BODY DYSMORPHIC DISORDER IN PATIENTS WITH OBSESSIVE-COMPULSIVE DISORDER: PREVALENCE AND CLINICAL CORRELATES

Background The prevalence, sociodemographic aspects, and clinical features of body dysmorphic disorder (BDD) in patients with obsessivecompulsive disorder (OCD) have been previously addressed in primarily relatively small samples. Methods We performed a cross-sectional demographic and clinical assessment of 901 OCD patients participating in the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders. We used the Structured Clinical Interview for DSM-IV Axis I Disorders; Yale-Brown Obsessive-Compulsive Scale; Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS); Brown Assessment of Beliefs Scale; Clinical Global Impression Scale; and Beck Depression and Anxiety Inventories. Results The lifetime prevalence of BDD was 12.1%. The individuals with comorbid BDD (OCD-BDD; n = 109) were younger than were those without it. In addition, the proportions of single and unemployed patients were greater in the OCD-BDD group. This group of patients also showed higher rates of suicidal behaviors; mood, anxiety, and eating disorders; hypochondriasis; skin picking; Tourette syndrome; and symptoms of the sexual/religious, aggressive, and miscellaneous dimensions. Furthermore, OCD-BDD patients had an earlier onset of OC symptoms; greater severity of OCD, depression, and anxiety symptoms; and poorer insight. After logistic regression, the following features were associated with OCD-BDD: current age; age at OCD onset; severity of the miscellaneous DY-BOCS dimension; severity of depressive symptoms; and comorbid social phobia, dysthymia, anorexia nervosa, bulimia nervosa, and skin picking. Conclusions Because OCD patients might not inform clinicians about concerns regarding their appearance, it is essential to investigate symptoms of BDD, especially in young patients with early onset and comorbid social anxiety, chronic depression, skin picking, or eating disorders. Depression and Anxiety 29: 966-975, 2012. (C) 2012 Wiley Periodicals, Inc.

Gadda neobarocco. Corrispondenze fra Barocco storico e Barocco moderno

Nei primi due capitoli mi occupo del recupero del Barocco in ambito novecentesco e delle diverse letture e interpretazioni del Barocco e del Neobarocco, concetto che nasce dalla riflessione sul Barocco lungo tutto il Novecento. Riflessione che è stata anche una rivendicazione, a livello estetico, ma non solo, di una attualità o contemporaneità del Barocco, che accomuna tutta la riflessione sulla scoperta della cultura di un secolo, da Wölfflin a Benjamin, da Riegl a Anceschi. Si tratta anche di un rapporto fra Barocco storico e Neobarocco: se la stessa rivalutazione e riscoperta dell’arte del XVII secolo, dalla fine dell’Ottocento e lungo tutto il Novecento, ha coinciso con la sua costruzione terminologica ed ermeneutica, di questa nuova categoria è lo stesso approccio intellettuale contemporaneo che può definirsi, nella più ampia accezione, «neobarocco». Nel terzo capitolo, invece, ho approfondito il rapporto fra Gadda e il Barocco, partendo dal concetto di allegoria moderna di Walter Benjamin. Fondamentale per la mia ricerca è stato il libro di Gilles Deleuze, La piega. Leibniz e il barocco, che ha visto nell’opera del filosofo Leibniz (studiato anche dal proprio Gadda) la chiave di lettura per capire il Barocco nelle sue diverse manifestazioni. E anche il libro di Robert Dombroski, Gadda e il barocco, in cui si parte appunto dal concetto di barocco/neobarocco come punto di approccio per studiare il barocco di Gadda. Infatti, lo stile di Gadda risponde al canone barocco che il poststrutturalismo ha riaccolto nel vivo del dibattito estetico, si pensi ai contributi di Roland Barthes e di Severo Sarduy e, posteriormente, all’opera proprio di Deleuze. Nell’ultimo capitolo, poi, faccio un’analisi di Gadda traduttore di opere del Seicento spagnolo, opere che vengono da lui riscritte grazie alla rielaborazione del passato attraverso il suo linguaggio neobarocco.

A three-dimensional histological atlas of the human basal ganglia. II. Atlas deformation strategy and evaluation in deep brain stimulation for Parkinson disease

OBJECT: The localization of any given target in the brain has become a challenging issue because of the increased use of deep brain stimulation to treat Parkinson disease, dystonia, and nonmotor diseases (for example, Tourette syndrome, obsessive compulsive disorders, and depression). The aim of this study was to develop an automated method of adapting an atlas of the human basal ganglia to the brains of individual patients. METHODS: Magnetic resonance images of the brain specimen were obtained before extraction from the skull and histological processing. Adaptation of the atlas to individual patient anatomy was performed by reshaping the atlas MR images to the images obtained in the individual patient using a hierarchical registration applied to a region of interest centered on the basal ganglia, and then applying the reshaping matrix to the atlas surfaces. RESULTS: Results were evaluated by direct visual inspection of the structures visible on MR images and atlas anatomy, by comparison with electrophysiological intraoperative data, and with previous atlas studies in patients with Parkinson disease. The method was both robust and accurate, never failing to provide an anatomically reliable atlas to patient registration. The registration obtained did not exceed a 1-mm mismatch with the electrophysiological signatures in the region of the subthalamic nucleus. CONCLUSIONS: This registration method applied to the basal ganglia atlas forms a powerful and reliable method for determining deep brain stimulation targets within the basal ganglia of individual patients.

Chronic tic disorders:diagnosis, treatment and management

How different types of tic disorders are diagnosed and the appropriate therapeutic options for their management, with a focus on Tourette syndrome.

Speeches and paradoxes of cultural mediation: A practice between the elite and the cultural poverty

This text analyzes the speeches of a group of cultural mediators working in Madrid in public and private institutions of arts. The group was organized as part of the activities of the European Project Divercity: Diving into Diversity in Museums and the City of the Complutense University in March 2015. The aim of the interview was to unravel what they mean by diversity in the profession, and analyze the contradictions and objectives professions that arise in this new field of work.

The Essay as Art Form

Beginning with Montaigne’s essayistic dictum Que sais je? — ‘What do I know?’ — this PhD thesis examines the literary history, formal qualities, and theoretical underpinnings of the personal essay to both investigate and to practice its relevance as an approach to writing about art. The thesis proposes the essay as intrinsically linked to research, critical writing, and art making; it is a literary method that embodies the real experience of attempting to answer a question. The essay is a processual and reflexive mode of enquiry: a form that conveys not just the essayist’s thought, but the sense and texture of its movement as it attempts to understand its object. It is often invoked, across disciplines, in reference to the possibility of a more liberal sense of creative practice — one that conceptually and stylistically privileges collage, fragmentation, hybridity, chance, open-endedness, and the meander. Within this question of the essay as form, the thesis contains two distinct and parallel strands of analysis — subject matter and essay writing as research. At the core of the study lie two close-readings: Ana Mendieta’s Labyrinth of Venus (1982) and Le Couvent de la Tourette (1959) by Le Corbusier and Iannis Xenakis. In each case, the writing draws, in its tone and texture, on a range of literary influences, weaving together different voices, discussions, and approaches to enquiry. The practice of essay writing is presented alongside, part and party to, research: a method of interrogation that embraces risk and uncertainty, and simultaneously enacts its own findings as a critical-creative mode of study-via-form, and form-via-study. The thesis is presented as a book-length essay, in which the art in question is equal and intimately connected to the writing used to address it. Method and form are designed to respond to the oft-cited challenge of the essay as fundamentally unmethodical, ranging, and diverse. Research, critical study, writerly description, and storytelling are combined to elucidate and expose each other based not on surface continuity, but on a deep interconnection among ideas that, through language, cohere and become related — imbued with an affinity for one another. The consummate product is the argument, as it works across genres, disciplines, descriptive and critical models, to challenge the narrative structure and language used within contemporary writing about art.

Création de modèles multi-indices et impact sur l'efficacité du processus de diversification

La plus grande partie de la corrélation entre les rendements des titres individuels est bien entendu expliquée par le marché. Cependant, les chercheurs s'entendent aujourd'hui pour dire qu'il existe des sources de covariation importante en dehors du marché. Ces sources de covariation ont souvent été décrites comme des effets d'industries (Benjamin King); plus généralement, on parlera ici d'effets de groupes. On parlera d'effets de groupes pour signifier que, s'il est vrai que les titres peuvent se regrouper d'après leur covariation, nette de l'effet du marché, ils ne se regroupent pour autant pas forcément d'après la classe d'industrie dans laquelle ils sont rangés…

Le Corbusier (1887–1965)

Le Corbusier was a Swiss architect and urbanist who acquired French nationality in 1930, having set up his studio (“the atelier of patient research”) in that country. Just as he assumed an unconditional continuity in relation to the past, he also clearly confronted the circumstances of his time. Many of his works became icons of Modernism, like the Villa Savoye (1928), the Marseilles Housing Unit (1945), the Ronchamp Chapel (1950), the Convent of Sainte-Marie de la Tourette (1953) and the Chandigarh Capitol Complex (1950-55), to mention just a few examples. His architecture reflected the development of a modern industrialized economy, a western avant-garde society and a vibrant political and social context. He made a mark not only with his constructed work, but also with designs that were never built (and which were progressive in character), his painting (which reflected his experimentalist nature) and with his theoretical texts, which today bear witness to his modernist doctrine. Le Corbusier was above all one of the most prolific thinkers of Modernism, and one of the greatest figures of the 20th century.

Functional asymmetries in the movement kinematics of patients with Tourette's syndrome

Objectives-This study adopted a concurrent task design and aimed to quantify the efficiency and smoothness of voluntary movement in Tourette's syndrome via the use of a graphics tablet which permits analysis of movement profiles. In particular, the aim was to ascertain whether a concurrent task (digit span) would affect the kinematics of goal directed movements, and whether patients with Tourette's syndrome would exhibit abnormal functional asymmetries compared with their matched controls. Methods-Twelve patients with Tourette's syndrome and their matched controls performed 12 vertical zig zag movements, with both left and right hands (with and without the concurrent task), to large or small targets over long or short extents. Results-With short strokes, controls showed the predicted right hand superiority in movement time more strongly than patients with Tourette's syndrome, who instead showed greater hand symmetry with short strokes. The right hand of controls was less force efficient with long strokes and more force efficient with short strokes, whereas either hand of patients with Tourette's syndrome was equally force efficient, irrespective of stroke length, with an overall performance profile similar to but better than that of the controls' left hand. The concurrent task, however, increased the force efficiency of the right hand in patients with Tourette's syndrome and the left hand in controls. Conclusions-Patients with Tourette's syndrome, compared with controls, were not impaired in the performance of fast, goal directed movements such as aiming at targets; they performed in certain respects better than controls. The findings clearly add to the growing literature on anomalous lateralisation in Tourette's syndrome, which may be explained by the recently reported loss of normal basal ganglia asymmetries in that disorder.

Fatigue et réduction de la performance motrice chez le sportif, syndrome de surentraînement [Fatigue and reduction in motor performance in sportspeople or overtraining syndrome].

The main goal of training activities is to improve motor performance. After strenuous workouts, it is physiological to experience fatigue, which relieves within two weeks, and then induce an improvement in motor capacities. An overtraining syndrome is diagnosed when fatigue is postponed beyond two weeks, and affects mainly endurance athletes. It is a condition of chronic fatigue, underperformance and an increased vulnerability to infection leading to recurrent infections. The whole observed spectrum of symptoms is physiological, psychological, endocrinogical and immunological. All play a role in the failure to recover. Monitoring of athletes activities helps to prevent the syndrome with days with no sports. Rest, patience and empathy are the only ways of treatment options.