Persistent Vegetative State: A Presumption to Treat

The article briefly analyzes the concept of a person, arguing that personhood does not coincide with the actual enjoyment of certain intellectual capacities, but is coextensive with the embodiment of a human individual. Since in PVS patients we can observe a human individual functioning as a whole, we must conclude that these patients are still human persons, even if in a condition of extreme impairment. It is then argued that some forms of minimal treatment may not be futile for these patients; they may constitute a form of respect for their human dignity and benefit these patients, even if they are not aware of that. Moreover, it is important to consider the symbolic significance of care: while many believe that PVS is a kind of imprisonment, for others providing food and fluids is the only way to testify our proximity to these persons. The best policy would be to provide, as a general rule, artificial nutrition and hydration to PVS patients: this treatment could be withdrawn, after a period of observation and reflection by the family and proxies, on the basis of the proxies' objection to the continuation or of the patient's advance directives specifically referring to this situation.     

Emotional dances: therapeutic dialogues as embodied systems

The mind/body dualism, although scarcely relevant in clinical practice, remains unsolved theoretically. The pragmatic wisdom of the founders of family therapy, which implied that bodies and minds in therapy were one, has been easily forgotten. Such a situation had practical results, leading to naive solutions, both on the materialistic and idealistic sides, represented by biological psychiatry on the one side, and by most postmodern therapies on the other. This article proposes to consider the role of emotions in therapeutic dialogue to solve this dilemma within the field of systemic therapy.     

Psychache and suicide: a preliminary investigation

Shneidman's Psychological Pain Assessment Scale (PPAS; 1999) was administered to 88 psychiatric patients. Both current and worst-ever psychache were significantly higher in those patients judged by a psychiatrist, on the basis of a structured clinical interview, to be at risk of suicide. However, current and worstever psychache were not associated with having attempted suicide in the past. Thus, for the present sample of psychiatric patients, the PPAS appears to be more sensitive to current suicidality than to past suicidality. Further, there are validity issues with the PPAS, with the need for multi-item measures and probably a multifactor measure.     

Components of the Behavioral Activation System and Functional Impulsivity: A test of discriminant hypotheses

It has recently been suggested that the concept of Functional Impulsivity bears some similarity to the sensitivity of the Behavioral Activation System (BAS; Smillie & Jackson, 2006). In the present research we take a closer look at this idea, testing more specific hypotheses on the associations of different BAS-related components with Functional and Dysfunctional Impulsivity. Analyzing a sample of 719, we found that the Drive component was uniquely connected with Functional Impulsivity, and Fun Seeking was linked to both impulsivities, but more weakly so to Functional Impulsivity compared with Drive. Reward Responsiveness was unrelated to Impulsivity. Implications for the conceptualization of Functional Impulsivity and for a complex view of BAS-related functions are addressed.     

Consistency Defaults

A consistency default is a propositional inference rule that asserts the consistency of a formula in its consequence. Consistency defaults allow for a straightforward encoding of domains in which it is explicitely known when something is possible. The logic of consistency defaults can be seen as a variant of cumulative default logic or as a generalization of justified default logic; it is also able to simulate Reiter default logic in the seminormal case. A semantical characterization of consistency defaults in terms of processes and in terms of a fixpoint equation is given, as well as a normal form. Presented by Melvin Fitting     

Does empathy predict adolescents' bullying and defending behavior?

Through structural equation modeling, this study tested a path of relations in which different levels of empathic responsiveness were posited to be differently associated to bullying and defending behavior. Three hundred and eighteen Italian adolescents (142 girls and 176 boys; mean age = 13.2 years) completed the Davis's Interpersonal Reactivity Index [Davis, 1983] for empathy and the Participant role scales [Salmivalli et al., 1996] for bullying and defending behavior. The results revealed that the model fitted the data adequately, but only in the case of boys. As hypothesized, low levels of empathic responsiveness were associated to students' involvement in bullying others. In contrast, empathy was positively associated with actively helping victimized schoolmates. However, the estimates algorithm did not reach convergence with girls' data. The current findings confirm and extend the literature on the relation between empathy, prosociality and aggressive behavior. Educational implications are also discussed.     

Anxiety and body satisfaction before and six months after mastectomy and breast reconstruction surgery

As breast reconstruction is an important adjunct after mastectomy to regain physical integrity and also to improve affect, the present aim was to evaluate patients' subjective perceptions of body image during the whole breast reconstruction period and to assess the importance of their psychological reaction in terms of negative affectivity. Participants were 62 women, 43 women (M age = 46.4, SD = 9.8) who had had mastectomies and 19 healthy women (M age = 39.9, SD = 13.99). Patients were admitted for surgery at the Hospital S. Orsola in Bologna. Healthy subjects were relatives of the women and students, all with no history of breast pathology. The Body Satisfaction Scale and the State Anxiety Inventory-Y were administered to the two groups before, post, and 6 mo. after surgery. Analysis of scores indicated that during the period of the study, the women with mastectomies reported higher anxiety and also greater dissatisfaction with their body image than the healthy group, even when the breast had been reconstructed. This unexpected finding suggests patients' unrealistic expectations of the breast reconstruction and the surgical outcome.