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From illness to symbol and symbol to illness.

This paper explores two aspects of the relationship between illness and social symbols: one in which illnesses become symbols; the other, in which symbols become implicated in processes that eventuate in illness. Illness is first discussed as a symbol of social beliefs, attitudes, norms, values, and other social phenomena conceptualized in relation to them. This symbolization is analyzed as it relates to various dimensions of illness that lend themselves to figurative thinking. The paper then turns to processes through which social symbols may generate illness. In this regard, ways in which social symbols may attract people to behavior that puts their health at risk are discussed. The paper concludes with an analysis of how the development of illness may be affected by the relationship between social symbols and somatization.

Anorexia Nervosa

[Man as a symbolic animal--symptoms as symbolic interaction].

This is an article about views of human nature. In western medicine man is conceived mainly as a biological being, a mammal. Philosophical-ontological questions about man's nature are answered implicitly in clinical practice. They are not, however, reflected explicitly. In this article it is argued that symptoms are primarily human experience. To understand these experiences and their expressions, it is necessary to understand man as an "animal symbolicum", a term introduced by the German philosopher Ernst Cassirer. Language is the most specific expression of man's symbolic activities, and symptoms are expressed verbally. Speech is part of social interaction--we, as human beings, have "the power of speech". This way of thinking is illustrated by clinical examples, and an alternative medical practice, homeopathy, is analyzed as a special means of symbolic interaction.

Humans

[Documentation of oral findings with symbols and the symbolic plan of treatment. Study of reliability and practical worth].

The oral status and a plan of treatment were drawn with aid of special symbols on 141 patients of a policlinic. The treatment was managed of 1. dentists in postgradual education with strict order to follow the plan of treatment, 2. dentists which were given the recommendation to act on plan, 3. dentists without knowledge of treatment plan. A control inspection in every case was done one year afters start of treatment. The group 1 showed the best result followed of group 2. Group 3 had the worst result of treatment. This statement is right for treatment of caries, endodontic and prosthetic treatment but not for periodontal treatment. In this field the differences were small between the 3 groups. Even group 1 had insufficient results of periodontal treatment.

Dental Records

Symbolic cross-modal transfer in two species of chimpanzees.

2 common chimpanzees and 1 pygmy chimpanzee, all of whom were proficient lexigram symbol users, were tested on symbolic cross-modal tasks. Previous cross-modal work with nonhuman primates has been limited to nonsymbolic matching tasks. None of these chimpanzees received any advance training on cross-modal tasks prior to the testing reported here. The common chimpanzees, Sherman and Austin, were tested on visual to haptic, visual-symbolic to haptic, haptic to visual-symbolic, and olfactory to visual-symbolic matching tasks. The pygmy chimpanzee, Kanzi, was tested on auditory-symbolic to pictorial and auditory-symbolic to visual-symbolic matching tasks. All subjects were able to match stimuli across the tested dimensions with no training. These results indicate that chimpanzees who have received symbol training can perform symbolic cross-modal tasks similar to those that are typically used with human subjects. These tasks require not only cross-modal associations but also the transformation of information from symbolic to representational modes.

Animals

Transcending death during early adulthood: symbolic immortality, death anxiety, and purpose in life.

Robert Jay Lifton has originated a comprehensive theory of development based on the human psychobiological need to symbolize death and life continuity. He calls this condition the sense of symbolic immortality and argues that life is threatened whenever death is not transcended. A Sense of Symbolic Immortality Scale was built and administered to two groups of young adults (N = 136) in order to test the hypothesis that symbolic immortality develops with age (Drolet, 1986). Templer's Death Anxiety Scale and Crumbaugh and Maholick's Purpose in Life Test also were administered. Results show that established adults have a sense of symbolic immortality and a purpose in life significantly stronger than those of young adults. They show a negative relation between death anxiety and purpose in life, while purpose in life correlates highly with the sense of symbolic immortality. Finally, the premise that the sense of symbolic immortality helps cope with the fear of death is supported.

Adaptation, Psychological

Symbolism in the dreams of the blind.

The present study compared a group of visually handicapped adults and normally-sighted college students with respect to extent of symbolic content in nocturnal dreams. The visually handicapped group comprised individuals who were partially sighted, congenitally blind and adventitiously blind. Each subject was required to keep a dream-diary for a period of two or four months. These diaries were then content-analyzed for frequency of symbolic instances, with symbols being identified in line with the criteria suggested by Hall (1966) and Hall and Nordby (1972). Although individual differences were marked and some visually handicapped subjects reported highly symbolic dreams, this group, on the whole, revealed less symbolism in dreams than did the normally sighted subjects. There was also a tendency for individuals blinded later in life (after age seven) to manifest more symbolic content in dreams than subjects blinded earlier (before age five). However, for the partially sighted subjects in the study, there emerged no clear relationship between age of onset of visual impairment and amount of symbolism in dreams. In general, the present findings were congruent with those of Blank (1958).

Adult

New theory of hippocampal function: associated rehearsal of multiplexed coded symbols.

A new theory of the role of the hippocampus in the selective storage of information in long-term memory is presented. This theory is based on the very recent discovery that neurons in the mammalian cerebral cortex transmit extremely precise copies of patterns of discharge in time when specific sensory inputs are presented, patterns that are interpreted to code for or symbolize specific items of information. The theory incorporates and provides an explanation for both the complex and unique internal structure of the hippocampal formation (the hippocampus and associated dentate gyrus) and the roles of many of the direct and indirect connections that structure makes with other brain structures. It also explains the deficits in learning that result from damage to the hippocampus and/or tracts that provide inputs to (or outputs from) this body as well as the role of the hippocampal formation in mapping the relationship of an individual to objects in its environment. The proposed enplanation is as follows. The hippocampal formation functions as a coordinated structure that, specifically, generates multiple copies of two different kinds of symbols (i.e., specific patterns of trains of nerve discharges in time). These two kinds of patterns are respectively provided by the entorhinal cortex through the perforant-alvear pathways and by the septal region, through the fornix, one of the two inputs to and the only output from the hippocampal formation. These two separate and different kinds of patterns are used to make multiplexed patterns that are ultimately transmitted to the cingulate gyrus and from there to other cortical memory storage locations. This transmission of amplified representations of different symbols occurs through the fornix. From there they are either transmitted to the mammilary bodies in the hypothalamus and from there to the anterior thalamic nuclei or, alternatively, directly to the anterior thalamic nuclei, bypassing the mammilary bodies. These thalamic nuclei in turn project the information to the cingulate gyrus of the cortex. The effect of the transmission of these mixtures of symbols is to cause the coordinated rehearsal and selective storage of relationships between separate inputs (specifically, patterns of discharge that symbolize different aspects of input) that are of probable significance to the survival of the system. The repeated presentation of such specific combinations of representations (symbols) then causes rehearsal-consolidation of these symbol associations as more permanent memories.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals

A comparison of symbol transparency in nonspeaking persons with intellectual disabilities.

This investigation compared the transparency of 11 different types of symbols representing objects with 40 nonspeaking subjects who experienced various degrees of intellectual disability. The subjects included a number of individuals with physical impairments or autism in addition to mild, moderate, or severe mental retardation. The symbol sets included: nonidentical objects, miniature objects, identical colored photographs, nonidentical colored photographs, black-and-white photographs, Picture Communication Symbols (PCS), Picsyms, Rebus, Self-Talk, Blissymbols, and written words. Statistical analyses indicated that real objects were more readily recognized than were any of the symbol sets and that Blissymbols and written words were more difficult than were any of the other sets. In addition, the results suggest the existence of a hierarchy of difficulty at the object (noun) level for the symbol sets assessed. The results are discussed in terms of their implications for selecting an initial symbol set for nonspeaking individuals. In addition, some suggestions for using the assessment protocols in clinical practice are presented, along with future research implications.

Adolescent

The nursing pin: symbol of 1,000 years of service.

The nursing pin is a 1,000-year old symbol of service to others. The earliest ancestor of the pin dates back to the Maltese Cross, adopted by crusaders and worn on their habits as a symbol of service to Christianity. Over the centuries, variations of the crusader's symbol were gradually modified and became family coats of arms, often symbolizing service to a ruler. By the Renaissance, guilds had adopted coats of arms symbolizing masterful service to the community. The most recent ancestor of the pin is the hospital badge of 100 years ago. It was given by the hospital school of nursing to the students to identify them as nurses who were educated to serve the health needs of society. This symbol of service involves many professional rights and responsibilities.

Emblems and Insignia

Spontaneous symbol acquisition and communicative use by pygmy chimpanzees (Pan paniscus).

Two pygmy chimpanzees (Pan paniscus) have spontaneously begun to use symbols to communicate with people. In contrast to common chimpanzees (Pan troglodytes) using the same communicative system, the pygmy chimpanzees did not need explicit training in order to form referential symbol-object associations. Instead, they acquired symbols by observing others use these symbols in daily communications with them. In addition, the pygmy chimpanzees have begun to comprehend spoken English words and can readily identify lexigrams upon hearing the spoken words. By contrast, common chimpanzees who received similar exposure to spoken English are unable to do so. The older pygmy chimpanzee has begun to form requests of the form agent-verb-recipient in which he is neither the agent nor the recipient. By contrast, similarly aged common chimpanzees limited their requests to simple verbs, in which the agent was always presumed to be the addressee and the chimpanzee itself was always the recipient, thus they had no need to indicate a specific agent or recipient. These results suggest that these pygmy chimpanzees exhibit symbolic and auditory perceptual skills that are distinctly different from those of common chimpanzees.

Animal Communication

[Symbol and metaphor].

Taking Jones' work--A Theory of Symbolism as a Basis--it is attempted to elaborate on the basic underlying hypotheses of his symbol concept and to show the partiality of his metaphor concept. Prominence is given the concepts of similarity, identification and structure of experience. The insufficient definition of the metaphor complicates, the understanding of the connection between symbol, symptom and language. The metaphor phenomenon is explained and its organization principles pointed out; principles which are also found in the organisation of experience formation. Freunds theses of primitive language and the use of language as a bridge to symbolism is clarified. The connection between metaphor and symbol is represented as a circular process.

Affect

Subjectivity and symbolization.

The aim of this paper has been to demonstrate that the emergence of subjectivity as a central concept in psychoanalysis is both consistent with and intertwined with the emergence of a new great generative idea (Langer, 1942), now in its nascent stage. Langer's (1942) thesis that symbolization and the power of symbols provide the basis for the fundamental assumptions of the new great generative idea was presented in condensed form. Langer's work was then integrated with that of contemporary psychoanalytic theoretical writers, which tends to support Langer's thesis. Freud's discoveries were revolutionary insofar as they resulted in the posing of new kinds of questions that have to do with symbols and their meanings. To that extent the birth of psychoanalysis itself appears as one manifestation of the emerging new generative idea. The issue of subjectivity was examined from the specific vantage point of recent conceptualizations of self and self-experience. Symbolization, it was shown, is a crucial factor in both self-experience and conceptualizations of self. Finally, it was suggested by the author that some of the existing baffling problems concerning subjectivity, the concept of self, and self-experience may disappear in the context of the new great generative idea, based on fundamental assumptions about the power of symbols.

Ego

Hemispheric priming by meaningful and nonmeaningful symbols in language-trained chimpanzees (Pan troglodytes): further evidence of a left hemisphere advantage.

Hemispheric priming was examined in 3 language-trained chimpanzees (Pan troglodytes) using a simple reaction time paradigm. Subjects were required to hold down a response button until the occurrence of a response cue. A warning stimulus was presented to either the left visual field (LVF) or the right visual field (RVF) before the response cue occurred. No warning stimulus was presented on control trials. The warning stimuli were geometric communicative symbols from two semantic categories: foods and tools. A third set of warning stimuli were familiar geometric symbols. Dependent measures included reaction time and the number of false-positive responses. Reaction-time data indicated an RVF advantage in priming when the warning stimuli were food or tool symbols. No significant visual half-field differences were found for familiar symbols, but a trend toward an RVF advantage was observed. These effects were enhanced when subjects responded with their left hand. False-positive data also indicated an RVF advantage for the food and tool warning stimuli. The data indicate that hemispheric asymmetries for processing communicative symbols are present in language-trained chimpanzees.

Animals

The role of memory in the age decline in digit-symbol substitution performance.

Adult age differences in the Digit Symbol Test were investigated in three separate experiments. All experiments incorporated a manipulation of the number of digit-symbol pairs in modified versions of the test forms to determine whether the age differences would be reduced with decreased memory requirements. The results of all three experiments indicated that, as the number of digit-symbol pairs was reduced, the age difference was reduced in absolute terms, but not in relative terms. Older subjects decreased their times by greater absolute amounts, but by the same relative amounts when the number of digit-symbol pairs was decreased from nine to one. Independent results supported the interpretation that memory factors play a very small role in contributing to the age decline in digit-symbol performance.

Adult

Patterns of symbolic expression in subgroups of the childhood psychoses.

Differential patterns of symbolic expression, through the modalities of language, gesture, play, and drawing, were investigated in 48 psychotic children: 26 with chart diagnoses of autism and 22 with chart diagnoses of schizophrenia. As predicted, autistic children tended to show an absence of symbol use, while schizophrenic children demonstrated complex or differentiated symbol use. A multiple discriminant analysis supported the hypothesized emergence of a "transitional" group of children, defined on the basis of echolalic language, who showed stereotypic or undifferentiated symbol use.

Autistic Disorder

A neural basis for symbol development.

Understanding of cognitive function and dysfunction depends on a knowledge of the neural substrate for symbol formation. Despite a vast literature on the nature of symbolism, fundamental neurophysiological mechanisms underlying the ontogeny of symbol formation have been neglected. This paper develops a theory outlining the formation and evolution of a symbol couched in terms of the neural substrate.

Agnosia