Problems in the psychiatric treatment of foreign patients

The contribution deals with problems encountered during the psychiatric treatment of foreign patients, particularly with those from developing countries. It has been found that scope for socio- and psychotherapeutic treatment is very restricted and that the frequent necessity of returning these patients to their native countries leads to not unconsiderable conflicts. Questions of transcultural psychiatry are regaining importance in connection with increasing migration.     

Experiences at a neurologico-psychiatric department in Ethiopia

On three separate occasions, the authors taught at Gondar School of Medicine, attached to the University of Addis Ababa. They found that the neurological group of patients was determined by geographical rather than specifically tropical conditions, and that the psychiatric syndromes resembled those here, considerably influenced, however, by traditional rural medicine. The paper makes observations on comparative psychopathology.     

Spouse killing: The final abuse

As an alternative to the sado-masochistic interpretation of violent spouse abuse, a quasi-romantic perspective sees abuse as a consequence of intensive intimacy—even love. In this study, abuse is explained as a form of punishment of the partner who is experienced as the spoiler of the expectations, hopes and plans for a fulfilling long term, committed and attuned communion. He/she, who is perceived as the breaker of that intimate context has to be penalized, with the death-penalty being the extreme form of expression of outrage at the offense. Both husbands who killed their wives, and wives who killed their husbands, in their interviews with the author displayed a deep commitment to their marriages. This explains why their leave-takings were so violent and their exits so final. By killing the spoiler they could bury and let go of their romantic dreams! Less lethal forms of spouse abuse-battering, enslavement, etc., often have the same element of punishment of the spoiler.Roger Carl F. Bach, Ph.D. participated in the data collection and the write-up of the results.     

Simultaneous motor demands affect decision making under objective risk

Previous studies on factors influencing decision making focused on the effects of additional cognitive load, stress, psychological disorders, and the process of aging. The potential effects of simultaneously performing motor demands have been neglected, so far. However, previous motor / cognitive dual-task studies provide evidence for both negative as well as facilitating effects of simultaneously performing cognitive and motor tasks. The study at hand, aimed to investigate the effects of decision making under objective risk while performing additional motor demands. Seventy-two participants ranging from 18 to 30 years performed the Game of Dice Task either while sitting or while standing on one leg. Participants were asked to put similar effort on the decision task and the motor demand. The results revealed a significant main effect for “choice”, as well as a significant interaction of “choice”?×?“group”. Participants standing on one leg more frequently selected the most disadvantageous choice (one single number), whereas the “sitting group” most often selected the advantageous combination of four numbers. The findings are discussed under the aspects of executive functions, working memory, stress, somatic markers and the dual-process theory.     

Multistable perception: when bottom-up and top-down coincide

During prolonged observation of an ambiguous figure sudden perceptual reversals occur, while the stimulus itself stays unchanged. There is a vivid debate about whether bottom-up or top-down mechanisms underlie this phenomenon. In the present study, we investigated the interrelation of two experimental factors: volitional control and discontinuous stimulus presentation. Both factors strongly modulate the rate of perceptual reversals and each is attributed either as top-down or bottom-up. We found that participants can apply specific strategies to volitionally increase and/or decrease the stability duration of each of the possible percepts according to the experimental instructions. When attempts of volitional control are combined with discontinuous stimulus presentation the effects are fully additive. Our results indicate that perceptual reversals can originate from different neural mechanisms on different time scales.     

Keep 'Gestalt' in the name of the test: the curious name permutations of the Bender-Gestalt Test

The Bender-Gestalt Test is often referred to in the literature by several different names, or just as the Bender Test, without the term Gestalt. As a consequence, the figures of the test are frequently called Bender figures or Bender designs, terms which are unjustified and misleading because the figures have been taken from Wertheimer's classical study of Gestalt laws. In this article, I trace the beginnings of the name of the test and its curious permutations, and I advocate the retention of the term Gestalt in the name of the test for logical and historical reasons.