Quality of life assessment in Turkish patients with schizophrenia and their relatives

Quality of life of first-degree relatives living in the same household with patients having schizophrenia has not been sufficiently explored. 30 patients with schizophrenia (16 women, 14 men), diagnosed using DSM-IV criteria, 31 of their relatives (15 women, 16 men), and 34 control subjects (21 women, 13 men) were included in the study. The mean age of the patients, their relatives, and the control subects were 39.8 +/- 10.9, 58.1 +/- 12.5 and 37.3 +/- 17.0, respectively. The World Health Oranization Quality of Life-Brief Form was administered to all subjects. Quality of life was worse for the patient group than for their relatives and control subjects, but relatives of the patients and control subjects were not significantly different on Quality of life. Quality of life was negatively correlated with the severity of psychopathology and extrapyramidal side effects induced by antipsychotic drugs in the patients.     

Decision-making impairments in patients with Parkinson's disease

A high percentage of Parkinson's disease (PD) patients show cognitive impairments in addition to the cardinal motor symptoms. These deficits primarily concern executive functions most probably linked to dysfunctions in prefrontal regions due to decreased dopaminergic transmission in fronto-striatal loops. To investigate possible associations between decision-making and executive functions in PD, we examined 20 non-demented PD patients and 20 healthy control subjects with a neuropsychological test battery and the Game of Dice Task. In this computerised decision-making task, the rules for gains and losses and the winning probabilities are obvious and stable. Thus, strategic components besides feedback processing might influence decision-making in this task. We found that PD patients were impaired in the Game of Dice task performance and that the frequency of disadvantageous choices correlated with both executive functions and feedback processing. We suggest that decision-making deficits of PD patients in explicit gambling situations might be associated with dysfunctions in two different fronto-striatal loops: the limbic-orbitofrontal-striatal loop, involved in feedback processing, and the dorsolateral prefrontal-striatal loop, involved in executive functions.     

Representing others' actions: just like one's own?

Previous research has shown that observing others' actions can affect individual performance of the same actions. In the present study, we developed a new paradigm to investigate whether and how complementary actions at the disposal of another agent are represented and influence one's own actions. A spatial compatibility task was distributed among two people so that each participant took care of one of two responses. The identical task was performed alone and alongside another participant. There was a spatial compatibility effect in the group setting only. It was similar to the effect obtained when one person took care of both responses. This result suggests that one's own actions and others' actions are represented in a functionally equivalent way.     

Backward inhibition as a means of sequential task-set control: evidence for reduction of task competition

Endogenously initiated transitions between tasks are associated with inhibition of the attentional set for the task preceding the transition, as demonstrated by slowed reactions to a task most recently switched away from (U. Mayr & S. W. Keele, 2000). Using an altered methodological approach, the authors found that this backward inhibition counteracts perseverative tendencies when switching to a new task in that it selectively reduces interference exerted by the preceding task set. The reduction of interference was dependent on endogenous preparation for the new task and did not occur for unpredictable task switches or for task switches that were precued without information about the identity of the new task.     

Illusory illusions: the significance of fixation on the perception of geometrical illusions

Some well-known geometrical illusions disappear when the eyes are fixating and saccades are suppressed for a period of time. This disappearance is not accompanied by fading due to stabilisation of the retinal image. Any saccade made on purpose restores the illusion immediately. The fixation time after which some illusions disappeared was measured for four illusions and four subjects each. Effects of practice have been observed after measurements were repeated on successive days. Present theories of vision cannot readily explain the effect.     

Sit-and-wait strategies in dynamic visual search

The role of memory in visual search has lately become a controversial issue. Horowitz and Wolfe (1998) observed that performance in a visual search task was little affected by whether the stimuli were static or randomly relocated every 111 ms. Because a memory-based mechanism, such as inhibition of return, would be of no use in the dynamic condition, Horowitz and Wolfe concluded that memory is likewise not involved in the static condition. However, Horowitz and Wolfe could not effectively rule out the possibility that observers adopted a different strategy in the dynamic condition than in the static condition. That is, in the dynamic condition observers may have attended to a subregion of the display and waited for the target to appear there (sit-and-wait strategy). This hypothesis is supported by experimental data showing that performance in their dynamic condition does not differ from performance in another dynamic condition in which observers are forced to adopt a sit-and-wait strategy by being presented with a limited region of the display only.     

Psychotherapie und die Anerkennung des Fremden

The aim of the present paper is three-fold: it reveals the inherent limitations of the concept of disorder in psychopathology and psychotherapy. It argues that characteristics of the person such as individuality, subjectivity and identity, have to be considered in psychiatric and psychotherapeutic concepts. And it shows that psychotherapy is dependent on cultural, social and socio-economic factors that are neglected in many theories. The paper uses clinical and epistemological arguments. It arrives at the conclusion that the above mentioned limitations have a common ground. They could be overcome, if psychiatry and psychotherapy were self-reflective and self-critical in respect to the inherent limitations of theory and practice and if they integrated concepts of being different in their basic theories so that symptoms, persons and cultural or societal peculiarities could be recognised and acknowledged.—The paper has been written as a comment to D. Orlinsky's statements considering disorder-specific psychotherapies from the viewpoint of psychotherapy research.