Somatisierung

Zusammenfassung Somatisierung meint die Erfahrung und den Bericht von k?rperlichen Beschwerden, für die kein hinreichender medizinischer Befund vorliegt, verbunden mit einem hohen Ausma? von organ-medizinischer Hilfesuche. Gegenüber früheren Definitionen, die st?rker auf psychosoziale Faktoren bei der Somatisierung abheben, wird gegenw?rtig eine ausschlie?lich beschreibende Begriffsfestlegung bevorzugt. Somatisierung liegt als Normenvariante bis zur schweren pathologischen Auspr?gung vor. Die ICD-10 fa?t sehr heterogene Krankheitsbilder von Somatisierung in der Klasse der somatoformen St?rungen zusammen. Fraglich ist, ob Somatisierung eher als Proze? denn als diskrete Krankheitseinheit zu konzeptualisieren ist. Somatisierung enth?lt drei Komponenten: Auf der Wahrnehmungsebene erh?hte Sensibilit?t gegenüber K?rpersensationen (“somatosensorische Amplifikation”), auf der Erlebensebene negative Affekte in Form von psychischem und somatischen Distre?erleben, auf der Verhaltensebene inad?quate Inanspruchnahme der Gesundheitsressourcen (“abnormes Krankheitsverhalten”). Trotz z. T. vielversprechender Behandlungsvorschl?te unter verhaltenstherapeutischer, psychodynamischer und psychoedukativer Orientierung erscheint die Prognose von Somatisierung bisher wenig günstig. Es gibt Hinweise, da? der Sicherung der therapeutischen Beziehung besondere Bedeutung für den Behandlungserfolg zukommt.      

Discrimination of polysyllabic sequences by one- to four-month-old infants

The goal of this research was to ascertain the effects of suprasegmental parameters (fundamental frequency, amplitude, and duration) on discrimination of polysyllabic sequences by 1- to 4-month-old infants. A high-amplitude sucking procedure, with synthesized female speech, was used. Results indicate that young infants can discriminate the three-syllable sequences [marana] versus [malana] when suprasegmental characteristics typical of infant-directed speech emphasize the middle syllable. However, infants failed to demonstrate discrimination when adult-directed suprasegmentals were used and in several other experimental conditions in which prosodic parameters were manipulated. The pattern of results obtained in the six experiments suggests that the exaggerated suprasegmentals of infant-directed speech may function as a perceptual catalyst, facilitating discrimination by focusing the infant's attention on a distinctive syllable within polysyllabic sequences.     

Statistical analysis of binary relational data: Parameter estimation

Binary interaction data, measuring the presence or absence of a relation between pairs of actors in a “dyadic interaction situation,” are commonly gathered to study the social structure of the group of actors. Recent developments have made the statistical analysis of such data statistically easier and more substantively sophisticated. These developments allow researchers to simultaneously study several sociometric structural properties, such as reciprocity, differential popularity, and equivalence of actors. Building on this research, we review the stochastic models responsible for this breakthrough, and discuss methods for estimating expected values and model parameters. Throughout, we also highlight recent advances designed to incorporate nodal or actor attribute data into the relational data analysis. We conclude with an example illustrating these ideas based on conversational activities among actors in a group of eight people.     

THE ANALYST'S HATRED OF ANALYSIS

Analytic work is loved and hated. Both attitudes deserve scrutiny, but the analyst's hatred of analysis, which transcends countertransference responses to individual patients, represents an impediment to gratifying analytic work whose recognition and conceptualization has been resisted. The author suggests that antipathy among analysts toward analysis and the analytic situation is normative and expectable, yet commonly experienced as shameful. He speculates that it is sometimes disavowed and projected. Training institutes might inadvertently foster this sense of shame rather than promote its working through. The recognition that analytic identity functions as both a loving and a persecutory internal object has implications for psychoanalytic education and practice.     

A case of prosopagnosia with some preserved covert remembrance of familiar faces

This paper presents the detailed analysis of a case of prosopagnosia in a 54-year-old male farmer following bioccipital vascular disease. In-depth clinical investigations confirmed the diagnosis of prosopagnosia and revealed the absence of any associated defect, except for a slight aspecific disturbance of the short-term memory. Further study of this case indicated that the trouble was not concerned with the class of complex visual stimuli, was not even concerned with facial expressions or unknown faces, was not a perceptual defect, but was related mainly to the operation of individualization. The memory hypothesis was thus retained and supported. Moreover, exploration of the difficulty indicated that the deficiency was limited to defective access to conscious information concerning faces and information associated with these faces (name, context, etc.), effectively stored in memory.     

“Lest we become beasts who devour each other”: A Lutheran Calling to Higher Education in Multi‐Religious Settings1

Abstract : Lagerquist argues that in view of growing American religious diversity and awareness of religious diversity worldwide, Lutheran theology provides warrants for revising educational practice at Lutheran colleges to better serve the students and in the hope of a transformation of church and theology. American Lutheran colleges and universities are suited to this task by their theological heritage, by their educational experience, and by their place within the ecology of their churches.