The mentor and the trainee in academic clinical medicine

Medicine is a scientific discipline, but it is sometimes difficult to separate what is scientific and what is a clinical, practical activity. Man is the object, but he is always the subject of medical research and therefore these two elements become closely bound together by a thread of moral interdependencies. Every mentor of a young academic and all institutions dealing with the teaching of and research into medicine must understand multidimensional, multifaceted, and multilevel aspects of their activity and give them due regard in the educational process. The educational mission of an academic institution and of the teacher working there may be summed up in one phrase: Teach thinking! At the same time, the task of a school and the individual mentor is to teach the student to distinguish personal freedom from a lack of the feeling of responsibility. The medieval principle “Universitas magistrorum et scholarium”, and thus the corporation, the community of teachers and students, has not lost any of its relevance and value today. The situation is, in its far-reaching consequences, tragic in which the “insufficiently tutored teach”. Both physician and teacher, and especially physician-teacher, are not only professions, but also callings. This paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.     

Emotional reminiscing and the development of an autobiographical self

According to autobiographical memory theorists, past event conversations provide children with a framework for evaluating and connecting past events into a coherent autobiography (R. Fivush, 1994; K. Nelson, 1993; M. K. Welch-Ross, 1995). Two studies were conducted to empirically examine the association between past event conversation style and an independent measure of children's self-concept consistency. In Study 1, 50 New Zealand mothers discussed everyday past events with their children at 51 and 65 months of age. In Study 2, 51 New Zealand parents discussed 1 positive and 3 negative past events with their 5- and 6-year-old children. The consistency of children's self-views was assessed in both studies using the Children's Self-View Questionnaire (R. Eder, 1990). Children's self-concept consistency was moderately associated with greater explanation of the causes and consequences of children's negative emotions, resolution through social contact, and evaluation of positive events but not with simple attributions of emotion. These findings implicate parent-child conversations as a medium through which children can begin to understand the personal meaning of past experiences.     

‘Goals’ are not an integral component of imitation

Several theories suggest that actions are coded for imitation in terms of mentalistic goals, or inferences about the actor’s intentions, and that these goals solve the correspondence problem by allowing sensory input to be translated into matching motor output. We tested this intention reading hypothesis against general process accounts of imitation using the pen-and-cups task. The task has three components: participants place a pen in one of two cups, using their right or left hand, and one of two grips. Previous research has revealed a colour minimum error pattern; when one of the components is differentially coloured (e.g., one cup is red and the other blue), accuracy is greatest on the coloured dimension. We found the colour minimum error pattern, not only in the standard version of the task, where participants imitate the actions of a human model, but also in three novel variants of the task, in which participants responded on the basis of spatial or arbitrary stimulus–response mappings to ‘geometric’, non-biological stimuli. These stimuli do not afford the attribution of intentions, and therefore our results support generalist theories of imitation by showing that the colour minimum error pattern is due, not to intention reading, but to the operation of task-general processes of perception, attention and motor control.     

Psychiatry Residents' Attitudes on Ethics and Professionalism: Multisite Survey Results

Recent studies show that psychiatry residents express a relatively greater need for ethics curricula than their colleagues in other specialties. Such studies have been limited in their generalizability because they were conducted at one site. This study of 151 psychiatry residents at seven U.S. psychiatry programs aims to address that limitation. Residents were surveyed on issues pertaining to ethics and professionalism education. Participants were found to support such curricula during training and to value its relevance to the practice of psychiatry. Gender differences and the influence of the “hidden curriculum” on such results merit further study.     

A Simple Test of the Concurrent Validity of the Social Interest Index

To assess the concurrent validity of the Social Interest Index (SII), we examined the relationships between subjects' social interest scores and their number and frequency of social contacts. As hypothesized, subjects' SII scores were related in a positive, significant manner to their reported number of close friends, number of relatives they felt close to, and number of monthly friend/relative contacts (all ps < .01). The results, which showed a positive relationship between social interest and social contacts, support the concurrent validity of the SII.     

Executive functioning moderates the relationship between motivation and adolescent depressive symptoms

We investigated the association between adolescent depressive symptoms and components of executive functioning (EF), including planning (Tower of London), set-shifting (Wisconsin Card Sorting Task), and inhibition (Stop Signal Task) in a community sample of 12–14 year olds. Further, EF was tested as a moderator of motivation (as operationalized by revised Reinforcement Sensitivity Theory) effects on depressive symptoms. Results suggested that planning ability was associated with depressive symptoms. Furthermore, planning ability moderated the relationship between motivation (fight-flight–freeze system; FFFS) and depressive symptoms, such that among adolescents with poor planning ability the FFFS positively predicted depressive symptoms, but among adolescents with strong planning ability the FFFS negatively predicted depressive symptoms. Neither set-shifting nor inhibition were associated with depressive symptoms. Findings highlight the need to consider multiple components of EF and to integrate motivational and executive dysfunction models to the study of depression.     

Mass psychology of the led and the leaders

Abstract

Some salient features of a Sullivanian perspective are given as a background for a discussion of the case of Anna. Lived experience is mentioned as of equal importance as fantasy. Technically, analytic inquiry in the form of questions is stressed. In his review of the case presentation, the author observes that too much emphasis is given to content, compared to form. He notes that the therapist does not report key transference and non-transference interactions with the patient and further suggests that the patient still has significant narcissistic problems. He suggests that it is time to confront the patient with her characterological ways of relating to the analyst.