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Conscious control over the content of unconscious cognition.

Visual stimuli (primes) presented too briefly to be consciously identified can nevertheless affect responses to subsequent stimuli - an instance of unconscious cognition. There is a lively debate as to whether such priming effects originate from unconscious semantic processing of the primes or from reactivation of learned motor responses that conscious stimuli afford during preceding practice. In four experiments we demonstrate that unconscious stimuli owe their impact neither to automatic semantic categorization nor to memory traces of preceding stimulus-response episodes, but to their match with pre-specified cognitive action-trigger conditions. The intentional creation of such triggers allows actors to control the way unconscious stimuli bias their behaviour.

Adolescent↗

Unconsciousness indication using time-domain parameters extracted from mid-latency auditory evoked potentials.

OBJECTIVE: The mid-latency auditory evoked potential (MLAEP) has been used to indicate depth of anaesthesia, and is usually analysed in time-domain. This work compares three techniques: Wave Deformation Parameters (PDO), Auditory Evoked Potential Index (AEPidx) and an automatic Nb-wave latency estimator (Nb), in the assessment of unconsciousness onset based on EEG under auditory stimulation. METHODS: Ten normal adult volunteers, under no pre-anaesthetic drug administration, received propofol during two successive periods of 45 min each one (3 mg/Kg/h and 9 mg/Kg/h), being the EEG collected from 10 min previous to infusion beginning until the subjects woke up. From the time-evolution of MLAEP (averaging of successive sets of 1000 epochs) all the parameters were compared to thresholds (unconsciousness onset indication time) and the results were compared to the instant of pressing interruption of a soft-touch switch, when one assumed the volunteer became unconscious. RESULTS: The Wilcoxon Signed-Rank test points equivalence between each of the parameters and the switch for, say, alpha = 5%. Bland-Altman diagrams revealed that the Attenuation-PDO has better agreement to the switch than Nb and AEPidx. CONCLUSION: The results suggest that, at least to indicate unconsciousness, the most reliable effect of the anaesthetic drug on MLAEP would be the amplitude attenuation. Despite the high dependence on noise due to its time-domain basis, the Attenuation-PDO seems to be adequate to assess depth of anaesthesia.

Adult↗

The psychological unconscious. Found, lost, and regained.

In response to Greenwald's article on contemporary research on unconscious mental processes, the authors address three issues: (a) the independence of much recent research and theory from psychodynamic formulations; (b) the broad sweep of the psychological unconscious, including implicit perception, memory, thought, learning, and emotion; and (c) the possibility that the analytic power of unconscious processing may depend both on the manner in which mental contents are rendered unconscious and the manner in which they are to be processed.

Awareness↗

On the development of conscious and unconscious memory.

The distinction between conscious and unconscious memory, which is central to modern theories of cognition, has received only limited scrutiny in developmental research. One reason is a need for developmental methodologies that allow age variability in conscious and unconscious memory to be quantified. A simple paradigm (called conjoint recognition) and model are presented that quantify conscious and unconscious memory for learned materials and for the types of unlearned materials that have been found to induce false memories in children. A validation study showed that the model gave excellent accounts of the performance of 7- and 10-year-olds and that conscious and unconscious memory parameters reacted in appropriate ways to 3 manipulations (age, meaningfulness of distractors and targets, and priming).

Child↗

[Unconscious insecurity before and after breast examination in senology patients without pathologic findings].

The study reported here surveyed unconscious insecurity among healthy women, who consulted a senological outpatient service because of suspected breast cancer. It was investigated whether and in what way the reduction in unconscious insecurity, after being informed that the diagnosis was favorable (no carcinoma), is dependent on certain psychological conditions. The patients were divided into various subgroups according to history and psychological criteria, and these subgroups were then compared with regard to the reduction in their feeling of insecurity after being advised that there were no pathological findings. The individual tendency to tenseness (Brauchli 1983, 1987 a, b) was used as an indicator of unconscious insecurity. Coming to terms consciously with the cancer risk and possible consequences of cancer, proved to be a prerequisite for an adequate reduction in unconscious insecurity after being informed that findings were negative.

Adaptation, Psychological↗

Enlisting the unconscious as an ally in grief therapy: the creative use of affirmations, metaphors, and guided visualization.

This article explores the effective use of the unconscious as an ally in providing therapy to bereaved clients. The power of the unconscious, often an underutilized but potent resource, can be employed through the use of specialized communication techniques which incorporate the specific language of the unconscious. The following presents the therapeutic use of "embedded affirmations," metaphors, and guided visualizations, focused on harnessing the healing potential of the unconscious. Included is a step-by-step model for constructing a guided visualization which can be customized to meet the needs of both individual clients and groups.

Death↗

The credibility of a source influences the rate of unconscious plagiarism.

Three experiments were conducted to investigate the relationship between the credibility of information and later unconscious plagiarism of that information. In each experiment, ideas concerning ways to reduce traffic accidents were presented from a more credible source (traffic planners) and a less credible source (college freshmen). After a distractor task, participants were asked to generate novel ways to reduce traffic accidents. In Experiments 1 and 2, unconscious plagiarism of ideas presented from the more credible source was greater than from the less credible source. In neither experiment was explicit memory for ideas from each source different in tests of source monitoring or free recall. However, the difference in unconscious plagiarism was eliminated in Experiment 3 by having participants generate the implications of ideas at study. The results are discussed in terms of the explicit factors that affect the incidence of unconscious plagiarism.

Adult↗

Isolating unconscious influences: the neutral parameter procedure.

Earlier demonstrations of unconscious learning have been regularly challenged. In this paper, we suggest that earlier demonstrations were not compelling due to certain properties of the experimental situations, and notably that conscious exploitation of explicit knowledge, if present, would coincide or conflict with the results of unconscious processing. We designed a method consisting of inducing a neutral behavioural change in the way subjects drew geometric figures. Two experiments showed that important and long-lasting modifications of drawing behaviour were obtained following specially devised practice, although these modifications could not be expected from deliberate adaptive strategies. In addition, we showed that subjects were unaware of the manipulation to which they had been exposed. The study provides striking evidence for unconscious learning and offers insights for the design of suitable new tools to investigate unconscious cognition.

Adolescent↗

Implicit perception, implicit memory, and the recovery of unconscious material in psychotherapy.

A review of the empirical literature on implicit perception and implicit memory reveals that Freud's hypotheses regarding free association, transference, and the recovery of unconscious material in therapy were correct in some areas and incorrect in others. Empirical evidence confirms that--as Freud hypothesized--when implicit (i.e., unconscious) perceptions and memories are made explicit (i.e., conscious), individuals are able to make more logical, realistic judgments and inferences regarding those perceptions and memories. However, empirical evidence does not support Freud's contention that free association is a particularly powerful tool for accessing unconscious material. The implications of these findings for psychoanalytic theory and therapy are discussed, and alternative approaches to accessing unconscious material in psychotherapy are described.

Free Association↗

Subjectivity and unconsciousness.

Concepts of the unconscious were crucial to both Jung's and Freud's thinking. Psychoanalytic and analytical psychological views of the unconscious are compared and contrasted, and both are critically reviewed. It is suggested that we need to revise our conceptualization so as to take better account of the role of the analyst's expectations and inferences, and therefore of his or her subjectivity, whenever he or she makes a clinical judgement that unconscious mental processes are in operation. Some technical implications of a revised definition of unconsciousness are considered, especially indications for self-disclosure by an analyst of his or her own experience of events within the treatment.

Adult↗

The alienness of the unconscious: on Laplanche's theory of seduction.

In this paper the author uses a clinical example as a focus for an exploration of his thesis that the parent is the 'other' who implants his or her unconscious message into the child by means of seduction. As the other is alien, the unconscious of the child cannot any longer be considered the centre of the person but is decentred by the implanted alienness. The author draws on Laplanche's seduction theory to argue that the unconscious message of seduction by the other is exclusively sexual and that it cannot be translated nor symbolized because an interpretative system shared by subject and object is lacking. The decentred alterity of the unconscious allows for comparison with a third object and hence a structural triangulation of the mind which is a prerequisite for symbolization. The role of the analyst in permitting a transference enactment and so facilitating the beginning of sexual symbolization is discussed in relation to the clinical example given at the start of the paper.

Adult↗

Unconscious facial reactions to emotional facial expressions.

Studies reveal that when people are exposed to emotional facial expressions, they spontaneously react with distinct facial electromyographic (EMG) reactions in emotion-relevant facial muscles. These reactions reflect, in part, a tendency to mimic the facial stimuli. We investigated whether corresponding facial reactions can be elicited when people are unconsciously exposed to happy and angry facial expressions. Through use of the backward-masking technique, the subjects were prevented from consciously perceiving 30-ms exposures of happy, neutral, and angry target faces, which immediately were followed and masked by neutral faces. Despite the fact that exposure to happy and angry faces was unconscious, the subjects reacted with distinct facial muscle reactions that corresponded to the happy and angry stimulus faces. Our results show that both positive and negative emotional reactions can be unconsciously evoked, and particularly that important aspects of emotional face-to-face communication can occur on an unconscious level.

Adult↗

William James and the unconscious: redressing a century-old misunderstanding.

Contrary to received wisdom in psychology, William James did not oppose postulating unconscious processes. This mistaken belief stems from a misreading of a passage in his Principles concerned with disproving the metaphysical notion that mental states are composed of elementary mental units. The term unconscious had been co-opted by individuals who supported this position. Unconscious did not mean then what it means now. Analysis of the rest of the Principles, his later works, and his reactions to the works of others reveals that James actually supported what we would now term unconscious processes. He even contributed to their study with his notions of the "fringe," "habit," and "subconscious incubation." Causes and effects of this misunderstanding are discussed.

History, 19th Century↗

Discontinuation of cervical spine immobilisation in unconscious patients with trauma in intensive care units--telephone survey of practice in south and west region.

OBJECTIVE: To study how the cervical spine is assessed before discontinuation of cervical spine immobilisation in unconscious trauma patients in intensive care units. DESIGN: Telephone interview of consultants responsible for adult intensive care units. SETTING: All 25 intensive care units in the South and West region that admit victims of major trauma. MAIN OUTCOME MEASURES: The clinical and radiological basis on which the decision is made to stop cervical spine immobilisation in unconscious patients with trauma. RESULTS: In 19 units cervical spine immobilisation was stopped in unconscious patients on the basis of radiology alone, and six units combined radiology with clinical examination after the patient had regained consciousness. Sixteen units relied on a normal lateral radiological view of the cervical spine alone, five required a normal lateral and anteroposterior view, and four required a normal lateral, anteroposterior, and open mouth peg view. CONCLUSIONS: There are inconsistencies in the clinical and radiological approach to assessing the cervical spine in unconscious patients with trauma before the removal of immobilisation precautions. There is an overreliance on the lateral cervical spine view alone, which has been shown to be insensitive in this setting.

Adult↗

Transformations of unconscious fantasy in art.

Unconscious fantasy is conceptualized as a representation for drive-related, conflict-laden, wish-fulfilling views of human experience. These are usually related to sexuality, and refer to birth, intrauterine existence, primal scene, castration, and seduction. Unconscious fantasy may be transformed into works of art through a variety of artistic means. The employment of formal means for the representation of fantasy may be the product of an endopsychic perception. Thus, structural attributes of the psyche may also find representation. An example is used from the creative process in the construction of a novel by Henry James, The Spoils of Poynton. In the process of fulfilling artistic purposes in the construction of his plot, the author made use of derivatives of unconscious fantasy which surface in the process of creation. The work of art is the integration of unconscious derivatives which become transformed into artistic structure.

Creativity↗

Unconsciousness, amnesia and psychiatric symptoms following road traffic accident injury.

BACKGROUND: Although road traffic accident injury is the most common cause of traumatic brain injury, little is known of the prevalence of psychiatric complications or the significance of unconsciousness and amnesia. AIMS: To describe amnesia and unconsciousness following a road traffic accident and to determine whether they are associated with later psychological symptoms. METHOD: Information was obtained from medical and ambulance records for 1441 consecutive attenders at an emergency department aged 17-69 who had been involved in a road traffic accident. A total of 1148 (80%) subjects completed a self-report questionnaire at baseline and were followed up at 3 months and 1 year. RESULTS: Altogether, 1.5% suffered major head (and traumatic brain) injury and 21% suffered minor head injury. Post-traumatic stress disorder (PTSD) and anxiety and depression were more common at 3 months in those who had definitely been unconscious than in those who had not, but there were no differences at 1 year. CONCLUSIONS: PTSD and other psychiatric complications are as common in those who were briefly unconscious as in those who were not.

Accidents, Traffic↗

The primary process and the unconscious: experimental evidence supporting two psychoanalytic presuppositions.

The authors report on two experiments designed to test an important feature of the primary process: unconscious categorisation by attributes rather than by relations. These experiments were designed to provide support, independently of the clinical situation, for the presupposition of a psychological unconscious and for the presupposition that unconscious mentation is organised along primary-process lines. Their results were encouraging. They found that (1) unconscious similarity judgements could be made; and (2) these judgements were based on attributes (a primary-process mechanism) rather than relationships (a secondary-process mechanism). This independent evidence, obtained in controlled experimental studies supporting two fundamental psychoanalytic presuppositions, should be welcome news to psychoanalysts, given the continuing criticism from many quarters that basic psychoanalytic ideas lack independent validation. This paper begins with an overview of the primary processes with a special focus on the role of categorisation by attribute, the particular aspect of primary process explored in this study. Next a brief history of previous empirical investigations of primary process is given, following which the current experiments are presented.

Adult↗

The 'Medea fantasy'. An unconscious determinant of psychogenic sterility.

The author begins by pointing out that myths have always been powerful vehicles for the projection of ubiquitous unconscious fantasies. Having noted the importance of certain male protagonists of the Greek myths in Freud's theories, she observes that their female counterparts exert an equal fascination and suggests that the Medea myth as recounted by Euripides can be invoked to elucidate a central unconscious fantasy found to underlie the psychogenic frigidity and sterility of several of her female patients. The manifestation of this 'Medea fantasy' is illustrated by a clinical account in which a dream is analysed. The author next summarises the Medea story as told by Euripides and attempts a psychoanalytic interpretation of it. She draws attention to features of the 'unconscious truth' inherent in the myth that were shared by all the members of her group of patients. A case history then shows how the progressive understanding and working through of the Medea fantasy led to a change in the analysand's experience of femininity and enabled her to have children. It is postulated that both early infantile sexual fantasies and repressed memories of early object-relations traumas such as maternal depression combine with ubiquitous bodily fantasies to produce the unconscious Medea fantasy.

Adult↗