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.     

Children's and parents' daily stressful events and psychological symptoms

Associations of children's daily stressful events and their parents' daily hassles and psychological symptoms with children's emotional/behavioral problems were examined in a sample of fourth- and fifth-grade children and their parents. Correlational analyses indicated that children's self-reports of depressive symptoms were associated with children's daily stressors and mothers' daily hassles, and children's self-reports of anxiety symptoms were associated with children's daily stressors and both mothers' and fathers' daily hassles. Mothers' and fathers' reports of their children's internalizing emotional/behavioral problems were correlated with mothers' and fathers' daily stressors and symptoms. Hierarchical multiple-regression analyses revealed that (a) children's self-reports of depressive symptoms were associated with children's daily stressors, (b) children's self-reports of anxiety symptoms were associated with their parents' daily hassles, (c) mothers' reports of their children's internalizing emotional/behavioral problems were marginally associated with parents' symptoms, and (d) fathers' reports of their children's internalizing emotional/behavioral problems were associated with parents' symptoms and children's self-reports of daily stressors.     

The role of neuroimaging in the discovery of processing stages a review

In this contribution we show how neuroimaging methods can augment behavioural methods to discover processing stages. Event Related Brain Potentials (ERPs), Brain Electrical Source Analysis (BESA) and regional changes in cerebral blood flow (rCBF) do not necessarily require behavioural responses. With the aid of rCBF we are able to discover several cortical and subcortical brain systems (processors) active in selective attention and memory search tasks. BESA describes cortical activity with high temporal resolution in terms of a limited number of neural generators within these brain systems. The combination of behavioural methods and neuroimaging provides a picture of the functional architecture of the brain. The review is organized around three processors: the Visual, Cognitive and Manual Motor Processors.     

The numbers game: Gender and attention to numerical information

Research suggests that males outperform females on standardized tests of math ability from early adolescence onward. Several explanations for this difference focus on the different experiences of females and males with numerical information. We reasoned that males have more experience with numerical information than females because typical male interests (e.g., sports) are more likely to involve numerical information than typical female interests (e.g., physical appearance). Thus, we predicted that males would attend more to numerical information than would females, at least when the information was presented in a male-related or gender-neutral context. Females were expected to attend more than males when the context was female-related. Results using White/Caucasian subjects provided some support for these predictions. Implications for future research on the relationship between the gender-linkage of math materials and gender differences in math performance are discussed.     

Conditional Control of Fluid Consumption in an Occasion Setting Paradigm Is Independent of Pavlovian Associations

Drug states, flavors, and contextual cues were each trained as conditional discriminative stimuli to control a saccharin-LiCl association. In transfer tests, drug states transferred control over consumption to other flavored solutions and to food. Contexts and flavors transferred control only to other flavored solutions. Pavlovian control groups given direct pairings of context-LiCl or flavor-LiCl did not show reliable transfer. However, these control groups did show greater or the same aversion to the specific context or flavor predicting LiCl compared to the context or flavor discrimination groups. The dissociation of the discrimination and Pavlovian groups on transfer versus preference tests suggests that performance on the occasion setting task cannot be due to simple excitation or learning about a unique compound cue. Data from extinction procedures provide further support for the dissociation between simple excitation and occasion setting.     

Postdecision evaluation of choice alternatives as a function of valence of alternatives,choice, and expected delay of choice consequences

The effects of valence of alternatives, choice, and expected delay of choice consequences on postdecision evaluations of choice alternatives were studied by either giving subjects a choice between two experimental tasks (both either pleasant or unpleasant) or assigning subjects their initially preferred task. Crosscutting valence and choice, subjects expected either no delay, 10-min delay, or 30-min delay before engaging in the task. All subjects evaluated both tasks immediately after the delay instructions but before experiencing the actual delay. Results confirmed the expected dissonance effect; that is, an upward evaluation of the chosen alternative and a downward evaluation of the rejected alternative, relative to no-choice conditions. Moreover, the relative upward evaluation of the chosen alternative increased as the expected delay decreased. Valence was not found to interact with other variables. The results are discussed in terms of differential salience of choice alternatives.     

Anorexia and conditioned taste aversions in the rat

The present study examined whether or not certain anorexic agents produced flavor aversions. Rats showed comparable anorexia when injected with lithium chloride, ammonium sulfate, arginine·HCl, and d-glucose. Only lithium chloride produced a flavor aversion to either a novel liquid or food. Only arginine was found to interfere with the formation or recall of an association. The effects of the other chemicals were discussed in terms of the relationship between anorexia and induced sickness.     

Effects of schedule and magnitude of reinforcement under conditions of thirst motivation

In contrast to a recent finding (Macdonald, G. E., & De Toledo, L. Learning and Motivation, 1974, 5, 288–298.) the results of three experiments investigating various partial reinforcement (PRF) manipulations under conditions of thirst motivation demonstrated strong similarity to analogous manipulations involving food reward. Specifically, for animals receiving water reinforcement, PRF was shown to generate greater resistance to extinction than continuous reinforcement (Expt 1 & 3), the schedule of reinforcement was shown to interact with level of acquisition (Expt 1 and 2), and the magnitude of the partial reinforcement extinction effect was shown to be a function of reward magnitude (Expt 3). These results provide strong evidence that mechanisms which operate in partial reinforcement situations are highly similar, regardless of the type of appetitive reinforcement.     

Evidence for the Big Five in analyses of familiar English personality adjectives

Studies of the natural language are a prime source of the Big-Five model, yet the factor analysis of a large, representative, and non-clustered set of English-language personality adjectives in a large sample has not yet been published. In order to test the hypothesis that finding the Big Five depends on biasing the variable selection with an investigator's preferred non-familiar terms, we present the factor analysis of 435 familiar adjectives in a combined sample (N=899) of 507 self- and 392 peer ratings. The five-factor solution reproduced the Big Five with high clarity, demonstrating generally very high correlations with Goldberg's adjective markers of the Big Five. The Intellect factor had a more moderate correlation, due to its de-emphasis of the creativity components of Factor V, a phenomenon that may occur commonly with the lexical Intellect factor.