Functional focal retrograde amnesia: Lost access to abstract autobiographical knowledge?

We describe three patients exhibiting an acute reversible amnesia characterised by an impaired recollection of past events with preserved anterograde memory, thus consistent with a focal retrograde amnesia (FRA). This occurred after variable events: state of fugue, road accident, post-traumatic headache. Retrograde amnesia affected autobiographical memory so severely as to cover all of the patients' lives and to erase knowledge of their own identity. The retrieval of public events was variably affected, ranging from normality to severe impairment. No lesions were found on neuroimaging, and neurophysiological findings were unimpressive. FRA subsided in a few days, leaving a gap for the onset. The hypothesis of a psychogenic amnesia is considered, but overcoming the organic/psychogenic dichotomy the episodes appear as examples of “functional” memory inhibition, potentially triggered by different conditions, including events classifiable as psychic trauma. The clinical and neuropsychological traits of functional FRA are discussed. According to a current theory of autobiographical memory, the memory profile may be explained by a lost access to abstract autobiographical knowledge. Given some analogies with the more common transient global amnesia, a mechanism of spreading depression may also be hypothesised for functional FRA.     

Circles of Solicitude and Concern

Abstract

Heidegger distinguishes between concern for things and solicitude for other Dasein. As Dasein is already being‐in‐the‐world and being‐with from the start, there is no need to define what another Dasein is to recognize it. In this paper it is argued that Dasein is thrown into circles of care, where the distinction between solicitude and concern is given. Although this undermines any attempts to regard a comatose patient as non‐Dasein, it raises questions about Dasein’s relations with animals. It is suggested that Dasein’s relations with animals could be captured by inserting another circle, for which the German word versorgen might be suitable.     

Relationships among Coach Leadership,Peer Leadership,and Adolescent Athletes’ Psychosocial and Team Outcomes: A Test of Transformational Leadership Theory

Transformational leadership theory provided a framework to examine the relationships of coach and peer leadership with individual and team outcomes among team sport athletes. Adolescent female soccer players (N = 412) completed measures assessing coach and teammate transformational leadership behaviors, perceived competence, intrinsic motivation, enjoyment, team cohesion, and collective efficacy. Structural equation modeling revealed that coach leadership was more influential than peer leadership for predicting individual outcomes and collective efficacy, peer leadership was more strongly related to social cohesion than coach leadership, and both peer and coach leadership were equally important for task cohesion. Results are discussed relative to the viability of using transformational leadership theory to understand coach and athlete leadership in the sport domain.     

A Compelling Practice: Empowering Future Leaders in the Medical Humanities

Medical students and faculty explore the medical humanities for diverse reasons: as a medium for self-reflection, a means to cultivate professionalism and humanism, and a way to gain an appreciation for the broader contexts in which illness and health occur. One important area for development is increasing the exposure of learners and clinicians of various levels of training to the medical humanities and to role models in the field. Student-led programs in the medical humanities at the American Medical Student Association (AMSA) address these needs by offering unique opportunities for learning and sharing experiences. AMSA programs connect physicians-in-training using technology to create virtual communication and learning opportunities. These include monthly book discussion webinars, the Writers' Institute and the Medical Humanities Scholars Program (MHSP).     

Self-Coherence and Mutuality in the Analytic Dyad: Commentary on Michael Shoshani (Rosenbaum's) Dare to be Human

Michael Shoshani (Rosenbaum's) book Dare to be Human lays bare Michael's emotional relationship with his patient Daniel. Initially, Michael's early childhood relational behavioral patterns are evoked by Daniel's extreme emotional detachment and rejection of Michael as a person. Both analytic partners experienced extreme boundary violations as children in the form of violent beatings, Michael by his father and Daniel by his mother. Michael's mother was overbearing like Daniel's. Both, highly sensitized to intrusions and perceived slights by the other, remain locked in a doer/done to dynamic until Michael successfully breaks through the enactment by learning to stay with Daniel's distress, contain and regulate his own hurt feelings, and provide more space in the relationship by shifting to four times a week and moving Daniel to the couch. Through this process both analytic partners feel safer with each other, deepen their understanding of their own internal object world, and feel intimately engaged with each other. Daniel's life outside the analysis parallels his success in the analytic relationship.     

Coping with Age‐related Threats to Role Identity: Older Couples and the Management of Household Money

As more couples live together into old age, difficult decisions have to be made about money matters, including the financing of late‐life care. This paper analyses in‐depth qualitative data from six older heterosexual couples, part of a wider study concerning money management in later life. Research when these cohorts were younger found that the organisation of money management within households was specialised and highly gendered, leading to substantive imbalances of power and access to financial resources, while also being core to the formation and maintenance of gendered role identities and couple identities. We find in this study that if a partner's ability to fulfil a money management role identity is threatened by later‐life issues such as poor health and cognitive decline, the other partner may try to protect that aspect of the spouse's role identity, using various covert strategies. This might be done to shore up the spouse's self‐esteem in the face of such age‐related threats to role identity, to ‘keep up appearances’ to the outside world or to maintain their identity as a couple at a time of life when there may be multiple difficulties to deal with. These findings have implications for practice and policy in the realm of money and identity management in later life. Copyright © 2013 John Wiley & Sons, Ltd.     

A New Science of Criticism

John R. Searle has recently observed that something might instantiate a Chinese‐‘understanding’ computer program without having any understanding of Chinese. He thinks that this implies that instantiating such a program is ‘never by itself a sufficient condition of intentionality’. I show that this phrase is incoherent, and that all that follows is that instantiating such a program is not in every case a sufficient condition for the given intentionality. But the conclusion to Searle's argument, thus revised, is neither new nor significant; Searle's arguments merely raise old issues in new clothing.     

Understanding alexithymia in female adolescents: The role of attachment style

Adults with alexithymia retrospectively report emotional difficulties with caregivers during childhood. However, the association between attachment style and alexithymic traits may be evident at an earlier stage than adulthood, i.e. during adolescence. Sixty school-based healthy females aged 9–18 years (mean 14.08, SD 2.71 years) participated in an Attachment Style Interview (ASI) and completed the Toronto Alexithymia Scale (TAS-20). Greater levels of alexithymia were exhibited by both anxious and avoidant insecurely attached groups compared to securely attached participants. Fear of separation (characteristic of anxious attachment style) predicted both overall alexithymia scores and the specific alexithymic trait of ‘difficulty identifying feelings’ (DIF). Constraints on closeness (an avoidant attachment attitude) predicted ‘difficulty describing feelings’ (DDF). Low felt attachment to primary caregiver was a predictor of ‘externally oriented thinking’ (EOT). These findings indicate that features of anxious and avoidant insecure attachment styles are differentially related to the separate facets of alexithymia in female adolescents. Specifically, the findings concerning fear of separation may reflect the adolescent struggle for autonomy and the resulting effects on the affect regulation system. Our results also suggest that the normative differentiation of the emotional and cognitive aspects of alexithymia may occur on a developmental trajectory.     

Cómo predecir a algunas personas en algunas ocasiones: la búsqueda de consistencias transituacionales en la conducta

RESUMEN

La controversia, históricamente repetida, sobre la existencia de consistencias transituacionales er la conducta se mantiene debido a la discrepancia entre nuestras intuiciones, que afirman su existencia, y la investigación, que la niega. Se argumenta que los supuestos nomotéticos del paradigma tradicional de investigación son incorrectos y que, adoptando algunos de los supuestos indiográficos empleados en nuestras intuiciones, se pueden obtener mayores coeficientes de correlación transituacionales. Sepresenta un estudio que muestra que es posible identificar a priori a los individuos que serán consistentes tran- situacionalmente y aquellos que no lo serán, y se concluye que la evaluación de la personalidad debe atender no sólo a las situaciones—como recientemente se ha insistido—sino también a las personas.