An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

The rapid-smoking technique: Subject characteristics and treatment outcome

There is a lack of consistency in findings regarding subject (S) characteristics and the effects of smoking-control programmes. Research workers appear to assume that abstinence and reduction in smoking rate are merely different points in the same continuum, and therefore seek to correlate S variables with percentage reductions in smoking rate. It is argued that abstinence and reduced smoking are more appropriately viewed as potentially discrete outcomes. Conceptualizing outcome in this manner, a discriminant function analysis was employed to determine whether it is possible to differentiate between Ss who do, or do not, abstain following participation in a treatment programme involving rapid-smoking. It was found that it is possible to discriminate between the two groups of Ss. Advantages deriving from this approach to the investigation of S characteristics and treatment outcome are discussed.     

Groups to Resolve Conflicts Between Groups: Diplomacy with a Therapeutic Dimension

The group self, an individual's self-perception as a member of a group, is distinguished from the group's self, a personification of the group as a person with a self. The perceived group's self of an opposing other group is often a repository for attributes group members are not ready to recognize in their own group's self. Theoretically, the need for an adversarial other to hold one's own group's unwanted attributes—and thus to complete one's own group's self—contributes, however unconsciously, to the apparent intractability of intergroup disputes. In dealing with these issues, I compare intergroup conflict resolution (ICR) groups with therapy groups, on the one hand, and advocacy groups on the other. All of this sets the stage for a presentation of two ICR projects and their analysis in group-developmental terms.     

SOME REFLECTIONS ON IAN MCEWAN'S ATONEMENT: ENACTMENT,GUILT, AND REPARATION

Recognizing that enactments have been discussed in psychoanalysis primarily as occurrences in the treatment setting, the author proposes a new application of the term enactments: that it may pertain to the actions of some individuals in their efforts to cope with bad things that they have done to others. That is, enactment can be a substitute‐for‐atonement mechanism. The author illustrates this view of enactment through a discussion of Ian McEwan's novel Atonement (2001), and in particular by examining the behavior and motivations of one of its central characters, Briony Tallis. Included are explorations of the relationships between enactment and guilt and between enactment and reparation.     

Comparative analysis of the risk-handling procedures for gene technology applications in medical and plant science

In this paper we analyse how the risks associated with research on transgenic plants are regulated in Sweden. The paper outlines the way in which pilot projects in the plant sciences are overseen in Sweden, and discusses the international and national background to the current regulatory system. The historical, and hitherto unexplored, reasons for the evolution of current administrative and legislative procedures in plant science are of particular interest. Specifically, we discuss similarities and differences in the regulation of medicine and plant science, and we examine the tendency towards dichotomizing risk — focusing on social/ethical risks in medicine and biological risks in plant science. The context of this article is the Synpraxia research project, an inter-disciplinary program combining expertise in sciences and the humanities.     

Personalidad,estrategias cognitivas y tiempo de inspección

Resumen

En el presente trabajo se han empleado las medidas cronométricas de Tiempo de Inspección (TI) y Tiempo de Reacción (TR) para estudiar los efectos de las diferencias individuales en extroversión sobre una tarea de discriminación perceptual. Para ello se utilizaron dos grupos de sujetos que habían obtenido puntuaciones máximas y mínimas en la dimensión Extroversión del Test EPI de Eysenck, H.J. Se postuló que los extrovertidos obtendrían un TI más corto que los introvertidos y asimismo un TR también más corto, de acuerdo a los modelos de Brebner (1980) y Tous (1986). Los resultados indicaron que, si bien existieron diferencias entre extrovertidos e introvertidos en cuanto a las medidas cronométricas, estas diferencias dependieron del uso diferencial de estrategias de resolver la tarea que fueron utilizadas por estos sujetos.     

BIOLOGY AND THE THEOLOGY OF THE HUMAN

We will consider two Christian responses to the enormous advances in recent years in the connected sciences of genetics, evolutionary biology, and biochemistry, a dualist one by Pope John Paul II and an “emergentist” one by Arthur Peacocke. These two could hardly be more different. It would be impossible within the scope of a brief comment to do justice to these differences. What I hope to do instead is more modest: to draw attention to troublesome ambiguities in some of the key concepts on which discussions of human uniqueness depend, to recall very briefly some of the difficulties philosophers have encountered in their attempts to define the relation of the human powers of mind to the material capacities of body, and finally to ask what the theological significance of all this is.     

The Vatican and Europe: Political Theology and Ecclesiology in Papal Statements from Pius XII to Benedict XVI

The article examines the origins and evolution of the Vatican's political theology and ecclesiology for Europe from Pius XII (especially after the Second World War) and including the pontificates of John XXIII, Paul VI, John Paul II and Benedict XVI. It seeks to examine the continuities of the ‘Idea of Europe’ in papal thought against a background of changing political context – the end of the Second World War, the Cold War, the fall of the communist state system, the emergence of a united but diverse Europe after 1989. The political structures of the continent now include within its geographic sweep Western and Eastern Christian churches which, divided by tradition and modern history, find their relationship a key marker in the contemporary religious identity of Europe. This reality is a significant framework for Vatican thinking on Europe especially for John Paul II and Benedict XVI.     

Perspectives on the future of ecumenism: the 50th anniversary of Unitatis Redintegratio

Unitatis Redintegratio, the decree on the participation of the Catholic Church in the ecumenical movement, was promulgated by Pope Paul VI on Saturday 21 November 1964, now just over 50 years ago. This article reminds us of the events leading up to that day, which shaped the text and which must be understood, if we are to arrive at a proper evaluation of the decree and its consequences.