Dementia with Lewy bodies: a pure case

A pure case of autopsy-confirmed dementia with Lewy bodies (DLB) is described. The patient presented with distinctive verbal fluency deficits in the context of mild language impairment, intact recognition memory, and impaired paragraph recall. Neuroimaging (CT and SPECT) showed progressive medial temporal lobe atrophy. Neuropathology revealed Lewy bodies, degeneration in the substantia nigra, nucleus basalis of Meynert (Nakano & Hirano, 1984), and locus ceruleus, but no pathology characteristic of Alzheimer's disease. It is in this sense that the case is "pure" DLB. Early neuropsychological diagnosis of DLB is essential (Salmon et al., 1996) given the potentially fatal hazard of neuroleptics (McKeith et al., 1992) and the difficulties associated with clinical neurological diagnoses (Litvan et al., 1998).     

Étude de validation de la version française de l’Échelle d’Estime Corporelle (Body Esteem Scale) chez les adolescentes et les jeunes adultes

IntroductionThe literature of body image suggests that many women and young women suffer from body dissatisfaction and this dissatisfaction is an important risk factor for the development of eating disorders.ObjectiveThe aim of the study was to validate the French female version of the Body Esteem Scale (BES; Mendelson et al., 2001).MethodThis self-administered questionnaire assesses body esteem and includes three subscales: “Weight”, “Appearance” and “Attribution”. The questionnaire was given to a sample of 835 adolescent girls and young adults (mean age = 16.62 ± 1.50).ResultsExploratory factorial analysis yielded three factors “Weight”, “Appearance” and “Desire to modify and negative affect associated with the general appearance”, somewhat similar to those of the original validation study. The goodness-of-fit of the three factors model was satisfactory. Correlations were found between the three subscales of the BES, BMI and general self-esteem.ConclusionThe French version of the BES shows satisfactory psychometric properties and provides a useful tool for better understanding the psychological aspects of attitudes towards one's body. In France, very few questionnaires are available to measure body attitudes, despite the fact that the body dissatisfaction affects many adolescent girls and represents a risk factor for the development of eating disorders.     

Multiple timescales of body schema reorganization due to plastic surgery

Plastic surgery modifies the distribution of mass centers of a person’s body segments, changing his or her posture. The functional reorganization processes that lead subjects to re-integrate these body changes into a new stable body (posture) schema is poorly understood but current theories suggest the possible contribution of two components: a feedback mechanism that strongly depends on sensory input and an internal model that is relatively less dependent on sensory input and improves posture control, for example by compensating for delayed feedback. To assess the relative contributions of these two mechanisms during the functional reorganization of a posture scheme, we have conducted a longitudinal postural study in a population of healthy adults who were subject to breast plastic surgery to reduce or augment body weight. We measured participants’ orthostatic posture and ground reaction force immediately after, after 4 months, and 1 year after the surgery. To investigate the role of visual sensory information in the reorganization process we tested the participants with eyes open and closed. Our results indicate that participants find a new dynamical equilibrium within a few days. However, posture maintenance remains sub-optimal long after the center of masses and the resultant of ground reaction force stop changing; in some cases, for more than 4 months. Furthermore, the re-adaptation process is faster and more efficient in the eyes-open than in the eyes-closed condition. These results suggest that the reorganization involves different subsystems (responsible for the biomechanical changes, the re-calibration of feedback mechanisms, and the re-adaptation of internal models), which act at different timescales.     

The influence of embodiment on multisensory integration using the mirror box illusion

We examined the relationship between subcomponents of embodiment and multisensory integration using a mirror box illusion. The participants’ left hand was positioned against the mirror, while their right hidden hand was positioned 12″, 6″, or 0″ from the mirror – creating a conflict between visual and proprioceptive estimates of limb position in some conditions. After synchronous tapping, asynchronous tapping, or no movement of both hands, participants gave position estimates for the hidden limb and filled out a brief embodiment questionnaire. We found a relationship between different subcomponents of embodiment and illusory displacement towards the visual estimate. Illusory visual displacement was positively correlated with feelings of deafference in the asynchronous and no movement conditions, whereas it was positive correlated with ratings of visual capture and limb ownership in the synchronous and no movement conditions. These results provide evidence for dissociable contributions of different aspects of embodiment to multisensory integration.     

Sound as affect: Difference,power and spatiality

This article considers what happens when sound is understood as affect. It begins by recounting a minor event in which sound moved my body. I use this as a starting point for defining sonic affect as the vibrational movement of bodies of all kinds, moving away from anthropocentric notions of sound based on human perception. The vibration of bodies can be understood as a ‘base layer’ of sound, which may activate or accrue layers of feeling, significance and meaning, but which is not reducible to them. Developing this conceptualisation of sonic affect, I argue that: (i) there are repeating affective tendencies of sound, but these unfold differently in context; (ii) sonic affect exercises power over bodies, sometimes by combining with meaning; and (iii) sound propagates affect through space in distinctive ways, some of which I discuss. These arguments are grounded in numerous examples, reflecting the variety of both sound and affect.     

Mental body representations retain homuncular shape distortions: Evidence from Weber’s illusion

Mental body representations underlying tactile perception do not accurately reflect the body’s true morphology. For example, perceived tactile distance is dependent on both the body part being touched and the stimulus orientation, a phenomenon called Weber’s illusion. These findings suggest the presence of size and shape distortions, respectively. However, whereas each morphological feature is typically measured in isolation, a complete morphological characterization requires the concurrent measurement of both size and shape. We did so in three experiments, manipulating both the stimulated body parts (hand; forearm) and stimulus orientation while requiring participants to make tactile distance judgments. We found that the forearm was significantly more distorted than the hand lengthwise but not widthwise. Effects of stimulus orientation are thought to reflect receptive field anisotropies in primary somatosensory cortex. The results of the present study therefore suggest that mental body representations retain homuncular shape distortions that characterize early stages of somatosensory processing.     

Minding gaps on the skin: Opposite bisection biases on forehead and back of one’s head

Humans perceive the world from an egocentric perspective, while being able to mentally take a third person’s perspective. Graphesthesia tasks revealed that letters written on the back of one’s own head are consistently perceived from an embodied perspective, while the perspective on one’s front is less consistent and often disembodied. We developed a cutaneous gap bisection task as a more discrete measure of the perspective on the body. In analogy to a visual pseudoneglect, we expected bisections to deviate toward the left ear when perceived from an embodied perspective. While this hypothesis was confirmed for gap bisections on the back, the results on the front suggest overall a disembodied perspective. Contrary to our expectation, this pattern was not predicted by the spontaneous perspective participants took in a graphesthesia task, indicating different cognitive mechanisms. We discuss these findings in the frame of the current literature on spatial attention and perspective taking.     

A comparison of risk factors for women seeking labiaplasty compared to those not seeking labiaplasty

Little is known about the factors associated with the desire for labiaplasty. We compared 55 women seeking labiaplasty with 70 women in a comparison group who were not seeking labiaplasty. Measures administered included the Perception of Appearance and Competency Related Teasing Scale, Childhood Trauma Questionnaire, Disgust Scale Revised, and the Genital Appearance Satisfaction scale with open-ended questions about their genitalia. Approximately a third of the labiaplasty group recalled specific negative comments in the past towards their labia, a proportion significantly greater than the three per cent in the comparison group. Participants reporting genital teasing also showed higher Genital Appearance Satisfaction scores than those who were not teased. However, women seeking labiaplasty were, compared to the comparison group, no more likely to have a history of neglect or abuse during childhood. There was no difference between the groups on disgust sensitivity or the perception of being teased in the past about their competence or appearance in general.     

Empowerment,feminism, and self-efficacy: Relationships to body image and disordered eating

Sociocultural norms pertaining to an ideal of thinness for women likely play a role in the development and maintenance of disturbance in body image, and by extension, disordered eating. However, competing norms associated with feminism may buffer women from pressures associated with achieving the thin ideal. The present study explored the relationship between feminist ideology, empowerment, and self-efficacy relative to body image and eating behavior with a sample of U.S. undergraduate women (N = 318) attending a southeastern U.S. mid-sized university. In planned hierarchical multiple regression analyses, endorsement of feminist ideology predicted perceptions of positive body image, but did not appear to predict disordered eating. Self-efficacy emerged as a robust predictor of positive body image and lower disordered eating even after controlling for perceptions of personal empowerment and feminism. Results, although limited by correlational data, suggest that self-efficacy may protect college-aged women from disordered eating and negative body image.