Paradox and process

A paradox must be accepted on its own terms, without resolution, and, at the same time, valued as a pointer to a new level of comprehension. Many of the phenomena we encounter in our psychoanalytic work have simultaneously a quality of remarkable similarity and radical, even contradictory, dissimilarity. The apparent paradox is ultimately resolvable by an understanding of the process that underlies and therefore relates the phenomena. The twin dangers that inhere in dealing with paradox and process are, first, the inability to accept the paradox, that is, a premature resolution of it, and, second, a clinging to the paradox so as to avoid articulating the process that would allow one to climb into a new grasp of reality. Among the questions touched on in this paper are: How can there both be and not be a baby inside? How can there be both need and no need at the same time? How can there be both destruction and transcendence in the same moment?     

意象思维与躯体化症状：疾病表达的文化心理学途径

意象思维是中国人的传统思维模式, 它通过观物取象和取象比类的方式认知世界、推演联系。这种思维模式塑造了中国人特有的身心不分而非两分的身体观、疾病观和治疗观。在中国人的观念中, 身体不仅仅是一具生理躯体, 还具有气、阴阳、五行等本土概念所体现的弥合物质与精神、联结生理与心理的模糊性与开放性。人们在表达疾病感觉时通常不分生理与心理, 任何一方面出现不适感觉即可认为自己生病, 在面对心理医生时也倾向于同时报告躯体状况与心理感觉, 从而使得临床报告出现较高的躯体化报告率。这正是文化心理影响疾病表达的体现。这也使得疾病不仅是一种医学现象, 也是一种文化现象; 医学不仅需要生理知识, 也需要人文知识。     

The Visual Guide to Morality: Vision as an Integrative Analogy for Moral Experience,Variability and Mechanism

Analogies help organize, communicate and reveal scientific phenomena. Vision may be the best analogy for understanding moral judgment. Although moral psychology has long noted similarities between seeing and judging, we systematically review the “morality is like vision” analogy through three elements: experience, variability and mechanism. Both vision and morality are experienced as automatic, durable and objective. However, despite feelings of objectivity, both vision and morality show substantial variability across biology, culture and situation. The paradox of objective experience and cultural subjectivity is best understood through constructionism, as both vision and morality involve the flexible combination of more basic ingredients. Specifically, both vision and morality involve a mechanism that demonstrates Gestalt, combination and coherence. The “morality is like vision” analogy not only provides intuitive organization and compelling communication for moral psychology but also speaks to debates in the field, such as intuition versus reason, pluralism versus universalism and modularity versus constructionism.     

Does symptomatic schizophrenia exist?

The question if there are "symptomatic schizophrenias" has been discussed since the 20s. Schizophrenic psychoses caused be definable and well known brain diseases are presented. All schizophrenic symptoms and syndromes, the first rank symptoms (K. Schneider) too, occur in somatically founded psychoses. The group of paroxysmal transition syndromes in the sense of aura prolongata (continua) and the episodic schizophrenic psychoses in psychomotor epilepsy may be a model for the schizophrenia research. Vital threatening, so-called pernicious catatonic schizophrenias are found on the basis of infectious brain diseases, sometimes only diagnosed in autopsy. Beside acute and reversible symptomatic schizophrenic psychoses there are, even if rarely, recurrent and chronic courses of symptomatic schizophrenias. That certain conditions for the developing of symptomatic schizophrenias are rarely realised, could be an explanation for their rarity. Some findings indicate that the limbic system is significant for symptomatic (and idiopathic) schizophrenic psychoses and the pre- and postpsychotic basic stages determined by dynamic and cognitive basic symptoms, which are phenomenologically very similar to aura symptoms released by stereoelectroencephalographic depth recordings (Wieser). The characteristic features of marked fluctuation, discontinuity and insteadiness of the cognitive thought, perception, psychomotor and cenesthetic phenomena do not speak against an organic brain disorder provided that the traditional process hypothesis is abandoned in favor of a neurobiochemic disorder, fluctuating on its part depending on endogenous as well as psychic-reactive factors.     

Thérapie cognitive et schémas cognitifs : un aspect du paradoxe

On one hand, schemas responsible for psychopathologies are said to be slowly formed during the childhood which means they become stable, rigid and practically non-modifiable structures. On the other hand, cognitive therapy aims at modifying these schemas, sometimes a few appointments are enough for the shortest techniques. To explain this paradox, we have measured the activity of 13 early maladaptive schemas among 36 patients (20 men and 16 women), suffering from panic disorders with agoraphobia, before and after a 10 weekly session group therapy—the symptoms being totally reduced. We compare these measures with those made on subjects free from any psychiatric disorders. Our results indicate that if therapy modifies symptoms, it has no immediate effect on early maladaptive schemas.     

Two paradoxes in stuttering treatment

The premise of this article is that effective communication should be a central, overarching goal in the treatment of stuttering. Not focusing on communication may have some unintended negative consequences on treatment. The negative consequences are the result of two paradoxes that confront clinicians and clients: the listener paradox and the communication paradox. The listener paradox concerns the different ways that typical listeners and clinicians respond to stuttering. The communication paradox concerns the use of treatment procedures that may have negative consequences on communication. Clinicians and clients need to evaluate treatment procedures in terms of the effect they may have on communication. Understanding these two paradoxes and making effective communication the focus of treatment may improve the long-term treatment outcomes of people who stutter. EDUCATIONAL OBJECTIVES: The reader will learn about (1) why effective communication should be the central goal in the treatment of stuttering; (2) how the listener and communication paradoxes may negatively impact on communication; and (3) how understanding these paradoxes may improve the long-term outcomes of people who stutter and also improve the comfort level clinicians have in treating individuals who stutter.     

Prevalence of various depressive symptoms in a sample of the general population.

Data on prevalence of and demographics associated with various symptoms of depression are reported for a sample of the general population. Of the nine symptoms assessed, the most frequently occurring were dysphoric mood (17.8%), increased sleep (15%), and loss of interest in other people or activities previously enjoyed (11.8%). 39% of subjects reported one or more symptoms of depression. 8% of subjects reported wondering if life is worth living, a symptom that in and of itself is suggestive of clinically significant depression. The number of depressive symptoms reported was related to income, education, age, and residence (city versus county), but not to sex. The findings provide evidence that various symptoms of depression may be more common in the general population than previously suspected.     

Die Hysterie im neuen Gewand und im Wandel der Zeit

Classical symptoms of hysteria – especially symptoms of hysterical neurosis (conversion type) – are not commonly seen any more. On the one hand, general knowledge about the function of hysterical has led to suppression of the underlying hidden conflicts, possibly up to resomatization. On the other hand, those affected may have rather subtle symptoms, e.g., vague pain, circulatory disorders, or fatigue. Overall, the hysterical phenomena have not become less common but have become “contemporary” and, therefore, more difficult to identify. Reliable epidemiological data, however, are difficult to obtain. Rough estimates indicate that 2–6?% of all people have dissociative disorders (ICD-10 definition). Histrionic personality disorder is estimated to occur with a frequency of 2–3?%. In 75?% of cases, the disease manifests relatively early, between the ages of 17 and 32 years and with a 3:1 female to male ratio. An average of 7 years elapses between first manifestation and the start of psychiatric–psychotherapeutic treatment.     

Mood Regulation Skill and the Symptoms of Endogenous and Hopelessness Depression in Spanish High School Students

To assess the construct validity of the endogenous subtype of depression, 2 studies examined the relation of mood regulation skill to the symptoms of endogenous depression versus hopelessness depression in adolescent samples. It was hypothesized that the relationship between mood regulation skill and endogenous depression would be weaker than the relationship between mood regulation skill and hopelessness depression, because endogenous depression may be less influenced by personality variables, such as mood regulation skill. In spite of the high degree of correlation between the symptoms of hopelessness depression and endogenous depression, the relationship between mood regulation skill and hopelessness depression was stronger than the relationship between mood regulation skill and endogenous depression, as predicted. This is consistent with proposed definition of endogenous depression.     

The logic of Simpson’s paradox

There are three distinct questions associated with Simpson’s paradox. (i) Why or in what sense is Simpson’s paradox a paradox? (ii) What is the proper analysis of the paradox? (iii) How one should proceed when confronted with a typical case of the paradox? We propose a “formal” answer to the first two questions which, among other things, includes deductive proofs for important theorems regarding Simpson’s paradox. Our account contrasts sharply with Pearl’s causal (and questionable) account of the first two questions. We argue that the “how to proceed question?” does not have a unique response, and that it depends on the context of the problem. We evaluate an objection to our account by comparing ours with Blyth’s account of the paradox. Our research on the paradox suggests that the “how to proceed question” needs to be divorced from what makes Simpson’s paradox “paradoxical.”     

基于时间顺序的多动症共病的概述

多动症是一种常见的行为障碍,它以注意力不集中、多动、行为冲动为主要特征。同时多动症是一组异质性疾病,常与一种或几种精神或非精神障碍相伴发生。以往关于多动症合并症状的研究,大都局限在一个或几个合并症状上,缺乏关于其合并症状的系统认识。基于以往研究,文章以多动症合并症状发生的时间顺序为线索,将其分为前期、同期、后期合并症,并逐一详细介绍。未来应该加强关于多动症患者的纵向研究,以了解症状的发展状况,更好的诊断和治疗多动症。     

对保乳手术及预防性乳腺切除术的思考

鉴于对乳腺癌是全身性疾病的认识,为提高术后生存质量,目前乳腺癌治疗中保乳手术日益受到重视.而为了阻断高危险性的乳腺向乳腺癌发展,预防性乳房切除术也正在被患者接受.保留乳腺与预防性切除乳腺的医学实践反映了目前人们对乳腺癌的深层认识,值得深入思考.     

The visual field paradox: a theoretical account on the reafference principle providing a common frame for the homogeneity and inhomogeneity of visual representation

Observations on the structure of the visual field and its central representation lead to a paradox. A functional dissociation is indicated in oculomotor or attentional control when different response modes are observed as a function of stimulus eccentricity. Alternatively, constancy of brightness throughout the visual field suggests its homogeneity. This paradox can be resolved, if perceptual and motor processes are not conceived of being controlled by separate neuronal mechanisms, but are interconnected within one frame of reference. The reafference principle allows to formulate such a common frame as it integrates afferent and efferent processes. On the basis of this concept, the visual field paradox can be interpreted as not being a paradox at all, but a necessary condition for optimal information processing.     

抑郁症的诊断与治疗

抑郁症已成为全球第四大致残疾病,我国北京、上海的抑郁障碍患病率分别为2.5%和1.7%。本文阐明抑郁症发病危险因素、临床表现、自我识别、抑郁症的识别率及诊断率低的原因,并提出了抑郁症的新型抗抑郁剂治疗、物理治疗、心理治疗方法。     

Harry F. Harlow and animal research: reflection on the ethical paradox

With respect to the ethical debate about the treatment of animals in biomedical and behavioral research, Harry F. Harlow represents a paradox. On the one hand, his work on monkey cognition and social development fostered a view of the animals as having rich subjective lives filled with intention and emotion. On the other, he has been criticized for the conduct of research that seemed to ignore the ethical implications of his own discoveries. The basis of this contradiction is discussed and propositions for current research practice are presented.     

movies about intelligence: the limitations of g

There is a strong tendency for the same people to do better or worse on a wide variety of IQ tests. On this basis, some psychologists posit the concept of g , or a general intelligence factor. Does g show that performance on a wide range of cognitive tasks is influenced by individual differences in brain quality? It may, but if so, g lacks a sociological dimension and cannot explain cognitive trends over time or assess their significance. It also encourages a paradox about nature versus nurture and oversimplifies the causes of the Black-White IQ gap.     

中枢肥大细胞在脑功能和行为调节中的作用

已知肥大细胞作为免疫细胞在过敏反应和炎性疾病中发挥重要作用。肥大细胞在中枢亦有表达, 但对其作用了解不足。新近的研究发现中枢肥大细胞在脑功能和行为调节中发挥重要的内源性平衡作用。一方面, 中枢肥大细胞在维持相关脑区发育, 正常神经活动, 以及动机, 情绪和认知等多种行为中发挥保护性作用, 各种应激条件诱导的中枢肥大细胞表达和活动改变参与脑和行为的适应性反应过程。另一方面, 中枢肥大细胞过度激活或者过度抑制都可导致脑功能和行为异常, 并参与某些免疫相关心身疾病的病理过程。体外神经解剖学和功能学研究证据提示中枢肥大细胞与神经系统间存在结构性和功能性相互作用网络。肥大细胞和神经组织间通过形成类似突触的结构性联系直接影响相邻细胞的活动。肥大细胞还可以通过脱颗粒释放多种生物活性介质调节神经活动, 同时表达多种受体接受脑内免疫性和神经性分子调节。但是目前对于中枢肥大细胞-神经系统相互作用的认识主要基于体外研究, 其在脑内相互作用方式及其与特定脑区功能和行为表型的关系所知甚少, 开展相关研究可以为认识脑与行为的神经免疫调节机制提供新的视角。     

Negative attributional style, hopelessness depression and endogenous depression

The hopelessness theory of depression [Abramson, L. Y., Metalsky, G. I. & Alloy, L. B. (1989). Hopelessness depression: a theory-based subtype of depression. Psychological Review, 96, 358-372.] postulates that a negative attributional style represents a risk factor for a particular constellation of depressive symptoms, termed 'hopelessness depression'. Four studies tested the relation of negative attributional style to hopelessness depression symptoms versus endogenous depression symptoms. Despite the considerable overlap of hopelessness and endogenous depression symptoms, negative attributional style was more related to the former than the latter, consistent with hopelessness theory.     

Symptoms and selection bias: The influence of selection towards specialist care on the relationship between symptoms and diagnoses

Observations with respect to the relationship between symptoms and diseases can seriously be biased by selection phenomena. This selection may occur from the general population, via consultation behavior, diagnostic and therapeutic activities of the general practitioner, and by referral. Relationships may be suggested and reproduced even if they do not exist in unselected populations, as a product of diagnostic routines. Correction for selection bias can only be achieved by choosing proper comparison groups. While this can be done in a general practice setting, this is almost impossible after referral, as is demonstrated in this paper. Surprisingly, the most unbiased estimation of the relationship between symptoms and diseases after referral can be made from patient groups that are referred for reason unrelated to the disease under study. Definitive answers for the general practitioner can only be provided by prospective studies from a primary care setting. In the meantime, however, biased relationships can be maintained by teaching knowledge derived from a specialist experience.     

Berufliche Gratifikationskrisen und Gesundheit

Chronic work stress is of growing importance with regard to its prevalence and its association with ill health. A theoretical model of chronic work stress, the model of effort-reward imbalance, was successfully tested in more than a dozen studies. The model assumes that a mismatch between efforts and rewards triggers sustained autonomic activation and related risks for coronary heart diseases, but also for other diseases and symptoms. Two sources of work stress are distinguished: an extrinsic, situational source and an intrinsic source, the coping behavior overcommitment. Information derived from this model helps to identify populations at risk and to develop and apply specific theory-guided intervention activities on the individual, the interpersonal, and the structural level.