The question is: what is medicine supposed to be all about?

The Hippocratic Oath has survived, with overriding power, the test of time. Written somewhere between 600 B.C. and 100 A.D., it addresses the intrinsic nature of medicine. Even those of us who know little of it or reject parts of it acknowledge it to be a symbol of the values of medicine. Such "canonization" is unlikely to be arbitrary; it is more likely that the oath strikes some key chord of truth. I suggest that it is its drive to the heart of medicine that makes the Hippocratic Oath inspiring today.     

Politics and school psychology: A case study

School psychology is one of several professions in education which offer services beyond the regular school curriculum and program. Psychologists who work in school systems have long recognized the need to cooperate with these other professionals in school settings. In addition, they have been aware of the pressures from parents, teachers, and community groups which can impinge upon their jobs. However, limited availability of funding, federally mandated services, and legislation regarding certification are rapidly placing local, state, and national politics into prominance for school psychologists. An example is provided using the Commonwealth of Kentucky.     

EMG activity in selected target muscles during imagery rising on tiptoes in healthy adults and poststroke hemiparetic patients

The authors sought to gain further knowledge about activation of target muscles during imagery engagement in a motor task. Six hemiparetic patients and 9 healthy participants performed 3 real rises on tiptoes and then, after pausing, 3 imagery rises on tiptoes. Metronome beats guided the rate of rises and descents. Electromyographic (EMG) activity from the medial gastrocnemius and the rectus femoris muscles were monitored bilaterally throughout the performance of both tasks. In 3 healthy participants and 3 individuals with hemiparesis, EMG activity was related to the imagery task in at least 1 of the target muscles. Conversely, in the other participants, motor imagery practice was not accompanied by task-related EMG activity in the monitored muscles. In all cases, the increment in activation level during motor imagery practice was very low in comparison with that of real performance. The findings were not unequivocal; therefore, EMG activity may sometimes, but not always, be recorded during motor imagery practice both in healthy individuals and in poststroke hemiparetic participants. Further research is needed to align motor imagery practice with the objectives of motor rehabilitation.     

„Rocken statt Ritzen“

Background

Non-suicidal self-injury (NSSI) starts in adolescence and decreases during young adulthood. Despite a high prevalence among adolescents only a few therapeutic interventions directly addressing adolescents exist.

Aim

By connecting music therapy with elements from behavioral therapy an attempt was made to create a therapeutic program which is attractive to adolescents.

Material and methods

A pilot trial of the program “Stop cutting - rock!” was conducted with 12 adolescent females with a mean age of 15.15 years (standard deviation SD ±1.34). The study aimed to compare the frequency of NSSI throughout the treatment phase as well as a pre-post comparison of depression scores.

Results

The results showed a trend towards a decreasing frequency of NSSI. Depression scores decreased significantly between the assessment before therapy and at a 3-month follow-up after the end of the therapy.

Conclusion

The positive feedback concerning music therapeutic elements points to the attractiveness of the approach. By integrating multimodal therapeutic strategies it seems possible to create an individually tailored intervention for adolescents with NSSI.     

Ferenczi and Winnicott: Why We Need Their Radical Edge: Commentary on Paper by Michael Parsons

Parsons's paper, “An Independent Theory of Clinical Technique,” is discussed. Agreement is expressed with many of the theoretical points made by Parsons, and the creative and freeing historical role of the British Independent tradition (recently attacked by Kleinian authors such as Segal) is praised. However, the author sees some of the clinical examples in the paper as expressing a traditionalist conception of psychoanalytic practice, with a strong one-sided emphasis on the analyst as a knowledgeable expert offering deep interpretations. Parsons does not question the nature of the actual intersubjective relationship in each dyad, with its fluctuations and its subtle nuances, which can go far beyond the proclaimed roles of the two partners, at times even reversing them. More radical points of view can be found in the work of Ferenczi and Winnicott, two authors who are significant both for Parsons and for the author; for example, Ferenczi's emphasis on the patient's capacity to interpret the analyst's countertransference, and the experiments with the setting both made in their search for an adaptation to the unique ‘analysand's needs. In conclusion, the paper calls for continued departure from standard techniques of any kind, critically deconstructing all traditional assumptions regarding the analytic process.     

Learning Disabilities, Gender, Sources of Efficacy, Self-Efficacy Beliefs, and Academic Achievement in High School Students

This study examined the impact of gender, learning disability (LD) status, and sources of efficacy on self-efficacy beliefs and academic achievement in the concept of Bandura's self-efficacy theory. Two hundred and seventy-eight high school students participated in the study. Structural equation modeling was used. The results revealed that LD status had indirect influence on self-efficacy via the source variable; gender did not have direct or indirect influences on self-efficacy; sources of efficacy had direct impact on self-efficacy, which in turn affected academic performance. The structural model fit the data well and explained 55% of the variance in academic achievement.