Dreaming of freud: Ferenczi,freud, and an analysis without end

The beginning of this paper documents Sigmund Freud's pre-psychoanalytic experience as a ‘first hand’ observer of childhood behavior both professionally and as the patriarch of a large extended family in Vienna. During 1898, Freud was in the midst of an intensive correspondence with Wilhelm Fliess – his most trusted confidant, mentor and colleague – when he wrote, in part, about his sister Marie whose family was relocating in Berlin. She was apparently about to consult Fliess as her prospective physician. During the process, Freud voiced psychological assessments not only about his sister; but, also about her husband and their three daughters. The youngest among them was a 5-year old whom he characterized as “a rather gifted child, severely [hysterical]” (bracketed word in quotation juxtaposed for clarity).

Eleven years later, Freud wrote a case study about a 5-year old boy whose pseudonym, for publication purposes, was Little Hans. The life of Little Hans (as well as the lives of his parents) has been thoroughly examined and we now know something about how he matured as an adult. In a contrasting context, less is known about the ‘psychological trajectory’ of Freud's 5-year old niece who also distinguished herself in certain respects as she matured during her abbreviated later life. She remained the subject of documentable correspondence mailed to him by his youngest daughter Anna as well as foreboding prospects articulated in a letter he subsequently wrote to an English nephew.     

The coupling of short sleep duration and high sleep need predicts riskier decision making

Abstract

Objective: To examine how risk-related decision making might be associated with habitual sleep variables, including sleep variability, sleep duration and perceived sleep need in young adults cross-sectionally and longitudinally.

Design: 166 participants completed a 7-day protocol with sleep and risk-related decision-making measures at baseline (T1) and 12 months later (T2).

Results: Habitual short sleep duration (averaging < 6?h nightly) was identified in 11.0% in our sample. After controlling for baseline demographic factors and risk-taking measures, self-reported sleep need at T1 interacted with habitual short sleep in predicting risk taking at follow-up (F_8,139=9.575, adjusted R²=.431, p<.001). T1 greater perceived sleep need predicted more risk taking among short sleepers, but decreased risk taking among normal sleepers at T2. Variable sleep timing was cross-sectionally correlated with making more Risky choices at baseline and fewer Safe choices after loss at follow up.

Conclusions: Young adults with variable sleep timing and those with short sleep duration coupled with high perceived sleep need were more likely to take risks. The moderating effects of perceived sleep need suggest that individual differences may alter the impact of sleep loss and hence should be measured and accounted for in future studies.     

A Contextual Model of Control Beliefs,Behavior, and Health: Latino and European Americans with Type 2 Diabetes

Sense of control is frequently found to be related to health. A model of control beliefs, disease-management behaviors, and health indicators was tested in a sample of 74 Latino Americans and 115 European Americans with Type 2 diabetes. Two measures of control beliefs, one diabetes-specific (diabetes self-efficacy) and one global (mastery), were examined for their effects on management behaviors (diet and exercise) and on health (Hb_A1C and general health). Results indicated that the relationship between control and management behaviors varied by measure of control and by group. For Latino participants, global mastery was related to management behaviors; whereas, self-efficacy was related to such behaviors among European Americans. The relationship between control and health did not appear to be mediated by management behaviors. This study provides support for a diversified approach to control, behavior, and health.     

A Case of Triple X Syndrome Manifesting with the Syndrome of Nonverbal Learning Disabilities

There has been a relative absence of studies that have examined comprehensively the neuropsychological profiles of females with Triple X Syndrome across a battery of tests and measures. A case is reported of a 9 1/2-year-old female with Triple X Syndrome whose neuropsychological test results were suggestive of greater right- versus left-cerebral hemisphere dysfunction. Overall, the patient's neuropsychological profile was indicative of the syndrome of Nonverbal Learning Disabilities (NLD) as proposed by Rourke (Rourke 1987, 1988, 1995; Rourke & Tsatsanis, 1996). The results are discussed in light of Rourke's NLD Syndrome and the related white matter model.     

The inconsistency with which raters weight and combine information across targets

To assign an overall performance rating to a target, a rater must weight and combine various pieces of specific performance information about that target. Policy‐capturing research has demonstrated that individual differences in raters can influence the way raters combine specific performance information. The current study examined information processing from a different perspective by exploring the possibility that target differences may also influence the way raters weight and combine performance information. Raters (N = 146) rated each of six targets on six specific performance dimensions and on overall performance. Sequential moderation analyses indicated that targets influenced the way raters, as a group, combined information across targets. These results lend support to the inference that overall performance ratings may not be comparable across targets, that is, they may not reflect the same underlying performance across targets.     

Ethical dilemas for nurses and their emotional implications

Some of the ethical and emotional problems that are presented to nurses are described. Nurses dealing with them are often the same age as medical students who are just starting their training and on qualifying as doctors will be less experienced in dealing with various life-and-death dilemmas than the nurses looking after their patients. It is contended that despite the fact that almost everyone at some time in their lives is going to depend upon a nurse, the subject of nursing and its dilemmas has been largely neglected, particularly by psychoanalytic/psychotherapy training organisations. Training is described which it is hoped would remedy some of the deficiencies of current nurse-training and encourage personal development and growth. It is also suggested that the training of medical students should include a period of nurse experience and training. The power which can be invested in the nurse is also described, along with the corrupting effect this can have on the nurse/patient relationship.     

The Context and Argument of The Political Philosophy of Needs

Abstract

In this translation of Charles Taylor’s paper, ‘Die Immanente Gegenaufklarung: Christentum und Moral’, the author discusses the relationship between Christianity and morality, in the light of developments in the West over the past five centuries. Particular attention is paid to the relationship between morality and the development of unbelief, the rejection of God, and atheism.