Between life and death: experiences of concentration camp mussulmen during the holocaust

During the years of 1981 and 1982, 89 former prisoners of the Auschwitz-Birkenau concentration camp responded to questionnaires on mussulmen-prisoners in the extreme phase of starvation disease. In this article, I describe the origin of the term "mussulman," mussulmens' somatic and mental state, their behavior and camp customs. Prisoners characterized as mussulmen remain between life and death, without expressing emotional reactions and defense mechanisms apart from a hypersensibility to food-related stimuli. A mussulman was a product of the camp factory of death. A deep somatic and emotional stigma remains in those who survived the mussulmen state.     

Development of the University of Pittsburgh Medical Center policy for the care of terminally ill patients who may become organ donors after death following the removal of life support

In the mid 1980s it was apparent that the need for organ donors exceeded those willing to donate. Some University of Pittsburgh Medical Center (UPMC) physicians initiated discussion of possible new organ donor categories including individuals pronounced dead by traditional cardiac criteria. However, they reached no conclusion and dropped the discussion. In the late 1980s and the early 1990s, four cases arose in which dying patients or their families requested organ donation following the elective removal of mechanical ventilation. Controversy surrounding these cases precipitated open discussion of the use of organ donors pronounced dead on the basis of cardiac criteria. Prolonged deliberations by many committees in the absence of precedent ultimately resulted in what is, to our knowledge, the country's first policy for organ donation following elective removal of life support. The policy is intricate and conservative. Care was taken to include as many interested parties as possible in an effort to achieve representative and broad based support. This paper describes the development of the UPMC policy on non-heart-beating organ donation.     

Nonsuicidal physically self-damaging acts in adolescents

To determine the frequency and correlates of nonsuicidal physically self-damaging acts in 12–14 year olds, a two stage epidemiologic survey with a self-administered questionnaire (N=3283) followed by a psychiatric interview of a subsample of the adolescents and their parents (N=444) was used. Prevalence estimates of interview validated nonsuicidal physically self-damaging acts were 2.46% in males and 2.79% in females. Significant relationships were found between nonsuicidal physically self-damaging acts and suicidal ideation, major depression and undesirable life events. Data suggest that physically self-damaging acts occur at substantial rates during early adolescence. The strong correlation between nonsuicidal self-destructive acts and both suicidal ideation and major depression clarifies prior conflicting reports in the literature and suggests that a history of self-damaging acts should be taken into consideration when evaluating for possible depression and suicide risk.     

Child and adolescent psychopathology research: Problems and prospects for the 1990s

In November 1990 the National Institute of Mental Health (NIMH) convened a special conference of over 100 scientists and leaders to outline specific strategies and research initiatives that should be developed to implement the recently released National Plan for Research on Child and Adolescent Mental Disorders.Participants included journal editors, educators from psychology and psychiatry, representatives from private foundations, and leaders of research program areas in public funding agencies. Critical knowledge gaps were identified in five areas of child and adolescent psychopathology, including depression, attention deficit hyperactivity disorder, conduct disorder, the anxiety disorders, and the developmental disorders. For each of these areas, special emphasis was placed on developing new ideas and obtaining critical input from other areas of investigation. This report summarizes the identified research gaps and recommends research initiatives to implement the National Plan, as outlined by the conference participants.     

Argument versus dialogue: a response to Luepnitz, Madigan and other argumentative authors

In the context of family therapy's task of serving families, the purpose of theorizing is ultimately practical. It is a prevailing cultural practice among intellectuals to use up a vast amount of 'space' in our brains and in the pages of our journals theorizing at a great distance from the practical. One of the reasons for this distance from the practical may be the sophistic habit of argumentativeness. An alternative is proposed in which priority is given to the practical and dialogue is focused on the co-creation of meanings.     

Received and Perceived Social Support Following Natural Disaster1

Because they were participating in a concurrent panel study, 222 older adults had been asked how much help they would expect to receive in a hypothetical emergency before experiencing two separate floods. For the subsample suffering losses or injuries during the floods, Study 1 examined the accuracy of their expectations, as well as possible changes in them, as a result of help actually received. Generally, victims received much less help than they had expected to receive prior to the floods. Preflood expectation of support predicted help from kin, whereas loss and education predicted help from nonkin sources. However, subsequent expectations did not change as a result of the level of help received. Using the total sample, Study 2 examined the broader issue of whether the disaster itself affected subsequent perceptions of support. Flood exposure, as measured at both individual and community levels, was associated with declines in perceptions of support and social participation.     

The case for motivated reasoning

It is proposed that motivation may affect reasoning through reliance on a biased set of cognitive processes--that is, strategies for accessing, constructing, and evaluating beliefs. The motivation to be accurate enhances use of those beliefs and strategies that are considered most appropriate, whereas the motivation to arrive at particular conclusions enhances use of those that are considered most likely to yield the desired conclusion. There is considerable evidence that people are more likely to arrive at conclusions that they want to arrive at, but their ability to do so is constrained by their ability to construct seemingly reasonable justifications for these conclusions. These ideas can account for a wide variety of research concerned with motivated reasoning.