Sensitivity of persons with hearing impairment to visual emotional expression — compensation or deficit?

The research examined whether subjects with hearing impairment would differ from normal hearing subjects in their ability to decode emotions from video stimuli (48 video takes in which two actors portrayed six different emotions). Studies in tactile and visual perception lead one to expect deficits, while there is also some evidence for compensation. Twenty-six subjects with hearing impairment and 26 matched normal hearing subjects participated (average age = 25.5 years; nine female, 17 male subjects in each group). Results indicate that in general subjects with hearing impairment were slightly less successful in decoding emotions from the visual stimuli than the normal hearing subjects. A comparison between highly (loss > 60–90 dBA) and moderately (loss about 30–60 dBA) impaired subjects on the other hand indicated poorer emotion decoding only for the moderately impaired group. Post-hoc analyses indicated that these effects were specific to males. Results are discussed with respect to compensation versus deficit, and with respect to issues of training.     

Dissociations among ABA, ABC, and AAB recovery effects

In a human predictive learning experiment, the strengths of ABA, ABC, and AAB recovery effects after discrimination reversal learning were compared. Initially, a discrimination between two stimuli (X+, Y−) was trained in Context A. During Phase 2, participants received discrimination reversal training (X−, Y+) either in Context A (Group AAB) or in Context B (Group ABA, Group ABC). Testing occurred in the reversal context and in a neutral context (Group AAB, Group ABC) or in the reversal context and in the acquisition context (Group ABA). Recovery effects were similar in ABA and ABC procedures, whereas no AAB recovery effect occurred. Furthermore, the rate of discrimination reversal learning during Phase 2 was unaffected by whether training was conducted in the same or in a different context as initial learning. Results indicate that contextual stimuli are processed before interfering information is presented. These representations, however, do not acquire the ability to control performance.     

Levels of unconsciousness and their formal structure

This brief essay replies to Carvalho's exposition of a formal approach to the concept of the unconscious which is originally due to Ignacio Matte Blanco (1908–1995), a psychoanalyst from Chile. It's a challenge – first because I have been largely unfamiliar with the details of Matte Blanco's approach, and second because the space available for this reply does not allow me to be as precise as Carvalho's essay no doubt deserves. I will start with some remarks about how I see Matte Blanco's system from a mathematical perspective and then try to relate it to some of the core features of Pauli's and Jung's thinking. I will conclude with a tentative proposal of how Matte Blanco's strata between full consciousness and most undifferentiated unconscious can be related to the tension between ontic and epistemic accounts.     

Towards a bio-psycho-social model of autobiographical memory

Self-awareness and identity are important cornerstones of thinking in social psychology. On the basis of current knowledge and theories from the social, cultural, and biological sciences, this paper attempts to outline an integrative approach to the phenomena of memory and reminiscence. Reference to psychodynamic argumentation is made in addition, where appropriate. The central topic to our argumentation is autobiographical memory, which we analyse according to evolutionary, neuroscientific, and cultural findings. The emotional context and the ontogenetic development of reminiscences (or memories directly relating to one's own self) provide the preliminary framework for an integrated view which includes interactions between the life span, brain development, the social and cultural environment, and genetic predispositions.     

Anterior cingulate cortex activation is related to learning potential on the WCST in schizophrenia patients

The remediation of executive function in patients with schizophrenia is important in rehabilitation because these skills affect the patient's capacity to function in the community. There is evidence that instructional techniques can improve deficits in the Wisconsin Card Sorting Test (WCST) in some schizophrenia patients. We used a standard test/training phase/standard test format of the WCST to classify 36 schizophrenia patients as high-achievers, learners or non-retainers. All healthy controls performed as high-achievers. An event-related fMRI design assessed neural activation patterns during post-training WCST performance. Patients showed a linear trend between set-shifting related activation in the anterior cingulate cortex and learning potential, i.e. increased activation in high-achievers, a trend for increased activation in learners, and no activation in non-retainers compared to controls. In addition, activation in the temporoparietal cortex was highest in patients classified as learners, whereas in non-retainers activation was increased in the inferior frontal gyrus compared to controls and high-achieving patients. These results emphasize the relevance of the ACC's neural integrity in learning set-shifting strategies for patients with schizophrenia. Also, our results support the hypothesis that compensatory neural activation in patients with schizophrenia helps them to catch up with healthy controls on cognitive tasks.     

TIME RELATIONS IN DREAMS: A preliminary note

Examples are given of hypnotically induced dreams, which support the notion that series of experiences corresponding to long spans of objective time may be represented in dreams of very short duration. Both stimulus and organismic factors determine the contents of such dreams.     

Patients and agents – or why we need a different narrative: a philosophical analysis

Background

The success of medicine in the treatment of patients brings with it new challenges. More people live on to suffer from functional, chronic or multifactorial diseases, and this has led to calls for more complex analyses of the causal determinants of health and illness.

Methods

Philosophical analysis of background assumptions of the current paradigmatic model.

Results

While these factors do not require a radical paradigm shift, they do give us cause to develop a new narrative, to add to existing narratives that frame our thinking about medical care. In this paper we argue that the increased focus on lifestyle and shared decision making requires a new narrative of agency, to supplement the narrative of “the patient”. This narrative is conceptually linked to the developing philosophy of person-centred care.

Conclusions

If patients are seen also as “agents” this will result in a substantial shift in practical decisions: The development and adoption of this narrative will help practitioners work with patients to their mutual benefit, harnessing the patients’ motivation, shifting the focus from treatment to prevention and preventing unnecessary and harmful treatments that can come out of our preoccupation with the patient narrative. It will also help to shift research efforts, conceptual and empirical, from “treating” and “battling” diseases and their purported “mechanisms” to understanding complex contributing factors and their interplay.