Schreber, Perceval, and Van Gogh: Three Eminent Cases Considered from the Perspective of Four Characteristics of Psychosis

The psychotic dispositions of Schreber, Perceval, and Van Gogh are considered. Four characteristics appear to run through their psychoses, and these are identified and illustrated: (1) Negation, (2) persecutory belief, (3) obedience to a transcendental command, and (4) evangelism/martyrdom. Three of the elements have been identified previously, but evangelism/martyrdom is identified here for the first time. The characteristics tend to move in a linear direction, each reinforcing the psychotic state. Therapy requires a disruption of the path, whether through biochemical or psychosocial means or both.     

ESTABLISHMENT OF NONDELUSIONAL RESPONSES IN A SOCIALLY WITHDRAWN CHRONIC SCHIZOPHRENIC1

Multiple treatment interventions including instructions, modelling, timeout, avoidance of repetition, and reinforcement were successful in establishing factual answers to personal background questions in a withdrawn and socially unresponsive chronic schizophrenic. The subject had previously persisted in giving only delusional responses to these questions. A multiple-baseline design across verbal replies to personal background questions demonstrated that the changes in behavior were brought about by the treatment interventions. During baseline, the subject was reinforced for any response to four questions. The experimental interventions were then introduced for the first question and moved sequentially to an additional question when the subject's responses reached the criterion of at least 80% correct for two consecutive sessions. Introduction of the experimental interventions produced an increase from a baseline level of zero to at least 80% correct for each question. The use of the token reinforcement procedure was faded out after the subject was able to answer all four questions correctly at least 80% of the time for two consecutive sessions. Fading of the token reinforcement procedure was accomplished by using increasingly intermittent schedules of token reinforcement during the last seven sessions. In the final session, no tokens were used to reinforce the subject's responding. Nine-, ten-, and 12-month followup interviews were conducted to evaluate the maintenance of treatment gains. Maintenance was found to be complete at the nine- and 10-month followups, but at the 12-month followup interview, the subject answered one question incorrectly. This study replicates an investigation previously reported in this journal.     

Issues in common law pleading and ancient rhetoric

The concepts of issue and status are more different than is currently assumed. Apart from differences between the classifications of statements they are related to, there are differences between their definitions. The respective functions of pleadings and of inventio account for most of these differences.     

Are Newborns Morally Different from Older Children?

Policies and position statements regarding decision-making for extremely premature babies exist in many countries and are often directive, focusing on parental choice and expected outcomes. These recommendations often state survival and handicap as reasons for optional intervention. The fact that such outcome statistics would not justify such approaches in other populations suggests that some other powerful factors are at work. The value of neonatal intensive care has been scrutinized far more than intensive care for older patients and suggests that neonatal care is held to a higher standard of justification. The relative value placed on the life of newborns, in particular the preterm, is less than expected by any objective medical data or any prevailing moral frameworks about the value of individual lives. Why do we feel less obligated to treat the premature baby? Do we put newborns in a special and lesser moral category? We explore this question from a legal and ethical perspective and offer several hypotheses pertaining to personhood, reproductive choices, “precious children,” and probable evolutionary and anthropological factors.     

Witnesses' failure to detect covert manipulations in their written statements

Law enforcement agencies and legal professionals often have to rely on witness statements. Undetected errors in witnesses' statements, however, could impede the accurate reconstruction of a crime and lead to the incrimination of innocent suspects. Here, we examined whether witnesses can detect manipulations in their written statements. We expect that writing a statement could provide a good means for discrimination between what is truly recalled and what is an error. This is because writing allows to monitor and control the previously produced information. In 3 experiments, participants watched a mock crime film and subsequently provided a written statement of what they had witnessed. Following a delay of several minutes (Experiment 1), 48 hr (Experiment 2), or 1 month (Experiment 3), participants were exposed to and interviewed about their testimony. Unknown to them, they were confronted with statements, which included 4 secretly manipulated details. Participants' missed a substantial number of manipulations in their written statements. Importantly, the detection rates varied as a function of delay (Experiments 1 and 2: 74–89%; Experiment 3: 36%–52%). Detection rates also varied as a function of the type of details that were manipulated. Our findings indicate that writing a statement comes with limited benefits in witnesses' ability to detect errors in their statements.     

Concessive and semifactual interpretations during reasoning with multiple conditionals

The present research evaluates how people integrate factual ‘if then’ and semifactual ‘even if’ conditional premises in an inference task. The theory of mental models establishes that semifactual statements are represented by two mental models with different epistemic status: ‘A & B’ is conjectured and ‘not-A & B’ is presupposed. However, following the principle of cognitive economy in tasks with a high working memory load such as reasoning with multiple conditionals, people could simplify the deduction process in two ways, by discarding: (a) the presupposed case and/or (b) the epistemic status information. In Experiment 1 and Experiment 2, we evaluated each of these hypotheses. In Experiment 1, participants make inferences from two conditionals: two factual conditionals or one factual and one semifactual, with different representations. In Experiment 2, participants make inferences with a factual conditional followed by two different semifactual conditionals that share the same representations but differ in their epistemic status. Accuracy and latency data suggest that people think of both the conjectured and the presupposed situations, but do not codify the epistemic status of either when the task does not require it. The results are discussed through theoretical predictions about how people make inferences from different connected conditionals.     

DEVELOPMENT OF OBJECTIVE CRITERIA TO EVALUATE THE AUTHENTICITY OF REVELATION

Science has been dazzlingly successful in explaining nature. Scientific advances also have led to certain undesirable, though unintended, side effects, one of which is alienation from the spiritual. Revelation comes from the Divine. But what is the status of authenticity of a particular piece claimed to be revelation? What is its historical validity and current state of preservation? This essay proposes to develop a list of rational criteria, in consultation with all stakeholders, for addressing the subject. The aim is to bring objectivity into this discourse by placing it more on the turf of reason rather than basing it on considerations of faith and prior allegiance.     

Ethical and methodological aspects of medical computer data bases and knowledge bases

Ethical problems are related to computer data bases, containing data on individuals and groups of persons, as well as to computer knowledge bases, containing general rules and elements of expert systems.In the present essay the following conclusions are made regarding computer data bases: privacy, security, and confidentiality of medical computer data bases should be ensured. This duty should rest with physicians in hospitals. The principle of informed consent should be applied to gathering information which is to be stored and processed by computers. Information stored in computer data bases should not be used for purposes for which the subjects (patients as well as personnel) have not given their consent. In order to decrease the possibility of misuses of medical data bases containing information on individuals, these registers should not be linked to other central data bases.     

A postulate-based analysis of comparative preference statements

There has been a growing interest in the study of preferences for their utility in solving problems related to decision making. Most of the preference representation languages developed in the literature are based on comparative preference statements since they offer a simple and intuitive way for expressing preferences. They can be further interpreted following different semantics, imparting a greater flexibility on how outcomes can be compared. So far the main objective has been to rank-order the set of outcomes given a set of comparative preference statements and one or several semantics. Tackling this problem from a different angle, we look into the behavioural aspects of the preference semantics and statements by attempting to formalise the intuition behind them using postulates studied in preference logics and non-monotonic reasoning. We select the postulates w.r.t. three criteria: coherence, syntax independence and inference. Thus, our analysis provides a means to determine those properties that are satisfied for a given preference semantics.     

The Reconstruction of Psychic Trauma

The author discusses the difficulties that arose in the analysis of a female patient suffering from a delusional disorder, where traditional criteria of suitability for psychoanalytic treatment were initially lacking and had to be established as part of the process. The transference-countertransference interaction came to a deadlock, understood by the analyst as due to the patient’s pathological dyadic relating. She was lacking in her capacity of reflective functioning, and there was no potential space to foster a fruitful therapeutic dialogue between analyst and patient. The analyst adopted a bystander perspective as a vantage point from which to comment on the patient’s narrative, whereby she succeeded in gradually altering the dysfunctional dyadic exchange into an interaction where a triadic perspective was introduced as a means to making possible meaningful communication between patient and analyst. Substantial changes were achieved with this procedure as a point of departure. The case study highlights aspects of dyadic versus triadic functioning of the analytic pair, and serves to illustrate theoretical points pertaining to the ongoing debate between professionals on how the basic structural elements of the analytic relationship should be conceptualised.