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.     

Extending the Basic Local Independence Model to Polytomous Data

Psychometrika - A probabilistic framework for the polytomous extension of knowledge space theory (KST) is proposed. It consists in a probabilistic model, called polytomous local independence model,...     

Neubewertung kognitiver Leistungen im Lichte der F?higkeiten einzelliger Lebewesen

A closer look at unicellular organisms and their behavior as autonomous and social beings sheds new light on the nature of cognition. This allows, at the same time, a search for minimal conditions that help to identify the yet unknown appearance of cognition during evolution. Positive results might also serve as principles for the construction of intelligent artefacts as striven for in artificial intelligence and cognitive robotics research. Analyzing the abilities of prokaryotes and unicellular eukaryotes and comparing them to the abilities of "higher" organisms, we conclude that common definitions of cognition are not specific enough. The attempt to define cognition by focusing on the coupling between stimulus and response and asserting that (to have cognition) it has to be indirect and modifiable fails, simply because in all organisms every reaction to a stimulus is indirect and modifiable. A definition of cognition based on such a distinction cannot hold unless one is willing to ascribe cognitive capacities also to Escherichia coli bacteria, for instance. Viewing cognition as the sum of abilities necessary for coping with a complex physical and social environment is also highly questionable, i.e. unspecific. We show that functions comparable to the cognitive functions "perception" and "memory" in higher organisms can well be identified in unicellular beings. The "architecture" of the bacterial (prokaryotic) sensorimotor apparatus is also in some structures, but particularly at the functional level, comparable with that of higher organisms and should be, as a consequence, indicative of cognition. Furthermore, we discuss other, somewhat more delimitable, phenomena like detection of identity, counting, adaptation, habituation and learning in ethological categories and compare them to findings from the microorganismic world. In this context, we argue that so-called "true learning" and the appearance of nervous systems are not break-points in the evolution of cognition. The presence of nervous systems means only a huge amplification of the recognition power of individual organisms. The molecular net that realizes the regulation and transduction of signals in unicellular beings is comparable to the processes within a neural net, and a population of unicellular organisms can be viewed as an individual, multicellular net with amplified recognition power. Finally, we show that sophisticated forms of cooperation and competition developed also in populations of unicellular organisms. This seems not to be true for the phenomena imagination (rehearsal) and introspection, also to be seen as stemming from social problem-solving needs. As for these aspects, further research is needed, however, to put them on firm scientific grounds. Zusammenfassung. Eine genaue Betrachtung einzelliger Lebewesen und ihres Verhaltens als autonome und soziale Wesen wirft neues Licht auf die Natur von Kognition. Das erlaubt gleichzeitig eine Suche nach minimalen Bedingungen, die bei der Bestimmung des Erscheinens von Kognition in der Evolution helfen. Positive Ergebnisse könnten auch als Prinzipien für die Konstruktion intelligenter Artefakte dienen, wie sie in der Künstlichen Intelligenz und der kognitiven Robotikforschung angestrebt werden. Ein Vergleich der Fähigkeiten von Einzellern mit denen von "höheren" Organismen führt uns zu dem Schluß, daß gängige Definitionen von Kognition nicht spezifisch genug sind. Der Versuch, Kognition über die Indirektheit und Modifizierbarkeit der Kopplung zwischen Reiz und Reaktion zu definieren, scheitert, weil in allen Organismen Reiz-Reaktionsverbindungen indirekt und modifizierbar sind. Eine solche Definition ist nicht haltbar, es sei denn, man ist bereit, z.B. auch Escherichia coli-Bakterien kognitive Eigenschaften zuzubilligen. Die Definition von Kognition als Summe der Eigenschaften, die notwendig sind, um in einer komplexen physikalischen und sozialen Umgebung zu bestehen, ist ebenfalls hinterfragbar und unspezifisch. Wir zeigen, daß Leistungen, die mit den Kognitionsleistungen "Wahrnehmung" und "Gedächtnis" in höheren Organismen vergleichbar sind, in Einzellern nachweisbar sind. Die sensomotorische Komplexität von Einzellern ist auch in vieler Hinsicht strukturell, vor allem aber funktionell vergleichbar mit derjenigen höherer Organismen und kann deshalb als ein Hinweis auf Kognition gewertet werden. Darüber hinaus diskutieren wir andere, abgrenzbare Phänomene, wie Erfassung von Identität, Zählen, Adaptation, Habituation und Lernen, aus der Sicht der Verhaltensforschung und vergleichen sie mit Befunden aus der Welt der Mikroorganismen. In diesem Zusammenhang bestreiten wir, daß sogenanntes "echtes Lernen" und das Erscheinen von Nervensystemen Bruchstellen in der Evolution von Kognition sind. Die Anwesenheit von Nervensystemen bedeutet nur den Übergang von Systemen mit einem relativ begrenzten (Erkennungs-) Potential zu solchen mit einem riesigen Potential. Das molekulare Netz, das die Regulation und Transduktion von Signalen in Einzellern realisiert, ist vergleichbar mit den Prozessen innerhalb eines Nervennetzes. Eine Population von einzelligen Organismen kann als individuelles, multizelluläres Netz mit erhöhtem Erkennungspotential angesehen werden. Schließlich zeigen wir, daß raffinierte Formen von Kooperations- und Konkurrenzverhalten auch in Einzellerpopulationen vorhanden sind. Eine ähnliche Aussage scheint nicht für Phänomene wie Imagination (Probehandeln) und Introspektion möglich zu sein, die auch im Zusammenhang mit der Bewältigung sozialer Probleme zu sehen sind. Eine genaue naturwissenschaftliche Erfassung solcher Aspekte, die erst einen Vergleich zwischen Mehrzellern und Einzellern erlauben würde, ist allerdings noch zu leisten.     

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.     

Neural correlates of a default response in a delayed go/no-go task

Working memory, the ability to temporarily retain task-relevant information across a delay, is frequently investigated using delayed matching-to-sample (DMTS) or delayed Go/No-Go tasks (DGNG). In DMTS tasks, sample cues instruct the animal which type of response has to be executed at the end of a delay. Typically, performance decreases with increasing delay duration, indicating that working memory fades across a delay. However, no such performance decrease has been found when the sample cues exist of present vs. absent stimuli, suggesting that pigeons do not rely on working memory, but seem to respond by default in those trials. We trained 3 pigeons in a DGNG task and found a similar default response pattern: The diverging slopes of the retention functions on correct Go and No-Go trials suggested that pigeons by default omitted their response following No-Go stimuli, but actively retained task-relevant information across the delay for successful responses on Go trials. We conducted single-cell recordings in the avian nidopallium caudolaterale, a structure comparable to the mammalian prefrontal cortex. On Go trials, many neurons displayed sustained elevated activity during the delay preceding the response, replicating previous findings and suggesting that task-relevant information was neurally represented and maintained across the delay. However, the same units did not show enhanced delay activity preceding correct response suppressions in No-Go trials. This activation-inactivation pattern presumably constitutes a neural correlate of the default response strategy observed in the DGNG task.     

Subgroup analysis of sex difference on the Vandenberg-Kuse mental rotation test

A large sex difference has been elicited on the Vandenberg-Kuse mental rotation test. Prior research emphasizes the biological root of this sex difference. In recent experiments we confirmed this viewpoint. A large sample was administered the test, and the distributions of scores for men and women (N = 138; 68 men and 70 women: ages 19 to 23 years). The mean scores were used as cut-off points to group the men and the women in different subgroups (Low/Women, High/Women, Low/Men, High/Men). There were large differences among all subgroups, reinforcing Kimura's testosterone hypothesis for sex differences in spatial ability.     

Presupposition processing declines with age

Cognitive Processing - The present study investigates the processing of presuppositions across the life span and extends the findings of the only available study on presupposition processing and...     

„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.     

Satisfaction and frustration of autonomy and relatedness needs: Associations with parenting dimensions and psychological functioning

Framed from Basic Psychological Needs Theory (Ryan and Deci in American Psychologist 55:68–78; Ryan, Deci, American Psychologist 55:68–78, 2000) and Ka?itçiba?i’s Autonomous-Related Self Theory (Journal of Cross-Cultural Psychology 36:1–20; Ka?itçiba?i, Journal of Cross-Cultural Psychology 36:1–20, 2005), the study examined the relationships of adolescents’ satisfaction and frustration of autonomy and relatedness, with (a) adolescents’ perception of mother’s and father’s psychological control and autonomy support, and (b) adolescents’ self-acceptance and anxiety. Participants were 556 adolescents (M?=?17.25, SD?=?0.92). Path analysis showed more significant associations of autonomy support with satisfaction/frustration of autonomy and relatedness than psychological control, reporting also some differences between parents. Moreover, both satisfaction and frustration of autonomy and relatedness were associated with adolescents’ self-acceptance and anxiety although in different ways. Our study provides further data, useful to understand how needs for autonomy and relatedness are associated with parenting dimensions and contribute to the adjustment of adolescents living in psychologically interdependent cultures, taking into account the role of each parent as well as the separate contribution of need satisfaction and need frustration.