Reporting spiritual needs of older adults living in Bavarian residential and nursing homes

We intended to study unaddressed psychosocial and spiritual needs among older people (of at least 65 years of age) living in nine residential/nursing homes in Bavaria in Southern Germany. We conducted an anonymous cross-sectional study with standardised questionnaires (i.e., Spiritual Needs Questionnaire, Brief Multidimensional Life Satisfaction Scale, Schedule for Meaning in Life Evaluation, etc.). Religious needs were predicted best by residents’ religious trust. Existential needs and inner peace needs correlated moderately with grief, and were predicted best by family/social support needs. All members of an interdisciplinary team should be trained in the specific competence of recognising older people's unmet spiritual needs. When these needs are recognised, caregivers and relatives have the chance to react.     

Psychotic functioning in adolescence: The perverse solution to survive

A psychotic breakdown in adolescence marks the emergence of a manifest aspect of a more complex process that has its origins in the patient's family pre‐history and in the patient's childhood story. This period of life is characterized by a sensorial explosion and adolescents will react differently according to the different resources they have at their disposal. Adolescents will attempt to create defensive solutions in order to face this decompensation on their own. In particular, polymorphously perverse behaviours can be utilized because of their specific characteristics in order to create a potent defence used to arrest a still more severe regression and at the same time providing the time necessary to safely navigate through a difficult and dangerous developmental phase. These solutions can be transitory or transform themselves into lasting defensive adaptations. These defensive modalities are very complex and articulated and can become fossilized in time, as, for example, in the case of a use of perverse defences against a breakdown. An analyst finding him/herself in these situations will find it difficult to differentiate in the diagnosis between a condition that is due to a perverse functioning used as a defence against decompensation, and a truly perverse structure that is beginning to emerge after puberty.     

Angels and devils: sadism and violence in children

This paper looks at violence and sadism in child and adolescent patients. Psychoanalytic and developmental ideas are brought together to make sense of these children’s presentations and the clinical challenges of therapeutic work with them. Differences are outlined between cold and hotter forms of aggression. The contribution of Glasser and his concept of the core complex is central to the paper, as is an understanding of addictive processes often seen in aggression, including sexual aggression.     

Accidentally True Beliefs and the Williamsonian Mental State of Knowing

In this paper, I will explore some philosophical implications of Williamson’s thesis that knowing is a state of mind (KSM). Using the fake barn case, I will introduce a way to evaluate Williamson’s KSM thesis and determine whether the Williamsonian mental state of knowing can be plausibly distinguished from certain other similar but epistemologically distinctive states of mind (i.e., accidentally true beliefs). Then, some tentative externalist accounts of the supposed differences between the Williamsonian mental state of knowing and accidentally true beliefs will be critically assessed, implying that the evaluated traditional versions of externalism in semantics and epistemology do not fit well with Williamson’s KSM thesis. Ultimately, I suggest that the extended-mind or extended-knower approach may be more promising, which indicates that active externalism would be called for by Williamson’s KSM thesis.     

An Actor's Knowledge and Intent Are More Important in Evaluating Moral Transgressions Than Conventional Transgressions

An actor's mental states—whether she acted knowingly and with bad intentions—typically play an important role in evaluating the extent to which an action is wrong and in determining appropriate levels of punishment. In four experiments, we find that this role for knowledge and intent is significantly weaker when evaluating transgressions of conventional rules as opposed to moral rules. We also find that this attenuated role for knowledge and intent is partly due to the fact that conventional rules are judged to be more arbitrary than moral rules; whereas moral transgressions are associated with actions that are intrinsically wrong (e.g., hitting another person), conventional transgressions are associated with actions that are only contingently wrong (e.g., wearing pajamas to school, which is only wrong if it violates a dress code that could have been otherwise). Finally, we find that it is the perpetrator's belief about the arbitrary or non‐arbitrary basis of the rule—not the reality—that drives this differential effect of knowledge and intent across types of transgressions.     

Attenuated Access to Emotions in Obsessive-Compulsive Disorder

The Seeking Proxies for Internal States (SPIS) model of obsessive-compulsive disorder (OCD) posits that OCD is associated with attenuated access to internal states. Here we explored the implications of this model in the realm of emotions. Participants with OCD, anxiety disorders, and nonclinical control participants completed the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT), assessing two domains of emotional intelligence: Experiential emotional intelligence (EI), reflecting the ability to perceive and feel emotions accurately, and Strategic EI, reflecting the ability to understand and manage emotions correctly. As only Experiential EI requires accurate perception of one’s emotions for adequate performance, we predicted an interaction between group and EI area. Specifically, we predicted that compared to both anxiety disorders and healthy control participants, OCD participants would show a larger deficit in Experiential area of the MSCEIT relative to the Strategic area. Results were fully in line with this prediction. Moreover, supporting the specificity of the hypothesized deficit to OCD, participants with anxiety disorders did not differ from nonclinical control participants in their performance, and findings were not attributable to anxiety or depression levels. These results replicate and extend previous findings obtained with analogue samples and suggest that OCD is associated with attenuated access to emotional states, which may be partially compensated for by reliance on semantic knowledge of emotion.     

The analysand and analyst team practicing reciprocal free association: Defenders and deniers

Abstract

By 1900, Freud had formulated an original and operational method of psychoanalytic treatment and research: the technique of free association. In 1912–1915 and later writings, he recommended it as a fundamental procedure and process, called the fundamental rule, in psychoanalytic therapy. In recent years, free association as a method has been variously misrepresented, misunderstood, and denied by some schools of psychoanalysis. This paper reviews the history of free associations and argues for upholding the continuity and relevance of Freud's fundamental methodology and for a renewal of interest in reciprocal, i.e., interactive and interpersonal, free association.     

Exact ferromagnetic ground state of pentagon chains

We model conducting pentagon chains with a multi-orbital Hubbard model and prove that well below half filling, exact ferromagnetic ground states appear. The rigorous method we use is based on the transformation of original hamiltonian into positive semidefinite form. This technique is independent of the spatial dimension and does not require integrability of the model. The obtained ferromagnetism is connected to dispersionless bands but in a much broader sense than flat-band ferromagnetism requires, where on every site a Hubbard term is present. In our case, only a small percentage of, even randomly distributed, sites are only interacting.     

The Causal Closure of Physics: An Explanation and Critique

Bistable, autonomously growing and self‐maintaining dynamical systems possess a new mathematical and applicational aspect: they can switch toward (physical) existence. Larger dynamical systems containing such flip‐flops as subsystems are frequent. The mathematical prototype is a special type of Z₂‐networks, termed a competence automaton. A chemical implementation is the ‘magic soup.’ It constitutes a general model for life‐type evolution processes including economic evolution.