Quality of life in transplant patients, compared to other stressful health situations in pulmonary patients

Transplantation may imply severe biopsychosocial impairments. In order to know the quality of life of patients one year after transplantation, 58 subjects were compared to three different groups of patients (stabilized and acute COPD patients, and lung cancer patients in a surgery unit). Patients filled in two questionnaires: EORTC QLQ-C30 (quality of life) and HAD (anxiety and depression). The quality of life dimensions with inter-group differences were physical, role, emotional and cognitive functioning, global health status, and a number of symptoms (fatigue, dyspnea, insomnia and appetite loss). There were differences in depression, and but not in anxiety. Transplant and surgical patients showed better quality of life and affective status than chronic pulmonary patients. Discriminant analysis showed that the transplant group was the best described group. We conclude that patients, one year after transplantation, show similar quality of life as asymptomatic hospitalised patients, somewhat better than chronic patients in a stabilized stage of the disease, and much better than severe chronic patients.     

Cognitive and linguistic skills in Swedish children with cochlear implants - measures of accuracy and latency as indicators of development

The purpose of the present study was to examine working memory (WM) capacity, lexical access and phonological skills in 19 children with cochlear implants (CI) (5;7-13;4 years of age) attending grades 0-2, 4, 5 and 6 and to compare their performance with 56 children with normal hearing. Their performance was also studied in relation to demographic factors. The findings indicate that children with CI had visuospatial WM capacities equivalent to the comparison group. They had lower performance levels on most of the other cognitive tests. Significant differences between the groups were not found in all grades and a number of children with CI performed within 1 SD of the mean of their respective grade-matched comparison group on most of the cognitive measures. The differences between the groups were particularly prominent in tasks of phonological WM. The results are discussed with respect to the effects of cochlear implants on cognitive development.     

Processing modifier-head agreement in reading: Evidence for a delayed effect of agreement

The present study examined whether type of inflectional case (semantic or grammatical) and phonological and morphological transparency affect the processing of Finnish modifier-head agreement in reading. Readers' eye movement patterns were registered. In Experiment 1, an agreeing modifier condition (agreement was transparent) was compared with a no-modifier condition, and in Experiment 2, similar constructions with opaque agreement were used. In both experiments, agreement was found to affect the processing of the target noun with some delay. In Experiment 3, unmarked and case-marked modifiers were used. The results again demonstrated a delayed agreement effect, ruling out the possibility that the agreement effects observed in Experiments 1 and 2 reflect a mere modifier-presence effect. We concluded that agreement exerts its effect at the level of syntactic integration but not at the level of lexical access.     

Higher-Order Unification: A structural relation between Huet's method and the one based on explicit substitutions

We compare two different styles of Higher-Order Unification (HOU): the classical HOU algorithm of Huet for the simply typed λ-calculus and HOU based on the λσ-calculus of explicit substitutions. For doing so, first, the original Huet algorithm for the simply typed λ-calculus with names is adapted to the language of the λ-calculus in de Bruijn's notation, since this is the notation used by the λσ-calculus. Afterwards, we introduce a new structural notation called unification tree, which eases the presentation of the subgoals generated by Huet's algorithm and its behaviour. The unification tree notation will be important for the comparison between Huet's algorithm and unification in the λσ-calculus whose derivations are presented into a structure called derivation tree. We prove that there exists an important structural correspondence between Huet's HOU and the λσ-HOU method: for each (sub-)problem in the unification tree there exists a counterpart in the derivation tree. This allows us to conclude that the λσ-HOU is a generalization of Huet's algorithm and that solutions computed by the latter are always computed by the former method.     

Face detection in normal and prosopagnosic individuals

Face detection, the process of finding a face in a visual scene, is a critical step in face processing, yet it has received relatively little attention compared with other face processes. The present study addresses this crucial first stage by investigating the effect of inversion on face detection and by examining how individuals with developmental prosopagnosia perform on face detection tasks. Fourteen control participants and fourteen individuals with developmental prosopagnosia (DPs) were tested with two face detection tasks: (1) Face versus Non‐Face, where arrays of small images were presented, one of which could contain a face and (2) Face versus Face Parts, where a two‐tone face could be embedded in a larger array of similar two‐tone face parts. On each trial, participants made a speeded response if a face was present in the visual display. On almost all measures both normal and prosopagnosic individuals showed strong inversion effects with significantly worse performance with inverted faces. This shows that the simple task of detection can show inversion effects comparable to those seen for other face tasks, including recognition. Finally, while there were prosopagnosics who were well within the normal range for detection, there were significant group differences, particularly for the case of the Face versus Face Parts, where prosopagnosics were worse than controls on upright but not on inverted face detection.     

Living Being and Speaking Being: Toward a Dialogical Approach to Intentionality

One of the main goals of cognitive science is to shed light on human knowledge. This paper states that, if daily conversations, literature, and private thought, are proper expressions of human behavior, then cognitive sciences ought to elaborate a concept of knowledge suited to this kind of activities. I draw upon the notion of discourse in Bakhtin to specify the attributes of knowing needed to account for human behavior, whose manifestations in everyday life are not reduced to representing objects but essentially oriented toward responding to others. As a central aspect of knowledge, I focus on intentionality and offer a discussion about different aspects of it. Specifically, I examine the difference between intentionality as the faculty of representation (aboutness) and intentionality as the subjective positioning toward contextually relevant ideological perspectives (meaning).

The Psychoanalytic Conception of Trauma in Ferenczi and the Question of Temporality

A reciprocal and ongoing interaction about theory and clinical technique developed between Freud and Ferenczi in the years from 1908 to 1933. During the course of this ongoing dialogue, the concept of psychic trauma gradually transformed. Ferenczi continued to elaborate on this issue, and concluded with his work on the interaction of trauma and fantasy. Ferenczi initially refuted Freud's early trauma theses and finally conceptualized a metapsychological reformulation of trauma, an inverse development to Freud's formulations. Ferenczi highlighted two essential concepts in the theory and technique of trauma: the processes of identification and the splitting of the ego, while he stressed the enormous role of disavowal in the dynamics of trauma. The author hopes to demonstrate how Ferenczi's contributions added to developments of the concepts of disavowal and temporality, to the recovery of traumatic memory and the modification of the classical concept of interpretations.     

Anxiety and post-traumatic stress symptoms following wisdom tooth removal

The purpose of the present study was to determine the psychological impact of wisdom teeth removal and to identify the psychological risk factors for the development of dental anxiety and post-traumatic stress symptoms. Participants were 34 consecutive elective patients referred for surgical removal of a wisdom tooth under local anesthesia. Frequency of previous distressing dental events and general traumatic life events were assessed at baseline (t1), and emotional distress (pain, state anxiety and disturbance) immediately after treatment (t2). Post-traumatic stress responses were determined three days after treatment (t3), and at four weeks follow-up (t4), while severity of dental trait anxiety was assessed at t1 and at t4. Two patients (8%) met screening criteria for Post-Traumatic Stress Disorder (PTSD) at t4. Multivariate analysis revealed that previous exposure to distressing dental events and pre-operative anxiety level predicted anxiety level at t4, accounting for 71% of the variance. Severity of pain during treatment was a significant predictor variable of PTSD symptom severity at t4 (25% explained variance). The findings underline the importance of pain-free treatments and awareness of patients' individual predisposition to anxiety or trauma-related symptoms to reduce the risk of iatrogenic psychological harm.     

Three boys and their stories: Atypical eating and primitive relations1

Eating disorders of whatever category, especially the most severe ones such as anorexia or bulimia, are often considered typical of the female sex. While this is correct concerning these two disorders, I suggest that there are other eating disorders that are more frequent among boys, especially the ones concerning atypical relations to food, notwithstanding the evidence that the already very well‐known syndromes of bulimia and anorexia are also gaining ground among males. However, similar, unspecified eating disorders do not seem to occur so often among girls. Clinical data from my private practice should be taken for granted considering these matters, since I do not yet have statistical data to back up my thesis. In examples from three clinical cases involving boys and one female vignette, I shall attempt to establish a relation between eating disorders and primitive relations with men and women. This relation goes well beyond the oft‐cited ‘contemporary’ causes of eating disorders. In addition, I shall situate these differences among symptoms of both sexes and relate them to impasses in different stages of emotional development, as well as to the extent to which girls’ identification with their mother’s sex can influence their acquisition of eating disorders.     

A Door to HIV‐Prevention Interventions: How Female‐Targeted Materials Can Enhance Female Participation1

The aim of this study was to examine the influence of gender on exposure to gender‐tailored HIV‐prevention brochures. During an unobtrusive observation of participants' reading of brochures, both men and women were likely to avoid gender‐mismatched brochures. However, women were more likely to selectively approach gender‐matched brochures over gender‐neutral brochures than were men. Furthermore, exposure to the female‐targeted brochure predicted accepting an HIV‐prevention video. This pattern was only the case for females and not for males or for the male‐targeted brochure. This finding implies that the gender‐tailored brochures are more useful for women than for men, and may open the door to other materials designed with preventive objectives.