��A Hideous Torture on Himself��: Madness and Self-Mutilation in Victorian Literature

This paper suggests that late nineteenth-century definitions of self-mutilation, a new category of psychiatric symptomatology, were heavily influenced by the use of self-injury as a rhetorical device in the novel, for the literary text held a high status in Victorian psychology. In exploring Dimmesdale's "self-mutilation" in The Scarlet Letter in conjunction with psychiatric case histories, the paper indicates a number of common techniques and themes in literary and psychiatric texts. As well as illuminating key elements of nineteenth-century conceptions of the self, and the relation of mind and body through ideas of madness, this exploration also serves to highlight the social commentary implicit in many Victorian medical texts. Late nineteenth-century England, like mid-century New England, required the individual to help himself and, simultaneously, others; personal charity and individual philanthropy were encouraged, while state intervention was often presented as dubious. In both novel and psychiatric text, self-mutilation is thus presented as the ultimate act of selfish preoccupation, particularly in cases on the "borderlands" of insanity.     

Quantized intrinsically localized modes of a 3D lattice

Intrinsically Localized Modes are anharmonic oscillations found in one-dimensional systems, and occur relatively infrequently in classical higher dimensional lattices. However, when ILMs appear in simulations of classical lattices, their energies are too high for them to be seen in thermal equilibrium. We investigate quantized ILMs in a three-dimensional lattice using the Ladder Approximation, and find that ILMs occur preferentially for centre of mass momenta at which the van-Hove singularities in the two-phonon density of states coalesce. For interactions larger than a critical value, the ILMs form above the top of the two-phonon continuum, but fall into the continuum as q? is shifted away from the optimal value. This indicates that ILM excitations may be more ubiquitous in 3D lattices than previously expected. Furthermore, we find that the ILMs have intrinsic spins of either S = 0 or S = 2 and have internal structures associated with their spatial symmetry.     

Self-mutilation and eating disorders

Patients with eating disorders are at high risk for self-mutilation (e.g., skin cutting and burning), and vice versa. Evidence for this linkage comes from a literature review, from patient interviews, from responses to an instrument we have developed (the Self-Harm Behavior Survey), and from three instructive case reports. Even if the self-mutilation in these patients is regarded as a Borderline Personality Disorder symptom, DSM-IV should list it as an associated feature or a complication of Anorexia Nervosa/Bulimia Nervosa. In lieu of a dual diagnosis, we postulate that the combination of self-mutilation, anorexia, bulimia, and other symptoms (such as episodic alcohol abuse and swallowing foreign objects) may be manifestations of an impulse control disorder known as the "deliberate self-harm syndrome."     

Explorations of silence in the religious rituals of Buddhists and Quakers

This paper is a participant-observation-based study of one Quaker and three Buddhist groups. Using a sociological framework, it explores silence as actively practiced in religious ritual. It demonstrates the usefulness of employing multiple continuums to analyze practices, including a speech–silence continuum, a body movement–body stillness continuum, and a thinking–not thinking continuum. Even when silence is seen as active, it may be construed as functioning to turn people inward and away from each other. Instead, this paper demonstrates how silence for these groups is not necessarily socially isolating. For instance, participants not only learned, practiced, and reflected on silence together, but drew connections between the practice of silence and changes in everyday social interactions, including bringing compassion into these. Some persons referred to realizing a sense of interconnectedness in the silence akin to a Meadian fusion.     

Reported childhood onset of self-mutilation among borderline patients

The purpose of this study was to determine the percentage of borderline patients who first engaged in self-mutilation as children and to compare the parameters of their self-harm to those of borderline patients who first harmed themselves at an older age. Two hundred and ninety inpatients meeting both Revised Diagnostic Interview for Borderlines (DIB-R; Zanarini, Gunderson, Frankenburg, & Chauncey, 1989) and Diagnostic and Statistical Manual of Mental Disorders (3rd ed. ref.) (DSM-III-R; APA, 1987) criteria for borderline personality disorder were interviewed about their history of self-mutilation. Of the 91% with a history of self mutilation, 32.8% reported first harming themselves as children (12 years of age or younger), 30.2% as adolescents (13-17 years of age), and 37% as adults (18 or older). Using logistic regression analyses and controlling for baseline age, it was found that those with a childhood onset reported more episodes of self-harm, a longer duration of self-harm, and a greater number of methods of self-harm than either those with an adolescent or adult onset to their self-mutilation. The results of this study suggest that a sizable minority of borderline patients first engage in self-harm as children and that the course of their self-mutilation may be particularly malignant.     

Reaction time as a function of the intensity and probability of occurrence of vibrotactile signals

Three Ss made judgments of the presence or absence of a burst of 60-cps vibration onthe index fingertip.The probability of S’s reporting the presence of a signal was found to be influenced by signal probability and signal intensity. Mean reaction time for reporting the presence of a signal decreased as a function of signal intensity and signal probability whereas mean reaction time for reporting the absence of a signal increased as a function of signal intensity and signal probability. On trials where no signal was presented mean R T for reporting a signal decreased with increases in the signal probability whereas mean RT for reporting the absence of a signal increased with increases in signal probability. The results were interpreted as support for the hypothesis that S’s decision time was longer the closer on the sensory continuum a particular observation was to his criterion.     

Interpersonal loss and self-mutilation

Self-mutilation was hypothesized to increase in frequency during periods of interpersonal loss in a treatment program for seriously disturbed adolescents. The study examined changes in the frequency of acts of self-mutilation, aggression, and running away for 32 teenagers who experienced interpersonal loss when staff members left employment. Data were collected for a 4-year period. Statistical findings indicated that the frequency of self-mutilation increased significantly during the time period of anticipated loss, 2 weeks prior to staff terminations. There was no significant increase in the frequency of self-mutilation immediately following the staff terminations. Also, there was no significant change in the rates of aggression or running away either before or after the loss events. It was concluded that the time of anticipated loss was the period of highest risk for these adolescents in terms of self-mutilative behavior.     

Identification with the Aggressor—An Interactive Tactic or an Intrapsychic Tomb?: Commentary on Paper by Jay Frankel

In Ferenczi's idea of identification with an aggressor we can distinguish two sides. One is what we might call an interactive tactic or a social strategy, which is used in upsetting or unbalanced relations of power in order to forestall lack of control, fear, and the like. This is the side that is explored in great detail by Jay Frankel. The other side consists in a intrapsychic change, which flows from severe trauma. The specific effects of the latter are described by Ferenczi as dissociation/fragmentation of the personality, sequestering of the trauma, emotional abandonment, and isolation. Elsewhere, Ferenczi refers to this as a form of psychic self-mutilation.     

How do i know what i feel? Evidence for the role of self‐categorisation in symptom perceptions

This paper extends the self‐categorisation model of symptom appraisals to predict that individuals who believe they have a given illness will perceive concurrent symptoms relevant to that illness to be more severe when they categorise themselves as members of a group of people with that illness. These predictions are supported with opportunity samples of individuals reporting, or not reporting a common cold (Study 1, N = 60) and reporting colds or tinnitus (Study 2, N = 64). In both studies, relevant symptoms were rated as more severe when illness group memberships were salient. The methodological, theoretical and clinical implications of these findings and possible therapeutic applications of self‐categorisation theory (SCT) to symptom perceptions are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Emotional capture by fearful expressions varies with psychopathic traits

Task-irrelevant emotional expressions are known to capture attention, with the extent of “emotional capture” varying with psychopathic traits in antisocial samples. We investigated whether this variation extends throughout the continuum of psychopathic traits (and co-occurring trait anxiety) in a community sample. Participants (N?=?85) searched for a target face among facial distractors. As predicted, angry and fearful faces interfered with search, indicated by slower reaction times relative to neutral faces. When fear appeared as either target or distractor, diminished emotional capture was seen with increasing affective-interpersonal psychopathic traits. However, moderation analyses revealed that this was only when lifestyle-antisocial psychopathic traits were low, consistent with evidence suggesting that these two facets of psychopathic traits display opposing relationships with emotional reactivity. Anxiety did not show the predicted relationships with emotional capture effects. Findings show that normative variation in high-level individual differences in psychopathic traits influence automatic bias to emotional stimuli.     

Deliberate self-harm,clinical history and extreme scoring on the EPQ

Two hundred consecutive admissions to an inpatient psychiatric unit were assessed on the EPQ following recovery from the disturbance for which they were hospitalized. Case-history data was also checked for these patients and extended by using a clinical-history structured interview, also administered within 1 week of discharge. Results showed that for males, high P and high N was associated with a history of deliberate self-harm (DSH) by mutilation. High N was also associated with parental violence. In females, both low E and high N were associated with a history of self-mutilation. High N scores were also more likely to have appeared in court, and high P females were more likely to have a history of bedwetting and of parental violence.None of the associations between extreme scoring on the EPQ and self-mutilation were found for DSH by overdose.     

Stopping Rules for Computer Adaptive Testing When Item Banks Have Nonuniform Information

The standard error (SE) stopping rule, which terminates a computer adaptive test (CAT) when the SE is less than a threshold, is effective when there are informative questions for all trait levels. However, in domains such as patient-reported outcomes, the items in a bank might all target one end of the trait continuum (e.g., negative symptoms), and the bank may lack depth for many individuals. In such cases, the predicted standard error reduction (PSER) stopping rule will stop the CAT even if the SE threshold has not been reached and can avoid administering excessive questions that provide little additional information. By tuning the parameters of the PSER algorithm, a practitioner can specify a desired tradeoff between accuracy and efficiency. Using simulated data for the Patient-Reported Outcomes Measurement Information System Anxiety and Physical Function banks, we demonstrate that these parameters can substantially impact CAT performance. When the parameters were optimally tuned, the PSER stopping rule was found to outperform the SE stopping rule overall, particularly for individuals not targeted by the bank, and presented roughly the same number of items across the trait continuum. Therefore, the PSER stopping rule provides an effective method for balancing the precision and efficiency of a CAT.     

Interoceptive Abnormalities and Suicidality: A Systematic Review

Dysfunction of interoception (i.e., difficulties sensing the physiological state of one's own body) is increasingly linked to different mental health disorders and suicidal outcomes. The aim of this study was to systematically review the literature on the association between suicidality and interoception, as well as identify potential confounders and mediators of the relationship. We conducted a systematic review of four databases, allowing for critical examination of the role of different measures of interoception (accuracy, sensibility, awareness, cognitive/emotional evaluation) across the suicide continuum (ideation, plans, attempts, deaths). The search strategy identified 22 studies (14,988 participants). Preliminary but limited evidence was found for impaired interoceptive accuracy among those reporting suicide attempt histories. We found evidence of interoceptive sensibility disturbances across the suicide continuum, including experiences of not trusting one’s own body sensations and impaired abilities to sustain and control attention to such sensations. Consistent evidence was also reported for disturbances related to cognitive and emotional evaluations of interoceptive sensations. The latter was particularly pronounced for those reporting suicide attempts, relative to those reporting suicidal thinking or planning alone. Overall, this review’s results suggest that interoceptive abnormalities are potentially important indicators of risk for suicidal thinking, intentions, and behaviors. However, due to the inconsistent adjustment for variables of interest, and cross-sectional designs, it is unclear whether interoceptive changes and disturbances have a direct role, or whether the association is explained and mediated by key third variables (e.g. depression, disordered eating, emotional dysregulation). We discuss the implications with respect to suicidal risk and therapeutic interventions.     

Effects of menstrual cycle phase on reporting levels of aggression using the buss and perry aggression questionnaire

The Aggression Questionnaire [Buss and Perry, 1992, Journal of Personality and Aggression, vol. 63, pp. 452–459] was administered to women at menses and during the midluteal phase of their menstrual cycles to assess changes in reporting aggressive behavior as a function of menstrual phase. Men served as a control group, and also received the questionnaire twice, once at session I and once at session II. Women at menses reported a significantly higher level of physically aggressive behavior than during the midluteal phase. A similar but non‐significant trend was found for reporting verbal aggression. There were no changes in reporting of anger or hostility across the menstrual cycle. This produced a significant sex‐difference on reporting physical aggression between men and women at the midluteal phase but not at menses. Aggr. Behav. 29:531–538, 2003. © 2003 Wiley‐Liss, Inc.     

The selection of judges for preference testing

A scheme for choosing a few individuals whose preferences for given objects are most representative of those of a larger group of individuals is proposed. The method involves (a) quantifying the preferences of each individual so as to discriminate optimally among objects, (b) testing statistically whether or not a common preference continuum may be assumed for the quantified preferences, (c) constructing a linear estimator of values for the objects on this continuum, if it may be assumed, and (d) selecting as judges the least number of individuals whose quantified preferences, when used with this estimator, determine values for the objects with acceptable accuracy. A numerical example based on food preferences is presented. Preparation of this paper has been supported in part by the Quartermaster Food and Container Institute for the Armed Forces. Views or conclusions expressed herein are those of the author and do not necessarily reflect the views or indorsement of the Department of Defense.     

Anorexia,masochism, self-mutilation,and autoerotism: the spider mother

In summary, both self-mutilators and eating-disordered individuals come from dysfunctional homes with a very controlling mother and usually absent father. They often have a history of trauma. They are depressed and obsessive, attached to their mothers, who discourage attempts at emancipation. The symptoms serve the purpose of keeping them as little girls with negative feelings toward menstruation, sexual maturity, development, and femininity in general. These symptoms comprise self-destructive behavior in the service of removing sexual thoughts, temptation, and activities. Favazza (1987) included both eating disorders and self mutilation in his "deliberate self-harm syndrome." The symptoms, whether they be anorexic, bulimic, or a form of self-mutilation are seen as "autoerotic in nature and a substitute for normal masturbation" (Hull & Lane, 1988). Eating disorders and delicate self-mutilation are said to have "a cathartic, self-purifying, function in that they modulate states of anxiety, sexual tension, anger or dissociated emptiness, and they bring about a tremendous quasi-physical sense of relief" (Cross, 1993, p. 50). These patients' use of substitutes prevents maturation and growth as women, causing regression to pregenital phases with the use of pregenital defenses, and the demise of the demands of puberty and mature sexuality.     

The effect of maternal depression on maternal ratings of child behavior

There have been continuing concerns about the extent to which maternal depression may influence maternal reports of child behavior. To examine this issue, a series of structural equation models of the relationships between maternal depression and errors in maternal reports of child behavior was proposed and tested. These models assumed that (a) maternal depression was unrelated to maternal reporting behavior; (b) maternal depression causally influenced maternal reporting accuracy; (c) maternal depression was correlated with reporting accuracy. These models were fitted to data on maternal depression and multipleinformant (mother, teacher, child) reports of conduct disorder and attention deficit behaviors for a birth cohort of 12 and 13yearold New Zealand children. The results of model fitting suggested the presence of small to moderate correlations (@#@ r=+.13 to+.40) between maternal depression and maternal reporting errors, indicating the presence of a tendency for increasing maternal depression to be associated with a tendency for mothers to overreport child behavior problems. However, independently of any effects of maternal depression on maternal reporting errors there was evidence of small but significant associations (r=.10 to .17; p<.05)between maternal depression and child conduct disorder and attention deficit behaviors.This research was funded by grants from the Health Research Council of New Zealand.     

Practical-theoritical argumentation

This essay explores the dialectics of theory and practice in terms of argumentation theory. Adapting Jonsen and Toulmin's (1988) notion of a Theory-Practice spectrum, it conceives Theory and Practice as extreme ends of a continuum and discourses as falling at various points along the continuum. Every theoritical discourse has essential practical aspects, and every practical discourse has essential theoretical aspects. Practices are theorized to varying degrees but every practice is thorized to some degree. Reflective discourse, which is discourse about practice, moves to and fro along the Theory-Practice continuum. Reflective discourse involves argumentation. Practical argumentation connects theory to practice; it appeals to general warrants, which may be simple or may tap into elaborate conceptual structures, in order to establish grounds for practical judgments. A practical discipline is a relatively coherent intellectual-professional enterprise that cultivates a field of social practice by engaging within itself and with practitioners in a reflective discourse. The argumentation of a practical discipline, like ordinary practical reflection, moves to and fro along the Theory-Practice continuum but in more methodical steps informed by systematic methodological reflection on the reflective process itself.     

Female Friendship: Separations and Continua

This review essay on Janice Raymond's A Passion for Friends, sympathetic to the author's inquiry into the institutional contexts of female friendship, criticizes as unnecessary its rejection of feminist separatism and of the “lesbian continuum” and formulates a possible connection of its account of sources of passionate friendship among women to the new research on women and violence.