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Persistent Neurobehavioral Problems Following Mild Traumatic Brain Injury
Archives of Clinical Neuropsychology 16 (2001) 561–570 Downloaded from https://academic.oup.com/acn/article/16/6/561/2043 by guest on 23 September 2021 Persistent neurobehavioral problems following mild traumatic brain injury Lawrence C. Hartlagea,*, Denise Durant-Wilsona, Peter C. Patcha,b aAugusta Neuropsychology Center, 4227 Evans to Locks Road, Evans, GA 30809, USA bUS Penitentiary, Atlanta, GA, USA Accepted 9 May 2000 Abstract Accumulating research documents typical rates in the range of 85% of mild traumatic brain injury (MTBI) showing prompt, complete resolution with 15% suffering from persistent neurobehavioral impairments. Studies of neurobehavioral symptoms of MTBI have not separated these two populations, resulting in either inconclusive or contradictory conclusions concerning the relationship of MTBI with residual behavioral problems. This project studied 70 MTBI patients with persistent neurobehavioral problems at two time intervals post-injury to determine whether there are consistent neurobehavioral patterns considered to be sequelae of MTBI. A matched group of 40 normal subjects provided control data. While most behavioral problems showed improvement, 21% tended to show significant behavioral impairment compared to controls at 12 or more months post-injury. Neurochemical bases of neuronal degeneration may account for some of the behavioral deterioration following MTBI. D 2001 National Academy of Neuropsychology. Published by Elsevier Science Ltd. Keywords: Persistent neurobehavioral problems; Brain; MTBI The scientific -
The Apres-Coup, Apres Coup: Concerning Jean Laplanche Problématiques VI
The Apres-Coup, Apres Coup: Concerning Jean Laplanche Problématiques VI. L’Après-Coup1 Sergio Benvenuto Italian Council for Scientific Research Abstract Here the author examines the question of après-coup (afterwardsness) in psychoanalysis, commenting in particular on Jean Laplanche’s book, Après-Coup. The author appreciates Laplanche’s determination to avoid either a positivist interpretation of après-coup (as a “delay-action bomb”, as simply a delayed psychic effect) or an hermeneutic interpretation that makes of it a post-factum re-signification of past events. Yet at the same time, the author shows that Laplanche’s solution— which assumes an initial trauma to the subject, who must “translate” an ambiguous and enigmatic message originating from an adult other—ends up being, in effect, a clever combination of the two approaches, positivist and hermeneutic, that Laplanche was trying to avoid. Laplanche advances a much too linear theory, placing “the other” (that is, the desire of the adult) at the beginning of the process, while Lacan’s approach to après-coup opens up far more complex and disturbing perspectives for psychoanalysis. The author, having shown the limitations of Laplanche’s result (“the primacy of the other”), proposes his own interpretation of après-coup, wherein it would connect, in a unique way, the cause and the sense of the psychic world: a subsequent event in some way makes the sense of a preceding event to function as the cause of later psychic phenomena or symptoms. Introduction In time, later, we realize that the question of nachträglich – après-coup in French – is one of the central knots of psychoanalysis. -
Psychoanalytic Discourse Reading Freud
Psychoanalytic Discourse Issue 4 - October, 2017 ISSN 2472 2472 Jean Laplanche’s Après-Coup - Problématiques VI Published 2017, New York: The Unconscious in Translation Owen Hewitson1 This collection, comprising Laplanche’s lecture series of 1989-1990, traces the evolution of a single term in Freud’s work – Nachträglichkeit. Après-coup is the sixth in the series of Problématiques, Laplanche’s long- running course that began in 1970. It was delivered two years after the publication of his major late work, 1987’s New Foundations for Psychoanalysis, into which Laplanche distilled his five previous Problématiques (Laplanche, 1987). Taken as a whole, the series cannot help but invite comparisons to the Seminar series of Jacques Lacan. Both men worked at the same time, in the same city, and in the same format of year-long public lectures. Lacan was Laplanche’s analyst, Laplanche his student. Indeed, it was actually Lacan who, in his “Rome Discourse” of 1953, first reappraised the term Nachträglichkeit (Lacan, 2006, p. 213). Laplanche gives him fair credit for this, though when compared to the long article devoted to the term in 1967’s magisterial The Language of Psychoanalysis – a work for which Laplanche is most famous in the English-speaking world – the reader might consider Lacan's treatment somewhat scant (Laplanche & Pontalis, 2004). Both men’s project is by their own accounts the same: a re-reading of Freud. Lacan’s is perhaps the more ‘creative’ re-reading, but Laplanche’s certainly the more honest, both to the totality of Freud’s thought and to the problems it confronts. -
A Comparison of Flashbacks and Ordinary Autobiographical
Behaviour Research and Therapy 42 (2004) 1–12 www.elsevier.com/locate/brat A comparison of flashbacks and ordinary autobiographical memories of trauma: content and language Steph J. Hellawell a,∗, Chris R. Brewin b a Royal Holloway, University of London, UK b University College, London, UK Received 12 November 2002; received in revised form 11 March 2003; accepted 12 March 2003 Abstract We investigated hypotheses derived from the dual representation theory of posttraumatic stress disorder, which proposes that flashbacks and ordinary memories of trauma are supported by different types of rep- resentation. Sixty-two participants meeting diagnostic criteria for posttraumatic stress disorder completed a detailed written trauma narrative, and afterwards identified those sections in the narrative that had been written in flashback and ordinary memory periods. As predicted, flashback periods were characterised by greater use of detail, particularly perceptual detail, by more mentions of death, more use of the present tense, and more mention of fear, helplessness, and horror. In contrast, ordinary memory sections were characterised by more mention of secondary emotions such as guilt and anger. 2003 Elsevier Ltd. All rights reserved. Keywords: Memory; PTSD; Trauma; Flashback; Narrative 1. Introduction The intense revisualizations of the traumatic scene (commonly known as “flashbacks”) reported by patients with posttraumatic stress disorder (PTSD) have been conceptualized both as a distinct form of memory (e.g., Brewin, 2001; Brewin, Dalgleish, & Joseph, 1996) and as a more frag- mented and disorganized form of ordinary autobiographical memory (Conway & Pleydell-Pearce, 2001; Foa & Riggs, 1993). Previously (Hellawell & Brewin, 2002) we presented evidence that parts of a trauma narrative labeled by PTSD patients as corresponding to periods of flashback ∗ Corresponding author. -
Compreheneon of Time. SPONS AGENCY North Carolina Univ., Greensboro
DOCUMENT RESUla ED 273 394 PS 016 064 AUTHOR Calvert, Sandra L.; Scott, N. Catherine TITLE Television Production Feature Effects on Children's Compreheneon of Time. SPONS AGENCY North Carolina Univ., Greensboro. PUB DATE Aug 86 NOTE 16p.; Paper presented at the Annual Meeting of the American Psychological Association (Washington, DC, August 22-26, 1986). PUB TYPE Reports - Research/Technical (143) -- Speeches/Conference Papers (150) EDRS PRICE MF01/PC01 Plus Postage. DESCRIPTORS Age Differences; *Audi,ory Stimuli; *Comprehension; Elementary Education; *Elementary School Students; Sex Differences; *Television Viewing; *Time; *Visual Stimuli ABSTRACT Children's temporal comprehension was assessed after viewing a television program containing flashbacks that shifted the events to much earlier times. Flashbacks were marked or not marked with sound effects, and time relations were represented with either dreamy dissolves or abrupt camera cuts. A total of 64 children, equally distributed by sex and by grades kindergarten and first versus fourth and fifth, participated in individual viewing sessions. After viewing, children sequenced picture sets to assess temporal integration of the plot line and answered questions to assess comprehension of the flashbacks. Results indicated that young children understood temporal concepts best after viewing camera dissolves, but older boys understood concepts of real time best after viewing camera cuts. The results suggest that formal features differentially activate mental skills, depending on children's -
Freud: Memory and the Metapsychological Witch
Freud: Memory and the Metapsychological Witch Manuel Batsch Thesis submitted for the degree of Doctor of Philosophy University College London 2015 I, Manuel Batsch confirm that the work presented in this thesis is my own. Where information has been derived from other sources, I confirm that this has been indicated in the thesis. 2 Acknowledgements First and foremost, I would like to express my deep gratitude to my supervisors, Juliet Mitchell and Liz Allison for their excellent guidance and generous encouragement during this project. Thanks to their benevolent attention and intelligent advice, I was able to construct and structure my research question. Our supervision meetings were crucial steps in the writing of my thesis and they also remain in my memory as transformative existential moments. I was impressed by the accuracy with which they read and corrected my drafts, a process from which I learnt a great deal. Psychoanalysis and Feminism is an important book in my inner library and often, when I feel threatened by a kind of intellectual inertia, I just have to reread some of its passages to regain a pleasure for thoughts. The seminars and supervisions with Juliet Mitchell have always triggered the same pleasure and inspired in me a form of bravery in thinking. I have been working under the supervision of Liz Allison since my MSc dissertation and throughout these years she has given me the confidence to compose academic work in English. Amongst many other things, I owe to her my introduction to a completely new reading of Derrida. Our Bion reading group was also extremely helpful and had a significant impact on my understanding of metapsychology after Freud. -
Ethics Questions Raised by the Neuropsychiatric
REGULAR ARTICLE Ethics Questions Raised by the Neuropsychiatric, Neuropsychological, Educational, Developmental, and Family Characteristics of 18 Juveniles Awaiting Execution in Texas Dorothy Otnow Lewis, MD, Catherine A. Yeager, MA, Pamela Blake, MD, Barbara Bard, PhD, and Maren Strenziok, MS Eighteen males condemned to death in Texas for homicides committed prior to the defendants’ 18th birthdays received systematic psychiatric, neurologic, neuropsychological, and educational assessments, and all available medical, psychological, educational, social, and family data were reviewed. Six subjects began life with potentially compromised central nervous system (CNS) function (e.g., prematurity, respiratory distress syndrome). All but one experienced serious head traumas in childhood and adolescence. All subjects evaluated neurologically and neuropsychologically had signs of prefrontal cortical dysfunction. Neuropsychological testing was more sensitive to executive dysfunction than neurologic examination. Fifteen (83%) had signs, symptoms, and histories consistent with bipolar spectrum, schizoaffective spectrum, or hypomanic disorders. Two subjects were intellectually limited, and one suffered from parasomnias and dissociation. All but one came from extremely violent and/or abusive families in which mental illness was prevalent in multiple generations. Implications regarding the ethics involved in matters of culpability and mitigation are considered. J Am Acad Psychiatry Law 32:408–29, 2004 The first well-documented case in America of execut- principle, the New Jersey Supreme Court, in the case ing a child antedates the American Revolution. In of State v. Aaron,5 overturned the death sentence of 1642, a 16-year-old boy, Thomas Graunger, was an 11-year-old slave convicted of murdering a hanged for the crime of bestiality, having sodomized younger child. -
Radical Psychoanalysis
RADICAL PSYCHOANALYSIS Only by the method of free-association could Sigmund Freud have demonstrated how human consciousness is formed by the repression of thoughts and feelings that we consider dangerous. Yet today most therapists ignore this truth about our psychic life. This book offers a critique of the many brands of contemporary psychoanalysis and psychotherapy that have forgotten Freud’s revolutionary discovery. Barnaby B. Barratt offers a fresh and compelling vision of the structure and function of the human psyche, building on the pioneering work of theorists such as André Green and Jean Laplanche, as well as contemporary deconstruction, feminism, and liberation philosophy. He explores how “drive” or desire operates dynamically between our biological body and our mental representations of ourselves, of others, and of the world we inhabit. This dynamic vision not only demonstrates how the only authentic freedom from our internal imprisonments comes through free-associative praxis, it also shows the extent to which other models of psychoanalysis (such as ego-psychology, object-relations, self-psychology, and interpersonal-relations) tend to stray disastrously from Freud’s original and revolutionary insights. This is a vision that understands the central issues that imprison our psychic lives—the way in which the reflections of consciousness are based on the repression of our innermost desires, the way in which our erotic vitality is so often repudiated, and the way in which our socialization oppressively stifles our human spirit. Radical Psychoanalysis restores to the discipline of psychoanalysis the revolutionary impetus that has so often been lost. It will be essential reading for psychoanalysts, psychoanalytic psychotherapists, mental health practitioners, as well as students and academics with an interest in the history of psychoanalysis. -
3 a Basic Systems Account of Trauma Memories in PTSD: Is More Needed?
3 A basic systems account of trauma memories in PTSD: is more needed? David C. Rubin The purpose of this chapter is to provide a summary of our current knowledge of autobiographical memory at the behavioral and neural level and how it can be applied to posttraumatic stress disorder (PTSD), a disorder whose diagnostic criteria and symptoms depend on autobio- graphical memory. I start with everyday memories in nonclinical popula- tions because it is unlikely on theoretical and empirical grounds that changes in autobiographical memory in PTSD occur for just trauma- related memories rather than for autobiographical memories in general (Rubin et al., 2008a; 2008b; 2011). In addition, based on just the diagnostic symptoms of PTSD, there is good reason to examine general changes in autobiographical memory. The reliving, avoidance, and arousal symptoms of PTSD are not exclusive to the memory of the index trauma on which diagnosis is made. Rather, they extend to memories related to the index trauma in various ways from low-level direct percep- tual matches to very abstract and symbolic similarities. Even repetitive intrusive memories do not have to repeat verbatim but can relate to different aspects of a trauma (Berntsen & Rubin, 2008). Avoidance symptoms include avoiding situations a neutral observer may not think would be reminders of the trauma. Arousal symptoms involving hyper- vigilance extend to more than appropriate trauma-related vigilance, and the increased startle response symptom results from stimuli unrelated to the trauma. The section immediately following this brief introduction is titled “Autobiographical Memories are Constructed.” Memories are con- structed in the sense that processes create the memories anew each time they are recalled rather than retrieving a stored fixed version of the past. -
Signifying Trauma in the Post-9/11 Combat Film: the Hurt Locker and in the Valley of Elah Introduction This Article Addresses T
Signifying Trauma in the Post-9/11 Combat Film: The Hurt Locker and In the Valley of Elah Introduction This article addresses two Iraq War films, The Hurt Locker (Bigelow 2008) and In the Valley of Elah (Haggis 2007), through the lens of trauma theory. Uniquely, it engages with Slavoj Žižek’s account of the Real in its analysis of how victim/perpetrator trauma is signified in their respective narrative structures and visual style. The primary argument is that the pattern of traumatic memory is reflected in their narrative modes. At the same time, it claims that the unfolding narrative of In the Valley of Elah mimics certain forms of trauma treatment, operating in a therapeutic mode for its characters (as well as offering narrative resolution for spectators). Such analysis of trauma differs from other scholarly approaches to these films that have variously considered them from perspectives of: embodiment in the war film (Burgoyne 2012); the ethics of viewing traumatic suffering (Straw 2011); the de-politicisation of torture by the inclusion of posttraumatic stress disorder (PTSD) (Barker 2011); indifference to post-9/11 war films as an inability to respond to the trauma and loss that terrorism poses (Toffoletti and Grace 2010); trauma and the militarised body (Andreescu 2016); and the narration of trauma in Iraq War Films (Kopka 2018). To some extent Katalina Kopka’s analysis is comparable to the argument here because she examines how Kathryn Bigelow incorporates traumatic memory into the narrative fabric of The Hurt Locker. Specifically, she claims that the narrative is ‘organized by the principle of repetition compulsion’ (2018: 108) in the way that all bomb disposals featured in the film follow a similar structure and there is a mirroring of certain scenes. -
A TRANSFORMATIVE MOMENT a New Name, and a Leap Forward in Medical Education
FALL 2016 medicineTHE ROBERT LARNER, M.D. COLLEGE OF MEDICINE AT THE UNIVERSITY OF VERMONT A TRANSFORMATIVE MOMENT A new name, and a leap forward in medical education. JUNE 2-4 2017 ALSO FEATURED: ▲ Genomic Revolution ▲ Anethesiology History RECONNECT FOR REAL! REUNION E VENTS INCLUDE: Medical Education Today Session • Alumni Awards & Reception Medical Alumni Picnic • Tours of the College Clinical Simulation Lab • Nostalgia Hour • Class Receptions For more information visit uvm.edu/medicine/alumni PROFILES IN GIVING VERMONT LARNER COLLEGE OF MEDICINE MAGAZINE The Doctors are In 2 From the Dean 3 College News The UVM Alumni House opened in September, and the Larner College of Medicine is well represented in the structure, A Vice-Presidential visit, a helping hand thanks to more than 30 dual-degree alumni who contributed to the fundraising effort to name a space in the new venue. for the homeless, celebrations of research In recognition of a leadership gift, the room has been named the Harry J. Anton, ’37 M.D.’40 & Raymond J. Anton, and white coats, and more. M.D.’70 Medical Alumni Association Room. Alumni House is a welcoming location where alums from across the class years can gather when they return to campus for reunion and various other events. features This effort was endorsed by the Alumni Executive Committee of the Medical Alumni Association. The College gratefully acknowledge these medical alumni who contributed $5,000 10 14 20 or more to this unique fundraising effort: Ray Anton M.D.’70 Cheryl Davis ’74, M.D.’78 Susan Pitman Lowenthal ’65, M.D.’69 A.Rees Midgley ’55, M.D.’58 Marvin Nierenberg ’57, M.D.’60 Kennith Sartorelli ’82, M.D.’87 Paul Rutkowski ’59, M.D.’63 Ruth A. -
Derrida in the Archive. Genetic Spectres1
CzasKultury/EnglishCzasKultur 2/2013 y/English Abstract Hauntology is a trend in music, and, more generally, in culture, first defined by Mark Fisher, Simon Reynolds and Adam Harper. It in- cludes artists interested in the exploration of memory in strict re- Derridalation to media broadcasts (hence in the frequentthe references to radio and television). The alphabet of hauntology is an attempt to review the phenomenon in the form of an alphabetical compilation that in- Archive.cludes both its most significant representativesGenetic and profiles of those who initiated the trend. Spectres.Bio Olga Drenda (b. 1984) – a journalist and graduate in Ethnology and Cultural Anthropology at the Jagiellonian University. She has pub- Jakublished in a number Momro of Polish cultural periodicals and is the author of the blog duchologia.tumblr.com, dedicated to hauntology in Poland. translated by Joanna Maciulewicz 2/2013 62 Derrida in the Archive. Genetic Spectres1 Jakub Momro In dreams we see but we do not hear Sigmund Freud Writing as sweet nourishment or as excrement, the trace as seed or mortal germ, wealth or weapon, de- tritus and/or penis” Jacques Derrida Words are treated in dreams as though they were things, and for that reason they are apt to be com- bined in just the same way as are presentation of things Sigmund Freud Can one imagine an archive without foundation, with- out substrate, without substance? Jacques Derrida 1 This research has been funded by the National Centre of Science from resources dedicated to fund the internships of scholars who have recently obtained their doctoral degree (decision number DEC-2012/04/S/HS2/00315).