Neurofibromatosis Type 1 in Genetic Counseling Practice: Recommendations of the National Society of Genetic Counselors

The objective of this document is to provide recommendations for the genetic counseling of patients and families undergoing evaluation for neurofibromatosis type 1 (NF1) or who have received a diagnosis of NF1. These recommendations are the opinions of a multi-center working group of genetic counselors with expertise in the care of individuals with NF1. These recommendations are based on the committee’s clinical experiences, a review of pertinent English language medical articles, and reports of expert committees. These recommendations are not intended to dictate an exclusive course of management, nor does the use of such recommendations guarantee a particular outcome. These recommendations do not displace a health care provider’s professional judgment based on the clinical circumstances of an individual patient. Both Heather B. Radtke and Courtney D. Sebold contributed equally to this document.     

Hunger and love: Schiller and the origin of drive dualism in Freud's work1

The interpretation of dreams was the fi rst text in which Freud referred to the system of two drives (drive of self‐preservation and the sexual drive). In order to understand how this question was at work in Freud's mind, one has to go back to 1898, when Freud began to write the third chapter of The interpretation of dreams. One can then see, in contrast with Sulloway's assertions, how Freud was inspired by Schiller, whose shadow haunted his dreams between April and December 1898. The analysis of these dreams emphasizes how the references to Schiller's works and to the drive of self‐preservation cover sexual impulses, in particular, those connected with the relationship to the father. The food drive or drive of self‐preservation also enabled Freud to construct a heroic romance. He was thereby able to bury an internal criticism which was at odds with his persistence in describing the father as a seducer, and to conceal scenes in which he was defeated and sexually subdued by another boy.     

The image schema and innate archetypes: theoretical and clinical implications

Based in contemporary neuroscience, Jean Knox's 2004 JAP paper ‘From archetypes to reflective function’ honed her position on image schemas, thereby introducing a model for archetypes which sees them as ‘reliably repeated early developmental achievements’ and not as genetically inherited, innate psychic structures. The image schema model is used to illustrate how the analyst worked with a patient who began life as an unwanted pregnancy, was adopted at birth and as an adult experienced profound synchronicities, paranormal/telepathic phenomena and visions. The classical approach to such phenomena would see the intense affectivity arising out of a ruptured symbiotic mother‐infant relationship constellating certain archetypes which set up the patient's visions. This view is contrasted with Knox's model which sees the archetype an sich as a developmentally produced image schema underpinning the emergence of later imagery. The patient's visions can then be understood to arise from his psychoid body memory related to his traumatic conception and birth. The contemporary neuroscience which supports this view is outlined and a subsequent image schema explanation is presented. Clinically, the case material suggests that a pre‐birth perspective needs to be explored in all analytic work. Other implications of Knox's image schema model are summarized.     

Chosŏn-Centrism and Japan-Centrism in the Eighteenth Century: Han Wŏn-chin vs. Motoori Norinaga

The eighteenth century was a peaceful era for East Asia, ruled by the emperors of Ching. However, intellectuals who refused to accept the Great Ching order appeared in Chos?n and Japan. They developed homeland-centric ideologies. This article compares the Han W?n-chin (韓元震, 1682–1751)‘s Chos?n-centrism with the Motoori Norinaga (本居宣長, 1730–1801)’s Japan-centrism. There is a lot of research about the Norinaga’s Japan-centrism in Japanese academia, which contains both aspects of the culture theory and order theory. In Korea, however, discourse about Chos?n-centrism is still ongoing argument under the concept of ‘Chos?n’s Sino-centrism (朝鮮中華主義)’. I would like to pay attention to that, although homeland-centrism is constructed with two aspects, which are theories of international order and culture, the Chos?n’s Sino-Centrism related discourse only discuss about culture theory aspect. Therefore, comparing Japan-centrism, which contains both culture and order parts, I will point out the problem of Chos?n’s Sino-centrism discourse has, and assert that when Han W?n-chin came up with the idea of a Chos?n-led world, Chos?n-centrism had born with both aspects of culture and order. In order to reveal the Chos?n-centrism, I will use a new concept called ‘Zhonghua Community (中華共同體)’.     

THERAPISTS’ EXPERIENCES OF MOTHER–INFANT PSYCHOANALYTIC TREATMENT: A QUALITATIVE STUDY

As part of a larger research project in Sweden, a qualitative study investigated psychotherapists’ experiences of mother–infant psychoanalysis (MIP). A randomized controlled trial compared two groups of mother–infant dyads with psychological problems. One had received Child Health Center care, and the other received MIP. Previous articles on long‐term effects have found that mothers who had received MIP were less depressed throughout a posttreatment period of 3½ years, and their children showed better global functioning and psychological well‐being. The present study's objectives were to describe the therapist's experiences of MIP and deepen the understanding of the MIP process. Six months after treatment began, all therapists were interviewed. Transcribed interviews with therapists from 10 (of 33 total) MIP treatments were randomly selected and analyzed in detail by thematic analysis. Therapists worked successfully with mother and infant together and found different ways of cooperation during MIP sessions. Therapists reported overall positive experiences; however, in cases where mothers needed more personal attention, it would be important to adapt the method to them.     

Hidden or Forbidden,Elected or Rejected: Sufism as ‘Islamic Esotericism’?

The article analyses the background of a popular conception of Sufism as equivalent to ‘Islamic esotericism’ by tracing two different but sometimes confluent currents: reifications of Sufism within Western romanticist and modern environments, and the approach to it in Islamic reformist movements. A further aim is to nuance and problematize such understandings, making use of examples from both historical and contemporary Sufism. Finally, the article briefly discusses possible pros and cons related to the interbreeding of Islamic Studies and the academic studies of Western esotericism.     

A Reappraisal of the Role of Muḥibb al-Dīn al-Khaṭīb and the YMMA in the Rise of the Muslim Brotherhood

In contemporary academic literature, the name of the Syrian publisher and journalist Mu?ibb al-Dīn al-Kha?īb often appears in connection with the rise of the Muslim Brotherhood during the interwar years. Although his role in the transition of ?asan al-Bannā's movement from a marginal to a significant socio-political player in Egyptian affairs has been mentioned in numerous works, no comprehensive study has yet been undertaken to determine how and by what means exactly al-Kha?īb supported al-Bannā's organization in its early years. The following article is an attempt to answer these questions by showing the strategic importance of al-Kha?īb and his network in helping al-Bannā develop from being an Arabic teacher in a primary school to one of the main leaders of the Islamist movement in Egypt.     

Interplay of diffusion and phase transformations in microstructural evolution of the interaction zone between U–9 wt.% Mo and Zr–1 wt.% Nb alloys

Metallurgical interaction between U–9?wt.% Mo metallic fuel alloy and Zr–1?wt.% Nb clad material has been assessed. Interdiffusion of constituent elements across their interface, together with the phase reactions occurring at high temperature and during subsequent cooling, resulted in development of a layered interaction zone where coexistence of a bcc solid solution phase with varying compositions, along with α-U, α-Zr and Mo₂Zr phases could be noticed.