Splitting and ambivalence. On the therapeutic dilemma in treating patients with early damage

The article refers to the pathological problem of severe psychic disturbed patients (with: borderline syndromes/pathological narcism/character neurosis/basic faults and/or disorders of ego structure). The author refers to countertransferences and acting out of affects and reports on the changes and possibilities in the therapy of these patients. The therapists fundamental attitude will be described and supplemented by favouring a treatment in day-hospital-settings. Basic literature has been compiled and is reported as survey.     

The sociobiological ideas of Arthur Schopenhauer

Starting from the basic ideas of sociobiology we prove that Schopenhauer, in his "Metaphysics of Sexual Love", has to pass for a precursor of sociobiological thinking. Several consequences of this parallel are discussed: The quest for strategic principles of organismic growth and evolution as a positive characteristic of both approaches--the hypothesis of a dominant genetic determination of human behaviour as an outcome of a typical bourgeois view of mankind connecting Schopenhauer and sociobiologists--the necessity of taking into consideration biological predispositions of flexible (learned) behaviour as elements of sociobiological models enjoying the same rights as genetical ones--the utility of Schopenhauer's natural philosophy for the purpose of complementing historical knowledge of many disciplines (also psychology).     

Differentiation of existential guilt and compassion in relation to responsibility induction: a film experiment

Feelings of existential guilt are assumed to depend on the perception of a causal relationship between one's own behavior or (privileged) situation and the disadvantages of others. By contrast, pity should not depend on such perceptions. This hypothesis, which has been supported so far only by correlational studies, was tested experimentally. Eighty students were shown a film about a developing country. The film was provided with four different comments, each representing one experimental condition (between-subjects design). Experimental factors were "amount of misery of the people shown" and "subject's responsibility for these peoples' conditions of life". As expected, subjects in the condition "misery and responsibility" reported higher feelings of guilt, though no more pity than subjects in the remaining three treatment conditions (experiment 1, n = 40). This mean difference, however, was statistically significant for men only. Contrary to our theoretical expectations--and to finding from other experiments on vicarious reparation--the induction of guilt had no effect on willingness to help a third party (experiment 2, n = 40). Possible reasons for this unexpected finding are suggested.     

Type A behaviour and psychophysiological arousal

The "coronary prone" or Type A behaviour pattern, characterized by e.g., hard-driving competitiveness, impatience and aggressiveness, is associated with elevated systolic blood pressure and catecholamine secretion during challenge. In experiments at our laboratory, elevated psychophysiological arousal was found in Type A subjects during understimulation, but not during active performance on a self-paced reaction time task. Results suggest that differences in cardiovascular and behavioural reactivity between Type A and B persons tend to be related to the pace of the environment to which they are exposed. Studies of antecedents of Type A behaviour in children show that "Type A children" respond to challenge with a greater increase in sympathetic arousal than "non-Type As". This suggests the possibility that genetic dispositions and/or conditioned sympathetic reactivity play an important role in the development of the Type A behaviour pattern.     

On the role of the anterior cingulate cortex in phonation: A case report

A 41-year-old male patient is presented with a lesion in the anterior cingulate cortex, medial orbital cortex, and rostral striatum bilaterally and supplementary motor area on the left side. The patient first exhibited a state of akinetic mutism which lasted about 6 weeks. During this state, no volitional vocal utterances were made; there were, however, occasional groans of pain. During recovery, the mute phase was replaced by a state in which the patient could whisper but not phonate verbal utterances. About 10 weeks after the accident, phonation was restored. The speech was characterized, however, by monotonous intonation and a very low frequency of spontaneous utterances. While the frequency of spontaneous speech improved noticeably during the following months, emotional intonation remained permanently defective. A comparison of the present case with other cases from the literature as well as experimental monkey data suggest that the anterior cingulate cortex is involved in the volitional control of emotional vocal utterances.