Motor proficiency and emotional/behavioural disturbance in autism and Asperger's disorder: another piece of the neurological puzzle?

The relationship of motor proficiency with emotional/behavioural disturbance, autistic symptoms and communication disturbance was investigated in children diagnosed with autism and Asperger's disorder (AD). The Movement Assessment Battery for Children was used as a measure of motor impairment, and the Developmental Behavioural Checklist was used as a measure of emotional/behavioural disturbance in the following groups: AD (n?=?22), high functioning autism (HFA) (n?=?23), LFA (n?=?8) and typically developing children (n?=?20). The HFA group had more difficulty with motor items, such as ball skills and balance, than did the AD group. There were significant positive correlations between impairments in motor proficiency (in particular ball skills and balance) and emotional/behavioural disturbance, autistic symptoms and communication disturbance. These findings are consistent with the hypothesis that there are qualitative and quantitative differences in the motor profile between autism and AD. In addition, the association between motor proficiency impairment and emotional/behavioural disturbance in autism and AD emphasizes the importance for screening of co-occurring emotional/behavioural symptoms in individuals with motor difficulties. These findings have implications for the potential use of adjunct motor measures in the diagnosis and definition of autism spectrum disorders.     

A case of confusing probability and confirmation

Tom Stoneham put forward an argument purporting to show that coherentists are, under certain conditions, committed to the conjunction fallacy. Stoneham considers this argument a reductio ad absurdum of any coherence theory of justification. I argue that Stoneham neglects the distinction between degrees of confirmation and degrees of probability. Once the distinction is in place, it becomes clear that no conjunction fallacy has been committed.     

Discussion of “Melancholic Psychosis”

Derek Hook’s paper (this issue) represents an important discussion of the Lacanian perspective on melancholia and its close and often forgotten clinical link to psychosis. Hook’s paper provides a critical insight into how melancholia is understood as a surrender to the jouissance of the Other. The reviewer only disagrees with Hook’s idea that there is no object loss in melancholia because the melancholic knows whom he has lost but not what he has lost in the absent object. This unknown loss leaves him exposed to an erotogenic masochism proper and a self-annihilating kind of jouissance.     

Reply to Commentaries by Dodi Goldman and Avgi Saketopoulou

In this newly fashioned dialogue that allows us three respondents to continue our first-round discussions, I treasure the opportunity of learning more about Farhi's and Milner's works through the lenses of Dodi Goldman and Avgi Saketopoulou. Both respondents bring additional important historical information to this virtual roundtable, giving me another chance of re-reading Farhi's text through these new perspectives. I think that Goldman's information about Milner's interest in the natural science contributes a great deal to my understanding of her amazing capacity to tolerate her patient's changing psychotic states. I also learn a lot from Saketopoulou's sensitive discussion of the patient's last phone call to Milner shortly before her death in which the patient informs Milner that she had failed her in similar ways as Winnicott had failed Milner. I suggest a slightly different reading of the word failure and propose that the patient's utterance was a sign of a renewed strength rather than a statement of utter disappointment. A discussion of the place of phantasy in the intra-uterine life of a baby is also included in my response.     

Making a Memorial Place: The Photography of Shimon Attie

Assisting the analysand in making the past a living present held within a bearable yet unpredictable future is what psychoanalysis is so much about. Events of the past can never be redone, or fully repossessed, but they must be reconstructed in the context of the transference–countertransference experience of the analytic relationship. In order to make the past a useful present and presence, we need metaphors to give it shape—metaphors that capture the memorial activity linking the past with the present and future in a meaningful manner. In this paper, I explore the ways in which the work of the American photographer Shimon Attie creates a memorial place in which the past is not simply remembered but instead is actively mourned. In The Writing on the Wall, Attie collects broken fragments from prewar German-Jewish life in Berlin, and, by projecting these found shards of former lives onto the buildings in the Berlin Scheunenviertel, which once housed these people, he creates a potential space in which a present can suddenly come alive by the superimposition of a past that was supposed to have been obliterated. In this transitional realm, the spectator is given a wide realm of to-and-fro movements between past and present that permits the creation of an object world that did not exist before. I suggest that Attie's intricate weavings of past, present, and future serve as instructive models for the psychoanalytic process in which the analyst can find himself in a similar position of opening up a playground where the past can be brought into the present and where the presentness of the past can come alive. The ability to move back and forth between the present and the past suggests a link to the Freudian concept of deferred action, later taken up by Lacan under the notion of après-coup, where the impression (Prägung) of an earlier event, having lain dormant for a long time, breaks through into the present through a retroactive action that then completely reshapes the present impression. I draw comparisons to psychoanalytic practice, in which the superimposition (the stacking on top of one another) of recollections, dreams, and associations pries open in the analysand's mind a psychic space in which memories of a seemingly insignificant past absorb a sudden sense of urgency when revisited through this retroactive process.     

Science and its applications: INSERM reflections

The history of science must be introduced onto the curriculum, scientific culture must be developed if the young are to receive a global, healthy understanding of science and technology.

The experiment pioneered by INSERM clubs is, from this point of view, exemplary.     

Risk perceptions,worry, and attitudes about genetic testing for breast cancer susceptibility

This study assessed the unique associations of risk perceptions and worry with attitudes about genetic testing for breast cancer susceptibility. Women (general practitioner clinic attenders, university students, and first-degree relatives of breast cancer survivors; N?=?303) read information about genetic testing and completed measures assessing perceived cancer risk, cancer worry, and genetic testing attitudes and beliefs. Worry was associated with greater interest in genetic testing, stronger beliefs that testing has detrimental emotional consequences, and positive beliefs about benefits of testing and risk-reducing surgeries. Perceived risk was unrelated to interest and associated with more skeptical beliefs about emotional consequences and benefits of testing and risk-reducing surgeries. At low worry levels, testing interest increased with more positive beliefs about testing benefits; at high worry levels, interest was high regardless of benefits beliefs. The findings support Leventhal's Common-Sense Model of self-regulation delineating interactive influences of risk-related cognitions and emotions on information processing and behavior.