Impairments in executive functioning are prevalent in chronic pain conditions, with cognitive inflexibility being the most frequently reported. The current randomized, cross-over trial, piloted a computerized cognitive training program based on Relational Frame Theory, targeting improvement in cognitive flexibility. At baseline, 73 chronic pain patients completed testing on pre-selected outcomes of executive functioning, alongside IQ measures. When tested three times over the course of 5 months, there was a drop-out rate of 40% at the third time point, leaving 44 patients (...) who had data at all time points. The results showed that there was a substantial learning effect from the MINDFLEX training and a substantial time-dependent improvement on the primary outcomes of increased flexibility, but that this could not be tied to active training. In conclusion, this small study indicated a learning effect as well as improvement on primary outcomes. Based on the current results, a larger trial with improved feasibility of training is warranted. (shrink)

Chronic widespread pain is one of the most difficult pain conditions to treat due to an unknown etiology and a lack of innovative treatment design and effectiveness. Based upon preliminary findings within the fields of motivational psychology, integrative neuroscience, diaphragmatic breathing, and vagal nerve stimulation, we propose a new treatment intervention, motivational nondirective resonance breathing, as a means of reducing pain and suffering in patients with chronic widespread pain. Motivational nondirective resonance breathing provides patients with a noninvasive means of potentially (...) modulating five psychophysiological mechanisms imperative for endogenously treating pain and increasing overall quality of life. (shrink)

Chronic post-surgical pain (CPSP) represents a highly prevalent and significant clinical problem. Both major and minor surgeries entail risks of developing CPSP, and cancer-related surgery is no exception. As an example, more than 40% of women undergoing breast cancer surgery struggle with CPSP years after surgery. While we do not fully understand the pathophysiology of CPSP, we know it is multifaceted with biological, social, and psychological factors contributing. The aim of this review is to advocate for the role of response (...) outcome expectancies in the development of CPSP following breast cancer surgery. We propose the Cognitive Activation Theory of Stress (CATS) as an applicable theoretical framework detailing the potential role of cortisol regulation, inflammation, and inflammatory-induced sickness behavior in CPSP. Drawing on learning theory and activation theory, CATS offers psychobiological explanations for the relationship between stress and health, where acquired expectancies are crucial in determining the stress response and health outcomes. Based on existing knowledge about risk factors for CPSP, and in line with the CATS position, we propose the SURGEry outcome expectancy (SURGE) model of CPSP. According to SURGE, expectancies impact stress physiology, inflammation, and fear-based learning influencing the development and persistence of CPSP. SURGE further proposes that generalized response outcome expectancies drive adaptive or maladaptive stress responses in the time around surgery, where coping dampens the stress response, while helplessness and hopelessness sustains it. A sustained stress response may contribute to central sensitization, alterations in functional brain networks and excessive fear-based learning. This sets the stage for a prolonged state of inflammatory-induced sickness behavior – potentially driving and maintaining CPSP. Finally, as psychological factors are modifiable, robust and potent predictors of CPSP, we suggest hypnosis as an effective intervention strategy targeting response outcome expectancies. We here argue that presurgical clinical hypnosis has the potential of preventing CPSP in women with breast cancer. (shrink)

Johann Christoph Gottsched gehört unbestritten zu den zentralen Figuren der deutschen Frühaufklärung. Wie wohl kein anderer vor und nach ihm hat er die Entwicklung der deutschsprachigen Sprach-, Rede-, Dicht- und Bühnenkunst geprägt, geleitet von der festen Absicht, diesen Künsten wo möglich eine wissenschaftliche Begründung, eine überschaubare kritische Historie sowie eine klare und elegante Darstellung zu verleihen. Über diese Bemühungen hinaus, hat sich insbesondere die neuere Forschung weiteren Facetten seines riesigen Werkes zugewendet. So erscheint Gottsched als Vorbild zahlreicher Zeitschriftenprojekte, als wichtiger (...) Popularisator der Leibnizschen und Wolffschen Philosophie, als zentraler Reformer der zeitgenössischen Homiletik, als Drehscheibe bei der Vermittlung europäischer Dichtung und Gelehrsamkeit. Die Beiträge des vorliegenden Bandes tragen der gesamten Breite der Gottsched-Forschung Rechnung, prüfen alte Erkenntnisse und stellen neue Einschätzungen zur Diskussion. Darüber wird die Aufmerksamkeit auch auf weniger bekannte Aspekte des Gottschedschen Oeuvres gelenkt, so etwa auf Beiträge zu den Naturwissenschaften und der Staatslehre, auf die akademische Lehrtätigkeit und auf das zunehmende Interesse an anthropologischen und ästhetischen Fragen. MIT BEITRÄGEN VON: Erich Achermann, Thomas Althaus, Detlef Döring, Frank Grunert, Gerda Hassler, Peter Hesselmann, Hanspeter Marti, Christian Meierhofer, Dagmar Mirbach, Merio Scattola, Oliver Scholz, Tomas Sommadossi, Holger Steinmann, Gideon Stiening, Andres Strassberger, Dietmar Till, Klaus Weimar und Jan-Henrik Witthaus. (shrink)

Zusammenfassung Der Beitrag untersucht den Gebrauch von Moral in der Kommunikation zwischen Trainer und Ath­leten im Spitzensport. Dabei wird moralische Kommunikation aus systemtheoretischer Perspektive als soziale Tatsache konstruiert, um im Lichte dieser Konstruktion konkrete Beispiele aus den Sport­arten Handball und Hockey analysieren und im Hinblick auf ihre Funktionen und Folgen reflektie­ren zu können. Die Ergebnisse dieser Analysen münden in Empfehlungen an Trainer, die zu einem sensiblen Umgang mit Moral raten, da insbesondere dem polemogenen Charakter moralischer und moralisierender Kommunikation Rechnung zu (...) tragen ist. (shrink)

Erstmals wird in dieser Studie die These einer präreflexiven Grundstruktur des Bewusstseins konsequent auf Kierkegaards Selbstanalyse angewandt. Damit reiht der Autor Kierkegaard in die Tradition der Idealismus-Kritik der Deutschen Romantik ein und reflektiert die existenziellen und theologischen Konsequenzen. Abgerundet wird diese Skizze durch die Überführung ihrer Ergebnisse in eine vergegenwärtigende Diskussion, die unter Berufung auf Friedrich Schleiermacher und Ludwig Wittgenstein auslotet, inwiefern sich die existenziell wirksame Erfahrung, die ein Mensch am Grund seines eigenen Bewusstseins macht, als „Gott“ identifizieren läss.

Plato’s Phaidon, as generally held, is set in Phlius (northern Argolis), shortly after the death of Socrates: the scarcely twenty-year-old Phaidon (see 89b2), on his way from Athens to his home town of Elis, is visiting the Pythagorean Echecrates and his companions. In this article I will show that the established place and time neglect some special dynamics of the start of the meeting (Section I) and a series of ethopoietic effects in the course of the dialogue (Section II). Moreover, (...) relevant testimonies about Echecrates of Phlius and some adverbial references (especially 118a16 τότε) suggest that the dramatic time of the dialogue should be understood as set substantially later (Section III). Finally, general reflections on the naturalness of the whole setting (Section IV) seem to confirm that in the Platonic Phaidon, the already more mature Phaidon, when visited ‘years after’ (Wilamowitz) in Elis by the Pythagorean Echecrates, reports details of the memorable death of his former master. (shrink)

Name der Zeitschrift: Kant-Studien Jahrgang: 106 Heft: 3 Seiten: 538-542.

Vol. 2 is dedicated to the use of Kierkegaard by later Danish writers. Almost from the beginning Kierkegaard's works were standard reading for these authors. Danish novelists and critics from the Modern Breakthrough movement in the 1870s were among the first to make extensive use of his writings. These included the theoretical leader of the movement, the critic Georg Brandes, who wrote an entire book on Kierkegaard, and the novelists Jens Peter Jacobsen and Henrik Pontoppidan.

Toutes les conditions étaient réunies pour que la correspondance entre Karl Löwith et Leo Strauss fût l’exemple idéal d’un dialogue fondamentalement philosophique1. Les deux correspondants se connaissaient bien sans être amis2 ; pendant la plus grande partie de leur vie, ils furent séparés par des distances qui empêchaient toute rencontre ; ils avaient..