Elma Laurvik,Ferenczi's Stepdaughter

The American Journal of Psychoanalysis -     

Evaluative Conditioning Is a Form of Associative Learning: On the Artifactual Nature of Field and Davey's (1997) Artifactual Account of Evaluative Learning

Field and Davey (1997) claimed that evaluative conditioning (EC), rather than being a genuine type of Pavlovian associative learning, represents nothing but an experimental artifact. They come to this conclusion by first identifying the prototypical experimental procedure of EC research, by next pointing to the potential methodological shortcomings of this prototypical procedure in order to infer associative learning, and by finally demonstrating that when the appropriate controls are added to this prototypical procedure, it becomes clear that apparent EC results represent nothing but an experimental artifact. In this paper, we first demonstrate that what Field and Davey identify as the “prototypical procedure” is, as a matter of fact, the exception rather than the rule in EC research, such that the potential scope of their criticism is rather limited. Next, we show how the results of their own experiment are actually due to an artifact that is not present in any EC study. Finally, we discuss how Field and Davey's criticism of EC research has its roots in a misconception of the appropriate within or between subject controls for Pavlovian associative learning.     

The in vitro immunomodulatory effects of glyconutrients on peripheral blood mononuclear cells of patients with chronic fatigue syndrome

In humans, eight monosaccharides are required for the synthesis of glycoproteins. Dietary supplements that supply these crucial sugars are known as glyconutrients. A glyconutrient compound was added to Peripheral Blood Mononuclear Cells (PBMC) isolated from normal controls and patients with the Chronic Fatigue Syndrome (CFS), a disease associated with immune dysregulation. The in vitro immunomodulatory effects were investigated. Cell surface expression of the glycoproteins CD5, CD8, and CD11a were significantly lower in patients with CFS compared to normal controls. Addition of glyconutrient homogenate to PBMC from patients with CFS stimulated with phytohemagglutinin significantly increased the expression of each glycoprotein. Furthermore, natural killer (NK) cell function was reduced in CFS patients. The glyconutrient preparation significantly enhanced NK cell activity versus human herpes virus 6 (HHV-6)-infected H9 cells in an 8 h⁵¹Cr release assay compared to placebo for PBMC from patients with CFS (p<.01). Finally, apoptosis was significantly higher in patients with CSF. The percentage of apoptotic cells was significantly decreased in PBMC from patients with CFS that had been incubated for 48 h with glyconutrients. Thus, glyconutrients improved abnormal immune parameters in vitro in patients with CFS. Dr. See is an Independent Mannatech Associate.     

Integrative thinking: The essence of good medical education and practice

Integrative medicine implies the ability to extract bits of information from seemingly disparate disciplines, and synthesize them into something that is meaningful. Contemporary medical research is more apt to be driven by purely commercial incentives that not only do not favor integrative efforts, but deliberately suppress them when vested interests are threatened. Good health depends entirely on good communication whenever homeostasis is threatened. This requires a continual and instantaneous exchange of information between the constituency of the internal environment that can only be comprehended by an integrative approach. Various examples are given to illustrate these and other relevant issues.     

REMEDIATION OF NEGATIVE SIDE EFFECTS OF AN ON-GOING RESPONSE-COST SYSTEM WITH CHRONIC MENTAL PATIENTS1

Response-cost procedures within a token economy with extremely regressed residents excluded many residents from access to positive reinforcement. Procedures allowing residents to “purchase eligibility” to obtain backup reinforcers through contingent payment on standing fines, combined with proportional fine payoff schedules contingent upon time without new fines, increased payment on fines, reduced incidence of new fines, and increased utilization of backup reinforcers. These modifications removed adverse side effects while retaining the benefits associated with response costs. Failures or adverse effects of elements of token systems should not occasion abandonment of token economies, but rather encourage their continual evaluation and modification.