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Sample records for hypnotic identity delusion

  1. Hypnosis and belief: A review of hypnotic delusions.

    Science.gov (United States)

    Connors, Michael H

    2015-11-01

    Hypnosis can create temporary, but highly compelling alterations in belief. As such, it can be used to model many aspects of clinical delusions in the laboratory. This approach allows researchers to recreate features of delusions on demand and examine underlying processes with a high level of experimental control. This paper reviews studies that have used hypnosis to model delusions in this way. First, the paper reviews studies that have focused on reproducing the surface features of delusions, such as their high levels of subjective conviction and strong resistance to counter-evidence. Second, the paper reviews studies that have focused on modelling underlying processes of delusions, including anomalous experiences or cognitive deficits that underpin specific delusional beliefs. Finally, the paper evaluates this body of research as a whole. The paper discusses advantages and limitations of using hypnotic models to study delusions and suggests some directions for future research. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Mirror agnosia and the mirrored-self misidentification delusion: a hypnotic analogue.

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    Connors, Michael H; Cox, Rochelle E; Barnier, Amanda J; Langdon, Robyn; Coltheart, Max

    2012-05-01

    Mirrored-self misidentification is the delusional belief that one's reflection in the mirror is a stranger. Current theories suggest that one pathway to the delusion is mirror agnosia (a deficit in which patients are unable to use mirror knowledge when interacting with mirrors). This study examined whether a hypnotic suggestion for mirror agnosia can recreate features of the delusion. Ten high hypnotisable participants were given either a suggestion to not understand mirrors or to see the mirror as a window. Participants were asked to look into a mirror and describe what they saw. Participants were tested on their understanding of mirrors and received a series of challenges. Participants then received a detailed postexperimental inquiry. Three of five participants given the suggestion to not understand mirrors reported seeing a stranger and maintained this belief when challenged. These participants also showed signs of mirror agnosia. No participants given the suggestion to see a window reported seeing a stranger. Results indicate that a hypnotic suggestion for mirror agnosia can be used to recreate the mirrored-self misidentification delusion. Factors influencing the effectiveness of hypnotic analogues of psychopathology, such as participants' expectations and interpretations, are discussed.

  3. A stranger in the looking glass: developing and challenging a hypnotic mirrored-self misidentification delusion.

    Science.gov (United States)

    Barnier, Amanda J; Cox, Rochelle E; Connors, Michael; Langdon, Robyn; Coltheart, Max

    2011-01-01

    This article describes a study that used hypnosis to temporarily re-create mirrored-self misidentification, which is the delusional belief that the person one sees in the mirror is a stranger. Following a hypnotic suggestion to see a stranger in the mirror, high hypnotizable subjects described seeing a stranger with physical characteristics different to their own. Whereas subjects' beliefs about seeing a stranger were clearly false, they had no difficulty generating sensible reasons to explain the stranger's presence. The authors tested the resilience of this belief with clinically inspired challenges. Although visual challenges (e.g., the hypnotist appearing in the mirror alongside the subject) were most likely to breach the delusion, some subjects maintained the delusion across all challenges. Findings are discussed in light of the dominant theory of delusions and highlight the advantages of using hypnosis to explore delusional beliefs.

  4. Understanding delusions

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    Chandra Kiran

    2009-01-01

    Full Text Available Delusion has always been a central topic for psychiatric research with regard to etiology, pathogenesis, diagnosis, treatment, and forensic relevance. The various theories and explanations for delusion formation are reviewed. The etiology, classification and management of delusions are briefly discussed. Recent advances in the field are reviewed.

  5. Shared delusions of doubles.

    Science.gov (United States)

    Christodoulou, G N; Margariti, M M; Malliaras, D E; Alevizou, S

    1995-01-01

    This is the first report of two partners in a folie à deux situation manifesting identical Capgras delusions. It is postulated that the Capgras syndrome developed as a result of interaction between a dominant patient with primarily paranoid psychopathology and a submissive one with primarily organic dysfunction. The submissive "neuro-organic" partner experienced a non-delusional misidentification that acquired a delusional component and developed into the Capgras syndrome as a result of elaboration by the dominant paranoid partner, who subsequently "imposed" the Capgras delusion on the submissive partner. The submissive patient, and, to a lesser extent the dominant patient, had evidence of organic cerebral dysfunction. PMID:7738567

  6. Hypnotically induced somatosensory alterations: Toward a neurophysiological understanding of hypnotic anaesthesia.

    Science.gov (United States)

    Zeev-Wolf, Maor; Goldstein, Abraham; Bonne, Omer; Abramowitz, Eitan G

    2016-07-01

    Whereas numerous studies have investigated hypnotic analgesia, few have investigated hypnotic anaesthesia. Using magnetoencephalography (MEG) we investigated and localized brain responses (event-related fields and oscillatory activity) during sensory processing under hypnotic anaesthesia. Nineteen right handed neurotypical individuals with moderate-to-high hypnotizability received 100 vibrotactile stimuli to right and left index fingers in a random sequence. Thereafter a hypnotic state was induced, in which anaesthetic suggestion was applied to the left hand only. Once anaesthetic suggestion was achieved, a second, identical, session of vibrotactile stimuli was commenced. We found greater brain activity in response to the stimuli delivered to the left (attenuated) hand before hypnotic anaesthesia, than under hypnotic anaesthesia, in both the beta and alpha bands. In the beta band, the reduction of activity under hypnotic anaesthesia was found around 214-413ms post-stimuli and was located mainly in the right insula. In the alpha band, it was found around 253-500ms post-stimuli and was located mainly in the left inferior frontal gyrus. In a second experiment, attention modulation per se was ruled out as the underlying cause of the effects found. These findings may suggest that the brain mechanism underlying hypnotic anaesthesia involves top-down somatosensory inhibition and, therefore, a reduction of somatosensory awareness. The result of this mechanism is a mental state in which individuals lose bodily sensation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Alcohol increases hypnotic susceptibility.

    Science.gov (United States)

    Semmens-Wheeler, Rebecca; Dienes, Zoltán; Duka, Theodora

    2013-09-01

    One approach to hypnosis suggests that for hypnotic experience to occur frontal lobe activity must be attenuated. For example, cold control theory posits that a lack of awareness of intentions is responsible for the experience of involuntariness and/or the subjective reality of hypnotic suggestions. The mid-dorso-lateral prefrontal cortex and the ACC are candidate regions for such awareness. Alcohol impairs frontal lobe executive function. This study examined whether alcohol affects hypnotisability. We administered 0.8 mg/kg of alcohol or a placebo to 32 medium susceptible participants. They were subsequently hypnotised and given hypnotic suggestions. All participants believed they had received some alcohol. Participants in the alcohol condition were more susceptible to hypnotic suggestions than participants in the placebo condition. Impaired frontal lobe activity facilitates hypnotic responding, which supports theories postulating that attenuation of executive function facilitates hypnotic response, and contradicts theories postulating that hypnotic response involves enhanced inhibitory, attentional or other executive function. Copyright © 2013. Published by Elsevier Inc.

  8. Delusion disorder: Neuropsychological aspects

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    Leposavić Ivana

    2004-01-01

    Full Text Available Previous studies concerned with neuropsychological aspect of delusions, were mainly focused on specific forms of this disorder. Comparatively small number of investigations were concerned with cognitive deficiencies accompanying the delusions. The substance of this study includes the detection of neuropsychological disfunctions in patients with persistent delusion disorder, and in tracing of these cognitive distortions to appropriate brain regions. Besides, characteristics of attribution style in these patients are analysed, from the aspect of their connections with unadjusted localized input for their reasoning system. The investigation is designed as a comparative study. The sample includes: a group of patients with persistent delusion disorder; a group of patients with paranoid schizophrenia; a group of healthy individuals. The participants have been tested by a neuropsychological battery that represents the following cognitive functions: attention, memory, vizuospatial and vizuoconstruction organization, executive ability, verbal divergent thinking. Projective Rorschach's method was used for estimation of attribution style.

  9. Why do delusions persist?

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    Philip R Corlett

    2009-07-01

    Full Text Available Delusions are bizarre and distressing beliefs that characterize certain mental illnesses. They arise without clear reasons and are remarkably persistent. Recent models of delusions, drawing on a neuroscientific understanding of learning, focus on how delusions might emerge from abnormal experience. We believe that these models can be extended to help us understand why delusions persist. We consider prediction error, the mismatch between expectancy and experience, to be central. Surprising events demand a change in our expectancies. This involves making what we have learned labile, updating and binding the memory anew: a process of memory reconsolidation. We argue that, under the influence of excessive prediction error, delusional beliefs are repeatedly reconsolidated, strengthening them so that they persist, apparently impervious to contradiction.

  10. Delusion of Parasitosis

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    T N Srinivasan

    1989-01-01

    Full Text Available Delusion of parasitosis is a type of mono-symptomatic hypo-chondriacal psychosis common in elderly females whose response to drug therapy, usually pimozide, is variable. Two male patients presented with the delusion on their skin being infested with minute insects. One of them experienced presence of the inside the body cavities and spreading all over the body. They were treated satisfactorily with the neuroleptic drug, trifluoperazine.

  11. Using hypnosis to disrupt face processing: Mirrored-self misidentification delusion and different visual media

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    Michael H Connors

    2014-06-01

    Full Text Available Mirrored-self misidentification delusion is the belief that one’s reflection in the mirror is not oneself. This experiment used hypnotic suggestion to impair normal face processing in healthy participants and recreate key aspects of the delusion in the laboratory. From a pool of 439 participants, 22 high hypnotisable participants (highs and 20 low hypnotisable participants were selected on the basis of their extreme scores on two separately administered measures of hypnotisability. These participants received a hypnotic induction and a suggestion for either impaired (i self-face recognition or (ii impaired recognition of all faces. Participants were tested on their ability to recognise themselves in a mirror and other visual media – including a photograph, live video, and handheld mirror – and their ability to recognise other people, including the experimenter and famous faces. Both suggestions produced impaired self-face recognition and recreated key aspects of the delusion in highs. However, only the suggestion for impaired other-face recognition disrupted recognition of other faces, albeit in a minority of highs. The findings confirm that hypnotic suggestion can disrupt face processing and recreate features of mirrored-self misidentification. The variability seen in participants’ responses also corresponds to the heterogeneity seen in clinical patients. An important direction for future research will be to examine sources of this variability within both clinical patients and the hypnotic model.

  12. Using hypnosis to disrupt face processing: mirrored-self misidentification delusion and different visual media.

    Science.gov (United States)

    Connors, Michael H; Barnier, Amanda J; Coltheart, Max; Langdon, Robyn; Cox, Rochelle E; Rivolta, Davide; Halligan, Peter W

    2014-01-01

    Mirrored-self misidentification delusion is the belief that one's reflection in the mirror is not oneself. This experiment used hypnotic suggestion to impair normal face processing in healthy participants and recreate key aspects of the delusion in the laboratory. From a pool of 439 participants, 22 high hypnotisable participants ("highs") and 20 low hypnotisable participants were selected on the basis of their extreme scores on two separately administered measures of hypnotisability. These participants received a hypnotic induction and a suggestion for either impaired (i) self-face recognition or (ii) impaired recognition of all faces. Participants were tested on their ability to recognize themselves in a mirror and other visual media - including a photograph, live video, and handheld mirror - and their ability to recognize other people, including the experimenter and famous faces. Both suggestions produced impaired self-face recognition and recreated key aspects of the delusion in highs. However, only the suggestion for impaired other-face recognition disrupted recognition of other faces, albeit in a minority of highs. The findings confirm that hypnotic suggestion can disrupt face processing and recreate features of mirrored-self misidentification. The variability seen in participants' responses also corresponds to the heterogeneity seen in clinical patients. An important direction for future research will be to examine sources of this variability within both clinical patients and the hypnotic model.

  13. Deepening sleep by hypnotic suggestion.

    Science.gov (United States)

    Cordi, Maren J; Schlarb, Angelika A; Rasch, Björn

    2014-06-01

    Slow wave sleep (SWS) plays a critical role in body restoration and promotes brain plasticity; however, it markedly declines across the lifespan. Despite its importance, effective tools to increase SWS are rare. Here we tested whether a hypnotic suggestion to "sleep deeper" extends the amount of SWS. Within-subject, placebo-controlled crossover design. Sleep laboratory at the University of Zurich, Switzerland. Seventy healthy females 23.27 ± 3.17 y. Participants listened to an auditory text with hypnotic suggestions or a control tape before napping for 90 min while high-density electroencephalography was recorded. After participants listened to the hypnotic suggestion to "sleep deeper" subsequent SWS was increased by 81% and time spent awake was reduced by 67% (with the amount of SWS or wake in the control condition set to 100%). Other sleep stages remained unaffected. Additionally, slow wave activity was significantly enhanced after hypnotic suggestions. During the hypnotic tape, parietal theta power increases predicted the hypnosis-induced extension of SWS. Additional experiments confirmed that the beneficial effect of hypnotic suggestions on SWS was specific to the hypnotic suggestion and did not occur in low suggestible participants. Our results demonstrate the effectiveness of hypnotic suggestions to specifically increase the amount and duration of slow wave sleep (SWS) in a midday nap using objective measures of sleep in young, healthy, suggestible females. Hypnotic suggestions might be a successful tool with a lower risk of adverse side effects than pharmacological treatments to extend SWS also in clinical and elderly populations.

  14. Delusions of parasitosis.

    Science.gov (United States)

    Wong, Jillian W; Koo, John Ym

    2013-01-01

    Patients with delusions of parasitosis (DOP) are more commonly recognized in dermatology practices today. However, dermatologists may feel uncomfortable treating these patients because of the psychiatric nature of their disorder. As a result of the fact that DOP patients strongly prefer to seek treatment from dermatologists rather than mental health professionals, it is important for dermatologists to be well equipped with a basic understanding of the disorder and with tools to assist this patient population. In this review, we discuss the epidemiology, presentation, differential diagnosis and treatment strategy for patients with DOP.

  15. Delusions of parasitosis

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    Jillian W Wong

    2013-01-01

    Full Text Available Patients with delusions of parasitosis (DOP are more commonly recognized in dermatology practices today. However, dermatologists may feel uncomfortable treating these patients because of the psychiatric nature of their disorder. As a result of the fact that DOP patients strongly prefer to seek treatment from dermatologists rather than mental health professionals, it is important for dermatologists to be well equipped with a basic understanding of the disorder and with tools to assist this patient population. In this review, we discuss the epidemiology, presentation, differential diagnosis and treatment strategy for patients with DOP.

  16. [Clinical aspects of witchcraft delusions].

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    Pashkovskiĭ, V E

    2005-01-01

    To distinguish clinical variants and to specify nosologic entity of witchcraft delusions, 69 patients (10 males, aged 15-72 years) have been examined. It was found that witchcraft delusions exist in passive and active forms. In a passive form, the patient is sure that unknown (mystic) power damaged him/her; in an active form the patient, possessing a gift for unusual abilities, can influence the others (bewitches, heals, etc). Five clinical syndromes, in the structure of which the above delusions were found, namely, paranoiac-hypochondriac, hallucination-paranoid, depressive-paranoid, paraphrenic and delirious, were identified. Psychoses of schizophrenia spectrum were diagnosed in 52 patients, organic--in 8, alcoholic--in 7 and recurrent depressive disorder--in 2. Clinical significance of witchcraft delusions is closely related to its social aspect. Being combined with ideas of persecution, poisoning and damage, it results in the brutal forms of delusions defense and may be considered as an unfavorable prognostic trait.

  17. Hypnotics and Sedatives

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    Kabra, Pokar M.; Koo, Howard Y.; Marton, Laurence J.

    In recent years, most large hospitals have observed a marked increase in the admission of patients suffering from drug overdose. Overdose of narcotic drugs, such as the opiates, represent less of a problem on a day-to-day basis than do overdoses of prescribed drugs, such as sedatives and hypnotics. Clinical signs and symptoms for a narcotic drug overdose are very distinct, and in the majority of cases can be easily recognized by the attending physicians without the help of a toxicology laboratory. Loomis (1) reported that the majority of fatal poisonings owed to one, or a combination, of four agents: barbiturates, carbon monoxide, ethyl alcohol, and salicylates. Berry (2) estimated that 5-5'-disubstituted barbiturates were the second commonest cause of fatal poisoning in England, and that the frequency of their use was increasing. Other nonbarbiturate hypnotics involved in coma-producing incidents include glutethimide (Doriden®), methyprylon (Noludar®), and meprobamate (3, 4). In the last five years, diazepam (Valium®) has become one of the leading misused drugs (5).

  18. Hypnotic susceptibility and dream characteristics.

    Science.gov (United States)

    Zamore, N; Barrett, D

    1989-11-01

    This study examined the relationship of hypnotic susceptibility to a variety of dream characteristics and types of dream content. A Dream Questionnaire was constructed synthesizing Gibson's dream inventory and Hilgard's theoretical conceptions of hypnosis. Employing the Harvard Group Scale of Hypnotic Susceptibility and the Field Inventory for evaluating hypnotic response, several dream dimensions correlated significantly with hypnotizability. For subjects as a whole, the strongest correlates were the frequency of dreams which they believed to be precognitive and out-of-body dreams. Ability to dream on a chosen topic also correlated significantly with hypnotic susceptibility for both genders. For females only, there was a negative correlation of hypnotic susceptibility to flying dreams. Absorption correlated positively with dream recall, ability to dream on a chosen topic, reports of conflict resolution in dreams, creative ideas occurring in dreams, amount of color in dreams, pleasantness of dreams, bizarreness of dreams, flying dreams and precognitive dreams.

  19. Deepening Sleep by Hypnotic Suggestion

    Science.gov (United States)

    Cordi, Maren J.; Schlarb, Angelika A.; Rasch, Björn

    2014-01-01

    Study Objectives: Slow wave sleep (SWS) plays a critical role in body restoration and promotes brain plasticity; however, it markedly declines across the lifespan. Despite its importance, effective tools to increase SWS are rare. Here we tested whether a hypnotic suggestion to “sleep deeper” extends the amount of SWS. Design: Within-subject, placebo-controlled crossover design. Setting: Sleep laboratory at the University of Zurich, Switzerland. Participants: Seventy healthy females 23.27 ± 3.17 y. Intervention: Participants listened to an auditory text with hypnotic suggestions or a control tape before napping for 90 min while high-density electroencephalography was recorded. Measurements and Results: After participants listened to the hypnotic suggestion to “sleep deeper” subsequent SWS was increased by 81% and time spent awake was reduced by 67% (with the amount of SWS or wake in the control condition set to 100%). Other sleep stages remained unaffected. Additionally, slow wave activity was significantly enhanced after hypnotic suggestions. During the hypnotic tape, parietal theta power increases predicted the hypnosis-induced extension of SWS. Additional experiments confirmed that the beneficial effect of hypnotic suggestions on SWS was specific to the hypnotic suggestion and did not occur in low suggestible participants. Conclusions: Our results demonstrate the effectiveness of hypnotic suggestions to specifically increase the amount and duration of slow wave sleep (SWS) in a midday nap using objective measures of sleep in young, healthy, suggestible females. Hypnotic suggestions might be a successful tool with a lower risk of adverse side effects than pharmacological treatments to extend SWS also in clinical and elderly populations. Citation: Cordi MJ, Schlarb AA, Rasch B. Deepening sleep by hypnotic suggestion. SLEEP 2014;37(6):1143-1152. PMID:24882909

  20. Illusionary delusions. Willingness to exercise self-control can mask effects of glucose on self-control performance in experimental paradigms that use identical self-control tasks.

    Science.gov (United States)

    Chatzisarantis, Nikos L D; Hagger, Martin S

    2015-01-01

    The purpose of the present article is to highlight limitations of Lange and Eggert's methodology of using identical self-control tasks in testing effects of glucose on depletion of self-control resources and self-control performance. We suggest that when participants engage in two identical self-control tasks, cognitions developed during initial act of self-control may mask the effects of glucose on self-control performance by undermining willingness to exert effort during the second act of self-control. As a consequence, glucose may increase ability to exercise self-control but participants may not want to capitalize on this "ability advantage" because they are unwilling to exercise self-control. The present article concludes that researchers who test the glucose hypothesis in the context of a depletion paradigm should employ dissimilar acts of self-control and ensure that depleted participants are sufficiently motivated to exercise self-control. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

  1. Marijuana Usage and Hypnotic Susceptibility

    Science.gov (United States)

    Franzini, Louis R.; McDonald, Roy D.

    1973-01-01

    Anonymous self-reported drug usage data and hypnotic susceptibility scores were obtained from 282 college students. Frequent marijuana users (more than 10 times) showed greater susceptibility to hypnosis than nonusers. (Author)

  2. Can delusions be understood linguistically?

    Science.gov (United States)

    Hinzen, Wolfram; Rosselló, Joana; McKenna, Peter

    2016-01-01

    ABSTRACT Delusions are widely believed to reflect disturbed cognitive function, but the nature of this remains elusive. The “un-Cartesian” cognitive-linguistic hypothesis maintains (a) that there is no thought separate from language, that is, there is no distinct mental space removed from language where “thinking” takes place; and (b) that a somewhat broadened concept of grammar is responsible for bestowing meaning on propositions, and this among other things gives them their quality of being true or false. It is argued that a loss of propositional meaning explains why delusions are false, impossible and sometimes fantastic. A closely related abnormality, failure of linguistic embedding, can additionally account for why delusions are held with fixed conviction and are not adequately justified by the patient. The un-Cartesian linguistic approach to delusions has points of contact with Frith’s theory that inability to form meta-representations underlies a range of schizophrenic symptoms. It may also be relevant to the nature of the “second factor” in monothematic delusions in neurological disease. Finally, it can inform the current debate about whether or not delusions really are beliefs. PMID:27322493

  3. Can delusions be understood linguistically?

    Science.gov (United States)

    Hinzen, Wolfram; Rosselló, Joana; McKenna, Peter

    2016-07-01

    Delusions are widely believed to reflect disturbed cognitive function, but the nature of this remains elusive. The "un-Cartesian" cognitive-linguistic hypothesis maintains (a) that there is no thought separate from language, that is, there is no distinct mental space removed from language where "thinking" takes place; and (b) that a somewhat broadened concept of grammar is responsible for bestowing meaning on propositions, and this among other things gives them their quality of being true or false. It is argued that a loss of propositional meaning explains why delusions are false, impossible and sometimes fantastic. A closely related abnormality, failure of linguistic embedding, can additionally account for why delusions are held with fixed conviction and are not adequately justified by the patient. The un-Cartesian linguistic approach to delusions has points of contact with Frith's theory that inability to form meta-representations underlies a range of schizophrenic symptoms. It may also be relevant to the nature of the "second factor" in monothematic delusions in neurological disease. Finally, it can inform the current debate about whether or not delusions really are beliefs.

  4. Functional neuroanatomy of hypnotic state

    OpenAIRE

    Maquet, Pierre; FAYMONVILLE, Marie-Elisabeth; Degueldre, Christian; Delfiore, Guy; Franck, Georges; Luxen, André; Lamy, Maurice

    1999-01-01

    BACKGROUND: The aim of the present study was to describe the distribution of regional cerebral blood flow during the hypnotic state (HS) in humans, using positron-emission tomography (PET) and statistical parametric mapping. METHODS: The hypnotic state relied on revivification of pleasant autobiographical memories and was compared to imaging autobiographical material in "normal alertness." A group of 9 subjects under polygraphic monitoring received six H215O infusions and was scanned in the f...

  5. The Role of Emotions in Delusion Formation

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    Smurzyńska Adrianna

    2016-12-01

    Full Text Available The text concerns the role of emotions in delusion formation. Provided are definitions from DSM-V and DSM-IV-R and the problems found in those definitions. One of them, the problem of delusion formation, is described when providing cognitive theories of delusions. The core of the paper is a presentation of the emotional and affective disorders in delusions, especially Capgras delusion and Cotard delusion. The author provides a comparison of the kinds of delusions and the conclusions taken from neuroimaging studies. As a result of the fact that an explanation of delusion formation focusing on emotional problems turns out to be insufficient, the author provides examples of the reasoning impairments which coexist with them. At the end of the article, some hypotheses are proposed concerning the role of emotions and reasoning in delusion formation and the relation between belief disorders and emotional disorders.

  6. Delusions of Disseminated Fungosis

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    Ian Gassiep

    2014-01-01

    Full Text Available Introduction. Delusional infestation is a rare monosymptomatic hypochondriacal psychosis according to The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013. It can be a primary disorder or associated with an underlying psychological or physical disorder. It commonly presents as delusional parasitosis, and less than 1% may be fungi related. We present this case as it is a rare presentation of a rare condition. Case Presentation. Our patient is a 60-year-old Caucasian man who presented with a 7-year history of delusional infestation manifested as a disseminated fungal infection. He had previously been reviewed by multiple physicians for the same with no systemic illness diagnosed. After multiple reviews and thorough investigation we diagnosed him with a likely delusional disorder. As is common with this patient cohort he refused psychiatric review or antipsychotic medication. Conclusion. A delusion of a disseminated fungal infestation is a rare condition. It is exceedingly difficult to treat as these patients often refuse to believe the investigation results and diagnosis. Furthermore, they either refuse or are noncompliant with treatment. Multidisciplinary outpatient evaluation may be the best way to allay patient fears and improve treatment compliance.

  7. Toward a Neurobiology of Delusions

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    Corlett, P.R.; Taylor, J.R.; Wang, X.-J.; Fletcher, P.C.; Krystal, J.H.

    2013-01-01

    Delusions are the false and often incorrigible beliefs that can cause severe suffering in mental illness. We cannot yet explain them in terms of underlying neurobiological abnormalities. However, by drawing on recent advances in the biological, computational and psychological processes of reinforcement learning, memory, and perception it may be feasible to account for delusions in terms of cognition and brain function. The account focuses on a particular parameter, prediction error – the mismatch between expectation and experience – that provides a computational mechanism common to cortical hierarchies, frontostriatal circuits and the amygdala as well as parietal cortices. We suggest that delusions result from aberrations in how brain circuits specify hierarchical predictions, and how they compute and respond to prediction errors. Defects in these fundamental brain mechanisms can vitiate perception, memory, bodily agency and social learning such that individuals with delusions experience an internal and external world that healthy individuals would find difficult to comprehend. The present model attempts to provide a framework through which we can build a mechanistic and translational understanding of these puzzling symptoms. PMID:20558235

  8. The epistemic innocence of motivated delusions.

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    Bortolotti, Lisa

    2015-05-01

    Delusions are defined as irrational beliefs that compromise good functioning. However, in the empirical literature, delusions have been found to have some psychological benefits. One proposal is that some delusions defuse negative emotions and protect one from low self-esteem by allowing motivational influences on belief formation. In this paper I focus on delusions that have been construed as playing a defensive function (motivated delusions) and argue that some of their psychological benefits can convert into epistemic ones. Notwithstanding their epistemic costs, motivated delusions also have potential epistemic benefits for agents who have faced adversities, undergone physical or psychological trauma, or are subject to negative emotions and low self-esteem. To account for the epistemic status of motivated delusions, costly and beneficial at the same time, I introduce the notion of epistemic innocence. A delusion is epistemically innocent when adopting it delivers a significant epistemic benefit, and the benefit could not be attained if the delusion were not adopted. The analysis leads to a novel account of the status of delusions by inviting a reflection on the relationship between psychological and epistemic benefits. Copyright © 2014. Published by Elsevier Inc.

  9. Deepening sleep by hypnotic suggestion.

    OpenAIRE

    Cordi, Maren J.; Schlarb, Angelika A; Rasch, Björn

    2014-01-01

    STUDY OBJECTIVES Slow wave sleep (SWS) plays a critical role in body restoration and promotes brain plasticity; however it markedly declines across the lifespan. Despite its importance effective tools to increase SWS are rare. Here we tested whether a hypnotic suggestion to "sleep deeper" extends the amount of SWS. DESIGN Within subject placebo controlled crossover design. SETTING Sleep laboratory at the University of Zurich Switzerland. PARTICIPANTS Seventy healthy females 23.27 ± 3.17 y. IN...

  10. Love as delusion, delusions of love: erotomania, narcissism and shame.

    Science.gov (United States)

    Kelly, Brendan D

    2017-07-08

    Erotomania has a long, colourful history in psychiatry. It is a rare condition in which the patient ('subject') develops the belief that he or she is loved from afar by another person ('object'). The subject is generally female, though men predominate in forensic samples. The object is generally perceived to belong to a higher social class, reflecting a sociopolitical element in the construction of love. Erotomania requires active treatment and risk management as it can be associated with stalking and other offending behaviour. In addition to featuring in the psychiatry literature, erotomania features in the biography of the economist John Maynard Keynes (the apparent 'object' of a woman's erotomanic delusions in the early 1900s) and in fiction (eg, Ian McEwan's Enduring Love); this reflects, in part, the general popularity of romantic themes in broader literature and society. In psychological terms, certain cases of erotomania might be underpinned by combinations of longing, disappointment, shame and narcissism in specific social contexts. Lesser forms of delusional exaggeration of true love might also exist in some stable relationships, and might even be essential for their continued existence. Overall, the division between love and delusions of love is not as distinct as one might imagine. The potential presence of an element of delusional love in many relationships might well serve important social functions, conferring specific advantages on the parties involved and increasing social and community stability. After all, delusions persist; love dies. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. Delusion or obsession: Clinical dilemma

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    Gandhi Priya

    2012-07-01

    Full Text Available Abstract Background A 52-year old lady presented for admission with severe depression characterised by suicidal ideation and delusional belief. Case presentation Her treatment regime was reviewed and modified. The dilemma was whether she suffered from a psychotic depression with delusion or an obsessional disorder. She responded well to change of antipsychotic medication. Conclusions Her depression went in remission and her delusional belief decreased in intensity. She also gained reasonable insight into her problem. She is currently being followed up in the psychiatric outpatient clinic.

  12. Depersonalization in patients with persecutory delusions.

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    Cernis, Emma; Dunn, Graham; Startup, Helen; Kingdon, David; Wingham, Gail; Pugh, Katherine; Cordwell, Jacinta; Mander, Helen; Freeman, Daniel

    2014-10-01

    Delusions are, in part, attempts to explain confusing anomalous experience. Depersonalization, a key subset of anomalous experience, has been little studied in relation to persecutory delusions. The aims of this study were to assess the presence of depersonalization in patients with persecutory delusions and to examine associations with levels of paranoia and worry. Fifty patients with a current persecutory delusion completed measures of depersonalization, psychotic symptoms, and worry. Depersonalization experiences were common: 30 patients (60%) each reported at least 10 different depersonalization symptoms occurring often. A greater number of depersonalization experiences were associated with higher levels of paranoia and worry. The positive association of worry and paranoia became nonsignificant when controlling for depersonalization. Overall, depersonalization may be common in patients with persecutory delusions and is associated with the severity of paranoia. The results are consistent with the view that worry may cause depersonalization experiences that contribute to the occurrence of paranoid thoughts.

  13. The messianic idea and messianic delusion.

    Science.gov (United States)

    Perez, L

    1978-01-01

    The messianic delusional syndrome repeats an historical prototype that manifests itself in each patient with individual changes. The syndrome expresses a serious impairment of identity and reflects a social, cultural and religious reality through generations. The regularities of its clinical features comprise a delusional system, centered on the patient's conviction that he has been chosen by God for a special and intransferable mission. The patient has special powers for carrying out this mission. He is a savior and announces resurrection. His delusions have a clear symbolic character. For the patient's social group, the messianic idea is an attempt at annulling the effect of oppression or persecution that have become unbearable for the individual. They represent a flight from the human sphere and an attempt to be God. The patient's behavior is in consonance with this purpose; it expresses itself, on the one hand, through preaching repentance and compassion and, on the other hand, the patient gives up his earthly links and replaces them by parental relations with God. In the above-mentioned context, the author analyzes the different elements of the religious conception in the Christian, Moslem and Jewish religions, and the way each of them expresses itself in the general symptomatology.

  14. Hypnotic suggestion and cognitive neuroscience.

    Science.gov (United States)

    Oakley, David A; Halligan, Peter W

    2009-06-01

    The growing acceptance of consciousness as a legitimate field of enquiry and the availability of functional imaging has rekindled research interest in the use of hypnosis and suggestion to manipulate subjective experience and to gain insights into healthy and pathological cognitive functioning. Current research forms two strands. The first comprises studies exploring the cognitive and neural nature of hypnosis itself. The second employs hypnosis to explore known psychological processes using specifically targeted suggestions. An extension of this second approach involves using hypnotic suggestion to create clinically informed analogues of established structural and functional neuropsychological disorders. With functional imaging, this type of experimental neuropsychopathology offers a productive means of investigating brain activity involved in many symptom-based disorders and their related phenomenology.

  15. Hypnotic suggestion: opportunities for cognitive neuroscience.

    Science.gov (United States)

    Oakley, David A; Halligan, Peter W

    2013-08-01

    Hypnosis uses the powerful effects of attention and suggestion to produce, modify and enhance a broad range of subjectively compelling experiences and behaviours. For more than a century, hypnotic suggestion has been used successfully as an adjunctive procedure to treat a wide range of clinical conditions. More recently, hypnosis has attracted a growing interest from a cognitive neuroscience perspective. Recent studies using hypnotic suggestion show how manipulating subjective awareness in the laboratory can provide insights into brain mechanisms involved in attention, motor control, pain perception, beliefs and volition. Moreover, they indicate that hypnotic suggestion can create informative analogues of clinical conditions that may be useful for understanding these conditions and their treatments.

  16. Traditional Chinese religious beliefs and superstitions in delusions and hallucinations of Chinese schizophrenic patients.

    Science.gov (United States)

    Yip, Kam-Shing

    2003-06-01

    Religious beliefs and superstitions have an important impact on the psychopathology of psychiatric patients. Traditional Chinese religious beliefs and superstitions, such as fortune telling, Buddhist gods, Taoist gods, historical heroic gods and ancestor worship, have important influence on subjective psychotic experiences, in particular delusions and hallucinations. By means of empirical phenomenological case narration, the writer shows that all these traditional Chinese religious beliefs and superstitions tend to affect the contents, manifestation and meaningfulness of delusion and hallucination. They also serve as a means to replace clients' self-identity. They appear in the form of a supernatural force to resolve all difficulties, cause of troubles and misfortune, stress and coping mechanisms.

  17. [Pregnancy Delusions and Pseudocyesis: Brief Approach].

    Science.gov (United States)

    Cruzado-Díaz, Lizardo; Herrera-López, Vanessa; Perales-Salazar, Mileny

    2012-03-01

    Pregnancy delusions have usually been considered as symptoms of psychotic disorders in opposition to the hysterical and psychosomatic nature of pseudocyesis, though several authors have described some semiologic intersection between the two phenomena. Introduction of four cases of patients with pregnancy delusions as well as review and discussion of relevant bibliography. In fact, there are symptoms shared by pregnancy delusions psychosis and pseudocyesis, without detriment of nosological differentiation between the two phenomena. There is certain confusion regarding conceptual and terminological issues that does not contribute to mark precise boundaries. A comprehensive and holistic approach for the study of pseudocyesis and pregnancy delusion is proposed. Maybe, these disorders are more frequently observed in Latin America. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  18. The cognitive neuropsychological understanding of persecutory delusions

    OpenAIRE

    Langdon, R; McKay, R; Coltheart, M

    2008-01-01

    In considering the contribution of cognitive neuropsychology to the understanding of persecutory delusions, we shall proceed in this chapter as follows: First, we shall consider the contribution of the more conventional clinical neuropsychological approach to the study of delusions. After all, cognitive neuropsychology developed as a hybrid of clinical neuropsychology (the psychological study of brain-injured people) and cognitive psychology (the study of the mental information-processing pro...

  19. [Post-partum delusion of pregnancy: an integrated view].

    Science.gov (United States)

    Simon, Maria; Vörös, Viktor; Herold, Róbert; Fekete, Sándor; Tényi, Tamas

    2009-06-01

    Case study and review of the literature We review the nosology and phenomenology of delusion of pregnancy. Two cases with post partum delusion of pregnancy which can be regarded as a delusion with bizarre content are described. The possible etiological factors particularly aspects of the novel cognitive theories of delusion formation and the hyperprolactinaemia caused by antipsychotic treatment are considered. While discussing the cases with post partum delusion of pregnancy we integrate the false sensory and cognitive processing of the puerperal somatic changes with the motivation theory of delusion formation and with the effect of the cultural environment.

  20. [Capgras delusion: a review of aetiological theories].

    Science.gov (United States)

    Madoz-Gúrpide, Agustín; Hillers-Rodríguez, Rosalía

    2010-04-01

    Features of the Capgras delusion, the most common among the delusional misidentification syndromes, are reviewed. We describe its phenomenology in psychiatric and organic diseases, its prevalence and comorbidity with other reduplicative disorders and review aetiological models in order to elucidate the origins of the delusion from both the cognitive psychology and psychodynamics precepts, as the neuropsychiatry and anatomical basis. According to cognitive models, Capgras syndrome cannot be exclusively conceived as a dysfunction in facial recognition but in recognizing a person globally considered. Feeling of familiarity is absent due to the inability to integrate successive memories about a person along episodic experiences, thus generating delusional doubles in accordance to the patient's needs or drives. From the neuropsychiatry point of view Capgras delusion arises from the failure in reconciling information about identification of the person and its associated emotions by the disconnection between frontal lobes and right temporo-limbic regions (hippocampus), in addition to bilateral frontal damage. Delusions are more commonly associated with right hemisphere lesions because of the impairment of several functions such as self monitoring, reality monitoring, memory and feelings of familiarity as well as the necessary preservation of the left hemisphere. Aetiology of Capgras delusion should include the conjoint involvement of clinical, neuropsychiatric and neuropsychological data with different theoretical models.

  1. "Ego-dystonic" delusions as a predictor of dangerous behavior.

    Science.gov (United States)

    Joseph, Zislin; Victor, Kuperman; Rimona, Durst

    2011-06-01

    This paper aims to report a possible warning sign for dangerous behavior in delusional psychotic patients. We demonstrate an association between aggressive or auto-aggressive ideation and "ego-dystonic" grandiose delusions, where the patient believes to possess unique qualities but finds them unbearable. The study is based on the sample of seven interviews with five psychotic in-patients at the Kfar Shaul Mental Health Center, Jerusalem, Israel. All patients experienced an acute psychotic episode, and committed acts of aggression or suicidality. The research method is narrative analysis of semi-structured interviews. Patients report ideas of grandiose self-identification with deities, Biblical figures or celebrities, yet report their reluctance to be in these high positions due to feelings of unworthiness, withdrawal, and social isolation. Resulting frustration arguably leads to aggressive and suicidal ideation or actions. Contrary to the established view, grandiose delusions are not free of association with (auto-)aggression. The patient's ego-dystonic attitude towards his/her delusional identity may serve as the warning sign for dangerous behavior and, as such, should be searched for and recognized by the mental health professionals.

  2. [Ectoparasites delusions in old age (Ekbom syndrome)].

    Science.gov (United States)

    Sizaret, P; Simon, J P

    1976-01-01

    The writers present the case of a patient diagnosed as suffering from a typical delusion of parasitosis which is also called "Ekbom's Syndrom". They remind the characteristics of an encapsulated delusional system. They try to show the particular role of semantic significations played by the words "parasitis" and "skin" as a defense against a death or inferiority anxiety in old patients.

  3. Childhood Abuse and the Content of Delusions

    Science.gov (United States)

    Mason, Oliver J.; Brett, Emma; Collinge, Miriam; Curr, Helen; Rhodes, John

    2009-01-01

    Objectives: We aimed to investigate possible associations between histories of childhood abuse and the content of delusions for individuals with psychotic disorders. Methods: 39 participants with a psychotic disorder including one or more delusional beliefs successfully completed structured interviews about childhood trauma, delusional beliefs and…

  4. Capgras delusion for animals and inanimate objects in Parkinson's Disease: a case report.

    Science.gov (United States)

    Islam, Lucrezia; Piacentini, Sylvie; Soliveri, Paola; Scarone, Silvio; Gambini, Orsola

    2015-04-08

    Capgras delusion is a delusional misidentification syndrome, in which the patient is convinced that someone that is well known to them, usually a close relative, has been replaced by an impostor or double. Although it has been frequently described in psychotic syndromes, including paranoid schizophrenia, over a third of the documented cases of Capgras delusion are observed in patients with organic brain lesions or neurodegenerative disease, including Parkinson's Disease. Variants of Capgras involving animals or inanimate objects have also been described. The etiology of Capgras in Parkinson's remains unclear, but may arise from a combination of factors, such as frontal lobe dysfunction and dopaminergic medication. We present the case of a 53-year old right-handed female with Parkinson's disease who developed Capgras delusion during treatment with dopamine agonists and Levodopa/Carbidopa. She became convinced that her pet dogs and the plants in her garden had been substituted by identically looking ones. Our patient was initially treated with Quetiapine, with no improvement, and subsequently treated with Clozapine, which lead to partial regression of her symptoms. Neuropsychological Evaluation showed Mild Cognitive Impairment in Executive Functions. Given the clinical history, onset and evolution of symptoms we believe our patient's delusion resulted from the overlap of dopaminergic medication and Mild Cognitive Impairment in executive functions. Zoocentric Capgras, the variant we describe, has been rarely described in scientific literature, and we believe it is of interest due to its unusual characteristics.

  5. Response expectancies, treatment credibility, and hypnotic suggestibility: mediator and moderator effects in hypnotic and cognitive-behavioral pain interventions.

    Science.gov (United States)

    Milling, Leonard S; Shores, Jessica S; Coursen, Elizabeth L; Menario, Deanna J; Farris, Catherine D

    2007-04-01

    Several studies have shown that response expectancies are an important mechanism of popular psychological interventions for pain. However, there has been no research on whether response expectancies and treatment credibility independently mediate hypnotic and cognitive-behavioral pain interventions and whether the pattern of mediation is affected by experience with the interventions. Also, past research has indicated that hypnotic pain interventions may be moderated by hypnotic suggestibility. However, these studies have typically failed to measure the full range of suggestibility and have assessed pain reduction and suggestibility in the same experimental context, possibly inflating the association between these variables. To clarify the mediator role of response expectancies and treatment credibility, and the moderator role of hypnotic suggestibility in the hypnotic and cognitive-behavioral reduction of pain. Approximately 300 participants were assessed for suggestibility. Then, as part of an apparently unrelated experiment, 124 of these individuals received analogue cognitive-behavioral, hypnotic, or placebo control pain interventions. Response expectancies and credibility independently mediated treatment. The extent of mediation increased as participants gained more experience with the interventions. Suggestibility moderated treatment and was associated with relief only from the hypnotic intervention. Response expectancies and treatment credibility are unique mechanisms of hypnotic and cognitive-behavioral pain interventions. Hypnotic suggestibility predicts relief from hypnotic pain interventions and this association is not simply an artifact of measuring suggestibility and pain reduction in the same experimental context. The relationship between suggestibility and hypnotic pain reduction appears to be linear in nature.

  6. Delusions, superstitious conditioning and chaotic dopamine neurodynamics.

    Science.gov (United States)

    Shaner, A

    1999-02-01

    Excessive mesolimbic dopaminergic neurotransmission is closely related to the psychotic symptoms of schizophrenia. A mathematical model of dopamine neuron firing rates, developed by King and others, suggests a mechanism by which excessive dopaminergic transmission could produce psychotic symptoms, especially delusions. In this model, firing rates varied chaotically when the efficacy of dopaminergic transmission was enhanced. Such non-contingent changes in firing rates in mesolimbic reward pathways could produce delusions by distorting thinking in the same way that non-contingent reinforcement produces superstitious conditioning. Though difficult to test in humans, the hypothesis is testable as an explanation for a common animal model of psychosis--amphetamine stereotypy in rats. The hypothesis predicts that: (1) amphetamine will cause chaotic firing rates in mesolimbic dopamine neurons; (2) non-contingent brain stimulation reward will produce stereotypy; (3) non-contingent microdialysis of dopamine into reward areas will produce stereotypy; and (4) dopamine antagonists will block all three effects.

  7. the God Particle & the Delusion of Grandeur

    Science.gov (United States)

    Maksoed, Wh-

    2016-11-01

    It had been established that it was crystalline The inner core is isolated from the rest of earth by the low-viscosity fluid outer core, and it can rotate, nod, precess, wobble, oscillate and even flip over, being only loosely constrained by the surrounding shells- Anderson, 2002. Furthers in accordances of PMRI from Dr.Robert K. Sembiring to ASTRANOMICS, herewith Richard Dawkins: "the God delusion" - 2006 ever quotes by the Rector of the University of INDONESIA 2006 HE. Mr. Prof. Dr.derSoz Gumilar Rusliwa SOMANTRI: "Beyond 'delusion of grandeur' menuju INDONESIA baru Bebas Kemiskinan"ever retrieves Lester G. Telser- 1994: "the Usefulness of Core Theory in Economics" - "core theory furnishes a useful framework for a wide variety of economic problems. It has an undeserved reputation of being too abstract owing mainly to the manner in which it is employed in the theory of general equilibrium." Heartfelt Gratitudes to HE. Mr. Prof. Ir. Handojo.

  8. Telepathy in mental illness: deluge or delusion?

    Science.gov (United States)

    Greyson, B

    1977-09-01

    The belief that one can read others' minds has long been considered a symptom of psychosis, despite reports in the parapsychological literature of veridical telepathy. All patients admitted to an inpatient psychiatric unit were screened for paranormal beliefs, and those claiming telepathic abilities were tested in a free-response ESP task. Eighteen per cent of the inpatient population claimed telepathic abilities; of the nine patients who completed the task, none performed above chance expectations. Higher frequencies of paranormal experiences than those reported previously in the psychiatric literature were attributed to the context of the study. Schneider's first rank symptoms and a belief in telepathy discriminated schizophrenics more reliably than other paranormal experiences. Possible psychodynamics of delusions of telepathy were discussed in view of the predominance of women and younger men reporting them, as were the possible effects of such research on patients' delusions.

  9. Hypnotic experience is related to emotional contagion.

    Science.gov (United States)

    Cardeña, Etzel; Terhune, Devin B; Lööf, Angelica; Buratti, Sandra

    2009-01-01

    The authors conducted 2 studies to evaluate whether emotional contagion, the propensity to automatically imitate the emotional expressions of others and experience the corresponding emotions, is related to behavioral and experiential indices of hypnotizability and whether such a relationship is influenced by administration context. In Study 1, behavioral and subjective measures of hypnotizability were measured alongside emotional contagion in the same context. In Study 2, different measures of hypnotizability and hypnotic depth were administered, whereas emotional contagion was independently measured in a different (nonhypnotic) context. Emotional contagion correlated with behavioral and experiential indices of hypnotizability in Study 1 but only with the latter in Study 2. The authors interpret the results as reflecting a positive relationship between emotional contagion and, at least, experiential features of hypnotizability and strengthening the case for the importance of affectivity in hypnotic responsiveness.

  10. Reasoning anomalies associated with delusions in schizophrenia.

    Science.gov (United States)

    Langdon, Robyn; Ward, Philip B; Coltheart, Max

    2010-03-01

    Deluded people differ from nondeluded controls on attributional style questionnaires and probabilistic-reasoning and theory-of-mind (ToM) tasks. No study to date has examined the relations between these 3 reasoning anomalies in the same individuals so as to evaluate their functional independence and potentially inform theories of delusion formation. We did so in 35 schizophrenic patients with a history of delusions, 30 of whom were currently deluded, and 34 healthy controls. Compared with healthy controls, patients showed (a) a jumping-to-conclusions bias and a bias to overadjust when confronted with a change of evidence on probabilistic-reasoning tasks, (b) an excessive externalizing attributional bias, and (c) performance deficits on 3 ToM tasks. Probabilistic-reasoning and ToM measures correlated, while attributional-bias scores were independent of other task measures. A general proneness to delusional ideation correlated with probabilistic-reasoning and ToM measures, while externalizing bias was unrelated to the study measures of delusional ideation. Personalizing bias associated specifically with paranoia across the clinical and nonclinical participants. Findings are consistent with a common underlying mechanism in schizophrenia which contributes to the anomalies on probabilistic-reasoning and ToM tasks associated with delusions. We speculate that this mechanism is impairment of the normal capacity to inhibit "perceived reality" (the evidence of our senses), a capacity that evolved as part of the "social brain" to facilitate intersubjective communication within a shared reality.

  11. Cotard's delusion or syndrome?: a conceptual history.

    Science.gov (United States)

    Berrios, G E; Luque, R

    1995-01-01

    This report offers an account of the historical construction of Cotard's syndrome showing that by délire des négations the French author meant a subtype of depressive illness. Subsequent debate led first to the belief that it was just a collection of symptoms associated with agitated depression (anxious melancholia) or general paralysis, and later to the view that it might after all constitute a separate entity. At the present moment, and impervious to the fact that the French term délire means far more than "delusion," some authors use Cotard's syndrome to refer to the belief of being dead and suggest that such a delusion might have a specific brain location. From the clinical and evolutionary perspective, it is unclear why a delusion should merit, simply because of its "nihilistic" content, a special brain location or presage chronicity. It is suggested here that before neurobiologic speculation starts, efforts should be made to map out the clinical features and correlations of the délire des négations.

  12. Self-Deception, Delusion and the Boundaries of Folk Psychology*

    Science.gov (United States)

    Bortolotti, Lisa; Mameli, Matteo

    2012-01-01

    To what extent do self-deception and delusion overlap? In this paper we argue that both self-deception and delusions can be understood in folk-psychological terms. “Motivated” delusions, just like self-deception, can be described as beliefs driven by personal interests. If self-deception can be understood folk-psychologically because of its motivational component, so can motivated delusions. Non-motivated delusions also fit (to a large extent) the folk-psychological notion of belief, since they can be described as hypotheses one endorses when attempting to make sense of unusual and powerful experiences. We suggest that there is continuity between the epistemic irrationality manifested in self-deception and in delusion. PMID:22662292

  13. Anticonvulsant and hypnotic effects of amiodarone

    Science.gov (United States)

    Ozbakis-Dengiz, Gunnur; Bakirci, Aysegul

    2009-01-01

    Amiodarone hydrochloride is a potent anti-arrhythmic agent, known as a multiple ion-channel blocker in the heart. Although it has been detected in the rat brain, there are no data related to its central nervous system (CNS) effects. In this study, we evaluated anticonvulsant and hypnotic effects of amiodarone. Convulsions were induced by phentylenetetrazole (PTZ) (100 mg/kg) or caffeine (300 mg/kg) in mice. In both models, amiodarone prolonged both latency period and time to death, and acted as an anticonvulsant drug. It was found to be more effective in the PTZ model than in the caffeine model; none of the animals treated with 150 mg/kg dose amiodarone had died in the PTZ model. For hypnotic effect, sleeping was induced with pentobarbital (35 mg/kg) in rats. Amiodarone dose-dependently increased the sleeping time (677.7%~725.9%). In the sleeping test, all rats in 200 mg/kg amiodarone group died. In conclusion, anticonvulsant and hypnotic effects of amiodarone have shown the depressant effects on CNS. These effects may be dependent on its pharmacological properties. PMID:19353751

  14. Anticonvulsant and hypnotic effects of amiodarone.

    Science.gov (United States)

    Ozbakis-Dengiz, Gunnur; Bakirci, Aysegul

    2009-04-01

    Amiodarone hydrochloride is a potent anti-arrhythmic agent, known as a multiple ion-channel blocker in the heart. Although it has been detected in the rat brain, there are no data related to its central nervous system (CNS) effects. In this study, we evaluated anticonvulsant and hypnotic effects of amiodarone. Convulsions were induced by phentylenetetrazole (PTZ) (100 mg/kg) or caffeine (300 mg/kg) in mice. In both models, amiodarone prolonged both latency period and time to death, and acted as an anticonvulsant drug. It was found to be more effective in the PTZ model than in the caffeine model; none of the animals treated with 150 mg/kg dose amiodarone had died in the PTZ model. For hypnotic effect, sleeping was induced with pentobarbital (35 mg/kg) in rats. Amiodarone dose-dependently increased the sleeping time (677.7%-725.9%). In the sleeping test, all rats in 200 mg/kg amiodarone group died. In conclusion, anticonvulsant and hypnotic effects of amiodarone have shown the depressant effects on CNS. These effects may be dependent on its pharmacological properties.

  15. "Cat-gras" delusion: a unique misidentification syndrome and a novel explanation.

    Science.gov (United States)

    Darby, R Ryan; Caplan, David

    2016-01-01

    ABSRACT Capgras syndrome is a distressing delusion found in a variety of neurological and psychiatric diseases where a patient believes that a family member, friend, or loved one has been replaced by an imposter. Patients recognize the physical resemblance of a familiar acquaintance but feel that the identity of that person is no longer the same. Here we describe a 73-year-old male with right posterior frontal and bilateral anterior-medial frontal damage from prior brain trauma with a similar delusion of an imposter replacing his pet cat. Misidentification syndromes for animals, as opposed to humans, have been rarely reported. Neuropsychological testing showed deficits in executive processing and memory retrieval with prominent intrusions and false positive responses. The delusional belief content in Capgras syndrome has been hypothesized to result from loss of an emotional or autonomic response to familiar stimuli, from theory of mind deficits, or from loss of self-environment distinctions. We instead propose that Capgras delusions result from a dysfunction in linking external stimuli with retrieved internal autobiographical memories pertaining to that object. This leads to an erroneously learned identity that persists as a specific delusional belief.

  16. Anticonvulsant and hypnotic effects of amiodarone

    OpenAIRE

    Ozbakis-Dengiz, Gunnur; Bakirci, Aysegul

    2009-01-01

    Amiodarone hydrochloride is a potent anti-arrhythmic agent, known as a multiple ion-channel blocker in the heart. Although it has been detected in the rat brain, there are no data related to its central nervous system (CNS) effects. In this study, we evaluated anticonvulsant and hypnotic effects of amiodarone. Convulsions were induced by phentylenetetrazole (PTZ) (100 mg/kg) or caffeine (300 mg/kg) in mice. In both models, amiodarone prolonged both latency period and time to death, and acted ...

  17. New findings in delusions of parasitosis.

    Science.gov (United States)

    Fellner, Michael J

    2012-01-01

    Two new cases are presented with delusions of parasitosis. Both were women, one middle-aged and one elderly, and exhibited classic symptoms of parasites and "strings" in the skin indicative of Morgellons disease. Each had an additional psychiatric disorder: drug addiction to cocaine and senile dementia. They also illustrate the difficulty encountered by the dermatologist in providing adequate therapy because of resistance to psychiatric referral as well as to standard accepted medication. Newer psychotropics, such as risperdal and lexapro, show promise in helping these patients and add to the therapeutic armamentarium of pimozide.

  18. The erotic transference: dream or delusion?

    Science.gov (United States)

    De Masi, Franco

    2012-12-01

    The erotic transference can be seen as the Janus face of clinical work in psychoanalysis: it may either arise out of the positive emotions necessary for the building of new shared realities, or be fueled by falsified and distorted constructions. In the former case, the erotic transference expresses the capacity to anticipate, or "dream," the emotional relationship with the object-which is why Freud valued its transformative aspect as one of the "forces impelling [the patient] to . . . make changes"-whereas in the latter it is equivalent to a flight from psychic reality and may be imperceptibly transformed into an actual delusion.

  19. Are religious delusions related to religiosity in schizophrenia?

    Science.gov (United States)

    Rudaleviciene, Palmira; Stompe, Thomas; Narbekovas, Andrius; Raskauskiene, Nijole; Bunevicius, Robertas

    2008-01-01

    This article attempts to explore the phenomenology of religious delusions in patients suffering from schizophrenia and to determine parallels between personal religiosity and content of religious delusions. We have studied the content of delusions in patients with schizophrenia looking for religious themes using Fragebogen fur psychotische Symptome (FPS)--a semi-structured questionnaire developed by the Cultural Psychiatry International research group in Vienna. A total of 295 patients suffering from schizophrenia participated in this study at Vilnius Mental Health Center in Lithuania, among whom 63.3% reported religious delusions. The most frequent content of religious delusion in women was their belief that they were saints and in men--that they imagined themselves as God. Univariate multiple logistic regression analyses revealed that four factors such as marital status, birthplace, education, and subjective importance of religion were significantly related to the presence of religious delusions. However, multivariate analyses revealed that marital status (divorced/separated vs. married OR (odds ratio)=2.0; 95% CI, 1.1 to 3.5) and education (postsecondary education vs. no postsecondary education OR=2.3; 95% CI, 1.4 to 3.9), but not personal religiosity, were independent predictors of the religious delusions. We conclude that the religious content of delusions is not influenced by personal religiosity; it is rather related to marital status and education of schizophrenic patients.

  20. Somatic delusions and obsessive-compulsive disorder in ...

    African Journals Online (AJOL)

    The diagnosis was then confirmed to be schizophrenia with olfactory and somatic delusions and obsessive-compulsive disorder (OCD) features. This presentation suggests unique ways in which schizophrenia could present, including somatic and olfactory delusions and features of OCD, which may significantly influence ...

  1. Poststroke delusions: What about the neuroanatomical and neurofunctional basis?

    Science.gov (United States)

    Torrisi, Michele; De Luca, Rosaria; Pollicino, Patrizia; Leonardi, Simona; Marino, Silvia; Maresca, Giuseppa; Maggio, Maria Grazia; Piccolo, Adriana; Bramanti, Placido; Calabrò, Rocco Salvatore

    2018-01-19

    Delusion is a belief about yourself, people, or events that has no accordance with reality. Although it is known that stroke could cause various psychiatric and psychological effects, including depression, anxiety, and aggressiveness, psychotic symptoms, especially delusions, are rather uncommon. The most investigated poststroke delusions are paranoid type, nihilistic, and Fregoli syndrome. We will describe two patients showing delusion symptoms (Cotard-like and erotomanic ones) that occurred after a stroke involving the right temporal lobe, the basal ganglia and insular region, persisting for a long period after the stroke onset. We have, therefore, supposed that the simultaneous involvement of these brain areas could be involved in the neuroanatomical basis of delusions, as also demonstrated by the neurofunctional evaluation.

  2. Construct representation and definitions in psychopathology: the case of delusion

    Directory of Open Access Journals (Sweden)

    Banzato Claudio EM

    2010-02-01

    Full Text Available Abstract Background Delusion is one of the most intriguing psychopathological phenomena and its conceptualization remains the subject of genuine debate. Claims that it is ill-defined, however, are typically grounded on essentialist expectations that a given definition should capture the core of every instance acknowledged as delusion in the clinical setting. Objective In this paper, we attempt to show the major limitations of the definition of delusion from a non-essentialist point of view. Method The problem is analyzed within the framework of constructs and their translation into definitions. Different linguistic and epistemological perspectives that do concur when one deals with psychopathological phenomena are also considered. Results The 'construct of delusion', rather than its clinical instances, is the reference in which its definition appears inept. Here we claim that the broad contextual and pragmatic bases that underpin the construct of delusion tend to be either overlooked or downplayed in the quest for a satisfactory definition of this phenomenon.

  3. Effects of hypnotic drugs on performance before and after sleep

    Science.gov (United States)

    Kales, A.; Bixler, E. O.; Kales, J. D.

    1975-01-01

    The effects of various hypnotics on sleep stage parameters and on the parameters of effectiveness were evaluated along with the effects of several commonly used yet distinctly different hypnotics on daytime performance. The effects on daytime performance of two nonhypnotics commonly used in the space program were also examined.

  4. Effect of hypnotic drugs on sleep architecture.

    Science.gov (United States)

    Terzano, M G; Parrino, L

    1994-01-01

    It is widely accepted that the conventional polysomnographic parameters (macrostructure of sleep) supply only rough information for clinical purposes. In particular, they often appear inadequate to support a diagnosis of insomnia or the effectiveness of a hypnotic compound. In the past years, attention has been focused on the microstructure of sleep, and especially on the periodic distribution of arousal-related phasic events known as Cyclic Alternating Pattern (CAP). This microstructural rhythm is not only a physiological component of normal NREM sleep, but it also appears highly sensitive in the detection of disturbing factors and drug manipulation. Regardless of the specific context, CAP always translates a condition of arousal instability during sleep. Accordingly, the higher the amount of CAP, the poorer the subjective quality of sleep. In young adults, the physiological amount of CAP Rate (percentage ratio of CAP time to NREM sleep time) ranges around 25%, while CAP Rate rises to 55% when sleep is perturbed by continuous white noise (situational insomnia). The analysis of CAP Rate within this framework of situational insomnia is recommended for evaluating the effects of hypnotic drugs under controlled experimental conditions. Therapeutical doses of zolpidem preserve the regular course of sleep both at the macro- and at the microstructural level, when sleep is recorded under basal conditions. In contrast, during acoustic perturbation, zolpidem reduces the pathological amounts of arousal instability by lowering the values of CAP Rate to 38%.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Delusion and bi-ocular vision.

    Science.gov (United States)

    De Masi, Franco

    2015-10-01

    The delusional experience is the result of a grave disjunction in the psyche whose outcome is not readily predictable. Examination of the specific mode of disjunction may help us understand the nature and radical character of delusion. I will present the therapy of a psychotic patient who after many years of analysis and progresses in his life continues to show delusional episodes although limited and contained. In his case, the two visions, one delusional and the other real, remain distinct and differentiated from each other because they both possess the same perceptual character, that of reality. He has a bi-ocular vision of reality and not a binocular one because his vision lacks integration, as would necessarily be the case if the two visions could be compared with each other. The principle of non-contradiction ceases to apply in delusion. A corollary of the failure of the principle of non-contradiction is that, if a statement and its negation are both true, then any statement is true. Logicians call this consequence the principle of explosion. For this reason, the distinction between truth, reality, improbability, probability, possibility and impossibility is lost in the delusional system, thus triggering an omnipotent, explosive mechanism with a potentially infinite progression. The paper presents some thoughts for a possible analytic transformation of the delusional experience. Copyright © 2015 Institute of Psychoanalysis.

  6. A Neuropsychiatric Analysis of the Cotard Delusion.

    Science.gov (United States)

    Sahoo, Aradhana; Josephs, Keith A

    2018-01-01

    Cotard's syndrome, a condition in which the patient denies his or her own existence or the existence of body parts, is a rare illness that has been reported in association with several neuropsychiatric diagnoses. The majority of published literature on the topic is in the form of case reports, many of which are several years old. The authors evaluated associated diagnoses, neuroimaging, and treatments recorded in patients diagnosed with Cotard's syndrome at their institution. A search of the Mayo Clinic database for patients with mention of signs and symptoms associated with Cotard's in their records between 1996 and 2016 was conducted. The electronic medical records of the identified patients were then reviewed for evidence of a true diagnosis of Cotard's. Clinical and neuroimaging data were also recorded for these patients. The search identified 18 patients, 14 of whom had Cotard delusions. Two of the 14 were excluded due to them being under age 18. The resulting 12 patients had a median age of 52 years (range: 30-85 years). On neuroimaging, four patients exhibited frontal lobe changes, four demonstrated generalized volume loss, and five had ischemic changes; seven patients demonstrated right-sided or bilateral hemisphere lesions. Treatments included ECT, pharmacotherapy, behavioral therapy, psychotherapy, rehydration, and removal of offending drugs. To conclude, Cotard delusions occur in the context of a relatively wide spectrum of neurological, psychiatric, and medical disorders and present with various neural changes. Nondominant hemisphere lesions may play a role in the pathophysiology. A number of effective treatments are available.

  7. Hypnotic Medications and Suicide: Risk, Mechanisms, Mitigation, and the FDA.

    Science.gov (United States)

    McCall, W Vaughn; Benca, Ruth M; Rosenquist, Peter B; Riley, Mary Anne; McCloud, Laryssa; Newman, Jill C; Case, Doug; Rumble, Meredith; Krystal, Andrew D

    2017-01-01

    Insomnia is associated with increased risk for suicide. The Food and Drug Administration (FDA) has mandated that warnings regarding suicide be included in the prescribing information for hypnotic medications. The authors conducted a review of the evidence for and against the claim that hypnotics increase the risk of suicide. This review focused on modern, FDA-approved hypnotics, beginning with the introduction of benzodiazepines, limiting its findings to adults. PubMed and Web of Science were searched, crossing the terms "suicide" and "suicidal" with each of the modern FDA-approved hypnotics. The FDA web site was searched for postmarketing safety reviews, and the FDA was contacted with requests to provide detailed case reports for hypnotic-related suicide deaths reported through its Adverse Event Reporting System. Epidemiological studies show that hypnotics are associated with an increased risk for suicide. However, none of these studies adequately controlled for depression or other psychiatric disorders that may be linked with insomnia. Suicide deaths have been reported from single-agent hypnotic overdoses. A separate concern is that benzodiazepine receptor agonist hypnotics can cause parasomnias, which in rare cases may lead to suicidal ideation or suicidal behavior in persons who were not known to be suicidal. On the other hand, ongoing research is testing whether treatment of insomnia may reduce suicidality in adults with depression. The review findings indicate that hypnotic medications are associated with suicidal ideation. Future studies should be designed to assess whether increases in suicidality result from CNS impairments from a given hypnotic medication or whether such medication decreases suicidality because of improvements in insomnia.

  8. Identity's identities

    DEFF Research Database (Denmark)

    Jensen, Kim Ebensgaard

    in Academic English and more everyday-based English, identity as a lexeme is definitely worth having a look at. This paper presents a lexicological study of identity in which some of its senses are identified and their behaviors in actual discourse are observed. Drawing on data from the 2011 section......The word identity is interesting for a number of reasons. Firstly, it covers a number of specialized functions stemming from decades of research into both identity as a theoretical concept itself and into various identities and types of identity. Secondly, it also figures in non......-specialized language in which it also serves a number of functions – some of which are quite fundamental to society as such. In other words, the lexeme identity is a polysemic word and has multiple, well, identities. Given that it appears to have a number of functions in a variety of registers, including terminologies...

  9. [Delusion with a theme of generation in chronic schizophrenia].

    Science.gov (United States)

    Otsuka, Koichiro; Kato, Satoshi

    2012-01-01

    For schizophrenics and persons at risk of developing schizophrenia, issues regarding the origin of self and paternity sometimes become pressing questions which jeopardize the formation of their subjects. We termed the system which gives rise to such questions as a theme of generation. Through the analysis of a peculiar delusion in a chronic male case, which included the reverse and alteration of the family relations, we clarified the location of a theme of generation in the psychopathology of schizophrenia. The delusion emerged on the death of his parents and successive alienation from his brothers and sisters, which confronted him with a question of generation. The important appearance mechanisms of the delusion were second person hallucinations and primary delusions through delusional ideas. Themes of feminization and monogenic reproduction playing a central role in the delusion were sustained by the concept of the female as a container to regulate the infinite chaos, which is characteristic to the delusion of feminization in schizophrenia (Kato, 2002). With reference to the findings of J. Lacan's structural psychoanalysis, we considered the delusion as a schizophrenic answer to a perplexing question of generation posed to the patient. Additionally, we discussed the delusional other as the responder to this question who had the following three characteristics: 1. the other was the place of the infinite production of signifiers, 2. the other took the position of a mysterious God-like figure and made the patient's body the object of "jouissance", and 3. the other also responded to the question of sexual difference.

  10. Using hypnotic suggestion to model loss of control and awareness of movements: an exploratory FMRI study.

    Directory of Open Access Journals (Sweden)

    Quinton Deeley

    Full Text Available The feeling of voluntary control and awareness of movement is fundamental to our notions of selfhood and responsibility for actions, yet can be lost in neuropsychiatric syndromes (e.g. delusions of control, non-epileptic seizures and culturally influenced dissociative states (e.g. attributions of spirit possession. The brain processes involved remain poorly understood. We used suggestion and functional magnetic resonance imaging (fMRI to investigate loss of control and awareness of right hand movements in 15 highly hypnotically suggestible subjects. Loss of perceived control of movements was associated with reduced connectivity between supplementary motor area (SMA and motor regions. Reduced awareness of involuntary movements was associated with less activation in parietal cortices (BA 7, BA 40 and insula. Collectively these results suggest that the sense of voluntary control of movement may critically depend on the functional coupling of SMA with motor systems, and provide a potential neural basis for the narrowing of awareness reported in pathological and culturally influenced dissociative phenomena.

  11. Genital self-mutilation in a suicide attempt: a rare sequela of a hypochondriacal delusion of infection with HIV.

    Science.gov (United States)

    Mishra, Kshirod K; Reddy, Srikanth; Khairkar, Praveen

    2014-03-01

    Genital self-mutilation is mostly seen among psychotic, affective and gender identity disorder(s). We present here a rare case report of such genital self-mutilation in a person with a hypochondriacal delusion of infection with HIV precipitated by erroneous and anxiety-provoking miscommunication during HIV testing. Such cases remind us of the need for systematic and appropriate pre-test and post-test HIV counseling, to help prevent such outcomes.

  12. Terahertz spectroscopic study of benzodiazepine sedative hypnotics

    Science.gov (United States)

    Deng, Fusheng; Shen, Jingling; Wang, Xianfeng

    2011-08-01

    Terahertz time domain spectroscopy (THz-TDS) is used to the pure active ingredient of three benzodiazepine sedative hypnotics with similar molecular structure. The absorption spectra of them are studied in the range of 0.2~2.6THz. Based on the experiment, the theoretical simulation results of diazepam, nitrazepam and clonazepam are got by the Gaussian03 package of DFT/B3LYP/6-31G* method in single-molecule models. The experimental results show that even if the molecular structure and medicine property of them are similar, the accurate identification of them can still be done with their characteristic absorption spectra. Theoretical simulation results are well consistent with the experimental results. It demonstrates that absorption peaks of them in THz range mainly come from intra-molecular forces and are less affected by the intermolecular interaction and crystal effects.ô

  13. [Hypnotic communication and hypnosis in clinical practice].

    Science.gov (United States)

    Wehrli, Hans

    2014-07-02

    In addition to usual medical care it is often critical to consider the patient's inner world in order to sensitively differentiate between harmful and helpful suggestive elements. The respective abilities in terms of hypnotic communication can be easily learned. Confident, empathic attention and a calm, understanding and figurative language narrowing the focus on positive emotions and positive change, which have been shown to improve the patient's chances of healing, are of particular importance. Proper clinical hypnosis goes one step further: it makes explicit use of suggestions, trance, and trance phenomena. The major clinical indications for hypnosis include psychosomatic disorders, anxiety disorders, obsessive-compulsive disorders, depression, and pain syndromes. Hypnosis can also be employed as an adjunct for surgical therapy.

  14. Does neuroimaging of suggestion elucidate hypnotic trance?

    Science.gov (United States)

    Raz, Amir

    2011-07-01

    Contemporary studies in the cognitive neuroscience of attention and suggestion shed new light on the underlying neural mechanisms that operationalize these effects. Without adhering to important caveats inherent to imaging of the living human brain, however, findings from brain imaging studies may enthrall more than explain. Scholars, practitioners, professionals, and consumers must realize that the influence words exert on focal brain activity is measurable but that these measurements are often difficult to interpret. While recent brain imaging research increasingly incorporates variations of suggestion and hypnosis, correlating overarching hypnotic experiences with specific brain substrates remains tenuous. This article elucidates the mounting role of cognitive neuroscience, including the relative merits and intrinsic limitations of neuroimaging, in better contextualizing trance-like concepts.

  15. Greater incidence of depression with hypnotic use than with placebo

    Directory of Open Access Journals (Sweden)

    Kripke Daniel F

    2007-08-01

    Full Text Available Abstract Background Although it has been claimed that insomnia causes an increased risk for depression, adequate controlled trials testing this hypothesis have not been available. This study contrasted the incidence of depression among subjects receiving hypnotics in randomized controlled trials versus those receiving placebo. Methods The incidence of depression among patients randomized to hypnotic drugs or placebo was compiled from prescribing information approved by the United States Food and Drug Administration (FDA and from FDA New Drug Application documents. Available data for zolpidem, zaleplon, eszopiclone, and ramelteon were accessed. Results Data for 5535 patients randomized to a hypnotic and for 2318 randomized to placebo were compiled. The incidence of depression was 2.0% among participants randomized to hypnotics as compared to 0.9% among those randomized in parallel to placebo (p Conclusion Modern hypnotics were associated with an increased incidence of depression in data released by the FDA. This suggests that when there is a risk of depression, hypnotics may be contra-indicated. Preventive treatments such as antidepressant drugs, cognitive-behavioral therapy, or bright light might be preferred. Limitations in the FDA data prevented a formal meta-analysis, and there was a lack of information about drop-out rates and definitions of depression. Trials specifically designed to detect incident depression when treating insomnia with hypnotic drugs and better summarization of adverse events in trials submitted to the FDA are both necessary.

  16. Hypnosis, hypnotic suggestibility, memory, and involvement in films.

    Science.gov (United States)

    Maxwell, Reed; Lynn, Steven Jay; Condon, Liam

    2015-05-01

    Our research extends studies that have examined the relation between hypnotic suggestibility and experiential involvement and the role of an hypnotic induction in enhancing experiential involvement (e.g., absorption) in engaging tasks. Researchers have reported increased involvement in reading (Baum & Lynn, 1981) and music-listening (Snodgrass & Lynn, 1989) tasks during hypnosis. We predicted a similar effect for film viewing: greater experiential involvement in an emotional (The Champ) versus a non-emotional (Scenes of Toronto) film. We tested 121 participants who completed measures of absorption and trait dissociation and the Harvard Group Scale of Hypnotic Susceptibility and then viewed the two films after either an hypnotic induction or a non-hypnotic task (i.e., anagrams). Experiential involvement varied as a function of hypnotic suggestibility and film clip. Highly suggestible participants reported more state depersonalization than less suggestible participants, and depersonalization was associated with negative affect; however, we observed no significant correlation between hypnotic suggestibility and trait dissociation. Although hypnosis had no effect on memory commission or omission errors, contrary to the hypothesis that hypnosis facilitates absorption in emotionally engaging tasks, the emotional film was associated with more commission and omission errors compared with the non-emotional film. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. Hypnotic Taper with or without Self-Help Treatment of Insomnia: A Randomized Clinical Trial

    Science.gov (United States)

    Belleville, Genevieve; Guay, Catherine; Guay, Bernard; Morin, Charles M.

    2007-01-01

    This study aimed to assess the efficacy of a minimal intervention focusing on hypnotic discontinuation and cognitive-behavioral treatment (CBT) for insomnia. Fifty-three adult chronic users of hypnotics were randomly assigned to an 8-week hypnotic taper program, used alone or combined with a self-help CBT. Weekly hypnotic use decreased in both…

  18. Are persistent delusions in schizophrenia associated with aberrant salience?

    Directory of Open Access Journals (Sweden)

    Rafeef Abboud

    2016-06-01

    Conclusion: These findings do not support the hypothesis that persistent delusions are related to aberrant motivational salience processing in TRS patients. However, they do support the view that patients with schizophrenia have impaired reward learning.

  19. Jumping to conclusions style along the continuum of delusions: delusion-prone individuals are not hastier in decision making than healthy individuals.

    Directory of Open Access Journals (Sweden)

    Suzanne Ho-wai So

    Full Text Available Literature comparing 'jumping to conclusions' (JTC between patients and healthy controls has demonstrated the importance of the reasoning bias in the development of delusions. When groups that vary along the entire delusional continuum are included, the relationship between JTC and delusionality is less clear. This study compared JTC and delusional dimensions between 28 patients with delusions, 35 delusion-prone individuals and 32 non-delusion-prone individuals. Delusion proneness was defined by an established threshold based on the Peters et al. Delusions Inventory. Two versions of the beads task (85:15 and 60:40 were used to measure JTC. As hypothesized, patients manifested hastier data gathering than the two non-clinical groups on both beads tasks. However, delusion-prone individuals did not manifest a hastier decision making style than non-delusion prone individuals. Instead, non-delusion-prone participants showed more JTC bias than delusion-prone individuals on the easier beads task. There was no evidence for a dose-response relationship between JTC and delusional dimensions, with correlations between JTC and PDI scores found in the non-delusion-prone group only. The present finding confirms the link between an extreme JTC bias and the presence of clinical delusions, and argues against a linear relationship between JTC and delusionality along the symptomatic continuum.

  20. [Chronic Koro-like Syndrome (KLS) in recurrent depressive disorder as a variant of Cotard's delusion in an italian male patient. A case report and historical review].

    Science.gov (United States)

    Bandinelli, Pier Luca; Trevisi, Manuela; Kotzalidis, Giorgio Demetrio; Manfredi, Giovanni; Rapinesi, Chiara; Ducci, Giuseppe

    2011-01-01

    Cotard’s syndrome is a delusional syndrome, first described in the 1880ies by Cotard, characterized by a nihilistic delusions about the self and/or the world. In same other cases there is an intense nihilistic belief that the patient’s entire body or parts of it are disintegrated or dead. The syndrome is often associated with severe depression, but are also described neurological cases. Koro was described a little later from Asia and consisted in the belief that one’s own genitalia are shrinking or disappearing and death will ensue thereafter, but there are many cultural variants and the syndrome may present in an incomplete form. We report on a KLS sharing more features with annihilation delusions, such as Cotard’s syndrome. In KLS, the délire de négation may be limited to localized systems or organs. We believe that some complete and incomplete forms of Koro, when embedded in a depressive core, may represent a variant of Cotard’s delusion. In fact, our patient did not reach a complete denial of his entire body, but rather focused on sexual identity. We analysed the psychosexual issues of our case according to Kretschmer’s 1918 view of a “bipolar setting” between sthenic and asthenic characters of a patient suffering from sensitive delusions of (self-) reference. This view may allow us to relate the personological character to the genetic comprehensibility of the delusion.

  1. Neuro-Hypnotism: Prospects for Hypnosis and Neuroscience

    OpenAIRE

    Kihlstrom, John F.

    2012-01-01

    The neurophysiological substrates of hypnosis have been subject to speculation since the phenomenon got its name. Until recently, much of this research has been geared toward understanding hypnosis itself, including the biological bases of individual differences in hypnotizability, state-dependent changes in cortical activity occurring with the induction of hypnosis, and the neural correlates of response to particular hypnotic suggestions (especially the clinically useful hypnotic analgesia)....

  2. Effects of Pregabalin in Patients with Hypnotic-Dependent Insomnia

    Science.gov (United States)

    Cho, Youg Won; Song, Mei Ling

    2014-01-01

    Study Objectives: Long-term use of hypnotics runs the risk of dependency, and subjects usually experience difficulties in withdrawal. The objective of this study was to investigate the success of withdrawal using pregabalin and its efficacy on sleep in patients with hypnotic-dependent insomnia. Methods: We enrolled patients with hypnotic-dependent insomnia who were 18 years or older. The starting dosage of pregabalin was 75 mg/day and was increased up to as much as 300 mg/day, depending on the individual patient's condition, while tapering off hypnotics. After 4 weeks of titration, the final dosage amount was maintained for at least another 4 weeks. Sleep and clinical variables were evaluated at baseline and after treatment, using the Korean versions of various sleep questionnaires as well as polysomnography. Results: Forty subjects were enrolled, with a mean age of 52.0 ± 8.5 years, of whom 28 (70.0%) were women. Twenty-one (52.5%) subjects successfully withdrew from hypnotics. The duration of withdrawal was 42.1 ± 16.0 days (range: 27.0∼84.0). The mean pregabalin dose was 121.4 ± 69.0 mg/day (range: 75.0∼300.0). After pregabalin treatment, there was a significant improvement in the total score of the Pittsburgh Sleep Quality Index (15.0 ± 2.1, 8.9 ± 3.0, p pregabalin were nausea and dizziness. Conclusions: Our results showed pregabalin may be a promising candidate for withdrawal from hypnotics and improved sleep in patients with hypnotic-dependent insomnia. Citation: Cho YW, Song ML. Effects of pregabalin in patients with hypnotic-dependent insomnia. J Clin Sleep Med 2014;10(5):545-550. PMID:24812540

  3. The nature of delusion: psychologically explicable? psychologically inexplicable? philosophically explicable? Part 1.

    Science.gov (United States)

    Cutting, J; Musalek, M

    2015-12-01

    The debate about the nature of delusion has rumbled on for over a century without resolution. The current situation is a stand-off between psychologists, who propose various theories as to the psychological explicability of delusion, and psychiatrists, who generally regard delusion as inexplicable. Our main aim in this 2-part article is to reprise the intellectual atmosphere of German psychopathology in the inter-war and immediate post-war years, when the issues concerning delusion were formulated with more sensitivity to the actual delusions encountered in clinical practice. In Part 1 we mount a critique of psychological and psychiatric theories of delusion. © The Author(s) 2015.

  4. Morgellons disease and delusions of parasitosis.

    Science.gov (United States)

    Robles, David T; Olson, Jonathan M; Combs, Heidi; Romm, Sharon; Kirby, Phil

    2011-02-01

    Morgellons disease is a controversial and poorly defined symptom cluster of skin lesions and somatic symptoms, most notably 'fibers' in the skin. Because of widespread coverage in the media and on the Internet, there are an increasing number of patients presenting to dermatologists. We present three patients who believed that they had fibers in their skin. We offer a discussion of delusions of parasitosis to demonstrate similarities between these conditions. It has been suggested by a limited number of healthcare providers that an unknown infectious agent underlies this symptom complex yet no available evidence supports this assertion. Laboratory values that would be reflective of an infectious process (e.g. elevated white blood cells, sedimentation rate, C reactive protein) are routinely normal and biopsies often reflect only nonspecific findings such as acute and chronic inflammation with erosion or ulceration. Patients with Morgellons disease generally lack insight into their disease and reject the need for psychiatric help. The goal is to build trust and refrain from minimizing what the patient experiences. Attentive examination of the patient's skin and fragments they present is necessary to rule out a true underlying pathologic process and to establish a trusting relationship. A supportive, non-confrontational approach is ideal. The patient is best treated by a team of practitioners of several specialties, including dermatologists, psychiatrists, and counselors.

  5. The existence of a hypnotic state revealed by eye movements.

    Directory of Open Access Journals (Sweden)

    Sakari Kallio

    Full Text Available Hypnosis has had a long and controversial history in psychology, psychiatry and neurology, but the basic nature of hypnotic phenomena still remains unclear. Different theoretical approaches disagree as to whether or not hypnosis may involve an altered mental state. So far, a hypnotic state has never been convincingly demonstrated, if the criteria for the state are that it involves some objectively measurable and replicable behavioural or physiological phenomena that cannot be faked or simulated by non-hypnotized control subjects. We present a detailed case study of a highly hypnotizable subject who reliably shows a range of changes in both automatic and volitional eye movements when given a hypnotic induction. These changes correspond well with the phenomenon referred to as the "trance stare" in the hypnosis literature. Our results show that this 'trance stare' is associated with large and objective changes in the optokinetic reflex, the pupillary reflex and programming a saccade to a single target. Control subjects could not imitate these changes voluntarily. For the majority of people, hypnotic induction brings about states resembling normal focused attention or mental imagery. Our data nevertheless highlight that in some cases hypnosis may involve a special state, which qualitatively differs from the normal state of consciousness.

  6. The Existence of a Hypnotic State Revealed by Eye Movements

    Science.gov (United States)

    Kallio, Sakari; Hyönä, Jukka; Revonsuo, Antti; Sikka, Pilleriin; Nummenmaa, Lauri

    2011-01-01

    Hypnosis has had a long and controversial history in psychology, psychiatry and neurology, but the basic nature of hypnotic phenomena still remains unclear. Different theoretical approaches disagree as to whether or not hypnosis may involve an altered mental state. So far, a hypnotic state has never been convincingly demonstrated, if the criteria for the state are that it involves some objectively measurable and replicable behavioural or physiological phenomena that cannot be faked or simulated by non-hypnotized control subjects. We present a detailed case study of a highly hypnotizable subject who reliably shows a range of changes in both automatic and volitional eye movements when given a hypnotic induction. These changes correspond well with the phenomenon referred to as the “trance stare” in the hypnosis literature. Our results show that this ‘trance stare’ is associated with large and objective changes in the optokinetic reflex, the pupillary reflex and programming a saccade to a single target. Control subjects could not imitate these changes voluntarily. For the majority of people, hypnotic induction brings about states resembling normal focused attention or mental imagery. Our data nevertheless highlight that in some cases hypnosis may involve a special state, which qualitatively differs from the normal state of consciousness. PMID:22039474

  7. Feasibility of Music and Hypnotic Suggestion to Manage Chronic Pain.

    Science.gov (United States)

    Johnson, Alisa J; Kekecs, Zoltan; Roberts, R Lynae; Gavin, Russell; Brown, Kathleen; Elkins, Gary R

    2017-01-01

    The authors investigated the feasibility and possible effects of hypnotic suggestion and music for chronic pain. Ten people completed the 2-week intervention that consisted of daily listening to hypnotic suggestions combined with music. Averaged subjective pain intensity, pain bothersomeness, overall distress, anxiety, and depression decreased from baseline to endpoint. Participants rated pre- and postlistening pain intensity and pain bothersomeness decreased for each session. Information provided during end-of-study interviews indicated all participants were satisfied with treatment and felt they benefited from being in the study. Means and standard deviations are reported for outcome measures and a case study is provided. This preliminary study supports the use of a combined hypnotic suggestion and music intervention for chronic pain.

  8. Sedative/hypnotic dependence: patient stabilization, tolerance testing, and withdrawal.

    Science.gov (United States)

    Perry, P J; Alexander, B

    1986-01-01

    Physical dependence to sedative/hypnotic drugs is not an uncommon clinical problem. The withdrawal syndrome is analogous to alcohol withdrawal, except the duration of the syndrome occurs over a longer period of time with the symptoms being less intense than generally encountered with alcohol. The potential for withdrawal reactions is probably greater for the shorter-acting agents than the longer-acting drugs. Potentially dependent sedative/hypnotic users require stabilization of their symptoms initially, followed by tolerance testing. If tolerant, the patients should be withdrawn using either a long-acting sedative/hypnotic (e.g., diazepam) or phenobarbital. Compared to other benzodiazepines and barbiturates, diazepam appears to be the drug of choice for treating dependent patients. Diazepam is rapidly absorbed and distributed to the brain and therefore useful for stabilization and tolerance testing. It is metabolized on chronic administration to a long-acting metabolite, desmethyldiazepam, which makes the drug ideal for a tapered withdrawal schedule.

  9. "Far from the heart far from the eye": evidence from the Capgras delusion.

    Science.gov (United States)

    Brighetti, Gianni; Bonifacci, Paola; Borlimi, Rosita; Ottaviani, Cristina

    2007-05-01

    Capgras syndrome is characterised by the belief that a significant other has been replaced by an identical-looking impostor. These patients have no difficulties with visual recognition but fail to show a skin conductance response (SCR) to the objects of the delusion. A case of Capgras delusion (YY), specifically characterised by the absence of brain lesions, constituted a good opportunity to test the relationship between SCR hyporesponsiveness and eye movement patterns to familiar and unfamiliar faces. Visual scan path and SCR were recorded for YY and 8 controls during the presentation of family members' photographs matched with unfamiliar faces of the same sex, age, and physical likeness. Eye movement patterns were explored by selecting three specific areas of interest (AOI) involving the eyes, the mouth, and the face regions. In contrast with controls, YY showed a reduction in number and sum of fixation durations to the eyes (p.05) to familiar vs. nonfamiliar faces. SCR and fixation duration to family members' eyes were significantly correlated (r=.77) in both YY and controls. Eye region exploration seems to be related to the autonomic reactivity elicited by the affective valence of familiar faces.

  10. The "hypnotic state" and eye movements : Less there than meets the eye?

    NARCIS (Netherlands)

    Cardea, Etzel; Nordhjem, Barbara; Marcusson-Clavertz, David; Holmqvist, Kenneth

    2017-01-01

    Responsiveness to hypnotic procedures has been related to unusual eye behaviors for centuries. Kallio and collaborators claimed recently that they had found a reliable index for "the hypnotic state" through eye-tracking methods. Whether or not hypnotic responding involves a special state of

  11. Myths and Delusions: English Language Instruction in Canadian Schools

    Science.gov (United States)

    Meyers, Mary

    2006-01-01

    The state of ESL in Canada has been a looming, mishandled entity. Canadians espouse the benefits of diversity and have politically correct policies concerning racism and equity for the linguistically disadvantaged, but in reality something has gone terribly wrong. This article outlines specific myths and delusions that plague educational…

  12. Oral Pre-anaesthetic Medication with a New Benzodiazepine Hypnotic

    African Journals Online (AJOL)

    1973-01-20

    Jan 20, 1973 ... A new benzodiazepine derivative (Ro 5-4200) was used as a hypnotic in a pilot study on 30 patients the night before an operation. The dosage used was 2 mg (1 tablet). Results proved very encouraging, and it was then decided to conduct a controlled double-blind trial com- paring Ro 5-4200, ...

  13. Drama as imaginative hypnotic impulse: a postulate rooted in the ...

    African Journals Online (AJOL)

    It posits that the imaginative hypnotic impulse which transcends mere entertainment, herein called hypnosis, can be a reliable basis for examining African drama and theatre. This is ostensibly because hypnosis can be regarded as a primal force around which the African cosmic perception of life and dramatic experiences ...

  14. Hypnotic Learning Characteristics On Sisya Brahmakunta Community In Denpasar

    Directory of Open Access Journals (Sweden)

    I Putu Suweka Oka Sugiharta

    2017-10-01

    Full Text Available Hypnotic learning at Brahmakunta Community in Denpasar City is complementary the scienceof education by paying attention to aspects of interpersonal needs of learners, integral evolution on the students, as well as various aspects of his personality. Hypnotic contribution in education can align the senses of the learner, harmonize his mind, and make manusamadhawa (man who has the divine character.Through the approach of psychology of religious education supported by the of FIRO theory (the theory of the basic relationship between by William Schutz, evolutionary psychology theory by Robert C. Bolles, and the theory of  Field Psychology by Kurt Lewin. Data obtained by in-depth interviews, study documentation then the data is interpreted by looking for deep meaning. The characteristics of hypnotic learning in the Brahmakunta community indicate the aspect of the basic needs of the learners so that the learning process is not disturbed.The characteristics of hypnotic learning in the community of Brahmakunta include: (a the attached characteristic shown to meet the needs of the assimilation, (b Control Characteristics that aim to meet the needs of ideally positioning themselves, (c The characteristics of Affection aimed at meeting the needs of affection, and (d The compatibility characteristics that indicate that learning is done to improve interpersonal relationships.

  15. Oral Pre-anaesthetic Medication with a New Benzodiazepine Hypnotic

    African Journals Online (AJOL)

    1973-01-20

    Jan 20, 1973 ... of noradrenaline, histamine and acetylcholine in cats. No measurable ... very good hypnotic effect and it was then decided to conduct a ... 12 (40%). 10 (20%). 14. 7. Investigator's rating. Excellent. Not done. 17 (34%). 5. 2. Very good. Not done. 14 (28%). 11. 3. Good. Not done. 12 (24%). 7. 8. Moderate.

  16. Perception of short time scale intervals in a hypnotic virtuoso

    NARCIS (Netherlands)

    Noreika, Valdas; Falter, Christine M.; Arstila, Valtteri; Wearden, John H.; Kallio, Sakari

    2012-01-01

    Previous studies showed that hypnotized individuals underestimate temporal intervals in the range of several seconds to tens of minutes. However, no previous work has investigated whether duration perception is equally disorderly when shorter time intervals are probed. In this study, duration

  17. The Polish version of the Peters et al. Delusions Inventory: factor analysis, reliability and the prevalence of delusion-like experiences in the Polish population.

    Science.gov (United States)

    Prochwicz, Katarzyna; Gawęda, Łukasz

    2015-01-01

    The study aimed at providing the psychometric properties of Polish version of Peters et al. Delusion Inventory (PPDI) (1999) and assessing the prevalence of delusion-like experiences among healthy subjects in the Polish population. Polish version of PDI was developed on the basis of back translation procedure. The scale was completed by 421 adult subjects. On the basis of the scores, the factor analysis, the reliability of the scale and the frequency of delusion-like experiences in the Polish population were calculated. The Polish version of Peters et al. Delusion Inventory has satisfactory reliability (Cronbach's alpha ranged from 0.084 to 0.87). The examination of scree plot suggests a single factor solution. The participants confirmed the incidence of, on average, 12.5 (SD=6.9), out of 40 different experiences measured using PDI. In the current study the most frequently asserted delusion-like belief is that people say things with double meaning (79.8% of participants), while the least likely beliefs were those similar to delusions observed among psychiatric patients (2.37% of participants). The Polish version of PDI is characterised by good psychometric properties and can be used for delusion-like experiences assessment in non-clinical population. The frequency of delusion-like experiences in the Polish population varies from 2 to 80% depending on their content.

  18. Severe Mental Illness, Somatic Delusions, and Attempted Mass Murder.

    Science.gov (United States)

    Sarteschi, Christine M

    2016-01-01

    A case of an attempted mass shooting at a large psychiatric hospital in the United States by a 30-year-old male with severe mental illness, somatic delusions, and exceptional access to healthcare professionals is reported. Six persons were shot, one died at the scene, and the shooter was then killed by the police. Data were gathered from court documents and media accounts. An analysis of the shooter's psychiatric history, his interactions with healthcare professionals, and communications prior to the shooting suggest a rare form of mass murder, a random attack by a documented psychotic and delusional individual suffering with somatic delusions. Despite his being psychotic, the killer planned the attack and made a direct threat 1 month prior to the shootings. This case highlights problems with the healthcare system, indicating that it might be ill equipped to appropriately deal with severe mental illness. © 2015 American Academy of Forensic Sciences.

  19. Explaining Delusions: Reducing Uncertainty Through Basic and Computational Neuroscience.

    Science.gov (United States)

    Feeney, Erin J; Groman, Stephanie M; Taylor, Jane R; Corlett, Philip R

    2017-03-01

    Delusions, the fixed false beliefs characteristic of psychotic illness, have long defied understanding despite their response to pharmacological treatments (e.g., D2 receptor antagonists). However, it can be challenging to discern what makes beliefs delusional compared with other unusual or erroneous beliefs. We suggest mapping the putative biology to clinical phenomenology with a cognitive psychology of belief, culminating in a teleological approach to beliefs and brain function supported by animal and computational models. We argue that organisms strive to minimize uncertainty about their future states by forming and maintaining a set of beliefs (about the organism and the world) that are robust, but flexible. If uncertainty is generated endogenously, beliefs begin to depart from consensual reality and can manifest into delusions. Central to this scheme is the notion that formal associative learning theory can provide an explanation for the development and persistence of delusions. Beliefs, in animals and humans, may be associations between representations (e.g., of cause and effect) that are formed by minimizing uncertainty via new learning and attentional allocation. Animal research has equipped us with a deep mechanistic basis of these processes, which is now being applied to delusions. This work offers the exciting possibility of completing revolutions of translation, from the bedside to the bench and back again. The more we learn about animal beliefs, the more we may be able to apply to human beliefs and their aberrations, enabling a deeper mechanistic understanding. © The Author 2017. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  20. Religious delusions in an evangelical Christian woman with anorexia nervosa.

    Science.gov (United States)

    Moga, Diana E; Cabaniss, Deborah L; Marcus, Eric R; Walsh, B Timothy; Kahn, David A

    2009-11-01

    This case report describes the history and hospital course of a 42-year-old devout evangelical Christian woman with a long standing history of anorexia nervosa, binge/purge type, who developed religious delusions, including the conviction that God was prohibiting her from eating. The discussion emphasizes the difficulties of diagnosing and treating psychosis in devout individuals, and the interplay between anorexia, psychosis, and religion.

  1. Patterns of sleep disorders and sedative hypnotic use in seniors.

    Science.gov (United States)

    Mullan, E; Katona, C; Bellew, M

    1994-07-01

    Adequate sleep is required for good physical and psychological health. Sleep disturbance is common and its prevalence increases with advancing age. Physiologically, sleep in elderly adults differs from that in younger adults, both in terms of quantity and quality. Sleep disturbance in old age may be associated with many physical and psychological conditions, and less commonly can occur as a primary disturbance. It must be distinguished from the understandable but unrealistic expectations of many elderly people that they will sleep for as long and as soundly as when they were younger. The evaluation of a patient with a sleep disorder requires full medical psychiatric and social histories, mental state and physical examinations and appropriate investigations. If present, an underlying condition should be treated. Management strategies for sleep disorders include attention to sleep hygiene, behavioural treatment and hypnotics. Ideally, a hypnotic should be prescribed for a limited period and then in the smallest effective dose.

  2. Hypnotic color blindness and performance on the Stroop test.

    Science.gov (United States)

    Mallard, D; Bryant, R A

    2001-10-01

    A suggestion for hypnotic color blindness was investigated by administering a reverse Stroop color-naming task. Prior to the suggestion for color blindness, participants learned associations between color names and shapes. Following the color blindness suggestion, participants were required to name the shapes when they appeared in colors that were either congruent or incongruent with the learned associations. The 18 high hypnotizable participants who passed the suggestion were slower to name (a) shapes in which the color name was incongruent with the color in which it was printed, (b) "unseen" rather than "seen" shapes, and (c) color-incongruent shapes that were printed in the color in which they were "color-blind." These patterns are discussed in terms of potential cognitive and social mechanisms that may mediate responses to hypnotic color blindness.

  3. Neuro-Hypnotism: Prospects for Hypnosis and Neuroscience

    Science.gov (United States)

    Kihlstrom, John F.

    2012-01-01

    The neurophysiological substrates of hypnosis have been subject to speculation since the phenomenon got its name. Until recently, much of this research has been geared toward understanding hypnosis itself, including the biological bases of individual differences in hypnotizability, state-dependent changes in cortical activity occurring with the induction of hypnosis, and the neural correlates of response to particular hypnotic suggestions (especially the clinically useful hypnotic analgesia). More recently, hypnosis has begun to be employed as a method for manipulating subjects' mental states, both cognitive and affective, to provide information about the neural substrates of experience, thought, and action. This instrumental use of hypnosis is particularly well-suited for identifying the neural correlates of conscious and unconscious perception and memory, and of voluntary and involuntary action. PMID:22748566

  4. Neuro-hypnotism: prospects for hypnosis and neuroscience.

    Science.gov (United States)

    Kihlstrom, John F

    2013-02-01

    The neurophysiological substrates of hypnosis have been subject to speculation since the phenomenon got its name. Until recently, much of this research has been geared toward understanding hypnosis itself, including the biological bases of individual differences in hypnotizability, state-dependent changes in cortical activity occurring with the induction of hypnosis, and the neural correlates of response to particular hypnotic suggestions (especially the clinically useful hypnotic analgesia). More recently, hypnosis has begun to be employed as a method for manipulating subjects' mental states, both cognitive and affective, to provide information about the neural substrates of experience, thought, and action. This instrumental use of hypnosis is particularly well-suited for identifying the neural correlates of conscious and unconscious perception and memory, and of voluntary and involuntary action. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. What do hypnotics cost hospitals and healthcare? [version 2; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Daniel F. Kripke

    2017-06-01

    Full Text Available Hypnotics (sleeping pills are prescribed widely, but the economic costs of the harm they have caused have been largely unrecognized. Randomized clinical trials have observed that hypnotics increase the incidence of infections. Likewise, hypnotics increase the incidence of major depression and cause emergency admissions for overdoses and deaths.  Epidemiologically, hypnotic use is associated with cancer, falls, automobile accidents, and markedly increased overall mortality.  This article considers the costs to hospitals and healthcare payers of hypnotic-induced infections and other severe consequences of hypnotic use. These are a probable cause of excessive hospital admissions, prolonged lengths of stay at increased costs, and increased readmissions. Accurate information is scanty, for in-hospital hypnotic benefits and risks have scarcely been studied -- certainly not the economic costs of inpatient adverse effects.  Healthcare costs of outpatient adverse effects likewise need evaluation. In one example, use of hypnotics among depressed patients was strongly associated with higher healthcare costs and more short-term disability. A best estimate is that U.S. costs of hypnotic harms to healthcare systems are on the order of $55 billion, but conceivably might be as low as $10 billion or as high as $100 billion. More research is needed to more accurately assess unnecessary and excessive hypnotics costs to providers and insurers, as well as financial and health damages to the patients themselves.

  6. [Development of delusion in view of Luhmann's systems theory].

    Science.gov (United States)

    Maier, T

    2003-01-01

    The systems theory of Niklas Luhmann declares itself as a universal theory and therefore claims applicability to any social and psychic phenomenon.In spite of its high complexity, to many it seems too vague and nonspecific. The possible usefulness of this theory should be demonstrated on the example of the development of delusion, still a mysterious and unexplained phenomenon. Within the framework of Luhmann's systems theory, delusion can be considered a communication disorder and therefore a phenomenon within the social system. Both the autopoietic systems society and psyche are based on and processed by meaning but cannot communicate directly, and they are mutually nontransparent and unpredictable. Due to this fact, the interface between the two systems is a potential source of disturbances. Luhmann defines the distinction of information, message, and understanding as the crucial element to connect the social system with the psychic one. If the psychic system fails to recognize the message of an information correctly or is unable to negotiate between understanding and misunderstanding messages, it detaches itself from the social system to which it is normally closely connected. This detachment releases the possibility of unhindered autistic fulfillment of desires and uncontrolled fear. Due to the meaning-based autopoiesis of the psychic system,these released thoughts and emotions still appear in meaningfully condensed form as delusions.

  7. Incomprehensibility: the role of the concept in DSM-IV definition of schizophrenic delusions.

    Science.gov (United States)

    Heinimaa, Markus

    2002-01-01

    In this paper the role of incomprehensibility in the conceptualization of the DSM-IV definition of delusion is discussed. According to the analysis, the conceptual dependence of DSM-IV definition of delusion on "incomprehensibility" is manifested in several ways and infested with ambiguity. Definition of "bizarre" delusions is contradictory and gives room for two incompatible readings. Also the definition of delusion manifests internal inconsistencies and its tendency to account for delusions in terms of misinterpretation is bound to miss the content of the traditional comprehension of delusionality. It is suggested that the ambiguities in defining delusions has to do with the question whether psychiatric practice is better accounted for in terms of the grammar of "incorrectness" or of "incomprehensibility".

  8. Sedative Hypnotic Activity of Manahshila (Realgar) -An Experimental Evaluation

    Science.gov (United States)

    Kodlady, Naveena; Doddamani, M. S.; Vishwanath, Y.; Patgiri, B. J.

    2011-01-01

    Manahshila (Realgar) is one of the three major Arsenicals used in Ayurvedic therapeutics since ages. It is indicated in skin, respiratory, ophthalmic and psychological disorders. It is mentioned to be the best among Rasayanas and a good aphrodisiac. As Manahshila is indicated in Unmada (Psychological disorder); wide use of Manahshila in the formulations mentioned for psychological disorders; some of those formulations are used in treatment of sleeplessness and Ardraka (Zingiber officinale Roscoe) which is a commonly used Shodhana reagent of Manahshila is reported to be sedative, the potential sedative hypnotic activity is inferred and an experimental study was carried out to evaluate the sedative hypnotic activity of Manahshila. Effect of Ardraka Shodhita Manahshila (ASM) on the spontaneous motor activity of albino rats in actophotometer and on diazepam induced sleeping time was evaluated. There was a statistically significant reduction in the spontaneous motor activity (P<0.001) in the ASM treated Manahshila and there was early onset and hypnotic potentiation in the diazepam induced sleep in rats (P<0.01). PMID:22557432

  9. The nature of delusion: psychologically explicable? psychologically inexplicable? philosophically explicable? Part 2.

    Science.gov (United States)

    Cutting, J; Musalek, M

    2016-03-01

    The first part of this article dealt with the extant formulations of delusion, psychiatric and psychological, suggestions which, respectively, regard delusion as psychologically inexplicable or explicable. All this was subjected to critique. This second part puts forward informed philosophical thesis whereby delusion can be explained within the philosophical movement known as phenomenology and, in particular, Max Scheler's version of this. © The Author(s) 2015.

  10. Pseudocyesis Versus Delusion of Pregnancy: Differential Diagnoses to be Kept in Mind

    OpenAIRE

    Tarun Yadav; Yatan Pal Singh Balhara; Dinesh Kumar Kataria

    2012-01-01

    Pseudocyesis is a condition in which the patient has all signs and symptoms of pregnancy except for the confirmation of the presence of a fetus. The literature on delusions of pregnancy in schizophrenia is however scanty. We hereby present a case of delusion of pregnancy. The case highlights the possibility of delusion of pregnancy if a patient presents with features suggestive of pseudocyesis. The obstetricians being more familiar with pseudocyesis might tend to overlook the other possibilit...

  11. Association of Violence With Emergence of Persecutory Delusions in Untreated Schizophrenia

    National Research Council Canada - National Science Library

    Keers, Robert; Ullrich, Simone; DeStavola, Bianca L; Coid, Jeremy W

    2014-01-01

    Persecutory delusions can emerge in prisoners with untreated schizophrenia, leading to violent behavior, but maintaining psychiatric treatment after release can substantially reduce violent recidivism...

  12. What is bizarre in bizarre delusions? A critical review

    DEFF Research Database (Denmark)

    Cermolacce, Michel René Joseph; Jensen, Lars Meldgaard Sass; Parnas, J

    2010-01-01

    Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition (DSM-IV) treats the presence of bizarre delusions (BD) as the heaviest-weighted clinical criterion of schizophrenia. Although BD play a major role in contemporary diagnostic systems, only a few empirical studies explore this issue...... or incomprehensible. Then, we provide a critical review of contemporary studies on the reliability of BD and their methodological and conceptual limitations. Current approaches have focused intensely on BD's reliability and have defined BD strictly in terms of delusional content--mainly in terms of the physical...

  13. [Delirium in delusions of negations of Cotard: syndrome versus disorder].

    Science.gov (United States)

    Huertas, D; Molina, J D; Chamorro, L; Toral, J

    1997-01-01

    This article constitutes the first of a series directed to review fundamental disorders in clinical psychogeriatrics. This sort of publication is intended to retrieve clinical practice as the cornerstone for research and teaching in psychiatry. Besides, and particularly in geriatry, we try to expand the strategy of liaison work with primary physicians. In this case, a nosological review of the so called "delusion of negations" is presented. The Jules Cotard's original concept of subtype of delusional melancholia is contrasted to the view of numerous authors in this century who have described it as a form of non-specific delusional syndrome.

  14. Persecutory delusions and the self: An investigation of implicit and explicit self-esteem.

    Science.gov (United States)

    Mackinnon, Katharine; Newman-Taylor, Katherine; Stopa, Lusia

    2011-03-01

    Persecutory delusions are proposed to be a defence against low self-esteem reaching conscious awareness (Bentall, Corcoran, Howard, Blackwood, & Kinderman, 2001). Key predictions of this proposal are that individuals with persecutory delusions will have lower implicit self-esteem and equivalent levels of explicit self-esteem compared to healthy controls. This study aims to test the predictions regarding implicit and explicit self-esteem in people with persecutory delusions. Of 22 people screened for persecutory delusions, 16 were recruited to the study. 20 healthy control participants were recruited. The Implicit Association Test was used to measure implicit self-esteem and the Rosenberg self-esteem scale was used to assess explicit self-esteem. Positive and negative self and other schemas were also assessed using the Brief Core Schema Scales. People with persecutory delusions had positive implicit self-esteem, comparable to that of the control group. Explicit self-esteem was lower for the persecutory delusion group, but was associated with increased depression and anxiety. Negative self and other schemas were higher in the clinical group. The results do not support the contention that persecutory delusions defend against negative self-representations and low self-esteem reaching conscious awareness. Non-defensive cognitive models are discussed as an alternative way of understanding persecutory delusions. Copyright © 2010 Elsevier Ltd. All rights reserved.

  15. Perceptual instability in schizophrenia: Probing predictive coding accounts of delusions with ambiguous stimuli

    Directory of Open Access Journals (Sweden)

    Katharina Schmack

    2015-06-01

    Conclusion: Our results indicate an association between a weakened effect of sensory predictions in perceptual inference and delusions in schizophrenia. We suggest that attenuated predictive signaling during perceptual inference in schizophrenia may yield the experience of aberrant salience, thereby providing the starting point for the formation of delusions.

  16. Prevalence and associated factors of hypnotics dependence among Japanese outpatients with psychiatric disorders.

    Science.gov (United States)

    Murakoshi, Akiko; Takaesu, Yoshikazu; Komada, Yoko; Ishikawa, Jun; Inoue, Yuichi

    2015-12-30

    This study aimed to investigate the prevalence of the dependence for benzodiazepine or their agonist (BZDs) hypnotics, as well as factors associated with this dependence among Japanese psychiatric outpatients. One thousand and forty-three patients in the psychiatric outpatient clinic of Tokyo Medical University Hospital receiving treatment with BZDs hypnotics were analyzed. The subjects answered questionnaires including demographic variables, subjective sleep difficulty assessed by the Pittsburg Sleep Quality Index (PSQI), duration of hypnotics medication, dose of diazepam equivalent BZDs hypnotics, the presence or absence of subjective side effects due to BZDs hypnotics (dizziness, fatigue, daytime sleepiness, amnesia, and headache), and dependency assessed by the Dependency 2-A (D 2-A) score. Subjects with a D 2-A score ≥10 were considered as having BZDs hypnotics dependence, and the variables associated with the presence of dependence were examined using logistic regression analyses. Eighty-two out of the 1043 subjects (7.9%) were determined to have BZDs hypnotics dependence. Compared with the non-dependence group, the dependence group had a significantly higher proportion of positive respondents for all the side effects. Multiple logistic regression analyses showed that the dependence was significantly associated with younger age, higher total PSQI score, and higher daily dose of BZDs hypnotics. Younger age, higher total PSQI score, and higher dose may be associated with BZDs hypnotics dependence. The finding that patients with BZDs hypnotics dependence frequently suffered from subjective side effects and had greater sleep difficulty encourages the establishment of alternative treatments for patients with insomnia symptoms refractory to BZDs hypnotics treatment. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  17. Anxiolytics, Sedatives, and Hypnotics Prescribed by Dentists in Brazil in 2010

    Directory of Open Access Journals (Sweden)

    Patrícia Azevedo Lino

    2017-01-01

    Full Text Available Objective. To describe dental prescriptions for anxiolytics, sedatives, and hypnotics for Brazilian outpatients in 2010. Methods. A cross-sectional study was conducted using data on the use of anxiolytics, sedatives, and hypnotics from the Brazilian Health Surveillance Agency, Brazil, 2010. For each prescription, prescribed drugs and the prescribed amount were identified. Prescribed medications were classified according to Anatomical Therapeutic Chemical code. We calculated the number of Defined Daily Doses (DDD for anxiolytics, sedatives, and hypnotics by code, their mean DDD, and DDD per inhabitant per year. Results. There were 16,436 prescriptions dispensed, including anxiolytics, sedatives, and hypnotics. These prescriptions corresponded to 3,555,780.50 mg, distributed as 2,286,200.50 mg (64.30% of anxiolytics and 1,269,580.00 mg (35.70% of sedatives and hypnotics. This amount allowed treating approximately 474,106 individuals (number of DDD. The anxiolytics most frequently dispensed were bromazepam (25.30%, alprazolam (19.19%, and diazepam (15.60%. Sedatives and hypnotics mostly prescribed were zolpidem (9.55%, midazolam (6.99%, and flunitrazepam (2.14%. The per capita rates (100,000 inhabitants of anxiolytics and sedatives/hypnotics were 6.83 and 1.78, respectively. Conclusions. Benzodiazepines and derivatives were the most frequently prescribed drugs. There was a low rate of dental prescriptions for anxiolytics, sedatives, and hypnotics, although excessive doses were concentrated in the same prescription.

  18. Pseudocyesis, delusional pregnancy, and psychosis: The birth of a delusion.

    Science.gov (United States)

    Seeman, Mary V

    2014-08-16

    Both pseudocyesis and delusional pregnancy are said to be rare syndromes, but are reported frequently in developing countries. A distinction has been made between the two syndromes, but the line of demarcation is blurred. The aim of this paper is to review recent cases of pseudocyesis/delusional pregnancy in order to learn more about biopsychosocial antecedents. The recent world literature (2000-2014) on this subject (women only) was reviewed, making no distinction between pseudocyesis and delusional pregnancy. Eighty case histories were found, most of them originating in developing countries. Fifty patients had been given a diagnosis of psychosis, although criteria for making the diagnosis were not always clear. The psychological antecedents included ambivalence about pregnancy, relationship issues, and loss. Very frequently, pseudocyesis/delusional pregnancy occurred when a married couple was infertile and living in a pronatalist society. The infertility was attributed to the woman, which resulted in her experiencing substantial distress and discrimination. When antipsychotic medication was used to treat psychotic symptoms in these women, it led to high prolactin levels and apparent manifestations of pregnancy, such as amenorrhea and galactorrhea, thus reinforcing a false conviction of pregnancy. Developing the erroneous belief that one is pregnant is an understandable process, making the delusion of pregnancy a useful template against which to study the evolution of other, less explicable delusions.

  19. Placebo versus "standard" hypnosis rationale: attitudes, expectancies, hypnotic responses, and experiences.

    Science.gov (United States)

    Accardi, Michelle; Cleere, Colleen; Lynn, Steven Jay; Kirsch, Irving

    2013-10-01

    In this study participants were provided with either the standard rationale that accompanies the Harvard Group Scale of Hypnotic Susceptibility: A (Shor & Orne, 1962) or a rationale that presented hypnosis as a nondeceptive placebo, consistent with Kirsch's (1994) sociocognitive perspective of hypnosis. The effects of the placebo and standard rationales were highly comparable with respect to hypnotic attitudes; prehypnotic expectancies; objective, subjective, and involuntariness measures of hypnotic responding; as well as a variety of subjective experiences during hypnosis, as measured by the Phenomenology of Consciousness Inventory (Pekala, 1982). Differences among correlations were not evident when measures were compared across groups. However, indices of hypnotic responding were correlated with attitudes in the hypnosis but not the placebo condition, and, generally speaking, the link between subjective experiences during hypnosis and measures of hypnotic responding were more reliable in the placebo than the hypnosis group. Researcher findings are neutral with respect to providing support for altered state versus sociocognitive models of hypnosis.

  20. Long-term Use of Z-Hypnotics and Co-medication with Benzodiazepines and Opioids.

    Science.gov (United States)

    Sakshaug, Solveig; Handal, Marte; Hjellvik, Vidar; Berg, Christian; Ripel, Åse; Gustavsen, Ingebjørg; Mørland, Jørg; Skurtveit, Svetlana

    2017-03-01

    Benzodiazepine-like drugs (z-hypnotics) are the most commonly used drugs for treatment of insomnia in Norway. Z-hypnotics are recommended for short-term treatment not exceeding 4 weeks. We aimed to study the use of z-hypnotics in the adult population in Norway with focus on recurrent use in new users, treatment intensity and co-medication with benzodiazepines and opioids in long-term users. Data were obtained from the Norwegian Prescription Database. New users in 2009 were followed through 2013. Recurrent z-hypnotic use was defined as new fillings at least once in each of the four 365-day follow-up periods. Age groups of 18-39, 40-64 and 65+ years were analysed separately for men and women. In 2013, 354,571 (8.9%) of the population filled at least one prescription of z-hypnotics and the prevalence was relatively stable over time. Among the 92,911 new users of z-hypnotics in 2009, 13,996 (16.8%) received z-hypnotics all four 365-day periods of follow-up. In these long-term recurrent users, the treatment intensity was high already the second year, with mean annual amounts of 199 and 169 DDDs per patient in men and women, respectively. The interquartile differences were greatest in the youngest age group. 27.9% of the long-term recurrent users of z-hypnotics used benzodiazepines the fourth year and 33.9% used opioids. The proportions with co-medication increased with level of z-hypnotic treatment intensity. Overall, many z-hypnotic users had medicines dispensed for longer periods than recommended, and co-medications with drugs that may reinforce the central depressing and intoxicating effects were common. © 2016 Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society).

  1. Impact of hypnotics use on daytime function and factors associated with usage by female shift work nurses.

    Science.gov (United States)

    Futenma, Kunihiro; Asaoka, Shoichi; Takaesu, Yoshikazu; Komada, Yoko; Ishikawa, Jun; Murakoshi, Akiko; Nishida, Shingo; Inoue, Yuichi

    2015-05-01

    We investigated quality of life (QOL) and work performance of hypnotics users, and explored the factors associated with multiple hypnotics usage in shift work nurses. We conducted a questionnaire-based, cross-sectional survey on nurses in university hospitals. We analyzed responses from 1202 nurses; 997 were female shift work nurses (82.9%), including 696 and 281 two- and three-shift workers, respectively. The rate of hypnotics use was 10% (6.9% were single hypnotic users and 3.1% were multiple hypnotics users). The rate of insomnia did not differ between the single and multiple hypnotics users. However, multiple hypnotics users showed lower QOL, more severe depressive symptoms, and greater frequencies of work-related errors than those using a single hypnotic. A multiple logistic regression analysis revealed that age ≥27 years, presence of depression, eveningness chronotype, and presence of insomnia symptoms were significantly associated with hypnotics use. On the other hand, only the existence of shift work disorder (SWD) was significantly associated with usage of multiple hypnotics. The present study suggested that usage of multiple hypnotics is not beneficial for relieving insomnia or for keeping better QOL in shift work nurses. It would be desirable to explore the causal relationship between SWD and multiple hypnotics use in a future longitudinal study. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. Postoperative use of hypnotics is associated with increased length of stay after uncomplicated surgery for colorectal cancer

    DEFF Research Database (Denmark)

    Noack, Morten Westergaard; Bisgård, Anne Sofie; Klein, Mads

    2016-01-01

    BACKGROUND/AIMS: Hypnotics are used to treat perioperative sleep disorders. These drugs are associated with a higher risk of adverse effects among patients undergoing surgery. This study aims to quantify the use of hypnotics and factors influencing the administration of hypnotics in relation to c...

  3. Pathologies of hyperfamiliarity in dreams, delusions and déjà vu

    Science.gov (United States)

    Gerrans, Philip

    2014-01-01

    The ability to challenge and revise thoughts prompted by anomalous experiences depends on activity in right dorsolateral prefrontal circuitry. When activity in those circuits is absent or compromised subjects are less likely to make this kind of correction. This appears to be the cause of some delusions of misidentification consequent on experiences of hyperfamiliarity for faces. Comparing the way the mind responds to the experience of hyperfamiliarity in different conditions such as delusions, dreams, pathological and non-pathological déjà vu, provides a way to understand claims that delusions and dreams are both states characterized by deficient “reality testing.” PMID:24600415

  4. Delusion of pregnancy and other pregnancy-mimicking conditions: Dissecting through differential diagnosis

    Directory of Open Access Journals (Sweden)

    Seshadri Sekhar Chatterjee

    2014-01-01

    Full Text Available The delusion of pregnancy is defined as the belief of being pregnant despite factual evidence to the contrary. Even being more common in a developing country, the literature about delusion of pregnancy from India is meager. The present article reports the case of delusion of pregnancy in an unmarried female associated with subclinical hypothyroidism and prominent sibling rivalry from psychological aspect. The literature in this field has addressed for the organic and psychodynamic, psychosocial aspect of this disorder and its difference from other disorders mimicking pregnancy and its relevance to the treatment plan.

  5. Pseudocyesis Versus Delusion of Pregnancy: Differential Diagnoses to be Kept in Mind.

    Science.gov (United States)

    Yadav, Tarun; Balhara, Yatan Pal Singh; Kataria, Dinesh Kumar

    2012-01-01

    Pseudocyesis is a condition in which the patient has all signs and symptoms of pregnancy except for the confirmation of the presence of a fetus. The literature on delusions of pregnancy in schizophrenia is however scanty. We hereby present a case of delusion of pregnancy. The case highlights the possibility of delusion of pregnancy if a patient presents with features suggestive of pseudocyesis. The obstetricians being more familiar with pseudocyesis might tend to overlook the other possibility in such cases. This would be especially true if there are no associated clearcut psychotic features.

  6. Pathologies of hyperfamiliarity in dreams, delusions and déjà vu.

    Science.gov (United States)

    Gerrans, Philip

    2014-01-01

    The ability to challenge and revise thoughts prompted by anomalous experiences depends on activity in right dorsolateral prefrontal circuitry. When activity in those circuits is absent or compromised subjects are less likely to make this kind of correction. This appears to be the cause of some delusions of misidentification consequent on experiences of hyperfamiliarity for faces. Comparing the way the mind responds to the experience of hyperfamiliarity in different conditions such as delusions, dreams, pathological and non-pathological déjà vu, provides a way to understand claims that delusions and dreams are both states characterized by deficient "reality testing."

  7. Pathologies of Hyperfamiliarity in Dreams, Delusions and Déjà Vu

    Directory of Open Access Journals (Sweden)

    Philip eGerrans

    2014-02-01

    Full Text Available The ability to challenge and revise thoughts prompted by anomalous experiences depends on activity in right dorsolateral prefrontal circuitry. When activity in those circuits is absent or compromised subjects are less likely to make this kind of correction. This appears to be the cause of some delusions of misidentification consequent on experiences of hyperfamiliarity for faces. Comparing the way the mind responds to the experience of hyperfamiliarity in different conditions such as delusions, dreams, pathological and non pathological déjà vu, provides a way to understand claims that delusions and dreams are both states characterized by deficient reality testing.

  8. Psychosynthesis: a transpersonal model for hypnotically mediated psychotherapy.

    Science.gov (United States)

    Appel, Philip R

    2014-01-01

    Psychosynthesis is one of the first Western transpersonal models of personality and psychotherapy. It was developed in 1910 by the Italian psychiatrist Roberto Assagioli. In this article, basic constructs involving the realms of consciousness, subpersonalities, and the importance of the will, and the neo-Jungian functions, will be introduced and related to the practice of hypnotically mediated psychotherapy. That which makes this model unique is its recognition of the human spirit and how that impacts consciousness and its inclusion as an important element to be included in therapy. A guideline for selecting interventions based upon the patient's symptom will be described as well as a discussion of some of the therapy techniques associated with this model.

  9. Sedative-Hypnotic Drug Withdrawal Syndrome: Recognition And Treatment.

    Science.gov (United States)

    Santos, Cynthia; Olmedo, Ruben E

    2017-03-01

    Sedative-hypnotic drugs include gamma-Aminobutyric acid (GABA)ergic agents such as benzodiazepines, barbiturates, gamma-Hydroxybutyric acid [GHB], gamma-Butyrolactone [GBL], baclofen, and ethanol. Chronic use of these substances can cause tolerance, and abrupt cessation or a reduction in the quantity of the drug can precipitate a life-threatening withdrawal syndrome. Benzodiazepines, phenobarbital, propofol, and other GABA agonists or analogues can effectively control symptoms of withdrawal from GABAergic agents. Managing withdrawal symptoms requires a patient-specific approach that takes into account the physiologic pathways of the particular drugs used as well as the patient's age and comorbidities. Adjunctive therapies include alpha agonists, beta blockers, anticonvulsants, and antipsychotics. Newer pharmacological therapies offer promise in managing withdrawal symptoms.

  10. Sedative-hypnotic drug withdrawal syndrome: recognition and treatment [digest].

    Science.gov (United States)

    Santos, Cynthia; Olmedo, Ruben E; Kim, Jeremy

    2017-03-22

    Sedative-hypnotic drugs include gamma-Aminobutyric acid (GABA)ergic agents such as benzodiazepines, barbiturates, gamma-Hydroxybutyric acid [GHB], gamma-Butyrolactone [GBL], baclofen, and ethanol. Chronic use of these substances can cause tolerance, and abrupt cessation or a reduction in the quantity of the drug can precipitate a life-threatening withdrawal syndrome. Benzodiazepines, phenobarbital, propofol, and other GABA agonists or analogues can effectively control symptoms of withdrawal from GABAergic agents. Managing withdrawal symptoms requires a patient-specific approach that takes into account the physiologic pathways of the particular drugs used as well as the patient's age and comorbidities. Adjunctive therapies include alpha agonists, beta blockers, anticonvulsants, and antipsychotics. Newer pharmacological therapies offer promise in managing withdrawal symptoms. [Points & Pearls is a digest of Emergency Medicine Practice].

  11. Delusional misidentifications and duplications: right brain lesions, left brain delusions.

    Science.gov (United States)

    Devinsky, Orrin

    2009-01-06

    When the delusional misidentification syndromes reduplicative paramnesia and Capgras syndromes result from neurologic disease, lesions are usually bifrontal and/or right hemispheric. The related disorders of confabulation and anosognosis share overlapping mechanisms and anatomic pathology. A dual mechanism is postulated for the delusional misidentification syndromes: negative effects from right hemisphere and frontal lobe dysfunction as well as positive effects from release (i.e., overactivity) of preserved left hemisphere areas. Negative effects of right hemisphere injury impair self-monitoring, ego boundaries, and attaching emotional valence and familiarity to stimuli. The unchecked left hemisphere unleashes a creative narrator from the monitoring of self, memory, and reality by the frontal and right hemisphere areas, leading to excessive and false explanations. Further, the left hemisphere's cognitive style of categorization, often into dual categories, leads it to invent a duplicate or impostor to resolve conflicting information. Delusions result from right hemisphere lesions. But it is the left hemisphere that is deluded.

  12. Stable aesthetic standards delusion: changing 'artistic quality' by elaboration.

    Science.gov (United States)

    Carbon, Claus-Christian; Hesslinger, Vera M

    2014-01-01

    The present study challenges the notion that judgments of artistic quality are based on stable aesthetic standards. We propose that such standards are a delusion and that judgments of artistic quality are the combined result of exposure, elaboration, and discourse. We ran two experiments using elaboration tasks based on the repeated evaluation technique in which different versions of the Mona Lisa had to be elaborated deeply. During the initial task either the version known from the Louvre or an alternative version owned by the Prado was elaborated; during the second task both versions were elaborated in a comparative fashion. After both tasks multiple blends of the two versions had to be evaluated concerning several aesthetic key variables. Judgments of artistic quality of the blends were significantly different depending on the initially elaborated version of the Mona Lisa, indicating experience-based aesthetic processing, which contradicts the notion of stable aesthetic standards.

  13. The Hypnotic Induction in the Broad Scheme of Hypnosis: A Sociocognitive Perspective.

    Science.gov (United States)

    Lynn, Steven Jay; Maxwell, Reed; Green, Joseph P

    2017-04-01

    Researchers and clinicians typically divide hypnosis into two distinct parts: the induction and the suggestions that follow. We suggest that this distinction is arbitrary and artificial. Different definitions of hypnosis ascribe different roles to the hypnotic induction, yet none clearly specifies the mechanisms that mediate or moderate subjective and behavioral responses to hypnotic suggestions. Researchers have identified few if any differences in responding across diverse hypnotic inductions, and surprisingly little research has focused on the specific ingredients that optimize responsiveness. From a sociocognitive perspective, we consider the role of inductions in the broader scheme of hypnosis and suggest that there is no clear line of demarcation between prehypnotic information, the induction, suggestions, and other constituents of the hypnotic context. We describe research efforts to maximize responses to hypnotic suggestions, which encompass the induction and other aspects of the broader hypnotic framework, and conclude with a call for more research on inductions and suggestions to better understand their role within hypnotic interventions in research and clinical contexts.

  14. Metacognitive group training for schizophrenia spectrum patients with delusions : a randomized controlled trial

    NARCIS (Netherlands)

    van Oosterhout, B.; Krabbendam, L.; de Boer, K.; Ferwerda, J.; van der Helm, M.; Stant, A. D.; van der Gaag, M.

    2014-01-01

    Background. Metacognitive training (MCT) for patients with psychosis is a psychological group intervention that aims to educate patients about common cognitive biases underlying delusion formation and maintenance, and to highlight their negative consequences in daily functioning. Method. In this

  15. Making Sense of Pain: Delusions, Syphilis, and Somatic Pain in London County Council Asylums, c. 1900

    Directory of Open Access Journals (Sweden)

    Louise Hide

    2012-12-01

    Full Text Available During the late nineteenth century, a high percentage of male deaths in asylums was attributed to various forms of tertiary syphilis, most notably General Paralysis of the Insane (GPI and tabes dorsalis. It was not unusual for patients to present symptoms of both conditions, the latter of which could be agonizingly painful. Some patients also suffered from persecutory delusions, believing that electricity was running through them or that their limbs were gnawed by lions and wolves at night. Drawing on a theory advanced by a number of key alienists and pathologists of the period, I suggest that these delusions were misinterpretations of felt sensations and, as such, illusions rather than delusions. Despite the well-known problems around using these historical sources, I contend that recorded delusions in asylum case notes can be treated as narratives of pain that provide invaluable insights into patients' subjective experiences.

  16. Delusions, anger, and serious violence: new findings from the MacArthur Violence Risk Assessment Study.

    Science.gov (United States)

    Ullrich, Simone; Keers, Robert; Coid, Jeremy W

    2014-09-01

    Recent research on the association between delusions and violence has suggested complex and differing pathways. Furthermore, it has been emphasized that temporal proximity is fundamental when investigating these relationships. We reanalyzed data from the MacArthur Violence Risk Assessment Study utilizing a different methodological approach to investigate associations between specific delusions and violence. Longitudinal study of 1136 male and female civil psychiatric inpatients after discharge. Delusions, affect due to delusions, and violence were measured at baseline and in 5 follow-up assessments. Serious violence was established using the MacArthur Community Violence Interview. Logistic mixed-effect models for repeated measures were performed. A "prospective" model confirmed previous findings that delusions do not predict later violence. However, reanalysis, considering temporal proximity, indicated a relationship between specific delusions and outcome including: being spied upon (adjusted OR [AOR] = 1.62, 95% CI = 1.06-2.47, P = .027), being followed (AOR = 1.90, 95% CI = 1.29-2.80, P = .001), being plotted against (AOR = 1.70, 95% CI = 1.14-2.52, P = .009), being under control of person/force (AOR = 1.92, 95% CI = 1.24-2.97, P = .003), thought insertion (AOR = 1.63, 95% CI = 1.00-2.66, P = .048), and having special gifts/powers (AOR = 1.95, 95% CI = 1.31-2.92, P = .001). All these delusions were associated with angry affect (P violence. Anger due to delusions is the key factor in this pathway. Our findings have important implications for identification of psychotic patients at risk for violent behavior and, most importantly, management of their risk. © The Author 2013. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  17. Contrasting monosymptomatic patients with hallucinations and delusions in first-episode psychosis patients

    DEFF Research Database (Denmark)

    Evensen, Julie; Røssberg, Jan Ivar; Haahr, Ulrik

    2011-01-01

    The main aim of this study was to identify subgroups of patients characterized by having hallucinations only or delusions only and to examine whether these groups differed with regard to demographic characteristics, clinical characteristics and outcome factors, including suicidality.......The main aim of this study was to identify subgroups of patients characterized by having hallucinations only or delusions only and to examine whether these groups differed with regard to demographic characteristics, clinical characteristics and outcome factors, including suicidality....

  18. Delusion of Triplet Pregnancy in Abdominal Cavity: A Case Report with a Review of Literature.

    Science.gov (United States)

    Goyal, Shri Gopal; Mahapatra, Ananya; Goyal, Priti Kumari; Khandelwal, Sudhir Kumar

    2017-01-01

    The two terms, pseudocyesis and delusion of pregnancy, were frequently used for pseudopregnancy. Delusion of pregnancy is a special form of hypochondriacal/somatic delusion reported in various psychiatric and organic disorders. The origin of the delusion of pregnancy in schizophrenia has often been explained by psycho-analytic interpretations attributing wish fulfilling, protective role to false beliefs, and mother establishes an undisturbed union with her fetus during pregnancy, which eliminate loneliness and helplessness. The current case is a 49-year-old married female with an illness of total duration of 10 years. Initial symptoms were delusion of infidelity and persecution and 2nd and 3rd person auditory hallucination; however, the patient started reporting around 2 years back that she was pregnant and there were three female children inside her abdominal cavity rather than in uterus. She was firm on this belief and was not convinced by family members even giving evidence contrary to her belief like showing ultrasonography report. She firmly believed that these are gift of God, and they are special children who would be delivered through special procedure. Blood investigation revealed raised prolactin level, blood sugar and ultra sonography suggestive of cholelithisis. Patient's psychiatric symptoms including delusion of pregnancy were significantly improved with treatment, and medical and surgical comorbidities were managed with appropriate consultations.

  19. Delusion of Triplet Pregnancy in Abdominal Cavity: A Case Report with a Review of Literature

    Science.gov (United States)

    Goyal, Shri Gopal; Mahapatra, Ananya; Goyal, Priti Kumari; Khandelwal, Sudhir Kumar

    2017-01-01

    The two terms, pseudocyesis and delusion of pregnancy, were frequently used for pseudopregnancy. Delusion of pregnancy is a special form of hypochondriacal/somatic delusion reported in various psychiatric and organic disorders. The origin of the delusion of pregnancy in schizophrenia has often been explained by psycho-analytic interpretations attributing wish fulfilling, protective role to false beliefs, and mother establishes an undisturbed union with her fetus during pregnancy, which eliminate loneliness and helplessness. The current case is a 49-year-old married female with an illness of total duration of 10 years. Initial symptoms were delusion of infidelity and persecution and 2nd and 3rd person auditory hallucination; however, the patient started reporting around 2 years back that she was pregnant and there were three female children inside her abdominal cavity rather than in uterus. She was firm on this belief and was not convinced by family members even giving evidence contrary to her belief like showing ultrasonography report. She firmly believed that these are gift of God, and they are special children who would be delivered through special procedure. Blood investigation revealed raised prolactin level, blood sugar and ultra sonography suggestive of cholelithisis. Patient's psychiatric symptoms including delusion of pregnancy were significantly improved with treatment, and medical and surgical comorbidities were managed with appropriate consultations. PMID:28852250

  20. A preliminary investigation into theory of mind and attributional style in adults with grandiose delusions.

    Science.gov (United States)

    Boyden, Paul; Knowles, Rebecca; Corcoran, Rhiannon; Hamilton, Simon; Rowse, Georgina

    2015-01-01

    A preliminary cognitive model of grandiose delusions has been put forward suggesting that persecutory and grandiose delusions shared distinct, yet overlapping psychological processes. This study aims to test this model and hypothesises that participants experiencing grandiose delusions may demonstrate a theory of mind (ToM) impairment and differences in attributional style compared to a control group. A cross-sectional design compared the performance of 18 individuals with grandiose delusions to a control group of 14 participants with depression. ToM was measured using a non-verbal joke appreciation task and a verbal stories task. Attributional style was measured using the internal, personal and situational attributions questionnaire. Participants experiencing grandiose delusions performed significantly worse on both ToM tasks compared to controls. Furthermore, these participants provided significantly more atypical answers when explaining the joke behind the ToM cartoons. No differences for subjective funniness ratings or attributional style were found. This preliminary study indicated participants experiencing grandiose delusions have ToM impairments which may contribute to the maintenance of this symptom.

  1. The Psychophysics of Cold Pressor Pain and Its Modification through Hypnotic Suggestion

    Science.gov (United States)

    Hilgard, Ernest R.; And Others

    1974-01-01

    Earlier reports of the pain of putting hand and forearm in circulating ice water were recomputed to study how subjects scale that pain and to find appropriate measures of its reduction under hypnotic analgesia. (Editor)

  2. [Sleep disorders and the consumption of hypnotics on the island of Mallorca].

    Science.gov (United States)

    Cañellas Dols, F; Ochogavia Cánaves, J; Llobera Cánaves, J; Palmer Pol, A; Castell Colom, J; Iglesias Tamargo, C

    1998-11-01

    To estimate the frequency and characteristic of sleep disorders and consumption of hypnotic drugs in a population attended by primary care physicians (PC). Interviewing a population of 602 patients at the office exit of 87 PC physicians in 32 institution in Mallorca 1994. Questionnaire on sleep: hypnotic drugs and scale hospital anxiety-depression, others. 17.4% (95% CI: 14.4%-20.5%) sleepless (DSM-III-R), 27.0% (95% CI: 23.5%-30.6%) complained from poor sleep quality and 16.4% (95% CI: 13.4%-19.4%) usually consumed hypnotic drugs (56.7%, for longer than one year). The high frequency of both sleep disorders and chronic consumption of hypnotic drugs represents a relevant health problem.

  3. New and chronic use of hypnotics after diagnosis with early breast cancer

    DEFF Research Database (Denmark)

    Andersen, Lærke Toftegård; Suppli, Nis Frederik Palm; Dalton, Susanne Oksbjerg

    2015-01-01

    BACKGROUND: To determine use and investigate factors associated with use of hypnotics the first year after a diagnosis with breast cancer. MATERIAL AND METHODS: A retrospective registry based cohort study linking clinical data from the Danish Breast Cancer Group with the National Prescription Drug...... was defined as one or more prescriptions of hypnotics 13 months to 1 month before diagnosis, and chronic use was defined as four or more prescriptions. Hazard ratios (HRs) for clinical variables, treatment-related factors and sociodemographic factors were calculated. RESULTS: Among women with no prior history...... Database and other health and administrative registries. We included 26 082 women diagnosed with early breast cancer as first time primary cancer during 1996-2006. Use of hypnotics was measured as redeemed prescriptions in the first year after diagnosis of early breast cancer. Prior use of hypnotics...

  4. The brain under self-control: modulation of inhibitory and monitoring cortical networks during hypnotic paralysis

    OpenAIRE

    Cojan, Yann; Waber, Lakshmi; Schwartz, Sophie; Rossier, Laurent; Forster, Alain; Vuilleumier, Patrik

    2009-01-01

    Brain mechanisms of hypnosis are poorly known. Cognitive accounts proposed that executive attentional systems may cause selective inhibition or disconnection of some mental operations. To assess motor and inhibitory brain circuits during hypnotic paralysis, we designed a go-nogo task while volunteers underwent functional magnetic resonance imaging (fMRI) in three conditions: normal state, hypnotic left-hand paralysis, and feigned paralysis. Preparatory activation arose in right motor cortex d...

  5. Virtual reality in the treatment of persecutory delusions: randomised controlled experimental study testing how to reduce delusional conviction

    OpenAIRE

    2016-01-01

    Background Persecutory delusions may be unfounded threat beliefs maintained by safety-seeking behaviours that prevent disconfirmatory evidence being successfully processed. Use of virtual reality could facilitate new learning. Aims To test the hypothesis that enabling patients to test the threat predictions of persecutory delusions in virtual reality social environments with the dropping of safety-seeking behaviours (virtual reality cognitive therapy) would lead to greater delusion reduction ...

  6. [Substance-induced sleep disorders and abuse of hypnotics].

    Science.gov (United States)

    Riemann, D; Nissen, C

    2011-12-01

    The intake of a large variety of substances has a negative impact on sleep. Widely used, readily available substances like alcohol, nicotine, or caffeine need to be mentioned here. Illicit drugs (e.g., heroin or ecstasy) have different mechanisms of action with a high sleep-disrupting potential. Prescription drugs, i.e., corticosteroids or β-blockers, may also negatively affect sleep. An important question is whether the intake of hypnotics, especially benzodiazepines, may have a negative long-term effect on sleep. Classical benzodiazepines (BZ) initially lead to a reduction of nocturnal wake time and prolong total sleep time as a desired effect. Regarding the microstructure of sleep, BZ lead to a reduction of slow frequencies and an increase of fast frequencies in the EEG. With many BZ, tolerance may occur, thus, leading to unwanted dose increases. Further problems include rebound effects that occur upon discontinuation of BZ, including a drastic deterioration of sleep upon drug withdrawal. This phenomenon may pave the way for the development of drug dependency. Further unwanted side-effects (e.g., nocturnal falls) and the question of BZ abuse and dependency will be discussed.

  7. Insomnia and hypnotic use in Campo Grande general population, Brazil

    Directory of Open Access Journals (Sweden)

    Souza José Carlos

    2002-01-01

    Full Text Available The insomnia prevalence in general population was determined by means of 408 home interviews of adults, in a representative sample of Campo Grande city, Brazil. The random sample was stratified by sex, age and economic social status. Insomnia subtypes evaluated were the disorders of sleep initiation (DSI, sleep maintenance (DSM and early awakening (DEA. A structured questionnaire was used with the consent from the interviewed subjects. Statistics used chi-square, and Fisher tests; and inferences based on binomial distribution parameters; the significance level was 5% and confidence interval (CI was 95%.The general prevalence of insomnia was 19.1% (sd=2.0%, mostly women (p=0.0015, and people of less years of schooling (p=0.0317, subtype DSI (14.2%, p=0.0043, and chronic (p=0.7022. Hypnotic drugs were used by 6.9%(sd=1.3% in the last month. Use in the last 2 years, 70.3% mostly insomniacs (p<0.0001, women (p=0.0372 and people over 30 years of age (p=0.0536.

  8. Multiple Realities and Hybrid Objects: A Creative Approach of Schizophrenic Delusion

    Directory of Open Access Journals (Sweden)

    Michel Cermolacce

    2018-02-01

    Full Text Available Delusion is usually considered in DSM 5 as a false belief based on incorrect inference about external reality, but the issue of delusion raises crucial concerns, especially that of a possible (or absent continuity between delusional and normal experiences, and the understanding of delusional experience. In the present study, we first aim to consider delusion from a perspectivist angle, according to the Multiple Reality Theory (MRT. In this model inherited from Alfred Schütz and recently addressed by Gallagher, we are not confronting one reality only, but several (such as the reality of everyday life, of imaginary life, of work, of delusion, etc.. In other terms, the MRT states that our own experience is not drawing its meaning from one reality identified as the outer reality but rather from a multiplicity of realities, each with their own logic and style. Two clinical cases illustrate how the Multiple Realities Theory (MRT may help address the reality of delusion. Everyday reality and the reality of delusion may be articulated under a few conditions, such as compossibility [i.e., Double Book-Keeping (DBK, in Bleulerian terms] or flexibility. There are indeed possible bridges between them. Possible links with neuroscience or psychoanalysis are evoked. As the subject is confronting different realities, so do the objects among and toward which a subject is evolving. We call such objects Hybrid Objects (HO due to their multiple belonging. They can operate as shifters, i.e., as some functional operators letting one switch from one reality to another. In the final section, we will emphasize how delusion flexibility, as a dynamic interaction between Multiple Realities, may offer psychotherapeutic possibilities within some reality shared with others, entailing relocation of the present subjects in regained access to some flexibility via Multiple Realities and perspectivism.

  9. [Tolerance to exertion after sleep reduction and after taking a hypnotic: zolpidem].

    Science.gov (United States)

    Mougin, F; Simon-Rigaud, M L; Davenne, D; Bourdin, H; Guilland, J C; Kantelip, J P; Magnin, P

    1992-01-01

    The aim of the present study was to investigate the effects of a delayed bedtime (3 a.m.), an advanced rising (3 a.m.), a sleep under placebo and under a hypnotic compound, i.e. 10 mg of zolpidem (Stilnox) on sleep structure and on the adaptations to a subsequent exercise in 8 male athletes. The chronology of these nights was randomized and each treatment administered in a double blind fashion. During each experimental night, subjects were monitored with conventional EEG/EOG/EMG polygraphic recordings. The next day, athletic performance was tested using a bicycle ergometer. A codified exercise was performed and consisted to a 10 min warm up followed by a 30 min steady state cycling corresponding to 75% of predetermined VO2 max. Then the work load increased progressively by steps of 10 W every minute until exhaustion. The recovery lasted 30 min. Heart rate, ventilation, VO2, ERO2 were monitored during all exercise and recovery. Plasma lactates and catecholamines were also measured at the same time. The data concerning sleep recordings showed that both nights with partial sleep deprivation resulted in a drop of time spent in slow wave sleep II (decrease of 55%) and in rapid eye movement sleep (decrease of 45%) while the amount of slow wave sleep III and IV were identical to that observed after the reference night. The sleep onset latency and the amount of sleep in stage I was reduced only after the delayed bedtime. Sleep data under zolpidem did not show any significantly difference in the amount of different sleep stages.(ABSTRACT TRUNCATED AT 250 WORDS)

  10. The "hypnotic state" and eye movements: Less there than meets the eye?

    Science.gov (United States)

    Cardeña, Etzel; Nordhjem, Barbara; Marcusson-Clavertz, David; Holmqvist, Kenneth

    2017-01-01

    Responsiveness to hypnotic procedures has been related to unusual eye behaviors for centuries. Kallio and collaborators claimed recently that they had found a reliable index for "the hypnotic state" through eye-tracking methods. Whether or not hypnotic responding involves a special state of consciousness has been part of a contentious debate in the field, so the potential validity of their claim would constitute a landmark. However, their conclusion was based on 1 highly hypnotizable individual compared with 14 controls who were not measured on hypnotizability. We sought to replicate their results with a sample screened for High (n = 16) or Low (n = 13) hypnotizability. We used a factorial 2 (high vs. low hypnotizability) x 2 (hypnosis vs. resting conditions) counterbalanced order design with these eye-tracking tasks: Fixation, Saccade, Optokinetic nystagmus (OKN), Smooth pursuit, and Antisaccade (the first three tasks has been used in Kallio et al.'s experiment). Highs reported being more deeply in hypnosis than Lows but only in the hypnotic condition, as expected. There were no significant main or interaction effects for the Fixation, OKN, or Smooth pursuit tasks. For the Saccade task both Highs and Lows had smaller saccades during hypnosis, and in the Antisaccade task both groups had slower Antisaccades during hypnosis. Although a couple of results suggest that a hypnotic condition may produce reduced eye motility, the lack of significant interactions (e.g., showing only Highs expressing a particular eye behavior during hypnosis) does not support the claim that eye behaviors (at least as measured with the techniques used) are an indicator of a "hypnotic state." Our results do not preclude the possibility that in a more spontaneous or different setting the experience of being hypnotized might relate to specific eye behaviors.

  11. Postoperative use of hypnotics is associated with increased length of stay after uncomplicated surgery for colorectal cancer

    Directory of Open Access Journals (Sweden)

    Morten Westergaard Noack

    2016-09-01

    Full Text Available Background/Aims: Hypnotics are used to treat perioperative sleep disorders. These drugs are associated with a higher risk of adverse effects among patients undergoing surgery. This study aims to quantify the use of hypnotics and factors influencing the administration of hypnotics in relation to colorectal cancer surgery. Method: A retrospective cohort study of 1979 patients undergoing colorectal cancer surgery. Results: In all, 381 patients (19% received new treatment with hypnotics. Two of the six surgical centres used hypnotics less often (odds ratio (95% confidence interval, 0.24 (0.16–0.38 and 0.20 (0.12–0.35. Active smokers (odds ratio (95% confidence interval, 1.57 (1.11–2.24 and patients receiving perioperative blood transfusion (odds ratio (95% confidence interval, 1.58 (1.10–2.26 had increased likelihood of receiving hypnotics. In the uncomplicated cases, a multivariable linear regression analysis showed that consumption of hypnotics postoperatively was significantly associated with increased length of stay (1.5 (0.9–2.2 days. Conclusion: One in five patients began treatment with hypnotics after colorectal cancer surgery. Postoperative use of hypnotics was associated with an increased length of stay for uncomplicated cases of colorectal cancer surgery.

  12. Brain correlates of hypnotic paralysis-a resting-state fMRI study.

    Science.gov (United States)

    Pyka, M; Burgmer, M; Lenzen, T; Pioch, R; Dannlowski, U; Pfleiderer, B; Ewert, A W; Heuft, G; Arolt, V; Konrad, C

    2011-06-15

    Hypnotic paralysis has been used since the times of Charcot to study altered states of consciousness; however, the underlying neurobiological correlates are poorly understood. We investigated human brain function during hypnotic paralysis using resting-state functional magnetic resonance imaging (fMRI), focussing on two core regions of the default mode network and the representation of the paralysed hand in the primary motor cortex. Hypnotic suggestion induced an observable left-hand paralysis in 19 participants. Resting-state fMRI at 3T was performed in pseudo-randomised order awake and in the hypnotic condition. Functional connectivity analyses revealed increased connectivity of the precuneus with the right dorsolateral prefrontal cortex, angular gyrus, and a dorsal part of the precuneus. Functional connectivity of the medial frontal cortex and the primary motor cortex remained unchanged. Our results reveal that the precuneus plays a pivotal role during maintenance of an altered state of consciousness. The increased coupling of selective cortical areas with the precuneus supports the concept that hypnotic paralysis may be mediated by a modified representation of the self which impacts motor abilities. Copyright © 2011 Elsevier Inc. All rights reserved.

  13. The Social Before Sociocognitive Theory: Explaining Hypnotic Suggestion in German-Speaking Europe, 1900-1960.

    Science.gov (United States)

    Kauders, Anthony D

    2017-04-01

    The article intends to retrace and review German discourse on hypnotic suggestion from 1900 onward, demonstrating the variety of arguments advanced to account for the social relationship in the hypnotic setting well before the emergence of sociocognitive theory. Using Spanos's distinction between "happenings" and "doings," it shows how, in the case of the "social" in early 20th century German texts on (hypnotic) suggestion, the passive observer, recipient, or victim of hypnosis, a trope familiar to the discipline for many decades, was called into question. This image, however, was not called into question by scientists experimenting in laboratories. On the contrary, the neurologists, psychologists, and philosophers who proffered a new way of seeing suggestion, one that privileged the hypnotic as well as the reciprocity between hypnotist and hypnotic, were part of a wider movement within the social sciences (grounded in hermeneutics, phenomenology, and Gestalt theory) that distanced itself from "positivistic" methodologies and "scientistic" verities. The article, then, seeks to remind readers that the sociocognitive perspective does not define the sociopsychological study of hypnosis.

  14. Hallucinations and delusions: the price we pay for our creative brains

    DEFF Research Database (Denmark)

    Frith, Christopher

    2008-01-01

    How can a brain abnormality cause hallucinations (false perceptions) and delusions (false beliefs)? The reason is that our brain is not simply a passive recorder of what happens in the world. Our brain uses prior knowledge and expectation to construct models of the physical world. On the basis...... there is no difference in principle between perceptions and beliefs: both depend upon a process of updating models of the world on the basis of new evidence with Bayes’ theorem providing the underlying computational mechanism. Many hallucinations and delusions can be explained as the consequence of faulty evidence being......, in a true interaction, each person in the dialogue is trying to model the mind of the other. For success in such interactions it is not sufficient to model what is in the other’s mind. We must also model what the other thinks is in our mind (closing the loop). The hallucinations and delusions associated...

  15. Cotard Delusion in the Context of Schizophrenia: A Case Report and Review of the Literature.

    Science.gov (United States)

    Bott, Nicholas; Keller, Corey; Kuppuswamy, Malathy; Spelber, David; Zeier, Joshua

    2016-01-01

    The Cotard delusion (CD) is one of a variety of narrowly defined monothematic delusions characterized by nihilistic beliefs about the body's existence or life itself. The presence of CD within the context of schizophrenia is rare (delusion was reinforced by his religious belief that life was an attribute of God, and by inference, he as a human, was dead. His condition gradually improved over the course of treatment with Divalproex and quetiapine with discussions about the rationale for his belief. Upon discharge, Mr. C. demonstrated awareness of his fixation on death and an ability to redirect himself. This case highlights the need to better understand the co-occurrence of CD in schizophrenia, their differentiation, the increased risk of violence and self-harm behavior in this presentation, and how specific events and religious factors can influence delusional themes of CD. Pharmacotherapy and aspects of cognitive-behavioral therapy may be effective in ameliorating these symptoms in CD.

  16. The current situation in regard to the delusion of possession in Japan.

    Science.gov (United States)

    Iida, J

    1989-03-01

    A study of possession was made on 1,029 inpatients (male 562, female 467) in Japanese mental hospitals. The results were: (1) The incidence of delusion of possession in the sample was 20.7% for the sample as a whole. (2) As to the contents of delusion of possession, possession by a god was most common. In regard to the difference between the sexes, females were significantly more likely to be possessed by a god than were males. (3) As to the difference between the possession group and the non-possession group, religion, fortuneteller contact, age and diagnosis were significant. (4) As to the characteristics by district in regard to the incidence of delusion of possession, cases of possession were very few in Tokyo and many in Okinawa.

  17. Effect and tolerability of blonanserin in severe delusion with various types of dementia.

    Science.gov (United States)

    Takaki, Manabu; Honda, Hajime; Terada, Seishi; Uchitomi, Yosuke

    2014-12-16

    Low-dose blonanserin was effective for treating severe delusions in six patients with various types of dementia, and it was also well tolerated. Delusion and hallucination scores, as measured by the Neuropsychiatric Inventory, improved, and extrapyramidal symptom scores, as measured by the Drug-Induced Extrapyramidal Symptoms Scale, were unchanged. Blonanserin has strong dopamine D 2 receptor-, 5-hydroxytryptamine 2A receptor-, and dopamine D 3 receptor-blocking activities and weak 5-hydroxytryptamine-2C, α 1 -, histamine H 1 -, and muscarinic M 1 -blocking activities. Its unique characteristics may make it suitable for treating severe delusions and hallucination in patients with dementia. © 2014 The Authors. Psychogeriatrics © 2014 Japanese Psychogeriatric Society.

  18. Understanding the clinical concept of delusion: from an estranged to an engaged epistemology.

    Science.gov (United States)

    Gipps, Richard G T; Fulford, K W M Bill

    2004-08-01

    Delusion is relatively easy to diagnose but near impossible to define. This paper (I) uses the method of 'philosophical fieldwork' to show that standard approaches use definitions that are both over- and under-inclusive. It argues furthermore that such approaches typically presuppose what is here dubbed an 'estranged' epistemology. This epistemology supposes that our understanding of the world occurs outside of, and consequent on, our experience of it. Instead of this an alternative 'engaged' epistemology is set out. This alternative sees experience itself as the vehicle of our most fundamental comprehending engagement with the world. (II) This, it is argued, makes better sense both of our contact with reality and of the failure of this contact in delusion. (III) The implications of this alternative theorisation for the cognitive psychology of delusion are discussed.

  19. Associations between delusion proneness and personality structure in non-clinical participants : Comparison between young and elderly samples

    NARCIS (Netherlands)

    Laroi, F.; Van der Linden, M.; DeFruyt, F.; Van Os, J.; Aleman, A.

    2006-01-01

    Background: Few studies have explored the prevalence of delusions in the non-clinical, elderly population. In addition, the association between personality structure and delusions remains poorly investigated. The aims of the present study were, first, to explore the relation between age and the

  20. More Delusions May Be Observed in Low-Proficient Multilingual Alzheimer's Disease Patients.

    Directory of Open Access Journals (Sweden)

    Yi-Chien Liu

    Full Text Available Language impairment and behavioral symptoms are both common phenomena in dementia patients. In this study, we investigated the behavioral symptoms in dementia patients with different language backgrounds. Through this, we aimed to propose a possible connection between language and delusion.We recruited 21 patients with Alzheimer's disease (AD, according to the DSM-IV and NINCDS-ADRDA criteria, from the memory clinic of the Cardinal Tien Hospital in Taipei, Taiwan. They were classified into two groups: 11 multilinguals who could speak Japanese, Taiwanese and Mandarin Chinese, and 10 bilinguals who only spoke Taiwanese and Mandarin Chinese. There were no differences between age, education, disease duration, disease severity, environment and medical care between these two groups. Comprehensive neuropsychological examinations, including Clinical Dementia Rating (CDR, Mini-Mental Status Examination (MMSE, Cognitive Abilities Screening Instrument (CASI, Verbal fluency, Chinese version of the Boston naming test (BNT and the Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD, were administered.The multilingual group showed worse results on the Boston naming test. Other neuropsychological tests, including the MMSE, CASI and Verbal fluency, were not significantly different. More delusions were noted in the multilingual group. Three pairs of subjects were identified for further examination of their differences. These three cases presented the typical scenario of how language misunderstanding may cause delusions in multilingual dementia patients. Consequently, more emotion and distorted ideas may be induced in the multilinguals compared with the MMSE-matched controls.Inappropriate mixing of language or conflict between cognition and emotion may cause more delusions in these multilingual patients. This reminds us that delusion is not a pure biological outcome of brain degeneration. Although the cognitive performance was not significantly

  1. When a loved one feels unfamiliar: a case study on the neural basis of Capgras delusion.

    Science.gov (United States)

    Thiel, Christiane M; Studte, Sara; Hildebrandt, Helmut; Huster, Rene; Weerda, Riklef

    2014-03-01

    Perception of familiar faces depends on a core system analysing visual appearance and an extended system dealing with inference of mental states and emotional responses. Damage to the core system impairs face perception as seen in prosopagnosia. In contrast, patients with Capgras delusion show intact face perception but believe that closely related persons are impostors. It has been suggested that two deficits are necessary for the delusion, an aberrant perceptual or affective experience that leads to a bizarre belief as well as an impaired ability to evaluate beliefs. Using functional magnetic resonance imaging, we compared neural activity to familiar and unfamiliar faces in a patient with Capgras delusion and an age matched control group. We provide evidence that Capgras delusion is related to dysfunctional activity in the extended face processing system. The patient, who developed the delusion for the partner after a large right prefrontal lesion sparing the ventromedial and medial orbitofrontal cortex, lacked neural activity to the partner's face in left posterior cingulate cortex and left posterior superior temporal sulcus. Further, we found impaired functional connectivity of the latter region with the left superior frontal gyrus and to a lesser extent with the right superior frontal sulcus/middle frontal gyrus. The findings of this case study suggest that the first factor in Capgras delusion may be reduced neural activity in the extended face processing system that deals with inference of mental states while the second factor may be due to a lesion in the right middle frontal gyrus. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. Neurocognitive deficits are relevant for the jumping-to-conclusions bias, but not for delusions: A longitudinal study

    Directory of Open Access Journals (Sweden)

    Christina Andreou

    2015-03-01

    Full Text Available Patients with delusions exhibit an increased tendency to arrive at decisions based on very limited evidence (jumping-to-conclusions; JTC, making this reasoning bias relevant for the treatment of delusions. Neurocognitive deficits contribute to JTC, but it is not known whether this has any bearing on the clinical syndrome of delusions. We addressed this question by reanalyzing data from an efficacy study of non-pharmacological interventions as adjunctive treatments in schizophrenia. We investigated the longitudinal associations of cognitive functioning, JTC and delusions in patients with psychotic disorders receiving either a metacognitive intervention addressing reasoning biases (n = 59, or cognitive remediation (n = 58. Both interventions improved JTC; in the cognitive remediation group, tentative evidence suggested that better neurocognitive performance contributed to this improvement. However, JTC gains were associated with delusion improvement only in the metacognitive intervention group, suggesting a content-specific mechanism of action.

  3. [Delusions and society in Japan and China from a transcultural-psychiatric viewpoint].

    Science.gov (United States)

    Fujimori, H; Pei, Z Z; Kizaki, Y; Zheng-Ji, C

    1987-11-01

    The relationship between contents of schizophrenic delusions and sociocultural background in the modern society of Japan and China were studied from transcultural psychiatric aspects. The data of this study were derived from the public mental hospitals in Tokyo and Shanghai in a similar size; of 186 cases (88 cases of male, 98 cases of female) of the first admission in Tokyo Metropolitan Matsuzawa Hospital during 1981-1983, 112 cases with delusions (53 cases of male, 59 cases of female) were selected, and of 200 cases (112 cases of male, 88 cases of female) of the first admission in Shanghai Psychiatric Hospital in 1983, 129 cases with delusions (70 cases of male, 59 cases of female) were chosen. The incidence of delusions of physical persecution and grandeur was relatively high in patients of both hospitals in Tokyo and Shanghai, while the incidence of delusions with hypochondria and guilt was low in both hospitals. Only the incidence of delusion of poisoning was significantly higher in Shanghai than in Tokyo (mean 2 = 12.97, p less than 0.001). After the World War II, the patriarchally oriented family system was abolished in Japan which caused shifting the system from a large family to a nuclear family. In China where the property (land) and daily life were closely connected the close human relationship among generations had important values in relation to the labor power within the frame of a large family. It is believed that occurrence of the delusion of poisoning might be a reflection of the disturbed human relationship within the family member in dining which should be helpful for making further understanding and reliance. It's occurrence conflict and struggle in the community of the outside of the family. At present there is a marked difference between Chinese and Japanese in their structure of consciousness. The former places high value and meaningfulness on the participation to the group and seeks protection and safety of individuals. The latter reveals a

  4. Diurnal variation in Cotard's syndrome (copresent with Capgras delusion) following traumatic brain injury.

    Science.gov (United States)

    Butler, P V

    2000-08-01

    The aim of this paper is to document regular nocturnal intensification of delusional nihilistic and persecutory ideas (Cotard delusion) linked with extreme depersonalisation and hypervivid dreaming. A 17-year-old man presented with Cotard and Capgras delusions after sustaining multiple cognitive impairments secondary to traumatic brain injury. Delusional ideation fully resolved within 14 days of commencement of olanzapine 5 mg daily. This patient's experience of perceptual abnormalities and impairments in meta-abilities related to self-monitoring and critical inferencing lends support to multicomponent sensory processing accounts of brain injury related, content-specific delusional syndromes.

  5. The brain under self-control: modulation of inhibitory and monitoring cortical networks during hypnotic paralysis.

    Science.gov (United States)

    Cojan, Yann; Waber, Lakshmi; Schwartz, Sophie; Rossier, Laurent; Forster, Alain; Vuilleumier, Patrik

    2009-06-25

    Brain mechanisms of hypnosis are poorly known. Cognitive accounts proposed that executive attentional systems may cause selective inhibition or disconnection of some mental operations. To assess motor and inhibitory brain circuits during hypnotic paralysis, we designed a go-no-go task while volunteers underwent functional magnetic resonance imaging (fMRI) in three conditions: normal state, hypnotic left-hand paralysis, and feigned paralysis. Preparatory activation arose in right motor cortex despite left hypnotic paralysis, indicating preserved motor intentions, but with concomitant increases in precuneus regions that normally mediate imagery and self-awareness. Precuneus also showed enhanced functional connectivity with right motor cortex. Right frontal areas subserving inhibition were activated by no-go trials in normal state and by feigned paralysis, but irrespective of motor blockade or execution during hypnosis. These results suggest that hypnosis may enhance self-monitoring processes to allow internal representations generated by the suggestion to guide behavior but does not act through direct motor inhibition.

  6. Time-course of motor inhibition during hypnotic paralysis: EEG topographical and source analysis.

    Science.gov (United States)

    Cojan, Yann; Archimi, Aurélie; Cheseaux, Nicole; Waber, Lakshmi; Vuilleumier, Patrik

    2013-02-01

    Cognitive hypotheses of hypnotic phenomena have proposed that executive attentional systems may be either inhibited or overactivated to produce a selective alteration or disconnection of some mental operations. Recent brain imaging studies have reported changes in activity in both medial (anterior cingulate) and lateral (inferior) prefrontal areas during hypnotically induced paralysis, overlapping with areas associated with attentional control as well as inhibitory processes. To compare motor inhibition mechanisms responsible for paralysis during hypnosis and those recruited by voluntary inhibition, we used electroencephalography (EEG) to record brain activity during a modified bimanual Go-Nogo task, which was performed either in a normal baseline condition or during unilateral paralysis caused by hypnotic suggestion or by simulation (in two groups of participants, each tested once with both hands valid and once with unilateral paralysis). This paradigm allowed us to identify patterns of neural activity specifically associated with hypnotically induced paralysis, relative to voluntary inhibition during simulation or Nogo trials. We used a topographical EEG analysis technique to investigate both the spatial organization and the temporal sequence of neural processes activated in these different conditions, and to localize the underlying anatomical generators through minimum-norm methods. We found that preparatory activations were similar in all conditions, despite left hypnotic paralysis, indicating preserved motor intentions. A large P3-like activity was generated by voluntary inhibition during voluntary inhibition (Nogo), with neural sources in medial prefrontal areas, while hypnotic paralysis was associated with a distinctive topography activity during the same time-range and specific sources in right inferior frontal cortex. These results add support to the view that hypnosis might act by enhancing executive control systems mediated by right prefrontal areas, but

  7. Sleep quality, use of hypnotics and sleeping habits in different age-groups among older people.

    Science.gov (United States)

    Hägg, Miriam; Houston, Britta; Elmståhl, Sölve; Ekström, Henrik; Wann-Hansson, Christine

    2014-12-01

    Sleep disturbances are common among older people (>65 years). Further, long-term use of sedative hypnoticsin older people is associated with morbidity and mortality. However, older people represent a large span of life years, and few studies have included the oldest-old above 85 years. To investigate and compare sleep quality, use of hypnotics and sleeping habits in different age groups of the older population in the Scania region, Sweden and in relation to sociodemographic- and functional status. A cross-sectional population-based study including 2931 people aged 60-93 years from five different municipalities in Scania was performed during 2001-2004. The sample was divided into age groups, young old (60-72 years), old-old (78-84 years) and oldest-old (87-93) years. Data constitutes of sleep related questions, sociodemographic- and functional status from the study 'Good Ageing in Skane'. Descriptive statistics were used to describe sleep quality, hypnotics use and sleeping habitsin relation to sociodemographic- and functional status. The aim was to investigate associations, not the magnitude of associations between variables. In all age groups, those who used hypnotics and were living alone had significantly poorer sleep quality and shortest sleeping time than nonhypnotic users and those who lived together. A significant increase of hypnotics and frequency of use was seen with increasing age. Frequency of napping increased significantly with degree of dependence in all age groups and with increasing age. Insomnia is still a problem and hypnotic use has not improved sleep for a large number of older people. Hypnotics are effective as short-term treatment, however, nonpharmacological interventions and psychological and behavioural therapies should be considered for treating older people with chronic insomnia.

  8. Is suvorexant a better choice than alternative hypnotics? [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Daniel F. Kripke

    2015-08-01

    Full Text Available Suvorexant is a novel dual orexin receptor antagonist (DORA newly introduced in the U.S. as a hypnotic, but no claim of superiority over other hypnotics has been offered.  The manufacturer argued that the 5 and 10 mg starting doses recommended by the FDA might be ineffective.  The manufacturer's main Phase III trials had not even included the 10 mg dosage, and the 5 mg dosage had not been tested at all in registered clinical trials at the time of approval.  Popular alternative hypnotics may be similarly ineffective, since the FDA has also reduced the recommended doses for zolpidem and eszopiclone.  The "not to exceed" suvorexant dosage of 20 mg does slightly increase sleep.  Because of slow absorption, suvorexant has little effect on latency to sleep onset but some small effect in suppressing wakening after sleep onset and in improving sleep efficiency. The FDA would not approve the manufacturer's preferred 40 mg suvorexant dosage, because of concern with daytime somnolence, driving impairment, and possible narcolepsy-like symptoms.  In its immediate benefits-to-risks ratio, suvorexant is unlikely to prove superior to currently available hypnotics—possibly worse—so there is little reason to prefer over the alternatives this likely more expensive hypnotic less-tested in practice.  Associations are being increasingly documented relating hypnotic usage with incident cancer, with dementia risks, and with premature death.  There is some basis to speculate that suvorexant might be safer than alternative hypnotics in terms of cancer, dementia, infections, and mortality.  These safety considerations will remain unproven speculations unless adequate long-term trials can be done that demonstrate suvorexant advantages.

  9. Prenatal exposure to anxiolytics and hypnotics and language competence at 3 years of age.

    Science.gov (United States)

    Odsbu, Ingvild; Skurtveit, Svetlana; Selmer, Randi; Roth, Christine; Hernandez-Diaz, Sonia; Handal, Marte

    2015-03-01

    The aim of the study was to examine if there was an association between use of anxiolytics and hypnotics in pregnancy and language competence in the offspring at age 3 years. The Norwegian Mother and Child Cohort Study (MoBa) is a prospective pregnancy cohort where the mothers were asked to report on their medication use at pregnancy week 17-18, 30, and at 6 months postpartum. A woman was defined as a user of anxiolytics and hypnotics during pregnancy if she had reported use of benzodiazepines or benzodiazepine-related drugs during pregnancy. Children's language competence was measured at age three by maternal report on a validated language grammar scale. We used ordinal logistic regression with estimated standard errors allowing for clustering of multiple pregnancies. Forty-five thousand and two hundred sixty-six women with 51,748 pregnancies were included in the study. The women reported use of anxiolytics and/or hypnotics in 395 pregnancies (0.8 %). The odds ratios of being in a group with lower language competence were 1.2 (0.9-1.5) and 1.7 (1.0-2.8) for short-term and long-term anxiolytics and hypnotics use, respectively. When adjusting for SSRI use during pregnancy, the odds ratios were 1.1 (0.83-1.41) and 1.4 (0.84-2.33), respectively. Children whose mothers took no anxiolytics and hypnotics during or before pregnancy were reference group. The results refute any strong association between prenatal use of anxiolytics and hypnotics and lower language competence in the offspring at age 3 years.

  10. [Determining factors for the use of anxiolytic and hypnotic drugs in the elderly].

    Science.gov (United States)

    Téllez-Lapeira, Juan M; López-Torres Hidalgo, Jesús; Gálvez-Alcaraz, Luis; Párraga-Martínez, Ignacio; Boix-Gras, Clotilde; García-Ruiz, Antonio

    To estimate the prevalence of self-reported anxiety/hypnotics use in adults 65 years and older and identify potential factors that determine the use of these drugs. Cross-sectional study conducted on a study population of 1,161 non-institutionalised adults 65 years old and older with enough ability to conduct a personal interview. Participants were randomly selected from health care registers. The main outcomes of interest included consumption of anxiolytics, hypnotics and other drugs (filed by ATC classification system), mood (based on the Yesavage geriatric depression scale), cognitive status (Pfeiffer questionnaire), physical-functional assessment of basic activities of daily living (Katz index), health problems (ICPC-2 classification WONCA), and sociodemographic variables. The prevalence of self-reported anxiety/hypnotics consumption was 16.6% (95% CI: 14.5 - 18.7), of which 90.5% were benzodiazepines (BZD), mainly lorazepam (39.4% of BZD). Long half-life BZD accounted for 24.7% of BZD. Hypnotics accounted for 27.5% of anxiolytics/hypnotics. The use of sedatives/hypnotics was independently associated with other drugs (non-psychotropics) consumption (OR 6.8, 95% CI: 2.1-22.0), presence of established depression (OR: 2.5; 95% CI: 1.0 -5.9), presence of 4 or more comorbidities (OR: 2.0; 95% CI: 1.4-2.9), being female (OR 2.1, 95% CI: 1.5-3.1) and being dependent for basic activities of daily living (OR: 1.8, 95% CI: 1.1-2.9). The prevalence of sedatives/hypnotics use in the elderly from Albacete is high. Several factors were identified as potential determinants of sedatives/hypnotics use in our study population. It will be important to evaluate the misuse of these drugs in order to develop effective, efficient and safe prescription strategies. Copyright © 2016 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Machine medical ethics when a human is delusive but the android has its wits about him

    NARCIS (Netherlands)

    Hoorn, J.F.; van Rysewyk, S.P.; Pontier, M.A.

    2015-01-01

    When androids take care of delusive patients, ethic-epistemic concerns crop up about an agency’s good intent and why we would follow its advice. Robots are not human but may deliver correct medical information, whereas Alzheimer patients are human but may be mistaken. If humanness is not the

  12. Delusion of pregnancy in a patient with bipolar affective disorder: A ...

    African Journals Online (AJOL)

    ... seen in a patient with bipolar affective disorder. Early diagnosis and treatment of delusions of pregnancy are important in order to prevent the attendant psychological and social consequences as evident in this case report. Attention of clinicians was drawn to this disorder that was once thought to be rare in this society.

  13. Psychometric properties of Peters et al. delusions inventory-21 in adolescence.

    Science.gov (United States)

    Kim, Yeni; Chang, Jae Seung; Hwang, Samuel; Yi, Jung Seo; Cho, In Hee; Jung, Hee Yeon

    2013-05-30

    We explored the psychometric properties of the Korean version of the Peters et al. delusions inventory-21 (PDI-21) and evaluated the item characteristics of the PDI-21 compared with the Magical Ideation Scale (MIS) in Korean community adolescents. Survey participants comprised 310 Year 10 students who were assessed with the following instruments: the PDI-21, the MIS, the Schizotypal Personality Scale (STA) and the symptom checklist-90-R (SCL-90-R). The item characteristics of the PDI-21 and MIS were also explored using item response theory (IRT). The PDI-21 exhibited good internal consistency and demonstrated significant correlations with the MIS, STA and all subscale scores of the SCL-90-R, indicating psychological distress in adolescents with high PDI-21 scores. We also found through IRT analysis that the PDI-21 provides more information at the lower range and the MIS at the higher range of delusion proneness. Our findings suggest that the PDI-21 is an effective and reliable self-report measure for assessment of delusion proneness and that the PDI-21 and the MIS may be used complementarily to assess a broad range of delusion proneness among community adolescents. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  14. The proximity between hallucination and delusion dimensions: An observational, analytic, cross-sectional, multicentre study

    Directory of Open Access Journals (Sweden)

    Diogo Telles-correia

    2016-11-01

    Full Text Available 5.In the current psychiatric classifications, hallucinations (mainly auditory hallucinations are one of the fundamental criteria for establishing a schizophrenia diagnosis or any of the related psychotic disorder’s diagnoses.6.Throughout the history of Psychiatry the conceptual proximity between delusions and hallucinations in the psychiatric patient was maintained until the end of the XIX century,with several supporters during the XX century. Their frontier was not yet definitely defined in terms of Descriptive Psychopathology, and much less so in terms of biochemical and anatomical models.7.In this article we aimed to analyse the dimensions of both hallucinations and delusions in a sample of patients with schizophrenia and schizoaffective disorder. We also intend to find the determinants of the main dimensions of hallucinations.8.One hundred patients with schizophrenia or schizoaffective disorder from both the outpatient and inpatient units of the Psychiatry Department of Hospital of Santa Maria and the Centro Hospitalar Psiquiátrico de Lisboa were assessed by means of the Psychotic Symptom Rating Scales (PSYRATS. 9.In this study we found an empirical based model, where the main dimensions of hallucinations are determined by the central dimensions of delusions. 10.Keywords: Psyrats, Hallucinations, Psychopathology, Psychosis, delusions

  15. The Use of Behavioral Experiments to Modify Delusions and Paranoia: Clinical Guidelines and Recommendations

    Science.gov (United States)

    Combs, Dennis R.; Tiegreen, Joshua; Nelson, Amelia

    2007-01-01

    Recently, there has been a renewed interested in the treatment of psychosis and it is now appears possible to modify specific symptoms of psychosis such as paranoia and delusions using methods derived from Cognitive-Behavioral Therapy. One specific technique that has received less attention is the use of behavioral experiments. In this paper, we…

  16. Determining the association of the 5HTTLPR polymorphism with delusions and hallucinations in Lewy body dementias.

    Science.gov (United States)

    Creese, Byron; Ballard, Clive; Aarsland, Dag; Londos, Elisabet; Sharp, Sally; Jones, Emma

    2014-06-01

    To determine whether the 5HTTLPR serotonin transporter polymorphism is associated with delusions and hallucinations in people with dementia with Lewy bodies (DLB) and Parkinson disease dementia (PDD). Prospective cohort study. A total of 187 individuals, recruited from centres in Norway, Sweden, and the United Kingdom were included in this study; 97 with clinically or neuropathologically diagnosed DLB/PDD and 90 cognitively normal individuals as a comparison group. All participants with dementia underwent serial evaluation of neuropsychiatric symptoms to assess the presence of persistent delusions and hallucinations using the Columbia University Scale for Psychopathology in Alzheimer disease, the Neuropsychiatric Inventory, or the Present Behavioural Examination. Severity of cognitive impairment was measured using the Mini Mental State Examination (MMSE). Individuals were genotyped for the 5HTTLPR polymorphism. Logistic regression demonstrated that homozygosity for the L/L genotype and lower MMSE were associated with an increased risk for delusions (odds ratio: 11.5 and 1.16, respectively). Neither was significantly associated with hallucinations. This study is the first to demonstrate the 5HTTLPR polymorphism is associated with delusions in Lewy body dementias, with important implications regarding the mechanisms underlying this symptom across the AD/DLB/PDD spectrum. Further studies are warranted to investigate this relationship further and examine treatment opportunities. Copyright © 2014 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  17. Violent crime and dimensions of delusion: a comparative study of criminal and noncriminal delusional patients.

    Science.gov (United States)

    Teixeira, Eduardo Henrique; Dalgalarrondo, Paulo

    2009-01-01

    Some aspects of delusional disorders appear to be related to the occurrence of violent crime. A retrospective study was conducted comparing two groups of 30 psychotic, delusional patients. The study group consisted of delusional patients imprisoned in a high-security forensic hospital in the state of São Paulo, Brazil, and the patients in the comparative group were enrolled in common psychiatric wards. The PANSS (Positive and Negative Syndrome Scale), the MINI (Mini International Neuropsychiatric Interview), and the MMDAS (MacArthur-Maudsley Delusion Assessment Schedule) scales were used. Regarding the dimensions of delusions, the study group had lower scores in two categories: refraining from acting because of belief, and negative affect. Delusions that induce inhibition of actions apparently also reduce the potential for violent acts and, contrary to current beliefs, delusional patients who are frightened or who have other negative affects associated with delusional ideas appear to commit fewer violent acts. Intrinsic factors inherent in some dimensions of delusion may be relevant in the occurrence of violent crimes committed by psychotic patients.

  18. Virtual reality in the treatment of persecutory delusions: randomised controlled experimental study testing how to reduce delusional conviction.

    Science.gov (United States)

    Freeman, Daniel; Bradley, Jonathan; Antley, Angus; Bourke, Emilie; DeWeever, Natalie; Evans, Nicole; Černis, Emma; Sheaves, Bryony; Waite, Felicity; Dunn, Graham; Slater, Mel; Clark, David M

    2016-07-01

    Persecutory delusions may be unfounded threat beliefs maintained by safety-seeking behaviours that prevent disconfirmatory evidence being successfully processed. Use of virtual reality could facilitate new learning. To test the hypothesis that enabling patients to test the threat predictions of persecutory delusions in virtual reality social environments with the dropping of safety-seeking behaviours (virtual reality cognitive therapy) would lead to greater delusion reduction than exposure alone (virtual reality exposure). Conviction in delusions and distress in a real-world situation were assessed in 30 patients with persecutory delusions. Patients were then randomised to virtual reality cognitive therapy or virtual reality exposure, both with 30 min in graded virtual reality social environments. Delusion conviction and real-world distress were then reassessed. In comparison with exposure, virtual reality cognitive therapy led to large reductions in delusional conviction (reduction 22.0%, P = 0.024, Cohen's d = 1.3) and real-world distress (reduction 19.6%, P = 0.020, Cohen's d = 0.8). Cognitive therapy using virtual reality could prove highly effective in treating delusions. © The Royal College of Psychiatrists 2016.

  19. Aspects of Theory of Mind that attenuate the relationship between persecutory delusions and social functioning in schizophrenia spectrum disorders.

    Science.gov (United States)

    Phalen, Peter L; Dimaggio, Giancarlo; Popolo, Raffaele; Lysaker, Paul H

    2017-09-01

    Despite the apparent relevance of persecutory delusions to social relationships, evidence linking these beliefs to social functioning has been inconsistent. In this study, we examined the hypothesis that theory of mind moderates the relationship between persecutory delusions and social functioning. 88 adults with schizophrenia or schizoaffective disorder were assessed concurrently for social functioning, severity of persecutory delusions, and two components of theory of mind: mental state decoding and mental state reasoning. Mental state decoding was assessed using the Eyes Test, mental state reasoning using the Hinting Task, and social functioning assessed with the Social Functioning Scale. Moderation effects were evaluated using linear models and the Johnson-Neyman procedure. Mental state reasoning was found to moderate the relationship between persecutory delusions and social functioning, controlling for overall psychopathology. For participants with reasoning scores in the bottom 78th percentile, persecutory delusions showed a significant negative relationship with social functioning. However, for those participants with mental state reasoning scores in the top 22nd percentile, more severe persecutory delusions were not significantly associated with worse social functioning. Mental state decoding was not a statistically significant moderator. Generalizability is limited as participants were generally men in later phases of illness. Mental state reasoning abilities may buffer the impact of persecutory delusions on social functioning, possibly by helping individuals avoid applying global beliefs of persecution to specific individuals or by allowing for the correction of paranoid inferences. Published by Elsevier Ltd.

  20. Volitional and Nonvolitional Responses to Hypnotic Suggestions: Predictors and Subjective Experience.

    Science.gov (United States)

    Mohl, John C; Schutkofsky, Meriel J

    2017-04-01

    This investigation combined the data from two studies that used modified scoring of the Harvard Group Scale of Hypnotic Susceptibility (Shor & Orne, 1962) to evaluate deliberate, volitional responses to suggestions. One study also employed subjective ratings of each item of the Harvard Scale, with comparisons of nonvolitional, volitional, and non-responses. Based on the assumption that participants would have marked volitional responses as positive responses using the traditional scale, the traditional scoring method was found to inflate mean hypnotic responsiveness by nearly one point. Two hypothesized correlates of hypnotic performance, rapport with the hypnotist and a phenomenological measure of hypnosis, increased significantly when volitional responses were taken into account. The way in which participants were recruited did not predict volitional responses, but individuals who reported deliberate responses to suggestions from the Harvard Scale were less likely to express willingness to participate in future studies. Some of the volitional responses to the items were rated as subjectively more real compared to no responses, though nonvolitional responses were rated as the most real compared with compliance responses and no responses for all items. More difficult items were more likely to be performed volitionally than easier items. It is suggested that future studies using hypnotic inventories account for volitional responses. The nature of deliberately produced responses should also be examined using qualitative and quantitative data, especially with respect to how a given suggestion may affect the execution of the volitional behavior.

  1. The Use of Hypnotics and Mortality--A Population-Based Retrospective Cohort Study.

    Directory of Open Access Journals (Sweden)

    Tzuo-Yun Lan

    Full Text Available Sleep disorders, especially chronic insomnia, have become major health problem worldwide and, as a result, the use of hypnotics is steadily increasing. However, few studies with a large sample size and long-term observation have been conducted to investigate the relationship between specific hypnotics and mortality.We conducted this retrospective cohort study using data from the National Health Insurance Research Database in Taiwan. Information from claims data including basic characteristics, the use of hypnotics, and survival from 2000 to 2009 for 1,320,322 individuals were included. The use of hypnotics was divided into groups using the defined daily dose and the cumulative length of use. Hazard ratios (HRs were calculated from a Cox proportional hazards model, with two different matching techniques to examine the associations.Compared to the non-users, both users of benzodiazepines (HR = 1.81; 95% confidence interval [CI] = 1.78-1.85 and mixed users (HR = 1.44; 95% CI = 1.42-1.47 had a higher risk of death, whereas the users of other non-benzodiazepines users showed no differences. Zolpidem users (HR = 0.73; 95% CI = 0.71-0.75 exhibited a lower risk of mortality in the adjusted models. This pattern remained similar in both matching techniques. Secondary analysis indicated that zolpidem users had a reduced risk of major cause-specific mortality except cancer, and that this protective effect was dose-responsive, with those using for more than 1 year having the lowest risk.The effects of different types of hypnotics on mortality were diverse in this large cohort with long-term follow-up based on representative claims data in Taiwan. The use of zolpidem was associated with a reduced risk of mortality.

  2. Virtual reality in the treatment of persecutory delusions: randomised controlled experimental study testing how to reduce delusional conviction

    National Research Council Canada - National Science Library

    Freeman, Daniel; Bradley, Jonathan; Antley, Angus; Bourke, Emilie; DeWeever, Natalie; Evans, Nicole; Černis, Emma; Sheaves, Bryony; Waite, Felicity; Dunn, Graham; Slater, Mel; Clark, David M

    2016-01-01

    .... Use of virtual reality could facilitate new learning. To test the hypothesis that enabling patients to test the threat predictions of persecutory delusions in virtual reality social environments with the dropping of safety-seeking behaviours...

  3. [Delusions of poisoning in schizophrenia with Kandinsky-Clérambault syndrome (clinical and forensic-psychiatric evaluation)].

    Science.gov (United States)

    Vasil'ev, V D

    1990-01-01

    The author related the results of analyzing 273 patients suffering from attack-like progressive schizophrenia with the Kandinsky-Clérambault syndrome, who committed socially dangerous actions and were subjected to compulsory treatment. Out of the 273 patients, only 57 (20.5%) had a combination of the manifestations of the Kandinsky-Clérambault syndrome and delusion of poisoning. The establishment of delusion of poisoning was in a close relationship and in parallel to the formation of the Kandinsky-Clérambault syndrome. The formation of delusion of poisoning went on the basis of the 4 psychopathological phenomena: senestopathy, gustatory and olfactory hallucinations, acoustic pseudohallucinations. Delusion of poisoning acquires the greatest criminogenic importance when it is formed on the basis of senestopathies and acoustic pseudohallucinations; it is of the least importance when formed on the basis of gustatory and olfactory hallucinations.

  4. Book Review: Dams, displacement, and the delusion of development: Cahora Bassa and its legacies in Mozambique, 1965–2007

    CSIR Research Space (South Africa)

    Meissner, Richard

    2015-10-01

    Full Text Available Journal of International Affairs Book Review: Dams, displacement, and the delusion of development: Cahora Bassa and its legacies in Mozambique, 1965–2007 Richard Meissner Council for Scientific and Industrial Research, Pretoria, South Africa...

  5. Fast and slow thinking in distressing delusions:A review of the literature and implications for targeted therapy

    OpenAIRE

    Ward, Thomas; Garety, Philippa A.

    2017-01-01

    The recent literature on reasoning biases in psychosis and delusions is reviewed. The state-of-the-art knowledge from systematic reviews and meta-analyses on the evidence for jumping to conclusions is briefly summarised, before a fuller discussion of the more recent empirical literature on belief flexibility as applied to delusions. The methodology and evidence in relation to studies of belief flexibility and the Bias Against Disconfirmatory Evidence (BADE) across the delusional continuum wil...

  6. The interactions between religion, religiosity, religious delusion/hallucination, and treatment-seeking behavior among schizophrenic patients in Taiwan.

    Science.gov (United States)

    Huang, Charles Lung-Cheng; Shang, Chi-Yung; Shieh, Ming-Shien; Lin, Hsin-Nan; Su, Jin Chung-Jen

    2011-05-30

    Religion could influence the psychopathology, treatment-seeking behavior, and treatment outcome in schizophrenia, but the associations between these factors have never been explored thoroughly, and the data in Han-Chinese society are scarcer still. The current study recruited 55 schizophrenic patients to explore the relationship between religion, psychopathology with religious content, treatment-seeking behavior, and outcome. Subjects with religious delusions/hallucinations had lower scores on functioning and higher scores on religiosity. The higher religiosity scores were correlated with older age, longer duration of illness, religious affiliation, lower preference of psychiatric treatment, lower functioning score, and delusion/hallucination. As to treatment-seeking behavior, patients with religious affiliation showed less preference toward psychiatric treatment. Individuals with religious delusion/hallucination were more likely to receive magico-religious healing and not to be satisfied with psychiatric treatment. A more positive view of psychiatric treatment was predicted by lower religiosity score, higher satisfaction with psychiatric treatment, and lower years of education. The religiosity level seems not directly related to clinical severity, but it seems to be a better predictor of religious delusions/hallucinations than religious affiliation status. Patients with religious delusions/hallucinations did not necessarily have more severe psychopathology. There are different profiles associated with religious affiliation/religiosity and religious delusions/hallucinations in relation to treatment-seeking behavior among schizophrenia patients in Han-Chinese society. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting

    National Research Council Canada - National Science Library

    Garland, Eric L; Baker, Anne K; Larsen, Paula; Riquino, Michael R; Priddy, Sarah E; Thomas, Elizabeth; Hanley, Adam W; Galbraith, Patricia; Wanner, Nathan; Nakamura, Yoshio

    2017-01-01

    ... interventions.We hypothesized that a single, scripted session of mindfulness training focused on acceptance of pain or hypnotic suggestion focused on changing pain sensations through imagery would significantly...

  8. Central L-ornithine, but not polyamines, induces a hypnotic effect in neonatal chicks under acute stress.

    Science.gov (United States)

    Kurauchi, Isao; Shigemi, Kazutaka; Kabuki, Yusuke; Hamasu, Kousuke; Yamane, Haruka; Aoki, Mami; Kawada, Yoko; Morishita, Koji; Denbow, D Michael; Furuse, Mitsuhiro

    2010-02-01

    To clarify whether L-ornithine and/or its metabolite involves sedative and hypnotic effects under social separation stress, the effects of intracerebroventricular (i.c.v.) injection of L-ornithine and polyamines (putrescine, spermidine and spermine) were compared in chicks. Birds were injected i.c.v. with 0.5 mumol of L-ornithine, putrescine, spermidine, spermine or saline (control). After injection, chicks were immediately separated from the flock and monitored for the number of distress vocalizations and various postures. L-Ornithine greatly attenuated the stress response and caused sedative and hypnotic effects. Among the polyamines, only putrescine attenuated distress vocalizations but did not induce sleep. In conclusion, the sedative and hypnotic effect of L-ornithine was mainly induced by L-ornithine itself, while the polyamines contributed to the sedative, but not hypnotic, effect under social separation stress.

  9. A comparison of the clinical effectiveness of various acupuncture points in reducing anxiety to facilitate hypnotic induction.

    Science.gov (United States)

    Lu, Dominic P; Lu, Gabriel P

    2013-01-01

    This study determined if any acupuncture point (acupoint) known for its calming effects also aided hypnotic induction. Hypnosis was offered to 108 patients requiring minor surgical or dental procedures. All had a history of panic attacks and surgical or dental phobias that complicated or prevented treatment. Unpleasant intruding thoughts of imminent invasive treatments handicapped their ability to accept hypnotic induction; however, acupuncture therapy was proposed to the consenting patient to facilitate hypnotic induction and augment its effects. Each patient received one selected acupoint for acupuncture therapy. Of the 6 acupoints used (LI 4, H 7, SP 6, P 6, GV 24, and Ext-hn-21), GV 24 was best at enhancing hypnotic induction whereas LI 4 produced the best muscular relaxation and P 6 for reducing tension.

  10. Beauty and belief: William James and the aesthetics of delusions in schizophrenia.

    Science.gov (United States)

    Carr, Vaughan J

    2010-01-01

    This paper proposes the hypothesis that aesthetics plays an important role in the construction and maintenance of delusional ideas in schizophrenia. A selective review of the literature on the cognitive science of aesthetics, beginning with the work of William James on the stream of thought, was undertaken together with a review of some of the cognitive neuroscience literature on delusion formation in schizophrenia. It is suggested that delusion formation has some similarities to to the creative process, but commences with a proto-psychotic anomalous experience in which an aberrant Jamesian fringe experience is generated. The consequence of such deviation from standard or expected conscious experience is to direct processing resources in a search for meaning, but under conditions of reduced prefrontal cortex monitoring and control mechanisms. Lowering of the usual constraints exercised by prefrontal cortex regulatory mechanisms causes the search for explanation or interpretation to be characterised by low self-reflection, temporal distortion and low volitional control, permitting relatively unfiltered ideas that do not conform to convention to emerge in consciousness. The combination of aberrant Jamesian fringe experience and reduced prefrontal regulatory mechanisms evoke idiosyncratic contextual associations and drive a hypersensitive salience assignment system in the search for meaning, out of which process nascent delusional beliefs emerge. These are accompanied by a 'sense of rightness' in the Jamesian fringe which signals the presence of a 'good fit' between the proto-psychotic anomalous experience in the centre of consciousness and the contextual associations evoked. The 'sense of rightness' or 'good fit' is responsible for the aesthetic qualities of the delusion and, it is proposed, accounts for the incorrigibility of the delusions.

  11. The proximity between hallucination and delusion dimensions: An observational, analytic, cross-sectional, multicentre study

    OpenAIRE

    Diogo Telles-correia; Ana Lucia Moreira; Ana Lucia Moreira; João Gama Marques; João Gama Marques; Sérgio Saraiva; Sérgio Saraiva; Cátia Alves Moreira; Filipa Antunes; Filipa Antunes; Carolina Almeida; Carolina Almeida; Nuno Barbosa Rocha

    2016-01-01

    5.In the current psychiatric classifications, hallucinations (mainly auditory hallucinations) are one of the fundamental criteria for establishing a schizophrenia diagnosis or any of the related psychotic disorder’s diagnoses.6.Throughout the history of Psychiatry the conceptual proximity between delusions and hallucinations in the psychiatric patient was maintained until the end of the XIX century,with several supporters during the XX century. Their frontier was not yet definitely defined in...

  12. The Impact of Hypnotic Suggestions on Reaction Times in Continuous Performance Test in Adults with ADHD and Healthy Controls

    OpenAIRE

    Maarit Virta; Seppo Hiltunen; Markus Mattsson; Sakari Kallio

    2015-01-01

    Attention is one of the key factors in both hypnotic processes and patients with ADHD. In addition, the brain areas associated with hypnosis and ADHD overlap in many respects. However, the use of hypnosis in ADHD patients has still received only minor attention in research. The main purpose of the present work was to investigate whether hypnosis and hypnotic suggestions influence the performance of adult ADHD (n = 27) and control participants (n = 31) in the continuous performance test (CPT)....

  13. Cognitive-behavioral therapy and hypnotic relaxation to treat sleep problems in an adolescent with diabetes.

    Science.gov (United States)

    Perfect, Michelle M; Elkins, Gary R

    2010-11-01

    Inadequate sleep among adolescents frequently contributes to obesity and reduced academic performance, along with symptoms of anxiety, depression, fatigue, and attention deficits. The etiological bases of sleep quality has been associated with both stress and sleep habits. These problems tend to be especially important for adolescents with diabetes as the effects of poor sleep complicate health outcomes. This case example concerns a 14-year-old adolescent girl with a history of type I diabetes and stress-related sleep difficulties. Treatment included cognitive-behavioral methods and hypnotic relaxation therapy. Results of this case example and other controlled research suggest that hypnotic relaxation therapy is well accepted, results in good compliance, and serves as a useful adjunctive to cognitive-behavioral intervention for sleep problems. © 2010 Wiley Periodicals, Inc.

  14. Hypnotic activities of chamomile and passiflora extracts in sleep-disturbed rats.

    Science.gov (United States)

    Shinomiya, Kazuaki; Inoue, Toshio; Utsu, Yoshiaki; Tokunaga, Shin; Masuoka, Takayoshi; Ohmori, Asae; Kamei, Chiaki

    2005-05-01

    In the present study, we investigated hypnotic activities of chamomile and passiflora extracts using sleep-disturbed model rats. A significant decrease in sleep latency was observed with chamomile extract at a dose of 300 mg/kg, while passiflora extract showed no effects on sleep latency even at a dose of 3000 mg/kg. No significant effects were observed with both herbal extracts on total times of wakefulness, non-rapid eye movement (non-REM) sleep and REM sleep. Flumazenil, a benzodiazepine receptor antagonist, at a dose of 3 mg/kg showed a significant antagonistic effect on the shortening in sleep latency induced by chamomile extract. No significant effects were observed with chamomile and passiflora extracts on delta activity during non-REM sleep. In conclusion, chamomile extract is a herb having benzodiazepine-like hypnotic activity.

  15. Measuring delusional ideation: the 21-item Peters et al. Delusions Inventory (PDI).

    Science.gov (United States)

    Peters, Emmanuelle; Joseph, Stephen; Day, Samantha; Garety, Philippa

    2004-01-01

    There is increasing evidence that in the general population there are schizotypal traits and symptoms that can be measured psychometrically. Norms are reported for a new 21-item version of the Peters et al. Delusions Inventory (PDI; Peters et al. 1999b). The PDI, originally based on the Present State Examination, incorporates the multidimensionality of delusions by including measures of distress, preoccupation, and conviction. A total of 444 healthy individuals completed the 21-item PDI and two other questionnaires measuring florid delusions and social desirability. A subsample also filled out an in-depth schizotypal personality scale. Thirty-three deluded inpatients also completed the PDI. The PDI's psychometric properties confirmed that it remains a reliable and valid instrument to measure delusional ideation in the general population. Consistent with the 40-item PDI, it was normally distributed, no sex differences were found, and there was an inverse relationship with age. Individual items were endorsed by just over one in four healthy adults. Although the deluded sample scored significantly higher, the range of scores overlapped considerably, with 11 percent of healthy adults scoring higher than the mean of the deluded group. As with our previous findings, the two samples were differentiated by their ratings on the distress, preoccupation, and conviction scales. These results suggest that these dimensions may be more important than the content of belief alone for placing an individual on the continuum between normal and delusional thinking.

  16. Cotard Delusion in the Context of Schizophrenia: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Nicholas Bott

    2016-09-01

    Full Text Available Background: The Cotard delusion (CD is one of a variety of narrowly defined monothematic delusions characterized by nihilistic beliefs about the body’s existence or life itself. The presence of CD within the context of schizophrenia is rare (<1%, and remains understudied.Case: ‘Mr. C’ is a 58-year-old veteran with a prior diagnosis of schizophrenia, who presented with CD in the context of significant depression, suicidal ideation (SI, violence, and self-harm behavior. He perseverated in his belief that he was physically dead and possessed by demons for several weeks. This delusion was reinforced by his religious belief that life was an attribute of God, and by inference, he as a human, was dead. His condition gradually improved over the course of treatment with Divalproex and quetiapine with discussions about the rationale for his belief. Upon discharge, Mr. C. demonstrated awareness of his fixation on death and an ability to redirect himself.Discussion: This case highlights the need to better understand the co-occurrence of CD in schizophrenia, their differentiation, the increased risk of violence and self-harm behavior in this presentation, and how specific events and religious factors can influence delusional themes of CD. Pharmacotherapy and aspects of cognitive-behavioral therapy (CBT may be effective in ameliorating these symptoms in CD.

  17. Hypnotic intervention for unexplained dizziness in patients with advanced cancer: A preliminary retrospective observation study

    Directory of Open Access Journals (Sweden)

    Hideaki Hasuo

    2018-01-01

    Full Text Available Context: Patients with advanced cancer rarely complain of unexplained dizziness after excluding identifiable causes. Some patients become anxious because they attribute the dizziness to the progression of their cancer. We hypothesize that unexplained dizziness is associated with neck muscle hypertonicity, a noncancer-related secondary effect. However, most cases are associated with neck muscle hypertonicity, a noncancer-related secondary effect. Aims: We evaluated the usefulness of hypnotic intervention that made patients aware of the relation between dizziness and neck muscle hypertonicity through the experience of muscle relaxation and recognition of muscle tension. Settings and Design: Advanced cancer patients requiring palliative care with unexplained dizziness who received the intervention to induce neck muscle relaxation were retrospectively compared with patients who did not. Subjects and Methods: The severity of dizziness that was evaluated using a numeric rating scale and the intervention efficacy rate were compared between the hypnotic and nonhypnotic groups as the primary endpoints, 7 days after the start of the intervention. Secondary endpoints included the effect size based on dizziness handicap inventory (DHI scores before and after the intervention, and changes in patients' awareness of the cause of dizziness. Results: The hypnotic intervention had a significantly greater efficacy rate (0.67, 95% confidence interval: 0.46–0.88 than the nonhypnotic intervention (0.26, 95% confidence interval: 0.08–0.44. DHI scores, especially on the emotional subscale, showed significant improvement after the intervention, and 71% of the patients were aware that neck muscle hypertonicity was the cause of dizziness. Conclusions: The rapid improvement in dizziness in the hypnotic group was considered to result from a change in patients' awareness of self-manageable neck muscle hypertonicity as the cause of dizziness.

  18. The mirror neuron system under hypnosis - brain substrates of voluntary and involuntary motor activation in hypnotic paralysis.

    Science.gov (United States)

    Burgmer, Markus; Kugel, Harald; Pfleiderer, Bettina; Ewert, Adrianna; Lenzen, Thomas; Pioch, Regina; Pyka, Martin; Sommer, Jens; Arolt, Volker; Heuft, Gereon; Konrad, Carsten

    2013-02-01

    The neurobiological basis of non-organic movement impairments is still unknown. As conversion disorder and hypnotic states share many characteristics, we applied an experimental design established in conversion disorder to investigate hypnotic paralysis. Movement imitation and observation were investigated by functional magnetic resonance imaging (fMRI) in 19 healthy subjects with and without hypnotically induced paralysis of their left hand. Paralysis-specific activation changes were explored in a multivariate model and functional interdependencies of brain regions by connectivity analysis. Hypnotic paralysis during movement imitation induced hypoactivation of the contralateral sensorimotor cortex (SMC) and ipsilateral cerebellum and increased activation of anterior cingulate cortex (ACC), frontal gyrus and insula. No paralysis-specific effects were revealed during movement observation. Hyperactivation of ACC, middle frontal gyrus (MFG), and insula might reflect attention (MFG), conflict-detection (ACC) and self-representation processes (insula) during hypnotic paralysis. The lack of effects in movement observation suggests that early motor processes are not disturbed due to the transient nature of the hypnotic impairment. Copyright © 2012. Published by Elsevier Ltd.

  19. Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Daniel F. Kripke

    2016-05-01

    Full Text Available This is a review of hypnotic drug risks and benefits, reassessing and updating advice presented to the Commissioner of the Food and Drug Administration (United States FDA. Almost every month, new information appears about the risks of hypnotics (sleeping pills. This review includes new information on the growing USA overdose epidemic, eight new epidemiologic studies of hypnotics’ mortality not available for previous compilations, and new emphasis on risks of short-term hypnotic prescription. The most important risks of hypnotics include excess mortality, especially overdose deaths, quiet deaths at night, infections, cancer, depression and suicide, automobile crashes, falls, and other accidents, and hypnotic-withdrawal insomnia. The short-term use of one-two prescriptions is associated with greater risk per dose than long-term use. Hypnotics are usually prescribed without approved indication, most often with specific contraindications, but even when indicated, there is little or no benefit. The recommended doses objectively increase sleep little if at all, daytime performance is often made worse, not better, and the lack of general health benefits is commonly misrepresented in advertising. Treatments such as the cognitive behavioral treatment of insomnia and bright light treatment of circadian rhythm disorders might offer safer and more effective alternative approaches to insomnia.

  20. The effect of two benzodiazepine receptor agonist hypnotics on sleep-dependent memory consolidation.

    Science.gov (United States)

    Hall-Porter, Janine M; Schweitzer, Paula K; Eisenstein, Rhody D; Ahmed, Hasan Ali H; Walsh, James K

    2014-01-15

    Numerous studies have demonstrated that sleep promotes memory consolidation, but there is little research on the effect of hypnotics on sleep-dependent memory consolidation. We compared bedtime administration of zolpidem-ER 12.5 mg (6- to 8-h duration of action), middle-of-the-night administration of zaleplon 10 mg (3- to 4-h duration of action), and placebo to examine the effect of different durations of hypnotic drug exposure on memory consolidation during sleep. Twenty-two participants with no sleep complaints underwent 3 conditions in a counterbalanced crossover study: (1) zolpidem-ER 12.5 mg (bedtime dosing), (2) zaleplon 10 mg (middle-of-the-night dosing), and (3) placebo. Memory testing was conducted before and after an 8-h sleep period, using a word pair association task (WPT; declarative memory) and a finger-tapping task (FTT; procedural memory). ANOVA revealed a significant condition effect for the WPT (p = 0.025) and a trend for the FTT (p = 0.067), which was significant when sex was added to the model (p = 0.014). Improvement in memory performance following sleep was lower with bedtime dosing of zolpidem-ER compared to placebo and middle-of-the-night dosing of zaleplon. There were no differences between placebo and zaleplon. The results suggest that in some circumstances hypnotics may have the potential to reduce the degree of sleep-dependent memory consolidation and that drug-free sleep early in the night may ameliorate this effect.

  1. Are extrasynaptic GABAA receptors important targets for sedative/hypnotic drugs?

    Science.gov (United States)

    Houston, Catriona M; McGee, Thomas P; MacKenzie, Georgina; Troyano-Cuturi, Kevin; Rodriguez, Pablo Mateos; Kutsarova, Elena; Diamanti, Efthymia; Hosie, Alastair M; Franks, Nicholas P; Brickley, Stephen G

    2012-01-01

    High-affinity extrasynaptic GABAA receptors are persistently activated by the low ambient GABA levels that are known to be present in the extracellular space. The resulting tonic conductance generates a form of shunting inhibition that is capable of altering cellular and network behaviour. It has been suggested that this tonic inhibition will be enhanced by neurosteroids, anti-epileptics, and sedative/hypnotic drugs. However, we show that the ability of sedative/hypnotic drugs to enhance tonic inhibition in the mouse cerebellum will critically depend upon ambient GABA levels. For example, we show that the intravenous anaesthetic propofol only enhances tonic inhibition when ambient GABA levels are below 100 nM. More surprisingly, the actions of the sleep promoting drug THIP (4,5,6,7-tetrahydroisothiazolo-[5,4-c]pyridin-3-ol) are attenuated at ambient GABA levels of just 20 nM. In contrast, our data suggests that neurosteroid enhancement of tonic inhibition will be greater at high ambient GABA concentrations. We present a model that takes into account realistic estimates of ambient GABA levels and predicted extrasynaptic GABAA numbers when considering the ability of sedative/hypnotic drugs to enhance tonic inhibition. These issues will be important when considering drug strategies designed to target extrasynaptic GABAA receptors in the treatment of sleep disorders and other neurological conditions. PMID:22423109

  2. Phenobarbital versus clonazepam for sedative-hypnotic taper in chronic pain patients. A pilot study.

    Science.gov (United States)

    Sullivan, M; Toshima, M; Lynn, P; Roy-Byrne, P

    1993-06-01

    A randomized, double-blind controlled trial is reported comparing phenobarbital and clonazepam for the purpose of sedative-hypnotic taper in inpatients with chronic, nonmalignant pain. After receiving the Minnesota Multiphasic Personality Inventory (MMPI) and a standardized psychiatric diagnostic interview, patients' baseline sedative-hypnotic use was assessed over 48 hours. Baseline use was converted into phenobarbital or clonazepam equivalents and administered in four doses daily using a blinded liquid pain cocktail. Baseline dose was maintained for two days and then tapered by 10% per day. Over the first week of taper, differences in mean and maximum Beck Anxiety and Benzodiazepine Withdrawal scores were not significant. However, when scales 1, 3, or 8 of the MMPI were taken as covariates, differences on the Withdrawal Scale only increased to a trend level for mean scores and to a significant level for maximum scores. These findings support the superiority of benzodiazepines over barbiturates for sedative-hypnotic taper for symptoms of withdrawal but not of recurrent or rebound anxiety.

  3. Sedative and hypnotic effects of supercritical carbon dioxide fluid extraction from Schisandra chinensis in mice

    Directory of Open Access Journals (Sweden)

    Hongyan Zhu

    2016-10-01

    Full Text Available Schisandra chinensis is a traditional Chinese medicine that has been used for treating insomnia and neurasthenia for centuries. Lignans, which are considered to be the bioactive components, are apt to be extracted by supercritical carbon dioxide. This study was conducted to investigate the sedative and hypnotic activities of the supercritical carbon dioxide fluid extraction of S. chinensis (SFES in mice and the possible mechanisms. SFES exhibited an obvious sedative effect on shortening the locomotor activity in mice in a dose-dependent (10–200 mg/kg manner. SFES (50 mg/kg, 100 mg/kg, and 200 mg/kg, intragstrically showed a strong hypnotic effect in synergy with pentobarbital in mouse sleep, and reversal of insomnia induced by caffeine, p-chlorophenylalanine and flumazenil by decreasing sleep latency, sleep recovery, and increasing sleeping time. In addition, it produced a synergistic effect with 5-hydroxytryptophan (2.5 mg/kg, intraperitoneally. The behavioral pharmacological results suggest that SFES has significant sedative and hypnotic activities, and the mechanisms might be relevant to the serotonergic and γ-aminobutyric acid (GABAergic system.

  4. Selective histamine H1 antagonism: novel hypnotic and pharmacologic actions challenge classical notions of antihistamines.

    Science.gov (United States)

    Stahl, Stephen M

    2008-12-01

    Numerous "antihistamines" as well as various psychotropic medications with antihistamine properties are widely utilized to treat insomnia. Over-the-counter sleep aids usually contain an antihistamine and various antidepressants and antipsychotics with antihistamine properties have sedative-hypnotic actions. Although widely used for the treatment of insomnia, many agents that block the histamine H1 receptor are also widely considered to have therapeutic limitations, including the development of next-day carryover sedation, as well as problems with chronic use, such as the development of tolerance to sedative-hypnotic actions and weight gain. Although these clinical actions are classically attributed to blockade of the H1 receptor, recent findings with H1 selective agents and H1 selective dosing of older agents are challenging these notions and suggest that some of the clinical limitations of current H1-blocking agents at their currently utilized doses could be attributable to other properties of these drugs, especially to their simultaneous actions on muscarinic, cholinergic, and adrenergic receptors. Selective H1 antagonism is emerging as a novel approach to the treatment of insomnia, without tolerance, weight gain, or the need for the restrictive prescription scheduling required of other hypnotics.

  5. An Intersubjective View of Empathy and Hypnotic Trance: Response to Wickramasekera II.

    Science.gov (United States)

    Henning, Janna A

    2016-01-01

    In response to Wickramasekera II's description of his empathic involvement theory of hypnosis in "Mysteries of hypnosis and the self are revealed by the psychology and neuroscience of empathy" (Wickramasekera II, 2015), Henning offers further reflections on what empathy might be and what it allows therapists to do, particularly in conditions of hypnotic trance. She defines her intersubjective view of hypnotic trance as an experience in which client and therapist mutually engage in a shared state of consciousness, and a mutual bidirectional or multidirectional exchange of verbal and nonverbal, as well as conscious and unconscious, material occurs, and which may include shared taking on of roles and expectations in each party, as suggested by the other, particularly when both client and therapist are highly hypnotizable. Research on the concept of "mutual hypnosis," or co-trance, is reviewed, and barriers to scholarly discussions about intersubjectivity in therapy relationships are described. Concepts from other disciplines and traditions, including quantum physics, transpersonal psychology, contemplative Christianity, and shamanistic practices and trance in other cultures are then offered to clarify the processes of intersubjectivity, and perspectives about empathy and hypnotic co-trance are offered from the context of the author's own clinical work as a trauma therapist. Finally, suggestions are provided for future research approaches and methods to further explore and understand these phenomena.

  6. ACUTE POISONING WITH BENZODIAZEPINES AND OTHER HYPNOTICS: ETIOLOGIC CAUSE, SEX/AGE DISTRIBUTION AND CLINICAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Petko Marinov

    2016-11-01

    Full Text Available Purpose: Poisoning with drugs occupies a leading position among the causes of acute intoxications. Etiological distribution of medicated poisoning in different countries, even if they are adjacent, is different. In the most studies it was reported that the highest incidence of poisoning is with benzodiazepines or other psychoactive drugs. A retrospective analysis of acute poisoning with benzodiazepines and other hypnotic drugs in the Varna region for 25 years period – from 1991 to 2015 was carried out. Material and Methods: The number of patients who received hospital treatment after poisoning with benzodiazepines is 1741, and those with other hypnotics is 293, representing respectively 26.37% and 4.44% of all drug intoxications. Results: The share of poisoning with benzodiazepines and hypnotics compared to all acute intoxications is 11.66%. They are more common in women – 1566 (77%. Men are 468 (23%, the ratio of men to women was 3.34:1. The largest number of intoxications is in the age group up to 24 years - 1123 (55.2%, and only 4.1% of patients over 60 years. Intentional suicide attempts are 1896 (93.2%. Death is registered in 8 (0.4% patients.

  7. Fashioning Identity

    DEFF Research Database (Denmark)

    Mackinney-Valentin, Maria

    of identity displays, and creating tension between personal statements and social performances. Fashioning Identity explores how this tension is performed through fashion production and consumption,by examining a diverse series of case studies - from ninety-year old fashion icons to the paradoxical rebellion...... by readdressing Fred Davis' seminal concept of 'identity ambivalence' in Fashion, Culture and Identity (1992), Mackinney-Valentin argues that we are in an epoch of 'status ambivalence', in which fashioning one's own identity has become increasingly complicated....

  8. Delusions and Hallucinations Are Associated With Worse Outcome in Alzheimer Disease

    Science.gov (United States)

    Scarmeas, Nikolaos; Brandt, Jason; Albert, Marilyn; Hadjigeorgiou, Georgios; Papadimitriou, Alexandros; Dubois, Bruno; Sarazin, Maria; Devanand, Davangere; Honig, Lawrence; Marder, Karen; Bell, Karen; Wegesin, Domonick; Blacker, Deborah; Stern, Yaakov

    2011-01-01

    Background Delusions and hallucinations are common in Alzheimer disease (AD) and there are conflicting reports regarding their ability to predict cognitive decline, functional decline, and institutionalization. According to all previous literature, they are not associated with mortality. Objective To examine whether the presence of delusions or hallucinations has predictive value for important outcomes in AD. Design, Setting, and Participants A total of 456 patients with AD at early stages (mean Folstein Mini-Mental State Examination [MMSE] score of 21 of 30 at entry) were recruited and followed up semiannually for up to 14 years (mean, 4.5 years) in 5 university-based AD centers in the United States and Europe. Using the Columbia University Scale for Psychopathology in AD (administered every 6 months, for a total of 3266 visit-assessments, average of 7.2 per patient), the presence of delusions and hallucinations was extracted and examined as time-dependent predictors in Cox models. The models controlled for cohort effect, recruitment center, informant status, sex, age, education, a comorbidity index, baseline cognitive and baseline functional performance, behavioral symptoms, and use of neuroleptics and cholinesterase inhibitors. Main Outcome Measures Cognitive (Columbia MMSE score of ≤20/57 [approximate Folstein MMSE score of ≤10/30]), functional (Blessed Dementia Rating Scale [parts I and II] score of ≥10), institutionalization equivalent index, and death. Results During the full course of follow-up, 38% of patients reached the cognitive, 41% the functional, 54% the institutionalization, and 49% the mortality end point. Delusions were noted for 34% of patients at baseline and 70% at any evaluation. Their presence was associated with increased risk for cognitive (risk ratio [RR], 1.50; 95% confidence interval [CI], 1.07-2.08) and functional decline (RR, 1.41; 95% CI, 1.02-1.94). Hallucinations were present in 7% of patients at initial visit and in 33% at

  9. Hard Identity and Soft Identity

    Directory of Open Access Journals (Sweden)

    Hassan Rachik

    2006-04-01

    Full Text Available Often collective identities are classified depending on their contents and rarely depending on their forms. Differentiation between soft identity and hard identity is applied to diverse collective identities: religious, political, national, tribal ones, etc. This classification is made following the principal dimensions of collective identities: type of classification (univocal and exclusive or relative and contextual, the absence or presence of conflictsof loyalty, selective or totalitarian, objective or subjective conception, among others. The different characteristics analysed contribute to outlining an increasingly frequent type of identity: the authoritarian identity.

  10. Are sedatives and hypnotics associated with increased suicide risk of suicide in the elderly?

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    Waern Margda

    2009-06-01

    Full Text Available Abstract Background While antidepressant-induced suicidality is a concern in younger age groups, there is mounting evidence that these drugs may reduce suicidality in the elderly. Regarding a possible association between other types of psychoactive drugs and suicide, results are inconclusive. Sedatives and hypnotics are widely prescribed to elderly persons with symptoms of depression, anxiety, and sleep disturbance. The aim of this case-control study was to determine whether specific types of psychoactive drugs were associated with suicide risk in late life, after controlling for appropriate indications. Methods The study area included the city of Gothenburg and two adjacent counties (total 65+ population 210 703 at the start of the study. A case controlled study of elderly (65+ suicides was performed and close informants for 85 suicide cases (46 men, 39 women mean age 75 years were interviewed by a psychiatrist. A population based comparison group (n = 153 was created and interviewed face-to-face. Primary care and psychiatric records were reviewed for both suicide cases and comparison subjects. All available information was used to determine past-month mental disorders in accordance with DSM-IV. Results Antidepressants, antipsychotics, sedatives and hypnotics were associated with increased suicide risk in the crude analysis. After adjustment for affective and anxiety disorders neither antidepressants in general nor SSRIs showed an association with suicide. Antipsychotics had no association with suicide after adjustment for psychotic disorders. Sedative treatment was associated with an almost fourteen-fold increase of suicide risk in the crude analyses and remained an independent risk factor for suicide even after adjustment for any DSM-IV disorder. Having a current prescription for a hypnotic was associated with a four-fold increase in suicide risk in the adjusted model. Conclusion Sedatives and hypnotics were both associated with increased

  11. New benzodiazepine and Z-hypnotic users and disability pension: an eight-year nationwide observational follow-up study.

    Science.gov (United States)

    Tvete, Ingunn F; Bjørner, Trine; Skomedal, Tor

    2017-09-01

    To compare how newly initiated treatment with benzodiazepines, Z-hypnotics or both associates with the reception of disability pension among 40,661 individuals of a working age. Prescription register study. Norwegian nationwide prescriptions socio-economic and disability status data. Cox regression analyses. New benzodiazepine or Z-hypnotic users. Time to receive disability pension given benzodiazepine or Z-hypnotic use or both. Additional analyses focused on the benzodiazepine first redeemed. Among new users 8.65% of Z-hypnotic users, 12.29% of benzodiazepines users and 13.96% of combined Z-hypnotic and benzodiazepine users became disability pensioners. Z-hypnotic users were weaker associated with becoming disability pensioners (HR = 0.78, CI: 0.73-0.84) and combined users were stronger associated (HR = 1.09, CI: 1.01-1.17), than benzodiazepine users. Women had higher risk than men for becoming disability pensioners. Higher age, lower education, previous drug use and psychiatrist as first prescriber were risk factors. Comparing first benzodiazepine redeemed; clonazepam initiators were stronger associated with becoming disability pensioners than diazepam initiators were (HR = 2.22, CI: 1.81-2.71). No differences between other benzodiazepine users were found. Adjusting for known risk factors gave lower risk for Z-hypnotic users compared to benzodiazepine users for receiving disability pension. Combined use increased the risk further. Clonazepam initiators are especially at risk. These findings may be helpful in prescribing situations to identify and guide individuals at risk for becoming disability pensioners.

  12. Leadership identities

    DEFF Research Database (Denmark)

    Holmgreen, Lise-Lotte

    2018-01-01

    Questioning the assumption that identities can be controlled through a shared organisational culture, the article explores the inculcation of a discourse of diversity into leadership identities in a Danish bank and building society. Thus, it intends to demonstrate that, on the one hand, discourse...... plays a significant role in identity construction and, on the other, that leaders’ constructions may have many sources of inspiration within and outside the organisation, emphasising that identity construction is a complex process in which organisational efforts to promote a common leadership identity...... to construct their leadership identities. While the respondents present comparable identities to the interviewer, the analysis reveals that the they draw on different discourses and employ a number of different discursive means to present this identity. This, the article argues, may be the result of a number...

  13. Performing Identities

    DEFF Research Database (Denmark)

    von Wallpach, Sylvia; Hemetsberger, Andrea; Espersen, Peter

    2017-01-01

    performative approaches to branding, this study applies a performativity theory perspective. Brand performances—encompassing playing and liking, basement building and showcasing, creating and innovating, community building and facilitating, storytelling, missionizing, and marketplace developing—exhibit generic...... ludic, creative, economic, and socializing qualities and co-construct involved identities. The findings contribute to a dynamic view of brand identity, highlighting brand identity's performative construction alongside constructions of stakeholder identities and the strong interrelatedness of company...

  14. Frontotemporal hypoactivity during a reality monitoring paradigm is associated with delusions in patients with schizophrenia spectrum disorders.

    Science.gov (United States)

    Thoresen, Christian; Endestad, Tor; Sigvartsen, Niels Petter B; Server, Andres; Bolstad, Ingeborg; Johansson, Mikael; Andreassen, Ole A; Jensen, Jimmy

    2014-01-01

    Impaired monitoring of internally generated information has been proposed to be one component in the development and maintenance of delusions. The present study investigated the neural correlates underlying the monitoring processes and whether they were associated with delusions. Twenty healthy controls and 19 patients with schizophrenia spectrum disorders were administrated a reality monitoring paradigm during functional magnetic resonance imaging. During encoding participants were instructed to associate a statement with either a presented (viewed condition) or an imagined picture (imagined condition). During the monitoring session in the scanner, participants were presented with old and new statements and their task was to identify whether a given statement was associated with the viewed condition, imagined condition, or if it was new. Patients showed significantly reduced accuracy in the imagined condition with performance negatively associated with degree of delusions. This was accompanied with reduced activity in the left dorsolateral prefrontal cortex and left hippocampus in the patient group. The severity of delusions was negatively correlated with the blood-oxygenation-level dependent response in the left hippocampus. The results suggest that weakened monitoring is associated with delusions in patients with schizophrenia spectrum disorder, and that this may be mediated by a frontotemporal dysfunction.

  15. Organizational Identity

    DEFF Research Database (Denmark)

    Hatch, Mary Jo; Schultz, Majken

    This text presents the classic works on organizational identity alongside more current thinking on the issues. Ranging from theoretical contributions to empirical studies, the readings in this volume address the key issues of organizational identity, and show how these issues have developed through...... contributions from such diverse fields of study as sociology, psychology, management studies and cultural studies. The readings examine questions such as how organizations understand who they are, why organizations develop a sense of identity and belonging, where the boundaries of identity lie...... and the implications of postmodern and critical theories' challenges to the concept of identity as deeply-rooted and authentic....

  16. Cognitive mechanisms of change in delusions: an experimental investigation targeting reasoning to effect change in paranoia.

    Science.gov (United States)

    Garety, Philippa; Waller, Helen; Emsley, Richard; Jolley, Suzanne; Kuipers, Elizabeth; Bebbington, Paul; Dunn, Graham; Fowler, David; Hardy, Amy; Freeman, Daniel

    2015-03-01

    Given the evidence that reasoning biases contribute to delusional persistence and change, several research groups have made systematic efforts to modify them. The current experiment tested the hypothesis that targeting reasoning biases would result in change in delusions. One hundred and one participants with current delusions and schizophrenia spectrum psychosis were randomly allocated to a brief computerized reasoning training intervention or to a control condition involving computer-based activities of similar duration. The primary hypotheses tested were that the reasoning training intervention, would improve (1) data gathering and belief flexibility and (2) delusional thinking, specifically paranoia. We then tested whether the changes in paranoia were mediated by changes in data gathering and flexibility, and whether working memory and negative symptoms moderated any intervention effects. On an intention-to-treat analysis, there were significant improvements in state paranoia and reasoning in the experimental compared with the control condition. There was evidence that changes in reasoning mediated changes in paranoia, although this effect fell just outside the conventional level of significance after adjustment for baseline confounders. Working memory and negative symptoms significantly moderated the effects of the intervention on reasoning. The study demonstrated the effectiveness of a brief reasoning intervention in improving both reasoning processes and paranoia. It thereby provides proof-of-concept evidence that reasoning is a promising intermediary target in interventions to ameliorate delusions, and thus supports the value of developing this approach as a longer therapeutic intervention. © The Author 2014. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center.

  17. Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 2; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Daniel F. Kripke

    2017-03-01

    Full Text Available This is a review of hypnotic drug risks and benefits, reassessing and updating advice presented to the Commissioner of the Food and Drug Administration (United States FDA. Almost every month, new information appears about the risks of hypnotics (sleeping pills. The most important risks of hypnotics include excess mortality, especially overdose deaths, quiet deaths at night, infections, cancer, depression and suicide, automobile crashes, falls, and other accidents, and hypnotic-withdrawal insomnia. Short-term use of one-two prescriptions is associated with greater risk per dose than long-term use. Hypnotics have usually been prescribed without approved indication, most often with specific contraindications, but even when indicated, there is little or no benefit. The recommended doses objectively increase sleep little if at all, daytime performance is often made worse, not better, and the lack of general health benefits is commonly misrepresented in advertising. Treatments such as the cognitive behavioral treatment of insomnia and bright light treatment of circadian rhythm disorders offer safer and more effective alternative approaches to insomnia.

  18. Eight-Year Follow-up of Hypnotic Delivery by Adults Aged 50 and Older from an Insurance Database.

    Science.gov (United States)

    Verger, Pierre; Cortaredona, Sébastien; Jacqmin-Gadda, Hélène; Tournier, Marie; Verdoux, Hélène

    2017-11-01

    This study sought to (1) identify patterns of hypnotic use among persons aged 50 and older for 8 years and (2) describe characteristics and correlates associated with them. A representative sample of national health insurance system beneficiaries was followed up from 2006 through 2013; individuals were grouped according to hypnotic delivery trajectories by latent class mixed models. We identified four different temporal trajectories of hypnotic delivery among users. Delivery was occasional for 40% and regular for 60% (quasi-continuous "use": 27%; increasingly frequent over time: 17%; decreasingly frequent: 16%). Quasi-continuous "users" received hypnotics for more than 70% of the follow-up period and occasional "users" for less than 8%. We found no clear evidence of dose escalation. The three regular-delivery trajectories shared similar correlates (psychiatric disorders, somatic comorbidity, and coprescriptions of antidepressants or antipsychotics), but association with somatic comorbidity was highest by far for quasi-continuous "users." Our results suggest that chronic hypnotic use covers different patterns resulting from different long-term temporal delivery trajectories. Because difficulties in stopping or reducing use may vary greatly according to these trajectories, patients may need individualized management approaches.

  19. Identity Assemblages

    DEFF Research Database (Denmark)

    Horn, Line Helverskov

    The study aims at exploring how identity is enacted within the context of a two-year programme in Service, Hospitality, and Tourism Management (SHTM). This research thus investigates how students and educators go about their daily lives in different educational contexts both on and off campus......, the IDENTITY ASSEMBLAGES 8 analysis unfolds the relational understanding of identity by introducing the concept of ‘identity assemblages’, that is, complex actor-networks of the human/non-human and material/immaterial. Furthermore, the analysis describes how the enactment of identities is made possible...... or hindered by organisational patterns, that is, modes of ordering (Law 1994). This is, in essence, an argument for identities as organisational effects. The study’s main contributions may be structured in three categories. First, it explores the applicability of ANT to identity studies and thereby serves...

  20. Fast and slow thinking in distressing delusions: A review of the literature and implications for targeted therapy.

    Science.gov (United States)

    Ward, Thomas; Garety, Philippa A

    2017-09-16

    The recent literature on reasoning biases in psychosis and delusions is reviewed. The state-of-the-art knowledge from systematic reviews and meta-analyses on the evidence for jumping to conclusions is briefly summarised, before a fuller discussion of the more recent empirical literature on belief flexibility as applied to delusions. The methodology and evidence in relation to studies of belief flexibility and the Bias Against Disconfirmatory Evidence (BADE) across the delusional continuum will be critically appraised, and implications drawn for improving cognitive therapy. It will be proposed that dual process models of reasoning, which Kahneman (Kahneman, 2011) popularised as 'fast and slow thinking', provide a useful theoretical framework for integrating further research and informing clinical practice. The emergence of therapies which specifically target fast and slow thinking in people with distressing delusions will be described. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  1. A single dose of hypnotic corrects sleep and EEG abnormalities in symptomatic Huntington's disease mice.

    Science.gov (United States)

    Kantor, Sandor; Varga, Janos; Morton, A Jennifer

    2016-06-01

    Sleep and electroencephalogram abnormalities are prominent early features of Huntington's disease (HD) that typically appear before the onset of characteristic motor symptoms. The changes in sleep and electroencephalogram seen in HD patients are largely recapitulated in mouse models of HD such as transgenic R6/2 lines. To test whether or not drugs with hypnotic properties can correct the sleep and electroencephalogram abnormalities seen in HD mice, we treated male wild-type (WT; N = 7) and R6/2 mice (N = 9) acutely with intraperitoneal injections of vehicle, zolpidem (5, 10 or 20 mg/kg) or amitriptyline (5, 10 or 20 mg/kg), and then monitored their sleep-wake behavior. In R6/2 mice, both zolpidem and amitriptyline suppressed the abnormally high REM sleep amount and electroencephalographic gamma (30-46 Hz) oscillations in a dose-dependent manner. Amitriptyline's effect on sleep was similar in both genotypes, whereas zolpidem showed significant genotype differences. Zolpidem exerted a strong hypnotic effect in WT mice by increasing electroencephalographic delta power, doubling the mean bout duration and the total amount of non-rapid eye movement sleep. However, no such effect was seen in R6/2 mice. Our study demonstrates that the pathophysiological changes seen in sleep and electroencephalogram are not 'hard-wired' in HD brain and can be reversed even at late stages of the disease. The diminished hypnotic effect of zolpidem suggests that the GABAergic control of sleep-wake states is impaired in HD mice. A better understanding of the neurochemical basis underlying these abnormalities should lead to more effective and rational therapies for HD. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. [Evolution of the use of antidepressants, anxiolytics and hypnotics in Valencia. Period 2000-2010].

    Science.gov (United States)

    Sempere Verdú, Ermengol; Salazar Fraile, José; Palop Larrea, Vicente; Vicens Caldentey, Caterina

    2014-10-01

    To describe the evolution in the use of antidepressants (AD), anxiolytics (A) and hypnotics (H) in the Comunitat Valenciana (CV) between 2000 and 2010, their expenditure, and the cost of the defined daily dose (DDD). Retrospective observational study. Prescriptions covered by the health public service of the CV during the period 2000-2010. Consumption of the therapeutic groups N06A (antidepressants), N05B (anxiolytics) and N05C (hypnotics) from the pharmacy database of the public Valencian Health Agency measured in defined daily dose per 1.000 inhabitants. During the period of study the use of AD increased by 81.2% and A and H, 11.7%. Selective serotonin reuptake inhibitors were the most prescribed AD and Selective serotonin and norepinephrine reuptake inhibitors experienced the higher rise (386.8%). The increase of escitalopram was 1.013%. Lorazepam, alprazolam and diazepam, accounted for the 80.4% of the anxyolitics, and lormetazepam and zolpidem the 88.7% of the hypnotics. The expenditure rise of AD was by 78.2% and that of the A and H was 14.5%; the cost of the DDD of both decreased by 29%. Antidepressant utilization has experienced a remarkable rise between 2000 and 2010 while that of A and H has been mild even though they are still more consumed than AD. In spite of the reduction of the DDD cost in both therapeutic groups, the whole expenditure on AD in the CV is still growing. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  3. Factors associated with long-term use of hypnotics among patients with chronic insomnia.

    Directory of Open Access Journals (Sweden)

    Yoshikazu Takaesu

    Full Text Available This study investigated factors associated with long-term use of benzodiazepines (BZDs or benzodiazepine receptor agonists (BzRAs as hypnotics in patients with chronic insomnia. Consecutive patients (n = 140 with chronic insomnia were enrolled in this study (68 men and 72 women; mean age, 53.8 ± 10.8 years. All patients filled out a self-assessment questionnaire asking clinical descriptive variables at the baseline of the treatment period; patients received the usual dose of a single type of BZD or BzRA. The Pittsburgh Sleep Quality Index (PSQI and the Zung Self-Rating Depression Scale were self-assessed at the baseline, and the former was re-evaluated at the time of cessation of medication or at the end of the 6-month treatment period. The PSQI included the following sub-items: evaluating sleep quality (C1, sleep latency (C2, sleep duration (C3, habitual sleep efficiency (C4, frequency of sleep disturbance (C5, use of sleeping medication (C6, and daytime dysfunction (C7. Among the patients, 54.6% needed to continue hypnotics for a 6-month treatment period. Logistic regression analysis revealed that, among descriptive variables, only the PSQI score appeared as a significant factor associated with long-term use {odds ratio (OR = 2.8, 95% confidence interval (CI = 2.0-4.0}. The receiver operating curve (ROC analysis identified that the cut-off PSQI total score at the baseline for predicting long-term use was estimated at 13.5 points (area under the curve = 0.86, 95% CI = 0.8-0.92. Among the sub-items of PSQI, the increases in C1: (OR = 8.4, 95% CI = 2.4-30.0, C3: (OR = 3.6, 95% CI = 1.1-11.5, C4: (OR = 11.1, 95% CI = 3.6-33.9, and C6: (OR = 3.4, 95% CI = 1.9-6.2 scores were associated with long-term use. This study revealed that a high PSQI score at the baseline, particularly in the sub-items relating to sleep maintenance disturbance, is predictive of long-term hypnotic treatment. Our results imply the limitation of the effectiveness of

  4. High Prevalence of Inappropriate Benzodiazepine and Sedative Hypnotic Prescriptions among Hospitalized Older Adults.

    Science.gov (United States)

    Pek, Elisabeth Anna; Remfry, Andrew; Pendrith, Ciara; Fan-Lun, Chris; Bhatia, R Sacha; Soong, Christine

    2017-05-01

    Benzodiazepines and sedative hypnotics are commonly used to treat insomnia and agitation in older adults despite significant risk. A clear understanding of the extent of the problem and its contributors is required to implement effective interventions. To determine the proportion of hospitalized older adults who are inappropriately prescribed benzodiazepines or sedative hypnotics, and to identify patient and prescriber factors associated with increased prescriptions. Single-center retrospective observational study. Urban academic medical center. Medical-surgical inpatients aged 65 or older who were newly prescribed a benzodiazepine or zopiclone. Our primary outcome was the proportion of patients who were prescribed a potentially inappropriate benzodiazepine or sedative hypnotic. Potentially inappropriate indications included new prescriptions for insomnia or agitation/anxiety. We used a multivariable random-intercept logistic regression model to identify patient- and prescriber-level variables that were associated with potentially inappropriate prescriptions. Of 1308 patients, 208 (15.9%) received a potentially inappropriate prescription. The majority of prescriptions, 254 (77.4%), were potentially inappropriate. Of these, most were prescribed for insomnia (222; 87.4%) and during overnight hours (159; 62.3%). Admission to a surgical or specialty service was associated with significantly increased odds of potentially inappropriate prescription compared to the general internal medicine service (odds ratio [OR], 6.61; 95% confidence interval [CI], 2.70-16.17). Prescription by an attending physician or fellow was associated with significantly fewer prescriptions compared to first-year trainees (OR, 0.28; 95% CI, 0.08-0.93). Nighttime prescriptions did not reach significance in initial bivariate analyses but were associated with increased odds of potentially inappropriate prescription in our regression model (OR, 4.48; 95% CI, 2.21-9.06). The majority of newly

  5. Does Cognitive Behavior Therapy for Psychosis (CBTp show a sustainable effect on delusions? A meta-analysis.

    Directory of Open Access Journals (Sweden)

    Stephanie eMehl

    2015-10-01

    Full Text Available Cognitive Behavior Therapy for psychosis (CBTp is an effective treatment resulting in small to medium effect sizes with regard to changes in positive symptoms and psychopathology. As a consequence, CBTp is recommended by national guidelines for all patients with schizophrenia. However, although CBTp was originally developed as a means to improve delusions, meta-analyses have generally integrated effects for positive symptoms rather than for delusions. Thus, it is still an open question whether more broadly defined CBTp is more effective with regard to change in delusions compared to treatment as usual (TAU and to other interventions, and whether this effect remains stable over a follow-up period. Moreover, it would be interesting to explore whether newer studies that focus on specific factors involved in the formation and maintenance of delusions (causal-interventionist approach are more effective than the first generation of CBTp studies. A systematic search of the trial literature identified 19 RCTs that compared CBTp with TAU and/or other interventions and reported delusions as an outcome measure. Meta-analytic integration resulted in a significant small to medium effect size for CBTp in comparison to TAU at end-of-therapy (k=13; d ̅=0.27 and after an average follow-up period of 47 weeks (k=12; d ̅=0.25. When compared with other interventions, there was no significant effect of CBTp at end-of-therapy (k=8; d ̅=0.16 and after a follow-up period (k=5; d ̅=–0.04. Comparison between newer studies taking a causal-interventionist approach (k=4 and first-generation studies showed a difference of 0.33 in mean effect sizes in favor of newer studies at end-of-therapy. The findings suggest that CBTp is superior to TAU, but is not superior to other interventions, in bringing about a change in delusions, and that this superiority is maintained over the follow-up period. Moreover, interventions that focus on causal factors of delusions seem to be a

  6. Persistent paranoid delusions following the September 11 terrorist attacks in a man with no pre-existing mental illness.

    Science.gov (United States)

    Reeves, Roy R; Beddingfield, John J

    2006-03-01

    The effects of modern day terrorism on mental health are not well understood. Described here is a 51-year-old male with no pre-existing mental illness who developed paranoid delusions related to the September 11, 2001, terrorist attacks shortly after they occurred. After about two years of treatment with quetiapine the patient was no longer delusional about terrorism but experienced extensive paranoid delusions about commonly encountered persons, requiring treatment which continues to the current time. Clinicians should be aware of the possible impact of terrorist activities on the mental health of vulnerable individuals.

  7. Hypnotic Induction is followed by State-like changes in the organization of EEG Functional Connectivity in the Theta and Beta Frequency bands in high-hypnotically susceptible individuals

    Directory of Open Access Journals (Sweden)

    Graham eJamieson

    2014-07-01

    Full Text Available Altered state theories of hypnosis posit that a qualitatively distinct state of mental processing, which emerges in those with high hypnotic susceptibility following a hypnotic induction, enables the generation of anomalous experiences in response to specific hypnotic suggestions. If so then such a state should be observable as a discrete pattern of changes to functional connectivity (shared information between brain regions following a hypnotic induction in high but not low hypnotically susceptible participants. Twenty-eight channel EEG was recorded from 12 high susceptible (highs and 11 low susceptible (lows participants with their eyes closed prior to and following a standard hypnotic induction. The EEG was used to provide a measure of functional connectivity using both coherence (COH and the imaginary component of coherence (iCOH, which is insensitive to the effects of volume conduction. COH and iCOH were calculated between all electrode pairs for the frequency bands: delta (0.1–3.9Hz, theta (4–7.9Hz alpha (8–12.9Hz, beta1 (13–19.9Hz, beta2 (20–29.9Hz and gamma (30–45Hz. The results showed that there was an increase in theta iCOH from the pre-hypnosis to hypnosis condition in highs but not lows with a large proportion of significant links being focused on a central-parietal hub. There was also a decrease in beta1 iCOH from the pre-hypnosis to hypnosis condition with a focus on a fronto-central and an occipital hub that was greater in high compared to low susceptibles. There were no significant differences for COH or for spectral band amplitude in any frequency band. The results are interpreted as indicating that the hypnotic induction elicited a qualitative change in the organization of specific control systems within the brain for high as compared to low susceptible participants. This change in the functional organization of neural networks is a plausible indicator of the much theorized hypnotic-state.

  8. Hypnotic induction is followed by state-like changes in the organization of EEG functional connectivity in the theta and beta frequency bands in high-hypnotically susceptible individuals

    Science.gov (United States)

    Jamieson, Graham A.; Burgess, Adrian P.

    2014-01-01

    Altered state theories of hypnosis posit that a qualitatively distinct state of mental processing, which emerges in those with high hypnotic susceptibility following a hypnotic induction, enables the generation of anomalous experiences in response to specific hypnotic suggestions. If so then such a state should be observable as a discrete pattern of changes to functional connectivity (shared information) between brain regions following a hypnotic induction in high but not low hypnotically susceptible participants. Twenty-eight channel EEG was recorded from 12 high susceptible (highs) and 11 low susceptible (lows) participants with their eyes closed prior to and following a standard hypnotic induction. The EEG was used to provide a measure of functional connectivity using both coherence (COH) and the imaginary component of coherence (iCOH), which is insensitive to the effects of volume conduction. COH and iCOH were calculated between all electrode pairs for the frequency bands: delta (0.1–3.9 Hz), theta (4–7.9 Hz) alpha (8–12.9 Hz), beta1 (13–19.9 Hz), beta2 (20–29.9 Hz) and gamma (30–45 Hz). The results showed that there was an increase in theta iCOH from the pre-hypnosis to hypnosis condition in highs but not lows with a large proportion of significant links being focused on a central-parietal hub. There was also a decrease in beta1 iCOH from the pre-hypnosis to hypnosis condition with a focus on a fronto-central and an occipital hub that was greater in high compared to low susceptibles. There were no significant differences for COH or for spectral band amplitude in any frequency band. The results are interpreted as indicating that the hypnotic induction elicited a qualitative change in the organization of specific control systems within the brain for high as compared to low susceptible participants. This change in the functional organization of neural networks is a plausible indicator of the much theorized “hypnotic-state.” PMID:25104928

  9. Increased response time of primed associates following an "episodic" hypnotic amnesia suggestion: a case of unconscious volition.

    Science.gov (United States)

    Smith, Caleb Henry; Oakley, David A; Morton, John

    2013-12-01

    Following a hypnotic amnesia suggestion, highly hypnotically suggestible subjects may experience amnesia for events. Is there a failure to retrieve the material concerned from autobiographical (episodic) memory, or is it retrieved but blocked from consciousness? Highly hypnotically suggestible subjects produced free-associates to a list of concrete nouns. They were then given an amnesia suggestion for that episode followed by another free association list, which included 15 critical words that had been previously presented. If episodic retrieval for the first trial had been blocked, the responses on the second trial should still have been at least as fast as for the first trial. With semantic priming, they should be faster. In fact, they were on average half a second slower. This suggests that the material had been retrieved but blocked from consciousness. A goal-oriented information processing framework is outlined to interpret these and related data. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. Observed differences in learning ability of heart rate self-regulation as a function of hypnotic susceptibility

    Science.gov (United States)

    Cowings, P. S.

    1977-01-01

    Three groups of eight male and female subjects (aged 20-27 yr) categorized by low and high hypnotic susceptibility were taught to control their heart rates by means of an appropriate autogenic therapy/biofeedback technique. The experimental groups were trained by autogenic therapy and biofeedback, while the control group received only biofeedback. Significant differences are observed in all psychological test scores between subjects of high and low hypnotic susceptibility. The results confirm that (1) there are qualitative and quantitative differences between the performance of individuals with high and low hypnotic susceptibility; (2) interindividual-variability tests yield data relevant to individual performance in visceral learning tasks; (3) the combined autogenic therapy/biofeedback/verbal feedback technique is suitable for conditioning large stable autonomic responses in humans; and (4) this kind of conditioning is effective in eliminating or alleviating physiological reactions to some environmental stressors.

  11. Identity paradoxes

    Directory of Open Access Journals (Sweden)

    Đurić Jelena

    2010-01-01

    Full Text Available The article considers paradoxical nature of identity that emerges from: 1 the very concept of identity whose abstract generality unites various and even opposite features; 2 the processual nature of reality that is easier to express in the poetical metaphors or abstract principles than in unambiguous conceptual networks; 3 the oppose relationship between being and knowledge, mind and matter, subject and object, self and personality. Entangled in the labyrinth which evade efforts to be conceptually defined, the modern thinking of identity moves towards abandoning the idea of “self” on behalf of the “ego” and towards the misapprehension of identity as being identical. This corresponds to the “time of the lost spirit” stretched between the simultaneous need to find an identity and to give it up.

  12. Medical Identity

    DEFF Research Database (Denmark)

    Musaeus, Peter

    2015-01-01

    Purpose: To examine philosophical stances underpinning medical identity and assess the conceptual relationship between physician, medical practice and culture. Argument: Medical identity is about the ideals and moral positions that physicians take when justifying themselves. Medical identity...... hedonistic versus sentimentalist approaches to medical identity. The sociocultural philosophical analysis of medical identity can shed light on what it means conceptually for a physician to harbor beliefs associated with him/her being taken to be an autonomous professional. It is important because it touches...... on the meaning of being a compassionate, good and skilled physician, making its relevance to person-centered medicine self-evident. Conclusion: Medical identity should be analyzed with reference to literature, philosophy and medical practice in order for the physician to exercise a reflective position...

  13. [Prevalence of the use of hypnotics and sedatives among the working population and associated work-related stress factors].

    Science.gov (United States)

    Colell, Esther; Sánchez-Niubò, Albert; Domingo-Salvany, Antònia; Delclós, Jordi; Benavides, Fernando G

    2014-01-01

    To explore the prevalence of the use of hypnotics and sedatives in a sample of the Spanish working population and to examine its association with certain work-related stress factors. Using data from the 2007 Spanish Household Survey on Alcohol and Drugs (Encuesta Domiciliaria sobre Alcohol y Drogas en España [EDADES]), we analyzed the distribution of the use of hypnotics and sedatives in the previous month in the working population aged 16 to 64 years old (n=13,005). Associations with exposure to certain work-related stress factors (noxious working environment, precariousness, workload, and social support) were examined using logistic regression modelling. The prevalence of the use of hypnotics and sedatives among women in the previous month doubled that of men (6.5% and 3.3%, respectively), while use among the oldest age group was twice that of the youngest group in both sexes (10.2% in women and 5.5% in men older than 45 years), and was four times higher among those reporting poor health (18.9% in women and 11% in men). Concerning work-related stress, exposure to moderate (OR: 1.96; 95%CI: 1.31-2.92) and high (OR: 1.95; 95%CI: 1.14-3.34) levels of precariousness in men and moderate levels in women (OR: 1.43; 95%CI: 1.03-1.99) was associated with the use of hypnotics and sedatives. The prevalence of the use of hypnotics and sedatives was high in women and in workers older than 45 years. Further research is needed on the relationship between the use of hypnotics and sedatives and workers' health, and on the role that work-related stress factors play in this association. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

  14. Civil Identity

    DEFF Research Database (Denmark)

    Petersen, Lars Axel

    of Israel to Luce Irigaray's Feminist agenda of elaborating gender specific civil identities. My intention is to investigate whether these different employments of 'civil identity' point towards a common, and fairly well defined object field asking questions of contemporary relevance to the philosophy......In this paper I will go through a catalogue of examples of contexts in which the term civil identity is currently used, ranging from the formal and technical process of linking a set of administrative and other events to an individual biological person by means of identity cards, fingerprints, iris...

  15. Identity Management

    Data.gov (United States)

    Social Security Administration — Provides information for identity management services on the creation, modification and eventual deletion of accounts and entitlements based on user relationships on...

  16. Uncovering Capgras delusion using a large-scale medical records database

    Science.gov (United States)

    Marshall, Caryl; Kanji, Zara; Wilkinson, Sam; Halligan, Peter; Deeley, Quinton

    2017-01-01

    Background Capgras delusion is scientifically important but most commonly reported as single case studies. Studies analysing large clinical records databases focus on common disorders but none have investigated rare syndromes. Aims Identify cases of Capgras delusion and associated psychopathology, demographics, cognitive function and neuropathology in light of existing models. Method Combined computational data extraction and qualitative classification using 250 000 case records from South London and Maudsley Clinical Record Interactive Search (CRIS) database. Results We identified 84 individuals and extracted diagnosis-matched comparison groups. Capgras was not ‘monothematic’ in the majority of cases. Most cases involved misidentified family members or close partners but others were misidentified in 25% of cases, contrary to dual-route face recognition models. Neuroimaging provided no evidence for predominantly right hemisphere damage. Individuals were ethnically diverse with a range of psychosis spectrum diagnoses. Conclusions Capgras is more diverse than current models assume. Identification of rare syndromes complements existing ‘big data’ approaches in psychiatry. Declaration of interests V.B. is supported by a Wellcome Trust Seed Award in Science (200589/Z/16/Z) and the UCLH NIHR Biomedical Research Centre. S.W. is supported by a Wellcome Trust Strategic Award (WT098455MA). Q.D. has received a grant from King’s Health Partners. Copyright and usage © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license. PMID:28794897

  17. The role of experiential avoidance in paranoid delusions: an experience sampling study.

    Science.gov (United States)

    Udachina, Alisa; Varese, Filippo; Myin-Germeys, Inez; Bentall, Richard P

    2014-11-01

    The study examined (1) the role of experiential avoidance (EA), conceptualized as intolerance towards aversive mental states, in paranoid delusions and (2) the mechanisms underlying EA. A 6-day prospective momentary assessment study. Paranoid patients (N = 41) were studied using the experience sampling method (ESM), a structured diary technique, assessing psychopathology and current context in daily life. The results showed that both low self-esteem and EA contributed to paranoid thinking. The relationship between low self-esteem and paranoia was partially mediated by EA and the relationship between EA and paranoia was partially mediated by low self-esteem. The detrimental effect of EA on self-esteem was more pronounced under high activity-related stress. Both EA and social stress were independently associated with low self-esteem. EA was associated with self-esteem instability. Our results implicate mental control strategies in the development of paranoia and are compatible with the attributional model of paranoia, which suggests that persecutory delusions arise as a result of dysfunctional attempts to avoid unpleasant thoughts about the self. © 2014 The British Psychological Society.

  18. Psychometric properties of the Peters et al Delusions Inventory 21 in college students.

    Science.gov (United States)

    Fonseca-Pedrero, Eduardo; Paino, Mercedes; Santarén-Rosell, Marta; Lemos-Giráldez, Serafín; Muñiz, José

    2012-08-01

    Delusions show high prevalence in the general population and can be considered a risk marker for psychotic disorders. Although the assessment of these experiences has made considerable progress in recent years, there is still room for improvement in the measurement quality of the self-reports available for such assessment. The goal of the present work was to analyze the measurement quality of the Peters et al Delusions Inventory 21 (PDI-21) in Spanish college students. The final sample was made up of 660 participants (29.5% men) with a mean age of 20.3 years (SD, 2.6 years). The results revealed that a high percentage of the sample reported some symptom of paranoia. Analysis of the internal structure of the PDI-21 by means of exploratory factor analysis based on the tetrachoric correlation matrix yielded an essentially unidimensional solution. Cronbach α for the total score was .91. Scores on the PDI-21 correlated in a statistically significant fashion with trait and state anxiety and negative affect. These results provide new evidence of the validity of the PDI-21 and endorse its use as a measurement instrument for assessing the extended psychosis phenotype in nonclinical population. Copyright © 2012 Elsevier Inc. All rights reserved.

  19. Sleep and Alertness Management III: Effects of a Nap and Hypnotics on Performance During the Late Evening, Night and Early Morning in Marmosets

    National Research Council Canada - National Science Library

    Philippens, I. H; Vanwersch, R. A; Jongsma, M. J; Groen, B; Bouwman, B. M

    2006-01-01

    .... In this case the use of hypnotics can be beneficial. Since immediate performance after premature waking can be required in a military setting it is important to choose hypnotics that do not result in so-called post-nap hangovers...

  20. DEFINING THE HYPNOSIS FROM THE PSYCHOBIOLOGY: SOME LINES OF SCIENTIFIC DEVELOPMENT OF THE HYPNOTICS PHENOMENA

    Directory of Open Access Journals (Sweden)

    Juan Cristóbal Ruiz Díaz

    2008-11-01

    Full Text Available In the present article we defined hypnosis from a psychobiologic viewpoint. We understand this phenomenonas a particular “global state” in which the subject exhibit changes both in subjective – conscious state - and invisceral, automatic and behavioural process, al these as a result of integrative activity of the neuro-endocrinesystem (NES. Here we petend two objetives, the first: to outline a preliminar definition of hypnosis as a state,and the second: present a review of some neuroscientific studies about different hypnotic phenomena. Withinthe hypnotic phenomena, we select five of them of general interest: pain, perceptual modulation, emotionalevocation, phobia treatment and attentional conflict manegment in hipnosis. These are relevant due they may contribute unto a vast development in basic investigation and in aplied psychotherapy. Phobia investigation has demonstrate the positive effect in patients highly hypnotizable, this treatment aloud to restore the sympatic-vagal balance. The brain imaging results suggest an attentional change model, in which participate the anterior cingulate cortex (ACC. Emotional control studies stablished changes in evoqued potential in different cortical regions. The hypnosis posibillities to inhibit and to evoke emotions in front of specific virtual events are of enormous value in therapy. Attentional studies present the effect of specific suggestions in higly hipnotizable patients, the activity of ACC and visual cortex decrease significatively. These outcomes correlate with a lessen attentional conflict (attentional interference during Stroop paradigm. All these findingsdemonstrate that hypnosis is a productive field for basic and clinical investigation.

  1. Perioperative Hypertension Management during Facelift under Local Anesthesia with Intravenous Hypnotics

    Directory of Open Access Journals (Sweden)

    Ki Ho Chung

    2017-07-01

    Full Text Available Perioperative hypertension is a phenomenon in which a surgical patient’s blood pressure temporarily increases throughout the preoperative and postoperative periods and remains high until the patient’s condition stabilizes. This phenomenon requires immediate treatment not only because it is observed in a majority of patients who are not diagnosed with high blood pressure, but also because occurs in patients with underlying essential hypertension who show a sharp increase in their blood pressure. The most common complication following facelift surgery is hematoma, and the most critical risk factor that causes hematoma is elevated systolic blood pressure. In general, a systolic blood pressure goal of 65 mm Hg are recommended. This article discusses the causes of increased blood pressure and the treatment methods for perioperative hypertension during the preoperative, intraoperative, and postoperative periods, in order to find ways to maintain normal blood pressure in patients during surgery. Further, in this paper, we review the causes of perioperative hypertension, such as anxiety, epinephrine, pain, and postoperative nausea and vomiting. The treatment methods for perioperative hypertension are analyzed according to the following 3 operative periods, with a review of the characteristics and interactions of each drug: preoperative antihypertensive medicine (atenolol, clonidine, and nifedipine, intraoperative intravenous (IV hypnotics (propofol, midazolam, ketamine, and dexmedetomidine, and postoperative antiemetic medicine (metoclopramide and ondansetron. This article focuses on the knowledge necessary to safely apply local anesthesia with IV hypnotics during facelift surgery without the assistance of an anesthesiologist.

  2. Perioperative Hypertension Management during Facelift under Local Anesthesia with Intravenous Hypnotics.

    Science.gov (United States)

    Chung, Ki Ho; Cho, Myeong Soo; Jin, Hoon

    2017-07-01

    Perioperative hypertension is a phenomenon in which a surgical patient's blood pressure temporarily increases throughout the preoperative and postoperative periods and remains high until the patient's condition stabilizes. This phenomenon requires immediate treatment not only because it is observed in a majority of patients who are not diagnosed with high blood pressure, but also because occurs in patients with underlying essential hypertension who show a sharp increase in their blood pressure. The most common complication following facelift surgery is hematoma, and the most critical risk factor that causes hematoma is elevated systolic blood pressure. In general, a systolic blood pressure goal of 65 mm Hg are recommended. This article discusses the causes of increased blood pressure and the treatment methods for perioperative hypertension during the preoperative, intraoperative, and postoperative periods, in order to find ways to maintain normal blood pressure in patients during surgery. Further, in this paper, we review the causes of perioperative hypertension, such as anxiety, epinephrine, pain, and postoperative nausea and vomiting. The treatment methods for perioperative hypertension are analyzed according to the following 3 operative periods, with a review of the characteristics and interactions of each drug: preoperative antihypertensive medicine (atenolol, clonidine, and nifedipine), intraoperative intravenous (IV) hypnotics (propofol, midazolam, ketamine, and dexmedetomidine), and postoperative antiemetic medicine (metoclopramide and ondansetron). This article focuses on the knowledge necessary to safely apply local anesthesia with IV hypnotics during facelift surgery without the assistance of an anesthesiologist.

  3. Talking to the senses: Modulation of tactile extinction through hypnotic suggestion

    Directory of Open Access Journals (Sweden)

    Angelo eMaravita

    2012-07-01

    Full Text Available Brain damage can significantly impair the processing of sensory events. In particular, patients affected by extinction to double bilateral stimulations, show reduced awareness of stimuli delivered in the space contralateral to the brain lesion, when these are presented in competition with ipsilesional ones. The present work shows that hypnotic suggestion can temporarily improve tactile extinction. Patient EB showed an improved detection of contralesional targets after a single 20-minute hypnosis session, during which specific suggestions were delivered with the aim of increasing her insight into somatosensory perception on both sides of the body. Simple overt attention orienting towards the contralesional side, or a hypnotic induction procedure not accompanied by specifically aimed suggestions, were not effective in modulating extinction. The present result is the first systematic evidence that hypnosis can temporarily improve a neuropsychological condition, namely extinction, and may open the way for the use of this technique as a fruitful rehabilitative tool for brain-damaged patients affected by neuropsychological deficits.

  4. Challenging Identities

    DEFF Research Database (Denmark)

    Identity is a keyword in a number of academic fields as well as in public debate and in politics. During the last decades, references to identity have proliferated, yet there is no simple definition available that corresponds to the use of the notion in all contexts. The significance of the notio...

  5. Ritual Identity

    NARCIS (Netherlands)

    van der Beek, Suzanne

    2017-01-01

    Rituals are often used as opportunities for self-reflection and identity construction. The Camino to Santiago de Compostela, which has become a singularly popular pilgrimage since the late 1980s, is an example of a ritual that is explicitly used to gain a deeper understanding of one’s identity

  6. Bridging Identities

    Science.gov (United States)

    Deaux, Kay; Burke, Peter

    2010-01-01

    Sociology and psychology are no strangers in the theoretical world of self and identity. Early works by William James (1890), a psychologist, and George Herbert Mead (1934), a sociologist, are often taken as a starting point by investigators in both fields. In more recent years, with the development of a number of identity theories in both fields,…

  7. Brand Identity.

    Science.gov (United States)

    Lawlor, John

    1998-01-01

    Instead of differentiating themselves by building "brand identities," colleges and universities often focus on competing with price. As a result, fewer and fewer institutions base their identities on value, the combination of quality and price. Methods of building two concepts to influence customers' brand image and brand loyalty are…

  8. Better theory-of-mind skills in children hearing voices mitigate the risk of secondary delusion formation

    NARCIS (Netherlands)

    Bartels-Velthuis, A. A.; Blijd-Hoogewys, E. M. A.; van Os, J.

    Objective: To examine the social cognitive vulnerabilities mediating delusion formation in children presenting with hallucinatory experiences. Method: A sample of 259 12- and 13-year-old children, from a baseline case-control sample of children with and without auditory hallucinations (AH), were

  9. The effects of reducing worry in patients with persecutory delusions: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Freeman Daniel

    2012-11-01

    Full Text Available Abstract Background Our approach to advancing the treatment of psychosis is to focus on key single symptoms and develop interventions that target the mechanisms that maintain them. In our theoretical research we have found worry to be an important factor in the development and maintenance of persecutory delusions. Worry brings implausible ideas to mind, keeps them there, and makes the experience distressing. Therefore the aim of the trial is to test the clinical efficacy of a cognitive-behavioral intervention for worry for patients with persecutory delusions and determine how the worry treatment might reduce delusions. Methods/Design An explanatory randomized controlled trial - called the Worry Intervention Trial (WIT - with 150 patients with persecutory delusions will be carried out. Patients will be randomized to the worry intervention in addition to standard care or to standard care. Randomization will be carried out independently, assessments carried out single-blind, and therapy competence and adherence monitored. The study population will be individuals with persecutory delusions and worry in the context of a schizophrenia spectrum diagnosis. They will not have responded adequately to previous treatment. The intervention is a six-session cognitive-behavioral treatment provided over eight weeks. The control condition will be treatment as usual, which is typically antipsychotic medication and regular appointments. The principal hypotheses are that a worry intervention will reduce levels of worry and that it will also reduce the persecutory delusions. Assessments will be carried out at 0 weeks (baseline, 8 weeks (post treatment and 24 weeks (follow-up. The statistical analysis strategy will follow the intention-to-treat principle and involve the use of linear mixed models to evaluate and estimate the relevant between- and within-subjects effects (allowing for the possibility of missing data. Both traditional regression and newer instrumental

  10. Targeting Recovery in Persistent Persecutory Delusions: A Proof of Principle Study of a New Translational Psychological Treatment (the Feeling Safe Programme).

    Science.gov (United States)

    Freeman, Daniel; Bradley, Jonathan; Waite, Felicity; Sheaves, Bryony; DeWeever, Natalie; Bourke, Emilie; McInerney, Josephine; Evans, Nicole; Černis, Emma; Lister, Rachel; Garety, Philippa; Dunn, Graham

    2016-09-01

    Many patients do not respond adequately to current pharmacological or psychological treatments for psychosis. Persistent persecutory delusions are common in clinical services, and cause considerable patient distress and impairment. Our aim has been to build a new translational personalized treatment, with the potential for wide use, that leads to high rates of recovery in persistent persecutory delusions. We have been developing, and evaluating individually, brief modular interventions, each targeting a key causal factor identified from our cognitive model. These modules are now combined in "The Feeling Safe Programme". To test the feasibility of a new translational modular treatment for persistent persecutory delusions and provide initial efficacy data. 12 patients with persistent persecutory delusions in the context of non-affective psychosis were offered the 6-month Feeling Safe Programme. After assessment, patients chose from a personalized menu of treatment options. Four weekly baseline assessments were carried out, followed by monthly assessments. Recovery in the delusion was defined as conviction falling below 50% (greater doubt than certainty). 11 patients completed the intervention. One patient withdrew before the first monthly assessment due to physical health problems. An average of 20 sessions (SD = 4.4) were received. Posttreatment, 7 out of 11 (64%) patients had recovery in their persistent delusions. Satisfaction ratings were high. The Feeling Safe Programme is feasible to use and was associated with large clinical benefits. To our knowledge this is the first treatment report focused on delusion recovery. The treatment will be tested in a randomized controlled trial.

  11. Bridging Identities through Identity Change

    Science.gov (United States)

    Cantwell, Allison M.; Martiny, Sarah E.

    2010-01-01

    As indicated by Deaux and Burke (this volume), sociology and psychology have shared a tradition of discourse allowing social psychologists to build upon each other's ideas. A conversation between social identity theory and identity theory was initiated fifteen years ago and addressed the similarities and differences between these theories. This…

  12. Electronic identity

    CERN Document Server

    de Andrade, Norberto Nuno Gomes; Argles, David

    2014-01-01

    With the increasing availability of electronic services, security and a reliable means by which identity is verified is essential.Written by Norberto Andrade the first chapter of this book provides an overview of the main legal and regulatory aspects regarding electronic identity in Europe and assesses the importance of electronic identity for administration (public), business (private) and, above all, citizens. It also highlights the role of eID as a key enabler of the economy.In the second chapter Lisha Chen-Wilson, David Argles, Michele Schiano di Zenise and Gary Wills discuss the user-cent

  13. Identity Management

    CERN Document Server

    Pace, A

    2008-01-01

    This paper introduces identity management concepts and discusses various issues associated with its implementation. It will try to highlight technical, legal, and social aspects that must been foreseen when defining the numerous processes that an identity management infrastructure must support. Grid interoperability as well as cross platform interoperability is addressed on the technical aspect, followed by a short discussion on social consequences on user’s privacy when completed traceability is enforced and some examples on how identity management has been implemented at CERN

  14. Metacognitive Training for delusions (MCTd: Effectiveness on data-gathering and belief flexibility in a Chinese sample.

    Directory of Open Access Journals (Sweden)

    Suzanne Ho-wai So

    2015-06-01

    Full Text Available Metacognitive training (MCT was developed to promote awareness of reasoning biases among patients with schizophrenia. While MCT has been translated into 31 languages, most MCT studies were conducted in Europe, including newer evidence recommending an individualized approach of delivery. As reasoning biases covered in MCT are separable processes and are associated with different symptoms, testing the effect of selected MCT modules would help to develop a targeted and cost-effective intervention for specific symptoms and associated mechanisms.This study tested the efficacy of a 4-session metacognitive training for delusions, MCTd (in Traditional Chinese with cultural adaptations, provided individually, as an adjunct to antipsychotics in reducing severity and conviction of delusions, jumping to conclusions bias and belief inflexibility.Forty-four patients with delusions were randomized into the MCTd or the wait-list control condition. Patients on wait-list received the same MCTd after four weeks of treatment as usual. Assessment interviews took place before and after the treatment, and at 4-week follow-up. There was an additional baseline assessment for the controls. Jumping to conclusions and belief flexibility were measured by the beads tasks and the Maudsley Assessment of Delusions Scale.Attendance rate of the MCTd was satisfactory (84.5%. Compared to treatment as usual, there was a greater reduction in psychotic symptoms, delusional severity and conviction following MCTd. There was a large treatment effect size in improvement in belief flexibility. Improvement in reaction to hypothetical contradiction predicted treatment effect in positive symptoms and delusions. Jumping to conclusions bias was reduced following MCTd, although the treatment effect was not significantly larger than TAU.Our results support the use of process-based interventions that target psychological mechanisms underlying specific psychotic symptoms as adjuncts to more

  15. Study efficacy of new model of derivative clonazepam on hypnotic, sedative, blood hematology and evaluation reproductive function in male mice

    Directory of Open Access Journals (Sweden)

    Adnan M. Jassim

    2016-12-01

    Conclusion clonazepam (T1 and 88 compound (T3 with high dose 50 mg/kg have good hypnotic action with complete muscle relaxant. In addition to all, agents have good analgesic effect but T2 showed prominent result. Finally, clonazepam and its related agent 88, 89 compound reveal adverse effect on reproductive function but may be very slightly in 94 compound.

  16. Gaboxadol - a different hypnotic profile with no tolerance to sleep EEG and sedative effects after repeated daily dosing

    NARCIS (Netherlands)

    Ebert, Biarke; Anderson, Neil J.; Cremers, Thomas I.; Rasmussen, Stine; Vogel, Vanessa; Fahey, Jeanne M.; Sanchez, Connie

    Gaboxadol, a selective extra synaptic GABA(A) receptor agonist, has been in clinical development for the treatment of insomnia. Development of tolerance to therapeutic effects (e.g. hypnotic and anticonvulsant and sedative) and withdrawal symptoms (e.g. REM sleep rebound and reduced seizure

  17. Anxiolytic, sedative, and hypnotic activities of aqueous extract of Morinda citrifolia fruit

    Science.gov (United States)

    Kannan, Sridharan; Manickam, Shanti; RajaMohammed, Meher Ali

    2014-01-01

    Morinda citrifolia (Indian mulberry or noni) fruit has been long used as a folk medicine for a wide range of health purposes as it is claimed to have analgesic, antiinflammatory, antioxidant, detoxifier, and cell-rejuvenator properties. A recent study has revealed central nervous system suppressant nature of its extract. Hence, the present study has evaluated the anxiolytic, sedative, and hypnotic effects of the aqueous extracts of Morinda citrifolia in rodents in comparison to diazepam. Anxiety was assessed by ‘Isolation-induced aggression’ model, sedation by ‘Spontaneous locomotor activity using actophotometer’ and hypnotic activity by ‘Prolongation of ketamine-induced sleeping time’. Six male mice were used for each of the groups and postdose, all the six that received diazepam had shown an inhibition of aggression, whereas in the test group, five of six mice and none in the control group had shown an inhibition of aggression (P = 0.0007). Similarly, for the sedative activity, the total number of spontaneous locomotor activity at 30 min following drug administration was found to be 364.67 ± 10.74, 123.16 ± 8.33, and 196.67 ± 3.7, while at 60 min it was found to be 209 ± 12.98, 49 ± 5.78, and 92 ± 2.5 (mean ± SD) for the control, standard, and test groups of mice respectively (P < 0.001). Hypnotic activity was measured by prolongation of ketamine-induced sleeping time wherein the onset and duration of loss of righting reflex were compared among each group of mice. The time in minutes for the onset in control, standard, and test groups was 4.01 ± 0.22, 1.23 ± 0.05, and 2.23 ± 0.07, respectively. The duration of loss of righting reflex was 44.23 ± 0.59, 56.03 ± 1.34, and 50.57 ± 0.36, respectively. Both these were statistically significant (P < 0.001). However, more clinical studies are needed to assess the long-term effects of the extract in humans. PMID:24948855

  18. Challenging Identities

    DEFF Research Database (Denmark)

    , cultural, and political practices. Notions of national identity and national politics are challenged by European integration, as well as by increasing demographic heterogeneity due to migration, and migrants experience conflicts of identification stemming from clashes between cultural heritage...

  19. Challenging Identities

    DEFF Research Database (Denmark)

    Identity is a keyword in a number of academic fields as well as in public debate and in politics. During the last decades, references to identity have proliferated, yet there is no simple definition available that corresponds to the use of the notion in all contexts. The significance of the notion...... depends on the conceptual or ideological constellation in which it takes part. This volume on one hand demonstrates the role of notions of identity in a variety of European contexts, and on the other hand highlights how there may be reasons to challenge the use of the term and corresponding social......, cultural, and political practices. Notions of national identity and national politics are challenged by European integration, as well as by increasing demographic heterogeneity due to migration, and migrants experience conflicts of identification stemming from clashes between cultural heritage...

  20. Capturing the will: Imposture, delusion, and exposure in Alfred Russel Wallace's defence of spirit photography.

    Science.gov (United States)

    Mitchell, Benjamin David

    2014-06-01

    The co-discoverer of natural selection, Alfred Russel Wallace, found himself deeply embroiled in a range of controversies surrounding the relationship between science and spiritualism. At the heart of these controversies lay a crisis of evidence in cases of delusion or imposture. He had the chance to observe the many epistemic impasses brought about by this crisis while participating in the trial of the American medium Henry Slade, and through his exchanges with the physiologist William Benjamin Carpenter and the psychical researcher Frederic Myers. These contexts help to explain the increasing value that Wallace placed on the evidence of spirit photography. He hoped that it could simultaneously break these impasses, while answering once and for all the interconnected questions of the unity of the psyche and the reliability of human observation. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy

    Directory of Open Access Journals (Sweden)

    Annemieke Dols

    2012-01-01

    Full Text Available A 72-year-old woman without any medical and psychiatric history, suffered from nausea, pain in the epigastria and constipation for over a year. She eventually lost 20 kilograms despite nightly drip-feeding. Extensive additional tests did not reveal any clues for her complaints. She remained convinced that her symptoms were a side-effect of anti-fungal medication she used. She was diagnosed with hypochondria. In the course of time her ideas about her somatic symptoms became delusional and she was diagnosed with a hypochondriacal delusion as part of melancholia, without depressed mood or loss of interest or pleasure as prominent features. It is important to recognize melancholia as soon as possible by continually evaluating other symptoms of depression. This may enable to avoid repetitive and exhaustive somatic examinations, which are not indicated, and to start effective treatment. In our patient electroconvulsive therapy resulted in a fast and complete recovery.

  2. Brain Metabolic Dysfunction in Capgras Delusion During Alzheimer's Disease: A Positron Emission Tomography Study.

    Science.gov (United States)

    Jedidi, H; Daury, N; Capa, R; Bahri, M A; Collette, F; Feyers, D; Bastin, C; Maquet, P; Salmon, E

    2015-11-01

    Capgras delusion is characterized by the misidentification of people and by the delusional belief that the misidentified persons have been replaced by impostors, generally perceived as persecutors. Since little is known regarding the neural correlates of Capgras syndrome, the cerebral metabolic pattern of a patient with probable Alzheimer's disease (AD) and Capgras syndrome was compared with those of 24-healthy elderly participants and 26 patients with AD without delusional syndrome. Comparing the healthy group with the AD group, the patient with AD had significant hypometabolism in frontal and posterior midline structures. In the light of current neural models of face perception, our patients with Capgras syndrome may be related to impaired recognition of a familiar face, subserved by the posterior cingulate/precuneus cortex, and impaired reflection about personally relevant knowledge related to a face, subserved by the dorsomedial prefrontal cortex. © The Author(s) 2013.

  3. Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion

    Directory of Open Access Journals (Sweden)

    Ya-Ting Wen

    2016-03-01

    Full Text Available Ancient schwannoma is a rare variant of schwannoma characterized by histopathologic degenerative changes, which are thought to be the result of long-term tumor growth and aging. However, ancient schwannoma in the spinal canal is particularly rare. We report a case of thoracic spine intradural extramedullary ancient schwannoma in a schizophrenic patient, who kept saying that “something in his back was giving him electric shock” for a long time. Unfortunately, this complaint was misinterpreted as somatic delusion symptoms. A spinal cord tumor was taken into consideration only after paraparesis developed. We have highlighted this case to remind every clinician to remain alert about the possibility of organic disease while treating patients with psychotic disorder history. Thorough neurological examination is required to avoid misdiagnosis. Spinal canal schwannoma can be totally removed successfully with good functional outcome and prognosis.

  4. 'Paranoia and its historical development (systematized delusion)', by Eugenio Tanzi (1884).

    Science.gov (United States)

    Castagnini, Augusto

    2016-06-01

    This was the first paper by the Italian alienist Eugenio Tanzi (1856-1934). It surveyed existing works and provided an analysis of clinical categories such as monomania, sensory madness, moral insanity, Wahnsinn, Verrücktheit and systematized delusions, which had been used in France, Germany, Britain and Italy since the early nineteenth century to deal with paranoia. As pointed out by Tanzi, discrepancies and discontinuities in diagnostic concepts affected both psychiatric nosology and practice. Paranoia (from the Greek παρά and νοια) made for greater clarity in psychiatric terminology, and denoted a broad category, including both acute and chronic delusional states which were considered to be distinct from mania and melancholia, and usually not to lead to mental deterioration. © The Author(s) 2016.

  5. Incomplete oedipism and chronic suicidality in psychotic depression with paranoid delusions related to eyes

    Directory of Open Access Journals (Sweden)

    Tatarelli Roberto

    2006-11-01

    Full Text Available Abstract Self-enucleation or oedipism is a term used to describe self-inflicted enucleation. It is a rare form of self-mutilation, found mainly in acutely psychotic patients. We propose the term incomplete oedipism to describe patients who deliberately and severely mutilate their eyes without proper enucleation. We report the case of a 32-year-old male patient with a five-year history of psychotic depression accompanied by paranoid delusions centered around his belief that his neighbors criticized him and stared at him. A central feature of his clinical picture was an eye injury that the patient had caused by pouring molten lead into his right eye during a period of deep hopelessness and suicidality when the patient could not resolve his anhedonia and social isolation. Pharmacotherapy and psychotherapy dramatically improved his disorder.

  6. Insomnia identity.

    Science.gov (United States)

    Lichstein, Kenneth L

    2017-10-01

    Insomnia identity refers to the conviction that one has insomnia, and this sleep complaint can be measured independently of sleep. Conventional wisdom predicts that sleep complaints are synchronous with poor sleep, but crossing the presence or absence of poor sleep with the presence or absence of insomnia identity reveals incongruity with expected patterns. This review of existing research on insomnia identity processes and influence finds that about one-fourth of the population are uncoupled sleepers, meaning there is an uncoupling of sleep and sleep appraisal, and daytime impairment accrues more strongly to those who endorse an insomnia identity. Research supports the conclusion that there is a cost to pathologizing sleep. Individuals claiming an insomnia identity, regardless of sleep status, are at greater risk for a range of sequelae including self-stigma, depression, suicidal ideation, anxiety, hypertension, and fatigue. A broad research agenda is proposed with hypotheses about the sources, clinical mechanisms, and clinical management of insomnia identity. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. French Norms for the Harvard Group Scale of Hypnotic Susceptibility, Form A.

    Science.gov (United States)

    Anlló, Hernán; Becchio, Jean; Sackur, Jérôme

    2017-01-01

    The authors present French norms for the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS:A). They administered an adapted translation of Shor and Orne's original text (1962) to a group of 126 paid volunteers. Participants also rated their own responses following our translation of Kihlstrom's Scale of Involuntariness (2006). Item pass rates, score distributions, and reliability were calculated and compared with several other reference samples. Analyses show that the present French norms are congruous with the reference samples. Interestingly, the passing rate for some items drops significantly if "entirely voluntary" responses (as identified by Kihlstrom's scale) are scored as "fail." Copies of the translated scales and response booklet are available online.

  8. The center core in ego state therapy and other hypnotically facilitated psychotherapies.

    Science.gov (United States)

    Frederick, Claire

    2013-07-01

    Center core phenomena have been utilized in the practice of ego state therapy and other forms of hypnotically facilitated psychotherapy for nearly 40 years. Despite the frequency with which they are employed, many confusions, contradictions, and questions remain concerning them. In this article relevant center core phenomena literature is reviewed and an essential differentiation between two different kinds of center core phenomena is clarified. Psychodynamic explanations are offered for the therapeutic benefits of archetypal center core experiences such as inner strength and inner wisdom. The information provided offers clinicians a sturdier platform from which to decide whether to incorporate center core experiences into clinical practice. The persistent question of whether center core phenomena are ego states is revisited and addressed.

  9. Improving working memory performance in brain-injured patients using hypnotic suggestion

    DEFF Research Database (Denmark)

    Lindeløv, Jonas Kristoffer; Overgaard, Rikke; Overgaard, Morten

    2017-01-01

    Working memory impairment is prevalent in brain injured patients across lesion aetiologies and severities. Unfortunately, rehabilitation efforts for this impairment have hitherto yielded small or no effects. Here we show in a randomized actively controlled trial that working memory performance can...... be effectively restored by suggesting to hypnotized patients that they have regained their pre-injury level of working memory functioning. Following four 1-h sessions, 27 patients had a medium-sized improvement relative to 22 active controls (Bayes factors of 342 and 37.5 on the two aggregate outcome measures...... group was crossed over to the working memory suggestion and showed superior improvement. By the end of the study, both groups reached a performance level at or above the healthy population mean with standardized mean differences between 1.55 and 2.03 relative to the passive control group. We conclude...

  10. Are there gender differences in the prescribing of hypnotic medications for insomnia?

    Science.gov (United States)

    Brownlee, K; Devins, G M; Flanigan, M; Fleming, J A E; Morehouse, R; Moscovitch, A; Plamondon, J; Reinish, L; Shapiro, C M

    2003-01-01

    Gender differences in the prescribing patterns of general classes of medications for insomnia were examined. The classes of medications included: zopiclone, antidepressants, benzodiazepines, antihistamines and no medication. The sample comprised a sub-set of respondents from 2620 questionnaires of the Canadian Multicentre Sleep Database. Respondents for this database were contacted through physicians, announcements in the media and local pharmacies. The results indicated that gender alone was not associated with differential prescribing for insomnia, nor was gender associated with patterns of medication use such as frequency of taking medication, length of use, taking more or less medication than prescribed or attempts to stop taking medication. Demographic factors were included in the analysis and age and marital status were associated with different prescribing patterns for men and women with insomnia. It is possible that physicians refer to stereotypic expectations when prescribing hypnotics. Copyright 2002 John Wiley & Sons, Ltd.

  11. Identity, identity politics, and neoliberalism

    Directory of Open Access Journals (Sweden)

    Wrenn Mary

    2014-01-01

    Full Text Available With the intensification of neoliberalism, it is useful to examine how some individuals might cope with the irrationality of the system. Neoliberalism cloaks the execution of the corporate agenda behind rhetorical manipulation that advocates for limited government. The corollary absence of government involvement on behalf of the citizenry writ large disarms the means of social redress for the individual. Democracy funded and fueled by corporate power thereby disenfranchises the individual, provoking some to search for empowerment through identity politics. The argument set forth suggests that individuals construct, reinforce, or escalate allegiance to identities as a coping mechanism, some of which manifest in violent identity politics.

  12. Primary care hypnotic and anxiolytic prescription: Reviewing prescribing practice over 8 years

    Directory of Open Access Journals (Sweden)

    Lloyd D Hughes

    2016-01-01

    Full Text Available Introduction: Over the last few years, hypnotic and anxiolytic medications have had their clinical efficacy questioned in the context of concerns regarding dependence, tolerance alongside other adverse effects. It remains unclear how these concerns have impacted clinical prescribing practice. Materials and Methods: This is a study reviewing community-dispensed prescribing data for patients on the East Practice Medical Center list in Arbroath, Scotland, in 2007, 2011 and 2015. Anxiolytic and hypnotic medications were defined in accordance with the British National Formulary chapter 4.1.1 and chapter 4.1.2. All patients receiving a drug within this class in any of the study years were collated and anonymized using primary care prescribing data. The patients′ age, gender, name of the prescribed drug(s, and total number of prescriptions in this class over the year were extracted. Results: The proportion of patients prescribed a benzodiazepine medication decreased between 2007 and 2015: 83.8% (n = 109 in 2007, 70.5% (n = 122 in 2011, and 51.7% (n = 138 in 2015 (P = 0.006. The proportion of these patients prescribed a nonbenzodiazepine drug increased between 2007 and 2015: 30% (n = 39 in 2007, 46.2% (n = 80 in 2011, and 52.4% (n = 140 in 2015 (P = 0.001. There was a significant increase in the number of patients prescribed melatonin (P = 0.020. Discussion: This study reports a reduction in benzodiazepine prescriptions in primary care alongside increases in nonbenzodiazepine and melatonin prescribing, with an increase in prescribing rates of this drug class overall. Conclusion: Changes in this prescribing practice may reflect the medicalization of insomnia, local changes in prescribing practice and alongside national recommendations.

  13. Improving working memory performance in brain-injured patients using hypnotic suggestion.

    Science.gov (United States)

    Lindeløv, Jonas K; Overgaard, Rikke; Overgaard, Morten

    2017-04-01

    Working memory impairment is prevalent in brain injured patients across lesion aetiologies and severities. Unfortunately, rehabilitation efforts for this impairment have hitherto yielded small or no effects. Here we show in a randomized actively controlled trial that working memory performance can be effectively restored by suggesting to hypnotized patients that they have regained their pre-injury level of working memory functioning. Following four 1-h sessions, 27 patients had a medium-sized improvement relative to 22 active controls (Bayes factors of 342 and 37.5 on the two aggregate outcome measures) and a very large improvement relative to 19 passive controls (Bayes factor = 1.7 × 1013). This was a long-term effect as revealed by no deterioration following a 6.7 week no-contact period (Bayes factors = 7.1 and 1.3 in favour of no change). To control for participant-specific effects, the active control group was crossed over to the working memory suggestion and showed superior improvement. By the end of the study, both groups reached a performance level at or above the healthy population mean with standardized mean differences between 1.55 and 2.03 relative to the passive control group. We conclude that, if framed correctly, hypnotic suggestion can effectively improve working memory following acquired brain injury. The speed and consistency with which this improvement occurred, indicate that there may be a residual capacity for normal information processing in the injured brain. © The Author (2017). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  14. [Trends in the consumption of anxiolytic and hypnotic drugs in a Colombian population].

    Science.gov (United States)

    Machado-Alba, Jorge Enrique; Alzate-Carvajal, Verónica; Jimenez-Canizales, Carlos Eduardo

    2015-01-01

    In Latin America, psychotropic medications are the third most marketed drug group, especially antidepressants (35%) and anxiolytics (5%). The objective of this study was to determine the trends in the consumption and the costs of anxiolytic and hypnotic drugs in a population of patients enrolled in the Health System of Colombia. A descriptive, observational study was performed using the data recorded inprescriptions for any anxiolytic or hypnotic drug prescribed to outpatients in the period between January 2008 and December 2013 in a population of 3.5 million people. Sociodemographic, pharmacological variables, overall costs, and cost per thousand inhabitants per day (CHD), were also recorded. The number of patients who received the drugs studied varied from 11,097 to 19,231 between 2008 and 2013. The most used drugs were clonazepam (44.1% of formulations), alprazolam (31.2%), and lorazepam (13.2%). The invoiced value of anxiolytics increased from US$ 207,673.63 in 2008 to US$ 488,977 in 2013, an increase of 135.4%. The CHD was US$ 0.31 for benzodiazepines, and US$ 0.02 for zaleplon, zolpidem and zopiclone (Z drugs) for 2008, and US$ 0.36 and US$ 0.02 in 2013 respectively. The CHD declined after 2010 following the introduction of generic drugs. Patients receiving benzodiazepines in Colombia are mostly women, average age 55 years, with very low frequency in defined daily doses per thousand inhabitants when compared with other countries. Copyright © 2014 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  15. When paranoia fails to enhance self-esteem: explicit and implicit self-esteem and its discrepancy in patients with persecutory delusions compared to depressed and healthy controls.

    Science.gov (United States)

    Kesting, Marie-Luise; Mehl, Stephanie; Rief, Winfried; Lindenmeyer, Johannes; Lincoln, Tania M

    2011-04-30

    The hypothesis that persecutory delusions function to enhance self-esteem implies that patients will show normal explicit, but low implicit self-esteem. As evidence for this has been inconsistent, our study assessed delusional state, explicit and implicit self-esteem and depression in a large sample (n=139) of schizophrenia patients with acute persecutory delusions (n=28), patients with remitted persecutory delusions (n=31), healthy controls (n=59), and depressed controls (n=21). Patients with delusions and patients with depression both showed decreased levels of explicit, but normal levels of implicit self-esteem when compared to healthy controls. The direct comparison of levels of explicit and implicit self-esteem within each group revealed that healthy controls had higher explicit than implicit self-esteem, while the converse pattern was found for depressed controls. No discrepancy between explicit and implicit self-esteem was found for acute deluded or remitted patients with schizophrenia. Although these findings do not support the hypothesis that delusions serve to enhance self-esteem, they underline the relevance of low self-esteem in patients with persecutory delusions and point to the necessity of enhancing self-esteem in therapy. Copyright © 2010 Elsevier Ltd. All rights reserved.

  16. Which came first, delusions or hallucinations? An exploration of clinical differences among patients with first-episode psychosis based on patterns of emergence of positive symptoms.

    Science.gov (United States)

    Compton, Michael T; Potts, Amy A; Wan, Claire Ramsay; Ionescu, Dawn Flosnik

    2012-12-30

    Remarkably little is known about patterns of emergence of specific symptoms in the early course of nonaffective psychotic disorders. Some 159 well-characterized first-episode psychosis patients were categorized into those with: (1) delusions only (n=29, 18.2%); (2) delusions that emerged at least 1 month before hallucinations (n=31, 19.5%); (3) hallucinations that began at least 1 month before delusions (n=26, 16.4%); and (4) delusions and hallucinations that emerged concomitantly, within the same month (n=73, 45.9%). These four groups were compared across a number of clinical features, including duration of untreated psychosis, symptom severity, insight, and functioning, while controlling for potential confounders. Patients with delusions and hallucinations emerging within the same month had a shorter duration of untreated psychosis than those in whom one psychotic symptom emerged greater than one month before the other. The delusions-only group had significantly less severe positive, negative, and general psychopathology symptom scores, as well as better social and occupational functioning. Replication and further elucidation of specific patterns of symptom emergence would deepen the field's understanding of early-course phenomenology, and may inform efforts to improve upon nosology, prognostication, and treatment selection. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  17. [Identity theft

    CERN Multimedia

    Wolinksy, H

    2003-01-01

    "A new survey by the Federal Trade Commission indicates that over the last five years one in four American households has been hit by identity theft, which can result in thieves tapping their victims' credit cards or bank accounts" (1 page).

  18. Mediating Identity

    DEFF Research Database (Denmark)

    Kjærgaard, Annemette Leonhardt; Morsing, Mette; Ravasi, Davide

    2011-01-01

    This paper reports a longitudinal field study on the effects of positive media coverage on the reconstruction of organizational identity. The study highlights how intense positive coverage – to the point of turning an organization into a ‘celebrity’– influences both the way members understand the...

  19. Designer's Identity

    DEFF Research Database (Denmark)

    Kunrath, Kamila; Cash, Philip; Li-Ying, Jason

    2016-01-01

    A designer’s professional identity (DPI) develops through both education and professional experience, building on core personality traits and innate skills. In this paper a systematic literature review and a secondary narrative review were developed in order to map personal attributes and design...

  20. Challenging Identities

    DEFF Research Database (Denmark)

    to the Balkans, the contributions demonstrate uses and abuses of the notion of identity. Authors: Ceglar Keydar, Bogazici (Bosporus) University ; Manuela Marin, Spanish National Research Council ; Allan Janik, Forschungsinstitut Brenner-Archiv ; Richard Wolin, City University of New York Graduate Center ; Mikael...

  1. Drugs, danger, delusions (and Deleuzians?) : extreme film-philosophy journeys into and beyond the parallel body and mind.

    OpenAIRE

    Fleming, David H.

    2009-01-01

    Drugs, Danger, Delusions (and Deleuzians?) opens up a philosophical investigation into a series of ‘extreme’ mind and body films drawn from different historical contexts. Through two sections and four distinct chapters, cinema is explored as an agent of becoming that allows viewers to think and feel in an affected manner. Investigating a broad spectrum of extreme narratives focusing on drugs, hooligan violence, insomnia and madness, the project provides a focused historical understanding of t...

  2. Different regimens of intravenous sedatives or hypnotics for electroconvulsive therapy (ECT) in adult patients with depression.

    Science.gov (United States)

    Lihua, Peng; Su, Min; Ke, Wei; Ziemann-Gimmel, Patrick

    2014-04-11

    Depression is a common mental disorder. It affects millions of people worldwide and is considered by the World Health Organization (WHO) to be one of the leading causes of disability. Electroconvulsive therapy (ECT) is a well-established treatment for severe depression. Intravenous anaesthetic medication is used to minimize subjective unpleasantness and adverse side effects of the induced tonic-clonic seizure. The influence of different anaesthetic medications on the successful reduction of depressive symptoms and adverse effects is unclear. This review evaluated the effects of different regimens of intravenous sedatives and hypnotics on anti-depression efficacy, recovery and seizure duration in depressed adults undergoing ECT. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2012, Issue 12); MEDLINE via Ovid SP (from 1966 to 31 December 2012); and EMBASE via Ovid SP (from 1966 to 31 December 2012). We handsearched related journals and applied no language restrictions. We included randomized controlled trials (RCTs) and cross-over trials evaluating the effects of different intravenous sedatives and hypnotics for ECT. We excluded studies and trials using placebo or inhalational anaesthetics and studies that used no anaesthetic. Two review authors independently assessed trial quality and extracted data. When possible, data were pooled and risk ratios (RRs) and mean differences (MDs), each with 95% confidence intervals (CIs), were computed using the Cochrane Review Manager statistical package (RevMan). We included in the review 18 RCTs (599 participants; published between 1994 and 2012). Most of the included trials were at high risk of bias.We analysed the results of studies comparing six different intravenous anaesthetics.Only a few studies comparing propofol with methohexital (four studies) and with thiopental (three studies) could be pooled.No difference was noted in the reduction of depression scores observed in participants treated with

  3. Hypnotic relaxation therapy for reduction of hot flashes in postmenopausal women: examination of cortisol as a potential mediator.

    Science.gov (United States)

    Kendrick, Cassie; Johnson, Aimee K; Sliwinski, Jim; Patterson, Vicki; Fisher, William I; Elkins, Gary R; Carpenter, Janet S

    2015-01-01

    Hypnotic relaxation therapy (HRT) has been shown to reduce hot flashes in postmenopausal women and breast cancer survivors. While the biological mechanism by which HRT reduces hot flashes is unknown, it has been speculated that reduction of stress mediates the intervention's effectiveness. The purpose of the present study was to examine the effect of HRT on a known biomarker of stress (cortisol) and changes in cortisol as a mediator. Sixty-two postmenopausal women received hypnotic relaxation therapy for hot flashes and completed measures of hot flashes in addition to providing cortisol samples at baseline and endpoint. HRT resulted in significantly decreased early evening salivary cortisol concentrations. However, changes in salivary cortisol concentrations did not mediate the effects of HRT.

  4. Enhancing witness memory with techniques derived from hypnotic investigative interviewing: focused meditation, eye-closure, and context reinstatement.

    Science.gov (United States)

    Wagstaff, Graham F; Wheatcroft, Jacqueline M; Caddick, Andrea M; Kirby, Lara J; Lamont, Elizabeth

    2011-04-01

    Due to several well-documented problems, hypnosis as a forensic interviewing tool has been largely replaced by the cognitive interview; however, the latter is problematic in time and complexity. This article builds on previous research showing that some procedures used in traditional hypnotic forensic interviewing might still be useful in developing alternative procedures for use in investigative interviewing. Two experiments are described that include a focused meditation with eye-closure technique with similarities to conventional hypnotic induction but without the label of hypnosis. In the first, focused meditation was comparable to a context reinstatement, or revivification, technique in facilitating memory in children aged 6 to 7 without increasing errors or inflating confidence. In the second, when used in combination with context reinstatement, focused meditation was resistant to the effects of misleading information in adults. Implications are discussed.

  5. Persecutory beliefs, attributions and theory of mind: comparison of patients with paranoid delusions, Asperger's syndrome and healthy controls.

    Science.gov (United States)

    Craig, Jaime S; Hatton, Christopher; Craig, Fiona B; Bentall, Richard P

    2004-07-01

    Schizophrenia patients with persecutory delusions and patients with Asperger's syndrome were compared using two measures of theory of mind (ToM; the ability to infer mental states in other people), the Hints task, and the Reading the Mind in the Eyes task, and a new measure of attributional style (style of inferring the causes of important events), the Attributional Style Structured Interview (ASSI). Paranoid beliefs were measured using Fenigstien and Vanable's Paranoia Scale (PS). The deluded group had the highest scores on the Paranoia Scale but the scores of the Asperger's group's were higher than those of the controls. Paranoid patients made more external-personal attributions for negative events than the Asperger's and control groups. Both the paranoid and Asperger's groups performed poorly on the ToM tasks compared to the controls. The findings support the hypothesis that both ToM and attributional abnormalities contribute to paranoid delusions. The lack of attributional abnormalities in the Asperger's group suggests that their low-level paranoid symptoms arise as a consequence of different mechanisms than those involved in psychotic delusions. Copyright 2003 Elsevier B.V.

  6. Analytic cognitive style predicts paranormal explanations of anomalous experiences but not the experiences themselves: Implications for cognitive theories of delusions.

    Science.gov (United States)

    Ross, Robert M; Hartig, Bjoern; McKay, Ryan

    2017-09-01

    It has been proposed that delusional beliefs are attempts to explain anomalous experiences. Why, then, do anomalous experiences induce delusions in some people but not in others? One possibility is that people with delusions have reasoning biases that result in them failing to reject implausible candidate explanations for anomalous experiences. We examine this hypothesis by studying paranormal interpretations of anomalous experiences. We examined whether analytic cognitive style (i.e. the willingness or disposition to critically evaluate outputs from intuitive processing and engage in effortful analytic processing) predicted anomalous experiences and paranormal explanations for these experiences after controlling for demographic variables and cognitive ability. Analytic cognitive style predicted paranormal explanations for anomalous experiences, but not the anomalous experiences themselves. We did not study clinical delusions. Our attempts to control for cognitive ability may have been inadequate. Our sample was predominantly students. Limited analytic cognitive style might contribute to the interpretation of anomalous experiences in terms of delusional beliefs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Novos sedativos hipnóticos The newer sedative-hypnotics

    Directory of Open Access Journals (Sweden)

    Lucia Sukys-Claudino

    2010-09-01

    Full Text Available Nas últimas décadas houve um esforço para o desenvolvimento de hipnóticos mais seguros e eficazes. Zolpidem, zaleplona, zopiclona, eszopiclona (drogas-z e indiplona são moduladores do receptor GABA-A, os quais agem de forma seletiva na subunidade α1, exibindo, desta forma, mecanismos similares de ação, embora evidências recentes sugiram que a eszopiclona não seja tão seletiva para a subunidade α1 quanto o zolpidem. Ramelteon e tasimelteon são novos agentes crono-hipnóticos seletivos para os receptores de melatonina MT1 e MT2. Por outro lado, nos últimos anos, o consumo de drogas antidepressivas sedativas tem aumentado significativamente no tratamento da insônia. Como droga experimental, a eplivanserina tem sido testada como um potente agonista inverso do subtipo 5-HT2A da serotonina, com um uso potencial na dificuldade da manutenção do sono. Outro agente farmacológico para o tratamento da insônia é o almorexant, o qual apresenta um novo mecanismo de ação envolvendo antagonismo do sistema hipocretinérgico, desta forma levando à indução do sono. Finalmente, também discutiremos o potencial papel de outras drogas gabaérgicas no tratamento da insônia.There has been a search for more effective and safe hypnotic drugs in the last decades. Zolpidem, zaleplon, zopiclone, eszopiclone (the z-drugs and indiplon are GABA-A modulators which bind selectively α1 subunits, thus, exhibiting similar mechanisms of action, although recent evidence suggests that eszopiclone is not as selective for α1 subunit as zolpidem is. Ramelteon and tasimelteon are new chrono-hypnotic agents, selective for melatonin MT1 and MT2 receptors. On the other hand, the consumption of sedative antidepressant drugs is significantly increasing for the treatment of insomnia, in the last years. As an experimental drug, eplivanserin is being tested as a potent antagonist of serotonin 2-A receptors (ASTAR with a potential use in sleep maintenance difficulty

  8. Attitudes to long-term use of benzodiazepine hypnotics by older people in general practice: findings from interviews with service users and providers.

    Science.gov (United States)

    Iliffe, S; Curran, H V; Collins, R; Yuen Kee, S C; Fletcher, S; Woods, B

    2004-05-01

    The aim of this study was to explore beliefs and attitudes about continuing or stopping benzodiazepine hypnotics amongst older patients using such medicines, and amongst their general practitioners. One hundred and ninety two patients aged 65 and over who were long-term users of benzodiazepine hypnotics were recruited from 25 general practices in inner city and suburban London, as were 83 practice staff. The practices had been recruited into a randomised controlled trial of benzodiazepine withdrawal in long-term users. Semi-structured interviews were conducted with patients recruited to the trial, and non-standardized (conversational) interviews with practice staff. Sixty percent of long-term benzodiazepine users had taken their hypnotic for more than 10 years, and one-third for more than 20 years. Beliefs in the efficacy of hypnotics, and self-report of insomnia despite their use, varied according to the willingness to attempt withdrawal. The majority of patients reported no warnings from professionals about adverse effects of using benzodiazepine hypnotics. Half had tried to stop at some time but most attempts had been short-lived. Patients and doctors had distinctly different views of the advantages, disadvantages and risks of stopping benzodiazepine hypnotic use. Both increased patient awareness of the problems of long-term benzodiazepine use and an evidence-based approach to withdrawal efforts in primary care are necessary to reduce the consumption of medication that has little real benefit.

  9. Comparison of the sedative and hypnotic effects of flavonoids, saponins, and polysaccharides extracted from Semen Ziziphus jujube.

    Science.gov (United States)

    Jiang, Jian-Guo; Huang, Xiao-Juan; Chen, Jian; Lin, Qing-Sheng

    2007-04-01

    Semen Ziziphus jujube (SZJ), the seeds of Ziziphus jujuba Mill. var. spinosa, is a kind of traditional Chinese medicine used for its action on insomnia. In order to analyze the effective component, we investigated and compared the sedative and hypnotic effects of three kinds of compounds, flavonoids, saponins, and polysaccharides. Flavonoids, saponins, and polysaccharides were extracted from SZJ and orally administered to mice separately at 17 g kg(-1) per day for certain days before animal tests. Spontaneous motility and coordinated movement tests were used to observe the effects of the three kinds of compounds on the mouse behavior, and sodium barbital-induced sleeping time of mouse were tested to analyze the effects of the three kinds of compounds on the sleep of mouse. Results show that flavonoids and saponins caused a significant reduction of walking time and coordinated movement ability of mouse, significantly prolonged its sleeping time at 40 mg kg(-1), ip, subthreshold dose and increased the sleeping number of animals at 50 mg kg(-1), ip, superthreshold dose induced by coeliac injection of sodium barbital. Polysaccharides did not show any significance in all animal tests. Comparative analysis showed that saponins had a more effective sedative and hypnotic function than that of flavonoids, polysaccharides did not show a sedative and hypnotic effect.

  10. Dissociation and psychosis in dissociative identity disorder and schizophrenia.

    Science.gov (United States)

    Laddis, Andreas; Dell, Paul F

    2012-01-01

    Dissociative symptoms, first-rank symptoms of schizophrenia, and delusions were assessed in 40 schizophrenia patients and 40 dissociative identity disorder (DID) patients with the Multidimensional Inventory of Dissociation (MID). Schizophrenia patients were diagnosed with the Structured Clinical Interview for the DSM-IV Axis I Disorders; DID patients were diagnosed with the Structured Clinical Interview for DSM-IV Dissociative Disorders-Revised. DID patients obtained significantly (a) higher dissociation scores; (b) higher passive-influence scores (first-rank symptoms); and (c) higher scores on scales that measure child voices, angry voices, persecutory voices, voices arguing, and voices commenting. Schizophrenia patients obtained significantly higher delusion scores than did DID patients. What is odd is that the dissociation scores of schizophrenia patients were unrelated to their reports of childhood maltreatment. Multiple regression analyses indicated that 81% of the variance in DID patients' dissociation scores was predicted by the MID's Ego-Alien Experiences Scale, whereas 92% of the variance in schizophrenia patients' dissociation scores was predicted by the MID's Voices Scale. We propose that schizophrenia patients' responses to the MID do not index the same pathology as do the responses of DID patients. We argue that neither phenomenological definitions of dissociation nor the current generation of dissociation instruments (which are uniformly phenomenological in nature) can distinguish between the dissociative phenomena of DID and what we suspect are just the dissociation-like phenomena of schizophrenia.

  11. Challenging Identities

    DEFF Research Database (Denmark)

    , cultural, and political practices. Notions of national identity and national politics are challenged by European integration, as well as by increasing demographic heterogeneity due to migration, and migrants experience conflicts of identification stemming from clashes between cultural heritage...... Rask Madsen, JUR Center for International CourtsOrganisation ; Henning Koch, JUR Center for retskulturelle studierOrganisation ; Peter E. Nielsen ; Catharina Raudvere, Institut for Tværkulturelle og Regionale StudierOrganisation: Institut ; Barbara Törnqvist-Plewa, University of Lund, Sweden ; Karl...

  12. Identity transformation

    DEFF Research Database (Denmark)

    Neergaard, Helle; Robinson, Sarah; Jones, Sally

    This paper develops the concept of ‘pedagogical nudging’ and examines four interventions in an entrepreneurship classroom and the potential it has for student identity transformation. Pedagogical nudging is positioned as a tool, which in the hands of a reflective, professional, with an understand......This paper develops the concept of ‘pedagogical nudging’ and examines four interventions in an entrepreneurship classroom and the potential it has for student identity transformation. Pedagogical nudging is positioned as a tool, which in the hands of a reflective, professional......, as well as the resources they have when they come to the classroom. It also incorporates perspectives from (ii) transformational learning and explores the concept of (iii) nudging from a pedagogical viewpoint, proposing it as an important tool in entrepreneurship education. The study incorporates......) assists students in straddling the divide between identities, the emotions and tensions this elicits, and (iv) transform student understanding. We extend nudging theory into a new territory. Pedagogical nudging techniques may be able to unlock doors and bring our students beyond the unacknowledged...

  13. Maternal Characteristics of Women Exposed to Hypnotic Benzodiazepine Receptor Agonist during Pregnancy

    Directory of Open Access Journals (Sweden)

    Bjarke Askaa

    2014-01-01

    Full Text Available Background. There is little knowledge regarding the characteristics of women treated with hypnotic benzodiazepine receptor agonists (HBRAs during pregnancy. In this large Danish cohort study, we characterize women exposed to HBRA during pregnancy. We determined changes in prevalence of HBRA use from 1997 to 2010 and exposure to HBRAs in relation to pregnancy. Methods. We performed a retrospective cohort study including 911,017 pregnant women in the period from 1997 to 2010. Information was retrieved from The Danish Birth Registry and The Registry of Medicinal Product Statistics to identify pregnant women redeeming a prescription of HBRAs. Results. We identified 2,552 women exposed to HBRAs during pregnancy, increasing from 0.18% in 1997 to 0.23% in 2010. Compared to unexposed women, exposed women were characterized by being older, with higher BMI, in their third or fourth parity, of lower income and education level, more frequently smokers, and more likely to be comedicated with antipsychotic, anxiolytic, or antidepressant drugs (P<0.0001. Conclusion. Women using HBRAs during their pregnancy differ from unexposed women in socioeconomic factors and were more likely to receive comedication. The consumption of HBRAs was reduced during pregnancy compared to before conception.

  14. Hypnotic trait and specific phobia: EEG and autonomic output during phobic stimulation.

    Science.gov (United States)

    Gemignani, Angelo; Sebastiani, Laura; Simoni, Alfredo; Santarcangelo, Enrica L; Ghelarducci, Brunello

    2006-03-31

    In a previous study we showed that healthy highly hypnotizable subjects, during the suggestion of a moderately unpleasant situation administered in awake conditions, exhibited a sympathetic response greatly attenuated with respect to non-hypnotizable individuals. This was interpreted as a natural protection of hypnotizable subjects against the cardiovascular effects of cognitive stress. Aim of the present study was to investigate whether the hypnotic trait is able to modulate the autonomic and cerebral activities also in specific phobic awake hypnotizable (Highs) and non-hypnotizable (Lows) subjects. Electroencephalogram, electrooculogram, electromiogram of corrugator muscle, electrocardiogram, respirogram and tonic electrodermal activity were recorded during a guided mental imagery of an animal phobic object. Phobic stimulation induced in both groups the rise of heart and respiratory frequency and the lowering of skin resistance. These changes are less pronounced in Highs than in Lows and are sustained by a different modulation of the sympatho-vagal balance. During phobic stimulation both groups exhibited a similar significant increase of EEG gamma relative power. At variance, significant stimulation-related decrements of alpha1, theta1 and theta2 activities were found only in Highs that exhibited similar changes during the control and phobic stimulation. Results suggest that hypnotizability is able to modulate cerebral and autonomic responses also in specific phobic subjects. However, the presence of a specific phobia attenuates the effectiveness of hypnotizability as a protective factor against possible stress-related cardiac illness.

  15. Hypnotic effect of Coriandrum sativum, Ziziphus jujuba, Lavandula angustifolia and Melissa officinalis extracts in mice

    Science.gov (United States)

    Hajhashemi, Valiollah; Safaei, Azadeh

    2015-01-01

    The aim of the present study was to evaluate hypnotic effect of Coriandrum sativum, Ziziphus jujuba, Lavandula angustifolia and Melissa officinalis hydroalcoholic extracts in mice to select the most effective ones for a combination formula. Three doses of the extracts (250, 500 and 1000 mg/kg of C. sativum and Z. jujuba and 200, 400 and 800 mg/kg of L. angustifolia and M. officinalis) were orally administered to male Swiss mice (20-25 g) and one hour later pentobarbital (50 mg/kg, i.p.) was injected to induce sleep. Onset of sleep and its duration were measured and compared. Control animals and reference group received vehicle (10 ml/kg, p.o.) and diazepam (3 mg/kg, i.p.), respectively. C. sativum and Z. jujuba failed to change sleep parameters. L. angustifolia at doses of 200, 400 and 800 mg/kg shortened sleep onset by 7.6%, 50% and 51.5% and prolonged sleep duration by 9.9%, 43.1% and 80.2%, respectively. Compared with control group the same doses of M. officinalis also decreased sleep onset by 24.7%, 27.5% and 51.2% and prolonged sleep duration by 37.9%, 68.7% and 131.7% respectively. Combinations of L. angustifolia and M. officinalis extracts showed additive effect and it is suggested that a preparation containing both extracts may be useful for insomnia. PMID:26779267

  16. Hypnotic Effect of Ocimum basilicum on Pentobarbital-Induced Sleep in Mice.

    Science.gov (United States)

    Askari, Vahid Reza; Baradaran Rahimi, Vafa; Ghorbani, Ahmad; Rakhshandeh, Hassan

    2016-07-01

    Sleep disorders are accompanied by several complications, and currently used soporific drugs can induce unwanted effects such as psychomotor impairment, tolerance, amnesia, and rebound insomnia. The present study was carried out to investigate if Ocimum basilicum has a sleep-prolonging effect. This work was an experimental study on 72 mice which were randomly divided into 9 groups: saline (control); diazepam (3 mg/kg, positive control); hydro-alcoholic extract (HAE) of Ocimum basilicum (25, 50, or 100 mg/kg); ethyl acetate fraction (EAF, 50 mg/kg); n-butanol fraction (NBF, 50 mg/kg); water fraction (WF, 50 mg/kg); and saline containing 10% DMSO (vehicle for EAF and NBF). All the test compounds were injected intraperitoneally (IP) 30 minutes before pentobarbital administration (30 mg/kg). Duration and latency of pentobarbital-induced sleep were recorded. Also, LD50 of HAE was determined and the cytotoxicity of HAE was tested on neural and fibroblast cells using the MTT assay. HAE increased the duration of pentobarbital-induced sleep at doses of 25, 50, and 100 mg/kg (P Ocimum basilicum potentiates sleeping behaviors without any cytotoxicity. The main component (s) responsible for the hypnotic effects of this plant is most likely a non-polar agent (s) which is found in NBF. Isolation of the active constituents may yield a novel sedative drug.

  17. Model insomnia, noise, and methylphenidate, used for the evaluation of hypnotic drugs.

    Science.gov (United States)

    Okuma, T; Honda, H

    1978-04-28

    Experimental sleep disturbance (model insomnia) was produced by intermittent white noise and the administration of 10 mg of methylphenidate (MPD). The effects of flurazepam (FZP) 15 mg and triazolam (TZM) 0.25 mg on these models was investigated. All night sleep polygraphy was performed on 8 normal male subjects under each of the following 9 conditions: baseline, TZM 0.25 mg, FZP 15 mg, white noise alone, noise and TZM, noise and FZP, MPD alone, MPD and TZM, and MPD and FZP. A reduction in total sleep time and stage were (S-REM) and an increase in the wakening stage were observed with both noise and MPD. Stage 4 sleep was reduced only by MPD. Administration of TZM or EZP did not cause any significant change in sleep parameters. These drugs in combination with noise or MPD resulted in almost complete recovery of the sleep disturbance induced by noise or MPD, except for a reduction in S-REM. These results indicate that model insomnia, particularly MPD insomnia, will assist in the evaluation of hypnotic drugs.

  18. Antinociceptive and hypnotic activities of pregabalin in a neuropathic pain-like model in mice.

    Science.gov (United States)

    Wang, Tian-Xiao; Yin, Dou; Guo, Wei; Liu, Yuan-Yuan; Li, Ya-Dong; Qu, Wei-Min; Han, Wu-Jian; Hong, Zong-Yuan; Huang, Zhi-Li

    2015-08-01

    To evaluate the antinociceptive and hypnotic effects of pregabalin, we established a neuropathic pain-like model in mice using partial sciatic nerve ligation (PSNL), and examined thermal hyperalgesia, mechanical allodynia, electroencephalogram, rota-rod testing, and c-Fos expression in the anterior cingulate cortex. Gabapentin was used as a reference drug in the study. Pregabalin administered i.g. at 12.5 and 25mg/kg prolonged the duration of thermal latencies by 1.4- and 1.6-fold and increased the mechanical threshold by 2.2- and 3.1-fold 3h after administration, respectively, but did not affect motor coordination in PSNL mice, compared with vehicle control. Pregabalin (12.5 and 25mg/kg) given at 6:30 increased the amount of non-rapid eye movement sleep in a 4-h period by 1.3- and 1.4-fold, respectively, in PSNL mice. However, pregabalin (25mg/kg) given at 20:30 did not alter the sleep pattern in normal mice. Immunohistochemical study showed that PSNL increased c-Fos expression in the neurons of anterior cingulate cortex by 2.1-fold, which could be reversed by pregabalin. These results indicate that pregabalin is an effective treatment for both neuropathic pain and sleep disturbance in PSNL mice. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. Ketamine Effects on Memory Reconsolidation Favor a Learning Model of Delusions

    Science.gov (United States)

    Gardner, Jennifer M.; Piggot, Jennifer S.; Turner, Danielle C.; Everitt, Jessica C.; Arana, Fernando Sergio; Morgan, Hannah L.; Milton, Amy L.; Lee, Jonathan L.; Aitken, Michael R. F.; Dickinson, Anthony; Everitt, Barry J.; Absalom, Anthony R.; Adapa, Ram; Subramanian, Naresh; Taylor, Jane R.; Krystal, John H.; Fletcher, Paul C.

    2013-01-01

    Delusions are the persistent and often bizarre beliefs that characterise psychosis. Previous studies have suggested that their emergence may be explained by disturbances in prediction error-dependent learning. Here we set up complementary studies in order to examine whether such a disturbance also modulates memory reconsolidation and hence explains their remarkable persistence. First, we quantified individual brain responses to prediction error in a causal learning task in 18 human subjects (8 female). Next, a placebo-controlled within-subjects study of the impact of ketamine was set up on the same individuals. We determined the influence of this NMDA receptor antagonist (previously shown to induce aberrant prediction error signal and lead to transient alterations in perception and belief) on the evolution of a fear memory over a 72 hour period: they initially underwent Pavlovian fear conditioning; 24 hours later, during ketamine or placebo administration, the conditioned stimulus (CS) was presented once, without reinforcement; memory strength was then tested again 24 hours later. Re-presentation of the CS under ketamine led to a stronger subsequent memory than under placebo. Moreover, the degree of strengthening correlated with individual vulnerability to ketamine's psychotogenic effects and with prediction error brain signal. This finding was partially replicated in an independent sample with an appetitive learning procedure (in 8 human subjects, 4 female). These results suggest a link between altered prediction error, memory strength and psychosis. They point to a core disruption that may explain not only the emergence of delusional beliefs but also their persistence. PMID:23776445

  20. [Imagery in psychosis: EMDR as a new intervention in the treatment of delusions and auditory hallucinations].

    Science.gov (United States)

    Croes, C F; van Grunsven, R; Staring, A B P; van den Berg, D P G; de Jongh, A; van der Gaag, M

    2014-01-01

    Historically, psychotherapy has focused on the treatment of patients' verbal representations (thoughts) and has proved particularly successful in the cognitive behavioural treatment of psychosis. However, there is mounting evidence that visual representations (imagery) play an important role in the onset and maintenance of psychiatric disorders, including psychotic symptoms. There are indications that heightened emotionality and vividness of visual representations are associated with severity of psychotic experiences. This may imply that a reduction in the vividness and emotionality of the psychosis-related imagery can lessen the suffering and stress, caused by the the psychotic symptoms. To introduce EMDR as a possible type of psychological treatment for patients suffering from psychosis-related imagery. Three outpatients who had a psychotic disorder and suffered from auditory hallucinations and delusions were treated with EMDR in an average of six sessions. Treatment was performed by three therapists in different psychiatric institutions. All three were experienced in administrating CBT and EMDR. Treatment with EMDR reduced patients' level of anxiety, depression and the severity of psychotic symptoms. In addition, patients reported less avoidant behaviour and greater cognitive insight. The results of the study suggest that EMDR reduces the vividness and emotionality of imagery in psychosis which in turn alleviates the patients' psychotic symptoms. Further research into other possible types of interventions for the treatment of imagery in psychosis is recommended.

  1. Ketamine effects on memory reconsolidation favor a learning model of delusions.

    Directory of Open Access Journals (Sweden)

    Philip R Corlett

    Full Text Available Delusions are the persistent and often bizarre beliefs that characterise psychosis. Previous studies have suggested that their emergence may be explained by disturbances in prediction error-dependent learning. Here we set up complementary studies in order to examine whether such a disturbance also modulates memory reconsolidation and hence explains their remarkable persistence. First, we quantified individual brain responses to prediction error in a causal learning task in 18 human subjects (8 female. Next, a placebo-controlled within-subjects study of the impact of ketamine was set up on the same individuals. We determined the influence of this NMDA receptor antagonist (previously shown to induce aberrant prediction error signal and lead to transient alterations in perception and belief on the evolution of a fear memory over a 72 hour period: they initially underwent Pavlovian fear conditioning; 24 hours later, during ketamine or placebo administration, the conditioned stimulus (CS was presented once, without reinforcement; memory strength was then tested again 24 hours later. Re-presentation of the CS under ketamine led to a stronger subsequent memory than under placebo. Moreover, the degree of strengthening correlated with individual vulnerability to ketamine's psychotogenic effects and with prediction error brain signal. This finding was partially replicated in an independent sample with an appetitive learning procedure (in 8 human subjects, 4 female. These results suggest a link between altered prediction error, memory strength and psychosis. They point to a core disruption that may explain not only the emergence of delusional beliefs but also their persistence.

  2. On The Reality of Tooth Fairies: A Review of The God Delusion

    Science.gov (United States)

    Zeiler, Michael D

    2007-01-01

    In The God Delusion, Richard Dawkins reviews the evidence for and against God. After considering arguments for a divine power, he says the main current one is that the characteristics of living creatures must be attributed to an all-powerful designer. Design is the only plausible account, because the excellent fit between each plant and animal and its environment could not possibly have appeared in one stroke by pure chance. Dawkins agrees that randomness could not have done the job, but he says that a designer is equally unlikely. The only viable explanation is evolution by natural selection, a process that operates without plan or design. He then turns to the adaptive value of religious belief. After failing to find any, he proposes that belief in divinities is the by-product of a powerful tendency to learn from others, an adaptive strategy produced by natural selection. Adults and other influential figures teach children many useful things, but they also train them to worship deities. Religious devotion is established through education, and it is maintained over generations by the social learning processes underlying all instances of cultural evolution. Dawkins' arguments together with other problems encountered in describing evolutionary processes highlight the importance of social learning. His discussion leads the reviewer to assert that only by knowing the mechanisms of social learning is it possible to understand how biological and cultural evolution interact to produce life as we find it.

  3. Prominent and persistent loss of past awareness in amnesia: delusion, impaired consciousness or coping strategy?

    Science.gov (United States)

    Wilson, Barbara A; Kopelman, Michael; Kapur, Narinder

    2008-01-01

    Profound loss of awareness for the past in amnesia has implications for our understanding of memory and belief systems, and how they may become disrupted in neurological conditions. We report the case of CW, a professional musician who became severely amnesic in 1985 following herpes simplex viral encephalitis (HSVE) at the age of 46 years. For many years CW stated several times a day that he had just woken up. He frequently wrote this in his diary too. When shown examples of his diary entries or videos of himself playing or conducting music, he recognised both his handwriting and himself on the video screen but stated vehemently that he "was not conscious then". In a previous paper (Wilson, Baddeley, & Kapur 1995), it was suggested that this lack of awareness for the past was a delusion, defined as a strongly held belief in the face of contradictory evidence (rather than implying any kind of psychiatric disorder per se). As a contribution to the academic debate regarding theories of "self", in the present paper we will review this explanation of CW's state as it had been in those early years, and we will also consider two other possibilities - namely, that CW had suffered from a loss of "autobiographical self" or "extended consciousness" (see Damasio, 2000, pp. 198-199), and that his verbal reports simply reflected a form of coping strategy to help him deal with the limited evidence he had available in "declarative" memory.

  4. Testing the connections within face processing circuitry in Capgras delusion with diffusion imaging tractography

    Directory of Open Access Journals (Sweden)

    Maria A. Bobes

    2016-01-01

    Full Text Available Although Capgras delusion (CD patients are capable of recognizing familiar faces, they present a delusional belief that some relatives have been replaced by impostors. CD has been explained as a selective disruption of a pathway processing affective values of familiar faces. To test the integrity of connections within face processing circuitry, diffusion tensor imaging was performed in a CD patient and 10 age-matched controls. Voxel-based morphometry indicated gray matter damage in right frontal areas. Tractography was used to examine two important tracts of the face processing circuitry: the inferior fronto-occipital fasciculus (IFOF and the inferior longitudinal (ILF. The superior longitudinal fasciculus (SLF and commissural tracts were also assessed. CD patient did not differ from controls in the commissural fibers, or the SLF. Right and left ILF, and right IFOF were also equivalent to those of controls. However, the left IFOF was significantly reduced respect to controls, also showing a significant dissociation with the ILF, which represents a selective impairment in the fiber-tract connecting occipital and frontal areas. This suggests a possible involvement of the IFOF in affective processing of faces in typical observers and in covert recognition in some cases with prosopagnosia.

  5. Attributional style and theory of mind in people with Alzheimer disease and persecutory delusions.

    Science.gov (United States)

    Rowse, Georgina; McCarthy-Jones, Simon; Knowles, Rebecca; Corcoran, Rhiannon; Bentall, Richard P

    2013-09-01

    Between 7% and 40% of people with Alzheimer disease (AD) experience persecutory delusions (PDs) during the course of their dementia. Although attributional style and theory of mind processes have been linked with PDs in people with psychosis, they have not yet been examined in those with AD and PDs. The objective of this study was, hence, to explore the role of these cognitive processes in groups of participants with AD with and without PDs, as well as a nonclinical comparison group. Measures of attributional style and theory of mind were administered to three groups: people with AD and PDs (n = 22), people with AD without PDs (n = 22), and a nonclinical group (n = 23). Although no clear differences in attributional style between the three groups were found, the group with AD and PDs were found to perform worse on the first-order (but not second-order) theory of mind task than the other two groups. Interventions designed to enhance theory of mind skills might be beneficial for individuals with AD and PDs. Copyright © 2013 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  6. Penile self-mutilation preceded by bizarre delusions: two case reports.

    Science.gov (United States)

    Kharbach, Youssef; Amiroune, Driss; Ahsaini, Mustapha; Bout, Amine; Riyach, Omar; Stuurman-Wieringa, Roos E; Mellas, Soufiane; Tazi, Mohammed Fadl; Khallouk, Abdelhak; El Fassi, Mohammed Jamal; Rammouz, Ismail; Farih, Moulay Hassan

    2014-07-07

    Genital self-mutilation is listed as a symptom of borderline personality disorder. The type of injury varies from simple skin laceration to total amputation of the penis and testicles. These injuries are urological and surgical emergencies. We report two cases of penile self-mutilation precipitated by erotic and religious bizarre delusions.Our first patient is a 24-year-old Moroccan man who visited our emergency room with a metallic ring at the root of his penis which had caused marked edema of his entire penis.Our second patient is a 26-year-old Moroccan man evaluated in our emergency unit. A clinical examination revealed a wound at the dorsal side of his penis with complete transection of the dorsal vein and imperfect hemostasis.The two patients were treated in our emergency unit after which a favorable clinical course was observed. Cases of genital self-mutilation are urological and psychiatric emergencies, therefore it is important that surgical and psychiatric teams collaborate closely while managing cases of genital self-mutilation.

  7. Designer's Identity

    DEFF Research Database (Denmark)

    Kunrath, Kamila; Cash, Philip; Li-Ying, Jason

    2016-01-01

    A designer’s professional identity (DPI) develops through both education and professional experience, building on core personality traits and innate skills. In this paper a systematic literature review and a secondary narrative review were developed in order to map personal attributes and design...... skills that comprise the DPI. Just a few works in literature dealt with these two elements holistically. Thus, in order to address this gap a holistic understanding of these elements, in context, is proposed as a cohesive framework where a DPI can be described as it evolves over time....

  8. Challenging Identities

    DEFF Research Database (Denmark)

    , cultural, and political practices. Notions of national identity and national politics are challenged by European integration, as well as by increasing demographic heterogeneity due to migration, and migrants experience conflicts of identification stemming from clashes between cultural heritage...... and the cultures of the new habitat. European horizons—frames of mind, historical memories, and expectations at the level of groups or communities, at the national level, and at the general European level—are at odds. Analyzing a series of issues in European countries from Turkey to Spain and from Scandinavia...

  9. Hypnotics and the Occurrence of Bone Fractures in Hospitalized Dementia Patients: A Matched Case-Control Study Using a National Inpatient Database.

    Directory of Open Access Journals (Sweden)

    Hiroyuki Tamiya

    Full Text Available Preventing falls and bone fractures in hospital care is an important issue in geriatric medicine. Use of hypnotics is a potential risk factor for falls and bone fractures in older patients. However, data are lacking on the association between use of hypnotics and the occurrence of bone fracture.We used a national inpatient database including 1,057 hospitals in Japan and included dementia patients aged 50 years or older who were hospitalized during a period of 12 months between April 2012 and March 2013. The primary outcome was the occurrence of bone fracture during hospitalization. Use of hypnotics was compared between patients with and without bone fracture in this matched case-control study.Of 140,494 patients, 830 patients suffered from in-hospital fracture. A 1:4 matching with age, sex and hospital created 817 cases with fracture and 3,158 matched patients without fracture. With adjustment for the Charlson comorbidity index, emergent admission, activities of daily living, and scores for level walking, a higher occurrence of fractures were seen with short-acting benzodiazepine hypnotics (odds ratio, 1.43; 95% confidence interval, 1.19-1.73; P<0.001, ultrashort-acting non-benzodiazepine hypnotics (1.66; 1.37-2.01; P<0.001, hydroxyzine (1.45; 1.15-1.82, P=0.001, risperidone and perospirone (1.37; 1.08-1.73; P=0.010. Other drug groups were not significantly associated with the occurrence of in-hospital fracture.Short-acting benzodiazepine hypnotics and ultrashort-acting non-benzodiazepine hypnotics may increase risk of bone fracture in hospitalized dementia patients.

  10. Spontaneous Activity Associated with Delusions of Schizophrenia in the Left Medial Superior Frontal Gyrus: A Resting-State fMRI Study.

    Directory of Open Access Journals (Sweden)

    Bin Gao

    Full Text Available Delusions of schizophrenia have been found to be associated with alterations of some brain regions in structure and task-induced activation. However, the relationship between spontaneously occurring symptoms and spontaneous brain activity remains unclear. In the current study, 14 schizophrenic patients with delusions and 14 healthy controls underwent a resting-state functional magnetic resonance imaging (RS-fMRI scan. Patients with delusions of schizophrenia patients were rated with Positive and Negative Syndrome Scale (PANSS and Characteristics of Delusional Rating Scale (CDRS. Regional homogeneity (ReHo was calculated to measure the local synchronization of the spontaneous activity in a voxel-wise way. A two-sample t-test showed that ReHo of the right anterior cingulate gyrus and left medial superior frontal gyrus were higher in patients, and ReHo of the left superior occipital gyrus was lower, compared to healthy controls. Further, among patients, correlation analysis showed a significant difference between delusion scores of CRDS and ReHo of brain regions. ReHo of the left medial superior frontal gyrus was negatively correlated with patients' CDRS scores but not with delusional PANSS scores. These results suggested that altered local synchronization of spontaneous brain activity may be related to the pathophysiology of delusion in schizophrenia.

  11. Hormonal responses to exercise after partial sleep deprivation and after a hypnotic drug-induced sleep.

    Science.gov (United States)

    Mougin, F; Bourdin, H; Simon-Rigaud, M L; Nguyen, N U; Kantelip, J P; Davenne, D

    2001-02-01

    The aim of this study was to determine the hormonal responses, which are dependent on the sleep wake cycle, to strenuous physical exercise. Exercise was performed after different nocturnal regimens: (i) a baseline night preceded by a habituation night; (ii) two nights of partial sleep deprivation caused by a delayed bedtime or by an early awakening; and (iii) two nights of sleep after administration of either a hypnotic compound (10 mg zolpidem) or a placebo. Eight well-trained male endurance athletes with a maximal oxygen uptake of 63.5 +/- 3.8 ml x kg(-1) x min(-1) (mean value +/- s(x)) were selected on the basis of their sleeping habits and their physical training. Polygraphic recordings of EEG showed that both nights with partial sleep loss led to a decrease (Psleep. A delayed bedtime also led to a decrease (P sleep. Zolpidem had no effect on the different stages of sleep. During the afternoon after an experimental night, exercise was performed on a cycle ergometer. After a 10-min warm-up, the participants performed 30 min steady-state cycling at 75% VO(2-max) followed by a progressively increased workload until exhaustion. The recovery period lasted 30 min. Plasma growth hormone, prolactin, cortisol, catecholamine and lactate concentrations were measured at rest, during exercise and after recovery. The concentration of plasma growth hormone and catecholamine were not affected by partial sleep deprivation, whereas that of plasma prolactin was higher (P sleep deprivation conditions. Blood lactate was higher (P sleep did not affect the hormonal and metabolic responses to subsequent exercise. Our results demonstrate only minor alterations in the hormonal responses to exercise after partial sleep deprivation.

  12. The relevance of self-esteem and self-schemas to persecutory delusions: a systematic review.

    Science.gov (United States)

    Kesting, Marie-Luise; Lincoln, Tania Marie

    2013-10-01

    Self-esteem is frequently targeted in psychological approaches to persecutory delusions (PD). However, its precise role in the formation and maintenance of PD is unclear and has been subject to a number of theories: It has been hypothesized that PD function to enhance self-esteem, that they directly reflect negative conceptualizations of the self, that self-esteem follows from the perceived deservedness of the persecution (poor-me versus bad-me-paranoia) and that the temporal instability of self-esteem is relevant to PD. In order to increase our understanding of the relevance of self-esteem to PD, this article systematically reviews the existing research on self-esteem in PD in the light of the existing theories. We performed a literature search on studies that investigated self-esteem in PD. We included studies that either investigated self-esteem a) within patients with PD or compared to controls or b) along the continuum of subclinical paranoia in the general population. We used a broad concept of self-esteem and included paradigms that assessed implicit self-esteem, specific self-schemas and dynamic aspects of self-esteem. The literature search identified 317 studies of which 52 met the inclusion criteria. The reviewed studies consistently found low global explicit self-esteem and negative self-schemas in persons with PD. The studies therefore do not support the theory that PD serve to enhance self-esteem but underline the theory that they directly reflect specific negative self-schemas. There is evidence that low self-esteem is associated with higher perceived deservedness of the persecution and that PD are associated with instable self-esteem. Only few studies investigated implicit self-esteem and the results of these studies were inconsistent. We conclude by proposing an explanatory model of how self-esteem and PD interact from which we derive clinical implications. Copyright © 2013 Elsevier Inc. All rights reserved.

  13. Psychosis with paranoid delusions after a therapeutic dose of mefloquine: a case report

    Directory of Open Access Journals (Sweden)

    Browning Joseph

    2006-08-01

    Full Text Available Abstract Background Convenient once-a-week dosing has made mefloquine a popular choice as malaria prophylaxis for travel to countries with chloroquine-resistant malaria. However, the increased use of mefloquine over the past decade has resulted in reports of rare, but severe, neuropsychiatric adverse reactions, such as anxiety, depression, hallucinations and psychosis. A direct causality between mefloquine and severe reactions among travelers has been partly confounded by factors associated with foreign travel and, in the case of therapeutic doses of mefloquine, the central nervous system manifestations of Plasmodium infection itself. The present case provides a unique natural history of mefloquine-induced neuropsychiatric toxicity and revisits its dose-dependent nature. Case presentation This report describes an acute exacerbation of neuropsychiatric symptoms after an unwarranted therapeutic dose (1250 mg of mefloquine in a 37-year-old male previously on a once-a-week prophylactic regimen. Neuropsychiatric symptoms began as dizziness and insomnia of several days duration, which was followed by one week of escalating anxiety and subtle alterations in behaviour. The patient's anxiety culminated into a panic episode with profound sympathetic activation. One week later, he was hospitalized after developing frank psychosis with psychomotor agitation and paranoid delusions. His psychosis remitted with low-dose quetiapine. Conclusion This report suggests that an overt mefloquine-induced psychosis can be preceded by a prodromal phase of moderate symptoms such as dizziness, insomnia, and generalized anxiety. It is important that physicians advise patients taking mefloquine prophylaxis and their relatives to recognize such symptoms, especially when they are accompanied by abrupt, but subtle, changes in behaviour. Patients with a history of psychiatric illness, however minor, may be at increased risk for a mefloquine-induced neuropsychiatric toxicity

  14. [Etiopathogeny of the delusion of pregnancy using a literature review: Role of hyperprolactinemia and application of the theory of abductive inference].

    Science.gov (United States)

    Levy, F; Mouchabac, S; Peretti, C S

    2014-04-01

    Delusions of pregnancy are not well known. The delusion of pregnancy is defined as the belief of being pregnant despite factual evidence to the contrary. The clinical picture is heterogeneous (duration, mechanisms, topics and pre-existing psychiatric disorders). Several causes have been proposed to explain the occurrence of the delusions of pregnancy: cenesthetic theory, hyperprolactinemia, polydipsia and psychodynamic conflicts. Hyperprolactinemia is an interesting hypothesis (physiologic increase during pregnancy and similar manifestations in the course of gestation). The abductive inference theory is a probabilistic model that can clarify the role of hyperprolactinemia in the delusions of pregnancy. The purpose of this paper is to study the role of hyperprolactinemia in the delusions of pregnancy using a literature review. The abductive inference model is used to specify the etiopathogeny of this pathology. A research in Medline, Sudoc, BIUM and PSYLINK using the following key words "delusional pregnancy" or "delusion of pregnancy" and "hyperprolactinemia" was conducted. Three articles (case reports) about delusions of pregnancy associated with hyperprolactinemia were found. The cases have some similitudes. First of all, they have similar chronology: delusion appears at the same time as hyperprolactinemia and resolves with biological normalization. Secondly, hyperprolactinemia is always caused by a neuroleptic (haloperidol, olanzapine, risperidone). Concerning pre-existing disorders, a psychiatric pathology for each case was found (schizophrenia, schizo-affective disorder and bipolar disorder). Chronology, reproductivity and reversibility are strong arguments to involve hyperprolactinemia in the delusions of pregnancy (Bradford Hill criteria). Furthermore, this association is biologically plausible: physiologic increase during pregnancy (gestational signal), similar symptoms to those during pregnancy and the role in parental behavior (parental signal

  15. Hypnotic effects and GABAergic mechanism of licorice (Glycyrrhiza glabra) ethanol extract and its major flavonoid constituent glabrol.

    Science.gov (United States)

    Cho, Suengmok; Park, Ji-Hae; Pae, Ae Nim; Han, Daeseok; Kim, Dongsoo; Cho, Nam-Chul; No, Kyoung Tai; Yang, Hyejin; Yoon, Minseok; Lee, Changho; Shimizu, Makoto; Baek, Nam-In

    2012-06-01

    Licorice (Glycyrrhiza glabra, GG) is one of the most frequently used herbal medicines worldwide, and its various biological activities have been widely studied. GG is reported to have neurological properties such as antidepressant, anxiolytic, and anticonvulsant effects. However, its hypnotic effects and the mechanism of GG and its active compounds have not yet been demonstrated. In this study, GG ethanol extract (GGE) dose-dependently potentiated pentobarbital-induced sleep and increased the amount of non-rapid eye movement sleep in mice without decreasing delta activity. The hypnotic effect of GGE was completely inhibited by flumazenil, which is a well-known γ-aminobutyric acid type A-benzodiazepine (GABA(A)-BZD) receptor antagonist, similar to other GABA(A)-BZD receptor agonists (e.g., diazepam and zolpidem). The major flavonoid glabrol was isolated from the flavonoid-rich fraction of GGE; it inhibited [(3)H] flumazenil binding to the GABA(A)-BZD receptors in rat cerebral cortex membrane with a binding affinity (K(i)) of 1.63 μM. The molecular structure and pharmacophore model of glabrol and liquiritigenin indicate that the isoprenyl groups of glabrol may play a key role in binding to GABA(A)-BZD receptors. Glabrol increased sleep duration and decreased sleep latency in a dose-dependent manner (5, 10, 25, and 50mg/kg); its hypnotic effect was also blocked by flumazenil. The results imply that GGE and its flavonoid glabrol induce sleep via a positive allosteric modulation of GABA(A)-BZD receptors. Copyright © 2012 Elsevier Ltd. All rights reserved.

  16. Evidenze neuroscientifiche di trance ipnotica: evoluzione storica e applicazioni - Neuroscientific evidence of hypnotic trance: historical evolution and applications

    Directory of Open Access Journals (Sweden)

    Giuseppe Vercelli

    2014-02-01

    Full Text Available The study and interpretation of hypnosis and the phenomena which occur through modified states of consciousness has very ancient roots. This article takes the current knowledge about hypnosis into consideration with reference to the recent discoveries of neurosciences and offers a scientific interpretation of this discipline which has been mystified for too long. The magic-religious phase, the mesmeric magnetic phase, the psychological and physiological phase are reported while the recent therapeutic applications are described on the basis of phenomena which devolop in subjects during an inducted hypnotic state through the amplification and recognition of the “mental representation of reality”.

  17. The effect of hypnotic drug type on anesthetic depth and amnesia: a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Amiri HR

    2009-06-01

    .001 in two groups were significant, respectively. No delay in recovery was observed."n"nConclusion: Although the Modified Ramsey Sedation Score and clinical sedation indices were the same, but BIS in patients varied in a wide range. Hypnotic drug was a main determinant of BIS score and amnesia.

  18. Benzodiazepine and sedative-hypnotic use among older seriously Ill veterans: choosing wisely?

    Science.gov (United States)

    Garrido, Melissa M; Prigerson, Holly G; Penrod, Joan D; Jones, Shatice C; Boockvar, Kenneth S

    2014-11-01

    The 2014 American Geriatrics Society's Choosing Wisely list cautions against the use of any benzodiazepines or other sedative-hypnotics (BSHs) as initial treatments for agitation, insomnia, or delirium in older adults. Because these symptoms are prevalent among hospitalized patients, seriously ill older adults are at risk of receiving these potentially inappropriate medications. The objectives of this study were to understand the extent to which potentially inappropriate BSHs are being used in hospitalized, seriously ill, older veterans and to understand what clinical and sociodemographic characteristics are associated with potentially inappropriate BSH use. We reviewed medical records of 222 veterans aged ≥65 years who were hospitalized in an acute care facility in the New York-New Jersey metropolitan region in fiscal years 2009 and 2010. Veterans had diagnoses of advanced cancer, chronic obstructive pulmonary disease, congestive heart failure, and/or HIV/AIDS and received inpatient palliative care. Associations among potentially inappropriate BSH use (BSHs for indications other than alcohol withdrawal and current generalized anxiety disorder or one-time use before a medical procedure) and clinical and sociodemographic characteristics were examined with multivariable logistic regression. One-fifth of the sample was prescribed a potentially inappropriate BSH during the index hospitalization during the study period (n = 47). The most commonly prescribed potentially inappropriate medications were zolpidem (n = 26 [11.7%]) and lorazepam (n = 19 [8.9%]). Hispanic ethnicity was significantly associated with prescription of potentially inappropriate BSHs among the entire sample (adjusted odds ratio [AOR] = 3.79; 95% CI, 1.32-10.88) and among patients who survived until discharge (n = 164; AOR = 5.28; 95% CI, 1.64-17.07). Among patients who survived until discharge, black patients were less likely to be prescribed potentially inappropriate BSHs than white patients (AOR

  19. When synesthesia and savant abilities are mistaken for hallucinations and delusions: contribution of a cognitive approach for their differential diagnosis.

    Science.gov (United States)

    Bouvet, Lucie; Barbier, Jacques-Edouard; Cason, Nia; Bakchine, Serge; Ehrlé, Nathalie

    2017-11-01

    Schizophrenia is characterized by hallucinations, delusions, disorganized speech and behavior, and other symptoms that cause social or occupational dysfunction. However, some of these symptoms, such as hallucinations and delusions, can be indicative of other phenomena such as synesthesia and savant abilities. The aim of this paper is to highlight how neurological and psychiatric conditions can be confused and how formal neuropsychological evaluations can be necessary to distinguish them. We report the case of a young woman, VA, who perceived sounds as colors and claimed to have elaborated complex astrophysical reasoning, despite having experienced difficulties at school, especially in mathematics. VA also had difficulties to orient herself, to develop social relationships, and often became confused by daily life situations. These elements were considered as symptoms of schizophrenia. Evaluations revealed that VA exhibited savant abilities in astrophysics and colored-hearing synesthesia. We also found evidence of higher-than-average cognitive functioning. In complex cases, neuropsychological and formal evaluations are necessary to establish a differential diagnosis. Moreover, the case highlights the link between synesthesia and savant abilities.

  20. Association of religion with delusions and hallucinations in the context of schizophrenia: implications for engagement and adherence.

    Science.gov (United States)

    Gearing, Robin Edward; Alonzo, Dana; Smolak, Alex; McHugh, Katie; Harmon, Sherelle; Baldwin, Susanna

    2011-03-01

    The relationship of religion and schizophrenia is widely acknowledged, but often minimized by practitioners and under investigated by researchers. In striving to help fill this gap, this paper focuses on examining four aims: 1) how research has investigated the association between religiosity and schizophrenia; 2) how is religiosity associated with delusions and hallucinations; 3) what are the risk and protective factors associated with religiosity and schizophrenia; and 4) does religion influence treatment adherence with individuals diagnosed with schizophrenia. A systematic literature search of PsycINFO and MEDLINE databases from January 1, 1980 through January 1, 2010 was conducted using the terms schizophrenia, schizoaffective, schizophreniform, psychotic disorder not otherwise specified (NOS) and religion, religiosity, spirituality, or faith. Seventy (n=70) original research studies were identified. Religion can act as both a risk and protective factor as it interacts with the schizophrenia symptoms of hallucination and delusions. Cultural influences tend to confound the association of religion and schizophrenia. Adherence to treatment has a mixed association with religiosity. The relationship between religion and schizophrenia may be of benefit to both clinicians and researchers through enhancing adherence to treatment, and enhancement of the protective aspects while minimizing associated risk. The relationship of religion and schizophrenia needs further research that is more nuanced and methodologically rigorous, specifically concerning its influence on engagement and adherence to treatment. Copyright © 2010 Elsevier B.V. All rights reserved.

  1. A study comparing the hypnotic efficacies and residual effects on actual driving performance of midazolam 15 mg, triazolam 0.5 mg, temazepam 20 mg and placebo in shiftworkers on night duty

    Science.gov (United States)

    1988-11-01

    The purpose of the study was to determine the hypnotic efficacy and residual effects of three hypnotics administered for the treatment of transient insomnia in the day-sleep of rotating shift workers. The average duration of day-sleep in rotating shi...

  2. Investigation of sedative and hypnotic effects of Amygdalus communis L. extract: behavioral assessments and EEG studies on rat.

    Science.gov (United States)

    Abdollahnejad, Fatemeh; Mosaddegh, Mahmoud; Kamalinejad, Mohammad; Mirnajafi-Zadeh, Javad; Najafi, Forough; Faizi, Mehrdad

    2016-04-01

    Amygdalus communis L. (almond) has been traditionally used as a natural medicine in the treatment of various diseases. The present research studied the sedative and hypnotic effects of the aqueous fraction of seeds of almond in rats. In order to investigate these effects, a combination of behavioral methods (open field test and loss of righting reflex test) as well as quantitative and analytic methods (EEG and EMG) were applied. The results of the open field test showed that a dose of 400 mg/kg of the almond extract significantly inhibited the locomotion activity of rats compared to normal. The results also illustrated that the almond extract affected pentobarbital-induced sleep through increasing the number of fallings asleep and prolongation of sleeping time. Analysis of EEG recordings of the animals which had received the same dose of the almond extract as the open field test demonstrated marked changes in the animals' sleep architecture. Significant prolongation of total sleeping time as well as significant increase in NREM sleep were the main observed changes compared to the normal condition. These results suggest that the aqueous extract of almond has significant sedative and hypnotic effects, which may support its therapeutic use for insomnia.

  3. The effect of non-benzodiazepine hypnotics on sleep quality and severity in patients with OSA: a meta-analysis.

    Science.gov (United States)

    Zhang, Xiu Juan; Li, Qing Yun; Wang, Yan; Xu, Hua Jun; Lin, Ying Ni

    2014-12-01

    Although there is a high co-occurrence of insomnia and obstructive sleep apnea (OSA), the administration of sedative hypnotics in patients with OSA is still inconsistent. The aim is to study the effect of non-benzodiazepine hypnotics (non-BZDs) on sleep quality and severity in patients with OSA. We conducted a systemic search for controlled clinical trials in multiple databases and pooled analysis of the impact of non-BZDs on objective sleep quality and the severity of OSA, including the apnea-hypopnea index (AHI) and mean and nadir arterial oxygen saturation (SaO2) in patients with OSA. Sensitivity analysis was carried out to explore the robustness of results. Eight relevant placebo-controlled clinical trials involving 448 patients were included. Objective sleep quality, including sleep latency, sleep efficiency, and wake time after sleep onset, was significantly improved in patients taking non-BZDs compared with those taking placebo (pOSA patients (p>0.05). The administration of non-BZDs at the commonly recommended dose has been shown to improve objective sleep quality in OSA patients without worsening sleep apnea. It suggests that OSA patients with a complaint of insomnia symptoms may benefit from taking non-BZDs.

  4. Preliminary study of relationships between hypnotic susceptibility and personality disorder functioning styles in healthy volunteers and personality disorder patients

    Directory of Open Access Journals (Sweden)

    He Wei

    2011-07-01

    Full Text Available Abstract Background Hypnotic susceptibility is one of the stable characteristics of individuals, but not closely related to the personality traits such as those measured by the five-factor model in the general population. Whether it is related to the personality disorder functioning styles remains unanswered. Methods In 77 patients with personality disorders and 154 healthy volunteers, we administered the Stanford Hypnotic Susceptibility Scale: Form C (SHSSC and the Parker Personality Measure (PERM tests. Results Patients with personality disorders showed higher passing rates on SHSSC Dream and Posthypnotic Amnesia items. No significant correlation was found in healthy volunteers. In the patients however, SHSSC Taste hallucination (β = 0.26 and Anosmia to Ammonia (β = -0.23 were significantly correlated with the PERM Borderline style; SHSSC Posthypnotic Amnesia was correlated with the PERM Schizoid style (β = 0.25 but negatively the PERM Narcissistic style (β = -0.23. Conclusions Our results provide limited evidence that could help to understand the abnormal cognitions in personality disorders, such as their hallucination and memory distortions.

  5. The psychopharmacological activities of Vietnamese ginseng in mice: characterization of its psychomotor, sedative-hypnotic, antistress, anxiolytic, and cognitive effects.

    Science.gov (United States)

    Dela Peña, Irene Joy I; Kim, Hee Jin; Botanas, Chrislean Jun; de la Peña, June Bryan; Van Le, Thi Hong; Nguyen, Minh Duc; Park, Jeong Hill; Cheong, Jae Hoon

    2017-04-01

    Panax vietnamensis Ha et Grushv. or Vietnamese ginseng (VG) is a recently discovered ginseng species. Studies on its chemical constituents have shown that VG is remarkably rich in ginseng saponins, particularly ocotillol saponins. However, the psychopharmacological effects of VG have not been characterized. Thus, in the present study we screened the psychopharmacological activities of VG in mice. VG extract (VGE) was orally administered to mice at various dosages to evaluate its psychomotor (open-field and rota-rod tests), sedative-hypnotic (pentobarbital-induced sleeping test), antistress (cold swimming test), anxiolytic (elevated plus-maze test), and cognitive (Y-maze and passive-avoidance tests) effects. VGE treatment increased the spontaneous locomotor activity, enhanced the endurance to stress, reduced the anxiety-like behavior, and ameliorated the scopolamine-induced memory impairments in mice. In addition, VGE treatment did not alter the motor balance and coordination of mice and did not potentiate pentobarbital-induced sleep, indicating that VGE has no sedative-hypnotic effects. The effects of VGE were comparable to those of the Korean Red Ginseng extract. VG, like other ginseng products, has significant and potentially useful psychopharmacological effects. This includes, but is not limited to, psychomotor stimulation, anxiolytic, antistress, and memory enhancing effects.

  6. Theacrine: A purine alkaloid from Camellia assamica var. kucha with a hypnotic property via the adenosine system.

    Science.gov (United States)

    Qiao, Haoyi; Ye, Xiansheng; Bai, Xiaoyu; He, Jun; Li, Tingli; Zhang, Jia; Zhang, Weiku; Xu, Jiekun

    2017-10-17

    Theacrine (l,3,7,9-tetramethyluric acid), a purine alkaloid from Camellia assamica var. kucha, has diverse pharmacological properties, including sedative and hypnotic activities, anti-inflammatory and analgesic activities, antidepressant effects, and a protective effect against stress-provoked liver damage. The present study aims to investigate the possible mechanism of the hypnotic activity of theacrine. The results revealed that theacrine significantly enhanced pentobarbital-induced sleep at a dose of 3.0mg/kg (i.g.) in mice. Sleep parameter analysis by EEG and EMG showed that theacrine obviously shortened wake time and increased NREM sleep time and that theacrine almost had no effect on REM sleep. Meanwhile, theacrine markedly attenuated caffeine (a nonselective antagonist of adenosine receptor)-induced insomnia. In pretreatment with the adenosine A 1 receptor antagonist DPCPX and the A 2A receptor antagonist SCH 58261, theacrine significantly reversed the decrease in sleeping time in pentobarbital-treated mice. In addition, theacrine also markedly increased the adenosine content in the hippocampus of rats. These results suggested that theacrine might mediate the adenosine system to augment pentobarbital-induced sleep. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Measuring the hypnotic depth of anaesthesia based on the EEG signal using combined wavelet transform, eigenvector and normalisation techniques.

    Science.gov (United States)

    Nguyen-Ky, Tai; Wen, Peng; Li, Yan; Malan, Mel

    2012-06-01

    This paper presents a new index to measure the hypnotic depth of anaesthesia (DoA) using EEG signals. This index is derived from applying combined Wavelet transform, eigenvector and normalisation techniques. The eigenvector method is first applied to build a feature function for six levels of coefficients in a discrete wavelet transform (DWT). The best Daubechies wavelet and their ranking value p are optimally determined to identify different states of anaesthesia. A statistic normalisation process is then carried out to re-scale data and compute the hypnotic depth of anaesthesia. Finally, a new function ZDoA is proposed to compute a DoA index which corresponds one of the five depths of anaesthesia states to very deep anaesthesia, deep anaesthesia, moderate anaesthesia, light anaesthesia and awake. Simulation results based on real anaesthetised EEGs demonstrate that the new index generally parallels the BIS index. In particular, the ZDoA index is often faster than the BIS index to react to the transition period between consciousness and unconsciousness for this data set. A Bland-Altman plot indicates a 95.23% agreement between the ZDoA and BIS indices. The ZDoA trend is responsive, and its movement is consistent with the clinically observed and recorded changes of the patients. Copyright © 2012 Elsevier Ltd. All rights reserved.

  8. [Remote consequences of the long-term uncontrollable consumption of anxiolytics and hypnotics in elderly: a problem of drug dependence].

    Science.gov (United States)

    Ivanets, N N; Kinkulkina, M A; Avdeeva, T I; Tikhonova, Yu G

    2015-01-01

    To identify main clinical/psychopathological characteristics of aged psychiatric inpatients who regularly used anxiolytic and hypnotic benzodiazepines without control from the physician. Authors examined 56 women over 50 years hospitalized due to a psychiatric disorder. Before admission, they regularly used benzodiazepines without a prescription for more than 2 months. The patients were studied during 4 weeks in the hospital. To assess the severity and dynamics of their condition, we administered psychopathological analysis and common psychometric scales as well as our own version of the scale for benzodiazepine dependence. The diagnosis of drug dependence was based on the three criteria: symptoms of pathological dependence of benzodiazepine, benzodiazepine withdrawal syndrome with severe somatic/autonomic symptoms and exacerbation of dependence, increase in tolerability to benzodiazepine anxiolytics and hypnotics; 64.3% of the patients met these criteria. An analysis of risk factors for this disease in elderly demonstrated the higher risk in patients aged ≤ 60 years and in those who used diazepam. The risk was higher in patients who preferred phenazepam.

  9. Implicit attributional style revisited: evidence for a state-specific "self-decreasing" implicit attributional style in patients with persecutory delusions.

    Science.gov (United States)

    Mehl, Stephanie; Rief, Winfried; Lüllmann, Eva; Ziegler, Michael; Müller, Matthias J; Lincoln, Tania M

    2010-09-01

    Although evidence suggests a discrepancy between the implicit and explicit attributional style (AS) in persons with persecutory delusions, this line of research has also produced conflicting findings. Thus, the aim of this study was to explain inconsistent results in implicit AS by introducing a modified assessment of implicit AS, which offered three attributional loci (internal, personal, and situational) instead of two (internal and external) as in previous studies and by investigating the associations between implicit AS, implicit self-esteem, explicit AS, and explicit self-esteem. Patients with acute persecutory delusions, patients with remitted persecutory delusions, and nonclinical controls were assessed in their implicit and explicit AS and implicit and explicit self-esteem. Deluded patients presented an implicit "self-decreasing" AS compared to remitted patients and controls: They attributed negative events more towards themselves and positive events more towards situational factors, whereas their explicit self-serving AS was comparable to controls. Patients' implicit self-decreasing AS was associated with low implicit self-esteem. In addition, compared to remitted patients and controls, deluded patients presented low explicit and normal implicit self-esteem. The results shed light on the inconsistent findings in previous studies and indicate that persecutory delusions might be fed by implicit self-decreasing AS and an unstable self-esteem.

  10. The Effect of an Educating versus Normalizing Approach on Treatment Motivation in Patients Presenting with Delusions: An Experimental Investigation with Analogue Patients.

    Science.gov (United States)

    Lüllmann, Eva; Lincoln, Tania M

    2013-01-01

    Until recently a widespread recommendation for clinicians was not to respond to the content of patients' delusions but to stress at an early time point that the patient has a mental illness (educating approach). An opposed recommendation is to validate the patients' symptoms and normalize them (normalizing approach). This study used an experimental design to compare the impact of these two approaches on treatment motivation (TM). A cover story about a person who develops persecutory delusions was used to guide a sample of 81 healthy participants who served as analogue patients into imagining experiencing delusions. This was followed by a random assignment to either an educating or a normalizing consultation with a fictive clinician. Consultations only differed in content. Finally, we assessed the participants' motivation to accept medication (Medication TM), psychological treatment (Psychological TM), and treatment offered by this particular clinician independent of the kind of treatment (Clinician-related TM). Participants in the normalizing condition showed higher Clinician-related and Psychological TM than those in the educating condition. Medication TM was unaffected by condition. Following our results using a normalizing approach seems to be advisable in a first-contact situation with patients with delusions and favourable to a simple educating approach.

  11. Correlation between right medial temporal lobe atrophy and persecutory delusions in patients with dementia of the Alzheimer's type demonstrated on VSRAD advance.

    Science.gov (United States)

    Tagawa, Ryo; Hashimoto, Hiroshi; Matsuda, Yasunori; Uchida, Kentaro; Yoshida, Atsushi; Higashiyama, Shigeaki; Kawabe, Joji; Toshihiro, Kai; Shiomi, Shiomi; Mori, Hiroshi; Inoue, Koki

    2014-12-01

    The relationship between focal brain atrophy and delusions in patients with Dementia of the Alzheimer's Type (DAT) is not well understood. Few studies have been reported on the association between medial temporal atrophy (MTA) and persecutory delusions in patients with DAT. We investigated the relationship between MTA and persecutory delusions in patients with DAT using voxel-based specific regional analysis system for Alzheimer's disease (VSRAD) advance software, which allows us to quantify the laterality and the degree of MTA on magnetic resonance imaging (MRI) scans. Thirty-one patients diagnosed with DAT were recruited and scanned with a 1.5 tesla MRI scanner. All MRI data were analyzed using VSRAD advance. The target volume of interest (VOI) included the entire region of the entorhinal cortex, hippocampus, and amygdala. The degree of MTA was obtained from the averaged positive z score (Z-score) on the target VOI, with higher scores indicating more severe. These DAT patients were divided into a group with (D group: n = 13) and without (ND group: n = 18) persecutory delusions. In the D group, the mean the bilateral, right, and left Z-scores were 2.45, 2.69, and 2.19, respectively. These mean Z-scores of the ND group were 2.00, 2.00, and 1.95, respectively. The right Z-scores for the D group were significantly higher than those for the ND group (p < 0.05). These findings suggest that right MTA could contribute to the development of persecutory delusions in patients with DAT.

  12. Characterizing the experience of auditory verbal hallucinations and accompanying delusions in individuals with a diagnosis of bipolar disorder: A systematic review.

    Science.gov (United States)

    Smith, L M; Johns, L C; Mitchell, Rlc

    2017-09-01

    The aim of the current study was to inform ongoing attempts to identify clinically meaningful subcategories of auditory verbal hallucination (AVH), and to evaluate evidence that might pertain to the suitability of current psychological interventions for people with bipolar disorder (BD) who experience psychotic symptoms. A comprehensive synthesis of findings on the phenomenology of AVH and delusions in BD is included, alongside a critical review of clinical and cognitive correlates. Studies published in the previous 20 years, until December 2016, were retrieved from the following databases: Embase, CINAHL, MEDLINE, PsycINFO and Web of Science. Thirty-two articles were reviewed after applying a set of predetermined inclusion criteria. Psychotic symptoms were common in both manic and depressive phases, although higher frequencies were indicated in mania. Few detailed characterizations of AVH phenomenology were identified. Delusions with persecutory, grandiose and referential themes were the most common in BD. AVHs were associated with delusions and there was evidence to suggest that delusion subtype may vary according to mood state and type of AVH. Data on clinical correlates of AVH in BD were sparse. However, the results indicated that cognitive appraisals or interpretations of voices might be different in BD from those established to be predictive of clinical outcomes in schizophrenia spectrum disorders. Clear gaps exist in our current understanding of the first-person experience of AVH in BD and the potential relationship to co-occurring symptoms, including delusions. Further research into cognitive interpretations of AVH in BD might inform adapted psychological interventions for psychotic symptoms in this population. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  13. Keep Your Head in the Gutter: Engendering Empathy Through Participatory Delusion in Christian de Metter's Graphic Adaptation of Shutter Island.

    Science.gov (United States)

    Servitje, Lorenzo

    2015-09-01

    This paper argues that the graphic adaptation of Dennis Lehane's Shutter Island utilizes the medium to evoke an affective participation and investment from the reader. It explores the ways the graphic novel overcomes problematic representations of mental illness in the popular film version. Drawing on graphic fiction theory, I contend that readers' engagement in and construction of the story between panels, in the "gutters," allows them to participate in the protagonist's persecutory delusion. Additionally, I draw on Foucault's conceptualizations of the medical gaze and historical figurations of madness connected to water in order to demonstrate the mechanism by which the reader is placed in a dual subject position, becoming both observer and observed. In this capacity, I suggest that graphic fiction provides a unique experience to engender empathy for psychiatric illness.

  14. Sociopolitical events and technical innovations may affect the content of delusions and the course of psychotic disorders.

    Science.gov (United States)

    Sher, L

    2000-12-01

    The influence of culture on patients with psychiatric disorders has been well documented in the psychiatric literature. The unique emphasis of this paper is the influence of current social and political events on psychotic patients. Current events can be classified into two groups: (1) Communal stressful events that affect everyone (shared stressors), such as earthquakes, wars, etc.; and (2) Public events, highly reported by mass media, but not personally stressful, e.g., elections. This article is devoted to the discussion about the effect of sociopolitical non-traumatic events on persons with psychotic disorders. The author reviewed evidence that sociopolitical events and technical innovations affect patients with psychotic disorders. The author suggests that social events and scientific innovations may change the content of delusions and affect the course of psychotic disorders. The author also suggests that physicians should be sensitive to the clinical impact of sociopolitical events. Copyright 2000 Harcourt Publishers Ltd.

  15. Screening of central functions of amino acids and their metabolites for sedative and hypnotic effects using chick models.

    Science.gov (United States)

    Furuse, Mitsuhiro

    2015-09-05

    The chick has a practical advantage in the screening process in that chicks require only small quantities of drugs. The chick separation stress paradigm has traditionally been recognized as a valid form of anxiolytic screening. Further, chick behavior involving standing motionless with eyes closed or sitting motionless with head drooped is nearly always associated with electrophysiological sleep. When centrally administered, some DNA-encoded L-α-amino acids, as well as some DNA-non-encoded amino acids, such as metabolites of L-α-amino acids, D-amino acid and β-amino acid, have shown sedative and/or hypnotic effects in chicks. The effects of some of these amino acids have subsequently been confirmed in humans. In conclusion, the chick model is convenient and useful for screening central functions of amino acids and their metabolites for hypnosis and sedation. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. Theacrine, a special purine alkaloid with sedative and hypnotic properties from Cammelia assamica var. kucha in mice.

    Science.gov (United States)

    Xu, Jie-Kun; Kurihara, Hiroshi; Zhao, Liang; Yao, Xin-Sheng

    2007-01-01

    The central nervous system activities of theacrine (1,3,7,9-tetramethyluric acid), a purine alkaloid which is abundantly present in Camellia assamica var. kucha, were investigated in ambulatory activity, pentobarbital-induced sleep and forced swimming test in mice, compared with two other purine alkaloids, caffeine and theobromine. Caffeine treatment led to a marked increase in the ambulatory activity accompanied with decreasing of the immobility time in forced swimming test at both 10 and 30 mg/kg. Under the same conditions, neither theacrine nor theobromine showed obvious excited efficacy. Both doses of theacrine could significantly prolong the sleeping time induced by pentobarbital, while caffeine and theobromine exhibited an inverted effect. These results indicated that theacrine possessed potent sedative and hypnotic properties and its central nervous system effects were different from those of caffeine and theobromine.

  17. Alternative Identities in Multicultural Schools in Israel: Emancipatory Identity, Mixed Identity and Transnational Identity

    Science.gov (United States)

    Resnik, Julia

    2006-01-01

    Economic and technological processes of globalization and the increasing migrations of people in the world undermine dominant national identities. One of the main characteristics of our time is the instability of identities and the continuous invention of new/old identities. Traditions and ethnic identities are deconstructed and reconstructed.…

  18. Personal Identity in Italy

    Science.gov (United States)

    Crocetti, Elisabetta; Rabaglietti, Emanuela; Sica, Luigia Simona

    2012-01-01

    This chapter discusses specifics of identity formation in Italian adolescents and emerging adults. We review consistent evidence illustrating that, in Italy, a progressive deferral of transition to adulthood strongly impacts youth identity development by stimulating identity exploration and postponement of identity commitments. We also consider…

  19. Artemisia capillaris Thunberg Produces Sedative-Hypnotic Effects in Mice, Which are Probably Mediated Through Potentiation of the GABAA Receptor.

    Science.gov (United States)

    dela Peña, Irene Joy I; Hong, Eunyoung; Kim, Hee Jin; de la Peña, June Bryan; Woo, Tae Sun; Lee, Yong Soo; Cheong, Jae Hoon

    2015-01-01

    The Artemisia group of plants has long been used as a traditional remedy for various conditions. The present study assessed the sleep-promoting (sedative-hypnotic) effects of Artemisia capillaris Thunberg (A. capillaris), and elucidated a possible mechanism behind its effect. ICR mice were given A. capillaris extract (oral) at different dosages (50, 100, 200, 300, or 400 mg/kg), distilled water (oral; control), or diazepam (intraperitoneal; reference drug). One hour after administration, locomotion (open-field test) and motor coordination (rota-rod test) were assessed. The extract's effect on pentobarbital-induced sleep was also evaluated. Additionally, electroencephalographic (EEG) recordings were measured in rats. To evaluate a possible mechanism behind its effects, changes in chloride ( Cl (-)) ion influx were measured in human neuroblastoma cells. As compared to the control group, mice treated with A. capillaris demonstrated significantly decreased locomotor activity and impaired motor balance and coordination. The extract also shortened the onset and lengthened the duration of sleep induced by pentobarbital sodium. These effects were comparable to that induced by diazepam. Furthermore, A. capillaris-treated rats showed increased delta and decreased alpha EEG waves; an electroencephalographic pattern indicative of relaxation or sedation. In neuroblastoma cells, the extract dose-dependently increased Cl (-) ion influx, which was blocked by co-administration of bicuculline, a GABAA receptor competitive antagonist, suggesting that its effects are mediated through the GABAA receptor- Cl (-) ion channel complex. Altogether, the results of the present study demonstrate that A. capillaris possesses potent sedative-hypnotic effects, which are probably mediated through potentiation of the GABAA receptor- Cl (-) ion channel complex.

  20. Asian American Adolescent Identity

    OpenAIRE

    Ohm, Julie Juhye

    1999-01-01

    The formation of ego identity in Asian American late adolescents attending Virginia Tech was examined within the frameworks of Erikson's psychosocial theory and Berry, Trimble, and Olmedo's model of acculturation. Ego identity was measured using the Achieved sub-scale of the Revised Version of the Extended Objective Measure of Ego Identity Status, an instrument based on the theoretical constructs of Erikson. Ethnic identity was measured using the Multigroup Ethnic Identity Measure and America...

  1. European Identity between Ethnic and Civic Identities

    Directory of Open Access Journals (Sweden)

    Paul Kun

    2015-11-01

    Full Text Available The European identity is not a reality, but a necessity for a stabile future of the European political construction. The democratic deficit problem results from the fact that the European project was conceived as a top-down type of action. Its legitimization is however a bottom-up process. For this reason, the institutional project needs to be supported by an ideological project for a European identity. There are two ways, two different patterns for the second charge: the ethnic-cultural identity or the civic identity. Each has his advantages, but also disadvantages. This paper analyzes the results of one sociological research among young Romanian students.

  2. Identity Work and Emotions

    DEFF Research Database (Denmark)

    Winkler, Ingo

    2018-01-01

    This paper reviews the empirical literature on identity work and identifies two distinct approaches to incorporating emotion. The majority of empirical studies use emotion to describe the experiences of identity work. In doing so, the authors (a) mention the emotions that people feel in situations...... that trigger identity work, (b) illustrate identity work as an emotional endeavour, and (c) describe the emotional impact of successful and unsuccessful identity work. There is also an emerging literature that examines the mutual constitution of emotions and identity work. These authors address emotional...... labour, affective social identification, emotional attachment and detachment, and humour when studying identity work. This paper suggests that, to understand better the relation between emotions and identity work, future research should examine the role of emotions in problematizing identity...

  3. The Identity and Identity Identification of Teachers

    Science.gov (United States)

    Qu, Zhengwei

    2008-01-01

    When we tend to analyze the living conditions of teachers, system arrangement and identity identification can be considered a significant method for analysis. In reality, there appears a phenomenon of overlapping identification in the identity identification of teachers in China, which leads to plural selections in the identification manners of…

  4. From National Identity to European Identity

    Directory of Open Access Journals (Sweden)

    Radu CINPOES

    2008-04-01

    Full Text Available Since the Maastricht Treaty in 1992, and especially in the past few years, the European Union has been going through a mixed process of expansion and consolidation. In the last ten years alone there were two new waves of accession, the EU launched the single currency and failed attempts have been made to introduce a constitution. With all these transformations taking place, attention is more and more centred on the question whether a European identity is emerging. This article investigates this issue examining comparativelythe patterns of national identity and of European identity formation and focusing on whether the relationship between the two is a zero-sum type. The aim is to show that although national identity is not necessarily an obstacle for the development of European identity, nationalism is.

  5. Identities as organizational practices

    DEFF Research Database (Denmark)

    Oshima, Sae; Asmuß, Birte

    Identity has been widely acknowledged as playing a central role in various organizational processes, yet there is still a need to better understand the dynamics and functions of identity work in modern organizations. The present paper is centered within this concern, and examines identity......) reveal the intersubjective, multimodal and embodied nature of identity work; 2) demonstrate identity work as organizational practices, used in order to accomplish specific actions; and 3) pose a question on the view on identity as a layered/leveled phenomenon....

  6. Early postoperative cognitive dysfunction and postoperative delirium after anaesthesia with various hypnotics: study protocol for a randomised controlled trial - The PINOCCHIO trial

    Directory of Open Access Journals (Sweden)

    Spinelli Allison

    2011-07-01

    Full Text Available Abstract Background Postoperative delirium can result in increased postoperative morbidity and mortality, major demand for postoperative care and higher hospital costs. Hypnotics serve to induce and maintain anaesthesia and to abolish patients' consciousness. Their persisting clinical action can delay postoperative cognitive recovery and favour postoperative delirium. Some evidence suggests that these unwanted effects vary according to each hypnotic's specific pharmacodynamic and pharmacokinetic characteristics and its interaction with the individual patient. We designed this study to evaluate postoperative delirium rate after general anaesthesia with various hypnotics in patients undergoing surgical procedures other than cardiac or brain surgery. We also aimed to test whether delayed postoperative cognitive recovery increases the risk of postoperative delirium. Methods/Design After local ethics committee approval, enrolled patients will be randomly assigned to one of three treatment groups. In all patients anaesthesia will be induced with propofol and fentanyl, and maintained with the anaesthetics desflurane, or sevoflurane, or propofol and the analgesic opioid fentanyl. The onset of postoperative delirium will be monitored with the Nursing Delirium Scale every three hours up to 72 hours post anaesthesia. Cognitive function will be evaluated with two cognitive test batteries (the Short Memory Orientation Memory Concentration Test and the Rancho Los Amigos Scale preoperatively, at baseline, and postoperatively at 20, 40 and 60 min after extubation. Statistical analysis will investigate differences in the hypnotics used to maintain anaesthesia and the odds ratios for postoperative delirium, the relation of early postoperative cognitive recovery and postoperative delirium rate. A subgroup analysis will be used to categorize patients according to demographic variables relevant to the risk of postoperative delirium (age, sex, body weight and to the

  7. Negative cognitions about the self in patients with persecutory delusions: An empirical study of self-compassion, self-stigma, schematic beliefs, self-esteem, fear of madness, and suicidal ideation.

    Science.gov (United States)

    Collett, Nicola; Pugh, Katherine; Waite, Felicity; Freeman, Daniel

    2016-05-30

    There has been growing awareness of the high prevalence of negative cognitions about the self in patients with persecutory delusions, and it has been proposed that paranoid fears build upon these perceived vulnerabilities. This study aimed to investigate for the first time a wide range of different conceptualisations of the negative self, and to examine associations with suicidal ideation, in patients with persecutory delusions. Twenty-one patients with persecutory delusions and twenty-one non-clinical individuals completed measures relating to negative self cognitions. The delusions group also completed a measure of suicidal ideation. It was found that the patients with persecutory delusions had low self-compassion, low self-esteem, increased fears of being mad, beliefs of inferiority to others, negative self-schemas, and low positive self-schemas when compared to the non-clinical control group. The effect sizes (Cohen's d) were large, and the different conceptualisations of negative self cognitions were highly associated with one another. Self-stigma did not differ between the two groups. Furthermore, suicidal ideation was highly associated with low self-compassion, low self-esteem, fears of madness, and negative self-schema but not self-stigma. This study shows marked negative self cognitions in patients with persecutory delusions. These are likely to prove targets of clinical interventions, with patient preference most likely determining the best conceptualisation of negative self cognitions for clinicians to use. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  8. Teachers' interpersonal role identity

    NARCIS (Netherlands)

    van der Want, Anna C.; den Brok, Perry; Beijaard, Douwe; Brekelmans, Mieke; Claessens, Luce C A; Pennings, Helena J M

    2014-01-01

    This article investigates the link between teachers' appraisal of specific interpersonal situations in classrooms and their more general interpersonal identity standard, which together form their interpersonal role identity. Using semi-structured and video-stimulated interviews, data on teachers'

  9. Teachers' Interpersonal Role Identity

    NARCIS (Netherlands)

    van der Want, Anna C.; den Brok, Perry; Beijaard, Douwe; Brekelmans, Mieke; Claessens, Luce C A; Pennings, Helena J M

    2015-01-01

    This article investigates the link between teachers' appraisal of specific interpersonal situations in classrooms and their more general interpersonal identity standard, which together form their interpersonal role identity. Using semi-structured and video-stimulated interviews, data on teachers'

  10. Negotiating work identity

    Directory of Open Access Journals (Sweden)

    Tamsen Saayman

    2011-03-01

    Full Text Available Orientation: The study explored the dynamics of work identity negotiation and construction.Research purpose: The aim of the study was to investigate identity tensions and demands that mobilise identity work in the work environment.Motivation for the study: The study hoped to improve the understanding of the dynamics of identity construction and negotiation.Research design, approach and method: Using grounded theory methodology in the context of qualitative field research, the researchers conducted two unstructured interviews with 28 employees of a South African manufacturing company.Main findings: The five primary dimensions the data yielded were personal identity, individual agency, social identity, social practice and job.Practical/managerial implications: This study has implications for organisations that want to improve productivity through understanding work identity.Contribution/value-add: The article presents a conceptual model of the demands and tensions that influence work identity.

  11. Diversity of deaf identities.

    Science.gov (United States)

    Bat-Chava, Y

    2000-12-01

    Social Identity Theory (Tajfel, 1981) posits that members of minority groups achieve positive social identity by (a) attempting to gain access to the mainstream through individual mobility or (b) working with other group members to bring about social change. Some people may use a combination of both strategies. Through the use of cluster analysis, the existence of three identities associated with these strategies was discerned in a sample of 267 deaf adults: culturally hearing identity, culturally deaf identity, and bicultural identity, each comprising about a third of the sample. A subset of 56 people were interviewed in depth; excerpts are presented to illustrate the identity types. Qualified support was found for the prediction that people with culturally deaf and bicultural identities would have higher self-esteem.

  12. Understanding Identity and Organizations

    DEFF Research Database (Denmark)

    Christensen, Lars Thøger

    2013-01-01

    The article reviews the book "Understanding Identity and Organizations," by Kate Kenny, Andrea Whitle, and Hugh Wilmott.......The article reviews the book "Understanding Identity and Organizations," by Kate Kenny, Andrea Whitle, and Hugh Wilmott....

  13. Researching Identity and Interculturality

    DEFF Research Database (Denmark)

    Lønsmann, Dorte

    2016-01-01

    Review of: Researching Identity and Interculturality / by F. Dervin and K. Risager (eds.). Routledge 2015, 245 pp.......Review of: Researching Identity and Interculturality / by F. Dervin and K. Risager (eds.). Routledge 2015, 245 pp....

  14. Mobile Identity Management

    NARCIS (Netherlands)

    Hoepman, J.J.

    2011-01-01

    Identity management consists of the processes and all underlying technologies for the creation, management, and usage of digital identities. Business rely on identity management systems to simplify the management of access rights to their systems and services for both their employees and their

  15. Language, Power and Identity

    Science.gov (United States)

    Wodak, Ruth

    2012-01-01

    How are identities constructed in discourse? How are national and European identities tied to language and communication? And what role does power have--power in discourse, over discourse and of discourse? This paper seeks to identify and analyse processes of identity construction within Europe and at its boundaries, particularly the diversity of…

  16. Identity Security Awareness

    OpenAIRE

    Philipsen, Nayna C.

    2004-01-01

    Identity theft is an increasing concern when organizations, businesses, and even childbirth educators ask for a client's Social Security number for identification purposes. In this column, the author suggests ways to protect one's identity and, more importantly, decrease the opportunities for identity theft.

  17. Teachers' Interpersonal Role Identity

    Science.gov (United States)

    van der Want, Anna C.; den Brok, Perry; Beijaard, Douwe; Brekelmans, Mieke; Claessens, Luce C. A.; Pennings, Helena J. M.

    2015-01-01

    This article investigates the link between teachers' appraisal of specific interpersonal situations in classrooms and their more general interpersonal identity standard, which together form their interpersonal role identity. Using semi-structured and video-stimulated interviews, data on teachers' appraisals and interpersonal identity standards…

  18. The Influence of Coping-oriented Hypnotic Suggestions on Chronic Pain in Patients with Spinal Cord Injury (SCI): A Randomized Controlled Study

    DEFF Research Database (Denmark)

    Knudsen, Lone; Kjøgx, Heidi; Kasch, Helge

    Background and aims: Coping-oriented hypnotic suggestions aimed at reducing pain catastrophizing have been shown to reduce pain in people with chronic tension-type headache and experimental pain in healthy volunteers during hypnosis (Kjøgx et al., 2016). However, the effect on pain post-hypnosis...... is unknown. The aim is to investigate the effect of coping-oriented hypnotic suggestions on chronic pain post-hypnosis. Methods: Seventy-five SCI-patients with chronic pain (>3, NRS 0-10) are randomized into one of three conditions; 1) coping-oriented hypnosis plus current treatment, 2) neutral hypnosis plus...... Strategies Questionnaire), pain catastrophizing (Pain Catastrophizing Scale), anxiety and depression (Hospital Anxiety and Depression Scale). Patients’ global impression of change and side effects of the hypnosis are also assessed for 14 days post-intervention. Results: Preliminary results will be presented...

  19. Alcohol and Sedative-Hypnotic Withdrawal Catatonia: Two Case Reports, Systematic Literature Review, and Suggestion of a Potential Relationship With Alcohol Withdrawal Delirium.

    Science.gov (United States)

    Oldham, Mark A; Desan, Paul H

    2016-01-01

    Withdrawal from alcohol and sedative-hypnotics can be complicated by seizures, hallucinations, or delirium. Withdrawal catatonia is another, less commonly discussed complication that clinicians should appreciate. We present a case of alcohol withdrawal catatonia and a case of benzodiazepine withdrawal catatonia and offer a systematic review of previous cases of alcohol or sedative-hypnotic withdrawal catatonia. We outline clinical features that suggest a potential link between withdrawal catatonia and withdrawal delirium. We identified 26 cases of withdrawal catatonia in the literature-all principally with catatonic stupor-with an average age of 56 years (range: 27-92) and balanced prevalence between sexes. Withdrawal catatonia tends to occur only after chronic use of alcohol or sedative-hypnotic agents with a typical onset of 3-7 days after discontinuation and duration of 3-10 days. Withdrawal catatonia is responsive to benzodiazepines or electroconvulsive therapy. Features that suggest a parallel between withdrawal catatonia and withdrawal delirium include time course, neurobiologic convergence, efficacy of benzodiazepines and electroconvulsive therapy, typical absence of abnormal electroencephalographic findings, and phenotypic classification suggested by a recent literature in sleep medicine. Alcohol and sedative-hypnotic withdrawal may present with catatonia or catatonic features. The clinical and neurobiologic convergence between withdrawal catatonia and withdrawal delirium deserves further attention. In view of these similarities, we propose that withdrawal delirium may represent excited catatonia: these new viewpoints may serve as a substrate for a better understanding of the delirium-catatonia spectrum. Copyright © 2016 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  20. Is exposure to night-time traffic noise a risk factor for purchase of anxiolytic-hypnotic medication? A cohort study.

    Science.gov (United States)

    Bocquier, A; Cortaredona, S; Boutin, C; David, A; Bigot, A; Sciortino, V; Nauleau, S; Gaudart, J; Giorgi, R; Verger, P

    2014-04-01

    Studies suggest that road traffic noise increases risks of sleep disturbances, anxiety and depressive symptoms, but few have focused on psychotropic drug use. We examined whether exposure to night-time road traffic noise in Marseilles (France) is associated with an increased risk of purchasing anxiolytic or hypnotic medications. Cohort of 190,617 inhabitants of Marseilles (aged 18-64 years) covered by the National Health Insurance Fund. We used the CadnaA noise propagation prediction model to calculate a potential road noise exposure indicator at dwellings for the night-period: Ln. Association between the number of purchases of anxiolytics-hypnotics in 2008-9 and the Ln was analysed with a zero-inflated negative binomial (ZINB) model adjusted for characteristics of individuals (sociodemographic, consultations with general practitioners, presence of chronic psychiatric disorder), prescribers (demographic, specialty, workload) and neighbourhoods (medical density, complaints filed for environmental noise). Analyses were stratified by the deprivation level of the census block of residence to control for the confounding effects of neighbourhood socio-economic status. The ZINB model showed a small but significant increase in the risk of purchasing higher numbers of anxiolytics-hypnotics for Ln greater than 55 dB(A) only in the low deprivation stratum. We found some evidence that potential exposure to night-time road traffic noise might affect individual use of anxiolytics-hypnotics. Further research based on strictly individual approaches is warranted to assess exposure to road traffic noise more precisely and reliably than allowed by noise propagation prediction models.

  1. Clinical features of patients with designer-drug-related disorder in Japan: a comparison with patients with methamphetamine- and hypnotic/anxiolytic-related disorders.

    Science.gov (United States)

    Matsumoto, Toshihiko; Tachimori, Hisateru; Tanibuchi, Yuko; Takano, Ayumi; Wada, Kiyoshi

    2014-05-01

    The aim of this study was to clarify the clinical features of designer-drug-abusing patients through comparisons with methamphetamine-abusing patients and hypnotics/anxiolytics-abusing patients. Information on 126 designer-drug-abusing patients, 138 methamphetamine-abusing patients, and 87 hypnotics/anxiolytics-abusing patients was extracted from the 2012 database of 'The Nationwide Mental Hospital Survey on Drug-related Psychiatric Disorders' and the clinical variables of designer-drug-abusing patients compared with those of the other two groups. Multivariate analysis indicated the following significant differences between designer-drug-abusing patients and the other two types of patients: designer-drug-abusing patients were younger, included more men, had higher education and fewer relationships with antisocial groups, and included more patients meeting ICD-10 F1 sub-classification categories of 'Harmful use' and 'Psychotic disorders' than methamphetamine-abusing patients. Compared with hypnotics/anxiolytics-abusing patients, designer-drug-abusing patients were younger, included more men and more patients meeting criteria for 'Psychotic disorders', and more frequently cited 'peer pressure', 'unable to refuse', and 'seeking stimulation' as reasons for using the drug. The advent of designer drugs has created a new class of drug abuse, and abuse of designer drugs may carry a strong psychosis-inducing risk, exceeding that of methamphetamine. © 2014 The Authors. Psychiatry and Clinical Neurosciences © 2014 Japanese Society of Psychiatry and Neurology.

  2. Identity and Professional Networking.

    Science.gov (United States)

    Raj, Medha; Fast, Nathanael J; Fisher, Oliver

    2017-06-01

    Despite evidence that large professional networks afford a host of financial and professional benefits, people vary in how motivated they are to build such networks. To help explain this variance, the present article moves beyond a rational self-interest account to examine the possibility that identity shapes individuals' intentions to network. Study 1 established a positive association between viewing professional networking as identity-congruent and the tendency to prioritize strengthening and expanding one's professional network. Study 2 revealed that manipulating the salience of the self affects networking intentions, but only among those high in networking identity-congruence. Study 3 further established causality by experimentally manipulating identity-congruence to increase networking intentions. Study 4 examined whether identity or self-interest is a better predictor of networking intentions, providing support for the former. These findings indicate that identity influences the networks people develop. Implications for research on the self, identity-based motivation, and professional networking are discussed.

  3. Neurodegeneration and Identity.

    Science.gov (United States)

    Strohminger, Nina; Nichols, Shaun

    2015-09-01

    There is a widespread notion, both within the sciences and among the general public, that mental deterioration can rob individuals of their identity. Yet there have been no systematic investigations of what types of cognitive damage lead people to appear to no longer be themselves. We measured perceived identity change in patients with three kinds of neurodegenerative disease: frontotemporal dementia, Alzheimer's disease, and amyotrophic lateral sclerosis. Structural equation models revealed that injury to the moral faculty plays the primary role in identity discontinuity. Other cognitive deficits, including amnesia, have no measurable impact on identity persistence. Accordingly, frontotemporal dementia has the greatest effect on perceived identity, and amyotrophic lateral sclerosis has the least. We further demonstrated that perceived identity change fully mediates the impact of neurodegenerative disease on relationship deterioration between patient and caregiver. Our results mark a departure from theories that ground personal identity in memory, distinctiveness, dispositional emotion, or global mental function. © The Author(s) 2015.

  4. Commons of Identity: Sherpa Identity Management

    Directory of Open Access Journals (Sweden)

    Leif Rune Loland

    2006-12-01

    Full Text Available The recent history of Sherpas demonstrates how identities can be scarce goods. While ‘Sherpa’ refers to an ethnic identity, ‘Sherpa’ refers to a crucial occupation in the trekking industry.i Their privileged position in Nepal’s international tourist industry is related to their common reputation. Their collective use of identity seems to help them getting access to an economic niche, and work in tourism seems to be an aspect of being Sherpa. Thus, an individual that operates in the tourist market does not only manage material assets but also identity assets to maintain the Sherpa reputation. Consequently, one can expect it to be a collective concern to husband their image, ie to control each member’s behaviour which could affect the Sherpa image. This article on Sherpa identity in encounters with outsiders analyses Sherpaness as a manageable resource that constitutes a collectively sanctioned commons. My point of departure is Barth’s analysis of ethnic boundary dynamics (1969, 1994 combined with Bourdieu’s concept of ‘capital’ and Hardin’s perspective on commons.DOI: 10.3126/dsaj.v1i0.288Dhaulagiri Vol.1 (2005 pp.176-192

  5. Exploring medical identity theft.

    Science.gov (United States)

    Mancilla, Desla; Moczygemba, Jackie

    2009-09-16

    The crime of medical identity theft is a growing concern in healthcare institutions. A mixed-method study design including a two-stage electronic survey, telephone survey follow-up, and on-site observations was used to evaluate current practices in admitting and registration departments to reduce the occurrence of medical identity theft. Survey participants were chief compliance officers in acute healthcare organizations and members of the Health Care Compliance Association. Study results indicate variance in whether or how patient identity is confirmed in healthcare settings. The findings of this study suggest that information systems need to be designed for more efficient identity management. Admitting and registration staff must be trained, and compliance with medical identity theft policies and procedures must be monitored. Finally, biometric identity management solutions should be considered for stronger patient identification verification.

  6. Professional entrepreneurial identity construction

    DEFF Research Database (Denmark)

    Ramsgaard, Michael Breum

    2014-01-01

    The present study investigates the construction of a professional identity as an entrepreneur in a sample of people with educational background in nutrition and health. The study examines the connection between professional identity construction and entrepreneurial business emergence using...... ‘entrepreneurial preparedness’ as parameter. This research seeks to address the following questions: What significant components or characteristics do entrepreneurs rely on in the early processes of constructing an entrepreneurial identity....

  7. Gender, identity, culture

    OpenAIRE

    Poláková, Markéta

    2011-01-01

    The dissertation work Gender, identity, culture presents an analysis of a picture of a man and a woman in the contemporary Czech society. The fundamental research theme is a transformation of gender identity under influence of cultural changes which have be in progress since the end of 19th century. In the theoretical part of the work, a research of biological and cultural factors that influence the creation of our gender identity is mapped. More emphasis is put on modern technologies and med...

  8. Journalists' professional identity

    OpenAIRE

    Grubenmann, Stephanie; Meckel, Miriam

    2015-01-01

    The internet, and particularly social media, have brought far-reaching change to journalism by calling into question how journalists’ traditional roles are perceived. We introduce social identity theory (Tajfel and Turner 1986) ― specifically the concept of professional identity ― as a complementary approach to study journalistic role conceptions from a dynamic perspective. Building on existing findings in both research streams (professional identity and journalistic role conceptions), we und...

  9. Professional entrepreneurial identity construction

    DEFF Research Database (Denmark)

    Ramsgaard, Michael Breum

    The present study investigates the construction of a professional identity as an entrepreneur in a sample of people with educational background in nutrition and health. The study examines the connection between professional identity construction and entrepreneurial business emergence using...... ‘entrepreneurial preparedness’ as parameter. This research seeks to address the following questions: What significant components or characteristics do entrepreneurs rely on in the early processes of constructing an entrepreneurial identity....

  10. Known and Unknown Identity

    DEFF Research Database (Denmark)

    Henze-Pedersen, Sofie

    This qualitative study investigates the relationship between openness and identity among 18 adoptees. Many studies have argued that a high degree of openness is important for the identity formation of adoptees. However, few studies have explored this relationship. Two types of openness (biographi......This qualitative study investigates the relationship between openness and identity among 18 adoptees. Many studies have argued that a high degree of openness is important for the identity formation of adoptees. However, few studies have explored this relationship. Two types of openness...

  11. Identity/Time

    Directory of Open Access Journals (Sweden)

    Nancy J. Knauer

    2013-09-01

    Full Text Available This paper engages the unspoken fourth dimension of intersectionality—time. Using the construction of lesbian, gay, bisexual, and transgender (LGBT identities as an example, it establishes that identity, as it is lived and experienced, is not only multivalent, but also historically contingent. It then raises a number of points regarding the temporal locality of identity—the influence of time on issues of identity and understanding, its implications for legal interventions, social movement building, and paradigms of progressive change. As the title suggests, the paper asks us to consider the frame of identity over time.

  12. Personal Identity in Enhancement

    Directory of Open Access Journals (Sweden)

    Jana Podroužková

    2015-09-01

    Full Text Available The aim of this paper is to introduce the concept of human enhancement, its methods and its relation to personal identity. Also several approaches to personal identity will be described. Transhumanism is a special think tank supporting human enhancement through modern technologies and some of its representatives claim, that even great changes to human organisms will not affect their personal identity. I will briefly describe the most important means of human enhancment and consider the problem of personal identity for each of them separately.

  13. Corporate visual identity : Case study: changing visual identity

    OpenAIRE

    Nykänen, Heidi

    2013-01-01

    Every company has an identity, which distinguishes it from others. Corporate identity has today an important role in customers’ decision making process, because they do not only buy the product, but they also buy the company with it. Corporate visual identity is the outer side of identity. The main elements of visual identity are name, logo/symbol, colour, typography and slogan. A well designed corporate visual identity represents the company’s identity and business idea. The aim of this...

  14. Elective Identities, (Culture, Identization and Integration)

    NARCIS (Netherlands)

    S.J. Magala (Slawomir)

    2002-01-01

    textabstractMost of contemporary individual and social identities (constructed with societal, cultural and technological resources) are radically autonomous, nomadic and virtual - i.e. they are de-traditionalized, open to negotiation and not based on a single interpretation of a tradition.

  15. Prevalence of sleep deficiency and use of hypnotic drugs in astronauts before, during, and after spaceflight: an observational study.

    Science.gov (United States)

    Barger, Laura K; Flynn-Evans, Erin E; Kubey, Alan; Walsh, Lorcan; Ronda, Joseph M; Wang, Wei; Wright, Kenneth P; Czeisler, Charles A

    2014-09-01

    Sleep deprivation and fatigue are common subjective complaints among astronauts. Previous studies of sleep and hypnotic drug use in space have been limited to post-flight subjective survey data or in-flight objective data collection from a small number of crew members. We aimed to characterise representative sleep patterns of astronauts on both short-duration and long-duration spaceflight missions. For this observational study, we recruited crew members assigned to Space Transportation System shuttle flights with in-flight experiments between July 12, 2001, and July 21, 2011, or assigned to International Space Station (ISS) expeditions between Sept 18, 2006, and March 16, 2011. We assessed sleep-wake timing objectively via wrist actigraphy, and subjective sleep characteristics and hypnotic drug use via daily logs, in-flight and during Earth-based data-collection intervals: for 2 weeks scheduled about 3 months before launch, 11 days before launch until launch day, and for 7 days upon return to Earth. We collected data from 64 astronauts on 80 space shuttle missions (26 flights, 1063 in-flight days) and 21 astronauts on 13 ISS missions (3248 in-flight days), with ground-based data from all astronauts (4014 days). Crew members attempted and obtained significantly less sleep per night as estimated by actigraphy during space shuttle missions (7·35 h [SD 0·47] attempted, 5·96 h [0·56] obtained), in the 11 days before spaceflight (7·35 h [0·51], 6·04 h [0·72]), and about 3 months before spaceflight (7·40 h [0·59], 6·29 h [0·67]) compared with the first week post-mission (8·01 h [0·78], 6·74 h [0·91]; psleep during spaceflight (6·09 h [0·67]), in the 11 days before spaceflight (5·86 h [0·94]), and during the 2-week interval scheduled about 3 months before spaceflight (6·41 h [SD 0·65]) compared with in the first week post-mission (6·95 h [1·04]; psleep-promoting drug on 500 (52%) of 963 nights; 12 (75%) of 16 ISS crew members reported using sleep

  16. Interspecies Variation of In Vitro Stability and Metabolic Diversity of YZG-331, a Promising Sedative-Hypnotic Compound

    Directory of Open Access Journals (Sweden)

    Zhihao Liu

    2017-08-01

    Full Text Available YZG-331, a synthetic adenosine derivative, express the sedative and hypnotic effects via binding to the adenosine receptor. The current study was taken to investigate the metabolic pathway of YZG-331 as well as species-specific differences in vitro. YZG-331 was reduced by 14, 11, 6, 46, and 11% within 120 min incubation in human, monkey, dog, rat, and mouse liver microsomes (LMs, respectively. However, YZG-331 was stable in human, monkey, dog, rat, and mouse liver cytoplasm. In addition, YZG-331 was unstable in rat or mouse gut microbiota with more than 50% of prototype drug degraded within 120 min incubation. Interestingly, the systemic exposure of M2 and M3 in rats and mice treated with antibiotics were significantly decreased in the pseudo germ-free group. YZG-331 could be metabolized in rat and human liver under the catalysis of CYP enzymes, and the metabolism showed species variation. In addition, 3 phase I metabolites were identified via hydroxyl (M1, hydrolysis (M2, or hydrolysis/ hydroxyl (M3 pathway. Flavin-containing monooxygenase 1 (FMO1 and FMO3 participated in the conversion of YZG-331 in rat LMs. Nevertheless, YZG-331 expressed stability with recombinant human FMOs, which further confirmed the species variation in the metabolism. Overall, these studies suggested that YZG-331 is not stable in LMs and gut microbiota. CYP450 enzymes and FMOs mediated the metabolism of YZG-331, and the metabolic pathway showed species difference. Special attention must be paid when extrapolating data from other species to humans.

  17. Use of the EMPOWER brochure to deprescribe sedative-hypnotic drugs in older adults with mild cognitive impairment.

    Science.gov (United States)

    Martin, Philippe; Tannenbaum, Cara

    2017-01-31

    Evidence-based mailed educational brochures about the harms of sedative-hypnotic use lead to discontinuation of chronic benzodiazepine use in older adults. It remains unknown whether patients with mild cognitive impairment (MCI) are able to understand the information in the EMPOWER brochures, and whether they achieve similar rates of benzodiazepine discontinuation. Post-hoc analysis of the EMPOWER randomized, double-blind, wait-list controlled trial that assessed the effect of a direct-to-consumer educational intervention on benzodiazepine discontinuation. 303 community-dwelling chronic users of benzodiazepine medication aged 65-95 years were recruited from general community pharmacies in the original trial, 261 (86%) of which completed the trial extension phase. All participants of the control arm received the EMPOWER brochure during the trial extension. Normal cognition (n = 139) or MCI (n = 122) was determined during baseline cognitive testing using the Montreal Cognitive Assessment questionnaire. Changes in knowledge pre- and post-intervention were assessed with a knowledge questionnaire and changes in beliefs were calculated using the Beliefs about Medicines Questionnaire. Logistic regression was used to compare knowledge gained, change in beliefs and benzodiazepine cessation rates between participants with and without MCI. Complete discontinuation of benzodiazepines was achieved in 39 (32.0% [24.4,40.7]) participants with MCI and in 53 (38.1% [30.5,46.4]) with normal cognition (adjusted OR 0.79, 95% CI [0.45-1.38]). Compared to individuals with normal cognition, MCI had no effect on the acquisition of new knowledge, change in beliefs about benzodiazepines or elicitation of cognitive dissonance. The EMPOWER brochure is effective for reducing benzodiazepines in community-dwelling older adults with mild cognitive impairment. Our ClinicalTrials.gov identifier is NCT01148186 , June 21(st) 2010.

  18. Synthesis and evaluation of fluorine-substituted phenyl acetate derivatives as ultra-short recovery sedative/hypnotic agents.

    Directory of Open Access Journals (Sweden)

    Heng Zhang

    Full Text Available BACKGROUND: Soft drugs are molecules that are purposefully designed to be rapidly metabolized (metabolically labile. In anesthesia, the soft drug is useful because it enables precise titration to effect and rapid recovery, which might allow swift and clear-headed recovery of consciousness and early home readiness. Propofol may cause delayed awakening after prolonged infusion. Propanidid and AZD3043 have a different metabolic pathway compared to propofol, resulting in a short-acting clinical profile. Fluorine imparts a variety of properties to certain medicines, including an enhanced absorption rate and improved drug transport across the blood-brain barrier. We hypothesized that the introduction of fluorine to the frame structure of propanidid and AZD3043 would further accelerate the swift and clear-headed recovery of consciousness. To test this hypothesis, we developed a series of fluorine-containing phenyl acetate derivatives. METHODOLOGY/PRINCIPAL FINDINGS: Fluorine-containing phenyl acetate derivatives were synthesized, and their hypnotic potencies and durations of LORR following bolus or infusion administration were determined in mice, rats and rabbits. The metabolic half-lives in the blood of various species were determined chromatographically. In vitro radioligand binding and γ-aminobutyric acidA (GABAA receptor electrophysiology studies were performed. Among the 12 synthesized fluorine-containing phenyl acetate derivatives, compound 5j induced comparable duration of LORR with AZD3043, but more rapid recovery than AZD3043, propanidid and propofol. The time of compound 5j to return to walk and behavioral recovery are approximately reduced by more than 50% compared to AZD3043 in mice and rats and rabbits. The HD50 of compound 5j decreased with increasing animal size. CONCLUSIONS/SIGNIFICANCE: The rapid recovery might make compound 5j suitable for precise titration and allow swift and clear-headed recovery of consciousness and early home

  19. Identity of psychology, identity and psychology

    Directory of Open Access Journals (Sweden)

    Mirjana Nastran Ule

    2003-09-01

    Full Text Available The article deals with epistemic issues of modern psychology with the starting hypothesis being that scientific psychology must satisfy three main interests: scientific, practical and emancipatory interest. Particularly important is the emancipatory interest, which is based on the social reflection of scientific work and conclusions. Psychological knowledge involves not only neutral descriptions of facts, but also implicit rules, expectations regarding values or norms, and criticism of undesirable behavior. The traditional psychological model attempts to satisfy the scientific interest and partly practical interest, while avoiding emancipatory interest. But I believe modern socio-historical models of psychology to be significant precisely owing to the inclusion of emancipatory interest. The difference between these two models of psychology is most obvious in their perception of identity i.e. individuality. Conventional perceptions follow the logic of "possessive individualism" in which the individual is seen as an autonomous bearer and owner of his/her psychological states and processes. The conventional model of identity supports the modernist concept of the individual as being focused on his/her self or personal identity. Socio-historical models, on the other hand, see the individual as a being embedded in social relations and social interactions, and one who builds and expresses his/her individuality through the reflection on social interactions, discursive practices, and response to the hierarchy of power and social mechanisms of control. According to this model, identity evolves through a series of social constructions which are embodied in the individual and represent him/her in society. Identity thus becomes a notion that combines individuality and social context, subjectivation and objectivation of the individual, and historical and biographical time.

  20. Expressive Faces Confuse Identity.

    Science.gov (United States)

    Redfern, Annabelle S; Benton, Christopher P

    2017-01-01

    We used highly variable, so-called 'ambient' images to test whether expressions affect the identity recognition of real-world facial images. Using movie segments of two actors unknown to our participants, we created image pairs - each image within a pair being captured from the same film segment. This ensured that, within pairs, variables such as lighting were constant whilst expressiveness differed. We created two packs of cards, one containing neutral face images, the other, their expressive counterparts. Participants sorted the card packs into piles, one for each perceived identity. As with previous studies, the perceived number of identities was higher than the veridical number of two. Interestingly, when looking within piles, we found a strong difference between the expressive and neutral sorting tasks. With expressive faces, identity piles were significantly more likely to contain cards of both identities. This finding demonstrates that, over and above other image variables, expressiveness variability can cause identity confusion; evidently, expression is not disregarded or factored out when we classify facial identity in real-world images. Our results provide clear support for a face processing architecture in which both invariant and changeable facial information may be drawn upon to drive our decisions of identity.

  1. Capturing Chemical Identity Thinking

    Science.gov (United States)

    Ngai, Courtney; Sevian, Hannah

    2017-01-01

    Chemical identity, the idea that every substance has at least one property that makes it unique and able to be differentiated from other substances, is core to the practice of chemistry. Such practice requires using properties to classify as well as to differentiate. Learning which substance properties are productive in chemical identity thinking…

  2. Chains and identity

    NARCIS (Netherlands)

    Grijpink, J.H.A.M.

    2012-01-01

    This article is available in English and DutchGuidelines are presented to cope with identity problems in chains. A chain is a collaboration of a great number of autonomous organisations and professionals to tackle a dominant chain problem. In many chains identity fraud is an aspect of the dominant

  3. Identity without Membership?

    DEFF Research Database (Denmark)

    Dobusch, Leonhard; Schoeneborn, Dennis

    the formation of organizational identity in more fluid organizational settings. Drawing on an empirical study of the hacker collective Anonymous, we show that organizational identity is formed through public communicative events that are subject to meaning negotiation whether or not actions can be attributed...

  4. Identity Management Processes Automation

    Directory of Open Access Journals (Sweden)

    A. Y. Lavrukhin

    2010-03-01

    Full Text Available Implementation of identity management systems consists of two main parts, consulting and automation. The consulting part includes development of a role model and identity management processes description. The automation part is based on the results of consulting part. This article describes the most important aspects of IdM implementation.

  5. Academic Identities under Threat?

    Science.gov (United States)

    Clegg, Sue

    2008-01-01

    This article focuses on the lived experience of practising academics as part of an inquiry into the vexed question of "academic identities". Identity is understood not as a fixed property, but as part of the lived complexity of a person's project. The article reports on data from a small study in one university. The data suggest that…

  6. Personal Identity in Japan

    Science.gov (United States)

    Sugimura, Kazumi; Mizokami, Shinichi

    2012-01-01

    This chapter explores characteristics of identity formation among Japanese adolescents and young adults living in a cultural context where individualism has been increasingly emphasized even while maintaining collectivism. We argue that, to develop a sense of identity in Japanese culture, adolescents and young adults carefully consider others'…

  7. Self and social identity

    NARCIS (Netherlands)

    Ellemers, N; Spears, R; Doosje, B

    2002-01-01

    In this chapter, we examine the self and identity by considering the different conditions under which these are affected by the groups to which people belong. From a social identity perspective we argue that group commitment, on the one hand, and features of the social context, on the other hand,

  8. Children's Social Identities

    Science.gov (United States)

    Bennett, Mark

    2011-01-01

    This paper provides a brief overview of recent developmental research on themes related to children's social identities. Initially, consideration is given to the capacity for social categorization, following which attention is given to children's developing conceptions of social identities, their identification with social groups, and the…

  9. Corporate identity. Brand designs.

    Science.gov (United States)

    Mathieson, Steve

    2004-02-19

    The past two years have seen a steadily more consistent brand identity for the NHS. Branding will become more important as foundation status and PCT commissioning makes acute hospitals more competitive. This has put pressure on some trusts that have their own strong identities.

  10. Value Conditionality of Identity

    Directory of Open Access Journals (Sweden)

    M M Yusupov

    2013-12-01

    Full Text Available The article considers theoretical approaches to the study of values and identity, and reveals the role of values in the formation of the ethnic, regional and Russian identity on the example of Chechnya and the North Caucasus, with the sociological indicators characterizing value orientations and self-identification.

  11. General Jacobi Identity Revisited

    OpenAIRE

    Nishimura, Hirokazu

    1999-01-01

    In a previous paper (Nishimura, 1997) we probedthe deeper structure of the Jacobi identity of vectorfields with respect to Lie brackets within the realm ofsynthetic differential geometry to find what might be called the general Jacobi identity ofmicrocubes. The main objective of this paper is topresent a less esoteric and more lucid proof ofit.

  12. Identity after Death

    DEFF Research Database (Denmark)

    Gerstrøm, Anna

    2015-01-01

    Purpose: The purpose of this paper is to explore how legacy organizational identity and death relate to each other and, thereby, contribute to closing the gap in knowledge on organizational identity constructions in times of death. Design/methodology/approach: The paper opted for an exploratory s...

  13. Identity as wrapping up

    DEFF Research Database (Denmark)

    Nickelsen, Niels Christian Mossfeldt

    2015-01-01

    The aim of this paper is to provide an understanding of cross-professional collaboration and to develop a notion of professional identity based in practice. The background of the paper is science and technology studies and more precisely actor network theory. The method used: The empirical analysis...... in close relation to the making of a report concerning the cross-professional collaboration. Findings are that “Identity as wrapping up” points to the way in which certain actors, by other actors, are maneuvered into certain pockets in a network. Identity as wrapping up is emphasized as a way...... of participating, which is closely connected to the intention to control the relation towards the other. Thus identity as wrapping up is argued to be a strategy to optimize the situation of one’s own profession. Conclusion: This articulation of identity contributes to the actor network literature as well...

  14. Visual identity and rebranding

    Directory of Open Access Journals (Sweden)

    Katarzyna Wrona

    2015-06-01

    Full Text Available The goal of this article is to highlight the essence of visual identification and rebranding, as well as to discuss elements of corporate identity, which are subject to revitalization in the process of refreshing the image of a brand. In the first part the article the analysis of the term visual identification is conducted. In the analysis special attention is drawn to the role of visual identification in creating a coherent identity of an organization. In the subsequent chapters further components of corporate identity are presented in detail – starting with logotype, through business forms, advertisements, accompanying materials and Internet websites to signs on buildings. Moreover, corporate identity book as a collection of standards and guidelines for application of corporate identity rules is discussed. The deliberations are based on the study of literature. The last chapter presented the transformation of the brand of Institute of Aviation.

  15. Identities-in-action

    DEFF Research Database (Denmark)

    Stentoft, Diana; Valero, Paola

    2009-01-01

    The notion of identity is often used in mathematics education research in an attempt to link individual and social understandings of mathematical learning. In this paper we review existing research making use of the notion of identity, and we point to some of the strengths and weaknesses in the w...... identities in action allows us to bring attention to what is normally considered as ”noise” or ”impossibilities” in our understandings of mathematics education and classroom interaction.......The notion of identity is often used in mathematics education research in an attempt to link individual and social understandings of mathematical learning. In this paper we review existing research making use of the notion of identity, and we point to some of the strengths and weaknesses...

  16. Defensive function of persecutory delusion and discrepancy between explicit and implicit self-esteem in schizophrenia: study using the Brief Implicit Association Test

    Directory of Open Access Journals (Sweden)

    Nakamura M

    2014-12-01

    Full Text Available Mitsuo Nakamura,1 Tomomi Hayakawa,2 Aiko Okamura,3 Mutsumi Kohigashi,4 Kenji Fukui,1 Jin Narumoto1 1Department of Psychiatry, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan; 2Gojouyama Hospital, Nara, Japan; 3Yashio Hospital, Saitama, Japan; 4Department of Psychiatry, Kyoto Second Red Cross Hospital, Kyoto, Japan Background: If delusions serve as a defense mechanism in schizophrenia patients with paranoia, then they should show normal or high explicit self-esteem and low implicit self-esteem. However, the results of previous studies are inconsistent. One possible explanation for this inconsistency is that there are two types of paranoia, “bad me” (self-blaming paranoia and “poor me” (non-self-blaming paranoia. We thus examined implicit and explicit self-esteem and self-blaming tendency in patients with schizophrenia and schizoaffective disorder. We hypothesized that patients with paranoia would show lower implicit self-esteem and only those with non-self-blaming paranoia would experience a discrepancy between explicit and implicit self-esteem. Methods: Participants consisted of patients with schizophrenia and schizoaffective disorder recruited from a day hospital (N=71. Participants were assessed for psychotic symptoms, using the Brief Psychiatric Rating Scale (BPRS, and self-blaming tendency, using the brief COPE. We also assessed explicit self-esteem, using the Rosenberg Self-Esteem Scale (RSES, implicit self-esteem, using Brief Implicit Association Test (BIAT, and discrepancy between explicit and implicit self-esteem. Results: Contrary to our hypothesis, implicit self-esteem in paranoia and nonparanoia showed no statistical difference. As expected, only patients with non-self-blaming paranoia experienced a discrepancy between explicit and implicit self-esteem; other groups showed no such discrepancy. Conclusion: These results suggest that persecutory delusion plays a defensive role in non

  17. [Fast screening of 24 sedative hypnotics illegally added in improving sleep health foods by high performance liquid chromatography-ion trap mass spectrometry].

    Science.gov (United States)

    Lu, Li; Gong, Xu; Tan, Li

    2015-03-01

    A fast screening method was established for the simultaneous determination of 24 sedative hypnotics illegally added in improving sleep health foods by high performance liquid chromatography-ion trap mass spectrometry (HPLC-IT MS). The method was based on the sonication assisted extraction of the improving sleep health food samples using methanol. The extract was then filtrated with 0.45 µm filter membrane and the filtrate was separated on a Phenomenex Luna C18 column with isocratic elution at a flow rate of 0.3 mL/min. A binary mobile phase was 0.05% (v/v) formic acid (solvent A)-methanol/acetonitrile (15:25, v/v, solvent B). The electrospray ionization (ESI) source in positive ion mode or negative ion mode was used to scan MS1-MS3 spectra for the 24 sedative hypnotics. The MS2 and MS3 spectra were used for qualitative analysis of samples. The calibration graphs were linear in their concentration ranges with the correlation coefficients (r2) more than 0.999. The limits of detection (LODs) were 4.0-446.6 µg/L. The recoveries for all the drugs in the improving sleep health foods were 88.6%-110.3% with the relative standard deviations no more than 9.8% at three spiked levels. Twenty-seven batches of the improving sleep health foods were tested. Melatonin was found in eighteen batches. The method is fast, specific, sensitive, easy and suitable for fast screening of 24 sedative hypnotics illegally added in improving sleep health foods.

  18. Understanding and reducing the prescription of hypnotics and sedatives at the interface of hospital care and general practice: a protocol for a mixed-methods study

    Science.gov (United States)

    Heinemann, Stephanie; Weiß, Vivien; Straube, Kati; Nau, Roland; Grimmsmann, Thomas; Himmel, Wolfgang; Hummers-Pradier, Eva

    2016-01-01

    Introduction Hypnotics and sedatives, especially benzodiazepines and Z-drugs, are frequently prescribed for longer periods than recommended—in spite of potential risks for patients. Any intervention to improve this situation has to take into account the interplay between different actors, interests and needs. The ultimate goal of this study is to develop—together with the professionals involved—ideas for reducing the use of hypnotics and sedatives and then to implement and evaluate adequate interventions in the hospital and at the primary and secondary care interface. Methods and analysis The study will take place in a regional hospital in northern Germany and in some general practices in this region. We will collect data from doctors, nurses, patients and a major social health insurer to define the problem from multiple perspectives. These data will be explored and discussed with relevant stakeholders to develop interventions. The interventions will be implemented and, in a final step, evaluated. Both quantitative and qualitative data, including surveys, interviews, chart reviews and secondary analysis of social health insurance data, will be collected to obtain a full understanding of the frequency and the reasons for using hypnotics and sedatives. Ethics and dissemination Approval has been granted from the ethics review committee of the University Medical Center Göttingen, Germany. Results will be disseminated to researchers, clinicians and policy makers in peer-reviewed journal articles and conference publications. One or more dissemination events will be held locally during continuous professional development events for local professionals, including (but not confined to) the study participants. PMID:27496238

  19. Status-Based Identity.

    Science.gov (United States)

    Destin, Mesmin; Rheinschmidt-Same, Michelle; Richeson, Jennifer A

    2017-03-01

    Psychological research on socioeconomic status (SES) has grown significantly over the past decade. In this article, we build upon and integrate existing approaches to direct greater attention toward investigating the subjective meaning and value that people attach to understanding their own SES as an identity. We use the term status-based identity to organize relevant research and examine how people understand and make meaning of their SES from moment to moment in real time. Drawing from multiple areas of research on identity, we suggest that even temporary shifts in how people construe their status-based identities predict changes in thought, affect, motivation, and behavior. This novel focus is positioned to examine the psychological effects of status transitions (e.g., upward or downward mobility). Further, in initial empirical work, we introduce a new measure to assess uncertainty regarding one's SES (i.e., status-based identity uncertainty) and offer evidence that greater uncertainty regarding one's status-based identity is associated with lower individual well-being. In sum, we argue that insight from the literature on identity will both expand and serve to organize the burgeoning literature on the psychology of SES and, in so doing, reveal promising new directions for research.

  20. Adolescence: Search for an Identity

    Science.gov (United States)

    Kasinath, H. M.

    2013-01-01

    James Marcia (1991, 1994, 1999, 2002) expanded on Erikson's theory of identity formation. Specifically, he focused on two essential processes in achieving a mature identity: exploration and commitment. Erikson's observations about identity were extended by Marcia, who described four identity statuses: identity diffusion, foreclosure, moratorium…

  1. Vocational Identity and Ego Identity Status in Korean Nursing Students

    Directory of Open Access Journals (Sweden)

    Hyun-Young Koo, PhD, RN

    2016-03-01

    Conclusions: These findings show that nursing students in identity achievement status have secure and clear vocational identities. Further longitudinal and qualitative studies are needed to find out if identity formation among nursing students changes with age.

  2. Identity negotiations in meetings

    DEFF Research Database (Denmark)

    Asmuß, Birte; Oshima, Sae

    Meetings are places, where identity negotiation is a central activity and where members’ local practices recurrently inform and are informed by larger categories (Antaki and Widdicombe 1998). Correspondingly, the approach to understanding organization (macro) by way of identity work (micro) has...... of the company, and all members know (and display) that he holds some information that the rest don’t have access to. Our analysis shows that the participants evoke various identities of the manager, sometimes orienting to the structure of the organization, and other times orienting to wider social categories...

  3. [Diagnosing gender identity].

    Science.gov (United States)

    Kaltiala-Heino, Riittakerttu; Mattila, Aino; Kärnä, Teemu; Joutsenneimi, Kaisla

    2015-01-01

    Transsexualism and other variations of gender identity are based on a stable sense of identity. The aetiology of this phenomenon is not fully known. Suffering caused by gender dysphoria is alleviated with sex reassignment. The psychiatric assessment of both adolescents and adults has been centralized in Finland to two university hospitals, the Helsinki University Hospital and Tampere University Hospital. In both hospitals, multidisciplinary teams aim at differential diagnosis by using well-known psychiatric and psychological instruments. Wishes for sex reassignment that are caused by a mental health disorder are excluded. Assessment in adolescence is challenging because the identity in youth is still forming.

  4. Credit and identity theft

    OpenAIRE

    Kahn, Charles M.; Roberds, William

    2005-01-01

    The quintessential crime of the information age is identity theft, the malicious use of personal identifying data. In this paper we model “identity” and its use in credit transactions. Various types of identity theft occur in equilibrium, including “new account fraud,” “existing account fraud,” and “friendly fraud.” The equilibrium incidence of identity theft represents a tradeoff between a desire to avoid costly or invasive monitoring of individuals on the one hand and the need to control tr...

  5. Linguistic identity matching

    CERN Document Server

    Lisbach, Bertrand

    2013-01-01

    Regulation, risk awareness and technological advances are increasingly drawing identity search functionality into business, security and data management processes, as well as fraud investigations and counter-terrorist measures.Over the years, a number of techniques have been developed for searching identity data, traditionally focusing on logical algorithms. These techniques often failed to take into account the complexities of language and culture that provide the rich variations  seen in names used around the world. A new paradigm has now emerged for understanding the way that identity data

  6. IDENTITY AS PROXY

    National Research Council Canada - National Science Library

    Lauren Sudeall Lucas

    2015-01-01

    As presently constructed, equal protection doctrine is an identitybased jurisprudence, meaning that the level of scrutiny applied to an alleged act of discrimination turns on the identity category at issue...

  7. The Supermalt identity

    DEFF Research Database (Denmark)

    Bech-Larsen, Tino; Esbjerg, Lars; Grunert, Klaus G.

    2007-01-01

    Purpose - The objective of this article is to conduct a case study of the Supermalt brand of malt beer, which has become the preferred beverage of Afro-Caribbean consumers in Brixton on a very limited marketing budget. Design/methodology/approach - The article uses the concepts of personal identity...... aiming to develop strong brands with a limited marketing budget. Based on the Supermalt case, suggestions are made regarding branding in relation to ethnic minorities. Originality/value - This article provides a study of a brand that has become strong within a narrowly defined group of consumers....... and brand identity in a qualitative study to explore how Brixtonbased Afro-Caribbean consumers construct their self-identities and the brand identity of Supermalt. Semi-structured interviews were conducted with 14 Afro-Caribbean consumers. Each interview was divided into three parts. The first part focused...

  8. Autoethnography: Inquiry into Identity

    Science.gov (United States)

    Hoppes, Steve

    2014-01-01

    This chapter provides guidelines and suggestions for assessing student development using autoethnography, a qualitative research method. Autoethnography guides students in examining the nexus between personal and professional identities, including skills, challenges, values, histories, and hopes for the future.

  9. Music, culture and identity

    Directory of Open Access Journals (Sweden)

    Ilir Ramadani

    2017-03-01

    Full Text Available At the time of globalization it is difficult to pretend avoiding music culture and identity from political, cultural and social developments. Thus, it is impossible for the music to be unshakable and to represent national identity by not taking and giving nothing to culture. The dynamics of life and the rapid development of technology make it impossible for the culture to remain unaffected in terms of sharing experiences social experiences. Culture represents our current course, both in terms of politics, also in the social and human aspects. Through the technology it is possible for our children to be equal with children of all other countries, to exchange information and to connect directly with all countries of the world. Musical education is one of the main factors of cultural development and preservation of national identity. Identity consists of everything we posses and reflect. We are those who distinguish from each other and have a common denominator compared to other nations.

  10. Primary Identity in Literature

    DEFF Research Database (Denmark)

    Graham, Brian Russell

    In our times, literary criticism, as well as larger political and cultural developments, is characterized by identity politics, meaning that our discourses are structured around the notion of different socially identifiable populations in society. In relation to literature, this results in our...... viewing the characters in literature in terms of these political identities. Literature is consequently discussed in relation to political causes. Literary criticism is animated by the same causes, and is viewed as having a direct intervention in society in relation to them. In this paper, I will discuss......, in relation to Frye’s works, the idea that the primary identities of characters in literature were and, to a considerable extent, continue to be those of family-member identities. As such, literature should not be appropriated to a political context too readily. Whereas viewing characters in terms of...

  11. Researcher Identities in Transition

    DEFF Research Database (Denmark)

    Castelló, Montserrat; Wisker, Gina; Kobayashi, Sofie

    Researchers are now embarked upon what we define as a ‘risk career’, rather than, as previously, a relatively more predictable academic career. In this changing context, traditional milestones that enabled early career researchers to build their identities are disappearing. Instead, what we define...... as other emergent ‘signals’, the latent or clear indications from institutions and academic communities regarding career directions and necessary professional skills and attitudes should be identified and interpreted for researchers to adequately develop their new identities. The aim of this paper...... is twofold: a) to present a comprehensive framework of the notion of researcher identity by means of analysing those spheres of activity related to researcher and career development; and b) to relate researcher identities to the experiences of early career researchers with issues concerning signals...

  12. Identities in Conflict

    Directory of Open Access Journals (Sweden)

    Kanika Ahuja

    2016-01-01

    Full Text Available Kashmir has witnessed violent conflict for many years, and India has been one of the main players in this conflict. This study used the method of drawings to assess how this ongoing conflict has shaped the identities of young Muslims in Kashmir. The identities they expressed were compared with those expressed by young Muslims in Delhi. At each location, one group of participants was asked to draw on the theme “Me and my country” while the other group was asked to draw whatever they desired. When allowed to draw what they wished, adolescents in Kashmir drew symbols of regional identity more often and symbols of India less often than adolescents in Delhi. “I dominant” identities were depicted only by the Delhi-based sample. Drawings from Kashmir did not represent high levels of violence or a fractured relationship with the Indian state. Possible reasons have been discussed.

  13. Personal Identity Online

    DEFF Research Database (Denmark)

    Rodogno, Raffaele

    2012-01-01

    of the question. In Section 2, I describe a number of possible meanings of personal identity observed in everyday contexts and more philosophical ones. With some caveats, I argue that it is the specific context in which the question arises that disambiguates the meaning of the question. Online contexts are novel......Philosophers concerned with the question of personal identity have typically been asking the so-called re-identification question: what are the conditions under which a person at one point in time is properly re-identified at another point in time? This is a rather technical question. In our...... everyday interactions, however, we do raise a number of personal identity questions that are quite distinct from it. In order to explore the variety of ways in which the Internet may affect personal identity, I propose in this study to broaden the typical philosophical horizon to other more mundane senses...

  14. Experiencing with Identity

    DEFF Research Database (Denmark)

    Pors, Justine Grønbæk

    2012-01-01

    This article studies how a political organization begins to experiment with its identity. By use of an empirical case of the Danish Ministry of Education, I examine how a political organization supplements its identity of a legislating power with identities of a supervisor, beacon and facilitator...... of reflection processes. I analyse how the Danish Ministry of Education observes that its initial attempts to strengthen evaluation in the Danish public schools did not have the wanted effects because the values and professional norms of public school teachers constitute a resistance towards interference from...... of evaluation in public schools. Out of a paralysis emerge new innovative strategies of governing, aimed at the schools’ self-governing capacity. The identity of the political system thus emerges as oscillations between different roles of a legislating power and a supervising coach. The case study suggests...

  15. Avoiding Medical Identity Theft

    Science.gov (United States)

    ... victim’s name leaving a trail of falsified information in medical records that can plague your medical and financial life for years, or even put your health at risk. Tips for Preventing and Detecting Medical Identity Theft ...

  16. Educating in European Identity?

    National Research Council Canada - National Science Library

    Enrique Banús

    2007-01-01

    In the last decades, the claim for a "European identity" has been manifested sometimes as a solution for the citizens' distance to the European project, sometimes also as a precondition for a further...

  17. Identity politics and politicized identities: Identity processes and the dynamics of protest

    NARCIS (Netherlands)

    Klandermans, P.G.

    2014-01-01

    Over the last decades, the concept of identity has become increasingly central in the social psychology of protest. Collective identity, politicized collective identity, dual identity, and multiple identities are concepts that help to understand and describe the social psychological dynamics of

  18. On a New Trigonometric Identity

    Science.gov (United States)

    Chen, Hongwei

    2002-01-01

    A new trigonometric identity derived from factorizations and partial fractions is given. This identity is used to evaluate the Poisson integral via Riemann sum and to establish some trigonometric summation identities.

  19. Cultural Identity Through CLIL

    Directory of Open Access Journals (Sweden)

    Oprescu Monica

    2015-11-01

    Full Text Available The CLIL approach is a modern manner of teaching English, which has been adapted in Romanian schools and universities. An interesting aspect of learning a foreign language is the contact with its culture/s and the changes it produces in terms of identity. Therefore, a challenging question to be answered is whether a CLIL approach focusing on culture influences students' cultural identity.

  20. Introduction: Discourses of Identity

    DEFF Research Database (Denmark)

    Madsen, Peter

    2016-01-01

    Analysis of usages of ideas of 'identity' in relation to migration in Britain, France, and Germany, as well as in the Serbian anti-muslim war - with a view of demonstrating conceptual context of the usages.......Analysis of usages of ideas of 'identity' in relation to migration in Britain, France, and Germany, as well as in the Serbian anti-muslim war - with a view of demonstrating conceptual context of the usages....

  1. WORK AND LEARNER IDENTITY

    DEFF Research Database (Denmark)

    Kondrup, Sissel

    2015-01-01

    The aim of this article is to suggest a theoretical framework than can assess to how people’s engagement in specific historical and social work practices are significant to their development, maintenance or transformation of a learner identity. Such a framework is crucial in order to grasp how di...... different groups have distinctive conditions for meeting the obligation of forming a proactive learner identity and engage in lifelong learning prevalent in both national and transnational policies on lifelong learning....

  2. IDENTITY AND GLOBALISATION

    OpenAIRE

    Sabauri, Tinatin; Pataridze, Salome

    2016-01-01

    The main features ofglobalization and identity are discussed in this paper. There are talking aboutthe essence of globalization, the historical stages, the directions and themain signs. Here is analyzed the views of the researchers of globalization, hyperglobalists, skeptics, transformationists on this topic. Here are somehistorical analogies of globalization on the examples of politicalglobalization, economic globalization and cultural globalization.Identity is analyzed asa counterweight to ...

  3. Names and Collective Identity

    Directory of Open Access Journals (Sweden)

    Otto Krogseth

    2012-08-01

    Full Text Available The preceding two decades have displayed a remarkable awareness for a connection between the concepts "identity" and "cultural memory". David Lowenthal speaks of a "current craze for heritage"! Cultural heritage has become extremely popular, especially in combination with tourism, and has accordingly been converted into a modern system of meaning a type of "secular religion". With reference to collective identity and cultural memory, it is important to ask the cul- tural analytical questions: "Why identity now? Why heritage now?" My reply is that we experience a critical identity crisis. Three central aspects signify individual and collective identity: Continuity, coherence and individuality. The three aspects, constituting the concept of identity, are exposed to serious threats in the post-modern era: The danger of changeability, fragmentation and standardisation. This ten- dency has, however, met various compensating counter reactions like for instance "re-traditionalisation". In my presentation, I will examine the phenomenon cultural memory through examples from the German tradition -- principally from the works of Aleida and Jan Assmann.

  4. "I Can Remember Sort of Vivid People…but to Me They Were Plasticine." Delusions on the Intensive Care Unit: What Do Patients Think Is Going On?

    Directory of Open Access Journals (Sweden)

    Julie L Darbyshire

    Full Text Available Patients who develop intensive care unit (ICU acquired delirium stay longer in the ICU, and hospital, and are at risk of long-term mental and physical health problems. Despite guidelines for patient assessment, risk limitation, and treatment in the ICU population, delirium and associated delusions remain a relatively common occurrence on the ICU. There is considerable information in the literature describing the incidence, suspected causes of, and discussion of the benefits and side-effects of the various treatments for delirium in the ICU. But peer-reviewed patient-focused research is almost non-existent. There is therefore a very limited understanding of the reality of delusions in the intensive care unit from the patient's point of view.A secondary analysis of the original interviews conducted by the University of Oxford Health Experiences Research Group was undertaken to explore themes relating specifically to sleep and delirium.Patients describe a liminal existence on the ICU. On the threshold of consciousness their reality is uncertain and their sense of self is exposed. Lack of autonomy in an unfamiliar environment prompts patients to develop explanations and understandings for themselves with no foothold in fact.Patients on the ICU are perhaps more disoriented than they appear and early psychological intervention in the form of repeated orientation whilst in the ICU might improve the patient experience and defend against development of side-effects.

  5. Defensive function of persecutory delusion and discrepancy between explicit and implicit self-esteem in schizophrenia: study using the Brief Implicit Association Test.

    Science.gov (United States)

    Nakamura, Mitsuo; Hayakawa, Tomomi; Okamura, Aiko; Kohigashi, Mutsumi; Fukui, Kenji; Narumoto, Jin

    2015-01-01

    If delusions serve as a defense mechanism in schizophrenia patients with paranoia, then they should show normal or high explicit self-esteem and low implicit self-esteem. However, the results of previous studies are inconsistent. One possible explanation for this inconsistency is that there are two types of paranoia, "bad me" (self-blaming) paranoia and "poor me" (non-self-blaming) paranoia. We thus examined implicit and explicit self-esteem and self-blaming tendency in patients with schizophrenia and schizoaffective disorder. We hypothesized that patients with paranoia would show lower implicit self-esteem and only those with non-self-blaming paranoia would experience a discrepancy between explicit and implicit self-esteem. Participants consisted of patients with schizophrenia and schizoaffective disorder recruited from a day hospital (N=71). Participants were assessed for psychotic symptoms, using the Brief Psychiatric Rating Scale (BPRS), and self-blaming tendency, using the brief COPE. We also assessed explicit self-esteem, using the Rosenberg Self-Esteem Scale (RSES), implicit self-esteem, using Brief Implicit Association Test (BIAT), and discrepancy between explicit and implicit self-esteem. Contrary to our hypothesis, implicit self-esteem in paranoia and nonparanoia showed no statistical difference. As expected, only patients with non-self-blaming paranoia experienced a discrepancy between explicit and implicit self-esteem; other groups showed no such discrepancy. These results suggest that persecutory delusion plays a defensive role in non-self-blaming paranoia.

  6. Entrepreneurship Education as Identity Workspace

    DEFF Research Database (Denmark)

    Frederiksen, Signe Hedeboe

    2016-01-01

    of themselves as entrepreneurs. This article investigates how entrepreneurship education is practiced as an identity workspace, when reflective identity work is turned into a pedagogical strategy for entrepreneurial learning. I present empirical data from a qualitative fieldstudy in an eleven week mandatory......Entrepreneurship education theory and practice show increasing interest in identity work as an important part of entrepreneurial learning. Entrepreneurship programs become identity workspaces where pedagogical designs stimulate entrepreneurial identity work and support individuals’ discovery...... the functionalist framing of entrepreneurship education as an identity workspace and the one-sided focus on the potentials of identity work and individual strategies for tailoring entrepreneurial identities to fit a sense of self....

  7. Tools for Understanding Identity

    Energy Technology Data Exchange (ETDEWEB)

    Creese, Sadie; Gibson-Robinson, Thomas; Goldsmith, Michael; Hodges, Duncan; Kim, Dee DH; Love, Oriana J.; Nurse, Jason R.; Pike, William A.; Scholtz, Jean

    2013-12-28

    Identity attribution and enrichment is critical to many aspects of law-enforcement and intelligence gathering; this identity typically spans a number of domains in the natural-world such as biographic information (factual information – e.g. names, addresses), biometric information (e.g. fingerprints) and psychological information. In addition to these natural-world projections of identity, identity elements are projected in the cyber-world. Conversely, undesirable elements may use similar techniques to target individuals for spear-phishing attacks (or worse), and potential targets or their organizations may want to determine how to minimize the attack surface exposed. Our research has been exploring the construction of a mathematical model for identity that supports such holistic identities. The model captures the ways in which an identity is constructed through a combination of data elements (e.g. a username on a forum, an address, a telephone number). Some of these elements may allow new characteristics to be inferred, hence enriching the holistic view of the identity. An example use-case would be the inference of real names from usernames, the ‘path’ created by inferring new elements of identity is highlighted in the ‘critical information’ panel. Individual attribution exercises can be understood as paths through a number of elements. Intuitively the entire realizable ‘capability’ can be modeled as a directed graph, where the elements are nodes and the inferences are represented by links connecting one or more antecedents with a conclusion. The model can be operationalized with two levels of tool support described in this paper, the first is a working prototype, the second is expected to reach prototype by July 2013: Understanding the Model The tool allows a user to easily determine, given a particular set of inferences and attributes, which elements or inferences are of most value to an investigator (or an attacker). The tool is also able to take

  8. Treating Panic Disorder Hypnotically.

    Science.gov (United States)

    Reid, David B

    2017-10-01

    A hypnosis protocol for treating panic disorder is provided. The implementation of this protocol is demonstrated through a case example involving the successful treatment of a 28-year-old firefighter presenting with a 4-month history of near-daily panic attacks. Core principles associated with this protocol include: (1) Elementary education about the physiology of panic; (2) A review of primary factors contributing to the evolution and manifestation of panic; (3) Encouragement of physical activity; (4) Utilization of hypnosis applications; and (5) Monitoring and measuring progress evidenced by a reduction in the frequency and intensity of panic attacks. Six years after his last hypnosis session, "Jason," the once panicked firefighter returned to my office for concerns unrelated to panic, and reported that he remained panic-free, retained his job, and was twice promoted.

  9. The European Identity

    Directory of Open Access Journals (Sweden)

    Alberto Martinelli

    2017-09-01

    Full Text Available European identity is not only a scientifically interesting question, but also a politically important issue: in fact, sixty years after the signing of the Treaty of Rome, the European Union finds itself for the first time facing risks that threaten its own existence. The European Union is a limited and incomplete project because Europe’s economic integration has not been accompanied by a genuine supranational political union and greater cultural integration. The deficit of democratic representation and cultural integration is due to the fact that the community process is based only on economic rationality and not on a feeling of common belonging. In the current situation in which the Union faces difficult challenges which threaten to undermine the future, it necessary to affirm the policy of interests with a policy of identity. In this essay, we will first concentrate on the concept of identity – that is on the nucleus of values and common institutions –; then we will discuss how the European identity has changed over time (also in relation to national identities and what are the mechanisms that may favour its taking root in the current situation. The European project of political unification needs to be re-emphasized, finding the way to a European collective identity, not contrasted with but alongside the different national identities, referring to loyalty and shared commitment to a whole collection of cultural values: fundamental human rights, civil liberties, democratic political institutions, rule of law, freedom of movement of people, goods and capital, social justice and non-violent resolution of conflicts.

  10. Dogs discriminate identical twins.

    Directory of Open Access Journals (Sweden)

    Ludvík Pinc

    Full Text Available Earlier studies have shown variation among experimental attempts to establish whether human monozygotic twins that are genetically identical also have identical individual scents. In none of the cases were the dogs able to distinguish all the individual scents of monozygotic twins living in the same environment if the scents were presented to them separately. Ten specially trained police German Shepherd dogs of three Czech Republic Police Regional Headquarters were used for scent identification in our study. The dogs were supposed to match scents of two monozygotic pairs (5 and 7 years old and two dizygotic twin pairs (8 and 13 years old. Scents were collected on cotton squares stored in glass jars. Dog handlers were blind to the experiment details. In each trial (line-up, one scent was used as a starting scent and the dog was then sent to determine if any of the 7 presented glass jars contained a matching scent. Scents of children of similar ages were used as distractors. In the matching procedure, the dogs matched correctly the scent of one twin with the other, as well as two scents collected from every single identical and non-identical twin to prove their efficacy and likewise, the presence of the matching twin scent in any given glass jar. All dogs in all trials distinguished correctly the scents of identical as well as non-identical twins. All dogs similarly matched positively two scents collected from the same individuals. Our findings indicated that specially trained German Shepherd dogs are able to distinguish individual scents of identical twins despite the fact that they live in the same environment, eat the same food and even if the scents are not presented to them simultaneously.

  11. Dogs Discriminate Identical Twins

    Science.gov (United States)

    Pinc, Ludvík; Bartoš, Luděk; Reslová, Alice; Kotrba, Radim

    2011-01-01

    Earlier studies have shown variation among experimental attempts to establish whether human monozygotic twins that are genetically identical also have identical individual scents. In none of the cases were the dogs able to distinguish all the individual scents of monozygotic twins living in the same environment if the scents were presented to them separately. Ten specially trained police German Shepherd dogs of three Czech Republic Police Regional Headquarters were used for scent identification in our study. The dogs were supposed to match scents of two monozygotic pairs (5 and 7 years old) and two dizygotic twin pairs (8 and 13 years old). Scents were collected on cotton squares stored in glass jars. Dog handlers were blind to the experiment details. In each trial (line-up), one scent was used as a starting scent and the dog was then sent to determine if any of the 7 presented glass jars contained a matching scent. Scents of children of similar ages were used as distractors. In the matching procedure, the dogs matched correctly the scent of one twin with the other, as well as two scents collected from every single identical and non-identical twin to prove their efficacy and likewise, the presence of the matching twin scent in any given glass jar. All dogs in all trials distinguished correctly the scents of identical as well as non-identical twins. All dogs similarly matched positively two scents collected from the same individuals. Our findings indicated that specially trained German Shepherd dogs are able to distinguish individual scents of identical twins despite the fact that they live in the same environment, eat the same food and even if the scents are not presented to them simultaneously. PMID:21698282

  12. The Process of Identity Work: Negotiating a Work Identity

    NARCIS (Netherlands)

    Crafford, A.; Adams, B.G.; Saayman, T.; Vinkenburg, C.J.; Jansen, P.G.W.; Roodt, G.

    2015-01-01

    Identity work is an important process in negotiating, regulating and maintaining a coherent sense of self-(identity). In this chapter we discuss how identity work is particularly useful in establishing a work identity. The crux of the discussion in this chapter is based on the qualitative phase of

  13. Identity work and identity regulation in managers' personal development training

    OpenAIRE

    Andersson, Thomas

    2008-01-01

    This article describes the role of personal development training in managers’ identity processes. Personal development training constitutes a local management discourse, which can influence both identity work and identity regulation processes. The study emphasizes the importance of personal life stories in understanding how managers are influenced by personal development training. The training provokes different processes of identity work and identity regulation, and managers actively work wi...

  14. Identity work: processes and dynamics of identity formations

    OpenAIRE

    Beech, N.; MacIntosh, R.; McInnes, P.

    2008-01-01

    Our aim is to elucidate a position that takes identity to be dynamic and changeable over time and to propose a conceptualisation that provides a way of mapping alternative imperatives and opportunities for identity work. It is argued that dynamic identity is inherently complex, being constructed through interaction between the self and others. These interactive activities are conceptualised as ‘identity work’ (Sveningsson and Alvesson, 2003). We regard an understanding of identity work to be ...

  15. Hallucinations, Delusions and Paranoia

    Science.gov (United States)

    ... that isn’t really there. They may see insects crawling on their hand or hear people talking ... also help to have the person’s eyesight or hearing checked. This should be done regularly. Make sure ...

  16. The Growth Delusion

    Directory of Open Access Journals (Sweden)

    Bob Lloyd

    2009-08-01

    Full Text Available Concern for the environment and a move towards “sustainable development” has assisted progress in a wide range of renewable energy technologies in recent years. The science suggests that a transition from fossil fuels to sustainable sources of energy in a time frame commensurate with the demise of the fossil fuels and prevention of runaway climate change is needed. However, while the movement towards sustainable energy technologies is underway, the World does not want to give up the idea of continuing economic growth. In recent times the financial collapse of October 2008 has given rise to yet another set of pleas from corporations and politicians alike to restart the growth machine. The transition to renewable energy technologies will be difficult to achieve as nowhere within existing economic and political frameworks are the limits to when growth will be curtailed being set. It is possible that the irrational insistence on endless growth as a non negotiable axiom, by a large proportion of the world’s population, may in fact be akin to the similarly irrational belief, by a similarly large proportion of the world’s population, that a supernatural being controls our existence and destiny. The irrationality of religion has recently been examined by Richard Dawkins in “The God Delusion”. Dawkins’ book is used as a starting point to investigate similarities between a belief in God and a belief in continuous growth.

  17. The Malthus delusion

    DEFF Research Database (Denmark)

    Persson, Karl Gunnar

    2008-01-01

    Greg Clark is a master of the art of using one-liners in telling stories and Farewell to Alms: A Brief Economic History of the World is no exception. It offers the Malthusian hypothesis of population growth leading to misery as an all-purpose vehicle for all human history, except for the last 200...

  18. Delusions v. conversion

    Energy Technology Data Exchange (ETDEWEB)

    Khripunov, I. [Univ. of Georgia, Athens, GA (United States)

    1994-07-01

    Russian defense conversion is a gloomy story, punctuated by only a few isolated successes. Overall industrial production in the first quarter of 1994 fell 27.4 percent below 1993 levels. Additionally the defense industry has been afflicted by the government`s failure to pay its debts to the industry, which, in the first quarter of 1994 grew from 2.1 trillion to 4.7 trillion rubles. Some members of government realize that the overmilitarized economy is burdensome and wasteful, and that post-Cold Ware reality necessitates a rapid reorientation to civilian purposes. Defense conversion has been called the first and foremost element in Russian economic reform. A converted defense industry must manufacture high-priority equipment in oil, gas, telecommunications, and space ventures. Russian economists estimate that modernization and conversion of the military-industrial comples will cost from $150 billion to $300 billion, which, Russia does not have. The lamentable state of Russia`s defense conversion projects reflects the disarray of the overall economy. The government can turn the defense industry into an asset, both the task will require time, patience, money and innovation.

  19. Fluidity, Identity, and Organizationality

    DEFF Research Database (Denmark)

    Dobusch, Leonhard; Schoeneborn, Dennis

    2015-01-01

    that the organizationality of a social collective is accomplished through “identity claims”—i.e., speech acts that concern what the social collective is or does—and negotiations on whether or not these claims have been made on the collective's behalf. We empirically examine the case of the hacker collective Anonymous......This paper examines how fluid social collectives, where membership is latent, contested, or unclear, achieve “organizationality”, that is, how they achieve organizational identity and actorhood. Drawing on the “communicative constitution of organizations” perspective, we argue...... and analyze relevant identity claims to investigate two critical episodes in which the organizationality of Anonymous was contested. Our study contributes to organization studies by showing that fluid social collective are able to temporarily reinstate organizational actorhood through the performance...

  20. When design meets identities

    DEFF Research Database (Denmark)

    Dau, Susanne

    2013-01-01

    for teacher and radiography affects knowledge development and which are the constraints or challenges to take into consideration in the process of implementation. The research takes its departure in the two different models of blended learning designed by teachers in undergraduate education centers...... is analyzed and interpreted through a critical hermeneutical process of prefiguration, configuration and refiguration. The results illustrate a significant impact of students identities as a part of the referential whole, since it is both prerequisite and an obstruction in the activation of blended learning...... environments. It is significant that students’ identities are related to sociality, where both the self and the others take part in the process of knowledge development. Students’ identities and learning are intertwined and related to age, movements, spaces and practice. On basis of the derived results...

  1. Learning as Negotiating Identities

    DEFF Research Database (Denmark)

    Jørgensen, Kenneth Mølbjerg; Keller, Hanne Dauer

    of time - caught in the notion of trajectories of learning - that integrate past, present and future. Working with the learners' notion of time is significant because it is here that new learning possibilities become visible and meaningful for individuals. Further, we argue that the concept of identity......The paper explores the contribution of Communities of Practice (COP) to Human Resource Development (HRD). Learning as negotiating identities captures the contribution of COP to HRD. In COP the development of practice happens through negotiation of meaning. The learning process also involves modes...... of belonging constitutive of our identities. We suggest that COP makes a significant contribution by linking learning and identification. This means that learning becomes much less instrumental and much more linked to fundamental questions of being. We argue that the COP-framework links learning with the issue...

  2. On the fundamentals of identity

    NARCIS (Netherlands)

    van der Gaag, Mandy

    Various new perspectives on identity have been introduced or have increased in popularity over the past two decades. These include identity as dynamic system (Kunnen & Bosma, 2001), a narrative approach to identity (McAdams, 2001), multi-dimensional models of identity formation (Luyckx et al., 2006;

  3. Cultivating a Global Identity

    Directory of Open Access Journals (Sweden)

    Joseph de Rivera

    2015-12-01

    Full Text Available Increasing economic globalization creates conflicts that can only be constructively managed if individuals and groups realize they now belong to a single people. The required sense of such a community does not involve a social group identity—as though being human consisted of being categorized as a member of a superordinate group. Rather, it involves the realization that personal identity depends on the socio-emotional relations involved in community and that the current situation requires a community that is global rather than local or national. The nature of this personal global identity and the sort of global community that is needed is explored in this article. Developing a sense of unity amongst people has always required ritual celebration, and achieving the consciousness that persons worldwide now form a global community will require a particular type of ritual whose nature is described. The authors report on some pilot studies which demonstrate that it is possible to present the idea of global identity in a way that emphasizes personal active relationships rather than group belonging, that this may increase a sense of global identification, and that one can create a celebration that may enhance the sense of personal identity in a global community. We conclude by exploring the ways in which conceiving personal identity in communal terms has implications for research on global identity and conflict. And, finally, we report on present day initiatives that may develop a global communal consciousness, and identify and describe celebrations of community that may advance a sense of global community.

  4. Scripting Professional Identities

    DEFF Research Database (Denmark)

    Bévort, Frans; Suddaby, Roy

    2016-01-01

    on a longitudinal ethnography of professionals in a Big Four accounting firm we analyse the process by which individual professionals make sense of their new roles and integrate the conflicting demands of professional and managerial logics. We find that individuals are active authors of their own identity scripts....... We further observe considerable interpretive variation in how identity scripts are reproduced and enacted. We contribute to the emerging understanding of institutions as ‘inhabited’ by individuals and extend this literature by demonstrating that the institutional work of reinterpreting competing...

  5. Splitting Ward identity

    Energy Technology Data Exchange (ETDEWEB)

    Safari, Mahmoud [Institute for Research in Fundamental Sciences (IPM), School of Particles and Accelerators, P.O. Box 19395-5531, Tehran (Iran, Islamic Republic of)

    2016-04-15

    Within the background-field framework we present a path integral derivation of the splitting Ward identity for the one-particle irreducible effective action in the presence of an infrared regulator, and make connection with earlier works on the subject. The approach is general in the sense that it does not rely on how the splitting is performed. This identity is then used to address the problem of background dependence of the effective action at an arbitrary energy scale. We next introduce the modified master equation and emphasize its role in constraining the effective action. Finally, application to general gauge theories within the geometric approach is discussed. (orig.)

  6. Splitting Ward identity

    Science.gov (United States)

    Safari, Mahmoud

    2016-04-01

    Within the background-field framework we present a path integral derivation of the splitting Ward identity for the one-particle irreducible effective action in the presence of an infrared regulator, and make connection with earlier works on the subject. The approach is general in the sense that it does not rely on how the splitting is performed. This identity is then used to address the problem of background dependence of the effective action at an arbitrary energy scale. We next introduce the modified master equation and emphasize its role in constraining the effective action. Finally, application to general gauge theories within the geometric approach is discussed.

  7. Editorial: Negotiating Gamer Identities

    Directory of Open Access Journals (Sweden)

    Matthew Barr

    2016-07-01

    Full Text Available The term ‘gamer identity’ is hotly contested, and certainly not understood as a broadly accepted term. From the outdated stereotype of white, heterosexual, teenage boys playing Nintendo in their parents’ basement to the equally contested proclamation that “‘gamers’ are over”, the current game culture climate is such that movements as divisive and controversial as #gamergate can flourish. For this latest special issue of Press Start, we invited submissions regarding the recent controversies surrounding the notion of player identities, with the aim of receiving papers from different viewpoints on gamer identity and culture.

  8. Identity-based encryption

    CERN Document Server

    Chatterjee, Sanjit

    2011-01-01

    Identity Based Encryption (IBE) is a type of public key encryption and has been intensely researched in the past decade. Identity-Based Encryption summarizes the available research for IBE and the main ideas that would enable users to pursue further work in this area. This book will also cover a brief background on Elliptic Curves and Pairings, security against chosen Cipher text Attacks, standards and more. Advanced-level students in computer science and mathematics who specialize in cryptology, and the general community of researchers in the area of cryptology and data security will find Ide

  9. Professions and their Identities

    DEFF Research Database (Denmark)

    Krejsler, John

    2005-01-01

    PROFESSIONS AND THEIR IDENTITIES: HOW TO EXPLORE PROFESSIONAL DEVELOPMENT AMONG (SEMI-)PROFESSIONS This article explores conditions for discussing what it means to be professional among teachers, pre-school teachers, nurses and social workers. From an epistemological point of view it explores how...... analytical strategies can frame in sufficiently complex ways what it means to be a professional today. It is assumed that at least four main issues must be dealt with in order to conduct a satisfactory analysis of professions and their identities. Firstly, it is of fundamental strategic importance that one...

  10. Identity-based consumer behavior

    OpenAIRE

    Reed, Americus; Forehand, Mark; Puntoni, Stefano; Warlop, Luk

    2012-01-01

    This is the authors’ final, accepted and refereed manuscript to the article Although the influence of identity on consumer behavior has been documented in many streams of literature, the absence of a consistent definition of identity and of generally accepted principles regarding the drivers of identity-based behavior complicates comparisons across these literatures. To resolve that problem, we propose a simple but inclusive definition of identity. Identity can be defined as any category l...

  11. Identity-based consumer behavior

    OpenAIRE

    Reed, Americus; Forehand, Mark; Puntoni, Stefano; Warlop, Luk

    2012-01-01

    Although the influence of identity on consumer behavior has been documented in many streams of literature, the absence of a consistent definition of identity and of generally accepted principles regarding the drivers of identity-based behavior complicates comparisons across these literatures. To resolve that problem, we propose a simple but inclusive definition of identity. Identity can be defined as any category label with which a consumer self-associates that is amenable to a clear picture ...

  12. The evaluation of the applicability of a high pH mobile phase in ultrahigh performance liquid chromatography tandem mass spectrometry analysis of benzodiazepines and benzodiazepine-like hypnotics in urine and blood

    OpenAIRE

    Verplaetse, Ruth; Cuypers, Eva; Tytgat, Jan

    2012-01-01

    A sensitive liquid chromatography tandem mass spectrometry method was developed and validated for simultaneous detection of benzodiazepines, benzodiazepine-like hypnotics and some metabolites (7-aminoflunitrazepam, alprazolam, bromazepam, brotizolam, chlordiazepoxide, chlornordiazepam, clobazam, clonazepam, clotiazepam, cloxazolam, diazepam, ethylloflazepate, flunitrazepam, flurazepam, loprazolam, lorazepam, lormetazepam, midazolam, N-desmethylflunitrazepam, nitrazepam, N-methylclonazepam (in...

  13. Migration, Narration, Identity

    DEFF Research Database (Denmark)

    Leese, Peter

    three consecutive summers from 2010 to 2012. The articles focus on various aspects of the migrant experience and try to answer questions about migrant identity and its representations in literature and the media. The book closes with an original play by Carlos Morton, the Chicano playwright working...

  14. Dissociative Identity Disorder

    Science.gov (United States)

    Schmidt, Tom

    2007-01-01

    Few psychological disorders in the Diagnostic Statistical Manual have generated as much controversy as Dissociative Identity Disorder (DID). For the past 35 years diagnoses of DID, previously referred to as Multiple Personality Disorder (MPD), have increased exponentially, causing various psychological researchers and clinicians to question the…

  15. Language, Identity, and Exile

    Science.gov (United States)

    Erdinast-Vulcan, Daphna

    2010-01-01

    The exilic mode of being, a living on boundary-lines, produces a constant relativization of one's home, one's culture, one's language, and one's self, through the acknowledgement of otherness. It is a homesickness without nostalgia, without the desire to return to the same, to be identical to oneself. The encounter with the other which produces a…

  16. Graduate Identity and Employability

    Science.gov (United States)

    Hinchliffe, Geoffrey William; Jolly, Adrienne

    2011-01-01

    This paper develops the concept of graduate identity as a way of deepening the understanding of graduate employability. It does this through presenting research in which over 100 employers in East Anglia were asked to record their perceptions of graduates in respect of their employability. The findings suggest a composite and complex graduate…

  17. Spatial Identity in Gagauzia

    Directory of Open Access Journals (Sweden)

    A. V. Salavatova

    2015-01-01

    Full Text Available Historically the gagauz developed a self-perception based on their difference from Moldova as well as the ‘Turkish world’. The article argues that this fact has determined their pro-Russian political orientation as the only possible way of maintaining their identity

  18. Language and Identity Explored

    Directory of Open Access Journals (Sweden)

    Thomas Rozanov

    2016-06-01

    Full Text Available The relationship between language and identity is widely discussed in applied linguistics, sociology, communications and other related scholarly fields. Furthermore, many researchers have focused on the post-Soviet region, which given its unique historical context allows for testing of this relationship. The widespread bilingualism as a result of historical russification and the linguistic transformations that occurred after the collapse of the Soviet Union make the region a ‘sociolinguistic playground’. Recent events in Ukraine have given grounds to further explore this relationship, now in attempt to link language and identity as potential forces for geopolitical change in the region. This paper presents an overview of existing research, theories, and opposing perspectives related to the relationship between language and identity, and considers complications such as historical russification, religious influence, socioeconomic factors, and education with regards to the Ukrainian and post-Soviet context.  I aim to illustrate the significance of language and its effects on socio-political change in the case of Ukraine, by presenting arguments and complications in support of the relationship between language and identity.

  19. Keeping identity private

    DEFF Research Database (Denmark)

    Adjei, Joseph K.; Olesen, Henning

    2011-01-01

    is an attempt to understand the relationship between individuals’ intentions to disclose personal information, their actual personal information disclosure behaviours, and how these can be leveraged to develop privacy-enhancing identity management systems (IDMS) that users can trust. Legal, regu...

  20. Discourses of Identity

    Science.gov (United States)

    Van Leeuwen, Theo

    2009-01-01

    This lecture discusses the concept of lifestyle, which emerged in the field of marketing in the 1970s, as a new, and increasingly pervasive, discourse of identity cutting through older "demographic" discourses. Distributed by mediated experts and role models, and realized through the semiotics of "composites of connotation", it redraws the…

  1. Researcher Identity in Transition

    DEFF Research Database (Denmark)

    Castelló, Montserrat; Kobayashi, Sofie; McGinn, Michelle K.

    2015-01-01

    Within the current higher education context, early career researchers (ECRs) face a ‘risk-career’ in which predictable, stable academic careers have become increasingly rare. Traditional milestones to signal progress toward a sustainable research career are disappearing or subject to reinterpreta......Within the current higher education context, early career researchers (ECRs) face a ‘risk-career’ in which predictable, stable academic careers have become increasingly rare. Traditional milestones to signal progress toward a sustainable research career are disappearing or subject...... to reinterpretation, and ECRs need to attend to new or reimagined signals in their efforts to develop a researcher identity in this current context. In this article, we present a comprehensive framework for researcher identity in relation to the ways ECRs recognise and respond to divergent signals across spheres...... of activity. We illustrate this framework through eight identity stories drawn from our earlier research projects. Each identity story highlights the congruence (or lack of congruence) between signals across spheres of activity and emphasises the different ways ECRs respond to these signals. The proposed...

  2. Identity and Youth

    Directory of Open Access Journals (Sweden)

    Fernando Yurman

    2010-06-01

    Full Text Available Youth is an abstract entity, determined by an imaginary and symbolical changing dimension. Youth and identity are linked because both of them desire simultaneously the change and establishment. This friction is essential, not only because of social history but because of life cycles. This is a field of ideals, where rules return with the possibility of restarting. Identity is indeed an avoidable reference to get close to this period, so identity forms must be distinguished. To social and cultural differences, and globalization and new places, we can add the crumbling process of youth. Probably Internet -a place with no time and no space- determines this youth as a new form of an ancient time. Digital citizen absorb all ages, and is been changed by virtuality. Each morning one should choose between look through the home window, or to the get the planet through de computer; and this divergence constitutes this citizen, his/her identity, face his/her own body and his/her alter. Links and unlinks between virtuality and reality debate on a different temporality, and ages (like youth lose their traditional limits.

  3. Bilingualism versus identity

    DEFF Research Database (Denmark)

    Hermann, Jesper

    1988-01-01

    During the last hundred years psychologists, philosophers and theologians have developed two different conceptions of personal identity. One of them insists that each person is a unique and transcendental being, whereas the other finds the personality deriving from interaction with other persons....

  4. MacWilliams Identities?

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 10; Issue 1. MacWilliams Identities? Madhu Sudan. Classroom Volume 10 Issue 1 January ... Author Affiliations. Madhu Sudan1. Department of Electrical Engineering and Computer Science Massachussetts Institute of Technology, MA 02139-4307, USA ...

  5. Regional identity and family

    Directory of Open Access Journals (Sweden)

    Tripković Gordana D.

    2003-01-01

    Full Text Available This paper is a continuation of a study on regionalisation and family, within the project named Sociological Aspects of Multiculturality and Regionalisation and their influence on the development of AP Vojvodina and the Republic of Serbia. The author focuses her attention to operationalisation of the theoretical and methodological premises that were developed in the previous paper (Tripković, 2002: 111-127, which means that it represents the results of the second phase of the research plan. This phase includes adjusting of theoretical concepts to the fieldwork displaying the results of the research and the analysis of the findings that put a family in the context of confronting different identities, above all national and regional. As possible "identity difference" was emphasized in the research, theoretical and methodological apparatus was adjusted to this goal. That is why in this paper the replies of interviewees that can suggest or reject the assumption that their national identity can influence significantly the evaluation of identity specificities are presented and analyzed, concerning more or less visible aspects of family life, like welfare status, relations between spouses, respect to the elder, family harmony, number of children, connections with relatives, etc.

  6. Imagining Geographies, Mapping Identities

    Directory of Open Access Journals (Sweden)

    Matthew Graves

    2015-03-01

    Full Text Available The ambition of this issue of Portal is to reach across the methodological boundaries of history, politics, literature and geography to apply their complementary perspectives to the study of identity and its relation to space and place, an aim that involves attempting to identify the many different ways the notoriously slippery concepts of identity and geography may intersect. For this issue we have selected articles that cast a fresh perspective on two areas where identity and geography intersect: the construction of identity through the imaginative recreation of place in literature: Mapping Literary Spaces; and the study of the shifting relationships of centre and periphery, exclusion and inclusion in urban settings and geopolitical confrontations: Social and Political Peripheries. Gerard Toal has written that geography is not a noun but a verb: it does not describe what space is but studies what we do with space, imaginatively and politically. The articles in this issue illustrate the exercise of the literary and political imagination and the role of materiality and memory in the creation of geographic representation. They show too a new awareness of the centrality of space in the constitution of identities, and the need for a new geocritical reading of its discourse, as the interrelations of place and community are played out on the many scales of social and political life, from the local to the global.   The special issue is organised thus: Introduction Matthew Graves (Aix-Marseille University & Liz Rechniewski (Sydney University: “Imagining Geographies, Mapping Identities.” I. Mapping Literary Spaces - Isabelle Avila (University of Paris XIII, "Les Cartes de l'Afrique au XIXe siècle et Joseph Conrad : Perceptions d'une Révolution Cartographique." - Daniela Rogobete (University of Craiova, "Global vs Glocal: Dimensions of the post-1981 Indian English Novel." II. Social and Political Peripheries - Elizabeth Rechniewski (Sydney

  7. The war veteran identity

    Directory of Open Access Journals (Sweden)

    Marković-Savić Olivera S.

    2015-01-01

    Full Text Available The paper discusses how war veterans perceive themselves and how they answer the question 'Who am I?'. War veterans face many challenges in the process of re-socialization from a state of war and war traumatization to a peacetime society. There are several reasons why their re-socialization is a slow process: the first one is that a war engagement is in itself a highly stressful situation which carries traumas of different degrees, the other reason is the changed system of values in relation to war engagement. Namely, at the time they went to war, they had a strong social support, but at the time of their return and today this support is lost to the point of judgment. And the third reason which limits their re-socialization is the situation of social transition they found on their return from war, which specifically means that a large percentage of the population in general, and thus the war veterans after returning from the war, lost their jobs, creating a large social group of 'transition losers'. Such a condition often generates an identity crisis. This set of socio-cultural circumstances together with the ontological insecurity carried by war trauma generate an identity crisis, which is manifested among the respondents in nihilistic answers when responding to questions about their own personality. Studying the identity of war veterans, it was found that a strong attachment to the veteran identity is dominant. In fact, this paper discusses the different ways in which this attachment is refracted in the personality and identity of subjects, from negative attitudes to the pride in belonging to a group of war veterans and personal fulfillment in the activism in associations of war participants.

  8. Vocational Identity and Ego Identity Status in Korean Nursing Students.

    Science.gov (United States)

    Koo, Hyun-Young; Kim, Eun-Jung

    2016-03-01

    The purpose of this study was to investigate the association between vocational identity and ego identity status among Korean nursing students. The participants were 311 nursing students in South Korea who were attending either a 4-year bachelor's program or a 3-year diploma program. Data were collected using self-report questionnaires that addressed vocational identity, ego identity status, and demographic information. The data were analyzed using descriptive statistics, one-way analysis of variance, t test, and Chi-square test. In terms of ego identity status, 31.5% of nursing students were classified as being in diffusion status, followed by 28.3% in low profile moratorium status, 14.8% in moratorium status, 14.1% in foreclosure status, and 11.3% in achievement status. Vocational identity differed according to ego identity status; vocational identity among students who were in achievement status was higher than for those in all other statuses. Vocational identity also differed according to grade level and monthly family income. Ego identity status was related to the type of program enrolled in, grade level, and monthly family income. These findings show that nursing students in identity achievement status have secure and clear vocational identities. Further longitudinal and qualitative studies are needed to find out if identity formation among nursing students changes with age. Copyright © 2016. Published by Elsevier B.V.

  9. Trends in Off-Label Prescribing of Sedatives, Hypnotics and Antidepressants among Children and Adolescents - A Danish, Nationwide Register-Based Study

    DEFF Research Database (Denmark)

    Nielsen, Eva Skovslund; Rasmussen, Lotte; Poulsen, Maja Hellfritzsch

    2016-01-01

    in 2006-2012. Information on diagnoses was obtained from the Danish National Registry of Patients and allowed classification of prescriptions as either on- or off-label. We identified 186,831 prescriptions filled for 29,851 children and adolescents: 88.0% of these were classified as off-label. During 2006......In recent years, psychotropic drug use among children and adolescents in Europe and USA has increased. However, the majority of psychotropic drugs are not formally approved for use in children and adolescents, and consequently, use is often off-label. The objectives were to describe time trends...... in off-label prescribing rates and the most commonly used types of psychotropic drugs by age and gender in Danish children and adolescents. Using the Register of Medicinal Product Statistics, we identified all prescriptions for sedatives, hypnotics and antidepressants filled for children and adolescents...

  10. The Memory Identity Record: Politics of Memory and National identity

    National Research Council Canada - National Science Library

    Juan David Villa Gómez; Daniela Barrera Machado

    2017-01-01

    .... To thateffect, the article examines a series of research projects describing the relations between memory and identity and studying national identity on the basis of the political constructions of collective memory...

  11. Constructing nurses' professional identity through social identity theory.

    Science.gov (United States)

    Willetts, Georgina; Clarke, David

    2014-04-01

    The profession of nursing continues to struggle with defining and clarifying its professional identity. The definitive recognition of nursing as a profession was the moving of training from the hospital apprentice model to the tertiary sector. However, this is only part of the story of professional identity in nursing. Once training finishes and enculturation into the workplace commences, professional identity becomes a complicated social activity. This paper proposes social identity theory as a valuable research framework to assist with clarifying and describing the professional identity of nurses. The paper outlines the key elements of a profession and then goes on to describe the main concepts of social identity theory. Lastly, a connection is made between the usefulness of using social identity theory in researching professional identity in nursing, recognizing the contextual nature of the social activity of the profession within its workplace environment. © 2013 Wiley Publishing Asia Pty Ltd.

  12. [Body Integrity Identity Disorder (BIID): interrogation of patients and theories for explanation].

    Science.gov (United States)

    Kasten, E

    2009-01-01

    Apotemnophilia, Amputee Identity Disorder or Body Integrity Identity Disorder (BIID) is the intensive feeling that the body will be "more complete" after amputation of a limb. The article disputes the question of matching personality characteristics of these subjects and asks for motives. Based on reports of nine individuals, triggering experiences are referred. In contrast to other children, often these subjects were fascinated by the sight of a handicapped person. In the article is investigated, whether the concerned limb showed more affections. Described is typical pretending behavior. Parallels to body dysmorphic disorder (BDD), fetishism, or delusions are investigated. These were minor, in most cases the wish was fixated on a specific limb, the subjects were aware of the abnormity of their desire and quarreled with the pros and cons. Sexual motives were found in one third. Some of the interviewed persons were in medical or psychological therapy; this did not let the desire disappear. In several BIID sufferers the wish for amputation changed, e. g. from the left to the right leg. This finding is not in accordance with the brain-dysfunction-theory. These people rather have an ideal of a "perfect" body minus one arm or leg. Most admire the beauty of a stump, and see amputees as "heroes" who still master their life in spite of their handicap. BIID is not a homogenous disturbance, one should separate three axes: 1. Strength of neuronal dysfunction, 2. Psychic components (e. g. secondary morbid gain) and 3. Intensity of sexual interests.

  13. Entanglement by Path Identity

    Science.gov (United States)

    Krenn, Mario; Hochrainer, Armin; Lahiri, Mayukh; Zeilinger, Anton

    2017-02-01

    Quantum entanglement is one of the most prominent features of quantum mechanics and forms the basis of quantum information technologies. Here we present a novel method for the creation of quantum entanglement in multipartite and high-dimensional systems. The two ingredients are (i) superposition of photon pairs with different origins and (ii) aligning photons such that their paths are identical. We explain the experimentally feasible creation of various classes of multiphoton entanglement encoded in polarization as well as in high-dimensional Hilbert spaces—starting only from nonentangled photon pairs. For two photons, arbitrary high-dimensional entanglement can be created. The idea of generating entanglement by path identity could also apply to quantum entities other than photons. We discovered the technique by analyzing the output of a computer algorithm. This shows that computer designed quantum experiments can be inspirations for new techniques.

  14. Shifting Design Consultancy Identities

    DEFF Research Database (Denmark)

    Larsen, Henry; Huijboom, Nina; Holm Nielsen, Anne

    2014-01-01

    Knowledge-intensive business services, such as design consultancies are perceived as key drivers for innovation and competitiveness. However, many designers create their own companies, which often remain as one-man companies. By interviewing designers who own small design firms we found patterns...... and identities that resonate more with freelancing and portfolio careers than with the intention of creating firms that are intended to expand. We recognized a pattern where freelancers build up their work as a portfolio by moving from one engagement to another, a process that we will call sequential freelancing....... This paper aims to understand the emergence of such identities amongst designers and we suggest that instead of focusing on their individual firms as entities of growth, other strategies such as networking might be more fruitful. If this approach was adopted, we believe that those local authorities who focus...

  15. When design meets identities

    DEFF Research Database (Denmark)

    Dau, Susanne

    2013-01-01

    . It is significant that students’ identities are related to sociality, where both the self and the others take part in the process of knowledge development. Students’ identities and learning are intertwined and related to age, movements, spaces and practice. On basis of the derived results, it is stressed......The aim of this paper is to present result from the first period of implementing models of blended learning in two Danish educations centers at a University College. The question addressed is how activation of blended learning models in undergraduate education for teacher and radiography affects...... knowledge development and which are the constraints or challenges to take into consideration in the process of implementation. The research takes its departure in the two different models of blended learning designed by teachers in undergraduate education centers. This is an investigation of the first...

  16. Identity Management Systems

    OpenAIRE

    HABAZIN, ANDREJ

    2016-01-01

    Identity management systems allow larger organizations management and control over resources, used by identites. Primarily, these systems maintain and enforce security and other organizational policies. Secondary task is to provide a framework for automation of repetitive tasks and self service processes, which allows a reduction of workload on helpdesk services and yet provides traceability for individual request. We’ll go through some of most important supporting security ...

  17. Identity Styles and Religiosity: Examining the Role of Identity Commitment

    Science.gov (United States)

    Grajales, Tevni E.; Sommers, Brittany

    2016-01-01

    This study observed the role of identity styles, identity commitment, and identity statuses in predicting religiosity in a sample of undergraduate students attending a Seventh-day Adventist university (N = 138). Two structural models were evaluated via path analysis. Results revealed two strong models for the prediction of religiosity. Identity…

  18. Identity Construction, Negotiation, and Resistance: Reconsideration of "Japanese" Identity

    Science.gov (United States)

    Fukuda, Chie

    2010-01-01

    This dissertation explores identity construction, mainly focusing on the ethnonational identity of "Japanese," in contrast to that of "non-Japanese" from ethnomethodological and social constructionist perspectives. Within these approaches, identity is not given "a priori" but emerges through sociohistorical contexts…

  19. Corporate Brand Identity in SMEs

    DEFF Research Database (Denmark)

    Mäläskä, Minna; Jones, Richard Ian

    challenge existing notions that brand identity is based solely on the values of the entrepreneur. This typology suggests that SMEs should be open to creating an identity that draws from their stakeholder eco-system. Originality / value: this research challenges the existing assumption that brand identity...... with key stakeholders in the brand ecosystem. Brand identity underwent several transformation as the focal firm sought to balance isomorphic (market) pressures with the need for a clear and distinctive brand identity. Research limitations / implications: this research is limited by the number of case...... studies. The research is important since it suggests an iterative and co-creative approach to brand identity. A typology of brand identity formation for SMEs is presented: entrepreneur driven, market driven, stakeholder driven. Practical implications: The three paths to creating a strong brand identity...

  20. Context-Aware Identity Delegation

    DEFF Research Database (Denmark)

    Ahmed, Naveed; Jensen, Christian D.

    2009-01-01

    due to its complicated and complex structure. Identity delegation at authentication level provides improved usability, which reduces the risk of circumventing the delegation mechanism; at the same time, however, identity delegation violates the principle of least privileges. We use contextual...

  1. Gender Socialization and Identity Theory

    OpenAIRE

    Michael J. Carter

    2014-01-01

    Gender socialization is examined through a social psychological lens by applying identity theory and identity control theory. Current research from the fields of family and sociological social psychology are surveyed to provide a better conception of how the family operates as agents of socialization, and how identities that are cultivated and fostered in youth provide meaning throughout the life course and maintain the social order. The application of identity theory shows how gender is a di...

  2. Social Identity Simulation System (SISTEM)

    Science.gov (United States)

    2014-03-31

    its expected costs. The following subsections describe various strategies of social identity entrepreneurship in more detail. Calling for...Haslam, S. A., & Reicher, S. (2007). Identity Entrepreneurship and the consequences of identity failure: the dynamics of leadership in the BBC prison...study. Social Psychology Quarterly, 70(2), 125-147. Lal, B. (1997). Ethnic Identity Entrepreneurs: Their Role in Transracial and Intercountry Adoptions. Asian Pacific Migration Journal, 6, 385-441.

  3. John locke on personal identity.

    Science.gov (United States)

    Nimbalkar, Namita

    2011-01-01

    John Locke speaks of personal identity and survival of consciousness after death. A criterion of personal identity through time is given. Such a criterion specifies, insofar as that is possible, the necessary and sufficient conditions for the survival of persons. John Locke holds that personal identity is a matter of psychological continuity. He considered personal identity (or the self) to be founded on consciousness (viz. memory), and not on the substance of either the soul or the body.

  4. Social identity process within organizations

    OpenAIRE

    Bazarov, Takhir; Kuzmina, Maria

    2005-01-01

    Expanding and complex social realities cause new types of identity. Variety in organizations and workgroups (where people are involved), implies a special kind of social identity which can be defined as professional, organizational or managerial. The study of the social identity processes in organizations is a new interdisciplinary sphere that is presented especially commonly in European Social Psychology. The result of its theoretical comprehension is Social Identity Theory. In the article l...

  5. An 'open source' networked identity

    DEFF Research Database (Denmark)

    Larsen, Malene Charlotte

    2013-01-01

    This paper examines the concept of identity in relation to youth practices on social network sites (SNS). The paper illustrates how writing “I love you” or other emotional statements on each other’s profiles on SNS is not only a common way for Danish teenagers to communicate and practice friendship...... communicative actions – are not only performing their own identity, but are becoming co-constructors of each other's identities, which the author characterizes as an 'open source' networked identity....

  6. Evolutionary perspectives on social identity

    OpenAIRE

    Park, Justin H; Van Leeuwen, Florian

    2015-01-01

    A complete understanding of the psychology of social identity requires not only descriptions of how social identification processes work but also an account of why the underlying psychological mechanisms have evolved. This chapter focuses on the evolution of coalitional (or “tribal”) social identity (i.e., the type of social identity associated with nationality, ethnicity, religion, and class). Coalitional social identity appears to involve a readiness to incur costs for the collective, which...

  7. Identity and Fear of Success.

    Science.gov (United States)

    Larkin, Linda

    1987-01-01

    Investigated the relation between ego identity and fear of success using the Rasmussen Ego Identity Scale (EIS), the Marcia interview for identity status, the Cohen People Knowing Questionnaire (PKO) to measure fear of success, and an occupational behavior and attitude questionnaire. EIS and PKO scores correlated significantly with each other and…

  8. Queering Black Racial Identity Development

    Science.gov (United States)

    Johnson, Alandis A.; Quaye, Stephen John

    2017-01-01

    We used queer theory to encourage readers to think differently about previous theories about Black racial identity development. Queer theory facilitates new and deeper understandings of how Black people develop their racial identities, prompting more fluidity and nuance. Specifically, we present a queered model of Black racial identity development…

  9. Identity Education in Multicultural Germany.

    Science.gov (United States)

    Luchtenberg, Sigrid

    1998-01-01

    Addresses conditions of identity education in Germany within the framework of multicultural education. Particular focus is on the interaction theory of Krappmann (1971), which provides a framework for dealing with the necessities of identity education for migrant and German students. The importance of identity education for migrant students and…

  10. Identity theft and your practice.

    Science.gov (United States)

    Asbell, Lisa

    2010-01-01

    Medical identity theft is a growing problem in America. The federal government has passed laws to help "prevent" identity theft. However, several powerful medical associations are fighting the legislation. Americans need to know what is happening with these laws and why these laws are important to protect providers from lawsuits and consumers of healthcare from medical identity theft.

  11. Identity formation in multiparty negotiations

    NARCIS (Netherlands)

    Swaab, R; Postmes, T.; Spears, R.

    Based on the recently proposed Interactive Model of Identity Formation, we examine how top-down deductive and bottom-up inductive identity formations influence intentions and behaviour in multiparty negotiations. Results show that a shared identity can be deduced from the social context through

  12. Mistaken identity: activating conservative political identities induces "conservative" financial decisions.

    Science.gov (United States)

    Morris, Michael W; Carranza, Erica; Fox, Craig R

    2008-11-01

    Four studies investigated whether activating a social identity can lead group members to choose options that are labeled in words associated with that identity. When political identities were made salient, Republicans (but not Democrats) became more likely to choose the gamble or investment option labeled "conservative." This shift did not occur in a condition in which the same options were unlabeled. Thus, the mechanism underlying the effect appears to be not activated identity-related values prioritizing low risk, but rather activated identity-related language (the group label "conservative"). Indeed, when political identities were salient, Republicans favored options labeled "conservative" regardless of whether the options were low or high risk. Finally, requiring participants to explain the label "conservative" before making their choice did not diminish the effect, which suggests that it does not merely reflect inattention to content or construct accessibility. We discuss the implications of these results for the literatures on identity, priming, choice, politics, and marketing.

  13. Social identity change: shifts in social identity during adolescence.

    Science.gov (United States)

    Tanti, Chris; Stukas, Arthur A; Halloran, Michael J; Foddy, Margaret

    2011-06-01

    This study investigated the proposition that adolescence involves significant shifts in social identity as a function of changes in social context and cognitive style. Using an experimental design, we primed either peer or gender identity with a sample of 380 early- (12-13 years), mid- (15-16 years), and late-adolescents (18-20 years) and then measured the effect of the prime on self-stereotyping and ingroup favouritism. The findings showed significant differences in social identity across adolescent groups, in that social identity effects were relatively strong in early- and late-adolescents, particularly when peer group identity rather than gender identity was salient. While these effects were consistent with the experience of change in educational social context, differences in cognitive style were only weakly related to ingroup favouritism. The implications of the findings for theory and future research on social identity during adolescence are discussed. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.

  14. Identities in Migration

    Directory of Open Access Journals (Sweden)

    Montserrat Clua i Fainé

    2017-08-01

    Full Text Available Young Catalans in London build their identity as immigrants in a close dialectic between their own imaginary about immigration in their country of origin and British perceptions of them. Given the negative stigma attached to the category of «immigrant», not all recognise themselves as such. Some simply refuse to acknowledge they belong to this category, while others use the projection of prejudices on immigrants towards Spaniards as a strategy from which they distance themselves by establishing a distinction between Catalans and Spaniards.

  15. Migration, Narration, Identity

    DEFF Research Database (Denmark)

    Leese, Peter

    three consecutive summers from 2010 to 2012. The articles focus on various aspects of the migrant experience and try to answer questions about migrant identity and its representations in literature and the media. The book closes with an original play by Carlos Morton, the Chicano playwright working......(co-editor with Carly McLaughlin and Wladyslaw Witalisz) This book presents articles resulting from joint research on the representations of migration conducted in connection with the Erasmus Intensive Programme entitled «Migration and Narration» taught to groups of international students over...

  16. Identity Management A Primer

    CERN Document Server

    Sharoni, Ilan; Williamson, Graham; Yip, David

    2009-01-01

    In an age in which the boundaries between the real and the virtual are becoming increasingly blurred, this timely guide teaches both the key issues of identity management as well as appropriate strategies and preventative measures for ensuring personal safety in the virtual world. In a corporate setting, it is essential to identify and control the way in which the organization deals with customers, suppliers, employees, and other users who may interact with the information systems of the company. Providing strategies for overcoming this task in real-world terms as well as questions that assist

  17. Racial Identity and Education

    OpenAIRE

    Patacchini, Eleonora; Zenou, Yves

    2006-01-01

    We investigate the sources of differences in school performance between students of different races by focusing on identity issues. We find that having a higher percentage of same-race friends has a positive effect of white teenagers’ test score while having a negative effect on blacks’ test scores. However, the higher the education level of a black teenager’s parent, the lower this negative effect, while for whites, it is the reverse. It is thus the combination of the choice of friends (whic...

  18. Digital identity management

    CERN Document Server

    Laurent, Maryline

    2015-01-01

    In the past four decades, information technology has altered chains of value production, distribution, and information access at a significant rate. These changes, although they have shaken up numerous economic models, have so far not radically challenged the bases of our society.This book addresses our current progress and viewpoints on digital identity management in different fields (social networks, cloud computing, Internet of Things (IoT)), with input from experts in computer science, law, economics and sociology. Within this multidisciplinary and scientific context, having crossed analys

  19. Identity Management Technology

    OpenAIRE

    Sánchez Reíllo, Raúl

    2008-01-01

    This offer comes from researchers and professors from a Spanish University. They offer solutions in Identity Management for human beings (from Identification Cards to Biometrics). They offer cooperation in R&D task, as well as Assisting in Management, Dissemination of results and Standardization. They have proved experience in both national and european projects (e.g. eEpoch, BioSec). Contrato Programa de Comercialización e Internacionalización. Sistema Regional de Investigación Científ...

  20. Identity and the Management Project

    DEFF Research Database (Denmark)

    Jørgensen, Kenneth Mølbjerg; Dehlin, Erlend

    The paper discusses the concept of identity in relation to management. We take our starting point in Wittgenstein’s concept language games. We argue that identity is a question of using linguistic tools to construct reality. Two elements of the language game metaphor are central here: rules...... and family resemblance. As such, managing identity in organizations is closely linked to rules and family resemblance. Organizations manage identity through the definition of norms and values for right or wrong, appropriate or inappropriate, to name but a few. Norms and values are important as reference...... points for constructing identities. Managing identity has become more important because the rules-of-the-game have become more unstable. Managing identity is important if the bonds between individuals and organizations are to be sustained. But this task is contradictory and paradoxical of its very nature...