ANALYTIC MIND USE AND INTERPSYCHIC COMMUNICATION: DRIVING FORCE IN ANALYTIC TECHNIQUE,PATHWAY TO UNCONSCIOUS MENTAL LIFE

Developed from established psychoanalytic knowledge among different psychoanalytic cultures concerning unconscious interpsychic communication, analysts' use of their receptive mental experience—their analytic mind use, including the somatic, unconscious, and less accessible derivatives—represents a significant investigative road to patients' unconscious mental life, particularly with poorly symbolized mental states. The author expands upon this tradition, exploring what happens when patients unconsciously experience and identify with the analyst's psychic functioning. The technical implications of the analyst's “instrument” are described, including the analyst's ego regression, creation of inner space, taking mind as object, bearing uncertainty and intense affect, and self‐analysis. Brief case vignettes illustrate the structure and obstacles to this work.     

治疗感染性骨不连伴大段骨缺损的探讨与思考

感染性骨不连伴大段骨缺损是目前临床骨科较为常见、多发、治疗极为棘手的病种之一,治疗方法多种多样,但疗效却不理想,且缺乏统一的诊治与疗效判断标准,总结、分析几种临床上主要治疗方法的利弊,为该病探寻一条微创、安全、并发症少及疗效确切的可靠治疗方法.随着对Ilizarov技术的基础与临床研究的不断深入,该技术在治疗传统方法难以治愈的疾病如四肢关节严重畸形、感染性骨不连或伴有骨缺损、皮肤软组织缺损等方面显示出自身的优势,为治疗疑难骨科疾病开辟了一条新的有效途径.     

肢体自然重建理念——一种人文关怀治疗

著名的医学家、哲学家Hippocrates在公元前4世纪就指出:医生的责任仅在于促进疾病的自然康复过程,而非阻拦这个过程.患者得以治愈的根据是患者自身存在的康复能力;医生首先必须清楚:自己所治疗的对象是人,是有生命的、有思想的、活在社会上的人,而不是被修理的物件.医生能够做到的只是为患者创造或提供一定的有利于康复的条件.20世纪50年代,前苏联骨科专家Ilizarov发现了张力-应力法则,并因此创造出的牵拉再生、自然重建技术,正是很好地诠释了Hippocrates的思想.     

幽默加工中不一致探测与解决的脑机制分离

本fMRI研究使用“文字背景—漫画图片”实验范式,设计了三种实验条件（可笑、不可笑和无关）,试图对幽默加工中不一致探测与解决的脑机制进行分离。可笑与不可笑条件对比的结果与前人研究一致,证明了新实验范式的有效性。其次,无关与不可笑条件比较,右侧脑岛激活,说明脑岛可能与不一致探测有关。综合分析发现,脑岛与杏仁核可能共同参与了不一致探测加工。此外,结果还第一次区分了幽默加工中不一致解决与一般问题解决的脑区。     

Can I borrow your alibi? The applicability of the verifiability approach to the case of an alibi witness

The present experiment tested the applicability of the verifiability approach to the case of an alibi witness. Pairs of truth tellers carried out non-criminal activities. Pairs of liars were separated whereby Member 1 carried out the same non-criminal activities as the pairs of truth tellers while Member 2 committed a mock crime. Participants were asked to provide statements about their whereabouts, whereby pairs of liars were requested to pretend that they carried out Member 1's activities together. Participants were informed that their statements would be assessed in terms of providing verifiable evidence that they had carried out the activities together. Results showed that 88% of the pairs were correctly classified by the verifiability approach. Groups differed in their strategies: Truth-tellers focused mainly on “staying with the truth”, and provided evidence that they were together, whereas liars attempted to make it difficult to refute their claims that they were together.     

Eyewitness identification discriminability: ROC analysis versus logistic regression

To reach conclusions regarding the respective accuracy of two conditions, eyewitness researchers evaluate correct and false identification rates computed across participants. Two approaches typically are employed. One approach relies on ratio-based probative value measures; but Wixted and Mickes (2012) and Gronlund, Wixted, and Mickes (2014) showed that these measures fail to disentangle an assessment of accuracy (i.e., discriminability between guilty and innocent suspects) from response bias (i.e., a willingness to make a response). Our focus is on a second approach, logistic regression analyses of the correct and of the false identification rates. Logistic regression also fails to disentangle discriminability from bias. Therefore, it only can denote the most accurate condition in limited circumstances. The best approach for reaching the proper conclusion regarding which condition is most accurate is to use receiver operator characteristic (ROC) analysis. Simulated ROC data illustrate the problem with a reliance on logistic regression to assess accuracy.     

Both fearful and happy expressions interact with gaze direction by 200 ms SOA to speed attention orienting

Attention orienting towards a gazed-at location is fundamental to social attention. Whether gaze cues can interact with emotional expressions other than those signalling environmental threat to modulate this gaze cueing, and whether this integration changes over time, remains unclear. With four experiments we demonstrate that, when perceived motion inherent to dynamic displays is controlled for, gaze cueing is enhanced by both fearful and happy faces compared to neutral faces. This enhancement is seen with stimulus-onset asynchronies ranging from 200–700?ms. Thus, gaze cueing can be reliably modulated by positive expressions, albeit to a smaller degree than fearful ones, and this gaze–emotion integration impacts behaviour as early as 200?ms post-cue onset.     

Action‐semantic and syntactic deficits in subjects at risk for Huntington's disease

Frontostriatal networks play critical roles in grounding action semantics and syntactic skills. Indeed, their atrophy distinctively disrupts both domains, as observed in patients with Huntington's disease (HD) and Parkinson's disease, even during early disease stages. However, frontostriatal degeneration in these conditions may begin up to 15 years before the onset of clinical symptoms, opening avenues for pre‐clinical detection via sensitive tasks. Such a mission is particularly critical in HD, given that patients’ children have 50% chances of inheriting the disease. Against this background, we assessed whether deficits in the above‐mentioned domains emerge in subjects at risk to develop HD. We administered tasks tapping action semantics, object semantics, and two forms of syntactic processing to 18 patients with HD, 19 asymptomatic first‐degree relatives, and sociodemographically matched controls for each group. The patients evinced significant deficits in all tasks, but only those in the two target domains were independent of overall cognitive state. More crucially, relative to controls, the asymptomatic relatives were selectively impaired in action semantics and in the more complex syntactic task, with both patterns emerging irrespective of the subjects’ overall cognitive state. Our findings highlight the relevance of these dysfunctions as potential prodromal biomarkers of HD. Moreover, they offer theoretical insights into the differential contributions of frontostriatal hubs to both domains while paving the way for innovations in diagnostic procedures.     

Automated verbal credibility assessment of intentions: The model statement technique and predictive modeling

Recently, verbal credibility assessment has been extended to the detection of deceptive intentions, the use of a model statement, and predictive modeling. The current investigation combines these 3 elements to detect deceptive intentions on a large scale. Participants read a model statement and wrote a truthful or deceptive statement about their planned weekend activities (Experiment 1). With the use of linguistic features for machine learning, more than 80% of the participants were classified correctly. Exploratory analyses suggested that liars included more person and location references than truth‐tellers. Experiment 2 examined whether these findings replicated on independent‐sample data. The classification accuracies remained well above chance level but dropped to 63%. Experiment 2 corroborated the finding that liars' statements are richer in location and person references than truth‐tellers' statements. Together, these findings suggest that liars may over‐prepare their statements. Predictive modeling shows promise as an automated veracity assessment approach but needs validation on independent data.