Are Psychiatric Residents Still Interested in Psychoanalysis? A Brief Report

In spite of the efficacy of the psychodynamic psychotherapies, the number of young psychiatric residents interested in psychodynamic therapies is decreasing. Our psychoanalytical group, Genden (Genève-Denver), explored the possible reasons for psychiatric residents' hesitation to get psychoanalytic training. Five psychoanalytical psychotherapists met weekly for a year in order to debate that question, focusing on personal feedbacks from all of our 100 residents in psychiatry working with us for at least 4 years. Following the residents' responses, our focus group proposed ten commonsense feedbacks for psychoanalysts regarding stimulating young psychiatric residents' interest in psychoanalytic approaches.     

Test-Taking Behaviors by Hypertensive and Normotensive Individuals

Systematic ratings were made on the Tulane Test-Behavior Scale of the global and integrated behaviors observable for hypertensive and normotensive subjects as they worked to complete a battery of neuropsychological tests—the degree of attention and effort displayed, for example, self-confidence and self-criticism. The results for 82 subjects (41 subject pairs matched for age, race, and education) revealed substantial and consistent differences between groups. Early, mild hypertensive subjects (unmedicated) displayed significantly less optimal behaviors than did normotensive controls. These may be best understood as subtle functional consequences of the abnormal physiological state imposed on the brain by a chronically elevated blood pressure, just as the functional disruptions of reduced kidney filtration fraction or minor abnormalities of the electrocardiogram appear early in the course of the disorder for other target organs. Certain testable implications of this hypothesis are discussed.     

Prediction of Recidivism among Juvenile Delinquents with the Hand Test

In a preliminary investigation of the predictive validity of the Hand Test, the AOS significantly differentiated delinquent recidivists from non-recidivists, correctly categorizing 66 per cent of the Ss. The AGG score also significantly differentiated the two groups.     

Speech prosody in Broca's aphasia

Because speech prosody is thought to be impaired in Broca's aphasia, we conducted three experiments using Broca's aphasics and nonneurological control subjects in order to determine to what extent this statement is accurate. Using three acoustic measures of speech prosody—sentence-final fundamental frequency (F₀) fall, F₀ declination, and sentence-final lengthening—we found that some aspects of prosody were spared while others were abnormal. All Broca's aphasics, regardless of degree of impairment, exhibited sentence-final F₀ fall. F₀ declination was present in simple sentences but was absent over longer domains; moreover, the amount of declination was correlated with the degree of linguistic impairment. Sentence-final lengthening was clearly absent in Broca's aphasia; in fact, sentence-terminal words were actually shorter than their sentence-initial and medial counterparts.     

Emotional enhancement of immediate memory: Positive pictorial stimuli are better recognized than neutral or negative pictorial stimuli

We examined emotional memory enhancement (EEM) for negative and positive pictures while manipulating encoding and retrieval conditions. Two groups of 40 participants took part in this study. Both groups performed immediate implicit (categorization task) and explicit (recognition task) retrieval, but for one group the tasks were preceded by incidental encoding and for the other group by intentional encoding. As indicated by the sensitivity index (d'), after incidental encoding positive stimuli were easier to recognize than negative and neutral stimuli. Participants' response criterion was more liberal for negative stimuli than for both positive and neutral ones, independent of encoding condition. In the implicit retrieval task, participants were slower in categorizing positive than negative and neutral stimuli. However, the priming effect was larger for emotional than for neutral stimuli. These results are discussed in the context of the idea that the effect of emotion on immediate memory enhancement may depend on the intentionality to encode and retrieve information.     

The On-Line Processing of Verb-Phrase Ellipsis in Aphasia

We investigate the on-line processing of verb-phrase ellipsis (VPE) constructions in two brain injured populations: Broca’s and Anomic aphasics. VPE constructions are built from two simple clauses; the first is the antecedent clause and the second is the ellipsis clause. The ellipsis clause is missing its verb and object (i.e., its verb phrase (VP)), which receives its reference from the fully specified VP in the antecedent clause. VPE constructions are unlike other sentence types that require displacement of an argument NP; these latter constructions (e.g., object-relatives, wh-questions) yield either on-time or delayed antecedent reactivation. Our results demonstrate that Anomics, like unimpaired individuals, evince reactivation of the direct object NP (within the VP) at the elided position. Broca’s patients, on the other hand, do not show reactivation of the antecedent. We consider several interpretations for our data, including explanations focusing on the larger ‘grain size’ of the reconstructed material in the ellipsis clause, the properties of the auxiliary that carries tense and agreement features, and the possibility that the cost-free syntactic copy procedure claimed to underlie VPE may be modulated by the functional deficit in Broca’s aphasia.     

Sometimes a noun is just a noun: comments on Bird, Howard, and Franklin (2000)

Bird, Howard, and Franklin (2000) have proposed a semantic-conceptual explanation of grammatical category-specific deficits that attributes impairments in noun and verb processing to two distinct mechanisms. According to their account, apparent deficits in verb production are not category specific, but rather result from the lower imageability of verbs compared to concrete nouns. Noun deficits are said to result from differences in the distribution of semantic feature types such that damage to sensory features results in disproportionate impairments in naming nouns, especially animate nouns, compared to verbs. However, this hypothesis, which we call the "extended sensory/functional theory" (ESFT), fails on several counts. First, the assumption that representations of living things are more heavily freighted with sensory features than are those of nonliving objects does not have any reliable empirical basis. Second, the ESFT incorrectly predicts associations between deficits in processing sensory features and living things or functional features and nonliving things. Finally, there are numerous cases of patients with grammatical category-specific deficits that do not seem to be consistent with damage at the semantic level. All of this suggests that the ESFT is not a useful model for considering grammatical (or semantic) category-specific deficits.     

Mental balance and well-being: building bridges between Buddhism and Western psychology

Clinical psychology has focused primarily on the diagnosis and treatment of mental disease, and only recently has scientific attention turned to understanding and cultivating positive mental health. The Buddhist tradition, on the other hand, has focused for over 2,500 years on cultivating exceptional states of mental well-being as well as identifying and treating psychological problems. This article attempts to draw on centuries of Buddhist experiential and theoretical inquiry as well as current Western experimental research to highlight specific themes that are particularly relevant to exploring the nature of mental health. Specifically, the authors discuss the nature of mental well-being and then present an innovative model of how to attain such well-being through the cultivation of four types of mental balance: conative, attentional, cognitive, and affective.