Interkulturelle Aspekte bei der Behandlung somatoformer Störungen

Patients from family-oriented societies have a different perception of pain and different conceptions of healing, which up to now have not been sufficiently appreciated in modern multimodal therapeutic approaches. Inadequate knowledge of anatomy and bodily functions and traditional perceptions of pain (e.g. magic, curses, punishment, etc.) have a substantial influence on diagnostics. The pain experience is regarded holistically in relation to the body, rather than being confined to a particular part of the body. Limited access to psychological complaints often leads to physical complaints. The ailing body is an expression of the social, the economic, the psychological and cultural state of the patient and the history of migration and status in the collective. A multimodal interdisciplinary and culture-sensitive approach is required for effective pain treatment of patients with a tradition-bound background.     

Science and Religion: Some Demarcation Criteria

Discussions on the congruence, compatibility, and contradictions between science and religion have been going on since the rise of modern science. In our own times, there are many efforts to build bridges of harmony between the two. Most of these are anchored to particular religious traditions or denominations and also (often) to specific disciplines, notably cosmology, physics, and biology. Though these discussions serve commendable purposes for members of specific faiths and/or disciplines, they are also, for precisely this reason, of restricted appeal. There are not too many discussions of the topic that consider science and religion from a global perspective. It will therefore be useful to define science and religion in terms of their unique characteristics, draw the line of demarcation between them, and show where they overlap. This is what this paper attempts to do.     

Management of intense countertransference in group psychotherapy conducted in situations of civic conflict

Conducting group psychotherapy in a situation of intractable conflict such as Northern Ireland activates turbulent emotional dilemmas within psychotherapists and group members alike. Professional practice and therapeutic zeal must struggle daily to survive the stark encounter with the reality of a regressive and primitive psychology and on occasion may succumb to atavistic tendencies, dragging relationships down to primitive levels and leaving connections broken. In this article, three group therapists describe their countertransference struggles when leading such groups. They meet in a psychosocial setting in which the risk to one's psyche parallels the risk to one's life and limb. The countertransference experienced here is dark, indeed identified by one author as not unlike Dante's Inferno. They describe how understanding their personal countertransference enables them to survive emotionally even though it may not always lead to the survival of their groups. The effect of those struggles also troubled the act of writing itself making cooperation difficult on occasion, a mirror of the external social matrix.     

Children's and adults' understanding of illness: evidence in support of a coexistence model

The authors investigated three seemingly contradictory views of the conception of illness: (a) the traditional, developmental "naive child" view; (b) a more contemporary, "sophisticated child" outlook; and (c) a largely social-psychological, "irrational adult" approach, They concluded that participants had a variety of views of the conception of illness and that they used different views in different experimental contexts. They found that, under certain conditions, children appeared to have sophisticated beliefs; under other conditions, children, and even adults, showed signs of folkloric and immanent justice reasoning. They also found that, with advancing grade level, children increasingly recognized psychological contributors to the cause of illness.     

Neural substrates of word generation during stroke recovery: the influence of cortical hypoperfusion

Several studies have demonstrated reorganization of cognitive and motor function caused by stroke. This study examined the influence of hypoperfused brain regions, in addition to the area of the infarct itself, on reorganization of the cognitive processes underlying word generation in stroke patients. In addition, we also sought to determine the influence of hypoperfusion on the blood oxygen level dependent/(BOLD) effect. Subjects with left and right subacute or chronic subcortical strokes, along with normal controls, were imaged while performing a verbal fluency task (word generation). The study population included six normal subject and six stroke patients with subcortical infarcts and cortical hypoperfusion in the middle cerebral artery territory who had recovered or improved markedly in word fluency. While normal subjects displayed a left-lateralized fronto-temporo-parietal and bilateral cingulo-striatal-thalamic-cerebellar network, the activation pattern of stroke patients was determined both by the hypoperfused regions and infarcted areas of the brain. Specifically, patients showed diminished BOLD effect in the cortical regions that were hypoperfused, even though their infarcts were subcortical, and showed increased BOLD effect in the homologous regions of the normal hemisphere. This finding raises the possibility that cortical hypoperfusion in the absence of infarct can cause shift of language functions to the opposite, intact hemisphere. However, reduced BOLD effect in the task relative to rest was found in hypoperfused regions in two patients, raising the possibility that regional function persisted, even though vascular reactivity was impaired. Results illustrate the complexities of functional imaging studies of recovery in patients with vascular lesions.     

This cat has nine lives? Children's memory for genericity in language

Generic noun phrases ("Birds lay eggs") are important for expressing knowledge about abstract kinds. The authors hypothesized that genericity would be part of gist memory, such that young children would appropriately recall whether sentences were presented as generic or specific. In 4 experiments, preschoolers and college students (N = 280) heard a series of sentences in either generic form (e.g., "Bears climb trees") or specific form (e.g., "This bear climbs trees") and were asked to recall the sentences following a 4-min distractor task. Participants in all age groups correctly distinguished between generic and specific noun phrases (NPs) in their recall, even when forgetting the details of the NP form. Memory for predicate content (e.g., "climb trees") was largely unaffected by genericity, although memory for category labels (e.g., "bear") was at times better for those who heard sentences with generic wording. Overall, these results suggest that generic form is maintained in long-term memory even for young children and thus may serve as the foundation for constructing knowledge about kinds.     

Religions in a Secular World

The task of astrotheology is to speculate on the theological, cultural, and ethical implications of space exploration, especially the exploration of astrobiologists into the (1) origin of life; (2) a second genesis of life; and (3) expansion of life beyond earth. When assumptions within the field of astrobiology are examined, we find that the Darwinian model of evolutionary development is imaginatively projected onto extrasolar planets; and this model includes a built-in doctrine of progress. The assumption of progress within evolution permits astrobiologists to look forward to contact with an extraterrestrial civilization that is more intelligent and more advanced than that on earth. Such an extraterrestrial civilization will allegedly have an advanced science that can save earth from its primitive and under-evolved propensity for violence. However, no empirical evidence for a more highly evolved or advanced civilization currently exists, despite these beliefs. The theologian labels the constellation of scientific assumptions here the “ETI myth.” Astrotheology celebrates hard-nosed empirical science and even encourages space exploration; but the mythical assumptions regarding the doctrine of progress within evolution are here given critical analysis.