Cats on the Couch: The Experimental Production of Animal Neurosis.

Argument In the 1940s-50s, one of the most central questions in psychological research related to the nature of neurosis. In the final years of the Second World War and the following decade, neurosis became one of the most prominent psychiatric disorders, afflicting a high proportion of military casualties and veterans. The condition became central to the concerns of several psychological fields, from psychoanalysis to Pavlovian psychology. This paper reconstructs the efforts of Chicago psychiatrist Jules Masserman to study neurosis in the laboratory during the 1940s and 1950s. Masserman used Pavlovian techniques in a bid to subject this central psychoanalytic subject to disciplined scientific experimentation. More generally, his project was an effort to bolster the legitimacy of psychoanalysis as a human science by articulating a convergence of psychoanalytic categories across multiple species. Masserman sought to orchestrate a convergence of psychological knowledge between fields that were often taken to be irreconcilable. A central focus of this paper is the role of moving images in this project, not only as a means of recording experimental data but also as a rhetorical device. The paper argues that for Masserman film played an important role in enabling scientific observers (and then subsequent viewers) to see agency and emotion in the animals they observed.

National audits of hip fractures: Are yearly audits required?

INTRODUCTION: Hip fractures are a significant cause of morbidity and mortality to the increasing elderly population. The Scottish Hip Fracture Audit started in 1993 with national audits from 2002. It was a national prospective audit reporting on clinical standards in hip fracture care and produced an annual report. Due to national funding changes the continual audit was discontinued in 2008. In 2013, the MSK Audit Group published a "snapshot" into a 4 month period of hip fracture care in Scotland. Our purpose was to identify whether there had been an initial improvement in hip fracture care and whether this improvement was sustained with the discontinuation of the annual audit. METHODS: The reported outcomes from the annual Scottish Hip Fracture Audit from 2003 to 2008 were compared to the latest MSK Hip Fracture Audit published in 2013. Some data is available from the 2014 MSK Hip Fracture Audit and this was also used for comparison purposes. Local audit co-ordinators at each participating site collected a data-set for all patients admitted with a hip fracture. The case mix variables and management variables were compared for the reported years. RESULTS: The continual audit demonstrated an improvement in the percentage of patients discharged from accident and emergency in 4h (80.5% 2003 vs. 96% 2008) which was not maintained 5 years later. An improvement in the percentage of patients having surgery within 48 h of admission (89.9-98.4%) was also not maintained after 5 years (91.8%). 30 day mortality improved with continual audit, a trend which continued in 2013. The re-introduction of continuous audit in 2014 demonstrated an improvement in accident and emergency waiting times and time to theatre. DISCUSSION: The Scottish Hip Fracture Audit demonstrated improved standards of care until it was discontinued in 2008. The improvement was not sustained throughout all variables with the 2013 audit. With the re-introduction of regular audit, standards once again improved. We would recommend a more regular audit in an effort to not only improve standards of care for patients with a hip fracture but to maintain them.

Pre-operative analysis of lower limb coronal alignment - a comparison of supine MRI versus standing full-length alignment radiographs.

BACKGROUND: In this study we compare the results of pre-operative standing full-length alignment (SFLA) radiographs with supine MRI assessment of the lower limb alignment prior to MRI based patient specific total knee arthroplasty (TKA). METHODS: Imaging was performed in 45 knees (45 patients). Assessment of SFLA radiographs was performed by three independent assessors. Inter-observer correlation was high and so the mean values were calculated. This data was then compared to MRI alignment data used to create the patient specific cutting jigs. RESULTS: The range of alignment on SFLA radiographs ranged from +25° to -13° versus +20° to -11° with MRI. The mean difference between techniques was 2° (range 0-8°, SD ± 3°). Supine MRI under-estimated the degree of deformity in 31/45 (69%) cases. In 25/45 (56%) cases the supine MRI result was within ±2° of the value on SFLA radiographs, 31/45 (69%) were within ±3° and 38/45 (84%) within ±5°. There was no correlation between the degree of varus/valgus deformity and the magnitude of the difference between imaging modalities (Spearman's r(2)=0.02, p=0.41). CONCLUSIONS: The findings from this study would indicate that supine MRI underestimates the degree of deformity at the knee joint, a conclusion which may be important for pre-operative planning or follow-up of corrective osteotomy or TKA.

The mystery of memory: in search of the past.

A universal fascination with how we remember, forget, and create false memories cuts across the arts and sciences, as do the questions of how and where memories are formed and preserved. Moderated by Steve Paulson, executive producer and host of To the Best of Our Knowledge, novelist and comparative literature professor André Aciman (City University of New York), neuroscientist Joseph LeDoux (New York University), psychologist Daniel Schacter (Harvard University), and historian of science and medicine Alison Winter (University of Chicago) discuss how memory impacts our perception of ourselves, the development of personality, and the ability to construct and reconstruct our past experience. The following is an edited transcript of the discussion that occurred November 14, 2012, 7:00-8:15 PM, at the New York Academy of Sciences in New York City.

The rise and fall of forensic hypnosis.

This paper examines the fortunes of the controversial use of hypnosis to 'enhance' autobiographical memories in postwar America. From the 1950s through the early 1980s, hypnosis became increasingly popular as a means to exhume information thought to be buried within the mind. This practice was encouraged by lay understandings of memory drawn from a material culture full of new recording devices (motion pictures, tape and then video recorders); and during the years when the practice was becoming most popular and accepted, academic psychologists developed a contrary, reconstructive, account of memory that was put to use in a series of battles meant to put an end to hypnotic recall. But popular commitment to the idea of permanent memory 'recordings' sustained the practice and the assumptions about memory and self that were associated with it, and in the face of a culture of academic psychology fully committed to the idea of 'reconstructive', malleable memory, a tidal wave of 'enhanced' memories swept America in the late 1980s and 1990s, in the so-called 'memory wars'. These, in turn, provoked academic psychologists to research the claims and counter claims central to the memory wars. The paper will also make an argument about the importance of lay knowledge in the psychological sciences explored in this paper: that popular psychological beliefs played a significant, even formative role in defining the nature of forensic psychological expertise, and also the framing of elite academic psychological research.

Film and the construction of memory in psychoanalysis, 1940-1960.

This paper explores the relationship between the medium of motion-picture film and the representation of autobiographical memory during the middle decades of the twentieth century. The paper argues that a reciprocal relationship developed between film and memory, in which film was understood as an externalized form of memory, and memory an internalized record of personal experience similar in many respects to film. Memory was often represented as an object-like entity, preserved in stable form within the body, and able to be extracted by the right stimulus or trigger. A particularly important community in which this representation was developed was psychotherapeutic practitioners with psychoanalytic orientations, particularly during and shortly after the Second World War. In special circumstances, therapists and others claimed, records of past life events could be projected, film-like, onto the screen of an individual's conscious, replaying previous experiences in real time. The paper develops a social historical account of this relationship, and reflects on its significance for the history of selfhood in the twentieth century.

The making of "truth serum".

This essay reconstructs a social and cultural history of "truth serum" in America during the 1920s and 1930s, identifying the intellectual ingredients of the idea of a physiological "truth technique," and examining why it seemed to meet an urgent need. It argues that truth serum had the patina of modern science but produced a phenomenon that could be understood and evaluated by every man. It therefore offered the public a technique with the benefits of expertise but without its attendant costs to lay authority. The paper also argues that truth serum helped develop an account of memory as a permanent record of experience, accessible through altered states of mind. This view contributed to the production of a public understanding of memory that both diverged from previous claims about memory and recall, and ran counter to the direction of current psychological research. It thus helped lay the groundwork for claims about memory permanence and scientific recall techniques later in the twentieth century.

Screening selves: sciences of memory and identity on film, 1930-1960.

Chemicals that could be used scientifically to force an individual to tell the truth - dubbed truth sera - were first described in the early 1920s. Ever since, the notion of "truth drugs" has remained tenaciously within popular culture. One of the most important reasons for the survival of the notion of a pharmaceutical technology of authenticity was the role of the barbiturates sodium amytal and sodium pentothal in psychiatric research and treatment during the 1930s through the 1950s. This article traces that history, giving special emphasis to the role of motion pictures. The article argues that researchers were seeking to develop a technology of authenticity (rather than of the truth per se). It examines how they used motion pictures to help them develop and disseminate this technology.