Ambivalenz und gleichschwebende Aufmerksamkeit

Starting from some aspects of a case study the clinical significance of the concept of ambivalence will be exposed. It will be shown that beyond all the different symptoms ambivalence plays an important role in evenly-suspended attention, a concept which was developed by Freud at nearly the same time as ambivalence itself. As far as this attention is not freely suspended, ambivalence means that the suspension is always threatened by the danger of a crash. When it is right, that from a psychoanalytical viewpoint the achievement of the subject lies particularly in a misachievement, in the Freudian slip, the promise of efficiency and cure in an analysis will prove itself in its failure. The young man in the case study tells the psychoanalysis about the ambivalences it is involved in and in this he is very efficient. Ambivalence as an essential part of the evenly-suspended attention will reveal itself as a strong means of deconstructing efficiency.     

Kommentare zu ?Ambivalenz weiterschreiben��

The authors comment on the results of the Zürich symposium with varied weighting. Ambivalence is brought into relation with a hypothetical genesis of human thinking and understood as a reflection of the fundamental dialogical structure, which owes itself to an exchange of symbolic messages. A further consideration describes that the ??valley of the uncanny??, whose connection to death Lilly Gast has shown, could also have a fundamental connection with sexuality bared of all bonds, which releases the same fears as death. A difficulty would lie in the inflationary use of the term: every ambiguousness or diversity would sometimes generally be subsumed under ambivalence and therefore all selectivity would become lost. Also discussed is the ambivalence of the term, or the question, whether the term has not lost significance. Finally its relevance in pediatric and adolescent-specific perspectives will be examined.     

Rational Choice and Moral Decision Making in Research

University psychology and sociology researchers rated the likelihood they would engage in misconduct as described in 9 research scenarios, while also making moral judgments and rating the likelihood of discovery and sanctions. Multiple regression revealed significant effects across various scenarios for moral judgment as well as shame and embarrassment on reducing misconduct. The effects on misconduct of the perceived probability of sanctions were conditioned on moral judgments in some scenarios. The results have implications for how universities address the prevention, detection, and sanctioning of research misconduct.     

Electrophysiological evidence for preparatory reconfiguration before voluntary task switches but not cued task switches

An unresolved issue in the task-switching literature is whether preparatory reconfiguration occurs before a change of task. In this study, we used event-related potentials (ERPs) to determine whether preparatory reconfiguration occurs during two different task-switching procedures: voluntary and cued task switching. We focused on two ERP components that index different cognitive operations. The contingent negative variation (CNV) is a sensitive measure of a participant’s preparedness to use a specific stimulus–response mapping. In contrast, the P3 indexes memory updating. We found a pronounced modulation of the CNV before voluntary task switches, but not before cued task switches. Instead, cued task switches were preceded by a larger P3, as compared with task repetitions. Our findings suggest that task set reconfiguration is carried out prior to voluntary task switches, whereas memory processes dominate cued task switches.     

On the importance of being first: Serial order effects in the interaction between action plans and ongoing actions

When we plan sequences of actions, we must hold some elements of the sequence in working memory (WM) while we execute others. Research shows that execution of an action can be delayed if it partly overlaps (vs. does not overlap) with another action plan maintained in WM (partial repetition cost). However, it is not known whether all features of the action maintained in WM interfere equally with current actions. Most serial models of memory and action assume that interference will be equal, because all action features in the sequence should be activated to an equal degree in parallel; others assume that action features earlier in the sequence will interfere more than those later in the sequence, because earlier features will be more active. Using a partial repetition paradigm, this study examined whether serial position of action features in action sequences maintained in WM have an influence on current actions. Two stimulus events occurred in a sequence, and participants planned and maintained an action sequence to the first event (action A) in WM while executing a speeded response to the second event (action B). Results showed delayed execution of action B when it matched the first feature in the action A sequence (partial repetition cost), but not when it matched the last feature. These findings suggest that serial order is represented in the action plan prior to response execution, consistent with models that assume that serial order is represented by a primacy gradient of parallel feature activation prior to action execution.     

Aligning inside and outside perspectives of the self: A cross‐cultural difference in self‐perception

Past research shows that European Americans tend to take a first‐person perspective to understand the self and are unlikely to align the inside look with the outside gaze, whereas Asians tend to take a third‐person perspective and are likely to shift their inside look in the direction of the outsize gaze. In three experiments, we compared Asians and European Americans' self‐perceptions when the presence of their parents in the background of self‐perception was primed or otherwise. Without the priming, both European Americans and Asians viewed themselves more positively from their own perspective than from their parents' perspective. With the priming, only Asians lowered the positivity of their self‐perceptions to match the perceived positivity of the self in the parents' perspective. These results suggest that Asians do not have a static, passive tendency to assimilate their self‐views into the perceived external assessments of the self. Rather, their self‐views are fluid and flexible.     

Schmerz ist nicht gleich Schmerz

Not all types of pain are the same. For successful treatment of pain, acute pain must be distinguished from chronic and nociceptive must be distinguished from neuropathic pain. Selection of the right medication is based on the severity of the pain. Despite all efforts to standardize treatment, there is still no consensus on the optimal treatment method. The effective drug must be determined for each patient by taking into account the patient’s symptom profile, the pain intensity and duration as well as the side effects and contraindications. In chronic pain syndromes, only after 6–8 weeks with adequate dosage can the ineffectiveness of a drug be assessed. Single doses, intervals between administration and routes of administration must be selected depending on the pharmacokinetics and interaction profile and the age and needs of the patient.     

Autoimmun-Enzephalitiden – eine Erkrankungsgruppe mit vielen Gesichtern

During the last 10 years a number of syndromes with antibodies against neuronal surface antigens have been characterized. Adults as well as children can be affected. Patients may suffer from amnestic syndrome, other cognitive deficits, seizures, or psychiatric symptoms. Some patients develop generalized encephalopathy with altered levels of consciousness, hyperkinesias, and hypothalamic disorders. In some patients, ovarial teratoma, thymoma, or small cell lung cancer can be diagnosed. However, in most patients no tumor is found. These syndromes were previously called autoimmune channelopathies. In fact, most antigens are not part of an ion channel but proteins or part of protein complexes on the cell surface of neurons, axons, dendrites, or synaptic terminals. These proteins are expressed throughout the nervous system. Interestingly, in limbic encephalitis very circumscribed brain regions are affected. This may be due to an increased vulnerability or accessibility of the affected brain regions. Limbic encephalitis is a well-characterized form of autoimmune encephalitis, which can be associated with different antibodies. Anti-NMDA-receptor encephalitis is not restricted to the limbic system. Characterization of other syndromes and auto-antibodies are expected in the future. In this review, aspects of limbic encephalitis and anti-NMDA-receptor encephalitis will be discussed.     

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.     

Lumbale Radikulopathie

Back pain is a common pain syndrome in the general population. The most common cause is lumbar disc disease and only rarely bony degenerative changes of the spine. Other causes of lumbar radiculopathy include local lesions. Inflammatory changes or meningeal carcinomatosis may also lead to lumbar nerve root damage. With pronounced clinical symptoms, motor deficits of the associated muscles can occur, including weakening of muscle reflexes. In addition to thorough education of the patient about the origin, likely duration, and treatment of the disease, a combination of physical therapy and pharmacotherapy is the basis for successful treatment of lumbar radiculopathy. In cases of severe paralysis, bladder and rectal paralysis, and corresponding compression of nerves, urgent spinal surgery is inevitable.