Psychiatry and religion: a perspective on meaning

ABSTRACT

A Position Statement on Spirituality and Religion in Psychiatry was issued by the World Psychiatric Association in 2016. Among many recommendations, this statement underscores the need for research on both religion and spirituality in psychiatry, especially on their clinical applications. In this contribution we will put light on the issue of meaning and meaning-making, i.e., an important field for every human, Particularly for individuals suffering from severe mental disorders. After an introduction about meaning in its religious/spiritual dimension, we will describe what needs to be studied in order to get a better knowledge as to how patients cope with meaning, and how they process (in terms of meaning-making) the outburst of a severe mental disorder such as schizophrenia.     

Visual perception in domestic dogs: susceptibility to the Ebbinghaus–Titchener and Delboeuf illusions

Susceptibility to geometrical visual illusions has been tested in a number of non-human animal species, providing important information about how these species perceive their environment. Considering their active role in human lives, visual illusion susceptibility was tested in domestic dogs (Canis familiaris). Using a two-choice simultaneous discrimination paradigm, eight dogs were trained to indicate which of two presented circles appeared largest. These circles were then embedded in three different illusory displays; a classical display of the Ebbinghaus–Titchener illusion; an illusory contour version of the Ebbinghaus–Titchener illusion; and the classical display of the Delboeuf illusion. Significant results were observed in both the classical and illusory contour versions of the Ebbinghaus–Titchener illusion, but not the Delboeuf illusion. However, this susceptibility was reversed from what is typically seen in humans and most mammals. Dogs consistently indicated that the target circle typically appearing larger in humans appeared smaller to them, and that the target circle typically appearing smaller in humans, appeared larger to them. We speculate that these results are best explained by assimilation theory rather than other visual cognitive theories explaining susceptibility to this illusion in humans. In this context, we argue that our findings appear to reflect higher-order conceptual processing in dogs that cannot be explained by accounts restricted to low-level mechanisms of early visual processing.     

The Hidden Cost of Insurance on Cooperation

A common solution to mitigate risk is to buy insurance. Employing the trust game, we find that buying insurance against the risk of betrayal has a hidden cost: trustees are more likely to act opportunistically when trustors choose to be insured against the breach of trust. Supposedly, trustees are less likely to cooperate when trustors buy insurance because choosing insurance implicitly signals that the trustor expects the trustee to behave opportunistically, paradoxically encouraging trustees not to cooperate. These results shed new light on the potential drawbacks of financial safeguards that are intended to minimize the risky nature of trust taking: the presumed safeguard against the risk of betrayal may, under certain circumstances, increase the probability of betrayal. Copyright © 2017 John Wiley & Sons, Ltd.     

A review of abnormalities in the perception of visual illusions in schizophrenia

Specific abnormalities of vision in schizophrenia have been observed to affect high-level and some low-level integration mechanisms, suggesting that people with schizophrenia may experience anomalies across different stages in the visual system affecting either early or late processing or both. Here, we review the research into visual illusion perception in schizophrenia and the issues which previous research has faced. One general finding that emerged from the literature is that those with schizophrenia are mostly immune to the effects of high-level illusory displays, but this effect is not consistent across all low-level illusions. The present review suggests that this resistance is due to the weakening of top–down perceptual mechanisms and may be relevant to the understanding of symptoms of visual distortion rather than hallucinations as previously thought.     

Age-related changes in visual pseudoneglect

Pseudoneglect is a slight but consistent leftward attentional bias commonly observed in healthy young populations, purportedly explained by right hemispheric dominance. It has been suggested that normal aging might be associated with a decline of the right hemisphere. According to this hypothesis, a few studies have shown that elderly tend to exhibit a rightward attentional bias in line bisection. In the present study, we tested this hypothesis in young and older participants using a perceptual landmark task. Results yield evidence for an age-related shift, from a strong attentional leftward bias in young adults toward a suppressed or even a reversed bias in the elderly. Right hemisphere impairment coupled to a left hemispheric compensation might explain the perceptual shift observed in older adults. However, a decline in corpus callosum function cannot be excluded. Alternatively, these results may be in agreement with the hypothesis of an age-related specific inhibition of return dysfunction, an overt attentional orienting mechanism, and/or a decrease of dopamine.     

Cerebellar-induced apraxic agraphia: a review and three new cases

Apraxic agraphia is a writing disorder due to a loss or lack of access to motor engrams that program the movements necessary to produce letters. Clinical and functional neuroimaging studies have demonstrated that the neural network responsible for writing includes the superior parietal region and the dorsolateral and medial premotor cortex. Recent studies of two cases with atypical lesion localisations in the left thalamus and the right cerebellum support the hypothesis that the written language network is larger than previously assumed. The aim of this study is twofold: (1) to provide a survey of cases of apraxic agraphia published between 1973 and June 2010, and (2) to provide further evidence for a role of the cerebellum in writing via three additional cases who presented with apraxic agraphia after ischemic damage in the cerebellum. Functional neuroimaging studies by means of brain perfusion SPECT showed perfusional deficits in the anatomoclinically suspected supratentorial areas, subserving language dynamics, syntax, naming, writing and executive functioning.     

We all live in Germany but … Ingroup projection,group‐based emotions and prejudice against immigrants

Immigration, cultural diversity and integration are among the most central challenges for modern societies. Integration is often impeded by negative emotions and prejudices held by the majority members towards immigrants in a common society. Based on the ingroup projection model (Mummendey & Wenzel, 1999), we examined the impact of perceived relative ingroup prototypicality on intergroup emotions and prejudice. Additionally, we examined whether this impact is causal and explored the issue of causality in more detail contrasting a linear causal model with bi‐directional or reciprocal causality. Hypotheses were tested in a study with a two‐wave panel of majority members (N=1085) in Germany. We examined the proposed relations between relative ingroup prototypicality, intergroup emotions and prejudice and determined the causal direction of these relationships. Results support the predictive power of relative ingroup prototypicality on intergroup emotions and prejudice. Moreover, most causal relations between our measures are reciprocally causal. We discuss the implications of these findings for the general conception of prejudice and intergroup emotions. Copyright © 2009 John Wiley & Sons, Ltd.     

An exploratory study of the relationship between diverse life events and specific personality disorders in a sample of suicide attempters

Personality disorder (PD) increases risk for suicidal behavior. Certain life events (LE) can precipitate suicidal behaviors in patients with PD. A fundamental question is whether specific combinations of LE and PD increase suicidal risk. Four hundred forty-six suicide attempters (SA) were recruited from emergency rooms. We used a healthy control group (n = 515) to identify the best cut-off point for the instrument used to diagnose PD. We used the DSM-IV version of the International Personality Disorder Questionnaire-Screening Questionnaire, the Mini International Neuropsychiatric Interview, and the Social Adjustment Scale to assess PD, Axis I disorders, and LE, respectively. After controlling for Axis I disorders, we found that "Death of spouse" preceded suicidal acts in those with antisocial PD (FET p = 0.024) and patients with narcissistic PD attempted suicide after being Fired at work (FET p = 0.002), among others. Our data suggest the presence of particular LE-PD associations in suicide attempters. Some LE-PD relationships appear independent of Axis I disorders in suicide attempters. This may offer a basis for specific targeted therapies or prevention programs aimed at decreasing suicidal risk.     

Motivation to support a desired conclusion versus motivation to avoid an undesirable conclusion: The case of infra‐humanization

Social motivation has been shown to influence various cognitive processes. In the present paper, it is verified that people are motivated to view out‐groups as possessing a lesser degree of humanity than the in‐group (Leyens et al., 2000 ) and that this motivation influences logical processing in the Wason selection task. So far, studies on infra‐humanization have been shown to influence attribution of uniquely human characteristics to groups. Most of these studies focused on the attribution of secondary emotions. Results have shown that secondary emotions are preferentially attributed to in‐group members (Leyens et al., 2001 ). Also, people tend to react differently to in‐group and out‐group members displaying secondary emotions (Gaunt, Leyens, & Sindic, 2004 ; Vaes, Paladino, Castelli, Leyens, & Giovanazzi, 2003 ). In the present paper, it is argued that infra‐humanization is a two‐direction bias and that it does influence logical processing among perceivers. Specifically, infra‐humanization motivation impacts logical processing in two different directions. First, most motivation is spent to reach the desirable conclusion that the in‐group is uniquely human. Second, least motivation occurs to support the undesirable conclusion that the out‐group is uniquely human. These hypotheses are tested in four cross‐cultural studies that varied the status and the conflicting relations between groups. Results were in line with the predictions and further confirmed that infra‐humanization biases can be obtained independently of status and conflict (but see Cortes, Demoulin, Leyens, & de Renesse, 2005 ). The discussion relates these findings with in‐group favouritism and out‐group derogation (Brewer, 1999 ) and underlines the importance of infra‐humanization in counteracting system justification biases (Jost & Banaji, 1994 ).     

The lay distinction between primary and secondary emotions: A spontaneous categorization?

In line with the psychological essentialism perspective, Leyens et al. ( 13 2000) have hypothesized that people attribute different essences to groups and that they attribute more uniquely human characteristics to their own group than to out‐groups. Leyens et al. have focused on two types of emotions, which in Roman languages have specific labels, such as sentimientos and emociones in Spanish. A cross‐cultural study showed that sentimientos (or secondary emotions) are considered uniquely human emotions whereas emociones (or primary emotions) are perceived as nonuniquely human emotions. The present study focuses on whether this categorization into primary and secondary emotions is a spontaneous distinction that people use in their everyday lives, or whether, on the contrary, it is the result of experimental demands. The paradigm “Who says what to whom” was used to test this question. Geometrical shapes of different colours were systematically associated with different stimuli that varied in meaningfulness. In a first condition, shapes were associated with small or large items of furniture (meaningful categories) and with primary and secondary emotions. In a second condition, the items of furniture were replaced by words ending with a vowel or a consonant (meaningless categories). Subsequently, participants had to recognize which shape was associated with each stimulus. Intra‐category errors were significantly more numerous than inter‐category errors, except for the words ending with a vowel or a consonant. Stated otherwise, types of emotions were recognized like the meaningful difference between items of furniture. These results show that the distinction between primary and secondary emotions is an implicit one that people use spontaneously, and not as a result of task demands. The findings are discussed from the perspective of psychological essentialism and inter‐group relations.