Romancing the Family: Umberto Eco’s <Emphasis Type="Italic">Baudolino</Emphasis>

Referencing Umberto Eco’s novel Baudolino, the author discusses issues concerning the authenticity of the narrative, specifically the distortions in the story presented to the audience and doubts surrounding the veracity of the tale. The act of narration is associated with the shame caused by the abuse and neglect that is an integral part of this story. The ambivalence of the protagonist—to tell his story and to keep it (and his true identity) concealed—associates narration, a creative act, with lying. Trauma generates the lies and hiddenness as a means of coping with abuse and indifference. In order to deal with the feelings of inadequacy caused by his humble birth, the traumatized protagonist lies: he romanticizes his family origins, the illusion of being the offspring of distinguished parents. His attempt to win the love of the parents, by being both good and all-knowing, is one of the motivating forces of his family romance. Telling lies makes the protagonist omniscient: he is the only one who knows if and when he is telling the truth. Paradoxically, the narrator creates and undermines that image of omniscience by revealing the thought processes of one character while leaving opaque those of the protagonist, and by denying the trueness of the tale affirmed when he presents as objective his own subjective sentiments by indirectly attributing them to the protagonist. The uncertainty that underpins the narration is indicative of the storyteller’s absence. This vacancy structures the work because it allows kindred spirits, nonjudgmental readers (listeners) who willingly suspend disbelief, to enter the world of the narrator. This uncritical participation counters the chaos of the storyteller’s reality, as they create their own new world where the split parental images are united.     

Promoting and protecting youth mental health through evidence-based prevention and treatment

For decades, empirically tested youth interventions have prevented dysfunction by addressing risk and ameliorated dysfunction through treatment. The authors propose linking prevention and treatment within an integrated model. The model suggests a research agenda: Identify effective programs for a broadened array of problems and disorders, examine ethnicity and culture in relation to intervention adoption and impact, clarify conditions under which programs do and do not work, identify change mechanisms that account for effects, test interventions in real-world contexts, and make tested interventions accessible and effective in community and practice settings. Connecting the science and practice of prevention and treatment will be good for science, for practice, and for children, adolescents, and their families.     

Inattentional blindness for a noxious multimodal stimulus

Previous research has shown that people can miss salient stimuli outside the focus of their attention. This phenomenon, called inattentional blindness, typically is observed when people are given a task requiring them to focus their attention on one aspect of a complex visual scene. While participants are doing this task, an unexpected stimulus appears, and participants' awareness of it is tested shortly thereafter. In the present experiments, noxious bimodal stimuli were used as a test case to measure the strength of inattentional blindness. We tested whether participants would notice a person enter a scene and scratch her fingernails down a chalkboard (thus making a sound called a "gride"). A large proportion of participants failed to detect this event even when the noxious audio associated with it was strengthened and isolated in time from surrounding noises.     

Anxiety-related differences in affective categorizations of lexical stimuli

Effects of emotional valence on attention have been shown to occur even when stimuli are presented outside awareness. The impact of negative valence on stimulus processing has been demonstrated to be particularly salient in anxiety. Therefore, it has been hypothesized that compared to nonanxious individuals, anxious individuals have an enhanced ability to detect the valence of negative stimuli. However, it remains unclear whether anxious individuals are better at identifying the valence of threatening stimuli or, rather, more likely to label ambiguous stimuli as threatening. To investigate these hypotheses, high and low anxious participants categorized lexical stimuli as "safe" or "dangerous." Stimuli were presented at durations that allowed for both conscious (unmasked) and nonconscious (masked) processing. Results show that on masked trials, anxious individuals evidenced an enhanced ability to correctly classify threatening information, whereas nonanxious participants demonstrated an enhanced ability to correctly classify neutral or positive information. Signal detection analyses indicated results were explained by a response bias, whereby anxious individuals were more likely than nonanxious individuals to categorize masked words as threatening and nonanxious individuals were more likely to categorize masked words as nonthreatening. No group differences for nonword stimuli emerged, suggesting that anxiety-related response bias tendencies are activated only after detection of a weak semantic signal.     

Is light in pictures presumed to come from the left side?

For good ecological reasons humans assume that the illumination in pictures comes from overhead rather than from below. Recent work has also raised the possibility that the preferred angle of illumination is between 20 degrees and 30 degrees to the left of vertical, although the ecological basis for that is obscure. We describe two studies of this question. In study 1, twenty subjects looked in free, unrestricted vision, at a picture of a single 'bubble' which appeared either convex if the illumination was from above, or concave if the illumination was from below. There was no evidence in study 1 that illumination from the left produced a different appearance from illumination from the right, the preferred angle of illumination being 0.5 degrees to the right of vertical. In study 2, on forty subjects, there was fast presentation (200 ms) of an array of 16 bubbles, one of which, the target, was illuminated from the opposite direction to the others, and hence 'popped out' from the display, appearing concave if the others were convex, or vice-versa. The preferred angle of illumination for detection of the target was about 14 degrees to the left of vertical in study 2. The estimates from studies 1 and 2 did not differ significantly, and when combined gave a preferred angle of 9 degrees to the left of vertical. The reasons for the seeming discrepancy between studies 1 and 2, or the smaller overall effect than that found in previous studies are not clear since the methodologies seem equivalent. In both studies 1 and 2 there was a highly significant association between the direction of spontaneous head tilt and preferred direction of illumination, and this factor has not previously been taken into account in studies of the phenomenon. Contrary to the study of Sun and Perona (1998, Nature Neuroscience 1 183-184), there was no association with handedness or other measures of functional lateralisation.     

Extensive lesions of cholinergic basal forebrain neurons do not impair spatial working memory

A recent studysuggests that lesions to all major areas of the cholinergic basal forebrain in the rat (medial septum, horizontal limb of the diagonal band of Broca, and nucleus basalis magnocellularis) impair a spatial working memory task. However, this experiment used a surgical technique that mayhave damaged cerebellar Purkinje cells. The present studytested rats with highlyselective lesions of cholinergic neurons in all major areas of the basal forebrain on a spatial working memorytask in the radial arm maze. In postoperative testing, there were no significant differences between lesion and control groups in working memory, even with a delayperiod of 8 h, with the exception of a transient impairment during the first 2 d of postoperative testing at shorter delays (0 or 2 h). This finding corroborates other results that indicate that the cholinergic basal forebrain does not playa significant role in spatial working memory. Furthermore, it underscores the presence of intact memoryfunctions after cholinergic basal forebrain damage, despite attentional impairments that follow these lesions, demonstrated in other task paradigms.     

Depression After Traumatic Brain Injury: A Review of Evidence for Clinical Heterogeneity

Depression represents a major source of disability among individuals who have suffered a traumatic brain injury (TBI), with estimates of prevalence in this population ranging over 50%. In comparison with other sequelae of TBI, depression is often poorly conceptualized and treated among acute care and rehabilitation professionals. One reason for this is the lack of clear etiological models for the development of depression following TBI. This paper argues that post-TBI depression actually represents a heterogeneous category, with multiple etiologic pathways and clinical implications. The literature in this area is reviewed, with an emphasis on an appreciation of the diversity within this clinical population. Conclusions focus on suggestions for differential diagnosis and treatment options.     

The research misconception

Recently, several researchers and philosophers argued that clinical research trials are not therapy. Their position is based on foundational research ethics documents, such as the Belmont Report, on conceptual analysis, and on the general way clinical trials are conducted. After examining and rejecting these arguments, we claim that good research is consistent with good therapy; that often trials are good therapy; and that a blanket attack on clinical trials as non-therapeutic creates a research misconception. This misconception is potentially harmful because it could weaken trial recruitment, could adversely affect funding for trials, and could overturn needed moral safeguards on therapeutic trials. Our more careful and accurate analysis of the nature of clinical trials can avoid such problems.     

Family predictors of disease management over one year in Latino and European American patients with type 2 diabetes

Family context is thought to influence chronic disease management but few studies have longitudinally examined these relationships. Research on families and chronic illness has focused almost exclusively on European American families. In this prospective study we tested a multidimensional model of family influence on disease management in type 2 diabetes in a bi-ethnic sample of European Americans and Latinos. Specifically, we tested how baseline family characteristics (structure, world view, and emotion management) predicted change in disease management over one year in 104 European American and 57 Latino patients with type 2 diabetes. We found that emotion management predicted change in disease management in both groups of patients as hypothesized, while family world view predicted change in both ethnic groups but in the predicted direction only for European Americans. Examining family context within ethnic groups is required to elucidate unique cultural patterns. Attending to culturally unique interpretations of constructs and measures is warranted. The import of family emotion management, specifically conflict resolution, in disease management deserves further study to support clinical intervention development. Examining multiple domains of family life and multidimensional health outcomes strengthens our capacity to develop theory about family contexts and individual health.