Placebo and criminal law

This article considers issues concerning cases where the use of placebo is lawful or is not lawful under aspects of German criminal law. It will differentiate between cases of individual therapy and cases of supervised experiments within the scope of medical tests. Thereby, it reveals that a medication of placebo with regard to an individual patient seems to be lawful if there is no alternative possibility of a better treatment using a chemically effective medicine and if the limits of presumed consent are complied with. On the other hand, in the context of the supervised experiment, the assignment of a patient to a group treated with placebo is only lawful if the patient has been fully informed about the possibilities of a treatment and if the patient has given consent to it. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003. The author’s interests include International Criminal Law, Comparative Criminal Law and Philosophy of Law.     

Unglücklich machende Familienideale

Zusammenfassung Der Artikel konstrastiert familiäre Lebensrealitäten und familiäre Idealvorstellungen miteinander. Für Patienten, bei denen beide weit auseinander klaffen, werden Anregungen für die Dekonstruktion selbstquälerischer Familienideale in der Psychotherapie entwickelt. Als potenziell unglücklich machend werden Familienideale beschrieben, nach denen Kinder (nur) eine Familie und Familien (nur) ein Heim brauchen; dass Familien gemeinsam verbrachte Zeit, Söhne ihre Väter und überhaupt Kinder heterosexuelle Eltern bräuchten; dass Eltern einander lieben und ihre Kinder bei sich behalten sollten; dass Kinder sich von ihren Eltern ablösen sollten. Als psychotherapeutisch nützlich werden aus Familiensoziologie und systemischer Psychotherapie die Ideen der Wahlverwandtschaft, der konsensentlasteten Diskurse und der systemischen Selbstbeobachtung empfohlen, ferner als therapeutische Techniken die zirkulären Fragen, speziell Verschlimmerungsfragen und die positive Umdeutung. Die Konstruktion neuer Rituale und die Nutzung von Netzwerkressourcen stehen am Ende der Untersuchung.Überarbeitete Fassung des Eröffnungsvortrags der Lübecker Psychotherapiewoche, 17.10.1999.     

DRG-Vergütung und Kosten stationärer integrierter psychosomatischer Behandlung

Ohne ZusammenfassungDie Autoren M. Rose und R. Lohmann zeichnen für den Beitrag als gleichberechtigte Erstautoren.     

Assessing model mimicry using the parametric bootstrap

We present a general sampling procedure to quantify model mimicry, defined as the ability of a model to account for data generated by a competing model. This sampling procedure, called the parametric bootstrap cross-fitting method (PBCM; cf. Williams (J. R. Statist. Soc. B 32 (1970) 350; Biometrics 26 (1970) 23)), generates distributions of differences in goodness-of-fit expected under each of the competing models. In the data informed version of the PBCM, the generating models have specific parameter values obtained by fitting the experimental data under consideration. The data informed difference distributions can be compared to the observed difference in goodness-of-fit to allow a quantification of model adequacy. In the data uninformed version of the PBCM, the generating models have a relatively broad range of parameter values based on prior knowledge. Application of both the data informed and the data uninformed PBCM is illustrated with several examples.     

A six-factor structure of personality-descriptive adjectives: solutions from psycholexical studies in seven languages

Standard psycholexical studies of personality structure have produced a similar 6-factor solution in 7 languages (Dutch, French, German, Hungarian, Italian, Korean, Polish). The authors report the content of these personality dimensions and interpret them as follows: (a) a variant of Extraversion, defined by sociability and liveliness (though not by bravery and toughness); (b) a variant of Agreeableness, defined by gentleness, patience, and agreeableness (but also including anger and ill temper at its negative pole); (c) Conscientiousness (emphasizing organization and discipline rather than moral conscience); (d) Emotionality (containing anxiety, vulnerability, sentimentality, lack of bravery, and lack of toughness, but not anger or ill temper); (e) Honesty-Humility; (f) Intellect/Imagination/Unconventionality. A potential reorganization of the Big Five factor structure is discussed.     

On the representation of Portuguese gender-inflected words in the mental lexicon

This study aims at verifying whether Portuguese gender-inflected nouns and adjectives are represented as full forms as suggested by Spanish data (Dominguez, Cuetos, & Segui, 1999). A series of lexical decision experiments is reported. Grammatical gender, frequency dominance, and grammatical category are manipulated and cumulative frequency is controlled. The results do not provide support for a full form representation of gender-inflected words. They suggest that grammatical category, or the nature of the inflectional process involved (lexical or syntactic), affects the way words are represented and accessed. Shorter recognition latencies were obtained for nouns drawn from Feminine dominant gender-inflected pairs than from Masculine dominant pairs whereas a tendency in the opposite direction was observed in adjectives. The effect of frequency dominance appears, nevertheless, to be restricted to feminine nouns. The data are compatible with the view that masculine nouns and adjectives are represented as gender-unmarked forms. These results are discussed in relation to current dual-access models of word recognition and to the notion of "interpretability" of lexico-syntactic features, as put forward in the Minimalist Program of Generative Linguistics.     

Degree of illiteracy and phonological and metaphonological skills in unschooled adults

Phonological and metaphonological skills are explored in 97 Brazilian illiterate and semiliterate adults. A simple letter- and word-reading task was used to define the degree of illiteracy. Phonemic awareness was strongly dependent on the level of letter and word reading ability. Phonological memory was very low in illiterates and unrelated to letter knowledge. Rhyme identification was relatively preserved in illiterates and semiliterates, and unrelated to letter and word reading level. Phonetic discrimination (minimal pairs) was fairly good and marginally related to reading ability. These results suggest that phonological sensitivity, phonological memory, rhyme identification, and phonemic awareness are distinctive cognitive processes, and that only phonemic awareness is clearly and strongly dependent on the alphabetical acquisition.     

Amygdala and periaqueductal gray lesions only partially attenuate unconditional defensive responses in rats exposed to a cat

Defensive responses to a cat were observed in rats given excitotoxic lesions of the central nucleus of the amygdala (ACe), dorsolateral periaqueductal gray (dlPAG), ventral periaqueductal gray (vPAG), or sham lesions. Rats were placed adjacent to a compartment containing a cat. Sham-lesioned rats avoided the area nearest the cat and preferred the area furthest away from the cat. They also exhibited numerous defensive responses including, climbing, escape from the apparatus, and freezing. Rats with lesions of the ACe reacted like the sham lesioned rats by preferring the area of the apparatus furthest from the cat, however they climbed and escaped significantly less than sham lesioned rats. Avoidance of the area adjacent to the cat was attenuated in rats with lesions of the vPAG. Climbing along the walls of the apparatus was also attenuated in rats with lesions of the vPAG. Escapes from the apparatus were not significantly reduced by lesions of the vPAG and dlPAG. Thus, ACe lesions attenuated climbing and eliminated escapes, but did not impair locomotion of the rat away from the cat.     

The aftereffects of ventriloquism: are they sound-frequency specific?

Exposing different sense modalities (like sight, hearing or touch) to repeated simultaneous but spatially discordant stimulations generally causes recalibration of localization processes in one or both of the involved modalities, which is manifested through aftereffects. These provide opportunities for determining the extent of the changes induced by the exposure. Taking the so-called ventriloquism situation, in which synchronized sounds and light flashes are delivered in different locations, we examine if auditory recalibration produced by exposing tones of one frequency to attraction by discordant light flashes generalizes to different frequencies. Contrary to an earlier report, generalization was obtained across two octaves. This result did not depend on which modality attention was forced on through catch trials during exposure. Implications concerning the functional site of recalibration are briefly discussed.     

Measuring the multidimensional self-concept and global self-worth of 6- to 8-year-olds

A downward extension of a Dutch version of Harter's Self-Perception Profile for Children (SPPC) was tested in a Flemish sample of 880 1st to 3rd graders (Mage = 7.18 years, SD = 0.80). In 2nd and 3rd graders, 5 SPPC factors were identified; in 1st graders only 4 were identified. Support was found for the equivalence of structure and measurement for 2nd and 3rd grades and for boys and girls. Most scales possessed reasonable to good internal consistency for these groups. The results support the multidimensionality of self-concept responses for young children and the improving of the distinctiveness of SPPC factors with age. Young children seem to have an ability to verbalize concepts of their global self-worth that can be tapped by self-report measures.