Memory and awareness in a patient with multiple personality disorder

We studied an individual with multiple personality disorder in whom each of several personalities claimed to have no direct awareness of the others and to be unable to consciously remember the experiences of other personalities. A broad selection of implicit and explicit memory tests was used to determine the extent to which one personality had access to knowledge acquired by another and the circumstances in which that knowledge would be expressed. The implicit assessment of memory was a necessary but not sufficient condition for demonstrating interpersonality access. The degree of compartmentalization of knowledge in this patient depended largely on whether the interpretation of presented information was likely to differ across personalities.     

On the development of procedural knowledge

Amnesic patients demonstrate by their performance on a serial reaction time task that they learned a repeating spatial sequence despite their lack of awareness of the repetition (Nissen & Bullemer, 1987). In the experiments reported here, we investigated this form of procedural learning in normal subjects. A subgroup of subjects showed substantial procedural learning of the sequence in the absence of explicit declarative knowledge of it. Their ability to generate the sequence was effectively at chance and showed no savings in learning. Additional amounts of training increased both procedural and declarative knowledge of the sequence. Development of knowledge in one system seems not to depend on knowledge in the other. Procedural learning in this situation is neither solely perceptual nor solely motor. The learning shows minimal transfer to a situation employing the same motor sequence.     

Attentional processing and the independence of color and orientation

Judgments of the color and shape of a stimulus specified by a cue indicating its location demonstrate stochastic independence. Evidence for the independence of color and orientation was obtained when the cue followed stimulus offset immediately, the cue followed stimulus offset by 2 s, and when either a central or peripheral precue focused attention on the cued stimulus at the time of its presentation. It appears that an object's color and orientation are represented independently even following the attentional focusing thought to support feature integration.     

A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

A child's emotional and social development depends on the parents’ provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents’ experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists’ technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.     

Disbelief and Christonomy of the World1

In recent years, the debate on the relation between religion and politics has attracted renewed attention. One of the reasons is a new awareness of the significance of religious sources for moral and political convictions. Within Western theology and philosophy this may cause a certain tension to a secular view on autonomy. In the ethics of Dietrich Bonhoeffer it is, however, possible to find a notion of Christonomy that exceeds this tension by maintaining the insights of the claim of autonomy and yet qualifying this in a specific Christological sense. Bonhoeffer's view on Christonomy may therefore serve as a basis for a common ground of moral deliberation and yet point to a qualification of this common ground that moves beyond a separation of the worldly and the Christian.     

Perception of threat and safety at work among employees in the Norwegian ministries after the 2011 Oslo bombing

Background and objectives: Terrorism can heighten fears and undermine the feeling of safety. Little is known, however, about the factors that influence threat and safety perception after terrorism. The aim of the present study was to explore how proximity to terror and posttraumatic stress reactions are associated with perceived threat and safety after a workplace terrorist attack. Design and methods: A cross-sectional questionnaire survey was administered to employees in 14 of 17 Norwegian ministries 9–10 months after the 2011 bombing of the government headquarters in Oslo (n = 3520). Results: About 198 of 1881 employees completing the survey were at work when the bomb exploded. Regression analysis showed that this high-exposed group had elevated perceived threat (β = 0.36; 95% CI = 0.19 to 0.53) and reduced perceived safety (β = ?0.42; 95% CI = ?0.62 to ?0.23) compared to a reference group of employees not at work. After adjusting for posttraumatic stress reactions, however, proximity to the explosion no longer mattered, whereas posttraumatic stress was associated with both high perceived threat (β = 0.55; 95% CI = 0.48 to 0.63) and low perceived safety (β = ?0.71; 95% CI, ?0.80 to ?0.63). Conclusion: Terror-exposed employees feel more threatened and less safe after a workplace terrorist attack, and this is closely linked to elevated levels of posttraumatic stress reactions.     

Interactions among levels of processing

This article examines associations among representations of physical, name, and category information by determining effects of category repetition on and following physical, name, and category match trials. Subjects decided whether two letters were from the same half of the alphabet. Category repetition effects were evidenced by faster ~nd more accurate responses when letters from the same half of the alphabet were used on successive trials. Although physical matches showed no effect of category repetition, name and category matches did. Trials following physical matches were less affected by category repetition than were trials following name or category matches. The results suggested that these category repetition effects were mediated by interletter associations: Reaction time increased with the alphabetic distance between preceding and current letters. However, these distance effects held only for forward (A → B) and not backward (B → A) alphabetic sequences, suggesting that the alphabetic representation is ordinal and unidirectional.     

Social Ethics between Universality and Specificity: Outline of a Chalcedonian Social Ethic1

Abstract : In Lutheran ethics the Chalcedonian notion of the communication of properties (communicatio idiomatum) plays an important role in understanding the paradoxical relation between the reality of God and the reality of the world. This motif also plays an important role for Martin Luther and Dietrich Bonhoeffer. In a contemporary context the Chalcedonian understanding substantiates a differentiated unity between universality and specificity with regard to the foundation of a Lutheran social ethic.