Journal articles on the topic 'Paranoia sensitive'

Theoretical models ascribe jumping to conclusions (JTCs) a prominent role in the pathogenesis of paranoia. While many earlier studies corroborated this account, some newer investigations have found no or only small associations of the JTC bias with paranoid symptoms. The present study examined whether these inconsistencies in part reflect methodological differences across studies. The study was built upon the psychometric high-risk paradigm. A total of 1899 subjects from the general population took part in an online survey and were administered the Paranoia Checklist as well as one of two different variants of the probabilistic reasoning task: one variant with a traditional instruction (a) and one novel variant that combines probability estimates with decision judgments (b). Factor analysis of the Paranoia Checklist yielded an unspecific suspiciousness factor and a psychotic paranoia factor. The latter was significantly associated with scores indicating hasty decision making. Subjects scoring two standard deviations above the mean of the Paranoia Checklist showed an abnormal data-gathering style relative to subjects with normal scores. Findings suggest that the so-called decision threshold parameter is more sensitive than the conventional JTC index. For future research the specific contents of paranoid beliefs deserve more consideration in the investigation of decision making in schizophrenia as JTC seems to be associated with core psychosis-prone features of paranoia only.

The course of severe depressive symptoms from pregnancy to 6 months postpartum, as well as the occurrence of severe paranoid symptoms prenatally, were examined by the Millon Clinical Multiaxial Inventory I and the Beck Depression Inventory, in 78 women who were heavy, chronic cocaine users and who retained custody of their children after birth. Six months postpartum, the quality of caregiving was observed and assessed in the home, and the children were assessed on the Bayley MDI Index in the laboratory. Mothers who were depressed and paranoid prenatally, regardless of whether the depression continued to 6 months postpartum, were less sensitive in caregiving than women without severe symptoms of paranoia or depression during pregnancy or those who reported only depression that lifted by 6 months postpartum. Mothers who were depressed prenatally and continued to be depressed by 6 months postpartum, regardless of the presence or absence of paranoia, had infants who earned lower Bayley MDI scores than the offspring of women without severe psychological symptoms or women whose depression had lifted. Severe depressive symptoms during pregnancy, if they did not continue to 6 months postpartum, did not appear to adversely influence either caregiving or infant functioning.

Delusional beliefs are characteristic of psychosis and, of the delusions, the paranoid delusion is the single most common type associated with psychosis. The many years of research focused on neurocognition in schizophrenia, using standardized neurocognitive tests, have failed to find conclusive cognitive deficits in relation to positive symptoms. However, UK-based psychological research has identified sociocognitive anomalies in relation to paranoid thinking in the form of theory of mind (ToM), causal reasoning and threat-related processing anomalies. Drawing from recent neuroscientific research on the default mode network, this paper asserts that the common theme running through the psychological tests that are sensitive to the cognitive impairment of paranoia is the need to cognitively project the self through time, referred to as mental time travel. Such an understanding of the cognitive roots of paranoid ideation provides a synthesis between psychological and biological accounts of psychosis while also retaining the powerful argument that understanding abnormal thinking must start with models of normal cognition. This is the core theme running through the cognitive psychological literature of psychiatric disorders that enables research from this area to inform psychological therapy.

BackgroundParanoia is increasingly being studied in clinical and non-clinical populations. However there is no multi-dimensional measure of persecutory ideas developed for use across the general population-psychopathology continuum. This paper reports the development of such a questionnaire: the ‘Green et al. Paranoid Thought Scales’. The aim was to devise a tool to assess ideas of persecution and social reference in a simple self-report format, guided by a current definition of persecutory ideation, and incorporating assessment of conviction, preoccupation and distress.MethodA total of 353 individuals without a history of mental illness, and 50 individuals with current persecutory delusions completed a pool of paranoid items and additional measures to assess validity. Items were devised from a recent definition of persecutory delusions, current assessments of paranoia, the authors' clinical experience, and incorporated dimensions of conviction, preoccupation and distress. Test–retest reliability in the non-clinical group was assessed at 2 weeks follow-up, and clinical change in the deluded group at 6 months follow-up.ResultsTwo 16-item scales were extracted, assessing ideas of social reference and persecution. Good internal consistency and validity was established for both scales and their dimensions. The scales were sensitive to clinical change. A hierarchical relationship between social reference and persecution was found. The data provide further evidence for a continuum of paranoid ideas between deluded and healthy individuals.ConclusionsA reliable and valid tool for assessing paranoid thoughts is presented. It will provide an effective way for researchers to ensure consistency in research and for clinicians to assess change with treatment.

ObjectifsRappeler le concept du délire de relation des sensitifs de Kretschmer.MéthodologieÉtude de cas : présenter deux vignettes cliniques avec revue de la littérature.RésultatsLe délire de relation chez les personnalités sensitives (ou paranoïa sensitive de Kretschmer) est une forme dépressive de la paranoïa qui a été décrite par Kretschmer en 1919. Il est défini par le développement progressif d’idées de persécution sur un fond prémorbide sensitif (hyperémotif et hyposthénique). On ne retrouve pas, dans les personnalités qualifiées de sensitives ou sensibles, la surestime de soi ou la quérulence qui caractérisent les autres types de personnalités paranoïaques. Par contre, on y trouve l’orgueil, sens des valeurs et de la morale, vulnérabilité et tendance à intérioriser douloureusement les échecs relationnels et affectifs qu’elles rencontrent. Le délire de Kretschmer se complique généralement d’épisodes dépressifs et anxieux à consonance hypocondriaque, ce qui met à découvert les sentiments d’incapacité et d’échec. L’évolution est aussi moins souvent chronique que dans les autres paranoïas. Toutefois, même après une évolution favorable, les signes sont susceptibles de réapparaître à l’occasion d’une nouvelle déception. Le traitement des délires de relation des sensitifs est encore discuté : pour certains, l’association antidépresseur/neuroleptique s’impose. Pour d’autres, il est légitime de tenter d’abord un traitement antidépresseur seul, il est en revanche rare qu’un traitement neuroleptique seul soit efficace, notamment sur la dimension dépressive. Devant l’appauvrissement conceptuel, nous avons choisi d’illustrer ceci à partir de deux cas cliniques.

Study Objective: To study the types of attitude to their disease in multiple sclerosis (MS) patients and the effects of depressive disorders on the internal picture of the disease. Study Design: This was a comparative prospective study. Materials and Methods: One hundred and twenty-nine patients with clinically verified MS, aged 15 to 61, participated in the study. They were divided into two groups: those who had MS without depression (n = 56) and those who had both MS and depression (n = 73). The study tools included the А. Beck Depression Inventory; a depression self-assessment scale developed at the V.M. Bekhterev Research Institute; the Khanin modification of the Spielberger State-Trait Anxiety Inventory, intended to assess personality-related and reactive anxiety; the Asthenia Assessment Scale developed by L.D. Malkova; and the “Mini-Mult” and “Attitude to Disease” personality assessment tools. Study Results: The study revealed that more than half of the MS patients had depression. The severity of their depressive disorders was consistent with a moderate depressive episode. Personality assessment of the MS patients with depression showed that women had high scores on the scales for depression and hysteria and moderate scores on the scales for paranoia and schizoid tendencies and males had high scores on the scales for psychopathy, paranoia, and psychasthenia. In the group of MS patients without depression, there were no statistically significant differences in scale scores between men and women. The MS patients without depression more often demonstrated ergopathic (р = 0.0006), anosognosic (p = 0.00003), or balanced (p = 0.01) attitudes to the disease, with a focus on maintaining their occupational status and continuing an active life, while the MS patients with depression exhibited attitudes related to particular personality traits, with signs of a disturbed social maladjustment and advantage by illness. Men with both MS and depression more often had neurasthenic and hypochondriacal attitudes and women with both MS and depression more frequently have sensitive, egocentric, paranoid or dysphoric attitudes to the disease, which are characterized by even more markedly disturbed social adjustment and various types of maladaptive behavior (using others to achieve their goals), and aggressive tendencies. Conclusion: Depressive disorders in MS patients significantly change their psychological structure and how they see the world around them, and reduce their resource capacities, making social adjustment more challenging and worsening their quality of life. When affective disorders are diagnosed in a timely manner and treated in their early stages, patients with MS choose more adaptive mechanisms of psychological defense and more adaptive attitudes to the disease, which improves their quality of life. Keywords: multiple sclerosis, type of attitude to a disease, depression, anxiety, social adjustment, internal picture of a disease.

Abstract This paper contends that genre mixing in comedy films of the 1960s in South Korea had the potential to interrupt filmic codes, which were increasingly propagandistic following the tightening of film law. The advent of the James Bond films as a global cultural phenomenon stimulated local production of spy films, where the villain was typically North Korean. These films were welcomed by cultural regimes of the time due to their anticommunist orientation, but a small hybrid genre, the “spy comedy,” undermined their absolutism. Based in the vernacular comedy traditions of slapstick film performance, stage comedy, and radio, these “spy comedies” spoofed aspects of both the James Bond franchise and the local action thrillers that imitated Bond. This was often accomplished by overlaying the narrative of a rustic with that of a spy. The comedies reveal a synchronicity between development and urbanization, which displaced large numbers of people, and the othering of North Koreans, which led to spy paranoia about those who were out of place. This paper argues that global genres played a particular role for South Korean comedy in the 1960s: they enabled oblique treatments of sensitive social issues through play. Generic heterogeneity defined comedic films of this era.

Acute adverse psychological reactions to classic hallucinogens (“bad trips” or “challenging experiences”), while usually benign with proper screening, preparation, and support in controlled settings, remain a safety concern in uncontrolled settings (such as illicit use contexts). Anecdotal and case reports suggest potential adverse acute symptoms including affective (panic, depressed mood), cognitive (confusion, feelings of losing sanity), and somatic (nausea, heart palpitation) symptoms. Responses to items from several hallucinogen-sensitive questionnaires (Hallucinogen Rating Scale, the States of Consciousness Questionnaire, and the Five-Dimensional Altered States of Consciousness questionnaire) in an Internet survey of challenging experiences with the classic hallucinogen psilocybin were used to construct and validate a Challenging Experience Questionnaire. The stand-alone Challenging Experience Questionnaire was then validated in a separate sample. Seven Challenging Experience Questionnaire factors (grief, fear, death, insanity, isolation, physical distress, and paranoia) provide a phenomenological profile of challenging aspects of experiences with psilocybin. Factor scores were associated with difficulty, meaningfulness, spiritual significance, and change in well-being attributed to the challenging experiences. The factor structure did not differ based on gender or prior struggle with anxiety or depression. The Challenging Experience Questionnaire provides a basis for future investigation of predictors and outcomes of challenging experiences with classic hallucinogens.

SummaryUnusually frequent sinistral motor and sighting dominance have sometimes been reported in schizophrenics, although the majority of patients are still dextral. In this study, assessment of lateral dominance also included a measure of grip strength—a potentially more sensitive index of dominance or lateralised impairment; schizophrenics, non-schizophrenic patients (affective disorder), and normal controls were studied. There were no differences in handedness or sighting dominance. Affective patients, particularly bipolar psychotics, had greater right-handed grip superiority than normals or non-paranoid schizophrenics. Paranoid schizophrenics were similar, being significantly greater in right-sided dominance than non-paranoids, who tended toward a smaller value than normals. Hand grip asymmetry was highly correlated with handedness in normals, but not in patients. The possibility is discussed that these results may reflect asymmetrical patterns of cerebral impairment or attentional bias.

L’auteur se propose de revenir sur ce délire bien particulier qu’est le délire de relation des sensitifs (ou paranoïa sensitive), isolé par Kretschmer en 1918. Si le nom de Kretschmer est assez peu cité dans la littérature, les « caractères » sensitifs mis en avant sont pourtant encore souvent repris dans la description de tableaux cliniques de certaines formes de paranoïa, et nous montrerons ainsi que ce délire est bien d’actualité. Après avoir exposé les grandes lignes de la conception kretschmérienne et donc les particularités de la paranoïa sensitive, nous proposons une courte revue de la littérature, la façon dont ce délire fut reçue dans le champ psychanalytique, et nous proposerons enfin en guise d’ouverture un regard lacanien qui permet à certains égards de rapprocher la paranoïa sensitive de la psychose dite « ordinaire ». Cette forme singulière de paranoïa se révèle bien différente du tableau classique dressé en son temps par Kraepelin, éloigné des délires systématisés et extra-ordinaires de type Schreber. Nous aurions affaire ici à des sujets décrits - avant le déclenchement du délire - comme des sujets sensibles, introvertis, timides, hyperémotifs, intériorisant les affects, réfrénant leurs pulsions, s’auto-dévalorisant, susceptibles, mal assurés dans leur relation à la sexualité, etc. Un événement, une « expérience vécue » (Erlebnis), souvent une remarque, un reproche, un regard, va déclencher le délire, comme la goutte d’eau faisant déborder le vase. Pas d’hallucination, pas de grand délire, mais un délire essentiellement de « relation », avec sentiment de persécution, sentiment surtout d’échec, d’insuffisance et d’humiliation, impression de malveillance de l’entourage, interprétations délirantes de menus faits du quotidien, ressentiment, insécurité, auto-dévalorisation. L’ensemble du tableau se situerait donc sur le plan relationnel. On peut dire de la conception de Kretschmer qu’elle rompt avec les conceptions déficitaires; en ce sens on peut la qualifier de psychodynamique. Nous verrons combien les descriptions fines qui ont été faites de ce tableau clinique sont dans le fond assez fréquemment rencontrées en pratique et qu’elles nous poussent à repenser le cadre de la paranoïa.

Bipolar disorder (BPD) is a severe, recurrent psychiatric illness characterized by a chronic course of vacillating episodes of major depression and mania that impair functioning across many psychosocial domains (DSM–IV; DSM–IV-TR). Within each type of episode, changes occur in mood, cognitive processing, and regulation of vegetative functioning. Typical mood shifts include sadness (in depression) or euphoria (in mania). Either state can produce irritability, anxiety, and anger. In addition, both the process and the content of cognitive functioning are altered. Typical changes in process include decreased speed of thought in depression and increased speed of thought in mania. Content changes include negativity in depression and in mixed states, and grandiosity or paranoia in manic states. According to the cognitive-behavioral model of BPD (Basco & Rush, 2005), these changes in mood and cognition are accompanied by behavioral changes, typically increases in activity in mania and decreases in activity in depression. These behavioral changes, in turn, generally have a negative impact on the individual’s psychosocial functioning, such as slowed work productivity, neglect of household or family responsibilities, and reduced involvement in social activities, bring negative consequences to patients as well as those in their primary support groups. In mania, risk taking, disorganized behavior, sleep loss, and reduced medication adherence quickly exacerbate symptoms, reduce quality of functioning, and create significant psychosocial problems. BPD is sensitive to stress (Goodwin & Jamison, 1990). As symptoms alter functioning, new stressors are created as a consequence. Added stress exacerbates symptoms, and functioning may decline further.

The changes in the concept of psychopathies and psychopathic reactions of the prominent German psychiatrist O. Bumke who in the first edition of his textbook (1919) was oriented on E. Kraepelin’s systematics of psychopathic personalities but included hysteric personality in psychopathies and tried to delineate the special type of “affectepileptoids” are analyzed. In the second edition of the Textbook (1924) O. Bumke subjected E. Kretschmer’s typology of schizoids and “prototypical” constitutional approach to psychopathies systematics to convincing criticism. In the third edition of the Textbook (1929) O. Bumke accepted partly “constitutional” approach and suggested his own typology of schizoid types among which he marked out fanatics, dissatisfied, emotionally cold and “enemies of the society”, and some originally described “tymopathic” types: “gentle egoists”, “gentle autists” and anxious. Other psychopathic types: paranoid, explosive, hysteric, dypso- and poriomans from O. Bumke’s point of view appeared on heterogenous constitutional ground. From the third edition of the Textbook O. Bumke separately described hysterical “attitude” underlining the meaning of environmental factors in the formation of hysterical personality, and two types of paranoic personality development: litigious and sensitive in O. Bumke’s comprehension were corresponding to paranoic “attitude”. The peculiarity of O. Bumke’s concept of psychopathies and psychopathic reactions was its accent on the prevalence of mixed and transitive forms in the clinical reality and corresponding impossibility for differentiation.

Abstract Background Persecutory delusions (PD) are a prominent symptom in first episode psychosis and psychosis patients. PD have been linked to abnormalities in probabilistic reasoning and social inference (e.g., attribution styles). Predictive Coding theories of delusion formation suggest that rigid delusional beliefs could be formalized as precise (i.e. held with certainty) high-level prior beliefs, which were formed to explain away overly precise low-level prediction errors (PEs). Rigid reliance on high-level prior beliefs would in turn lead to diminished updating of high-level PEs, i.e. decreased learning and updating of high-level beliefs. Methods We tested the prediction that subclinical PD ideation is related to altered social inference and beliefs about others’ intentions. To that end, N=1’145 participants from the general population were pre-screened with the Paranoia Checklist (PCL) and assigned to groups of high (“high PD”) or low PD tendencies (“low PD”). Participants with intermediate scores were excluded, participants assigned to either group filled in the PCL again after four weeks, only individuals whose score remained inside the cut-offs for either group were subsequently invited to the study. We invited 162 participants and included 151 participants in the analyses based on exclusion criteria defined in an analysis plan, which was time-stamped before the conclusion of data acquisition. Participants performed a probabilistic advice-taking task with dynamic changes in the advice-outcome mapping (volatility) under one of two experimental frames. These frames differentially emphasised possible reasons behind unhelpful advice: (i) the adviser’s possible intentions (dispositional frame) or (ii) the rules of the game (situational frame). Our design was thus 2-by-2 factorial (high vs. low delusional ideation, dispositional vs. situational frame). Participants were matched regarding age, gender, and education in years. In addition to analyses of variance on participants’ behaviour, we applied computational modeling to test the predictions regarding prior beliefs and belief updating mentioned above. Results We found significant group-by-frame interactions, indicating that in the situational frame high PD participants took advice less into account than low scorers (df = (1,150), F = 5.77, p = 0.018, partial η2= 0.04). This was also reflected in the model parameters of the model explaining participants’ learning under uncertainty best in comparison to other learning models (e.g. tonic evolution rate omega2: df = (1,150), F = 4.75, p = 0.03). Discussion Our findings suggest that social inference in individuals with subclinical PD tendencies is shaped by rigid negative prior beliefs about the intentions of others. High PD participants were less sensitive to the attributional framing and updated their beliefs less vs. low PD participants thereby preventing them to make adaptive use of social information in “safe” contexts.

A two-stage culturally sensitive diagnostic procedure allows for the assessment of cultural factors in paranoid symptom expression among African Americans. The first stage eliminates clinician bias by ensuring that diagnosticians adhere to DSM criteria. The second stage removes cultural bias by having cultural experts (i.e., African American mental health professionals) give best-estimate diagnoses using the same symptom data along with cultural knowledge. The present study uses the culturally sensitive diagnostic interview paradigm and structural equation modeling to examine the effects of demographic background, patients’ self-report of paranoid symptoms, and patients’ self-report of cultural mistrust on clinicians’ ratings of cultural mistrust for a sample of 116 Black psychiatric inpatients. Full and reduced models were tested using structural equation modeling, and the reduced model was the best fit to the data. The results suggest that clinicians can identify cultural mistrust in Black psychiatric patients. Implications for cultural competence training to prevent psychiatric misdiagnosis are discussed.

People often cooperate and obey norms in situations where it is clear they cannot be caught and punished. Such behavior does not serve their self-interest, as they are foregoing opportunities to exploit others without any negative consequences. Hence, it is not clear how this behavior could have evolved. Some previous explanations invoked the existence of other-regarding preferences, moral motivation, or intrinsic concern for social norms. In this study, we develop an agent-based model illustrating that none of these is necessary for the emergence of norm-abiding behavior. Our model suggests evolutionary pressure against norm violators may lead to the emergence of a bias, causing agents to be extremely sensitive to the probability of being caught. Because of this, they often incorrectly classify anonymous situations as non-anonymous ones and obey social norms due to the fear of being punished. In our simulations, we show that cooperation is promoted by (1) the number of interactions actually observed, (2) the strength of punishments against norm violators, and most importantly, (3) the uncertainty in agent classifications.

ObjectiveThe relationship between personality and delusional ideation in still debated. The present study was aimed to evaluate the role of personality features and trait affectivity on the severity of delusional beliefs, through the lens of a dimensional approach. In fact, robust evidence suggests that delusional experience presents a dimensional structure rather than an all-or-nothing fashion with a severity gradient of delusional beliefs from general population to full-blown delusional disorder (DD).MethodForty-nine inpatients affected by DD and 42 non-delusional outpatients were administered the structured interview for DSM-IV Personality Disorders, the Pathological Narcissism Inventory–Italian Version, the Positive and Negative Affect Schedule and the Peters et al. 33–Italian version.ResultsSeverity of delusional ideation was positively related to “hiding the self” (HS) domain of narcissistic vulnerability and to paranoid traits and negatively related to “positive affect” (PA). Paranoid traits and HS significantly interacted in influencing delusional dimension severity (Fig. 1). Low PA represents a trait affectivity of sadness and lethargy whereas HS is closely related to the experience of shame. We speculate that lower levels of PA and higher levels of HS may grasp the “asthenic” pole of Kretschmer's “sensitive character”.ConclusionThe study findings suggest that the severity of delusional ideation depends, at least in part, on a complex interplay between specific affective and paranoid dispositions within personality. Delusion may constitute the superficial shell, which develops from and cover inner affective vulnerabilities of personality.Fig. 1Disclosure of interestThe authors have not supplied their declaration of competing interest.

AbstractPurpose:To test whether firstly, different parental rearing components were associated with different dimensions of psychiatric symptoms in adulthood, secondly BDNF-Val66Met polymorphism moderated this association and thirdly, this association was due to genetic confounding.Method:Perceived parental rearing according to Parental Bonding Instrument (PBI), psychiatric symptoms evaluated with the Brief Symptom Inventory (BSI) and the BDNF-Val66Met polymorphism were analyzed in a sample of 232 adult twins from the general population.Results:In the whole sample, paternal care was negatively associated with depression. Maternal overprotection was positively associated with paranoid ideation, obsession-compulsion and somatization. Gene-environment interaction effects were detected between the BDNF-Val66Met polymorphism and maternal care on phobic anxiety, paternal care on hostility, maternal overprotection on somatization and paternal overprotection also in somatization. In the subsample of MZ twins, intrapair differences in maternal care were associated with anxiety, paranoid ideation and somatization.Conclusions:Met carriers were, in general, more sensitive to the effects of parental rearing compared to Val/Val carriers in relation to anxiety and somatization. Contra-intuitively, our findings suggest that high rates of maternal care might be of risk for Met carriers regarding anxiety. Results from analyses controlling for genetic confounding were in line with this finding.

The canine atrioventricular (AV) junction comprises three major tissues: paranodal fibers (PNF), AV node (AVN), and His bundle (HB). In the present study, dissection-exposed, in vitro canine AV junctional preparations were used. The object of the study was to determine whether the PNF or AVN was more sensitive to the suppressive effect of acetylcholine (ACh). In five experiments these tissues were stimulated antegradely and retrogradely, and their action potentials were recorded simultaneously under the influence of ACh (0.5 micrograms/ml). Results indicated the PNF were more sensitive to the suppressive effect of ACh than were the AVN. In another group of 13 experiments, the effects of ACh at 0.05-0.3 micrograms/ml on rate of rise of phase 0 of action potentials (Vmax), peak potential, resting membrane potential, and action potential duration of the PNF were determined. Results indicated that ACh exerted a strong suppressive effect on Vmax and amplitude of the action potentials and had little effect on the resting membrane potential and action potential duration of the PNF. In 10 of 13 preparations, ACh also suppressed the response of PNF, resulting in generation of one action potential to every two stimuli. In conclusion, these findings suggest that PNF could be the tissue responsible for vagal-induced AV conduction block.

AbstractBackgroundDeficits of mismatch negativity (MMN) in schizophrenia and individuals at risk for psychosis have been replicated many times. Several studies have also demonstrated the occurrence of subclinical psychotic symptoms within the general population. However, none has yet investigated MMN in individuals from the general population who report subclinical psychotic symptoms.MethodsThe MMN to duration-, frequency-, and intensity deviants was recorded in 217 nonclinical individuals classified into a control group (n = 72) and three subclinical groups: paranoid (n = 44), psychotic (n = 51), and mixed paranoid-psychotic (n = 50). Amplitudes of MMN at frontocentral electrodes were referenced to average. Based on a three-source model of MMN generation, we conducted an MMN source analysis and compared the amplitudes of surface electrodes and sources among groups.ResultsWe found no significant differences in MMN amplitudes of surface electrodes. However, significant differences in MMN generation among the four groups were revealed at the frontal source for duration-deviant stimuli (P = 0.01). We also detected a trend-level difference (P = 0.05) in MMN activity among those groups for frequency deviants at the frontal source.ConclusionsIndividuals from the general population who report psychotic symptoms are a heterogeneous group. However, alterations exist in their frontal MMN activity. This increased activity might be an indicator of more sensitive perception regarding changes in the environment for individuals with subclinical psychotic symptoms.

Ion-transporting Na,K-ATPase plays an essential role in nerve conduction. To clarify the cytochemical effects of reserpine on transport Na,K-ATPase activity, the localization of ouabain-sensitive, K+-dependent p-nitrophenylphosphatase (K-NPPase) activity was investigated in the facial nerves of normal and reserpinized guinea pigs using a cerium-based method. In the normal facial nerve, the reaction product of K-NPPase activity was observed on the internodal axolemma and Schmidt-Lanterman incisures. In the Ranvier nodes, enzyme activity was localized to the paranodal and nodal axolemma. In the reserpinized nerves, reaction product was detectable on the nodal axolemma but was undetectable on the other parts of the axolemma. Nodal K-NPPase was not affected by reserpine treatment. Therefore, the transport Na,K-ATPase on the nodal axolemma might differ from that on the other parts of the axolemma. Allowing reserpinized animals to survive. Two different ouabain-sensitive K-NPPase reactivities, “reserpine-sensitive” and “reserpine-resistant,” might be present in the facial nerve of guinea pigs. (J Histochem Cytochem 45:1129–1135, 1997)

Four blockers of voltage-gated potassium channels (Kv channels) were tested on the compound action potentials (CAPs) of rat optic nerves in an attempt to determine the regulation of Kv channel expression during the process of myelination. Before myelination occurred, 4-aminopyridine (4-AP) increased the amplitude, duration, and refractory period of the CAPs. On the basis of their pharmacological sensitivity, 4-AP-sensitive channels were divided in two groups, the one sensitive to kaliotoxin (KTX), dendrotoxin-I (DTX-I), and 4-AP, and the other sensitive only to 4-AP. In addition, tetraethylammonium chloride (TEA) applied alone broadened the CAPs. At the onset of myelination, DTX-I induced a more pronounced effect than KTX; this indicates that a fourth group of channels sensitive to 4-AP and DTX-I but insensitive to KTX had developed. The effects of KTX and DTX-I gradually disappeared during the period of myelination. Electron microscope findings showed that the disappearance of these effects was correlated with the ongoing process of myelination. This was confirmed by the fact that DTX-I and KTX enlarged the CAPs of demyelinated adult optic nerves. These results show that KTX- and DTX-sensitive channels are sequestrated in paranodal regions. During the process of myelination, KTX had less pronounced effects than DTX-I on demyelinated nerves, which suggests that the density of the KTX-sensitive channels decreased during this process. By contrast, 4-AP increased the amplitude, duration, and refractory period of the CAPs at all the ages tested and to a greater extent than KTX and DTX-I. The effects of TEA alone also gradually disappeared during this period. However, effects of TEA on CAPs were observed when this substance was applied after 4-AP to the adult optic nerve; this shows that TEA-sensitive channels are not masked by the myelin sheath. In conclusion, the process of myelination seems to play an important part in the regulation and setting of Kv channels in optic nerve axons.

Three cell adhesion molecules are present at the axoglial junctions that form between the axon and myelinating glia on either side of nodes of Ranvier. These include an axonal complex of contacin-associated protein (Caspr) and contactin, which was proposed to bind NF155, an isoform of neurofascin located on the glial paranodal loops. Here, we show that NF155 binds directly to contactin and that surprisingly, coexpression of Caspr inhibits this interaction. This inhibition reflects the association of Caspr with contactin during biosynthesis and the resulting expression of a low molecular weight (LMw), endoglycosidase H–sensitive isoform of contactin at the cell membrane, which remains associated with Caspr but is unable to bind NF155. Accordingly, deletion of Caspr in mice by gene targeting results in a shift from the LMw- to a HMw-contactin glycoform. These results demonstrate that Caspr regulates the intracellular processing and transport of contactin to the cell surface, thereby affecting its ability to interact with other cell adhesion molecules.

Hereditary spastic paraplegia (HSP) is a neurological syndrome characterized by degeneration of central nervous system (CNS) axons. Mutated HSP proteins include myelin proteolipid protein (PLP) and axon-enriched proteins involved in mitochondrial function, smooth endoplasmic reticulum (SER) structure, and microtubule (MT) stability/function. We characterized axonal mitochondria, SER, and MTs in rodent optic nerves where PLP is replaced by the peripheral nerve myelin protein, P0 (P0-CNS mice). Mitochondrial pathology and degeneration were prominent in juxtaparanodal axoplasm at 1 mo of age. In wild-type (WT) optic nerve axons, 25% of mitochondria–SER associations occurred on extensions of the mitochondrial outer membrane. Mitochondria–SER associations were reduced by 86% in 1-mo-old P0-CNS juxtaparanodal axoplasm. 1-mo-old P0-CNS optic nerves were more sensitive to oxygen-glucose deprivation and contained less adenosine triphosphate (ATP) than WT nerves. MT pathology and paranodal axonal ovoids were prominent at 6 mo. These data support juxtaparanodal mitochondrial degeneration, reduced mitochondria–SER associations, and reduced ATP production as causes of axonal ovoid formation and axonal degeneration.

BackgroundPregnancy and postpartum are sensitive unique moments in women's life. Perinatal psychiatry is focused on depression and psychosis, but personality issues is often neglected as well as risk factors for personality disorders instead of being considered causative of onset or recrudescence of psychiatric symptoms in perinatal.MethodsIn total, 129 women were referred to perinatal psychiatric department during their pregnancy or postpartum in the last three years. They were administered SCID II, Childhood Trauma Questionnaire (CTQ), Beck Depression and Anxiety Inventories (BDI and BAI), Edinburgh Postnatal Depression Scale (EPDS) and World Health Organization Quality of Life (WHOQOL). Their interaction with babies was monitored at birth and during follow up. Children's behavioral development is under evaluation through structured tests.ResultsBDI and BAI scored moderate or severe in 31 and 27% of women, EPDS was significant in 36%, while SCID II highlighted 24% of borderline, 17% narcissistic, 4% schizoid, 4% paranoid and 9% obsessive/compulsive PD. Nineteen of them suffered physical abuse during childhood, 26 sexual abuse, 89 emotional neglect and only 15 out of 129 were negative to any kind of abuse during childhood.ConclusionPersonality disorders appears to influence maternal adjustment to pregnancy and motherhood. Abuses suffered during childhood confirm their role as potential risk factor in personality issues which clearly express their effect in adaptation to change in personal role and in emphatic interactions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

ObjectivePremenstrual syndrome (PMS) is a common disorder with prevalence rate of approximately 30%; its concurrence with psychiatric symptoms will make it a disabling condition that resists usual treatment.This study was enrolled to assess the co-morbidity of PMS andpsychiatric disorders in a sample of girls with PMS compared to those without PMS.MethodThis study was conducted through a cross sectional method with 362 participants (166 with PMS and 196 healthy girls) who were selected randomly and completed the demographic questionnaire, premenstrual syndrome symptom daily record scale and the symptom checklist 90-revised (SCL-90-R).ResultsAccording to the result of the independent t test, the mean score of all the psychiatric symptoms in the PMS group was significantly higher than those in healthy group (P < 0.001). According to SCL-90-R measurement, most of the participants in the PMS group were categorized as extremely sick for somatization (44%), obsessive-compulsive (59%), depression (58.4%), anxiety (64.5%), hostility (47%) and psychoticism (69.3%); most of the participants were diagnosed as having borderline severity of disorders for interpersonal sensitivity (44.6%) and paranoid (42.8%) and most of the respondents with PMS (46.4%) were diagnosed as healthy only for phobic anxiety.ConclusionThere is a considerable relationship between PMS and different psychiatric symptoms that can complicate the diagnosis of PMS and its treatment for the health care providers. Therefore, all health care providers who are in contact with women in their reproductive age should be sensitive to mental health status in women with PMS.

IntroductionReduction of mental productivity and motivation in patients with schizophrenia is one of the core features of negative symptoms of schizophrenia spectrum disorders. Lack of motivation affects social functioning and outcomes, reduces effects of psychosocial treatment and rehabilitation.ObjectivesTo research AES abilities in measuring motivation in patients with schizophrenia spectrum disorders. The aim of the study was to investigate correlations of Russian translation of clinician-rated and self-rated versions with PANSS amotivation subscale and negative subscale items.MethodsFifty patients with schizophrenia spectrum disorders were recruited to participate in the study and were assessed with PANSS, AES-C and AES-S by trained raters. Only patients in “stabilized” state that met inclusion criteria of PANSS total score ≤ 80 points were eligible for consecutive AES assessment.ResultsOverall, moderate positive correlations were established between AES-C and PANSS amotivation subscale N2 and N4 items, N6 item and total PANSS negative subscale. No significant correlations with G16 item were registered. AES-C and AES-S versions also showed positive Spearman correlations (r = 0.43; P < 0.05), while no correlations between AES-S and amotivation PANSS items were registered.DiscussionModerately strong correlations between AES-C and PANSS N2, N4 and N6 items show feasibility of AES-C version in terms of measuring motivation in patients with schizophrenia spectrum disorders. Results of AES-S analysis demonstrate certain problems in patients’ abilities in self-assessing motivation. Patients with prevailing paranoid syndrome showed poorer results in AES-S scores.ConclusionsAES-C is a sensitive psychometric tool with good properties in measuring amotivation in patients with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

In myelinated axons, most of the voltage-gated ion channels are concentrated at the nodes of Ranvier, which are short gaps in the myelin sheath. This arrangement leads to saltatory conduction and a larger conduction velocity than in nonmyelinated axons. Intriguingly, axons in the peripheral nervous system that exceed about 2 μm in diameter exhibit a characteristic narrowing of the axon at nodes that results in a local reduction of the axonal cross-sectional area. The extent of constriction increases with increasing internodal axonal caliber, reaching a threefold reduction in diameter for the largest axons. In this paper, we use computational modeling to investigate the effect of nodal constrictions on axonal conduction velocity. For a fixed number of ion channels, we find that there is an optimal extent of nodal constriction which minimizes the internodal axon caliber that is required to achieve a given target conduction velocity, and we show that this is sensitive to the precise geometry of the axon and myelin sheath in the flanking paranodal regions. Thus axonal constrictions at nodes of Ranvier appear to be a biological adaptation to minimize axonal volume, thereby maximizing the spatial and metabolic efficiency of these processes, which can be a significant evolutionary constraint. We show that the optimal nodal morphologies are relatively insensitive to changes in the number of nodal sodium channels.

Background & Objectives: Myofascial Trigger Point (MTrP) is one of the most common musculoskeletal disorders. The MTrP includes highly sensitive points within a taut band, is painful to palpation, and causes pain in a specific pattern. The MTrP is more prevalent in the upper trapezius muscle because this muscle plays an important role in maintaining the posture of the head and neck. This study aimed to compare the effects of dry needling and high-intensity laser therapy on the clinical signs of females with active trigger points in the upper trapezius muscle. Methods: Thirty females with the active MTrP of the upper trapezius muscle were randomly assigned into two groups: high-intensity laser therapy group (n=15) and dry needling group (n=15); they received the interventions in five sessions for three weeks. The outcome measures included pain intensity and pain pressure threshold, which were assessed before and two days after the interventions. Results: In both study groups, the scores of the visual analogue scale of pain were significantly decreased, also, the pain pressure threshold was significantly increased (P=0.001), after the treatment. However, the two groups did not significantly differ in any of the outcome measures (P>0.05). Conclusion: Both high-intensity laser therapy and dry needling can be employed to treat the MTrP of the upper trapezius muscle. Considering the effectiveness of the two treatments, each of the methods can be alternatively selected for these patients.

Abstract Background Difficulties in the ability to adapt beliefs in the face of new information are associated with psychosis and its central symptom – paranoia. As cognitive processes and psychotic symptoms are both known to be sensitive to stress, the present study investigated the exact associations between stress, adapting of beliefs [reversal learning (RL), bias against disconfirmatory evidence (BADE), and jumping to conclusions (JTC)] and paranoia. We hypothesized that paranoia would increase under stress and that difficulties in adapting of beliefs would mediate or moderate the link between stress and paranoia. Furthermore, we hypothesized that the investigated effects would be strongest in the group of individuals diagnosed with a psychotic disorder. Methods We exposed 155 participants (38 diagnosed with a psychotic disorder, 40 individuals with attenuated psychotic symptoms, 39 clinical controls diagnosed with an obsessive-compulsive disorder, and 38 healthy controls) to a control condition and a stress condition, in which we assessed their levels of paranoia and their ability to adapt beliefs. We applied multilevel models to analyze the data. Results Paranoia was higher in the stress condition than in the control condition, b = 1.142, s.e. = 0.338, t(150) = 3.381, p < 0.001. RL, BADE, and JTC did not differ between conditions and did not mediate or moderate the association between stress and paranoia (all ps > 0.05). Conclusions The results support the assumption that stress triggers paranoia. However, the link between stress and paranoia does not seem to be affected by the ability to adapt beliefs.

It is well known that some women, during their premenstrual phase, express Hostility (Ho) and Depressive symptoms (De). Various studies indicate that Ho and De correlate with circulating concentrations of cytokines. These data support the hypothesis of an inflammation-sensitive mechanism linked to certain psychological states. The aim of this study was to correlate Ho and De with selective proinflammatory cytokines during the menstrual cycle in young women. Twenty-two physically healthy medical students, mean age 22.95+2.83(SD), were studied. All reported regular menses that ranged between 27-33 days. Blood was drawn three times across a single cycle: at follicular phase (FL), at mid luteal phase (ML) and at late luteal phase (LL) corresponding to the premenstrual phase. The following proinflammatory cytokines were determined at each sample: Interleukin 8 (IL-8), Interleukin 6 (IL-6), Interleukin 1α (IL-1α), and Tumor Necrosis Factor-α (TNF-α). Immediately before blood sampling the women completed the Zung self-rating depression scale and the hostility and direction of hostility questionnaire (HDHQ), which comprises five subscales: urge to act out hostility, criticism of others, paranoid hostility, self-criticism and delusional guilt. Spearman’s rank correlation was used to determine the relation between variables at the specific time points; ρ<0.05 was considered significant. Mean values of cytokines did not change significantly throughout the menstrual cycle. Paranoid hostility was positively correlated with IL-8 (Rs=0.476, p=0.046), IL-1α (Rs=0.458, p=0.048) and TNF-α (Rs=0.518, p=0.023) in LLphase. No other significant correlation was found. Cytokines correlate with paranoid hostility and this correlation is probably related with the premenstrual hormonal changes. It is difficult to evaluate the clinical significance of our findings, nevertheless, when exploring the above association, it is necessary to take into consideration the phase of the cycle as well as the special aspects of Ho we seek to study.

Delirium in intensive care is an altered state that can bring with it persecutory paranoias, and sometimes expressions of violence on the part of the patient; it can be deeply disturbing for the person experiencing it as well as for those around them. Although the impacts of delirium on patients’ recovery and long-term mental health are well documented, qualitative research in this area remains rare. This article is derived from a narrative and musical study of the experience of delirium in hospital, undertaken better to understand the perspectives of people who have experienced delirium, as well as the healthcare professionals and family members who care for them. Data were collected in South Africa between 2015 and 2017. The study took the form of interviews and focus groups with a total of 15 participants, as well as periods of observation and audio recording in a hospital intensive care unit. Thematic and narrative analysis of the data were carried out alongside the composition of new music incorporating audio recordings from the study. Analysis suggested three key themes emerging from the data. First, the violence experienced and expressed by patients, both within delirious hallucination and in observable reality. Second, the interconnected losses undergone by patients in spaces of intensive care. Third, healthcare professionals’ attempts to bring greater humanity into the potentially dehumanising space of intensive care. The results and discussion point to possible relationships between delirium and the working cultures and physical environment of intensive care, and may reinforce the need for sensitive and committed communication between healthcare professionals and patients.

Why do so many horror films feature the young, pretty and prosperous at the business end of a carving knife? A few examples include Scream 2 (1998), I Know What You Did Last Summer (1997), Scream (1997), and The Hand That Rocks The Cradle (1992). In fact, the propensity for Hollywood to portray the narcissistic bourgeoisie being deprived of their pretensions has been around since Murnau sent a real estate agent to a vampire's house in 1922. But there are fundamental differences between horror films like Nosferatu (1922) or Psycho (1961) and the films mentioned above. The purpose of this essay is to suggest that in recent years Hollywood horror narratives have moved away from the tradition of legitimising violence for the viewer who wishes to participate in a world of aggression without feelings of remorse or guilt (Tudor), in favour of attending to the fears associated with a struggling middle class and dwindling American Puritanism. This feature of the modern horror narrative involves identical characterisation of both the victims and the stalkers: they are young, affluent, attractive, and completely desensitised to trauma though hyper-sensitive to materialism and mass media flippancy. In a modern sub-genre of the horror film, defined by Barry Keith Grant as 'yuppie horror' (288), we are seeing narrative representations of economic success and physical beauty involved in the time honoured murderous passage from Order->Disorder->Order. Exaggerated portrayals of economic and physical superiority is a staple of the horror genre -- it helps to establish a veneer of safety which exists only to be shattered. The distinguishing feature of films such as Wes Craven's Scream is that the killers are not hideous misfits, they are in fact equal in beauty and social stature to their victims. The other quality which defines the yuppie horror is a visual and narrative attention to material wealth and contrived suburban perfection and the ineffectuality of this world at preventing the cathartic violent acts from occurring. In both Scream and Pacific Heights typical symbols of post-modern affluence such as cars, wide screen televisions and plush interior design get destroyed during the bloody process of re-establishing a tenuous order. Prior to the unfolding of this crucial aspect of the plot, important relations and similarities in lifestyle are established between the victims' way of life and that of the killer(s). This is a dramatic shift away from the old school tactic of gradually revealing a dark past which emphatically distances the heroes from the stalkers in a way that preserves the sanctity of the American suburban dream defined by films such as Halloween, Friday the 13th, or Nightmare on Elm Street. The modern horror relies on the audience's understanding that the killers occupy the same exaggeratedly cosy space that the victims do. In most cases the means through which films such as Scream 'address the anxieties of an affluent culture in a period of prolonged recession' (Grant 280) involves the young and beautiful being stripped of their material shelter not by blue collar hicks or monsters but by other yuppies turned playfully psychotic. This revamping of the horror genre plays on strong, new concerns about capitalist ideology and media culture, and informs the audience about what effect this ideology is having on contemporary Western emotional life. The 'playfulness' mentioned above operates on various levels in most films of the genre; typically the yuppie-killers simply make it obvious they are enjoying a kind of selfish revelry in a rare immaterial act. Scream, on the other hand, is the best example of a new movement in the yuppie horror sub-genre which maintains a discreet distance from traditional horror via an unnerving joviality which pervades the script, performances and look of the film. The film is simultaneously satirical and diegetically faithful to the genre it debunks. Scream involves well off high school students treating the advent of mass murder in their leafy town as an opportunity to playfully act out clichéd roles which they also fulfil as legitimate victims. One perky cynic remarks: 'I see myself as sort of a young Meg Ryan, but with my luck I'll get Tori Spelling'. The film makes continual references to other films of the genre including those made by Craven himself. Scream has a narrative quality akin to the grim pleasures pursued by Patrick Bateman in the notorious novel by Brett Easton Ellis, American Psycho (1991). In the same manner as Ellis's psycho fetishises his possessions to disavow (justify?) the horrifying brutality of his favourite pastime of indiscriminate slaying, so too do both the victims and the killers of Scream fetishise horror films and media representations of thrill killing. Make no mistake, Scream is a horror film and extremely gory. Its appeal depends on its self-referential and dichotomous relationship with the viewer who is encouraged to reject the conventions of horror via the playfulness of its tone, as well as be horrified by the frequent disembowelling of innocents. In this way, the film cheats us: there is something transcendental about the graphic violence which makes it impossible for Scream to detach itself from the conventions of the horror genre. The playful behaviour of both the protagonists and the director is a very dark message that illustrates the vanishing potential of film to resolve tensions between conscious and unconscious attitudes towards media saturation and trash culture. Extremely violent representations of affluent American society during a period of both economic and moral recession in Scream promote the notion that the sanctimonious, puritanical institutions of the middle class are at risk of being exposed due to the desensitising nature of television media, personified in the film by the aggressive and bloodthirsty reporter Courtney Cox. It is partially her jocular disavowal of the threat that makes Scream such an interesting film, much more so than similar representations of media in Oliver Stone's Natural Born Killers (1996) due to Cox's clever intertextual link to yuppie heaven in the huge television sit com, Friends. This idea of symbolising or disguising threats to the American Way has always been a driving force in Hollywood production. The Western is perhaps the most conspicuous, where staunchly defended pastoral values serve to undermine a perceived social threat posed by the industrial revolution (Wark 10). Other examples include the textualisation of a 'red menace' from Mars in SF films to reinforce Cold War paranoia, and the use of the musical during the thirties distracted audiences from the harsh realities of the Depression. Horror films have traditionally drawn on trauma from the stalker's childhood which is commemorated in the act of killing, and according to revisionist Freudian criticism this representation acts on the predominantly adolescent viewers' voyeuristic desires for psychosexual empowerment over childhood (Tudor 130). The advent of the yuppie horror has corrupted this crucial distinction between the killer and the victim, due to the killer's participation in the same affluent and material world which dominates their lives. This materialism includes the media and their dangerously superficial retelling of tragic events. The anxieties encoded in Scream and its spin-offs activate, through the violence adopted by psychologically identical characters, a new regression similar to the Freudian one mentioned above. The crucial difference is that the trauma stems from a desensitisation to media representation of real events, ultimately realised in the apparent emotional stability of the affluent and beautiful who playfully slaughter the inhabitants of their own, false world. References Grant, B. K. "Rich and Strange: The Yuppie Horror Film." Contemporary Hollywood Cinema. Eds. Steve Neale and Murray Smith. New York: Routledge, 1988. Tudor, A. Monsters and Mad Scientists: A Cultural History of the Monster Movie. Oxford: Basil Blackwell, 1989. Wark, M. "Technofear 2." 21·C 8 (1992): 10. Citation reference for this article MLA style: Ben King. "It's a Scream: Playful Murder and the Ideology of Yuppie Horror." M/C: A Journal of Media and Culture 1.5 (1998). [your date of access] <http://www.uq.edu.au/mc/9812/scream.php>. Chicago style: Ben King, "It's a Scream: Playful Murder and the Ideology of Yuppie Horror," M/C: A Journal of Media and Culture 1, no. 5 (1998), <http://www.uq.edu.au/mc/9812/scream.php> ([your date of access]). APA style: Ben King. (1998) It's a scream: playful murder and the ideology of yuppie horror. M/C: A Journal of Media and Culture 1(5). <http://www.uq.edu.au/mc/9812/scream.php> ([your date of access]).

Home is the place where one knows oneself best; it is where one belongs, a space one longs to be. Indeed, the longing for home seems to be grounded in an anthropological need for anchorage. Although in English the German loanword ‘Heimat’ is often used synonymously with ‘home’, many would have claimed up till now that it has been a word particularly ill equipped for use outside the German speaking community, owing to its specific cultural baggage. However, I would like to argue that – not least due to the political dimension of home (such as in homeland security and homeland affairs) – the yearning for a home has experienced a semantic shift, which aligns it more closely with Heimat, a term imbued with the ambivalence of home and homeland intertwined (Morley 32). I will outline the German specificities below and invite an Australian analogy. A resoundingly positive understanding of the German term ‘Heimat’ likens it to “an intoxicant, a medium of transport; it makes people feel giddy and spirits them to pleasant places. To contemplate Heimat means to imagine an uncontaminated space, a realm of innocence and immediacy.“ (Rentschler 37) While this description of Heimat may raise expectations of an all-encompassing idyll, for most German speakers “…there is hardly a more ambivalent feeling, hardly a more painful mixture of happiness and bitterness than the experience vested in the word ‘Heimat’.” (Reitz 139) The emotional charge of the idiom is of quite recent origin. Traditionally, Heimat stimulates connotations of ‘origin’, ‘birth place, of oneself and one’s ancestors’ and even of ‘original area of settlement and homeland’. This corresponds most neatly with such English terms as ‘native land’, ‘land of my birth’, ‘land of my forefathers’ or ‘native shores’. Added to the German conception of Heimat are its sensitive associations relating, on the one hand, to Romanticism and its idolisation of the fatherland, and on the other, to the Nazi blood-and-soil propaganda, which brought Heimat into disrepute for many and added to the difficulties of translating the German word. A comparison with similar terms in Romance languages makes this clear. Speakers of those tongues have an understanding of home and homeland, which is strongly associated with the father-figure: the Greek “patra”, Latin and Italian “patria” and the French “patrie”, as well as patriarch, patrimony, patriot, and patricide. The French come closest to sharing the concept to which Heimat’s Germanic root of “heima” refers. For the Teutons “heima” denoted the traditional space and place of a clan, society or individual. However, centuries of migration, often following expulsion, have imbued Heimat with ambivalent notions; feelings of belonging and feelings of loss find expression in the term. Despite its semantic opaqueness, Heimat expresses a “longing for a wholeness and unity” (Strzelczyk 109) which for many seems lost, especially following experiences of alienation, exile, diaspora or ‘simply’ migration. Yet, it is in those circumstances, when Heimat becomes a thing of the past, that it seems to manifest itself most clearly. In the German context, the need for Heimat arose particularly after World War Two, when experiences of loss and scenes of devastation, as well as displacement and expulsion found compensation of sorts in the popular media. Going to the cinema was the top pastime in Germany in the 1950s, and escapist Heimat films, which showed idyllic country scenery, instead of rubble-strewn cityscapes, were the most well-liked of all. The industry pumped out kitsch films in quick succession to service this demand and created sugar-coated, colour-rich Heimat experiences on celluloid that captured the audience’s imagination. Most recently, the genre experienced something of a renaissance in the wake of the fall of the Berlin Wall and the subsequent accession of the German Democratic Republic (GDR, also referred to as East Germany) to the Federal Republic of Germany (FRG or West Germany) in 1990. Described as one of the most seminal moments in modern history, the events led to large-scale change; in world politics, strategic alliances, but were most closely felt at the personal and societal level, reshaping community and belonging. Feelings of disbelief and euphoria occupied the hearts and minds of people all around the world in the days following the night of the 9 November 1989. However, the fall of the Wall created within weeks what the Soviet Union had been unable to manage in the previous 40 years; the sense of a distinctly Eastern identity (cf. Heneghan 148). Most of the initial positive perceptions slowly gave way to a hangover when the consequences of the drastic societal changes became apparent in their effects on populace. Feelings of disenchantment and disillusionment followed the jubilation and dominated the second phase of socio-cultural unification, when individuals were faced with economic and emotional hardship or were forced to relocate, as companies folded, politically tainted degrees and professions were abolished and entire industry sectors disappeared. This reassessment of almost every aspect of people’s lifestyles led many to feel that their familiar world had dissipated and their Heimat had been lost, resulting in a rhetoric of “us” versus “them”. This conceptual divide persisted and was cemented by the perceived difficulties in integration that had emerged, manifesting a consciousness of difference that expressed itself metaphorically in the references to the ‘Wall in the mind’. Partly as a reaction to these feelings and partly also as a concession to the new citizens from the East, Western backed and produced unification films utilised the soothing cosmos of the Heimat genre – so well rehearsed in the 1950s – as a framework for tales about unification. Peter Timm’s Go, Trabi, Go (1991) and Wolfgang Büld’s sequel Go, Trabi, Go 2. Das war der Wilde Osten [That Was the Wild East, 1992] are two such films which revive “Heimat as a central cultural construct through which aspects of life in the new Germany could be sketched and grasped.” (Naughton 125) The films’ references to Eastern and Western identity served as a powerful guarantor of feelings of belonging, re-assuring audiences on both sides of the mental divide of their idiosyncrasies, while also showing a way to overcome separation. These Heimat films thus united in spirit, emotion and consumer behaviour that which had otherwise not yet “grown together” (cf. Brandt). The renaissance of the Heimat genre in the 1990s gained further momentum in the media with new Heimat film releases as well as TV screenings of 1950s classics. Indeed Heimat films of old and new were generally well received, as they responded to a fragile psychological predisposition at a time of change and general uncertainty. Similar feelings were shared by many in the post-war society of the 1950s and the post-Wall Europe of the 1990s. After the Second World War and following the restructure after Nazism it was necessary to integrate large expellee groups into the young nation of the FRG. In the 1990s the integration of similarly displaced people was required, though this time they were having to cope less with territorial loss than with ideological implosions. Then and now, Heimat films sought to aid integration and “transcend those differences” (Naughton 125) – whilst not disputing their existence – particularly in view of the fact that Germany had 16 million new citizens, who clearly had a different cultural background, many of whom were struggling with perceptions of otherness as popularly expressed in the stereotypical ethnographies of “Easterners” and “Westerners”. The rediscovery of the concept of Heimat in the years following unification therefore not only mirrored the status quo but further to that allowed “for the delineation of a common heritage, shared priorities, and values with which Germans in the old and new states could identify.” (Naughton 125) Closely copying the optimism of the 1950s which promised audiences prosperity and pride, as well as a sense of belonging and homecoming into a larger community, the films produced in the early 1990s anticipated prosperity for a mobile and flexible people. Like their 1950s counterparts, “unification films ‘made in West Germany’ imagined a German Heimat as a place of social cohesion, opportunity, and prosperity” (Naughton 126). Following the unification comedies of the early 1990s, which were set in the period following the fall of the Wall, another wave of German film production shifted the focus onto the past, sacrificing the future dimension of the unification films. Leander Haußmann’s Sonnenallee (1999) is set in the 1970s and subscribes to a re-invention of one’s childhood, while Wolfgang Becker’s Goodbye Lenin (2003) in which the GDR is preserved on 79 square metres in a private parallel world, advocates a revival of aspects of the socialist past. Referred to as “Ostalgia”; a nostalgia for the old East, “a ‘GDR revival’ or the ‘renaissance of a GDR Heimatgefühl’” (Berdahl 197), the films achieved popular success. Ostalgia films utilised the formula of ‘walking down memory lane’ in varying degrees; thematising pleasing aspects of an imagined collective past and tempting audiences to revel in a sense of unity and homogeneous identity (cf. Walsh 6). Ostalgia was soon transformed from emotional and imaginary reflection into an entire industry, manifesting itself in the “recuperation, (re)production, marketing, and merchandising of GDR products as well as the ‘museumification’ of GDR everyday life” (Berdahl 192). This trend found further expression in a culture of exhibitions, books, films and cabaret acts, in fashion and theme parties, as well as in Trabi-rallies which celebrated or sent up the German Democratic Republic in response to the perceived public humiliation at the hands of West German media outlets, historians and economists. The dismissal of anything associated with the communist East in mainstream Germany and the realisation that their consumer products – like their national history – were disappearing in the face of the ‘Helmut Kohl-onisation’ sparked this retro-Heimat cult. Indeed, the reaction to the disappearance of GDR culture and the ensuing nostalgia bear all the hallmarks of Heimat appreciation, a sense of bereavement that only manifests itself once the Heimat has been lost. Ironically, however, the revival of the past led to the emergence of a “new” GDR (Rutschky 851), an “imaginary country put together from the remnants of a country in ruins and from the hopes and anxieties of a new world” (Hell et al. 86), a fictional construct rather than a historical reality. In contrast to the fundamental social and psychological changes affecting former GDR citizens from the end of 1989, their Western counterparts were initially able to look on without a sense of deep personal involvement. Their perspective has been likened to that of an impartial observer following the events of a historical play (cf. Gaschke 22). Many saw German unification as an enlargement of the West; as soon as they had exported their currency, democracy, capitalism and freedom to the East, “blossoming landscapes” were sure to follow (Kohl). At first political events did not seem to cause a major disruption to the lives of most people in the old FRG, except perhaps the need to pay higher tax. This understanding proved a major underestimation of the transformation process that had gripped all of Germany, not just the Eastern part. Nevertheless, few predicted the impact that far-reaching changes would have on the West; immigration and new minorities alter the status quo of any society, and with Germany’s increase in size and population, its citizens in both East and West had to adapt and adjust to a new image and to new expectations placed on them from within and without. As a result a certain unease began to be felt by many an otherwise self-assured individual. Slower and less obvious than the transition phase experienced by most East Germans, the changes in West German society and consciousness were nevertheless similar in their psychological effects; resulting in a subtle feeling of displacement. Indeed, it was soon noted that “the end of German division has given rise to a sense of crisis in the West, particularly within the sphere of West German culture, engendering a Western nostalgica for the old FRG” (Cooke 35), also referred to as Westalgia. Not too dissimilar to the historical rehabilitation of the East played out in Ostalgic fashion, films appeared which revisit moments worthy of celebration in West German history, such as the 1954 Soccer World Championship status which is at the centre of the narrative in Sönke Wortmann’s Das Wunder von Bern [Miracle of Bern, 2003]. Hommages to the 1968 generation (Hans Weingartner’s Die fetten Jahre sind vorbei [The Educators, 2004]) and requiems for West Berlin’s subculture (Leander Haußmann’s Herr Lehmann [Mr Lehmann, 2003]) were similar manifestations of this development. Ostalgic and Westalgic practices coexisted for several years after the turn of the millennium, and are a tribute to the highly complex interrelationship that exists between personal histories and public memories. Both narratives reveal “the politics, ambiguities, and paradoxes of memory, nostalgia, and resistance” (Berdahl 207). In their nostalgic contemplation of the good old days, Ostalgic and Westalgic films alike express a longing to return to familiar and trusted values. Both post-hoc constructions of a heimatesque cosmos demonstrate a very real reinvention of Heimat. Their deliberate reconstruction and reinterpretation of history, as well as the references to and glorification of personal memory and identity fulfil the task of imbuing history – in particular personal history – with dignity. As such these Heimat films work in a similar fashion to myths in the way they explain the world. The heimatesque element of Ostalgic and Westalgic films which allows for the potential to overcome crises reveals a great deal about the workings of myths in general. Irrespective of their content, whether they are cosmogonic (about the beginning of time), eschatological (about the end of time) or etiologic myths (about the origins of peoples and societal order), all serve as a means to cope with change. According to Hans Blumenberg, myth making may be seen as an attempt to counter the absolutism of reality (cf. Blumenberg 9), by providing a response to its seemingly overriding arbitrariness. Myths become a means of endowing life with meaning through art and thus aid positive self-assurance and the constructive usage of past experiences in the present and the future. Judging from the popular success of both Ostalgic and Westalgic films in unified Germany, one hopes that communication is taking place across the perceived ethnic divide of Eastern and Western identities. At the very least, people of quite different backgrounds have access to the constructions and fictions relating to one another pasts. By allowing each other insight into the most intimate recesses of their respective psychological make-up, understanding can be fostered. Through the re-activation of one’s own memory and the acknowledgment of differences these diverging narratives may constitute the foundation of a common Heimat. It is thus possible for Westalgic and Ostalgic films to fulfil individual and societal functions which can act as a core of cohesion and an aid for mutual understanding. At the same time these films revive the past, not as a liveable but rather as a readable alternative to the present. As such, the utilisation of myths should not be rejected as ideological misuse, as suggested by Barthes (7), nor should it allow for the cementing of pseudo-ethnic differences dating back to mythological times; instead myths can form the basis for a common narrative and a self-confident affirmation of history in order to prepare for a future in harmony. Just like myths in general, Heimat tales do not attempt to revise history, or to present the real facts. By foregrounding the evidence of their wilful construction and fictitious invention, it is possible to arrive at a spiritual, psychological and symbolic truth. Nevertheless, it is a truth that is essential for a positive experience of Heimat and an optimistic existence. What can the German situation reveal in an Australian or a wider context? Explorations of Heimat aid the socio-historical investigation of any society, as repositories of memory and history, escape and confrontation inscribed in Heimat can be read as signifiers of continuity and disruption, reorientation and return, and as such, ever-changing notions of Heimat mirror values and social change. Currently, a transition in meaning is underway which alters the concept of ‘home’ as an idyllic sphere of belonging and attachment to that of a threatened space; a space under siege from a range of perils in the areas of safety and security, whether due to natural disasters, terrorism or conventional warfare. The geographical understanding of home is increasingly taking second place to an emotional imaginary that is fed by an “exclusionary and contested distinction between the ‘domestic’ and the ‘foreign’ (Blunt and Dowling 168). As such home becomes ever more closely aligned with the semantics of Heimat, i.e. with an emotional experience, which is progressively less grounded in feelings of security and comfort, yet even more so in those of ambivalence and, in particular, insecurity and hysteria. This paranoia informs as much as it is informed by government policies and interventions and emerges from concerns for national security. In this context, home and homeland have become overused entities in discussions relating to the safeguarding of Australia, such as with the establishment of a homeland security unit in 2003 and annual conferences such as “The Homeland Security Summit” deemed necessary since 9/11, even in the Antipodes. However, these global connotations of home and Heimat overshadow the necessity of a reclaimation of the home/land debate at the national and local levels. In addressing the dispossession of indigenous peoples and the removal and dislocation of Aboriginal children from their homes and families, the political nature of a home-grown Heimat debate cannot be ignored. “Bringing them Home”, an oral history project initiated by the National Library of Australia in Canberra, is one of many attempts at listening to and preserving the memories of Aboriginals and Torres Strait Islanders who, as children, were forcibly taken away from their families and homelands. To ensure healing and rapprochement any reconciliation process necessitates coming to terms with one’s own past as much as respecting the polyphonic nature of historical discourse. By encouraging the inclusion of diverse homeland and dreamtime narratives and juxtaposing these with the perceptions and constructions of home of the subsequent immigrant generations of Australians, a rich text, full of contradictions, may help generate a shared, if ambivalent, sense of a common Heimat in Australia; one that is fed not by homeland insecurity but one resting in a heimatesque knowledge of self. References Barthes, Roland. Mythen des Alltags. Frankfurt a.M.: Suhrkamp, 1964 Berdahl, Daphne. “‘(N)ostalgie’ for the Present: Memory, Longing, and East German Things.” Ethnos 64.2 (1999): 192-207. Blumenberg, Hans. Arbeit am Mythos. Frankfurt a.M.: Suhrkamp Verlag, 1979. Blunt, Alison, and Robyn Dowling. Home. London: Routledge, 2006. 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Y'); ?> <http://journal.media-culture.org.au/0708/12-ludewig.php>. APA Style Ludewig, A. (Aug. 2007) "Home Meets Heimat," M/C Journal, 10(4). Retrieved echo date('d M. Y'); ?> from <http://journal.media-culture.org.au/0708/12-ludewig.php>.