Immediate Retrospects on the I.P.C.

This study examines the long-term psychiatric consequences, pain interference in daily activities, work loss, and functional impairment associated with 9/11-related loss among low-income, minority primary care patients in New York City. A systematic sample of 929 adult patients completed a survey that included a sociodemographic questionnaire, the PTSD Checklist, the PRIME-MD Patient Health Questionnaire, and the Medical Outcomes Study Short Form-12 (SF-12).

Approximately one-quarter of the sample reported knowing someone who was killed in the attacks of 9/11, and these patients were sociodemographically similar to the rest of the sample. Compared to patients who had not experienced 9/11-related loss, patients who experienced loss were roughly twice as likely (OR = 1.97, 95%; CI = 1.40, 2.77) to screen positive for at least one mental disorder, including major depressive disorder (MDD; 29.2%), generalized anxiety disorder (GAD; 19.4%), and posttraumatic stress disorder (PTSD; 17.1%). After controlling for pre-9/11 trauma, 9/11-related loss was significantly related to extreme pain interference, work loss, and functional impairment. The results suggest that disaster-related mental health care in this clinical population should emphasize evidence-based treatments for mood and anxiety disorders.     

Reproducibility of P3.

The P3 event-related potential has been widely employed in both clinical and research investigations. In the present study, P3 latency and amplitude intersession reliability were evaluated in 4 sessions over an average of 33 days in 24 healthy adults using the P3 tonal oddball paradigm. Mean group latencies ranged from 302-305 ms and mean amplitudes ranged from 7.75-8.87 microV. No significant group differences were found across sessions for latency or amplitude. Intrasubject variability was large; the 95% confidence interval for the difference between the means of two combined sessions was +/- 20 ms for latency and +/- 4.63 microV for amplitude. The results suggest that P3 latency and amplitude are reliable and reproducible over weeks for groups, but have greater variability for individuals.     

P. Janet's concept of the notion of time

The authors primarily show how P. Janet, influenced by Bergson, describes the evolution of the human mind, its complexities and progressive hierarchies, from the reflex arc to the differed arc which allows the emergence of feelings. The notion of time is late, it enters in the groups of feelings. It is interior, subjective and to its study succeeds the analysis of the concept of presence, absence, strain, memory which is for P. Janet essentially prospective, its essential act is narration. The notion of lived time is studied: in: the neurotics whose horror of the present is put forward, the depressed; in: melancholia of waiting where time does not fly, mania through the "delighted ones" and the "restless ones", the delirious.     

Substance P in the habenulo-interpeduncular system of the goldfish.

The distribution of substance P (SP)-like immunoreactivity has been studied in the habenulo-interpeduncular system of the goldfish in normal conditions and after habenular ablation. In normal conditions intense SP-like immunoreactivity was observed in the neuropilar structure of the interpeduncular nucleus (IPN). No SP-like immunoreactive cell bodies were observed in the habenular nuclei (HBN), but some SP-like immunoreactive fibres were localized in the central core of the nucleus. Following surgical habenular ablation SP-like immunoreactivity was reduced in the IPN. The image analysis performed on the IPN showed clear-cut transmittance changes in the area examined. The results suggest that SP is involved in connecting HBN and IPN in goldfish, and are consistent with the data of mammals and other vertebrates.     

Why the P600 is not just a P300: the role of the basal ganglia.

One of the important issues in event-related brain potential research is whether the language-related P600 and the P300 oddball effect are distinct components or not. We addressed this question by testing 14 aphasic patients, half of them with lesions including the basal ganglia and half of them with temporo-parietal lesions, in both an auditory oddball task and an experiment with auditory presented verb inflection violations. Whereas both patient groups displayed a clear P300 effect in the oddball experiment, only the group with temporo-parietal lesions showed a P600 in the language experiment. These data indicate that the basal ganglia seem to play a crucial role in the modulation of the P600, but not of the P300 component.     

Dr. Ralph P. Folsom

Psychiatric Quarterly -