Attitudes of Potential Providers Towards Preconceptional Cystic Fibrosis Carrier Screening

To determine the attitudes of potential providers (general practitioners and Community Health Service workers) towards preconceptual cystic fibrosis (CF) carrier screening and to determine which factors are associated with a positive attitude. A survey was conducted among 200 general practitioners (GPs) and 134 Community Health Service (CHS) workers. Fifty-two percent of the eligible GPs participated and 84% of the CHS workers. Fifty-five percent of the GPs and 73% of the CHS workers had a positive attitude towards routinely offering CF carrier screening, and more than 80% were in favor of informing the target population about the possibility of having a CF carrier test. A positive attitude was associated with (a) high perceived severity of CF, (b) religion (nonreligious compared to Reformed), (c) low perceived barriers, and (d) high perceived test reliability. The care providers who are most likely to be involved in a preconceptual CF carrier screening program, i.e. GPs and CHS workers, generally have a positive attitude towards the implementation of such a program.     

Sándor,Gizella, Elma: A biographical journey1

In recent years, particularly with the publication of the Freud‐Ferenczi correspondence, it has become clear that the rich theoretical dialogue between Freud and Ferenczi, a dialogue that may be seen as constitutive for psychoanalytic discourse in recent decades, was intensely intertwined with their complex personal relationship. Two women‐Gizella Pálos, who eventually became Ferenczi's wife, and her daughter Elma, who was both Ferenczi's and Freud's analysand, and with whom Ferenczi fell in love‐played a crucial role in shaping the Freud‐Ferenczi relationship. Their own voices, however, have so far been barely heard. This paper is a preliminary report of a biographical research project which aims to complete the puzzle, by getting to know better Gizella, Elma and their family, with the help of numerous original sources, many of them unpublished till now. The emerging picture tends to confirm Ferenczi's initial view of Elma as a person of depth and integrity, rather than Freud's view of her as fundamentally disturbed; countertransference‐love, it is suggested, may have facilitated fuller perception rather than clouding it. The question of the impact of Elma's ‘confusion of tongues’ with Ferenczi and with Freud on her subsequent life is also discussed.     

Imitation of Self‐Aggressive Behavior: An Experimental Test of the Contagion Hypothesis1

The purpose of the present study was to experimentally examine the influence of a self‐aggressive model on self‐aggressive behavior under controlled laboratory conditions. Participants (N= 94) were given the opportunity to self‐administer electric shock while competing with a fictitious opponent in a reaction‐time task. Participants observed the opponent self‐administer either increasingly intense shock (a self‐aggressive model) or constant low shocks (a non‐self‐aggressive model). Self‐aggression was defined as the intensity of shock that was self‐administered by participants. Results provide support for the notion that social information can influence the expression of self‐aggressive behavior. Specifically, participants attended to the opponent's shock choices in both model conditions, and chose shocks consistent with those of the observed model.     

Art as the Silence of the World. An Attempt at a Phenomenological Interpretation

This paper provides an analysis of the paradoxical definition of art as the silence of the world, as presented in Maurice Blanchot’s The Space of Literature. The definition is analysed phenomenologically, by treating the world as the universal horizon of all experiences. The paper presents two possible interpretations of Blanchot’s statement. First, a possibility is considered that, according to Blanchot, in genuine artistic experience the mundane everyday life falls silent, and an autonomous fictional world opens up. The paper argues that while Blanchot does oppose art to everyday life, this interpretation is insufficient. Firstly, because on the basis of the phenomenological premise, all possible worlds fall within the universal world-horizon, and secondly, the function Blanchot attributes to art is considerably more radical, as when he speaks about the directedness of art outside of all possible worlds. While such an aim may seem impossible from the viewpoint of the phenomenological premise, the second part of the paper demonstrates that it can indeed be meaningfully interpreted on the basis of Martin Heidegger’s transcendent approach to the world. According to this interpretation, while the phenomenological premise prevents all discussion of places and experiences outside the world, a liminal experience can nevertheless be discussed. If this is true, it is not an entity within the world which opens up, but rather the world-horizon itself in the form of an anxious silence.     

Construct Validity of the Acquired Capability for Suicide Scale: Factor Structure,Convergent and Discriminant Validity

The Acquired Capability for Suicide Scale (ACSS) assesses one of three main constructs in the Interpersonal Theory of Suicide but evidence of its validity is limited. In two studies (Ns = 287 and 738) validity of the full 20-item ACSS and its shorter versions (ACSS-5, ACSS-8, ACSS-FAD) were examined in terms of factor structure and relation to indices of self-reported suicidal behaviour and self-harm. Confirmatory factor analysis (CFA) failed to show good fit for one-, two-, or three-factor models of the ACSS in its various versions. Exploratory factor analysis of the 20-item scale in the first study pointed instead to a five-factor structure and this was supported using CFA in the second study. In both studies all scale versions showed moderate negative correlations to fear of death and dying, indicating scale validity for the purpose of assessing fearlessness about death. In the second study, a model in which the five factors were indicators of a latent variable of Capability was found to predict a latent variable of Suicidality as indicated by suicidal behaviours, but the prediction was substantially enhanced by the addition of Item 20 to the model. This single item was also found in the first study to better predict suicidal and self-harming behaviour than the full ACSS or any of its short versions.     

Pitfalls on our “New Royal Road”: Commentary on Paper by Joyce Slochower

In discussing Joyce Slochower’s paper “Going Too Far: Relational Heroines and Relational Excess,” (this issue) the author welcomes its self-critical emphasis, suggesting that analysts from all schools of thought benefit more from noticing the risks and pitfalls in their own approach—thus becoming able to improve their own clinical work—than from polemically highlighting what is faulty in other, competing approaches. Such polemics run a risk of their own: turning our theoretical homes into theoretical fortresses, and blocking richer communication among analysts. He shares the concern about some specific attributes of relational and intersubjective clinical work but relates many of the issues raised by Slochower to tensions and dilemmas present in older models of the analytic relationship as well, offering examples from the work of Freud, Ferenczi, Balint, Winnicott, and Racker.     

Providing an escape option reduces retaliatory aggression

The purpose of this study was to examine whether providing an explicit means to escape future attacks by a provocative fictitious participant reduces retaliatory aggression. Using a laboratory measure of aggression (the Point Subtraction Aggression Paradigm), 25 participants were given the opportunity to earn points with monetary value on a fixed ratio (FR) 100 schedule, and to subtract points from a fictitious participant on an FR 10 schedule. Aggressive responding was defined as the number of point subtraction responses by the participant. Aggressive responding also produced intervals free from further attack by the fictitious participant. Provocation was manipulated by having the fictitious person subtract points from the participant. Each participant next completed the same task with an explicit FR 10 escape response option added. The escape option produced intervals free from attack identical to the aggressive option, but without taking points away from the fictitious participant. Results indicate that the availability of an escape response attenuated aggressive behavior in response to provocation. Aggr. Behav. 00:000–000, 2005. © 2005 Wiley‐Liss, Inc.     

Islamic Female Sexuality and Gender in modern feminist interpretation

Sexuality, gender and patriarchy are modern concepts that Western feminist scholars have unquestioningly utilized in their historical inquiry into women in Islam without ample consideration of periodization or problemization. Within the revelation of the Qur'an, the sexes were gendered in relation to each other in a reflection of their physical and biological complementarity. There was not, however, the construction of sexuality and gendering that is evident in the patriarchal society of the modern world. In this essay, I will attempt to trace the historiographical evolution of female sexuality from the time of the Prophet until the Middle Ages, particularly through the development of the female gendered roles of wifehood and motherhood as found in the Qur'an, hadith and fiqh. Additionally, I will argue that until the present these modern constructs have been taken for granted by postmodern scholarship on the topic across many academic disciplines. This has led to scholarship that superimposes modern conceptual frameworks upon earlier time periods. Although these are modern concepts, they may be aptly applied to discourses evident in the period under review, but they must be properly clarified and situated. Furthermore, I myself will work with these concepts, but I will problematize them to show history as a process through which one can find the precursors for modern sexuality and gender construction.     

Evidence for a specific cross-modal association deficit in dyslexia: an electrophysiological study of letter-speech sound processing

The phonological deficit theory of dyslexia assumes that degraded speech sound representations might hamper the acquisition of stable letter-speech sound associations necessary for learning to read. However, there is only scarce and mainly indirect evidence for this assumed letter-speech sound association problem. The present study aimed at clarifying the nature and the role of letter-speech sound association problems in dyslexia by analysing event-related potentials (ERP) of 11-year-old dyslexic children to speech sounds in isolation or combined with letters, which were presented either simultaneously with or 200 ms before the speech sounds. Recent studies with normal readers revealed that letters systematically modulated speech sound processing in an early (mismatch negativity or MMN) and late (Late Discriminatory Negativity or LDN) time-window. The amplitude of the MMN and LDN to speech sounds was enhanced when speech sounds were presented with letters. The dyslexic readers in the present study, however, did not exhibit any early influences of letters on speech sounds even after 4 years of reading instruction, indicating no automatic integration of letters and speech sounds. Interestingly, they revealed a systematic late effect of letters on speech sound processing, probably reflecting the mere association of letters and speech sounds. This pattern is strongly divergent from that observed in age-matched normal readers, who showed both early and late effects, but reminiscent of that observed in beginner normal readers in a previous study (Froyen, Bonte, van Atteveldt & Blomert, 2009). The finding that the quality of letter-speech sound processing is directly related to reading fluency urges further research into the role of audiovisual integration in the development of reading failure in dyslexia.