"Psychotherapy" versus "treatment"

Presents a comment on "Psychological treatments" by D. H. Barlow. Barlow proposed that we distinguish between the terms "treatment" and "psychotherapy." The author believes that not only is the distinction unnecessary, but that its implications could have negative consequences for the field of clinical psychology. It is the proposed distinguishing feature that treatments are "specifically tailored to the pathological process that is causing the impairment and distress" that is most problematic. Clinical psychology does not need a distinction that further exacerbates the split between researchers and practitioners.     

A contribution to "stiff man" syndrome

A patient with the clinical symptoms of the "Stiff-man"-syndrome, but an atypical course was introduced. Symptoms and course were compared with similar cases mentioned in literature. The "Stiff-man"-syndrome is probably a disease of central origin affecting the relationship between inhibitory and excitatory regulation of the muscle tonus, especially the exteroceptive reflex mechanisms. Several pathological processes of the CNS can be held responsible for the disturbance of the balance in this regulatory system.     

Neurobehavioral evidence for the "Near-Miss" effect in pathological gamblers

The purpose of this translational study was twofold: (1) to contrast behavioral and brain activity between pathological and nonpathological gamblers, and (2) to examine differences as a function of the outcome of the spin of a slot machine, focusing predominately on the "Near-Miss"--when two reels stop on the same symbol, and that symbol is just above or below the payoff line on the third reel. Twenty-two participants (11 nonpathological; 11 pathological) completed the study by rating the closeness of various outcomes of slot machine displays (wins, losses, and near-misses) to a win. No behavioral differences were observed between groups of participants, however, differences in brain activity were found in the left midbrain, near the substantia nigra and ventral tegmental area (SN / VTA). Near-miss outcomes uniquely activated brain regions associated with wins for the pathological gamblers and regions associated with losses for the nonpathological gamblers. Thus, near-miss outcomes on slot machines may contain both functional and neurological properties of wins for pathological gamblers. Such a translational approach to the study of gambling behavior may be considered an example that gives life to B. F. Skinner's conceptualization of the physiologist of the future.     

Mahler's concepts of "symbiosis" and separation-individuation: revisited, reevaluated, refined

Mahler's developmental theories are reviewed in the light of subsequent clinical experience and theoretical and empirical critique. Several modifications are proposed, each tending to particularize and focus the nature and scope of developmental events. Particular attention is accorded the "symbiosis" concept, and focus placed on transmission of psychodynamic issues from mother to infant and on the progressive buildup of self-sustaining pathological systems. Overall, an argument is advanced for the continued developmental import of Mahler's "symbiotic" and "separation-individuation" phase formulations, though with recognition of significant individual differences in their role in individual lives. An argument is advanced also for the clinical utility of these ideas, and illustrations presented, though the link between clinical applications and psychoanalytic theories of early development remains problematic.     

The "Big Win" and Resistance to Extinction When Gambling

One hypothesis for the reason a person might become a pathological gambler is that the individual initially experiences a big win, which creates a fallacious expectation of winning, which may then lead to persistent gambling despite suffering large losses. Although this hypothesis has been around for several decades, only one controlled empirical study has addressed it, and that study reported null results. In the present experiment, the authors tested the "big win" hypothesis by having 4 groups of participants with little to no experience gambling play a computer-simulated slot machine for credits that were exchangeable for cash. One group experienced a large win on the very 1st play. Another experienced a large win on the 5th play. A 3rd group experienced 2 small wins on the 2nd and 5th plays. No other winning outcomes were programmed. The 4th group never experienced a win. The authors observed a significant effect of group. Participants who experienced a large win on the 1st play quit playing the simulation earlier than participants who experienced a large win on the 5th play. These results appear to question the "big win" as an explanation for pathological gambling. They are more consistent with a behavioral theory of gambling behavior. The present study should also promote the use of laboratory-based research to test long-standing hypotheses in the gambling literature.     

The "big win" and resistance to extinction when gambling

One hypothesis for the reason a person might become a pathological gambler is that the individual initially experiences a big win, which creates a fallacious expectation of winning, which may then lead to persistent gambling despite suffering large losses. Although this hypothesis has been around for several decades, only one controlled empirical study has addressed it, and that study reported null results. In the present experiment, the authors tested the "big win" hypothesis by having 4 groups of participants with little to no experience gambling play a computer-simulated slot machine for credits that were exchangeable for cash. One group experienced a large win on the very 1st play. Another experienced a large win on the 5th play. A 3rd group experienced 2 small wins on the 2nd and 5th plays. No other winning outcomes were programmed. The 4th group never experienced a win. The authors observed a significant effect of group. Participants who experienced a large win on the 1st play quit playing the simulation earlier than participants who experienced a large win on the 5th play. These results appear to question the "big win" as an explanation for pathological gambling. They are more consistent with a behavioral theory of gambling behavior. The present study should also promote the use of laboratory-based research to test long-standing hypotheses in the gambling literature.     

The narcissism of Thomas Mann and pathologic interpretation of his homosexuality. On a "new concept" in research on Thomas Mann

On the basis of Morgenthaler's sexual theory, the author reviews Wysling's discussion of Thomas Mann's "narcissistic symptomatology" and attempts to refocus it within the external perspective of pubertal conflict. Societally organized forms of sexuality are invariably aimed at the maintenance of narcissistic equilibrium which has been jeopardized by the dissolution of the mother-infant unit. It follows that the neurotic constitution of many homosexuals results not from any hypothetical developmental disturbance in early infancy, but chiefly from the actual conflict with society.     

Interpretation of paroxysmal slow activity--"subcortical signs"--in the electroencephalography of adults

Slow paroxysmal EEG activity, also referred to as "subcortical signs", offers an indication of impaired subcortico-cortical functional interaction that may be set off as a result of intracranial processes of a wide range of localisation. For this reason, the occurrence of this EEG pattern should not be taken to indicate a primary localisation in the range of the medical subcortical structures, nor does its absence imply any improbability of extensive lesions in the region. Taking into consideration the form and frequency of the waves during paroxysms and their local distribution, even this aspecific pattern yields more information for the clinical diagnosis. In particular, generalised paroxysms from monomorphic delta waves are usually associated with an existing primary or secondary brain illness, and would suggest the need for further diagnostic clarification. In interpreting the slow-wave groups restricted to the temporal regions, frequently counted among the "subcortical signs", the wave frequency and the patient's age must be taken into account. In the second half of life they frequently occur unaccompanied by any pathological process.     

"情"与"智"概念的相关研究及思考

综述了国内外关于“情”与“智”的研究成果,指出,“情”与“智”是相互依赖,相互整合的关系。“智”对“情”有一定的决定作用,合理控制利用“情”也有利于“智”的发挥。处理两者之间的关系应该用整体论的思想进行考察,把二者有效地结合起来,合而为一,这样才能达到整体大于部分之和的功效,才能实现布鲁姆所提倡的教学目标。     

Comparison of two theories of "ratio" and "difference" judgments

This article examines the hypothesis that judges compare stimuli by ratio and subtractive operations when instructed to judge" "ratios" and "differences." Rule and Curtis hold that magnitude estimations are a power function of subjective values, with an exponent between 1.1 and 2.1. Accordingly, the two-operation model tested assumes magnitude estimations of "ratios" are a comparable power function of subjective ratios. In contrast, Birnbaum and Veit theorize that judges compare two stimuli by subraction for both "ratio" and "difference" instructions and that magnitude estimations of "ratios" are approximately an exponential function of subjective differences. Three tests were used to compare the theory of one operation with the two-operation theory for the data of nine experiments. The results strongly favor the theory that observers use the same operation for both instructions.     

"Enmeshment" and "Fusion"

The paper examines two related concepts utilized by two different schools of family therapy. Any family seen to be "enmeshed" is also seen as "fused," and vice versa. The difference in the level of focus, on the "system containing the individuals" (structural) or the "individual in the system" (fusion), determines the difference in therapeutic approach of these two schools.     

Ergopsychometry. New methods in experimental psychodiagnosis of pathologic stress reactions

Ergopsychometry--testing under physiological and/or psychological stress--has proved to be increasingly successful in recent years. In particular in sports psychology, in which only physiological stress had been considered, have experimental results been successfully implemented into practice. The fact that some subjects appear unchanged or even yield better results under stress than under stress-free conditions applies not only to physiological stress, but also holds true for psychological stress. These results have consequences for the experimental psychodiagnoses of pathological stress reactions, e.g., with alcoholics or psychosomatic patients. Proceeding from the above hypothesis we investigated 20 gamma-alcoholics (so-called relieve drinkers) and 20 psychosomatic inpatients under stress-free as well as under stress conditions, according to the ergopsychometric approach. The control group consisted of 23 subjects matched with respect to age, sex, and profession. We used a test battery to assess concentration, memory, and choice-reaction as well as the subjective state of activation, stress-coping-mechanisms, and self-concepts. Essentially, the validity of ergopsychometric designs was confirmed by our results. In accordance with our expectations, 27.5% of the experimental group showed increasing efficiency scores, compared to 56.5% in the control group. Possible explanations for the findings can be derived from the assessment of subjective activity, but not from of the personality questionnaires.     

The "Natural" and the "Formal"

The paper presents an argument against a metaphysical conception of logic according to which logic spells out a specific kind of mathematical structure that is somehow inherently related to our factual reasoning. In contrast, it is argued that it is always an empirical question as to whether a given mathematical structure really does captures a principle of reasoning. (More generally, it is argued that it is not meaningful to replace an empirical investigation of a thing by an investigation of its a priori analyzable structure without paying due attention to the question of whether it really is the structure of the thing in question.) It is proposed to elucidate the situation by distinguishing two essentially different realms with which our reason must deal: the realm of the natural, constituted by the things of our empirical world, and the realm of the formal, constituted by the structures that we use as prisms to view, to make sense of, and to reconstruct the world. It is suggested that this vantage point may throw light on many foundational problems of logic.     

Scopolamine intoxication as a model of transient global amnesia

In Colombia (South America) during recent decades the administration of scopolamine, extracted from plants belonging to the Datura or Brugmansia genus, has become an important neurologic and toxicologic phenomenon. These extracts have been popularly known as "Burundanga." Chemical characteristics and clinical features of scopolamine intoxication are described. Anterograde amnesia and submissive behavior found in patients intoxicated with scopolamine are analyzed. Burundanga intoxication is related to other toxic phenomena found in different countries and similitudes with transient global amnesia are emphasized.     

"伦理"与"道德"概念的三重比较义

“伦理”与“道德”是伦理学或道德哲学中的两个核心概念,但二者长期处于概念模糊和逻辑混乱状态,导致伦理学和道德教育“名不正而言不顺”。通过对这两个概念进行以词源学为基础的三重比较:汉语言文化中的比较、英语文化中的比较、中西文化中的比较,我们可以得出的结论是:当代“伦理”概念蕴含着西方文化的理性、科学、公共意志等属性,“道德”概念蕴含着更多的东方文化的情性、人文、个人修养等色彩。“西学东渐”以来,中西“伦理”与“道德”概念经过碰撞、竞争和融合的过程,目前二者划界与范畴日益清晰,即“伦理”是伦理学中的一级概念,而“道德”是“伦理”概念下的二级概念。二者不能相互替代,它们有着各自的概念范畴和使用区域。     

COMMENTARY ON "SEXUALITY AND THE MIDLIFE WOMAN"

In responding to Sandra Leiblum's clearly written, well-researched, and very well-balanced article, we would like to make three points about (a) the nature of language in menopause research and discussion; (b) the pathological and heterosexist bias in the scientific literature on menopause; and (c) our own research of menopausal lesbians.     

Terrorism Between "Syndrome" and "Tool"

ABSTRACT— Two psychological views of terrorism are described, approaching it as a "syndrome" and as a "tool" respectively. Research thus far found little support for the syndrome view. The heterogeneity of terrorism's users is consistent with the tool view, affording an analysis of terrorism in terms of goal–means psychology.     

"Knowledge by acquaintance" and "Knowledge-about": A psychometrical demonstration

In two studies, students were asked to rate their knowledge of a number of different topics, extracurricular as well as drawn from their textbooks of the history of psychology and philosophy. The score distributions on a scale from "unknown" to "well known" were in all cases distinctly U-formed, as if knowledge were a question of either/or, rather than one of degree. However, when knowledge was rated on a scale from "know nothing about" to "know much about", the U-pattern failed to appear, and the students tended generally to give more cautious ratings. The differences are interpreted as evidence for the philosophical and linguistic distinction between "knowledge by acquaintance" (German: "kennen", French: "connaître") and "knowledge-about" (German: "wissen", French: "savoir").     

Weight of evidence supports one operation for "ratios" and "differences" of heaviness

This paper investigates an apparent contradiction between recent studies of "ratios" and "differences" of heaviness. Birnbaum and Veit (1974) found a single rank order for judgments in the two tasks, whereas Rule, Curtis, and Mullin (1981), who used a different stimulus set, procedure, and experimental design, reported two orders. To investigate the cause of this discrepancy, the present study manipulated the experimental design using the same stimuli and procedure as Rule et al. (1981). In one experiment (within-subject designs), each subject judged all combinations of the standard and comparison stimulus; in the other experiment (between-subjects designs) each subject received only one standard, and different groups of subjects were given different standards. "Ratios" and "differences" of heaviness were monotonically related for the majority of subjects who judged all combinations of standards and comparisons. Variations in the modulus and response examples did not affect the rank order of "ratios" within subjects. These results suggest that the contradiction in results is due to the difference in experimental design rather than differences in stimuli or procedure. In the between-subjects designs, the rank order of the "ratio" judgments depended on the standards and examples. Both previous and present results are consistent with the theory that subjects use one operation, subtraction, for both tasks and that the judgment function varies with between-subjects manipulations of the standard, examples, and modulus.