of the oral language of kindergarten children. The analysis technique used material and machines available to most researchers. The results of the analysis of language samples of 144 randomly selected children from the entire kindergarten class of the Ithaca, New York, school system showed that boys produced significantly more language than did the girls as well as significantly more references to aggression, self, time, space, quantity, fears, good, act of oral communication, negation, and affirmation, and asked more questions of the examiner than did the girls. The girls made significantly more female references than did the boys. Implications for future research are discussed.     

Sentence processing: Evidence against the serial,independent stage assumption

The assumption that the processing stages involved in sentence comprehension are serially and independently executed was tested in two separate experiments using two new sentence types. One experiment was a sentence-picture verification task, the other was not. In Experiment I, subjects viewed sentences such as It's false that the dots are red and indicated, by pressing the appropriate response key, which of two colors would make the sentence true. In Experiment II, subjects verified sentences such as It isn't true that the dots aren't red against pictures of colored dots. On the strength of Sternberg's additive factor method, present findings challenge the validity of the serial, independent stage assumption, and results are alternatively discussed in terms of a capacity sharing model.This research was supported by PHS research grant MH 23401 to Sam Glucksberg, principal investigator.     

Comprehension of two types of negative comparisons in children

English-speaking and Italian-speaking children between the ages of 6 years 8 months and 9 years 10 months were asked to solve instructional relation problems (i.e., to complete a picture on the basis of a sentence). Sentences contained either marked or unmarked adjectival forms in one of three types of comparative construction:positive comparative (e.g., bigger più grande),negative-equative constructions as explicit negative forms (e.g., not as big as, non è grande come), orcomparative-with-less constructions e.g., less big, meno grande) as implicit negative forms. Subjects had to focus on either the grammatical subject or the grammatical object of a sentence to complete, the picture. Three findings were consistent with predictions derived by considering syntactic and pragmatic differences between explicit and implicit types of negative comparisons. First, comprehension depended on the type of comparative construction, with the poorest comprehension for the implicit comparative-with-less construction. Second, the effect of the marked adjective depended on the type of comparison. Third, in all three types of comparison, accuracy was greater when the question was focused on the grammatical subject instead of the grammatical object.     

Theorizing Gender for Experimental Game Theory: Experiments with “Sex Status” and “Merit Status” in an Asymmetric Game

In experimental game-theoretic research, to the extent that sex has been considered at all, the approach has been to focus on the individual level of analysis. This paper reports the results of experiments designed to focus on sex/gender and to expand the level of analysis to include the institutional level. An asymmetric game was designed such that players in the male and female institutional locations had 3 and 2 alternatives, respectively. Players earned the institutional locations based on a test, so that top and bottom scorers respectively merited the 3- and 2-alternatives locations. Game-theoretic understandings of sex-of-player were compared to the expectations states theory concept of sex status; that is, men expect and are expected to perform more competently than women. Results indicated that top-scorer men and women behave similarly; bottom-scorer men resist their low merit status (behaving the most rationally of all player groups); bottom-scorer women accept their low merit status (behaving the most irrationally of all player groups). Whereas game theory cannot provide a coherent understanding of these findings, the concept of sex status helps to interpret the behavior of all four player groups and shows how judgments about rationality and irrationality depend critically on the interpretive framework used.     

The responsive order: A new empiricism

The uniqueness of logic is upheld and contrasted with twenty roles of a wider responsive order that includes us and our procedures. Empirical responses are precise, but different in different approaches. Procedures and findings are independent of (not separable from) their concepts. Two-way feedback obviates a top-down derivation of findings from assumptions, hypotheses, history, or language. The postmodern problems of interpretation, conditions of appearances and relativism involve the ancient error of making perception the model-instance of experience. Instead, bodily interaction functions in language and precedes perception and interpretation. Logic, space time locations and individuated referents involve positional relations derived from comparing. Beyond Kuhn, Feyerabend, Newton and Einstein, if we can give interaction priority over comparing, the responsive objectivity of both can be upheld. A new empiricism, neither naive nor constructivist, uses the words order, explication, truth, and exactly to build on Wittgenstein and on Dilthey's hermeneutic. Natural language is metaphor-like, originally crossed. Logic must ignore its assumptions. It must render everything as a machine and drop humans and animals out. A new discipline is proposed, to move between the logical and the responsive orders, to deal with the machine/human interface and the social uses of science such as bioengineering.     

From I: A/M to “Who am I?”—Aggregation/Massification and Trauma-Based Affects and Object Relations in Groups: A Response to Earl Hopper

Hopper's portrayal of the fourth basic assumption of Incohesion: Aggregation/Massification has two components: (1) a revision of Turquet's theory of BA Oneness to incorporate the polarity of aggregation and massification stemming from annihilation anxiety; and (2) a conception of the difficult patient as having an encapsulated psychosis. Hopper's theory of the encapsulated psychosis offers an important but incomplete perspective in explaining borderline and narcissistic pathology, as well as psychological trauma. In this response to Hopper, I suggest that the fourth assumption is in fact a still more primitive state of boundary opening and closing. I also see a need to differentiate trauma as such from borderline pathology, and further hold that the relationship between Hopper's British Independent theory and trauma theories based on dissociation needs to be clarified.     

Variations in use of the term “or”

Two studies showed that adults' responses to questions involving the term or varied markedly depending upon the type of question presented. When presented with various objects (A's and B's) and asked to circle all things which are A or B subjects tended to circle A's as well as B's, whereas when asked to circle all the A's or B's subjects showed a relatively stronger tendency to circle one or the other. Moreover the nature of the sets of objects (As and Bs) influenced behavior as well. There was also evidence that the effects due to question wording or set type transferred.     

The Self Psychology of Heinz Kohut: What's It All About Theologically?

As a psychoanalytic thinker who offered by means of his self psychology a new paradigm of psychological development and functioning, Heinz Kohut was also a theologian manqué. With the help of the method of interpretation devised by Paul Tillich and David Tracy, Kohut's limit-concepts of tragic man, the self-object, and empathy, all set within his theory of narcissism, are elucidated as theological constructs. These are critiqued for adequacy from a Christian perspective. The conclusion is that Kohut's understanding of the human dilemma and of the way of salvation correlates well with Christianity, while his view of empathy as the means of salvation has created some confusion. Kohut has thus left an unfinished, profoundly important, agenda for theologians and clinicians.     

Fallacies and moral dilemmas

The continuing debate between utilitarians and deontologists often takes the form of disagreement over how particular moral dilemmas are to be resolved, but protagonists on both sides tend to overlook the possibility of resolving a dilemma with remainder, such as regret. The importance of remainder is also overlooked by critics of some absolutist ways of resolving or slipping between the horns of certain moral dilemmas. Moreover, deontologists, if not utilitarians, can be criticised for overlooking the possibility that, according to their theory, some dilemmas may be irresolvable. Virtue ethics, with its concentration on the agent, readily accommodates both mention of remainder and irresolvable dilemmas, and yields a specification of tragic dilemmas which the other two theories might like to take on.     

On two arguments for the indeterminacy of personal identity

Both arguments are based on the breakdown of normal criteria of identity in certain science-fictional circumstances. In one case, normal criteria would support the identity of person A with each of two other persons, B and C; and it is argued that, in the imagined circumstances, A=B and A=C have no truth value. In the other, a series or spectrum of cases is tailored to a sorites argument. At one end of the spectrum, persons A and B are such that A=B is clearly true; at the other end, A and B are such that the identity is clearly false. In between, normal criteria of identity leave the truth or falsehood of A=B undecided, and it is argued that in these circumstances A=B has no truth value.These arguments are to be understood counterfactually. My claim is that, so understood, neither establishes its conclusion. The first involves a pair of counterfactual situations that are equally possible or tied. If A=B and A=C have no truth value, a counterfactual conditional with one of them as consequent and an antecedent that is true in circumstances in which either is true should have no truth value. Intuitively, however, any such counterfactual is false. The second argument can be seen to invite an analogous response. If this is right, however, there is an important disanalogy between this and the classical paradox of the heap. If the disanalogy is only apparent, the argument shows at most that the existence of persons can be indeterminate.     

“Some more” notes,toward a “third” sophistic

Historians of rhetoric refer to two Sophistics, one in the 5th century B.C. and another c. 2nd century A.D. Besides these two, there is a 3rd Sophistic, but it is not necessarily sequential. (The 3rd is counter to counting sequentially.) Whereas the representative Sophists of the 1st Sophistic is Protagoras, and the second, Aeschines, the representative sophists of the 3rd are Gorgias (as proto-Third) and Friedrich Nietzsche, Jean-François Lyotard, Michel Foucault, Jacques Lacan, and Paul de Man.To distinguish between and among Socrates, Plato, and Aristotle, and then Protagoras, Gorgias, and Lacan, the author determines how far each of these personages can count. The model of counting, used semiotically across the topoi of possible/impossible, is that of the people of New Guinea: one thing, two things, many things. It is determined (generally) that the philosophers, including Aristotle, count to one; the Sophists to two; and Gorgias, Lacan, and Lyotard, et al. count to many things, thereby breaking up a monism or binarism. The ancient philosophers employ a substratum of probability to hold together the contraries of possible/impossible; the Sophists employ anti/logic, which keeps the contraries/antitheses separate and therefore without synthesis, but which eventually threatens the integrity of the substratum, or the law of non-contradiction; and Gorgias, Lacan, Lyotard et al. theorize about the impossibility/Resistance of the Logos (reason, logic, law, argumentation, history) to Theory/Totalization, because of the Gorgian Kairos and the Lacanian Real — both of which enter the Logos and break up the cycle of the antitheses and create something new, irrational (Untersteiner).This breaking up has a negative/positive influence on Protagoras's man-measure doctrine, which in turn has a similar influence on the problem of the ethical subject. The subject/agent not only no longer knows (by way of Logos) but also no longer acts (as independent agent); the subject becomes a function of Logos as determined by Kairos/Real; it moves from a hypotaxis/syntaxis of one and two to a radical parataxis/paralogy of some more.From the Impossibility/tragedy of knowledge, however, comes the Possible, or Possibilisms, which allows for the new (though divided) ethical subject to reclaim its position as individual. Such a reclamation of the subject, however, has a profound effect on argumentation, and especially the notion of consensus. What is wanted, then, in a Third Sophistic ethical — as opposed to a political — rhetoric is dissensus through radical parataxes and paralogies.