Are Better Workers Also Better Humans? On Pharmacological Cognitive Enhancement in the Workplace and Conflicting Societal Domains

The article investigates the sociocultural implications of the changing modern workplace and of pharmacological cognitive enhancement (PCE) as a potential adaptive tool from the viewpoint of social niche construction. We will attempt to elucidate some of the sociocultural and technological trends that drive and influence the characteristics of this specific niche, and especially to identify the kind of capabilities and adaptations that are being promoted, and to ascertain the capabilities and potentialities that might become diminished as a result. In this context, we will examine what PCE is, and how and why it might be desirable as a tool for adaptation within the workplace. As human beings are, or at least should be allowed to be, more than merely productive, able-bodied and able-minded workers, we will further examine how adaptation to the workplace niche could result in problems in other domains of modern societal life that require the same or other cognitive capabilities. In this context we will also focus on the concept of responsibility and how it pertains to PCE and the modern workplace niche. This will shed some light on the kind of trends related to workplace niche construction, PCE and capability promotion that we can expect in the future, and on the contexts in which this might be either beneficial or detrimental to the individual as a well-rounded human being, and to other members of society.     

Shame Veiled and Unveiled: The Shame Affect and Its Re-Emergence in the Clinical Setting

The paper examines the psychoanalytic theory of shame and the importance of developmental aspects of the shame affect. In a clinical setting, the discovery of the shame affect, stemming from unconscious and early traumatic situations, is an important and useful approach in helping the patient access painful memories and defenses against them. The defenses disguise the underlying shame affect; furthermore, vision is being bound up with the searing painful affect of shame. The anticipatory dread of scornful gaze of another person, similar to objective self-awareness can cause mortification. Fear of mortification and being exposed emerges in the clinical setting. Through the recognition of enactments in the transference and countertransference interchange, the analyst helps the patient working through them. Several case vignettes demonstrate these important concepts. Finally, the author discusses how shame in certain situations can be a powerful, positive motivator for human interactions.     

The formation and development of individual and ethnic identity: insights from psychiatry and psychoanalytic theory

This paper describes the concept of identity formation, examining the historical development of identity, particularly ethnic identity. The author distinguishes the normative developmental achievement of self and group identity with pathological identity diffusion due to an earlier attachment disorder. The clinical case of a young male’s experience of his Persian family’s immigration to a new host country details the challenges encountered in ethnic identity formation and its interference in consolidating this ongoing process. The complicated task of self identity formation during this phase of development in the face of parental unresolved and ambivalent attitudes toward their own sense of threatened self and group identity diffusion is discussed. Parental intrapsychic conflict combined with environmental conflict such as racism, prejudice, and more recent paranoia toward Middle Eastern immigrant families interferes further with the normal identity formation process. The paper elaborates the compromised bicultural identity of a youngster who struggles through his developmental life phases.Mali A. Mann, M. D., is Adjunct Associate Professor of Psychiatry and Behavioral Science, Department of Psychiatry and Behavioral Science, School of Medicine, Stanford University, Stanford, CA and Faculty Member, San Francisco Psychoanalytic Institute.     

Anger, anxiety, and depression as risk factors for cardiovascular disease: the problems and implications of overlapping affective dispositions

Several recent reviews have identified 3 affective dispositions--depression, anxiety, and anger-hostility--as putative risk factors for coronary heart disease. There are, however, mixed and negative results. Following a critical summary of epidemiological findings, the present article discusses the construct and measurement overlap among the 3 negative affects. Recognition of the overlap necessitates the development of more complex affect-disease models and has implications for the interpretation of prior studies, statistical analyses, prevention, and intervention in health psychology and behavioral medicine. The overlap among the 3 negative dispositions also leaves open the possibility that a general disposition toward negative affectivity may be more important for disease risk than any specific negative affect.     

Processing of basic speech acts following localized brain damage: a new light on the neuroanatomy of language

We examined the effect of localized brain lesions on processing of the basic speech acts (BSAs) of question, assertion, request, and command. Both left and right cerebral damage produced significant deficits relative to normal controls, and left brain damaged patients performed worse than patients with right-sided lesions. This finding argues against the common conjecture that the right hemisphere of most right-handers plays a dominant role in natural language pragmatics. In right-hemisphere damaged patients, there was no correlation between location and extent of lesion in perisylvian cortex and performance on BSAs. By contrast, processing of the different BSAs by left hemisphere-damaged patients was strongly affected by perisylvian lesion location, with each BSA showing a distinct pattern of localization. This finding raises the possibility that the classical left perisylvian localization of language functions, as measured by clinical aphasia batteries, partly reflects the localization of the BSAs required to perform these functions.     

Palestinian suicide bombers

The factors underlying the development of Palestinian suicide bombers are explored through a review of published studies and drawing on interviews with five bombers caught before they detonated the bombs they were carrying. The concomitants of becoming a suicide bomber are explored through political, social and psychological processes, including religious and ideological belief systems and personal characteristics. It is argued that there is no single cause or explanation for taking on this role, but that it comes out of a mixture of circumstances, which varies from individual to individual. The current review challenges the common assumption that all suicide bombers are teenage religious fanatics and shows that less extreme personality characteristics can lead to a person deciding to kill him/herself for a cause, given other circumstances. The implications of these findings as well as the weaknesses in the current study are discussed. Copyright © 2004 John Wiley & Sons, Ltd.     

THE ROLE OF AN IMMIGRANT MOTHER IN HER ADOLESCENT’S IDENTITY FORMATION: “WHO AM I?”

Immigration is a complex bio-psycho-social process and the immigrant mother has a truly complex task in lending her ego strength to her adolescent offspring. The normal adolescence’s decathexis of the love object and the consequent search for a new object may not happen smoothly for those adolescents whose mothers are immigrants. The immigration experience may cause the immigrant mother, who lost her motherland, deeper disturbance in self-identity as well as disequilibrium in her psychic structure, which in turn impacts adversely her adolescent’s development. The adolescent’s inadequate early experience with an immigrant mother may result in a deeper disturbance in his separation-individuation process as well as his identification process. An immigrant mother who has not mourned adequately, with a different sociocultural background has to go through a far more complex development of motherhood. The case of an adolescent boy, Jason, demonstrates the impact of immigrant motherhood on his ego development.     

Gift Giving at Israeli Weddings as a Function of Genetic Relatedness and Kinship Certainty

This study examines gift giving at Israeli weddings. In accordance with kin selection theory, we hypothesized that wedding guests possessing greater genetic relatedness to the newlyweds would offer greater sums of money as wedding gifts. We also hypothesized that family members stemming from the maternal side (where the genetic lineage has higher kinship certainty) would offer the newlyweds more money than those stemming from the paternal side. Data on the monetary gift sums of the wedding guests from 30 weddings were collapsed according to two criteria: (a) genetic relatedness (0%, 6.25%, 12.5%, 25%, and 50%) and (b) kinship certainty (maternal or paternal lineage). Both hypotheses were supported. We discuss the implications of these data in understanding family dynamics, as well as practical applications associated with the marketing of gifts.