Chronic corticosterone-induced deterioration in rat behaviour is not paralleled by changes in hippocampal NF-kappaB-activation

We investigated whether long-lasting stress induced by chronic glucocorticoid (GC) exposure affects activation of brain NF-kappaB and whether these changes are related to functional deterioration and structural changes in the rat hippocampus. Psychometric investigations were conducted using a holeboard test system in 28 one-year-old male Wistar rats. Thereafter, rats were divided into three groups for daily administration of 10 mg corticosterone (treatment) or sesame oil (placebo = sham control for effects of the vehicle) for 60 days. Additional control rats did not receive any treatment or handling until the end of the experiment. Behavioural and cognitive changes were tested again in the holeboard system. Rat body weights and corticosterone concentrations in plasma, hippocampus and urine were determined and adrenal glands were investigated histopathologically. Hippocampal concentrations of corticosterone, NF-kappaB and I-kappaBalpha were determined using RIA, EMSA and Western blotting techniques, respectively. Structural changes in rat hippocampus were measured using magnetic resonance imaging techniques. High peripheral corticosterone concentrations after chronic treatment led to significant reductions in rat body weight. Significant atrophy of both adrenal glands with marked histological deterioration was detected. Furthermore, an increase in hippocampal corticosterone concentrations was observed after chronic administration. Chronic corticosterone treatment also significantly altered behaviour and working and reference memory capacity without changing hippocampal structure. Daily injections of sesame oil in the placebo group, however, were also sufficient to reduce the pellet-finding time. However, neither in the corticosterone group nor in the placebo group were behavioural changes paralleled by significant changes in brain NF-kappaB activation and I-kappaBalpha expression. Thus, cognitive alterations in rats seen after chronic corticosterone exposure are not paralleled by hippocampal NF-kappaB modulation.     

Words and Wards: A Model of Reflective Writing and Its Uses in Medical Education

Personal, creative writing as a process for reflection on patient care and socialization into medicine ("reflective writing") has important potential uses in educating medical students and residents. Based on the authors' experiences with a range of writing activities in academic medical settings, this article sets forth a conceptual model for considering the processes and effects of such writing. The first phase (writing) is individual and solitary, consisting of personal reflection and creation. Here, introspection and imagination guide learners from loss of certainty to reclaiming a personal voice; identifying the patient's voice; acknowledging simultaneously valid yet often conflicting perspectives; and recognizing and responding to the range of emotions triggered in patient care. The next phase (small-group reading and discussion) is public and communal, where sharing one's writing results in acknowledging vulnerability, risk-taking, and self-disclosure. Listening to others' writing becomes an exercise in mindfulness and presence, including witnessing suffering and confusion experienced by others. Specific pedagogical goals in three arenas-professional development, patient care and practitioner well-being - are linked to the writing/reading/listening process. The intent of presenting this model is to help frame future intellectual inquiry and investigation into this innovative pedagogical modality.     

The Limits of Narrative and Culture: Reflections on Lorrie Moore's “People Like That Are the Only People Here: Canonical Babbling in Peed Onk”

This article provides a discussion of the limits of both narrative and culture based on a close textual analysis of the short story, "People Like That Are the Only People Here: Canonical Babbling in Peed Onk," by Lorrie Moore. In this story, a mother describes her experiences on a pediatric oncology ward when her infant son develops Wilms' tumor. The authors examine how the story satirically portrays the spurious claims of language, story, and culture to protect us from an unjust universe and then exposes their false promises. The various personal, professional, and genre-specific narratives we use to create order and coherence from the terror of serious illness are ultimately ineffective. Similarly, the superficially comforting culture of the hospital ward cares more about creating the illusion of control than it does about the suffering of sick children. Language and culture cannot make sense of human anguish, the article concludes, yet they are all we have to hold back the chaos. Mystery and uncertainty, as part of the human condition, must become part of our stories and part of our culture.     

Part-list cuing in amnesic patients: evidence for a retrieval deficit

Part-list cuing--the detrimental effect of the presentation of a subset of learned items on recall of the remaining items--was examined in amnesic patients and healthy control subjects. Subjects studied two types of categorized item lists: lists in which each category consisted of strong and moderate items and lists in which each category consisted of weak and moderate items. The subjects recalled a category's strong and weak items in either the presence of or absence of the moderate items serving as retrieval cues. In healthy subjects, part-list cuing impaired recall of the strong items but not of the weak items; in amnesics, part-list cuing impaired recall of both types of items. Part-list cuing is often attributed to a change in the retrieval process from a more effective one when cues are absent to a less effective one when they are present. On the basis of this view, our results indicate that part-list cuing causes a stronger retrieval inefficiency in amnesic patients than in healthy people.     

Parents' Explanations of Their Child's Performance in Mathematics and Reading: A Replication and Extension of Yee and Eccles

This study was conducted to examine whether Finnish parents would endorse the the classic gender-related attribution pattern and explain their son's mathematical performance in terms of talent and their daughter's in terms of effort. In addition, we examined whether the pattern of attributions would be the opposite in regard to parental explanations of their child's reading performance. A group of parents (N = 486), both mothers and fathers, were requested to assess the level of competence of their 1st grader in mathematics and reading. The parents were also asked to recall events from their child's 1st school year in which the child succeeded and failed in mathematics and reading; they were then asked to evaluate the importance of talent, effort, and task to the child's outcomes. The parents of boys assessed their child's mathematical competence to be higher than did the parents of girls. Furthermore, the parents of boys rated talent as a more important reason for their child's mathematical success than did the parents of girls. In contrast, the parents of girls rated effort as a more important reason for their child's mathematical success. Although the girls were perceived to surpass boys in reading, the girls' positive outcomes in reading were explained by effort more than the boys' outcomes, and at the highest level of assessed competence, the boys' verbal talent was rated as a more significant cause of success in reading than the girls' verbal talent. In sum, our results suggested that in both mathematics and reading, girls were not entitled to ability-based attribution to the same extent as were boys.     

A systematic investigation of same and cross modality priming using written and spoken responses

Effects of presentation modality and response format were investigated using visual and auditory versions of the word stem completion task. Study presentation conditions (visual, auditory, non-studied) were manipulated within participants, while test conditions (visual/written, visual/spoken, auditory/written, auditory/spoken, recall-only) were manipulated between participants. Results showed evidence for same modality and cross modality priming on all four word stem completion tasks. Words from the visual study list led to comparable levels of priming across all test conditions. In contrast, words from the auditory study list led to relatively low levels of priming in the visual/written test condition and high levels of priming in the auditory/spoken test condition. Response format was found to influence priming performance following auditory study in particular. The findings confirm and extend previous research and suggest that, for implicit memory studies that require auditory presentation, it may be especially beneficial to use spoken rather than written responses.     

Trichotillomania: impact on psychosocial functioning and quality of life

This study explored the impact of hair pulling on psychosocial functioning for patients diagnosed with trichotillomania (TTM; n = 28). TTM patients were compared to age and gender-matched groups of psychiatric patients without TTM (n = 28) and nonpsychiatric control volunteers (NC, n = 28) on measures of psychological distress, functioning/quality of life, and self-esteem. Results indicated that TTM patients reported more severe psychosocial impairments than did NC volunteers; however, these differences were mediated by differences in level of depression. Regression analyses indicated significant relationships between some measures of psychosocial functioning and severity of hair pulling, independent of level of depression. Finally, an interview of the impact of hair pulling on 6 domains of daily functioning (negative affect/negative self-evaluations, grooming, recreational activities, social interaction, work/housework productivity, and physical health) indicated common and wide-ranging impairments for both lifetime and current (i.e., past week) ratings. These results highlight the importance of promoting and improving resources for the clinical care of TTM patients, and provide some directions for clinicians to enhance assessment of interference caused by TTM.     

Syllabic pitch perception in 2- to 3-month-old infants

The pitch patterns present in speech addressed to infants may play an important role in perceptual processing by infants. In this study, the high-amplitude sucking procedure was used to assess discrimination by 2- to 3-month-old infants of rising versus falling pitch patterns in 400-msec synthetic [ra] and [la] tokens. The syllables’ intonation contour was modeled on infant-directed speech, and covered a range characteristic of an adult female speaker (180–300 Hz). Group data indicated that the 2- to 3-month-old infants discriminated the pitch contour for both stimuli. Results are discussed with reference to previous studies of syllabic pitch perception.     

Overtones of the Voice: Some Clinical and Developmental Issues in Psychoanalytic Psychotherapy

The rise of language occurs simultaneously in the life of a very young child with the capacity to form self-identity. For this reason, specific characteristics of a person's subsequent use of language may facilitate recognition of factors that were significant to ego formation. Affective memories are laid down in this process and fixed for ego-management. Bower (1981) elegantly demonstrated how a whole nexus of affective memories can be elicited when a specific key association is activated. In two case illustrations, psychoanalytic treatment was facilitated by use of key verbal associations. In both cases, these associations proved to be inwardly permissible because they were based on forms linked to developmental levels rather than the content of what was being expressed.     

Coping strategies and psychological distress in cancer patients before autologous bone marrow transplant

The increased use of bone marrow transplantation (BMT) to treat a variety of cancers has led researchers to study psychological functioning of BMT patients. The majority of studies conducted, however, has focused on adjustment after transplantation. Cancer patients' use of coping strategies before undergoing this procedure may also relate to levels of psychological distress. Our aims were (1) to provide normative coping data, controlling for situation-specific variables with a homogeneous sample, targeted stressor, and fixed time point, using the Ways of Coping Questionnaire; and (2) to identify coping strategies associated with distress before high-dose chemotherapy. Subjects were 49 patients scheduled to receive high-dose chemotherapy and an autologous bone marrow transplant. Consistent with previous coping research, we found that escape-avoidance was related to psychological distress on several measures. Item endorsement analyses of the escape-avoidance subscale suggest that patients may have used more passive than active avoidance strategies. Subsequent participation in a longitudinal study was not affected by initial levels of avoidant coping.