„Krise der Medizin“ – Modelle der Reform

In the 1920s and early 1930s there was a heated debate about the importance of the natural sciences for medicine. Prominent physicians, such as Ferdinand Sauerbruch and Wilhelm His in Germany or Richard Cabot and Charles-Edward Amory Winslow in the USA criticized clinical practices, medical education and research for placing too much focus on the natural sciences and the somatic correlates of human disease and for neglecting the psychological and social dimensions. In spite of a similar diagnosis of the problem, the consequences drawn differed considerably between the German and US contexts: in Germany first steps towards the institutionalization of the new field of psychotherapy and psychosomatic medicine and, in parallel, a consolidation of previously existing approaches of complementary medicine were developed, whereas in the USA the discussions led to the introduction and strengthening of social sciences in medicine, particularly in the field of public health. This article reconstructs the historical debate as well as the proposed models of reform and discusses potential implications for present-day medicine.     

Truth and Reduction

The proof-theoretic results on axiomatic theories oftruth obtained by different authors in recent years are surveyed.In particular, the theories of truth are related to subsystems ofsecond-order analysis. On the basis of these results, thesuitability of axiomatic theories of truth for ontologicalreduction is evaluated.     

Atypical categorization in children with high-functioning autism spectrum disorder

Children with autism spectrum disorder process many perceptual and social events differently from typically developing children, suggesting that they may also form and recognize categories differently. We used a dot pattern categorization task and prototype comparison modeling to compare categorical processing in children with high-functioning autism spectrum disorder and matched typical controls. We were interested in whether there were differences in how children with autism use average similarity information about a category to make decisions. During testing, the group with autism spectrum disorder endorsed prototypes less and was seemingly less sensitive to differences between to-be-categorized items and the prototype. The findings suggest that individuals with high-functioning autism spectrum disorder are less likely to use overall average similarity when forming categories or making categorical decisions. Such differences in category formation and use may negatively impact processing of socially relevant information, such as facial expressions. A supplemental appendix for this article may be downloaded from http://pbr.psychonomic-journals.org/content/supplemental.     

Emotional and cognitive information processing: relations to behavioral performance and hippocampal long-term potentiation in vivo during a spatial water maze training in rats

Emotionality as well as cognitive abilities contribute to the acquisition and retrieval of memories as well as to the consolidation of long-term potentiation (LTP), a cellular model of memory formation. However, little is known about the timescale and relative contribution of these processes. Therefore, we tested the effects of weak water maze training, containing both emotional and cognitive demands, on LTP in the hippocampal dentate gyrus. The population spike amplitude (PSA)-LTP was prolonged in all rats irrespective of whether they memorized the platform position or not, whereas the field excitatory postsynaptic potential (fEPSP)-LTP was impaired in good learners and enhanced in poor learners. We then dissociated the behavioral performance of rats during the water maze task by principal component analysis and by means of stress hormone concentrations into underlying "emotional" and "cognitive" factors. PSA-LTP was associated with "emotional" and fEPSP-LTP with "cognitive" behavior. PSA-LTP was depotentiated after the blockade of corticosterone binding mineralocorticoid receptors (MRs) in trained animals, while fEPSP-LTP was unaffected. These results suggest that synaptic processing and encoding of emotional information in the hippocampal dentate gyrus is realized fast and further information transfer is detectable by the reinforcement of PSA-LTP, whereas that of cognitive memories is long lasting.     

The Materiality of the Abstraction Voice

The comment on Bertau's paper underlines the importance of the internally social character of the dialogical self, which is not trivial and can not be taken for granted. A consistent theory of this internal character demands specific theoretical means native to a tradition of Leibniz' philosophy. In consequence the concept of dialogical self is presented as a non-empirical one based in an ethos. We, and not nature, are responsible for the modes of conceptualising.     

Scham und Berührung

The problem

Are there correlations between shame and touch in healthy persons?

Methods

Data from a questionnaire survey with the Skin Satisfaction Questionnaire (HautZuf) with 140 healthy persons were validated with TAS 26, HADS and the Adult Attachment Scale.

Results

There are significant correlations in the scale shame with all other scales of the used questionnaires TAS-26, AAS and HADS. There was a negative correlation between the scale ?physical closeness“ and ?confidence“ of the AAS, but all other scales correlated positively with the shame scale.

Conclusions

More emotions of shame seem to be present with anxiety, depression and disturbances in the sense of an alexithymia concept. Also high feelings of shame correlated with decreased confidence in the personal environment and greater intolerance for personal nearness. The significant correlations between shame affects and self-touch or touch by partner point to important factors in self-perception also for the psychotherapeutic context.     

Fibromyalgie und Leistungseinschränkung

Interdisciplinary guidelines allowed for new quality standards in pain appraisal. Simultaneously, the scientific notion of fibromyalgia changed from a subjectively overvalued malaise to a central disturbance of coping with stress, which is neurobiologically determined. Therefore, in this article a psychosomatics-based guide is given for the socio-medical appraisal of fibromyalgia with reference to the new International Classification for Functioning and Disability (ICF) of the World Health Organization (WHO). As illustration a case study is presented.