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The art of imitation: Wilhelm Stekel's Lehrjahre.

In the early history of psychoanalysis, the work of Wilhelm Stekel (1868-1940) was by and large neglected, even though he wrote a considerable number of psychoanalytic studies, some of which should be considered to have had a major influence on Freud's early thought. Freud, in turn, had much greater influence on Stekel than is commonly believed. In this article, the authors aim to uncover some of these mutual influences, in particular in the field of practice, by focusing on the elements of autobiography and self-analysis. The authors have identified a number of covert autobiographical passages in the work of Stekel, and attempt to link one of these 'revelations' to an equally covert response to it by Freud. In the closing section of this article, the authors argue that Stekel's attempt to imitate Freud's self-analysis contributed to the fracture between the two of them.

Famous Persons↗

The analyst: his professional novel.

The psychoanalyst needs to be in touch with a community of colleagues; he needs to feel part of a group with which he can share cognitive tension and therapeutic knowledge. Yet group ties are an aspect we analysts seldom discuss. The author defines the analyst's 'professional novel' as the emotional vicissitudes with the group that have marked the professional itinerary of every analyst; his relationship with institutions and with theories, and the emotional nuance of these relationships. The analyst's professional novel is the narrative elaboration of his professional autobiography. It is capable of transforming the individual's need to belong and the paths of identification and de-identification. Experience of the oedipal configuration allows the analyst to begin psychic work aimed at gaining spaces of separateness in his relationship with the group. This passage is marked by the work on mourning that separation involves, but also of mourning implicit in the awareness of the representative limits of our theories. Right from the start of analysis, the patient observes the emotional nuance of the analyst's connection to his group and theories; the patient notices how much this connection is governed by rigid needs to belong, and how much freedom of thought and exploration it allows the analyst. The author uses clinical examples to illustrate these hypotheses.

Humans↗

Convergence: maturation and integration in the course of a religious conversion.

The process of religious conversion has not been the focus of psychoanalytic understanding. This article examines one conversion narrative, a spiritual autobiography, in which, the author asserts, evidence can be found that the conversion described involved a process of maturation of the subject's internal god-representation, with an integration of maternal and paternal aspects of that internal object representation. Such a process as one aspect of a religious conversion, has implications for psychoanalytic work with religious patients, including the necessity of acknowledging the psychological and deeply believed reality of God for religious patients.

Female↗

Psychoanalysis, creativity, and hope: forward edge strivings in the life and work of choreographer Paul Taylor.

Psychoanalysis and creativity are not interchangeable enterprises; however, both creativity and psychoanalysis promise the hope of transformation. But hope may be fragile. Healthy aspects of self may hide and diminish hope to protect it against invasion from toxic pathological patterns. Hope may be rekindled by an empathically responsive environment and the reengagement of healthy forward edge strivings. Psychoanalysis illustrates creativity as a conduit for hope. Modern dance choreographer Paul Taylor's 1988 autobiography, Private Domain, describes Taylor's hope and strivings through creative engagement. Unfortunately, when Taylor's body inevitably falters after years of performing, he is unprepared psychologically to cope successfully. Taylor's sense of self begins to fragment and his forward edge strivings to decay. Eventually, Taylor collapses on stage from drug addiction and illness; his performing career crashes to an end. Taylor must search for his forward edge strivings with hope. Psychoanalysis illuminates Taylor's journey to find hope, motivation, meaningful intention, and transformation through creativity and dance-making.

Aspirations, Psychological↗

Sadistic personality disorder in perpetrators of human rights abuses: a South African case study.

Although state-sponsored human rights abuses have long been commonplace, the psychological profiles of perpetrators are not well delineated. This article examines the utility of the diagnosis of sadistic personality disorder (SPD) in explaining the commission of atrocities. The history of, and controversies surrounding, SPD are briefly reviewed. Using a case study from the amnesty trials of the Truth and Reconciliation Commission (TRC) in South Africa, the relevance of the SPD diagnosis for an infamous perpetrator of political violence is debated. Sources of data include the perpetrator's autobiography, transcripts from the amnesty trial, and Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II; First, Spitzer, Gibbon, & Williams, 1994) ratings provided by four people who had contact with the perpetrator during his trial. The authors provide arguments for and against the use of the SPD diagnosis in this case and in similar contexts of perpetration. It is proposed that neither psychological reductionism nor social reductionism can adequately account for the motivations of political perpetrators, and an integrative approach to the understanding of perpetrators is advocated. Implications for diagnostic criteria are discussed.

Human Rights↗

The use of convent archival records in medical research: the School Sisters of Notre Dame archives and the nun study.

The School Sisters of Notre Dame (SSND) archives program in a cooperative system for the arrangement and preservation of the records of the SSND provinces in North America, including records of individual sisters. Archival records include autobiographies, school and college transcripts, employment histories, and family socioeconomic data. The Nun Study, a longitudinal study of Alzheimer's disease and aging in 678 SSND sisters, compares data extracted from these records with data on late-life cognitive and physical function and postmortem brain neuropathology to explore early life factor that may affect late-life cognitive function and longevity.

Aging↗

Influencing the attitudes of medical students toward diabetes. Results of a controlled study.

OBJECTIVE: To determine the effect of two educational interventions on the diabetes-related attitudes of medical students. RESEARCH DESIGN AND METHODS: We studied 67 junior and senior medical students who were participating in the University of Michigan Medical School's Family Practice elective clerkship. Students were assigned to one of two interventions. The first was a 1-wk living-with-diabetes behavioral simulation that involved injections, blood glucose monitoring, diet, exercise, and record keeping. The second intervention involved reading an autobiography about living with diabetes and viewing a videotape about the psychosocial impact of diabetes. RESULTS: No differential impact was found between the two interventions. However, both interventions were followed by a modest positive change in the attitudes of the medical students (which were very positive to begin with) toward the importance of patient autonomy and the value of the team approach to diabetes care. The attitude gains persisted at follow-up for patient autonomy but returned to baseline for team care. CONCLUSIONS: This study suggests that these two educational interventions resulted in modest increases in the already positive attitudes of medical students toward the importance of patient autonomy and team care in diabetes. However, because the study did not include a group that received no treatment, we cannot be certain on this point. The attitude gain related to team care did not persist at follow-up. These findings are consistent with classical attitude research, which suggests that attitudes are sensitive to influences such as these interventions, but that attitude changes may not persist when those influences are changed or withdrawn. We were not able to find a differential impact between the two interventions and suspect that the general nature of the DAS used as the dependent measure may not have been sensitive enough to capture such a differential impact.

Analysis of Variance↗

Talking tumours: histories from sequences.

The history of a tumour is currently inferred from its morphology. However, progression may be variable between similar appearing tumours, and some critical events may be difficult to see. It has become increasingly apparent that histories are also written within sequences. Every tumour likely records its own progression within its genome. In the future, it may be possible to read the past based on these sequences. A critical issue is whether these autobiographies will recapitulate morphology or whether they reveal unexpected ghosts.

Adenoma↗

Life histories in occupational therapy clinical practice.

This article defines and compares several narrative methods used to describe and interpret patients' lives. The biographical methods presented are case histories, life-charts, life histories, life stories, assisted autobiography, hermeneutic case reconstruction, therapeutic employment, volitional narratives, and occupational storytelling and story making. Emphasis is placed the clinician as a collaborator and interpreter of the patient's life through ongoing interactions and dialogue.

Culture↗

The unpackaging of routine in older women.

OBJECTIVE: A qualitative research design using grounded theory procedures and techniques was used to explore how routine changed in later adulthood for seven Caucasian, college-educated, middle-class women who were not employed and who were free of major functional impairments. METHOD: In-depth interviews, observations, an autobiography, and researcher-generated memos provided data. Data analysis involved concept formation, concept development, and conceptual modification and integration. Data collection and analysis were concurrent, iterative, reflective, and reflexive. RESULTS: Although the participants used routines to facilitate their well-being, they reported doing so to a lesser extent than when they had children living at home or when they worked. These participants unpackaged routines and molded them into increasingly flexible time-use strategies in response to age-related changes in their ecocultural niche, philosophy of life, and physical status. CONCLUSION: That the participants sought less obligation and more freedom as they aged may influence the way they respond to a health care practitioner's advocating for an increase in routine. Interventions with older women must be compatible with existing routines and family themes and directly linked to well-being.

Activities of Daily Living↗

Mental tools for thinking about DNA technologies in new ways.

OBJECTIVE: To investigate the nature of creative thinking in biomedical science with specific applications to molecular pathologies and DNA technologies. DATA SOURCES: Accounts of breakthroughs and inventions contained in autobiographies, biographies, interviews, and archival sources. STUDY SELECTION: Discoveries that have altered, or may yet alter, basic textbook accounts of biomedical sciences for which appropriate data sources exist. DATA EXTRACTION: Approximately 1000 data sources were analyzed, both within appropriate sciences and in other creative fields, such as the arts. DATA SYNTHESIS: The current analysis is based on a framework described in our previous book, Sparks of Genius, which outlines a general approach to understanding creative thinking. CONCLUSIONS: Creative thinking in all disciplines depends on a common mental "toolkit" that consists of 13 fundamental tools: observing, imaging, abstracting, pattern recognition, pattern forming, analogizing, body thinking, empathizing, dimensional thinking, modeling, playing, transforming, and synthesizing. Scientists recognize and solve problems by observing data that break the patterns established by theories; exploring a system by creating an abstract model with which they can play; and transforming data into feelings, sounds, and other forms that create surprising analogies to already-understood principles. The result of such personal thinking is knowledge combined with sensation and emotion--feeling and understanding synthesized into complete awareness. We illustrate some of these modes of thinking with reference to recent breakthroughs in DNA-related areas and suggest ways in which the use of "tools for thinking" can increase the probability of making further discoveries in the biomedical sciences.

Biotechnology↗

Between education and memory: health and childhood in English-Canada, 1900-1950.

Despite contemporary concerns regarding the state of Canadian children's health, historians in Canada have yet to fully explore how conventional medical experts and educators thought about, and safeguarded, children's health. This paper explores the interplay between two sources of information regarding the provision of healthy children between 1900 and the end of the Second World War in the English Canadian context: curricular messages regarding health and illness aimed at public school children and the oral histories and autobiographies of adults who grew up in this period. Rather than simply juxtapose official health curriculum and lived memory, I argue that the two co-mingled to produce differing kinds of embodied knowledge aimed at the production and reproduction of hegemonic social values in the English Canadian setting. These values co-existed both harmoniously and uncomfortably, depending very much upon the priorities of, and socially constructed limitations placed upon, particular families in particular contexts.

Canada↗

[Bailey K. Ashford, more in his remembrance].

The military physician Bailey K. Ashford (Washington, D. C., September 18, 1873--San Juan, Puerto Rico, November 1, 1934) is mostly remembered for having identified in 1899 the cause of fatal anemia prevalent among Puertorican peasants, but he was also a distinguished investigator of other diseases, and organizer of mass medical services, in peace and in war. In spite of Ashford's own sober statements, the great influence of his scientific work in Puerto Rico and the impact of his personality in patients and colleagues have helped cast him as a mythical figure. His personal archives (kept at the library of the University of Puerto Rico's Medical Sciences Campus) make clear that his autobiography presents only a selection among the episodes that would form a complete biography.

History, 19th Century↗

Hans Zinsser: a tale of two cultures.

Hans Zinsser, president of the Society of American Bacteriologists in 1926, was known as much for his literary and textbook writing as for his scientific contributions. He was a widely known scientist and person of letters. His early interests in poetry and other forms of literature were maintained and developed during his career as a microbiologist, and his most enduring legacy is based on his writing about microbiology for a general readership as well as his reflective and philosophical autobiography.

History, 20th Century↗

[Herwig Hamperl in Prague].

Prof. Herwig Hamperl, M.D. (1899-1976), Chairman of the German Institute of Pathology, Charles University, Prague in years 1940-1945. The account of his work in Prague is first of all based on his autobiography (A Pathologist's Life and Evolution), published in 1972 in a German edition only. It describes the history of the university and conditions of work in the German Institute of Pathology 60 years ago. Hamperl recalls here his contemporaries, his relationships with the Czech pathologists, Prof. Sikl and his Czech students. The autopsy and the cause of death of Reinhard Heydrich are reported as well as the situation at the university and in Prague during the war years.

Academies and Institutes↗

[Konrad Birkhaug and the BCG vaccine].

Konrad Elias Birkhaug (1892-1980) was born in Bergen to Elisa Marie Skorge and Karl Anders Birkhaug, a policeman, as the sixth of their ten children. After a period as a laboratory assistant at Bergen Municipal Hospital, he emigrated to USA in 1911. He graduated from the medical school of Johns Hopkins University in 1924. After residency in bacteriology, he became professor at Rochester University in 1927 and head of its laboratory of bacteriology. From 1932 to 1935 he worked as a senior scientist at the Institute Pasteur in Paris and from 1935 to 1945 as a fellow of the Chr. Michelsen Institute in Bergen. From 1937 he also headed the National Laboratory for production of BCG vaccine. After active involvement in the resistance movement against the Nazis during the Second World War, he returned to the USA in 1946 as head of the BCG laboratory of the State of New York in Albany. He retired in 1953 and settled in Bergen, where he died in 1980. Birkhaug is one of the pioneers in the research on immunity reactions to tuberculosis infection and BCG vaccination. He is also known for producing the first antiserum against erysipelas, which was used from 1927 until sulphonamides were discovered. In addition to his international scientific publications, he wrote two books in Norwegian, his autobiography and a book about the German eradication of a small fishermen's village in Western Norway during the Second World War.

BCG Vaccine↗

American ecologists: a biographical bibliography.

This paper includes sources of published biographical information on about 575 identified ecologists. There are over 2,400 references cited, providing a wealth of material covering the lives and work of ecological practitioners. Entries range from very short notices of death to somewhat longer obituaries and "Resolutions of Respect" to book-length biographies and autobiographies. The bibliography is alphabetical by individual, while referenced sources are alphabetical and thence chronological. It should be useful to historians, ecologists and historians of science, including biographers, as an entry into the voluminous literature on the development of ecological science.

Bibliographies as Topic↗

"Be unto me as a precious ointment": Lady Grace Mildmay, sixteenth-century female practioner.

Lady Grace Mildmay's manuscripts represent an unusual presentation of three interrelated areas of family, devotion, and medicine. By examining her autobiography, meditations, and medical papers, I draw together literary analysis and discourses of female devotional and social practices with that of medical discourses to illustrate the ways in which women practitioners may have acquired and disseminated medical knowledge, and interacted with their patients, as well as how Lady Mildnay, and presumably other landed women practitioners, formed a textual community of women who administerd medical treatment to lay people in late sixteenth-century England.

History, 16th Century↗