Imposture, inauthenticity, and feeling fraudulent

This paper deals with imposturous tendencies as ubiquitous and heterogeneous. They may enter into neurotic conflict and compromise, and also reflect an ego function disturbance involving multiple, shifting identities and subsequent problems in the subjective sense of reality of the self and objects. Imposture in a person undergoing analysis is, however, not only a function of individual character and psychopathology; it is also a function of certain inevitable requirements of the analytic situation which constitute a "pull" for its emergence. Vulnerable individuals will respond to this pull in revealing ways. Three case summaries illustrate the spectrum of imposturous tendencies.     

Sharing the holocaust experience: communication behaviors and their consequences in families of ex-partisans and ex-prisoners of concentration camps

This study concerns the manner in which the traumatic events suffered by the parent in the Nazi holocaust are communicated to the second generation born after the Second World War. Additionally we investigated the effects of differences in wartime experiences on subsequent communication behaviors. Communication behaviors in families whose parents had been prisoners in concentration camps were compared with those of families who had displayed active resistance (i.e., were partisans) during the Second World War. The data indicate greater legitimacy and openness in discussing holocaust-related issues in the homes of ex-partisans than in the homes of ex-prisoners in concentration camps. Also, sons and daughters of the former group have better knowledge of the holocaust and hold more favorable attitudes than do sons and daughters in the second group. The implications of these findings are discussed.     

"Mom and dad": views on the relationship between direct-care staff and therapists in residential, adolescent treatment facilities

Some of the common conflicts that occur between therapists and direct-care staff in residential, adolescent treatment facilities are highlighted. These conflicts often parallel those occurring between an adolescent's parents. Common issues include the amount of time spent with the adolescent patient, questions of authority, and communication difficulties. These conflicts can have positive consequences, if each party recognizes that the other brings a needed perspective to adolescent treatment.     

The growth of stability: postural control from a development perspective

This study compared central nervous system organizational processes underlying balance in children of three age groups: 15-31 months, 4-6 years, and 7-10 years, using a movable platform capable of antero-posterior (A-P) displacements or dorsi-plantar flexing rotations of the ankle joint. A servo system capable of linking platform rotations to A-P sway angle allowed disruption of ankle joint inputs, to test the effects of incongruent sensory inputs on response patterns. Surface electromyography was used to quantify latency and response patterns. Surface electromyography was used to quantify latency and amplitude of the gastrocnemius, hamstrings, tibialis anterior, and quadriceps muscle responses. Cinematography provided biomechanical analysis of the sway motion. Results demonstrated that while directionally specific response synergies are present in children under the age of six, structured organization of the synergies is not yet fully developed since variability in timing and amplitude relationships between proximal and distal muscles is high. Transition from immature to mature response patterns was not linear but stage-like with greatest variability in the 4- to 6- year-old children. Results from balance tests under altered sensory conditions (eyes closed and/or ankle joint inputs altered) suggested that: (a) with development a shift in controlling inputs to posture from visual dependence to more adult-like dependence on a combination of ankle joint and visual inputs occurred in the 4- to 6-year-old, and reached adult form in the 7- to 10-year-old age group. It is proposed that the age 4-6 is a transition period in the development of posture control. At this time the nervous system (a) uses visual-vestibular inputs to fine tune ankle-joint proprioception in preparation for its increased importance in posture control and (b) fine tunes the structural organization of the postural synergies themselves.     

Reflex responses of human lip muscles to mechanical stimulation during speech

The role played by reflex pathways in the production of movement has been a significant issue for motor control theorists interested in a wide variety of motor behaviors. From studies of locomotion and chewing, it appears that gains in reflex pathways can be altered so that activity in these pathways does not produce destabilizing responses during movement. In speech production, recent experimental evidence has been interpreted to suggest that autogenetic lip reflexes (perioral reflexes) are suppressed during sustained phonation or speech production. The present study was conducted to assess the effects of phonation, direction of movement, and ongoing speech production on reflex responses of lip muscles. The present results suggest, in contrast to earlier work, that this reflex pathway is not suppressed or absent because the amplitude of the observed response depends upon the activation levels of the various muscles of the lower lip and, therefore, indirectly on the nature of the gesture the subject is instructed to produce.     

Flicker fusion frequency and organic syndrome in alcoholics

Flicker fusion frequencies of 48 healthy controls and of 35 alcoholics were measured to detect possible associations between flicker fusion and signs of nonspecific brain damage, the aim of the study. FFF was statistically significantly lower in patients addicted to alcohol than in healthy subjects. Lower flicker fusion frequencies were associated with the severeness of organic psychosis as rated psychopathologically. The hypothesis that addiction to alcohol is a sign of diffuse, nonspecific, organic brain damage was discussed.     

Antidepressant treatment of children: clinical relapse is unrelated to tricyclic plasma concentrations

Plasma concentrations of imipramine and amitriptyline and their desmethylated metabolites were measured in 20 children being treated for major depressive illness 2 wk. and 5 to 10 wk. after achieving drug dosages of 2.25 mg/kg body weight. At 2 wk. all children had exhibited clinical improvement, but by 10 wk. 4 of the 10 children treated with imipramine and 5 of the 10 children treated with amitriptyline had experienced clinical relapse of depressive symptoms. Tricyclic antidepressant plasma concentrations and ratios were comparable in the subgroups of children who maintained their clinical improvement and those who relapsed. There was no evidence of a systematic decline in plasma tricyclic antidepressant concentrations in those children who relapsed.