The epidemiology of suicide and attempted suicide

Since more than one century suicides have been registered in national statistics of death causes. They thus furnish one of the few parameters of psychiatrically relevant behaviour by means of which trends, cohort, age-group and period effects can be studied over longer periods. Since the second half of last century, the suicide rates for Swiss males--similar to those found in England and Wales--show a decrease in consecutive birth cohorts up to males born in the decade 1930-1940, and a continued decline in the total trend until about World War II. From then on the suicide rates of males in consecutive birth cohorts have been slowly increasing in the majority of European and North American countries--but not so in Sweden. Opposite to this, the predominantly low rates for females display little change. Further to the considerable differences between nations and the predominance of suicides committed by females in some Asian countries and Cuba, the changes indicate the significance of cultural and economic environmental factors. Typical period effects are mainly the result of changes in conception and conditions of life. In attempted suicide they proceed in a more sensitive and more rapid way and are about ten times higher. Such a period effect showing increases by about 300% in younger age-groups followed by a decline, attaining its peak about 1976, was ascertained in large cities of the Federal Republic of Germany. By the example of the effects of a television serial, the study of causal processes turning collective environmental factors into individual suicidal behaviour, proved that regularities are effective in learning by a process of modelling. Besides, the epidemiological data give essential hints how to treat suicidal behaviour.     

Forms can be recognized from dynamic occlusion alone

Direct and indirect theories of perception differ on whether form perception depends on higher order invariants or on features in the retinal image. The present paper describes a demonstration that an object can be recognized through a higher order pattern (dynamic occlusion) without any of the object's features being displayed. Stimuli consist of computer stimulations of black wireframe objects moving in front of, and occluding, a random layout of point lights on a black background. In this way, no single videoframe of the stimuli displays any of the object's features, and motion of the amodal object in front of the light points is necessary for the form to become visible. The forms can also be recognized when isoluminous colours are used for background and point lights. Finally, it is noted that, if the observer can actively control the motion of the object, e.g., by moving a computer mouse, recognition is enhanced as in Gibson's (1962) experiment on active touch.     

"The Jews interpret in a crazy manner." Evaluation of a classical text

The author scrutinizes a text taken from the law of Justinian, 553 A. D., which assigns the Jews a place in the occidental-Christian system of thought. The identity of personal power, whether imperial or papal, and legal text merges the real and the symbolic. That is, authority determines the interpretation of the text. The author designates this the Christian-industrial religion and the Christian-industrial psychology and thereby draws connections with the present. Jewish textual interpretation, in which the text alone yields authority, is nourished--like psychoanalysis--by the tension between reality and fantasy, by the contradiction between power and desire.     

HIV infection: trauma and coping with trauma

The initial results of a German-Swedish research project demonstrate the at times active-resistant and at times passive-resigned approaches of AIDS patients toward their illness.     

Creative venture and regression. On the films of Andrej Tarkowski

Tarkowski's films are examples of "elliptical" presentation -- a mode originated by Orson Welles' Citizen Kane. The author clarifies the internal dynamics of these film creations.     

The Bellak and Associates Ego Function Rating in general practice of psychiatric expert assessment

The paper considers more than 70 ego function rating examinations in their relation to expert apprinsement. In general, appraisement was confirmed by the further progress of the cases. The gravity of the mental disorder can be set in perspective by the appraisement of co-affecting factors. A cutoff level of about 4 as the mean of 12 ego functions can be taken to be reliable, the working capacity being frequently impaired below 4.     

Threshold tracking for assessment of long-term adaptation and sensitization in pain perception

To assess temporal variations in the perception of "phasic" heat pain stimuli a psychophysical tracking procedure was developed that enables repeated assessment of the pain threshold at short intervals. This "double-tracking" procedure produces two tracking curves simultaneously, one that approaches the pain threshold gradually from above, the other from below. The threshold for phasic heat pain was measured in 80 tracking trials with stimuli at temperatures near the pain threshold. Concurrently, the threshold for "tonic" heat pain was determined after every 20 tracking trials with a stimulus adjustment procedure. Eleven healthy subjects (age: 26.4 yr. +/- 6.0) participated in 2 sessions each. Phasic stimulation near the pain threshold did not produce any trends in either of the two threshold measures. Hence there was no long-term adaptation or sensitization. However, there were random variations (random walks) in the tracking curves, which we interpret as resulting from a stochastic relationship between stimulus and sensation. In agreement with other reports, discrimination seemed to be better at painful than at nonpainful temperatures.     

Decision time and movement time in depression: differential effects of practice before and after clinical improvement

Choice reaction time involves, at least two components of response latency, decision time and movement time. Studies of choice reaction time usually provide values of these two components averaged over a given number of trials. The aim of the present study of depressed subjects was to investigate changes across practice on Decision Time (DT) and Movement Time (MT) before and after clinical improvement. 19 depressed subjects were given two sessions of 50 trials each, one before treatment (Di) and one after recovery (Df). Decision time and movement time exhibited quite different patterns. Decision time significantly decreased with clinical improvement. No significant variation across trials was found, in either session. Movement time values varied across trials but the variations observed on Di and Df were significantly different, whereas before treatment latencies recorded at the end of the session were greater than those scored at the start, the contrary was observed after clinical recovery. No significant difference was found between values of movement time scored at the start of the two sessions.     

Age differences in cardiovascular and cognitive performance under noise conditions

Ambient white noise (80 dB), compared with quiet (52-dB) testing conditions, improved the performance of elderly and younger subjects on simple addition. Reliable age-related interactions were found on health measures of systolic and diastolic blood pressure, as well as heart rate. Heightened sensory conditions reduced the physiological measures of arousal in the younger group, whereas significant cardiovascular reactivity was found among the older group. The results are suggestive of the potential for increased cardiovascular risk as a function of sensory stimulation in the elderly despite improvements on cognitive tasks. Additional research is needed to evaluate the multidimensional effects of extended sensory stimulation on the elderly.