Linear Analogue Self-Assessment and Procrustean Measurement: A Critical Review of Visual Analogue Scaling in Pain Assessment

Visual analogue scales (VASs) are one of the most widely used self-report measures of clinical pain. This article reviews the empirical literature on linear analogue self-assessment (LASA) and critically examines the features that appear to have made it such an attractive measurement option in pain assessment. It is concluded that analogue scaling does not withstand critical scrutiny as a primary measure of either pain intensity or pain affect and that, in most circumstances, the overall clinical utility of VASs is inferior to that of more structured pain indices.     

Two Books for Teachers

Murphy, Nancey and Ellis, George F. R. On the Moral Nature of the Universe: Theology, Cosmology, and Ethics
Haught, John F. Science and Religion: From Conflict to Conversation     

Fictions of the internal object

This paper examines internal objects in their role as theoretical constructs which analysts use to make sense of human experience. Object relations theory is based upon a vision that the personality is divided or split into parts. Clinical experience reveals that such splits are commonly expressed in the language of our analysing. However, a lexical reality is not a thing-in-itself, but a way of organizing and understanding experience. Jung's vision of the dynamics of the split self encompass a unique 'object relations theory' that is both similar and yet quite different from the object relations theories of Klein, Fairbairn, Winnicott and Thomas Ogden A clinical example is used to examine the way in which these different theoretical views explain the same clinical phenomenon. The last section of the paper is devoted to a narrational analysis of the place of internal objects in analytic theory. The split self, dynamic is seen as a narrative device - one that makes sense and provides coherence, but is neither the only view of psychic reality nor necessarily an accurate reflection of the nature of the internal world.     

5-11岁儿童元知觉发展的实验研究

本项研究旨在探索 5 -1 1岁儿童元认知发展的规律 ,2 80名昆明市及路南县汉、撒尼族儿童参与了三项知觉实验 ,实验结果表明 :1儿童随年龄的增长 ,有关知觉组织策略的知识及自我监察的能力也逐渐发展 ,表现为系统观察、选取有效策略及计划性的增强。 2儿童对信息的加工不断深入 ,从表浅的加工过渡到详尽的加工 ,不仅要求补充必要的信息 ,而且主动搜索隐蔽的线索以促进识辨。3儿童自我评价从笼统、含糊逐渐向客观、全面发展。4路南儿童元知觉的发展晚于昆明儿童两年 ,但在路南的汉族儿童和撒尼族儿童之间不存在显著差异 ,说明文化教育对儿童元知觉发展的重要影响。     

Human d-amphetamine drug discrimination: methamphetamine and hydromorphone.

Standard measures of subjective and discriminative effects of drugs were compared in 5 human volunteers. Subjects responded on a second-order color-tracking procedure, where 30 mg of d-amphetamine served as a discriminative stimulus for one response and its absence as the discriminative stimulus for another response. Self-reported subjective effects were assessed concurrently using the single-dose questionnaire, subscales of the Addiction Research Center Inventory, and several analogue rating scales. On different days following discrimination acquisition, varying doses of d-amphetamine, methamphetamine, and hydromorphone were administered. In these test sessions, either response was reinforced. Methamphetamine and d-amphetamine occasioned dose-related increases in d-amphetamine appropriate responding; hydromorphone did not. Methamphetamine and d-amphetamine occasioned dose-related increases in reports of the drug received being most like "speed"; hydromorphone occasioned dose-related increases in reports of the drug received being most like "dope." All three drugs occasioned dose-related increases in reports of drug liking, and increases in the morphine-benzedrine group, amphetamine, and benzedrine group scales of the Addiction Research Center Inventory. This experiment demonstrated that although explicit discriminative control of behavior by a drug may covary with drug identification, it does not necessarily covary with other self-reported subjective effects. Thus, the complementary nature of the data provided by drug discrimination and standard subjective-effects measures provides quantitative and qualitative data useful in studying both relatively novel compounds and the behavioral biology of psychoactive drugs in general.     

The quest for identity

This paper offers an analysis of the notion the quest for identity. The discussion emphasizes the importance of communal belonging, but rejects the view that one ought to belong to the community one was born to. It suggests that the quest for identity may lead individuals to follow many avenues: while some individuals might affirm their inherent affiliations and traditions, others may remain within their community of origin and strive to change its ways, or chose to leave their social group and opt for membership in a new one. This analysis suggests that choice, characteristic of the liberal conception of the person, and rootedness, characteristic of the communitarian conception of the person, both play an important role in the formation of personal identity.     

人格结构的动态分析

为了动态化地分析人格的结构。研究一采用个体性自由命名描述法考察人格的动态内容。１５０名大学生分别用１０个词描述实际的自我、理想的自我、应该的自我。词频统计反映了不同自我的内容特点。研究二采用常模化限定性描述法考察人格的结构特点,用研究珠高频词制成实际、理想、应该的自我词表。２００名大学生用７点量表分别评定各词表中的每个词适合描述相应的自我的程度。结果表明,实际的自我有５个因素,解释４７．１％的变异     

Alexithymia as a potential source of symptom over‐reporting: An exploratory study in forensic patients and non‐forensic participants

The traditional interpretation of symptom over‐reporting is that it indicates malingering. We explored a different perspective, namely that over‐reporting of eccentric symptoms is related to deficits in articulating internal experiences (i.e., alexithymia). Given that alexithymia has been linked to sleep problems and that fatigue may fuel inattentive responding to symptom lists, we administered measures of alexithymia (TAS ‐20) and symptom over‐reporting (SIMS ), but also sleep quality (SLEEP ‐50) to forensic psychiatric outpatients (n = 40) and non‐forensic participants (n = 40). Forensic patients scored significantly higher on all three indices than non‐forensic participants. In the total sample as well as in subsamples, over‐reporting correlated positively and significantly with alexithymia, with r s being in the 0.50–0.65 range. Sleep problems were also related to over‐reporting, but in the full sample and in the forensic subsample, alexithymia predicted variance in over‐reporting over and above sleep problems. Although our study is cross‐sectional in nature, its results indicate that alexithymia as a potential source of over‐reporting merits systematic research.     

THE COMMUNITY VIEW REVISITED

Abstract: Joining a vast Wittgensteinian anti‐theoretical movement, John Canfield has argued that it is possible to read the claims that (1) “language is essentially communal” and (2) “it is conceptually possible that a Crusoe isolated from birth should speak or follow rules” in such a way that they are perfectly compatible, and, indeed, that Wittgenstein held them both at once. The key to doing this is to drain them of any theoretical content or implications that would put each claim at odds with the other. I argue here, first of all, that it is not possible to detheorize both (1) and (2) and still hope to say anything illuminating about the nature of language. In fact, Canfield himself does not succeed in detheorizing both (1) and (2) but ends up trivializing (1) and leaving (2) with quite a bit of theoretical content. I further argue, however, that this is getting the matter the wrong way around. Contra Canfield et al., it is only when we recognize this that we can appreciate how radical and innovative Wittgenstein's claims about language really are.