Dysexecutive syndrome in Parkinson’s disease: the GREFEX study

The objectives of this study were to characterize the frequencies and profiles of behavioral and cognitive dysexecutive syndromes in PD (based on validated battery and diagnostic criteria) and to develop a shortened diagnostic battery. Eighty-eight non-demented patients with a diagnosis of PD were examined with an executive validated battery. Using a validated framework, the patients’ test results were interpreted with respect to normative data from 780 controls. A dysexecutive syndrome was observed in 80.6% of the patients [95% confidence interval: 71.1–90.1]. The dysexecutive profile was characterized by prominent impairments in deduction, flexibility, inhibition and initiation in the cognitive domain, and by global hypoactivity with apathy and hyperactivity in the behavioral domain. This finding implies that patients with PD should be assessed with cognitive tests and a validated inventory for behavioral dysexecutive syndromes. A shortened battery (based on three cognitive tests and three behavioral domains) provided high diagnostic accuracy.     

Comparative assessment of the behaviour of drivers with Mild Cognitive Impairment or Alzheimer’s disease in different road and traffic conditions

The objective of this research was the analysis of the driving performance of drivers with Mild Cognitive Impairment (MCI) or Alzheimer’s disease (AD), in different road and traffic conditions, on the basis of a driving simulator experiment. In this experiment, healthy “control” drivers, patients with MCI, and patients with AD, drove at several scenarios at the simulator, after a thorough neurological and neuropsychological assessment. The scenarios include driving in rural and urban areas in low and high traffic volumes. The driving performance of healthy and impaired drivers was analysed and compared by means of Repeated Measures General Linear Modelling techniques. A sample of 75 participants was analysed, out of which 23 were MCI patients and 14 were AD patients. Various driving performance measures were examined, including longitudinal and lateral control measures. The results suggest that the two examined cerebral diseases do affect driving performance, and there were common driving patterns for both cerebral diseases, as well as particular characteristics of specific pathologies. More specifically, cognitively impaired drivers drive at lower speeds and with larger headway compared to healthy drivers. Moreover, they appear to have difficulties in positioning the vehicle on the lane. The group of patients had difficulties in all road and traffic environments, and especially when traffic volume was high. Most importantly, both cerebral diseases appear to significantly impair reaction times at incidents. The results of this research suggest that compensatory behaviours developed by impaired drivers are not adequate to counterbalance the direct effects of these cerebral diseases on driving skills. They also demonstrate that driving impairments increase as cognitive impairments become more severe (from MCI to AD).     

Possible selves in patients with right- versus left-onset Parkinson’s disease

Possible selves can be used to self-regulate and guide behavior towards what is desired to be achieved or avoided in life. Previous work suggests laterality effects exist within the brain regarding approach and avoidance systems to achieve self-regulation. A modified version of the possible selves task was administered to 45 patients with PD (22 right-onset and 23 left-onset) and 25 community dwelling control subjects (CS). Only 11.1% of patients exhibited balance among their hoped-for and feared possible selves versus 28% of CS. More right-onset patients used a promotion strategy whereas more left-onset patients used a prevention strategy. Patients with left-onset PD thought more about their feared selves, exhibiting reduced goal-directed behavior. Findings among the left-onset group indicate relative dependence of self-regulation on right-sided avoidance brain systems. This may point to an inability to move away from negative outcomes and to work towards rewarding outcomes, which could affect psychological health.     

Pierre De Bérulle (1575–1629) and the renewal of Catholic spiritual life in France

Pierre de Bérulle, founder of the Oratoire de Jésus (commonly known as the Oratoire de France), is a leading figure in the renewal of the Catholic Church in France in the first half of the seventeenth century. He is generally regarded as the founder of the French School of Spirituality (École française de spiritualité), though this term has been much criticised in recent years. He is often described as a ‘reformer’ of the Church in France, but this is a half-truth which obscures his real originality; he certainly shared the aims of those striving to create a clergy which would be better educated, more morally upright and more pastorally sensitive and zealous; but above all else he was concerned with the spiritual renewal of the clergy and with the Church in France generally. Lastly, he has often been accused of wishing to create chiefly, if not exclusively, a spirituality of the priesthood and to work for the ‘sanctification’ of the clergy. But his work and ideas must be seen here in a broader perspective, for Bérulle and his disciples shared with St Francis de Sales the aim, expressed in his Introduction à la vie devote (1608), of creating and promoting a spirituality available to all Christians. This article examines his conception of the Oratory, which he intended to be an intermediary between the religious orders and the secular clergy, his spiritual theology, what I have called his ‘spiritual pedagogy’, and his influence in France and elsewhere.     

Aging,memory loss,and Alzheimer’s disease: What do refugees from the former Soviet Union think?

ABSTRACT

Since the mid-1970s, approximately 700,000 émigrés from the former Soviet Union (FSU), most of Jewish descent, settled in the United States. Now, 25 or more years post-emigration, they have “aged in place” in the United States, but their values, beliefs, and attitudes about growing old, memory changes, and Alzheimer’s disease remain grounded in their earlier life experiences. Based on findings from a study of the social and cultural factors affecting beliefs about Alzheimer’s disease, aging, and memory loss, this article examines how past life experiences, the immigration experience, and cultural values affect Russian-speaking refugees’ beliefs and views about aging, memory loss, and Alzheimer’s disease.     

从"性"、"命"概念的演化看《易传》的著作年代及思想渊源

本文通过对先秦儒学"性"、"命"概念之演化与发展的历史考察,指出:《易传》的性命之论与《中庸》、楚简、孟学相契,而与荀学不类;《易传》的创作年代是在荀子之前之思孟学派形成和兴盛时期,而不是在荀子之后。     

Representations of guidance counselors,psychologists, and psychoeducators regarding psychological assessment

IntroductionSocial representations related to collaborative/therapeutic and information-gathering assessment could explain some psychological assessment practices. However, no other study has attempted to examine the actual place of these models in psychological assessment practices.ObjectiveThe goal of this study was to examine the social representations of different groups of professionals with regard to their preferred approach to psychological assessment.MethodA latent profile analysis was conducted on a sample of licensed Canadian guidance counselors (n = 382), psychologists (n = 235), and psychoeducators (n = 97).ResultsResults revealed three psychological assessment profiles, which significantly differ in terms of a few social factors. Results also showed that some psychological assessment practices differ across profiles.ConclusionThis study provides a better understanding of psychometric instruments users’ approaches to assessment and the influence of social factors.     

Women's social experiences before and during the COVID-19 pandemic: A 3-part measurement burst study among women in midlife with health risks

Women in midlife (ages 40–60) with elevated risk for cardiovascular disease (CVD) often rely on social networks during times of high stress. Precautions against the spread of COVID-19—particularly stay-at-home-orders—could have limited positive social experiences during a stressful time, but also could have reduced unwanted negative social experiences. This report presents findings from an ecological momentary assessment study that used 3 bursts of 5 surveys per day for 5 days, to test for changes in women's social experiences: prior to COVID-19 (2019), during stay-at-home-orders (April-May 2020), and during initial reopening (August-September 2020). Participants were women aged 40–60 with one or more CVD risk factors (e.g., hypertension; N = 35, M_Age = 51, M_BMI = 32.2 kg/m²). Momentary reports showed that the number of positive interactions experienced in daily life did not significantly change from before to during the pandemic; positive interactions were more variable during stay-at-home orders than pre-COVID, but rebounded by initial reopening (to pre-COVID levels). In contrast, the number of negative social interactions and social comparisons decreased from before COVID to stay-at-home orders, and remained lower during initial reopening; these experiences were also less variable during stay-at-home orders and initial reopening than before COVID-19. Thus, in a vulnerable group of women with health risks, there is little evidence that social experiences worsened during the first 6 months of the COVID-19 pandemic; decreases in (potentially) negative social experiences may be a small but beneficial side effect of short-term public health precautions.     

COVID-19, Virtual Engagement and the Psychoid Imagination1

The impact of the COVID-19 pandemic on analytic training and the delivery of educational content is explored here. The proliferation of Zoom therapy and teaching is creating a post-human platform to which nearly everyone in contemporary society has had to adapt. Looking at the possible meanings of the pandemic, a psychoid factor (the virus) engaging the imagination has come to the fore as a response to climate change. The striking similarity to the H1N1 viral pandemic (“Spanish flu”) is noted, especially in the context of C. G. Jung having had a case in 1919 during which he experienced a number of visions and dreams. The imagery produced can be seen as an implicit attempt at “re-enchanting the world” found in The red book. Finally, a reconsideration of pedagogy in response to the pandemic is discussed with an eye to the archetypal aspects of internet communications.     

The Black Foe: Being Towards Death1

The ontology of death is universal, hence archetypal. Nowhere do we witness any organic creature escape its talons. Analytical psychology has had an intimate relationship to death for the simple fact that it contemplates the soul, the numinous, and an afterlife. From Hegel to Heidegger, Freud and Jung, death was an existential force that sustained and transformed life, the positive significance of the negative. Rather than merely a destructive phenomenon, death informs Being, the power of nothingness that dialectically drives life. In this paper, I will introduce the notion of what I call the omega principle, the psychological orientation and trajectory of our being towards death, which we may say is a universal preoccupation and recapitulation of the collective unconscious that subsumes our personal relation to death, an eternal return of the objective psyche constellated as esse in anima.