“Aunt Grace can't have babies”

One of the most necessarily sensitive areas of pastoral care is dealing with perinatal death. This case study grows from a need for care providers to understand better the feelings of a mother in the loss of her baby. This particular exploration evolved from a taped interview with the writer's aunt (now in her seventies) and her dealings with the multiple losses she experienced over fifty years ago. Her conversation in the interview gives credibility to many coping skills that we endeavor to teach today and that she developed for herself out of a need to survive....it was as if the birds would never sing again.-Aunt Grace     

Macrocosm to microcosm: Toward a systemic model of personality

This paper attempts to: (1) provide a paradigm through which to understand the human self and, (2) bring some order out of the variety of theories of personality and strategies of change used in clinical practice today. Drawing on modern physics and general systems theory, a multi-leveled, systemic model incorporating physical, psychological, and spiritual dimensions is proposed and then applied to a representative clinical case. Implications of this model for clinical work and for a spiritual understanding of personality are elaborated.     

Arthur Kronfeld (1886-1941)--a psychiatrist in the service of psychotherapy

The psychotherapeutic life-work of psychiatrist Arthur Kronfeld has almost fallen into oblivion. Against the background of the 100th anniversary of his birth the author traces Kronfeld's psychotherapeutic career, pointing out his activity at the Berliner "Institute of Sexual Research" under Magnus Hirschfeld, and his psychotherapeutic concept--the psychagogic guidance of the patient--and its connection with the individual psychology of Alfred Adler. Kronfeld translated his theoretical positions into activities directed towards socialization and the teachability of psychotherapy which are still worthy of note by those engaged in the field.     

Results of neurophysiologic studies in ophthalmic migraine

The influence in 8 of our patients with ophthalmic migraine of photic driving with sine-like flashing lights on EEG background activity was checked and the visually evoked potentials following the application of diffused simple light stimuli were analyzed using the recovery cycle technique. The results indicate a slightly increased tonic activity of the structures of the mesencephalic formatio reticularis, such as may be produced by slight functional disturbances. Some vegetative secondary symptoms of migraine attacks and some of the changes in EEG observed in patients with ophthalmic migraine are explicable by such an abnormality.     

Behavior of visual evoked potentials (pattern reversal VECP) in smokers

Twenty six clinically healthy smokers were studied with transient pattern visual-evoked potentials. In comparison with a sample of "normal" subjects we found a difference of some parameters (P less than 0.05): the P2-latency and the interocular difference of latency on average were 6-7 ms respectively 2 ms larger. Thirteen subjects have had a prolonged P2-latency (P less than 0.05) and/or a difference in interocular latencies larger than 5 ms. These findings may suggest on subclinical disturbances of visual system and indicators of an special sensitivity of that person. The findings are possibly related to tobacco-alcohol amblyopia.     

Discrepancy detection and vulnerability to misleading postevent information

When people are exposed to misleading details after a witnessed event, they often claim that they saw the misleading details as part of the event. We refer to this as themisinformation effect. In four experiments, involving 570 subjects, we explored the role that discrepancy detection plays in the misinformation effect. Experiment 1 showed that subjects who naturally read a post-event narrative more slowly were more resistant to the effects of misleading information contained in the narrative. In Experiment 2, subjects who naturally read more slowly were more likely to detect a discrepancy between what they were reading and what was stored in their memory. In Experiment 3, subjects who were instructed to read slowly were more likely to detect a discrepancy than were those who were instructed to read quickly. In Experiment 4, subjects who were instructed to read slowly were more resistant to misleading postevent information. Taken together, these results suggest that longer reading times are associated with a greater scrutiny of postevent information. This leads to an increased likelihood that discrepancies will be detected and that the misinformation will be resisted.     

Cue depreciation: when word fragment completion is undermined by prior exposure to lesser fragments

The ability to think of a previously studied item has often been shown to be impaired when, in one way or another, the extraitem context is changed from study to test. In a series of five experiments, such impairment is induced in a somewhat different way. A fragment (e.g. r-i--rop) of a just-studied word (raindrop) is shown to be less readily completed if it is presented bit by bit (r------p, r----r-p, r-i--r-p, r-i--rop) rather than all at once (Experiments 1, 3, 4, and 5). No such effect is found if the word has not been studied beforehand (Experiments 2, 3, 4, and 5). This pattern of results occurs even when fragments of studied and nonstudied words occur in the same test and under conditions in which subjects cannot tell whether a given fragment is of a studied or nonstudied word (Experiments 4 and 5). In addition, for words that have been studied beforehand, the impairment is shown to increase systematically with the number of steps involved in the presentation of the word fragment (Experiment 3) and also to persist when the time allowed for completion of the final version of the fragment is increased from 4 s to a full minute (Experiment 5).     

Visual object recognition in patients with right-hemisphere lesions: axes or features?

An investigation is reported of the ability of normal subjects and patients with right-hemisphere lesions to identify 3-D shadow images of common objects from different viewpoints. Object recognition thresholds were measured in terms of angle of rotation (through the horizontal or vertical axis) required for correct identification. Effects of axial rotation were very variable and no evidence was found of a typical recognition threshold function relating angle of view to object identification. Although the right-hemisphere-lesion group was consistently and significantly worse than the control group, no qualitative differences between the groups were observed. The findings are discussed in relation to Marr's theory that the geometry of a 3-D shape is derived from axial information, and it is argued that the data reported are more consistent with a distinctive-features model of object recognition.     

Spatial attention in vision

Summary Human observers can selectively allocate processing resources to different areas of the visual field within a single fixation. This spatial attention system may affect either the quality of information extraction or the decisions and responses based on this information. This paper reviews evidence from behavioral, single-unit, and event-related potential paradigms; the evidence suggests a relatively early locus of spatial attention.This research was supported by the U. S. Army Research Office under contract DAAG 29-83-K-0049. Portions of this paper were presented to the Conference on Attention and Action, Bielefeld, West Germany, in July 1985     

RELIGIOUS EXPERIENCE, ARCHETYPES, AND THE NEUROPHYSIOLOGY OF EMOTIONS

Abstract. Established religions integrate a society's everyday secular realities with humankind's numinous experience of the holy. Powerful emotions nourish the cultural expression of the archetypes propelling the "ritual dances" of art, sport, and technocracy. During sacred moments such as mother-infant or adult bonding, neuroendocrine triggers activate lifelong ties. The cultural canon of the left cortex contrasts with the intuitive right. Brainstem "switches" alternate the left's cool, extraverted, sympathetic drive for control with the right's "warm" attachment behavior and dreaming sleep. Psychic trauma damages flexibility with resultant alexithymic blindness to emotions and archetypes. Substance abuse and narcissistic overemphasis on control ensue.