Rethinking homosexuality: what it teaches us about psychoanalysis

This presentation, written ten years after the American Psychoanalytic Association adopted a nondiscrimination policy with regard to sexual orientation, discusses the evolving relationship between psychoanalysis and homosexuality. The paper is in three sections: (1) the process of policy change and the overturning of injustice; (2) the excursion after Freud's death into analytic bias and extreme pathologizing of homosexuality, the struggle to overcome those distortions, and the lessons to be learned from this history; and (3) the search, in the coming decade, for new understanding of homosexuality and all aspects of sexuality.     

Fantasy proneness, dissociation, and DSM-IV axis II symptomatology

Scores on the Inventory of Childhood Memories and Imaginings (S. C. Wilson & T. X. Barber, 1981) identified fantasizers and controls who were administered the Structured Interview for DSM-IV Personality (SIDP-IV; B. Pfohl, N. Blum, & M. Zimmerman, 1994) and the Dissociative Experiences Scale (DES; E. M. Bernstein & F. W. Putnam, 1986). Fantasizers had increased rates of Cluster A and B personality disorders but were equivalent to controls in Cluster C diagnoses. For both Clusters A and B, 55% of the fantasizers received clinical diagnoses. Fantasizers had significantly higher DES, DES-T (N. G. Waller, F. W. Putnam, & E. B. Carlson, 1996), and Normal Dissociative Index scores. Although nearly one half of the fantasizers' DES-T patterns were classified within the pathological dissociative taxon (N. G. Waller & C. A. Ross, 1997), none of the controls and only 10.03% of the original screening sample received this classification. Both Axis II pathology and pathological dissociation were associated with fantasy proneness.     

... In the parish

Conclusion In the past fifteen years there has been change in the field of pastoral theology. Titles of anniversary books and annual conferences do have a new look. This progress gives hope that pastoral theology in the parish of the next two decades will have grown as much beyond today as today has grown beyond the early fifties. Redefinition of model, clarification of vocation for the whole parish, and a new clericalism are possible. When they come alive, pastoral theology will have kept faith with those who minister; more important, it will have contributed to the relevancy of Christianity for a changed world; most important, it will have kept faith with faith experienced.     

Some experimental analogues of obsession

This paper is an attempt to analyse some of the features of obsessional neurosis in terms of learning theory. First, the syndrome is described and found to have three main features: brooding, strong impulses to do unacceptable things, and ritualistic, defence-substitute activities. Second, the classical psychoanalytic explanation of the etiology of obsession is reviewed. This theory locates the source of conflict in the anal stage, but fails to give a satisfactory account of the precipitating conditions and of the cause for the persistence or fixation of the neurotic responses. In the third section both the precipitating conditions and the fixation conditions are analysed in terms of factors shown to be operative in animal learning experiments.     

An extended comparator hypothesis account of superconditioning

Three conditioned taste aversion experiments with rats investigated superconditioning. In each experiment, alternate exposures of 2 flavor compounds with a common element (i.e., AB/AS) were administered to establish an inhibitory relationship between the 2 unique elements, B and S, and prior to testing, S was paired with lithium chloride (LiCl). In Experiment 1, pairings of a neutral cue (X) with S in compound with B after the AB/AS exposures resulted in superconditioning between X and S. Extinction of the common element (A) just before the S-LiCl pairing attenuated both the inhibitory relationship between B and S (Experiment 2) and superconditioning between X and S (Experiment 3). These observations suggest that superconditioning consists of enhanced performance rather than enhanced associative acquisition.     

Competition between antecedent and between subsequent stimuli in causal judgments

In the analysis of stimulus competition in causal judgment, 4 variables have been frequently confounded with respect to the conditions necessary for stimuli to compete: causal status of the competing stimuli (causes vs. effects), temporal order of the competing stimuli (antecedent vs. subsequent) relative to the noncompeting stimulus, directionality of training (predictive vs. diagnostic), and directionality of testing (predictive vs. diagnostic). In a factorial study using an overshadowing preparation, the authors isolated the role of each of these variables and their interactions. The results indicate that competition may be obtained in all conditions. Although some of the results are compatible with various theories of learning, the observation of stimulus competition in all conditions calls for a less restrictive reformulation of current learning theories that allows similar processing of antecedent and subsequent events, as well as of causes and effects.     

Integrating cognitive function screening and assessment into the routine care of multiple sclerosis patients

Cognitive dysfunction, a common feature of multiple sclerosis (MS), frequently leads to impaired activities of daily living, social skills deficits, diminished social support, and unemployment. There is growing evidence indicating that cognitive impairment is amenable to the effects of medication and behavioral counseling. Unfortunately, routine neuropsychological testing is rare in MS clinics because screening is ineffective and testing strategies are often too cumbersome or expensive. Recent research supports the reliability of a brief screening test called the Multiple Sclerosis Neuropsychological Screening Questionnaire as well as a minimal neuropsychological battery called the Minimal Assessment of Cognitive Function in Multiple Sclerosis. Data indicate that the Multiple Sclerosis Neuropsychological Screening Questionnaire has excellent split-half and test-retest reliability, and that it predicts neuropsychological deficiency with good sensitivity and specificity. Recently acquired data also show that the Minimal Assessment of Cognitive Function in Multiple Sclerosis tests have good test-retest reliability, discriminate MS patients from normal controls, and predict unemployment in MS patients. Thus, these or similar methods should be employed for the routine monitoring of cognitive functioning of MS patients.     

When does word meaning affect immediate serial recall in semantic dementia?

Patients with semantic dementia can show superior immediate recall of words that they still understand relatively well, as compared with more semantically degraded words, suggesting that conceptual knowledge makes a major contribution to phonological short-term memory. However, a number of studies have failed to show such a recall difference, challenging this view. We examined the effect of several methodological factors on the recall of known and degraded words in 4 patients with semantic dementia, in order to investigate possible reasons for this discrepancy. In general, our patients did exhibit poorer recall of the degraded words and made more phonological errors on these items. In addition, set size affected the magnitude of the recall advantage for known words. This finding suggests that semantic degradation influenced the rate of learning in the immediate recall task when the same items were presented repeatedly. The methods used to select known and degraded items also impacted on the recall difference. List length, however, did not affect the advantage for known words. The coherence of items in phonological short-term memory was affected by their semantic status, but not by the length of the material to be retained. The implications of these findings for the role of semantic and phonological representations in verbal short-term memory are discussed.