Perversion from the medical-legal perspective

Abstract

The medical-legal view of perversion is strictly concerned with the sexual aspect. This is the result of a controversial historical process full of moralism with respect to sexuality. Psychoanalysis questions this reductionist view, offering itself as instrument of special importance in the characterization of perversion as a complex of structures in human beings.

Alves KC und Prado de Sousa S. Perversion aus der medizin-rechtlichen Perspektive

Die medizin-rechtliche Sicht der Perversion ist strikt mit dem sexuellen Aspekt befaßt. Dies ist das Ergebnis eines kontrovers historischen Prozesses, der ganz mit Moralismus im Hinblick auf Sexualität angefüllt ist. Psychoanalyse stellt diese reduktionistische Sicht in Frage und bietet sich selbst als Instrument von besonderer Bedeutung an, die Perversion als einen Komplex von Strukturen bei Menschen zu charakterisieren.

Alves KC y Prado de Sousa. Perversión desde la perspectiva médico-legal.

El punto de vista médico-legal de la perversión esta estrictamente relacionado con el aspecto sexual. Este es el resultado de un proceso controvertido moral histórico con respecto a la sexualidad. El Psicoanálisis cuestiona este punto de vista reduccionista, ofreciéndose como instrumento de especial importancia en la caracterización de la perversión como una complejidad estructural en los seres humanos.     

The Buridanian Account of Inferential Relations between Doubly Quantified Propositions: a Proof of Soundness

On the basis of passages from John Buridan's Summula Suppositionibus and Sophismata, E. Karger has reconstructed what could be called the ‘Buridanian theory of inferential relations between doubly quantified propositions’, presented in her 1993 article ‘A theory of immediate inference contained in Buridan's logic’. In the reconstruction, she focused on the syntactical elements of Buridan's theory of modes of personal supposition to extract patterns of formally valid inferences between members of a certain class of basic categorical propositions. The present study aims at offering semantic corroboration—a proof of soundness—to the inferential relations syntactically identified by E. Karger, by means of the analysis of Buridan's semantic definitions of the modes of personal supposition. The semantic analysis is done with the help of some modern logical concepts, in particular that of the model. In effect, the relations of inference syntactically established are shown to hold also from a semantic point of view, which means thus that this fragment of Buridan's logic can be said to be sound.     

Thought insertion: Abnormal sense of thought agency or thought endorsement?

The standard approach to the core phenomenology of thought insertion characterizes it in terms of a normal sense of thought ownership coupled with an abnormal sense of thought agency. Recently, Fernández (2010) has argued that there are crucial problems with this approach and has proposed instead that what goes wrong fundamentally in such a phenomenology is a sense of thought commitment, characterized in terms of thought endorsement. In this paper, we argue that even though Fernández raises new issues that enrich the topic, his proposal cannot rival the version of the standard approach we shall defend.     

Health‐adjusted neuropsychological test norms based on 463 older Swedish car drivers

There is a need for improved normative information in particular for older persons. The present study provides neuropsychological test norms on seven cognitive tests used in a sample representing the general older driving population, when uncontrolled and controlled for physical health. A group of 463 healthy Swedish car drivers, aged 65 to 84 years, participated in a medical and neuropsychological examination. The latter included tests of visual scanning, mental shifting, visual spatial function, memory, reaction time, selective attention, and simultaneous capacity. Hierarchical regression analyses demonstrated that, when uncontrolled for health, old age was associated with significant impairment on all seven tests. Education was associated with a significant advantage for all tests except most reaction time subtests. Women outperformed men on selective attention. Controlling for health did not consistently change the associations with education, but generally weakened those with age, indicating rises in normative scores of up to 0.36 SD (residual). In terms of variance explained, impaired health predicted on average 2.5%, age 2.9%, education 2.1% and gender 0.1%. It was concluded (1) that individual regression‐based predictions of expected values have the advantage of allowing control for the impact of health on normative scores in addition to the adjustment for various demographic and performance‐related variables and (2) that health‐adjusted norms have the potential to classify functional status more accurately, to the extent that these norms diverge from norms uncontrolled for physical health.     

Autobiographical Narratives of Oldest-Old Persons: What Matters at That Age?

This study adopts the Valuation theory and the Self-Confrontation Method to explore the autobiographic narrative in oldest old persons, considering a temporal perspective (past, present, future). The sample comprises three men and two women (84-95 years old). The findings suggest that the narrative of oldest-old persons emerges structured in a way that their narration of the past focus on outside connections (proximity with others; success achieved); their narration of the present centers on attaining a life philosophy and proximity with others and their narration of the future concentrates on self-enhancement (maintaining autonomy vs. experiencing powerlessness and lack of involvement).     

Study of behavioural and neural bases of visuo‐spatial working memory with an fMRI paradigm based on an n‐back task

The goal of this study was to propose a new functional magnetic resonance imaging (fMRI) paradigm using a language‐free adaptation of a 2‐back working memory task to avoid cultural and educational bias. We additionally provide an index of the validity of the proposed paradigm and test whether the experimental task discriminates the behavioural performances of healthy participants from those of individuals with working memory deficits. Ten healthy participants and nine patients presenting working memory (WM) deficits due to acquired brain injury (ABI) performed the developed task. To inspect whether the paradigm activates brain areas typically involved in visual working memory (VWM), brain activation of the healthy participants was assessed with fMRIs. To examine the task's capacity to discriminate behavioural data, performances of the healthy participants in the task were compared with those of ABI patients. Data were analysed with GLM‐based random effects procedures and t‐tests. We found an increase of the BOLD signal in the specialized areas of VWM. Concerning behavioural performances, healthy participants showed the predicted pattern of more hits, less omissions and a tendency for fewer false alarms, more self‐corrected responses, and faster reaction times, when compared with subjects presenting WM impairments. The results suggest that this task activates brain areas involved in VWM and discriminates behavioural performances of clinical and non‐clinical groups. It can thus be used as a research methodology for behavioural and neuroimaging studies of VWM in block‐design paradigms.     

Ankle Intrinsic Stiffness in Subcortical Poststroke Subjects

The authors' purpose was to evaluate bilateral ankle intrinsic stiffness in subcortical poststroke subjects. Ten subcortical poststroke subjects and 10 healthy controls participated in this study. The ankle passive stiffness at 3 different speeds and the electromyographic activity of the soleus, the gastrocnemius, and the tibialis anterior muscles of poststroke contralesional (CONTRA) and ipsilesional (IPSI) limbs and of one limb of healthy subjects were assessed. Ankle electromyographic activity was collected to ensure that reflexive or voluntary muscle activity was not being elicited during the passive movements. A significant interaction was observed between the effects of the limb (IPSI vs. CONTRA vs. control) and ankle position, F(4, 28) = 3.285, p = .025, and between the effects of the limb and the velocity of stretch, F(2, 14) = 4.209, p = .037. While increased intrinsic stiffness was observed in the CONTRA limb of poststroke subjects at ankle neutral position when the passive stretch was applied with a velocity of 1°/s (p = .021), the IPSI limb of poststroke subjects presented increased stiffness at 20º of plantar flexion when the stretch was applied with a velocity of 5°/s (p = .009) when compared to healthy group. Subcortical poststroke subjects present increased intrinsic stiffness in both the CONTRA and IPSI limbs in specific ankle amplitudes.     

When multi‐problem poor individuals' values meet practitioners' values!

Every intervention process can be thought of as a journey of partnership between people, as well as an intellectual journey of ideas and an emotional journey of relationships. This exploratory study aims at reaching a better understanding of three questions: (i) What values do individual heads of multi‐problem poor households and practitioners show regarding their relationship? (ii) How might those values inform the interaction between them, in positive and/or negative ways? (iii) What might the value system which organizes the interaction between the participants be? This study was carried out using a critical incidents technique and was based on a sample comprising two sub‐groups: 100 heads of multi‐problem poor families and 97 professionals. Findings reveal the following individual values: heads of multi‐problem poor families value instrumental support, relationships and effectiveness; while professionals' appreciate relationships, obedience to their own instructions and (in)effectiveness. These value systems seem to frame the interaction in games of responsibility avoidance that lead to the individuals' disempowerment, disguised in an aura of ‘adequate impotence’. Copyright © 2005 John Wiley & Sons, Ltd.     

Does Happiness Predict Medication Adherence among African Americans with Hypertension?

Poor medication adherence is a leading cause of excessive cardiovascular morbidity among African Americans. Many adherence-promoting interventions have addressed economic barriers, improved the patient-provider relationship, simplified regimens, and used reminder systems; however, the problem of low adherence remains intractable. Meanwhile, positive psychological attributes that might serve to promote medication adherence have not been fully explored. To address this gap, we examined the association between happiness and medication adherence among low-income African Americans with hypertension treated in a safety-net setting. Data were obtained from the Alabama Collaboration for Cardiovascular Equality, 2007?C2008. Happiness was measured using the 4-item scale of Lyubomirsky and Lepper; low, moderate, and high happiness were defined by tertiles because of the non-normal distribution. Medication adherence was assessed with the Morisky Medication Adherence Scale. Associations were quantified with ordinal logistic regression. Our sample of 573 African Americans was 71.6?% female and had an average age?±?SD of 53.6?±?9.7?years and a median happiness score of 5.2. Compared to participants with low happiness, the odds (OR; 95?% CI) of being in a better medication adherence category were greater for those with moderate (1.53; 1.02?C2.27) and high (2.26; 1.52-3.37) happiness, after adjusting for age, sex, income, education, and difficulty paying for medical care. Within this cohort of low-income African Americans with hypertension, participants with greater happiness exhibited better medication adherence. Although one interpretation of our study is that more adherent patients are naturally happier, our findings raise the possibility that adding happiness-boosting components may increase the effectiveness of more traditional adherence interventions.