Postmodern reflections on modern psychiatry: The diagnostic and statistical manual of mental disorders

This article found elevated levels of trauma symptoms related to the terrorist attacks of 9/11 in students at a university in Northern California. In an analogue comparison, the impact on trauma symptoms of 2 interventions—journal writing and story listening—was examined. College students were randomly assigned to write about their emotional reactions to 9/11 or to listen to stories evoking themes relevant to the national tragedy. Participants in both conditions reported significant improvements in trauma symptoms on the final day of each condition. Students with prior bereavement had greater improvements in trauma symptoms on 1 measure in the story listening condition. The implications of these findings for the use of exposure-based interventions in the treatment of trauma are discussed.     

Enacting Actuarial Fairness in Insurance: From Fair Discrimination to Behaviour-based Fairness

ABSTRACT

In line with developments in the personalisation of risk, the idea that insurance products should above all be ‘fair’ to the policyholders is increasingly voiced by commentators. The performativity thesis in Science and Technology Studies usually used to study economic markets can be used to investigate different enactments of ‘actuarial fairness’ in insurance practice. Actuarial fairness functions as a technical economic concept and was coined by the neoclassical micro-economist Kenneth Arrow (1921–2017). Faced with anti-discrimination legislation, the insurance industry has, since the 1980s, advanced the principle of actuarial fairness to legitimise their medico-actuarial technologies to discriminate between risk groups. In the absence of this actuarial fairness, it is assumed that dynamics of adverse selection—derived from neoclassical assumptions about economic actors— will result in the bankruptcy of insurance providers. The paradigmatic case of Fairzekering, a showcase of contemporary behaviour-based personalisation in car insurance, demonstrates an important shift in how actuarial fairness is enacted through behaviour-based calculative devices. Here, policyholders are enacted as being personally in control of their driving style while an interactive discount-infrastructure is set up to provide real-time feedback to incentivize policyholders towards ‘good behaviour.’ This enactment of behaviour-based fairness simultaneously implies a shift in the enactment of the economic actors involved, constitutive of the making of new economic ideas in behavioural economics.     

Retention of autobiographical memories: An Internet-based diary study

In this online study we examined the retention of recent personal events using an Internet-based diary technique. Each participant (N=878) recorded on a website one recent personal event and was contacted after a retention interval that ranged between 2 and 46 days. We investigated how well the participants could recall the content, time, and details of their recorded event. We found a classic retention function. Details of the events were forgotten more rapidly than the content and the time of the events. There were no differences between the forgetting rates of the “who”, “what” and “where” elements of the content component. Reminiscing, social sharing, pleasantness, and frequency of occurrence aided recall, but surprisingly importance and emotionality did not. They were, however, strongly associated with reminiscing and social sharing.     

Moral Stress in International Humanitarian Aid and Rescue Operations: A Grounded Theory Study

Humanitarian aid professionals frequently encounter situations in which one is conscious of the morally appropriate action but cannot take it because of institutional obstacles. Dilemmas like this are likely to result in a specific kind of stress reaction at the individual level, labeled as moral stress. In our study, 16 individuals working with international humanitarian aid and rescue operations participated in semistructured interviews, analyzed in accordance with a grounded theory approach. A theoretical model of ethical decision making from a moral stress perspective was developed. The practical implications of the study are discussed.     

Predictors of Self-Reported Prospective and Retrospective Memory in a Population-Based Sample of Older Adults

In this article, the authors examined predictors of self-reported everyday memory failures using the Prospective and Retrospective Questionnaire (PRMQ; Smith, Della Sala, Logie, &; Maylor, 2000 Smith, G. V., Della Sala, S., Logie, R. H. and Maylor, E. A. M. 2000. Prospective and retrospective memory in normal ageing and dementia: A questionnaire study. Memory, 8: 311–321. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) in a population-based sample of older adults (age range = 60–90 years; N = 250). The results showed that a higher frequency of reported failures was associated with lower scores on the personality dimension of self-directedness as assessed by the Temperament and Character Inventory (TCI; Cloninger, Dragan, Svrakic, &; Przybeck, 1993 Cloninger, R. C., Dragan, M. S., Svrakic, D. M. and Przybeck, T. R. 1993. A psychobiological model of temperament and character. Archives of General Psychiatry, 50: 975–990. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and more depressive symptoms on the Center for Epidemiological Studies Depression Scale (CES-D; Radloff, 1977 Radloff, L. S. 1977. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1: 385–401. [Crossref], [Web of Science ®] , [Google Scholar]). However, PRMQ scores showed no relationships with objective memory ability, as reflected by a series of retrospective memory measures and a measure of prospective memory. Neither were the PRMQ scales associated with general cognitive functioning as assessed by the Mini-Mental State Examination (MMSE; Folstein, Folstein, &; McHugh, 1977). Taken together, the results indicate that within the older population, self-reported memory as assessed by the PRMQ may reflect mood-state and personality factors rather than individual differences in memory and cognitive ability.     

The mirroring function of the child analyst

This paper follows the progress of four years of twice-weekly psychoanalytic psychotherapy with a borderline girl aged 4 at the start of treatment. It describes how her early experience with her mother, who was ill, and her subsequent removal from her mother and placement with a foster-family led to her having severe difficulties in relating to others. Using the work of Ekstein as a framework, it follows the changes in the child’s behaviour in the therapy from acting out to playing with toys to role playing to the apparent development of her capacity to phantasize. It focuses on what the dolls’ house represented for her and how it came to be a transitional space where the inner world of the child could be represented. The play in and around the dolls’ house is described to show how she moved from playing on the outside of the dolls’ house to playing in part of the inside to using the whole house and how this seemed to parallel the development of her relationship with her therapist. Furthermore, it presents the views of a number of commentators on the use of the dolls’ house and what it represents for children in therapy and in our culture in general.     

Quality spaces: Mental and physical

Perceptual-role theories of mental qualities hold that we can discover the nature of a being’s mental qualities by investigating that being’s capacity to make perceptual discriminations. Many advocates of perceptual-role theories hold that the best explanation of these capacities is that mental quality spaces are homomorphic to the spaces of the physical properties that they help to discriminate. This paper disputes this thesis on largely empirical grounds, and offers an alternative. The alternative explains interesting patterns in our perception of color differences and similarities across edges, emphasizing the importance of visual discontinuities. Further, it provides a simple explanation of the intransitivity of indiscriminability. The homomorphism thesis can explain this intransitivity only with the addition of an independently unsupported empirical hypothesis. Also, in contrast to the homomorphism thesis, the alternative view is perfectly consistent with empirical data that suggest (a) that the visual system uses the dynamic allocation of a limited range of responses in order to discriminate a wider range of physical stimuli and (b) that we are much better at detecting changes in relative luminance than changes in absolute luminance. Moreover, it does all this while using a more efficient strategy for encoding sensory information.     

Hierarchical Bayesian parameter estimation for cumulative prospect theory

Cumulative prospect theory (CPT Tversky & Kahneman, 1992) has provided one of the most influential accounts of how people make decisions under risk. CPT is a formal model with parameters that quantify psychological processes such as loss aversion, subjective values of gains and losses, and subjective probabilities. In practical applications of CPT, the model’s parameters are usually estimated using a single-participant maximum likelihood approach. The present study shows the advantages of an alternative, hierarchical Bayesian parameter estimation procedure. Performance of the procedure is illustrated with a parameter recovery study and application to a real data set. The work reveals that without particular constraints on the parameter space, CPT can produce loss aversion without the parameter that has traditionally been associated with loss aversion. In general, the results illustrate that inferences about people’s decision processes can crucially depend on the method used to estimate model parameters.     

Cytokines and memory across the mature life span of women

Increasing evidence suggests a role of the immune system in modulation of cognition, but details on affected memory systems are largely lacking. We therefore aimed to study the relation between selected cytokines and subsets of memory, and the impact of age in these relations. From a random population-based sample (the Betula Prospective Cohort Study), 298 women (age 45-90) were studied in terms of episodic recall and recognition, semantic fluency and knowledge, and prospective memory. Circulating cytokines of relevance for cognition and aging were measured with ELISA. Levels of interleukin (IL)-6 and sIL-2R were significantly and negatively associated with most cognitive variables, while the opposite was true for IL-1β. Age shared substantial variance with both cytokines and memory, and turned most correlations non-significant when controlled for together with education, BMI and presence of disease. Interactions between age and cytokines were further analyzed in multiple regressions. For IL-6, significant negative interactions with age were found for semantic fluency (p<0.05) and prospective memory (p<0.01), and for sIL-2R in predicting semantic knowledge (p<0.05), indicating an increased negative impact of these cytokines on memory with increasing age. In conclusion, the study indicates a relation between cytokines and memory that appears to be largely mediated by age, and supports the suggestion that cytokine dysregulation with higher age may interact with cognitive aging.     

The Ignorant Citizen: Mouffe,Rancière,and the Subject of Democratic Education

Much work in the field of education for democratic citizenship is based on the idea that it is possible to know what a good citizen is, so that the task of citizenship education becomes that of the production of the good citizen. In this paper I ask whether and to what extent we can and should understand democratic citizenship as a positive identity. I approach this question by means of an exploration of four dimensions of democratic politics—the political community, the borders of the political order, the dynamics of democratic processes and practices, and the status of the democratic subject—in order to explore whether and to what extent the ‘essence’ of democratic politics can and should be understood as a particular order. For this I engage with ideas from Chantal Mouffe and Jacques Rancière who both have raised fundamental questions about the extent to which the ‘essence’ of democratic politics can be captured as a particular order. In the paper I introduce the figure of the ignorant citizen in order to hint at a conception of citizenship that is not based on particular knowledge about what the good citizen is. I introduce a distinction between a socialisation conception of citizenship education and civic learning and a subjectification conception of citizenship education and civic learning in order to articulate what the educational implications of such an ‘anarchic’ understanding of democratic politics are. While the socialisation conception focuses on the question how ‘newcomers’ can be inserted into an existing political order, the subjectification conception focuses on the question how democratic subjectivity is engendered through engagement in always undetermined political processes. This is no longer a process driven by knowledge about what the citizen is or should become but one that depends on a desire for a particular mode of human togetherness or, in short, a desire for democracy.