Reflections on the idea of personal fate and its psychopathology: Helene Deutsch's "Hysterical Fate Neurosis" revisited

The idea of a psychopathology of fate or what had come to be called a fate neurosis has failed to retain any established place in the structure of psychoanalytic thought. The clinical observations and theoretical formulations, to which the idea of a fate neurosis answered, have been subsumed in the course of things by more fundamental and systematic conceptualizations. A review of Helene Deutsch's (1930) paper, "Hysterical Fate Neurosis," is therefore bound to be largely an excursion into an area of intellectual history. However, such history never fails to shed light on certain ongoing clinical and theoretical problems that may have lost too much to current developments in psychoanalytic thought. It is with this historical purpose that the present study of Deutsch's classic paper on a fate neurosis is undertaken.     

On tests for correlated proportions in the presence of incomplete data

This paper proposes test statistics based on the likelihood ratio principle for testing equality of proportions in correlated data with additional incomplete samples. Powers of these tests are compared through Monte Carlo simulation with those of tests proposed recently by Ekbohm (based on an unbiased estimator) and Campbell (based on a Pearson-Chi-squared type statistic). Even though tests based on the maximum likelihood principle are theoretically expected to be superior to others, at least asymptotically, results from our simulations show that the gain in power could only be slight.     

Psychological stress-factors and concentrations of immunoglobulins and complement components in humans

Relationships between two types of occupational stress, one chronic and one acute, and plasma immunoglobulin and complement components were measured. The first group comprised female primary school teachers ( N =40) subjected to long-lasting work stress. The second group comprised male merchant navy students ( N =38) subjected to a series of short-lasting fear-inducing 20 meter drops in a life boat specially built for rescue operations from oil platforms. Significant correlations were found between personality factors, immunoglobulins and complement components in the teacher group, but not amongst the merchant navy students. For the teachers, personality traits correlated negatively with concentrations of IgA and IgG. IgM concentrations correlated with the more immediate work-related problems reported by the teachers. In a multiple regression analysis, psychological factors explained between 32% (IgM) and 15% (IgG) of the interindividual variance, when sex, age and job seniority and employment factors were controlled for. Psychological factors may therefore, at least on longlasting occupational stress groups, correlate with immune processes. The data support the concept of the importance for psychological factors in immunological function.     

Smoking and pain--a method of limits and sensory decision theory analysis

The effects of tobacco smoking on responses to electrical stimulation were studied according to a Method of Limits (ML) threshold analysis and a Sensory Decision Theory (SDT) analysis. For the ML procedure, Detection Threshold (DT), Pain Threshold (PT) and Tolerance Level (TL) measures were obtained. For the SDT procedure, nonparametric estimates of capacity to discriminate between stimulus intensities (P(A)) and response criterion (B) were calculated. There was no main effect of tobacco smoking on responses to electrical stimulation. Males had consistently higher ML thresholds than females in both the NS and S condition. Males also tended to increase in DT and PT after smoking. From a comparison between the effects of smoking on ML and SDT measures it was suggested that PT is related mainly to sensory factors and TL to response factors.