The case of Anna O.: a neuropsychiatric perspective

Previous interpretations have not adequately explained the presence of focal neurological signs, delirium, and a variety of highly specific disturbances of perception, language, and sensorium in the case of Anna O. Examination of the neurological details suggests that Anna suffered from complex partial seizures exacerbated by drug dependence, and that she developed conversion symptoms patterned after the preexisting organic pathology. Hysterical conversion symptoms that mimic ictal events are not uncommon in psychomotor epilepsy. Recent neuropsychiatric models of hysteria are remarkably similar to the hypnoid states theory Breuer formulated, based on his observation of Anna O. The hypothesis presented here does not conflict with previous psychodynamic interpretations. I submit that it was the development of a conversion disorder patterned on actual organic phenomena, which highlighted for Breuer and Freud the "psychical mechanism" of somatic symptoms, thus paving the way for the important psychodynamic discoveries for which the case is remembered.     

From "Anna O." to Bertha Pappenheim: transforming private pain into public action

Bertha Pappenheim ("Anna O,") was treated for hysteria by Josef Breuer when she was a young adult. As a mature adult she became a leading social worker, writer, and feminist activist in the German Jewish community. This article examines her therapy with Breuer, her own struggle for recovery, and some links between her earlier and later life, in particular the lack of intimate relationships in her life and her work against the victimization of women. Throughout the article psychoanalytic interpretations, social history, and feminist analyses are integrated to provide a contextualized examination of Pappenheim's life.     

Revisiting the problem of Jewish bioethics: the case of terminal care

This paper examines the main Jewish sources relevant to end-of-life ethics, two Talmudic stories, the early modern code of law (Shulhan Aruch), and contemporary Halakhaic (religious law) responsa. Some Orthodox rabbis object to the use of artificial life support that prolongs the life of a dying patient and permit its active discontinuation when the patient is suffering. Other rabbis believe that every medical measure must be taken in order to prolong life. The context of the discussion is the most recent release of the "Steinberg Report," which proposes a law regulating end-of-life issues in Israel. It is argued that the Orthodox rabbis base their views on a strongly positivist concept of religious law. The rabbis deliberate the law as a manifestation of the will of God and try to stretch the law as much as possible in order to benefit the patient, even when it is good for the patient to die. Direct and active actions that kill are prohibited; certain forms of passive euthanasia and contrivances that terminate life support without needing direct human action are accepted.     

Peter Heller's a Child Analysis with Anna Freud: the significance of the case for the history of child psychoanalysis

A Child Analysis with Anna Freud, a collection of Anna Freud's detailed case notes of her treatment of the young Peter Heller between 1929 and 1932, was first published in English in 1990. Not only does this work give us direct access to Anna Freud's ways of thinking and working at a crucial period in the early history of child analysis; it is also one of the few records of an adult reflecting in depth on the experience of being in analysis as a child. Yet to date this work has received little attention in the psychoanalytic literature. In an attempt to redress this neglect, the Heller case study is placed in the context of Anna Freud's emerging ideas about child analysis. In particular, its significance in the development of her psychoanalytic thinking is investigated in the light of her 1927 book, The Technique of Child Analysis.     

Prostitution wishes and rescue fantasies--flight from the father. Sketches from the life of a woman ("Anna O."--"P. Berthold"--Bertha Pappenheim)

Bertha Pappenheim, Breuer's famous patient "Anna O.," was a socially engaged, successful, Jewish women's rights advocate. The details of her biography presented here are not as well known--especially the subsequent course of her illness and treatment and her struggle against prostitution and the white slave trade, the latter carried on with special fascination. All of these show that "Anna O." left Breuer's treatment far from cured and that Bertha was entangled in a lifelong daughter-father conflict.     

Scientific Realism and Quantum Mechanics: Revisiting a Controversial Relation

The article examines the controversial relation of scientific realism with quantum mechanics. To this end, two distinct discussions are invoked: the discussion about ‘realism’ in the context of quantum mechanics and the discussion about ‘scientific realism’ in the context of the general philosophy of science. The aim is to distinguish them in order, first, to argue that the former—revolving around ‘local realism’ and the theorems of Bell and Kochen–Specker—unjustifiably identifies realism with features of a particular worldview, and thereby fosters the impression that the failure of ‘local realism’ in quantum experiments constitutes a failure of scientific realism too; and, second, in light of the latter discussion, to claim that scientific realism and quantum mechanics can be compatible—there is ground for dealing with quantum measurement simply as a physical mind-independent interaction. Therefore, a realist approach to the theory is possible despite its notorious measurement problem, even if the issue of its interpretation is still disputed.     

Revisiting the Rorschach of Sirhan Sirhan.

The published Rorschach (Kaiser, 1970) of Sirhan Sirhan, the man who assassinated presidential aspirant Robert F. Kennedy in 1968, was studied. Psychostructural and psychodynamic analyses were conducted using reliable and valid methodology that was unavailable at the time of examination. In contrast to the defense experts at trial who diagnosed paranoid schizophrenia, the data suggest a depressed and suicidal individual organized at a borderline level of personality. Character pathology is hysterical, paranoid, and dependent. When the Rorschach findings are compared to the development history of Sirhan and the behavior around the time of the assassination, the data are somewhat consistent with the theme of psychic trauma, are very consistent with the theme of recurrent loss and pathological mourning, and validate a characterological distrust and hatred of, yet hysterical dependence on, the object world. Rorschach indices of predatory violence (Meloy, 1988a) in relation to the planned and purposeful assassination are also discussed.     

Subcortical anarthria: a case report.

A 56-year-old right-handed male with a history of hypertension and diabetes presented two episodes of stroke: The first affected territory was the left anterior coroidal artery (capsular and paracapsular infarcts at the level of the genu and posterior arm of the internal capsule) and the second was the right thalamus, due to a hematoma. Following the first stroke, the patient developed severe dysarthria and after the second stroke remained anarthric. The pathophysiology of the disorder is discussed, and the role of the left and right thalamus as far as speech is concerned is reviewed.     

Revisiting K. C. Bhattacharyya's concept of the absolute and its alternative forms: a holographic model for simultaneous illumination

Krishnachandra Bhattacharyya, one of the preeminent Indian philosophers of the 20^th century, proposed that the absolute appears in three alternative forms – truth, freedom and value. Each of these forms are for Bhattacharyya absolute, ultimate, not penultimate. Each is different from the other, yet they cannot be said to be one or many. He contends that these absolutes are incompatible with each other and that an articulation of the relation between the three absolutes is not feasible. This paper will review Bhattacharyya's presentation of the absolute in its alternative forms and will place these abstractions within the context of three specific religious traditions that he sees illustrating his point. Then, using a model based upon holography, I will illuminate with ‘concrete images’ that which Bhattacharyya could deductively formulate but could not logically integrate. Holography, the process by which three‐dimensional images are produced from an imageless film – a film in which each part can reproduce the whole – will be used as a heuristic device to illuminate the simultaneous and mutually interpenetrating existence of the absolute in three forms. This model will illumine how these three forms can be conceived of as not the same yet not other and how these forms can be incompatible as absolutes, but metaphysically inseparable.