Towards authentic conversations. Authenticity in the patient-professional relationship

The purpose of this paper is to evaluate the significance of the existential notion of authenticity for medical ethics. This is done by analyzing authenticity and examining its implications for the patient-professional relationship and for ethical decision-making in medical situations. It is argued that while authenticity implies important demand for individual responsibility, which has therapeutic significance, it perpetuates ideas which are antithetical both to authentic interaction between patients and professionals and to fruitful deliberation of moral dilemmas. In order to counteract these consequences, an alternative idea of authenticity is introduced. According to this idea, authenticity is not regarded primarily as individual sovereignty, but as an ability to participate in a dialogue in which the subjectivity of both partners is respected. Such practice, based on mutual trust and responsibility, would enhance common decision-making and overcome the alienation between patients and professionals.     

Sensorimotor synchronization: Motor responses to pseudoregular auditory patterns

Musically trained and untrained subjects (N=30) were asked to synchronize their finger tapping with stimuli in auditory patterns. Each pattern comprised six successive tonal stimuli of the same duration, the first of which was accented by a different frequency. The duration of interstimulus onset intervals (ISIs) gradually increased or decreased in constant steps toward the end of the patterns. Four values of such steps were used in different trials: 20, 30, 45, and 60 msec. Various time-control mechanisms are hypothesized as being simultaneously responsible for subjects’ incorrect reproduction of the internal temporal ratios of the stimulus patterns. The mechanism of assimilation (of a central tendency) led subjects to enforce a regular (isochronous) structure on the patterns. The influence of other time-control mechanisms (distinction, subjective expression of an accent, sequential transfer) was expressed mainly in differences between intertap onset intervals (ITIs) and the corresponding ISIs at the beginning of the patterns. The duration of the first two ITIs was in the majority of the trials in an inverse ratio to the ratio of the respective ISIs. The distortions resulting from the timing mechanisms concerned were more pronounced in the performance of nonmusicians than in that of musicians.     

Sentence processing: Evidence against the serial,independent stage assumption

The assumption that the processing stages involved in sentence comprehension are serially and independently executed was tested in two separate experiments using two new sentence types. One experiment was a sentence-picture verification task, the other was not. In Experiment I, subjects viewed sentences such as It's false that the dots are red and indicated, by pressing the appropriate response key, which of two colors would make the sentence true. In Experiment II, subjects verified sentences such as It isn't true that the dots aren't red against pictures of colored dots. On the strength of Sternberg's additive factor method, present findings challenge the validity of the serial, independent stage assumption, and results are alternatively discussed in terms of a capacity sharing model.This research was supported by PHS research grant MH 23401 to Sam Glucksberg, principal investigator.     

Forest lights: Notes on the conceptualization of the unconscious

Using the metaphor of lights appearing unexplained in the night, the author argues for a conceptualization of the unconscious based on a posture of trust and acceptance rather than one of fear and explanation.His last book,Idea and Experience, dealt with Husserl's project of phenomenology inIdeas I. He has recently completed another book,The Embers and the Stars: A Philosophical Inquiry into the Moral Sense of Nature.     

Zur Geschichte und gegenwärtigen Lage der Philosophie in der ČSR

Official Czech philosophy has been dominated by a mix of Engelsian philosophy of science and positivism, a combination explained in part by the survival of positivism in Czechoslovakia and the failure of analytic philosophy to make inroads into Czech thinking. However, due to Jan Patoka's influence in espousing the works of Husserl and Heidegger, there was an anthropologically oriented Marxism (K. Kosik) although its successes were greater abroad than in Czechoslovakia. A more neopositivistic variant (L. Tondl) of Marxism also appeared, but it was a short-lived phenomenon without purchase on mainstream philosophy.A certain renewal of Czech philosophy was evident before 1968, once again largely due to Patoka's influence. Foreign guests who took part in informally organized, often secret, seminars and discussion groups were very instrumental in spreading new ideas. Despite these positive occurrences, Czech philosophy is experiencing a crisis at the level of the middle generation of non-academic, philosophically competent intellectuals among whom sceptical and nihilist attitudes prevail. A rebirth of spirit may be in the offing if the recovery of the specific sense of the Czech Reformation's idea of truth is pursued.     

Sensorimotor synchronization: Motor responses to regular auditory patterns

Subjects (N = 32) were asked to synchronize a motor response with tones in auditory patterns. These patterns were created from six tones and six intertone intervals of equal duration. The pitch of the first tone differed from the others. It was found that subjects used three types of timing in their motor response: (1) the first intertone interval was prolonged and the second interval was shortened, (2) the second intertone interval was prolonged and the first interval was shortened, and/or (3) the first interval and the second interval were of approximately the same length. The prolongation of the fifth interval was observed during all three types of timing. The results are explained using the concept of suprasegmental control of timing, which explains a prolongation of intervals at critical control point of the patterns. The occurrence of three different strategies of timing is discussed in connection with similar principles in musical performance.     

The time course of the verbal prediction effect

Choice reaction times following correct verbal predictions of the presented stimulus are faster than after incorrect predictions. Two experiments examined the influence of the time interval (PSI) between the prediction and the stimulus on the magnitude of the prediction effect. Experiment 1 used equiprobable stimuli and showed a smaller prediction effect at a 2-sec PSI than at a 0- or .5-sec PSI. Experiment 2 used unequal-probability stimuli and showed that the prediction effect was independent of PSI when the more frequent stimulus was predicted. When the less frequent stimulus was predicted, however, the magnitude of the prediction effect was smaller at .75- and 2-sec PSIs than at a 0-sec PSI. These results were discussed in terms of a prediction substitution hypothesis.     

Analytic practice: Convergences and divergences1

The author discusses current convergences and divergences concerning analytic practice. After presenting a clinical vignette that can be understood differently according to different theoretical approaches, he discusses Wallerstein’s proposal of a common ground in psychoanalysis and suggests that the present state of the art indicates that psychoanalysis is a pluralistic discipline, with different ways of training and practising it, and that the main challenge is to improve our ability to listen to and to learn from different approaches.