Eating Disorders: A Bond between Medicine,Culture and Psychoanalysis

Action in connection with the therapeutic process is often equated with acting out. The subtle behaviour that belongs to ?the complicated system of transmitting and receiving unconscious signals? (Sandler), with which the patient attempts to make the analyst behave as the object of transference or to fulfill an unconscious desire, is also described as acting out or micro-acting out (Treurniet). This fine-grained action, however, means nothing; it is not symbolic or communicative action. Its intention is, rather, to trigger effects and induce interactions. It occurs not only on the side of the analysand but also on that of the analyst, and is part of the unconscious communication in the therapeutic process. Presented here are some of the various interactive ways and means with which the analyst is prompted into unconscious action and certain, unnoticed, ways in that he turn ?treats? the patient. The analyst's action responses can bear the character of interpretations with which he may unintentionally reveal how he regards the behaviour of the patient.     

Family and Systems Therapy and Training in Portugal

The history of systemic family therapy in Portugal since its appearance until the present is discussed. Some data on systemic family therapists’ training is provided in the context of the Portuguese Society of Family Therapy and Academic Institutions. In Portugal, family therapy has been extended to various contexts, including medical and community services. Finally, future directions for family and systems therapy practice and training in Portugal are provided emphasizing the importance of family interventions as an important resource to empower families living with health chronic conditions. The Portuguese Family Therapy Society, every 2 years, organizes a scientific Iberian conference with Portuguese and Spanish speakers. This allows the exchange of clinical experience and research about family and systems theory.     

Acquired Procedural Dyscalculia Associated to a Left Parietal Lesion in a Child

We report the case of an 11-year-old boy who developed an anarithmetia in association with a left temporo-parietal tumor. His oral and written language were normal as well as his ability to judge magnitudes, process numbers, read operation signs and retrieve number facts. He had a specific difficulty in performing the procedures of subtraction, especially when it involved borrowing. These skills had been mastered before the present illness. This case shows that the components of calculation can be dissociated by brain lesions sustained during childhood, while arithmetic abilities are being acquired, thus reinforcing findings from developmental dyscalculias, that suggest a modular organisation of those skills during development.     

La adquisición del lenguaje: un análisis interaccional

Resumen

El principal objetivo de esta investigación fue analizar functionalmente las interacciones verbales niño-adulto, en seis sujetos, de edades comprendidas entre los 18 y los 30 meses, y sus familias, observados en ambiente natural. Un segundo objetivo fue definir y poner a prueba un sistema de Categorías funcionales para el análisis del lenguaje infantil. También se realizó un estudio del lenguaje adulto («input parental») en cuanto a una pluralidad de características, incluyendo las similitudes y diferencias entre el lenguaje de los padres y las madres.

Los resultados ponen de relieve que el lenguaje de los niños, a pesar de las limitaciones formales de estas primeras etapas, es altamente funcional e interaccional. También se ha puesto de manifiesto que el lenguaje que el adulto dirige al niño reviste unas características (en cuanto a claridad, corrección, simplicidad, etc.) en sí mismo facilitadoras de los procesos de transmisión-adquisición del lenguaje. Al mismo tiempo se ha evidenciado la existencia de estrategias educativas no intencionales en las interacciones verbales niño-adulto. Estas estrategias poseen cierto valor explicativo respecto a los procesos de desarrollo del lenguaje.

Los niños del estudio y sus familias eran catalano-parlantes, por tanto este trabajo es asimismo un estudio longitudinal sobre la adquisición del catalán como primera lengua.     

Developmental dissociation of visual dorsal stream parvo and magnocellular representations and the functional impact of negative retinotopic BOLD responses

Localized neurodevelopmental defects provide an opportunity to study structure–function correlations in the human nervous system. This unique multimodal case report of epileptogenic dysplasia in the visual cortex allowed exploring visual function across distinct pathways in retinotopic regions and the dorsal stream, in relation to fMRI retinotopic mapping and spike triggered BOLD responses.     

Preschool Children’s Beliefs about Gender Differences in Academic Skills

Evidence from different Latin American countries shows a gap in the academic achievement of girls and boys. Chilean children’s achievement is a case in point, with the gender gap being especially large for mathematics achievement. These differences can be explained partly from the viewpoint of beliefs and implicit theories. Research in this field has focused mainly on elementary and secondary students, and there is no relevant data on preschool children. This study examines Chilean kindergarten children’s beliefs about differences in the academicals skills of girls and boys. Eighty-one preschool children (34 girls, mean age 5 years and 11 months) were recruited from schools serving a middle SES population from downtown Santiago. An instrument to test children’s implicit beliefs about gender differences in academic ability was adapted from previous research. Results support the hypothesis that boys and girls at the age of 5 already hold stereotypical expectations about boys’ and girls’ academic achievement. When asked about which school subject a character liked more, was better at, and found easier, participants showed no preference between math and language when reasoning about a male character, but they indicated that a female character would find math harder, perform worse at it, and like it less than language. These responses did not differ according to the gender of the participating children. Implications of these findings are addressed and limitations and future research are discussed.     

Application of the Copenhagen Soccer Test in high-level women players – locomotor activities,physiological response and sprint performance

We evaluated the physiological response, sprint performance and technical ability in various phases of the Copenhagen Soccer Test for Women (CSTw) and investigated whether the locomotor activities of the CSTw were comparable to competitive match-play (CM). Physiological measurements and physical/technical assessments were performed during CSTw for eleven Norwegian high-level women soccer players. The activity pattern during CSTw and CM was monitored using the ZXY tracking system. No differences were observed between CSTw and CM with regards to total distance covered (10093 ± 94 and 9674 ± 191 m), high intensity running (1278 ± 67 and 1193 ± 115 m) or sprinting (422 ± 55 and 372 ± 46 m) (p > .05). During CSTw, average HR was 85 ± 2%HRmax with 35 ± 2% playing time >90%HRmax. Blood lactate increased (p < .05) from 1.4 ± 0.3 mM at rest to an average of 4.7 ± 0.5 mM during CSTw, with no changes during the test. Blood glucose was 5.4 ± 0.3 mM at rest and remained unaltered during CSTw. Sprint performance (2 × 20 m) decreased (p < .05) by 3% during CSTw (8.19 ± 0.06–8.47 ± 0.10 s). In conclusion, the locomotor activities during CSTw were comparable to that of high-level competitive match-play. The physiological demands of the CSTw were high, with no changes in heart rate, blood lactate or technical performance during the test, but a lowered sprint performance towards the end of the test.     

Influence of wearing an unstable shoe construction on compensatory control of posture

This study investigated the influence of wearing unstable shoe construction (WUS) on compensatory postural adjustments (CPA) associated with external perturbations. Thirty-two subjects stood on a force platform resisting an anterior-posterior horizontal force applied to a pelvic belt via a cable, which was suddenly released. They stood under two conditions: barefoot and WUS. The electromyographic (EMG) activity of gastrocnemius medialis, tibialis anterior, rectus femoris, biceps femoris, rectus abdominis, and erector spinae muscles and the center of pressure (CoP) displacement were acquired to study CPA. The EMG signal was used to assess individual muscle activity and latency, antagonist co-activation and reciprocal activation at joint and muscle group levels. Compared to barefoot, WUS led to: (1) increased gastrocnemius medialis activity, (2) increased total agonist activity, (3) decreased antagonist co-activation at the ankle joint and muscle group levels, (4) increased reciprocal activation at the ankle joint and muscle group levels, and (5) decrease in all muscle latencies. No differences were observed in CoP displacement between conditions. These findings demonstrate that WUS led to a reorganization of the postural control system associated to improved performance of some components of postural control responses.     

Characterization of speed fluctuation and drag force in young swimmers: A gender comparison

The aim of this study was to compare the speed fluctuation and the drag force in young swimmers between genders. Twenty-three young pubertal swimmers (12 boys and 11 girls) volunteered as subjects. Speed fluctuation was measured using a kinematical mechanical method (i.e., speedo-meter) during a maximal 25-m front crawl bout. Active drag, active drag coefficient and power needed to overcome drag were measured with the velocity perturbation method for another two maximal 25 m front crawl bouts with and without the perturbation device. Passive drag and the passive drag coefficient were estimated using the gliding decay velocity method after a maximal push-off from the wall while being fully immersed. The technique drag index was also assessed as a ratio between active and passive drag. Boys presented meaningfully higher speed fluctuation, active drag, power needed to overcome drag and technique drag index than the girls. There were no significant gender differences for active drag coefficient, passive drag and passive drag coefficient. There were positive and moderate-strong associations between active drag and speed fluctuation when controlling the effects of swim velocity. So, increasing speed fluctuation leads to higher drag force values and those are even higher for boys than for girls.     

Doing Therapy in a Foreign Land: When the Therapist Is “Not From Here”

The psychotherapy field has been paying closer attention to how therapists’ characteristics, history, and styles affect therapeutic encounters and contribute to successful therapy outcomes. Therapists have been encouraged to increase self-awareness of their own socio-cultural dimensions to optimally connect with clients. However, the experience of therapists’ own immigration has received little attention. This article highlights the experience of immigration as important for understanding the self of the therapist, describing core experiences related to immigration for immigrant therapists in the United States. This article additionally describes how these experiences can affect immigrant therapists’ clinical encounters. Finally, recommendations are provided for immigrant therapists, clinical supervisors, and training programs.