In search of the elusive nature of clinical psychoanalytic theory

Two case vignettes illustrating different ways of listening to clinical material are presented. The author discusses some limitations of clinical psychoanalytic theory that stem from the fact that primary unconscious processes are, by their very nature, impossible to describe in a language regulated by secondary processes. Hegelian dialectics, first addressed in psychoanalysis by Lacan and later elaborated in the work of Green, as well as the use of paradox by Winnicott and the formalistic approaches of Matte Blanco and Bion, are briefly reviewed as alternative formulas. As psychoanalysts, we are condemned to live with doubt, and neither clinical theories nor metapsychology offer escape from this reality.     

Changes in personality pathology after pharmacotherapy and combined therapy for depressed patients

The central question addressed by this article is whether courses of treatment consisting of pharmacotherapy or pharmacotherapy combined with psychotherapy (combined therapy) produce different changes in personality pathology at follow-up after 40 weeks. We also examined whether recovery from depression has an influence on outcome. The study population consisted of 128 outpatients in whom personality pathology and severity of depression were determined at the start of the study. For 72 patients, personality pathology and severity of depression were determined again after 40 weeks. Of the group of 72 patients, 25 patients received only pharmacotherapy for 6 months, and 47 patients received combined treatment (pharmacotherapy and psychodynamic supportive psychotherapy). The antidepressant protocol provides for three successive steps in case of intolerance or inefficacy: fluoxetine, amitriptyline, and moclobemide. The combined therapy condition consisted of 16 sessions of Short Psychodynamic Supportive Psychotherapy in addition to pharmacotherapy. In the combined therapy condition there was a significant reduction in personality pathology in patients who recovered from depression but also in patients who had not. In the pharmacotherapy condition the significant decrease was restricted to patients who recovered from depression. The results were most striking for Cluster C psychopatology. Patients with cluster B pathology changed the least. Depressed patients with comorbid personality pathology appear to benefit most from a combination of pharmacotherapy and a form of short, psychodynamic, supportive psychotherapy.     

A meta-analytic study of general mental ability validity for different occupations in the European community

A comprehensive meta-analysis of the validity of general mental ability (GMA) measures across 12 occupational categories in the European Community (EC) is presented. GMA measures showed that there is validity generalization and large operational validities for job performance and training success in 11 occupational groups. Results also showed that job complexity moderated the magnitude of the operational validity of GMA tests across three levels of job complexity: low, medium, and high. In general, results were similar to those found in the United States, although the European findings showed a slightly larger magnitude of operational validity in some cases. Theoretical and practical implications of these findings for personnel selection are discussed. ((c) 2003 APA, all rights reserved)     

Application of Herek's attitudes toward lesbians and gay men scale in The Netherlands

A national sample of 921 respondents from the Dutch population completed the translated, slightly modified version of Herek's Attitudes Toward Lesbians and Gay Men Scale, originally developed in the USA for the assessment of attitudes toward lesbians and gay men. The present study was the first attempt to test the applicability of the scale in the Netherlands. In line with previous American findings, all scale items loaded highly on one factor. The scores also correlated with another measure of attitudes toward lesbians and gay men, namely, 'denial of equal rights' (r = .76), and with 'traditional view of women' (r = .48), 'importance of traditional marriage' (r = .53), and 'authoritarianism' (r = .31). Data support the scale's acceptable reliability and construct and discriminant validity.     

Internistische Psychosomatik

Zusammenfassung Die psychische Komorbidität internistischer Patienten im Sinne einer ICD-Diagnose des Kapitels F beträgt mehr als 35%: Neurotische, besonders somatoforme, Schmerz-, affektive Störungen und Suchterkrankungen sind häufig. Die Liegedauer ist bei psychischer Komorbidität deutlich erhöht. Es benötigen 5% der internistischen Patienten ein psychosomatisches Konsil. Neue, komplexe Behandlungsstrategien, wie Transplantationen, Kardioverter-Defibrillatoren, Medikamentenpumpen, erfordern häufig spezifische psychosoziale Interventionen. Ältere Patienten haben Erkrankungen, die zunehmend chronifizieren und komplexer werden. Damit werden Lebensqualität und psychische Komorbidität zu zentralen Outcomevariablen der Volkskrankheiten. Das zweite große Aufgabenfeld internistischer Psychosomatik ist die Untersuchung und die Behandlung psychosomatischer Patienten im engeren Sinne (Essstörungen, Schmerz- und somatoforme Störungen), weil internistische Diagnostik und Therapie erforderlich oder die Motivation der Patienten primär somatisch ist. Organisationsmodelle reichen von Konsil-/Liaisondiensten bis zu integrierten psychosomatischen Abteilungen oder Fachabteilungen an Allgemeinkrankenhäusern. Aussichtsreiche Forschungsstrategien werden neben der Erforschung psychosomatischer Mechanismen in der Entwicklung pragmatischer Behandlungsprogramme, ihrer Überprüfung in klinischen Studien und der Versorgungsforschung gesehen. Darüber hinaus sollte eine Intensivierung nationaler und internationaler Forschungsnetze erfolgen, wenn immer möglich unter Beteiligung anderer Disziplinen, um auch im Bereich der Forschung konkurrenzfähig zu bleiben.Herrn Prof. Dr. Ernst Richard Petzold zum 65. Geburtstag gewidmet.     

SLOT: A research platform for investigating multimodal communication

In this article, we present the spatial logistics task (SLOT) platform for investigating multimodal communication between 2 human participants. Presented are the SLOT communication task and the software and hardware that has been developed to run SLOT experiments and record the participants’ multimodal behavior. SLOT offers a high level of flexibility in varying the context of the communication and is particularly useful in studies of the relationship between pen gestures and speech. We illustrate the use of the SLOT platform by discussing the results of some early experiments. The first is an experiment on negotiation with a one-way mirror between the participants, and the second is an exploratory study of automatic recognition of spontaneous pen gestures. The results of these studies demonstrate the usefulness of the SLOT platform for conducting multimodal communication research in both human-human and human-computer interactions.     

Evaluation of living conditions of free-ranging animals by automated chronobiological analysis of behavior

A biorhythmical method has been developed to assess behavior patterns and to evaluate the living conditions of animals that can be applied also to humans. All kinds of continuous and equidistant long-term recordings of behavior are suitable for this method. Time functions from an automatic telemetry system (ETHOSYSII) were analyzed macroscopically (comparison of daily levels) and microscopically (autocorrelation function and power spectral analysis). Degrees of functional coupling (DFCs) were calculated to identify and evaluate disturbances in behavior. Hierarchic frequency tuning of complex rhythmic functions of behaviors, leads primarily to period lengths that are synchronized with the 24-h period. DFCs, a measure of harmony between internal rhythms and the external 24-h period, were found to be high in well-adapted, healthy, and undisturbed individuals but were lowered during periods of adaptation, sickness, or social interaction. Specific stress conditions could be identified and evaluated in several species, under various conditions, using these biorhythmic analyses.     

How owls structure visual information

Recent studies on perceptual organization in humans claim that the ability to represent a visual scene as a set of coherent surfaces is of central importance for visual cognition. We examined whether this surface representation hypothesis generalizes to a non-mammalian species, the barn owl (Tyto alba). Discrimination transfer combined with random-dot stimuli provided the appropriate means for a series of two behavioural experiments with the specific aims of (1) obtaining psychophysical measurements of figure–ground segmentation in the owl, and (2) determining the nature of the information involved. In experiment 1, two owls were trained to indicate the presence or absence of a central planar surface (figure) among a larger region of random dots (ground) based on differences in texture. Without additional training, the owls could make the same discrimination when figure and ground had reversed luminance, or were camouflaged by the use of uniformly textured random-dot stereograms. In the latter case, the figure stands out in depth from the ground when positional differences of the figure in two retinal images are combined (binocular disparity). In experiment 2, two new owls were trained to distinguish three-dimensional objects from holes using random-dot kinematograms. These birds could make the same discrimination when information on surface segmentation was unexpectedly switched from relative motion to half-occlusion. In the latter case, stereograms were used that provide the impression of stratified surfaces to humans by giving unpairable image features to the eyes. The ability to use image features such as texture, binocular disparity, relative motion, and half-occlusion interchangeably to determine figure–ground relationships suggests that in owls, as in humans, the structuring of the visual scene critically depends on how indirect image information (depth order, occlusion contours) is allocated between different surfaces. Electronic Publication     

Acculturation and Cognitive Performance of Migrant Children in The Netherlands

Acculturative strategies and cognitive acculturation were studied among 118 Dutch migrant children (age: 7–12 years). Both an exploratory factor analysis and a Linear Logistic Test Model analysis provided evidence for the bipolar unidimensionality of Berry's four acculturation strategies; integration constituted one pole and assimilation, separation, and marginalization the other. Integration was by far the most popular strategy. Cognitive performance was measured by the Snijders-Oomen Nonverbal Intelligence Test, school report measures, and a computer-assisted choice reaction-time measure. A good fit was found for a structural model that postulated cognitive acculturation as the latent variable linking background measures (i.e. acculturation strategy, second language usage, age, and gender) to the cognitive measures. Relationships between background variables and cognitive performance were stronger in the first than in the second generation. Both older children and children who favour an integration strategy showed a higher degree of cognitive acculturation.     

The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity1

Development of the Iowa Infant Feeding Attitude Scale (IIFAS) is described. In Study 1, a set of 17 items was selected on the basis of responses by 125 postpartum women. Analyses of the reliability and validity were then conducted. In Study 2, these analyses were replicated using data from an independent sample of 130 postpartum women. Study 3 involved an analysis of the ability of scores on the IIFAS to predict duration of breast-feeding among a sample of 725 women who had initiated that method of feeding their babies while in the hospital. Limitations of this research and possible future uses of the IIFAS in studies addressing the determinants and consequences of infant-feeding attitudes are discussed.