Pain as purgation: The role of pathologizing in the life of the mystic

Since Descartes, man has been defined in terms of body and spirit only. Yet there is a third term that is of crucial importance for the founding of a psychology of suffering. The realm of psyche, or soul, is a middle ground between the spirit and the body in which the psychological forces of one's life find expression. A psychological approach to the anguish of the suffering soul can be found within the writings of the early desert fathers as well as in the paintings of Hieronymus Bosch. The penitent must learn patience in the face of his suffering, before he can experience the joy of spiritual maturity.A famous anchorite came to take counsel on high things with the abbot Pastor, but the old man turned away his head, and the anchorite went away aggrieved. His disciple asked Pastor why he had refused to talk with a man so great and of such reputation in his own country, and the old man said that his visitor could speak of heavenly things, but that he himself was of earth. If he had spoken to me of the passions of the soul I could have answered him: but of the things of the spirit I am ignorant.Mr. Fischer is a member of the Psychology Department, University of Dallas, Irving, Texas 75060.     

Differential indications for desipramine--results of a controlled multiclinical study]

The antidepressants desipramine and imipramine were compared within the framework of a multiclinical study performed under the conditions of a controlled clinical experiment. There has been found a time-different remission of affective symptoms, which was not detectable for the inhibition of drive. The tachythymoleptic action of desipramine is discussed with reference to these results. Evaluation of the possibility of controlling affects shows different ranges of activity of desipramine and imipramine, with desipramine influencing especially negative psychoenergetic symptoms in the area of drives and emotions and imipramine, restrictive symptoms in addition to differential phenomena of the psychomotor expression.     

Why child neuropsychiatry?]

The author gives a brief survey of the development of Child-Neuropsychiatry in the G.D.R. and subsequently gives reasons for the decision in favor of the unity of neurology and psychiatry as applied to children and juveniles, which is in contrast to developments in other countries. In addition to hygienic, economic, organizational, and medical considerations, this decision was also determined by the fact that a Child-Neuropsychiatrist must, in his practical work as a subspecialist, be able to head a multiprofessional team and, thus, help assure optimum development of a child's personality.     

Suppression and substitution in the treatment of nailbiting

The effectiveness of a package treatment for reducing nailbiting was studied. The package was composed of both positive procedures aimed at teaching adaptive behavior to substitute for nailbiting and negative procedures aimed at advancing skills for suppressing nailbiting. The design of the study permitted an analysis of the contributions of both positive and negative components of the package. Subjects assigned to combined, positive, negative and placebo groups received four weekly treatment sessions, and changes in their nailbiting behavior were compared with untreated controls. As in previous studies, nonspecific factors such as demand and attention to ones nails were found to be important determinants of outcome. In addition, positive procedures were found to be substantially more important than negative procedures in the maintenance of reductions in nailbiting over a 4-month follow-up period.