A Sound and Complete Tableau Calculus for Reasoning about only Knowing and Knowing at Most

We define a tableau calculus for the logic of only knowing and knowing at most ON, which is an extension of Levesque's logic of only knowing O. The method is based on the possible-world semantics of the logic ON, and can be considered as an extension of known tableau calculi for modal logic K45. From the technical viewpoint, the main features of such an extension are the explicit representation of "unreachable" worlds in the tableau, and an additional branch closure condition implementing the property that each world must be either reachable or unreachable. The calculus allows for establishing the computational complexity of reasoning about only knowing and knowing at most. Moreover, we prove that the method matches the worst-case complexity lower bound of the satisfiability problem for both ON and O. With respect to [22], in which the tableau calculus was originally presented, in this paper we both provide a formal proof of soundness and completeness of the calculus, and prove the complexity results for the logic ON.     

What Is the Stuff We Are Made Of? The Body and the Body–Mind Relationship in Early Development: A Discussion of Thomson-Salo and Paul’s “Understanding the Sexuality of Infants”

Acknowledging the importance of the baby’s sensuality and sexuality in the infant–parent dyad, the author emphasizes the role of the body as the basis of the person’s being. The baby needs to develop, through his mother’s reverie, an internal capability to cool down his bodily turmoil. Early bonding requires from the mother a capacity to discriminate the sensual from the sexual in order to help the baby to contain his invasive sensory experience. This area of exploration is deeply related with the body–mind dissociation we often meet in our most difficult adult patients.     

Narcissism,psychic recognition,and affective validation: A homage to the “later Rosenfeld”

Abstract

Recalling his own participation in a daily group seminar with Rosenfeld and taking this experience as his starting point, the Author describes and discusses the later Rosenfeld’s approach to working with severely disturbed narcissistic patients. Through a detailed analysis of a supervision of a session with a psychotic patient, this paper essentially highlights how important it is to construct a (cognitive and affective) basic common ground in order to subsequently proceed to interpretations of transference. In particular, the paper brings to light those elements allowing the creation of that basic cognitive-affective ground that is necessary to profitably (in a manner useful to the patient) connect the relational events narrated and acted by the patient with the hic et nunc of analytic interaction.     

The clinical language of Sándor Ferenczi: Introductory and methodological considerations

Abstract

Reflecting in the present paper on the legitimacy of a work to collect together the ideas, concepts, and terms of Sándor Ferenczi, the author will explore, through a series of questions and answers, the following points: why it is so clear-cut that Ferenczi should be included in the company of those great psychoanalytic authors who might be deemed entitled to such a study; whether Ferenczi possessed his own language, and if this was the case, when and how he acquired it; what we mean when we refer to Ferenczi’s idiomatic language, and how we can profitably identify this language and bring it into focus; how, in practice, such a text should be organized; what its audience and function would be; and how it would be used by readers and students of Ferenczi.     

The effect of inpatient cognitive-behavioral therapy for eating disorders on temperament and character

Personality traits seem to have an important role in the development, clinical expression, course, and treatment response in eating disorders (EDs). We investigated the effects of an inpatient cognitive-behavioral treatment (CBT) on the measures of temperament and character (Temperament and Character Inventory (TCI)) in 149 consecutive patients with EDs. Baseline assessment included anthropometry, the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), and the TCI. Treatment was based on the transdiagnostic cognitive behavior theory and treatment of ED, adapted for an inpatient setting. Treatment effects were tested by paired ANOVA, adjusted for covariates. No effects were found on Novelty Seeking, Reward Dependence, and Cooperativeness. Harm Avoidance (F=18.17, p<0.001), Persistence (F=7.71, p=0.006), Self-Directedness (F=27.55, p<0.001), and Self Transcendence (F=16.38, p<0.001) significantly changed after treatment. Changes in TCI scores were wholly dependent on the changes in BDI and EDE, and independent of ED diagnosis and behavior and of BMI changes. We conclude that in ED, a few scales of both temperament and character are significantly modified by CBT, in relation to changes in psychopathology and depression, independently of nutrition. These results are relevant for future studies based on TCI.     

Working memory deficits in transgenic rats overexpressing human adenosine A2A receptors in the brain

Adenosine receptors in the central nervous system have been implicated in the modulation of different behavioural patterns and cognitive functions although the specific role of A(2A) receptor (A(2A)R) subtype in learning and memory is still unclear. In the present work we establish a novel transgenic rat strain, TGR(NSEhA2A), overexpressing adenosine A(2A)Rs mainly in the cerebral cortex, the hippocampal formation, and the cerebellum. Thereafter, we explore the relevance of this A(2A)Rs overexpression for learning and memory function. Animals were behaviourally assessed in several learning and memory tasks (6-arms radial tunnel maze, T-maze, object recognition, and several Morris water maze paradigms) and other tests for spontaneous motor activity (open field, hexagonal tunnel maze) and anxiety (plus maze) as modification of these behaviours may interfere with the assessment of cognitive function. Neither motor performance and emotional/anxious-like behaviours were altered by overexpression of A(2A)Rs. TGR(NSEhA2A) showed normal hippocampal-dependent learning of spatial reference memory. However, they presented working memory deficits as detected by performance of constant errors in the blind arms of the 6 arm radial tunnel maze, reduced recognition of a novel object and a lack of learning improvement over four trials on the same day which was not observed over consecutive days in a repeated acquisition paradigm in the Morris water maze. Given the interdependence between adenosinic and dopaminergic function, the present results render the novel TGR(NSEhA2A) as a putative animal model for the working memory deficits and cognitive disruptions related to overstimulation of cortical A(2A)Rs or to dopaminergic prefrontal dysfunction as seen in schizophrenic or Parkinson's disease patients.     

Heart rate variability and drawing impairment in hypoxemic COPD

We studied 54 patients with hypoxemic chronic obstructive pulmonary disease (COPD). The Mini Mental State Examination and the Mental Deterioration Battery were used for neuropsychological assessment. Heart rate variability (HRV) was assessed based on 24-h Holter ECG recording. Mann–Whitney test was used to compare HRV parameters of patients performing normally or abnormally on individual neuropsychological tasks. Spearman’s rho was used to investigate the correlations between HRV parameters and neuropsychological scores, indexes of health status or COPD severity. Patients with defective performance at copying drawings with landmarks (CDL) test (N = 23) had lower very low frequency (VLF) power with respect to patients with normal performance (N = 31) (24 h: median 213; interquartile range 120–282 vs. 309; 188–431 ms², p = 0.043; daytime: 202; 111–292 vs. 342; 194–397 ms², p = 0.039). The CDL score correlated with the VLF power (24 h: ρ = 0.27, p = 0.049; daytime: ρ = 0.30, p = 0.028), and the normalized low frequency/high frequency (LF/HF) ratio (24 h: ρ = 0.27, p = 0.05; daytime: ρ = 0.33, p = 0.015). Sympathetic modulation decreased for increasing severity of COPD. In conclusion, drawing impairment correlates with depressed sympathetic modulation in patients with COPD, and both might be indexes of COPD severity.