The myth of the control of suffering

Is it true that the suffering associated with chronic illness can be controlled in all but a few intractable cases? The bio-ethical literature gives the impression that suffering is primarily pain and that a competent physician should be able to control suffering. This perception jibes neither with my forty years of clinical experience nor with suffering as depicted in novels. Using Kenaz' novel,The Way to the Cats as a starting point, I argue that, with regard to suffering and illness, fiction is closer to reality than professional literature, and suffering is far more than pain. I content that the control of suffering is a modern myth. This argument applies equally well to the control of non-insulin dependent diabetes. Patient selection, duration of follow-up, remembering what we want to remember, bias, self-fulfilled prophecy, and asking the wrong questions are offered as partial explanation for the gap between perception and reality. The complexity of suffering and the elusiveness of its control should be honestly recognized.     

The relationship between defenses and symptoms in adolescent psychopathology

The relationship between defense mechanisms and symptoms was assessed in a group of 196 psychiatrically hospitalized adolescents. Defense mechanisms were measured through the use of the Defense Mechanisms Inventory (DMI); symptoms and problem behaviors were measured with the Youth Self-Report. Univariate and multivariate analyses indicated that externalizing symptoms are associated with defenses that locate the conflict outside of the self, whereas internalizing symptoms are associated with defenses that locate the conflict within the self. In contrast to previous reports, no gender differences were found in defense preference, though gender differences were found in the relation of defenses to symptoms. The findings are consistent with clinical theory of defense processes and support the distinction between internalizing/externalizing behaviors and personality dimensions for both symptoms and defenses. The study supports the validity of the adolescent form of the DMI.     

Causal learning is collaborative: Examining explanation and exploration in social contexts

Causal learning in childhood is a dynamic and collaborative process of explanation and exploration within complex physical and social environments. Understanding how children learn causal knowledge requires examining how they update beliefs about the world given novel information and studying the processes by which children learn in collaboration with caregivers, educators, and peers. The objective of this article is to review evidence for how children learn causal knowledge by explaining and exploring in collaboration with others. We review three examples of causal learning in social contexts, which elucidate how interaction with others influences causal learning. First, we consider children’s explanation-seeking behaviors in the form of “why” questions. Second, we examine parents’ elaboration of meaning about causal relations. Finally, we consider parents’ interactive styles with children during free play, which constrains how children explore. We propose that the best way to understand children’s causal learning in social context is to combine results from laboratory and natural interactive informal learning environments.     

Measuring individual differences in statistical learning: Current pitfalls and possible solutions

Most research in statistical learning (SL) has focused on the mean success rates of participants in detecting statistical contingencies at a group level. In recent years, however, researchers have shown increased interest in individual abilities in SL, either to predict other cognitive capacities or as a tool for understanding the mechanism underlying SL. Most if not all of this research enterprise has employed SL tasks that were originally designed for group-level studies. We argue that from an individual difference perspective, such tasks are psychometrically weak, and sometimes even flawed. In particular, the existing SL tasks have three major shortcomings: (1) the number of trials in the test phase is often too small (or, there is extensive repetition of the same targets throughout the test); (2) a large proportion of the sample performs at chance level, so that most of the data points reflect noise; and (3) the test items following familiarization are all of the same type and an identical level of difficulty. These factors lead to high measurement error, inevitably resulting in low reliability, and thereby doubtful validity. Here we present a novel method specifically designed for the measurement of individual differences in visual SL. The novel task we offer displays substantially superior psychometric properties. We report data regarding the reliability of the task and discuss the importance of the implementation of such tasks in future research.     

Action Understanding in the Superior Temporal Sulcus Region

ABSTRACT— The posterior superior temporal sulcus (STS) region plays an important role in the perception of social acts, although its full role has not been completely clarified. This functional magnetic resonance imaging experiment examined activity in the STS region as participants viewed actions that were congruent or incongruent with intentions established by a previous emotional context. Participants viewed an actress express either a positive or a negative emotion toward one of two objects and then subsequently pick up one of them. If the object that was picked up had received positive regard, or if the object that was not picked up had received negative regard, the action was congruent; otherwise, the action was incongruent. Activity in the right posterior STS region was sensitive to the congruency between the action and the actress's emotional expression (i.e., STS activity was greater on incongruent than on congruent trials). These findings suggest that the posterior STS represents not only biological motion, but also how another person's motion is related to his or her intentions.     

Varieties of grapheme-colour synaesthesia: a new theory of phenomenological and behavioural differences

Recent research has suggested that not all grapheme-colour synaesthetes are alike. One suggestion is that they can be divided, phenomenologically, in terms of whether the colours are experienced in external or internal space (projector–associator distinction). Another suggestion is that they can be divided according to whether it is the perceptual or conceptual attributes of a stimulus that is critical (higher–lower distinction). This study compares the behavioural performance of 7 projector and 7 associator synaesthetes. We demonstrate that this distinction does not map on to behavioural traits expected from the higher–lower distinction. We replicate previous research showing that projectors are faster at naming their synaesthetic colours than veridical colours, and that associators show the reverse profile. Synaesthetes who project colours into external space but not on to the surface of the grapheme behave like associators on this task. In a second task, graphemes presented briefly in the periphery are more likely to elicit reports of colour in projectors than associators, but the colours only tend to be accurate when the grapheme itself is also accurately identified. We propose an alternative model of individual differences in grapheme-colour synaesthesia that emphasises the role of different spatial reference frames in synaesthetic perception. In doing so, we attempt to bring the synaesthesia literature closer to current models of non-synaesthetic perception, attention and binding.