Psychiatry under tyranny: A report on the political abuse of Romanian psychiatry during the ceausescu years

Romanians suffered incredible deprivations of every sort during the decades of Communist dictatorship. Most of the country’s 1,000 psychiatrists, and most of their patients, were victimized by the political system. A few psychiatrists actively engaged in practices amounting to torture. Many, however, became willing or unwilling participants in the political abuse of their profession. Such political abuses were fostered by abusive legislation and abusive law enforcement by the secret police. Abuses included: mass detentions in psychiatric hospitals of dissidents and political undesirables; abusive interpretation of the laws in detaining persons not suffering from mental illness; false, politically motivated diagnoses and treatment; and detention in secret facilities. While there are honest efforts to come to grips with the past, to compensate victims of psychiatric abuse, and to institute proceedings against abusers, there is also much resistance to reform. Reform-minded Romanian psychiatrists deserve the support of their western colleagues in the effort to restore Romanian psychiatry. In particular, professional colleagues all over the world are asked to comment on the draft law currently pending before the Romanian parliament, which is intended to restore the rule of law to the practice of psychiatry in Romania. Report of a consultative mission to Bucharest, on behalf of the Geneva Initiave on Psychiatry, 7 June to 12 June 1992, by Nanci Adler, Historian-Sovietologist, Geneva Initiative on Psychiatry, Amsterdam, The Netherlands; G.O.W. Mueller, Distinguished Professor of Criminal Justice, Rutgers — The State University of New Jersey, U.S.A.; Mohammed Ayat, Professor of Criminology and Penal Law, Université de Fes, Faculté des Sciences Juridiques, Economiques et Sociales, FEs, Morocco. The Geneva Initiative on Psychiatry is a nongovernmental, nonprofit organization, dedicated to the introduction and preservation of ethical practices in the psychiatric profession, in accordance with medical ethics, the Universal Declaration of Human Rights, and U.N. standards and guidelines. Headquartered in Amsterdam, the organization is currently providing technical and financial assistance to the newly established free, independent, democratic psychiatric associations in Russia, Ukraine, Romania, and other countries. The General Secretary of the organization is Robert van Voren; the board is composed of professionals from some twenty countries. This article was based on meetings at governmental and parliamentary offices, nongovernmental organizations, and embassies as well psychiatric institutions with, among others, the following persons: Dr. Lucian Alexandrescu, V-P Radu Ciuceanu, Mr. Comsa, Proc. Gen’l. Ulpiu Cereceanu, Mr. Nistor Cristea, Mr. Dinu Ianculescu, Prof. Dr. George Ionescu, Miss Cristina Luzoscu, Dr. Zaharia Nicolae, Mr. Iancu Petrescu, Dr. Dan Prelipcianu, Min. Mircea Ionescu-Quintus, Dr. Aurel Romila, Av. Nicolae Stefanescu-Draganesti, Dir. Dr. Tomescu, Dr. Alexandru Trifan, Dr. Valeriu Tuculescu, and numerous victims, diplomats, and Romanian citizens.     

Arguing about definitions

What are the implications of taking seriously Chaïm Perelman's proposition that “definitions are rhetorical”? Efforts to find Real Definitions are dysfunctional to the extent they direct argumentation toward pseudo “is” claims and away from explicit “ought” claims about how words are to be used. Addressing definitional disputes explicitly as propositions ofought rather thanis could put on the agenda the pragmatic concerns of definitional choice that might otherwise remain tacit.     

Using self-evaluation to improve difficult-to-read handwriting of secondary students

We used delayed multiple-baseline and multiple-probe techniques to assess the effects of self-evaluation training on the legibility of cursive handwriting. Five secondary special education students with difficult-to-read handwriting served as participants. All participants improved the legibility of their handwriting during self-evaluation training. A systematic withdrawal of the training package demonstrated maintenance of treatment effects. For the most part, the students' handwriting remained at least 90% legible to judges following the systematic withdrawal of the self-evaluation training.     

An X Windows tool for synthesizing face images from eigenvectors

An X Windows software tool for the construction of faces with a weighted combination of eigenvectors is described. The eigenvectors were extracted from an autoassociative matrix that comprised 100 face images. The program input consists of eigenvectors and sets of weights that describe individual faces and combines these to create face images. The tool creates a panel of buttons that permits the display of individual eigenvectors and the display of an average face as well. Facilities for on-line changes to the intensity of individual eigenvectors can be used to change the appearance of a face. Previously, O’Toole, Abdi, Deffenbacher, and Bartlett (1991) have shown that the intensity of certain individual eigenvectors contains reliable information for determining the sex and race of the face.     

A collection of 4,741 word fragments that have unique completions with respect to 146,205 words

A collection of 4,741 word fragments that have a unique completion is described. All word fragments are specified by two letters (e.g.,__Q__U__can only be completed by the word LIQUEURS). The words completing these fragments range in length from five to nine letters. The fragments are unique with respect to a pool of 146,205 words, which helps rule out the possibility that obscure words could be used as a completion to the fragments. The collection of fragments as well as the words that complete them is available in ASCII format on computer disks or in printed form.     

Twenty-five basic theorems in situation and world theory

Conclusion The foregoing set of theorems forms an effective foundation for the theory of situations and worlds. All twenty-five theorems seem to be basic, reasonable principles that structure the domains of properties, relations, states of affairs, situations, and worlds in true and philosophically interesting ways. They resolve 15 of the 19 choice points defined in Barwise (1989) (see Notes 22, 27, 31, 32, 35, 36, 39, 43, and 45). Moreover, important axioms and principles stipulated by situation theorists are derived (see Notes 33, 37, and 38). This is convincing evidence that the foregoing constitutes a theory of situations. Note that worlds are just a special kind of situation, and that the basic theorems of world theory, which were derived in previous work, can still be derived in this situation-theoretic setting. So there seems to be no fundamental incompatibility between situations and worlds — they may peacably coexist in the foundations of metaphysics. The theory may therefore reconcile two research programs that appeared to be heading off in different directions. And we must remind the reader that the general metaphysical principles underlying our theory were not designed with the application to situation theory in mind. This suggests that the general theory and the underlying distinction have explanatory power, for they seem to relate and systematize apparently unrelated phenomena.This research was conducted at the Center for the Study of Language and Information (CSLI). I would like to thank John Perry for generously supporting my research both at CSLI and in the Philosophy Department at Stanford. I would also like to thank Bernard Linsky, Chris Menzel, Harry Deutsch and Tony Anderson for many worthwhile and interesting suggestions for improving the paper. An earlier version of the paper, more narrowly focused on situation theory, has appeared in Zalta (1991).     

Convergent and Discriminant Validity of FACES-III: Family Adaptability and Cohesion

Research on earlier versions of the Family Adaptability and Cohesion Evaluation Scales (FACES) has ostensibly shown that the scales lack discriminant and convergent validity (23). However, these studies have defined convergence as agreement between family members or as agreement between family members and family therapists. Such definitions confound real differences between respondents' perceptions of the family with the notion of convergent validity. In the current study, we take a different approach to construct validity. Multiple measures of family adaptability, cohesion, and talkativeness were administered to two family members (insiders) and two significant others (outsiders). The two insiders' responses were averaged together, as were the two outsiders' responses. Using confirmatory factor analysis, we demonstrated that family adaptability, cohesion, and talkativeness are distinct traits, and that the different sources of information about these traits, including FACES-III (24), have convergent validity.     

Failure to acquire an inhibitory task following seizure-induced brain damage

Male rats that had displayed limbic seizures following a single pair of systemic injections of lithium and pilocarpine were trained 2 months later on an operant schedule that required differential low rates of responding (DRL). The seizured rats never acquired schedules that required either 6-sec. or 12-sec. inhibition of responses following a reward; these rats displayed more perseverative responding and shorter interresponse times than controls. Histomorphology indicated severe brain damage primarily within the entorhinal cortices (and adjacent amygdala) and dorsal thalamus.     

Neuroleptic malignant syndrome--3 case reports

An account is given of three patients who exhibited a malignant neuroleptic syndrome after the administration of neuroplegics. Like other authors, we identified typical elicitation factors and clinical characteristics. In one case a catatonic dilemma with lethal issue was observed. In the final case dealt with in this paper, the renewed application of neuroplegics following the termination of the malignant neuroleptic syndrome was tolerated without complications, whereas in the case of an epileptic patient with damage to the brain, the malignant neuroleptic syndrome returned upon dosage increase.