Philosophy of medicine in 2021

Theoretical Medicine and Bioethics -     

Psychiatric diagnoses in infancy: A comparison

This study investigated the specificity of diagnostic classification in two standardized systems: DSM-IV and Diagnostic Classification: Zero to Three. A sample of 82 infants aged 1–24 months suffering from various psychogenic and functional pediatric symptoms was diagnosed applying both systems. For DC: 0–3 (the Diagnostic Classification on Mental Health and Developmental Disorders of Infancy and Early Childhood), this study presents results with respect to the specificity of symptom patterns. Twelve out of 27 symptoms, specific for disorders in early infancy, showed high specificity and were significantly discriminative for the diagnostic entities. These symptoms were differentiated for frequency and severity of occurrence for each diagnosis. In the sample, DSM-IV and DC: 0–3 diagnoses were compared. Additionally, 13 items of biographical-biological data were collected (e.g., low SES combined with very young or older mothers resulted in an increased risk for psychiatric disorders in early infancy). The data provide support for the idea that the use of DC: 0–3 in early infancy may be helpful in relation to daily routines and research by increasing the range of clearly defined diagnostic entities.     

Age-Specific Effects of Lexical–Semantic Networks on Word Production

The lexical–semantic organization of the mental lexicon is bound to change across the lifespan. Nevertheless, the effects of lexical–semantic factors on word processing are usually based on studies enrolling young adult cohorts. The current study aims to investigate to what extent age-specific semantic organization predicts performance in referential word production over the lifespan, from school-age children to older adults. In Study 1, we conducted a free semantic association task with participants from six age-groups (ranging from 10 to 80 years old) to compute measures that capture age-specific properties of the mental lexicon across the lifespan. These measures relate to lifespan changes in the Available Richness of the mental lexicon and in the lexical–semantic Network Prototypicality of concrete words. In Study 2, we used the collected data to predict performance in a picture-naming task on a new group of participants within the same age-groups as for Study 1. The results show that age-specific semantic Available Richness and Network Prototypicality affect word production speed while the semantic variables collected only in young adults do not. A richer and more prototypical semantic network across subjects from a given age-group is associated with faster word production speed. The current results indicate that age-specific semantic organization is crucial to predict lexical–semantic behaviors across the lifespan. Similarly, these results also provide cues to the understanding of the lexical–semantic properties of the mental lexicon and to lexical selection in referential tasks.     

Perception of pictorial eye gaze by baboons (Papio papio)

Pictorial faces looking left or right were presented to baboons (Papio papio) before the display of a target letter in the left or right hemifield of a monitor screen. Baboons had to provide go or no-go responses taking into account the identity of the target letter. The 1st 6 experiments showed no reliable effect of eye gaze on discrimination speed, using either schematic gazes or pictures of real gazes. Experiment 7 showed that eye gazes facilitated target processing when eye cues were perfect predictors of target location. Findings suggest that baboons do not spontaneously process eye-gaze direction but can learn to do so if the gaze has a predictive value. Implications of these findings on baboons' perspective-taking abilities are discussed.     

Transfer of newly acquired stimulus valence between identities in dissociative identity disorder (DID)

Patients with Dissociative Identity Disorder (DID) frequently report episodes of interidentity amnesia, that is amnesia for events experienced by other identities. The goal of the present experiment was to test the implicit transfer of trauma-related information between identities in DID. We hypothesized that whereas declarative information may transfer from one identity to another, the emotional connotation of the memory may be dissociated, especially in the case of negative, trauma-related emotional valence. An evaluative conditioning procedure was combined with an affective priming procedure, both performed by different identities. In the evaluative conditioning procedure, previously neutral stimuli come to refer to a negative or positive connotation. The affective priming procedure was used to test the transfer of this acquired valence to an identity reporting interidentity amnesia. Results indicated activation of stimulus valence in the affective priming task, that is transfer of emotional material between identities.