Journal articles on the topic 'Child of hoarder'

Abstract The perspective herein is based upon the lived experience of adult Children of Hoarding Parents (COHP). The weight of parental hoarding on COHP is not derived solely from the physical adversity of living within a hoarded home but also comes with the social and psychological challenges they carry into adulthood. The view of hoarding as a family disorder with lasting impact evokes research questions including the exploration of the relationship between childhood adversity and parental hoarding, and the application of attachment theory to hoarding behaviours and family relationships. These types of research studies may lead to policy adoption and programme development for early identification of and intervention within families where parental hoarding represents a threat to child welfare.

Atopic eczema or atopic dermatitis affects 15–20% of children in the UK and these figures appear to be rising ( Hoare et al, 2000 ; Fennessy et al, 2000 ; Ruzicka et al, 2013 ; Williams et al, 1994 ). This condition affects so many school-aged children, negatively impacting the quality of life for both the children and their families ( Hoare et al, 2000 ). Not only is it a disease causing dry skin but it can also lead to skin damage and infection, pain, insomnia and the social stigma of a skin disease ( Hoare et al, 2000 ). Although treatment and guidelines seem to have remained unchanged since the NICE 2017 guidelines, there is a real emphasis on accurate physical and mental assessment of the child with atopic eczema ( NICE, 2018 ). The role of school nurses is important as they can empower children to take control of their condition, reduce flare-ups and cope with the physical and psychological impacts of the disease.

ABSTRACT Lipoid proteinosis (LP) is a rare autosomal-recessive hereditary disorder with multisystemic involvement manifesting in infancy and early childhood. These children may present to a pediatric otolaryngologist with hoarse voice. Here, we report a case of a child with LP with a pediatric otolaryngologist's perspective. How to cite this article Trupthi MC, Syed KA, Sivaranjini R, Mukhopadhyay S, Varghese AM. Lipoid Proteinosis—A Pediatric Otolaryngologist's Perspective: A Case Report and Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2):97-99.

Bronchogenic cysts are rare, benign, congenital lesions that occur as a result of aberrant development of the tracheobronchial tree during embryogenesis. They usually present during the first decade of life and are encountered predominantly within the mediastinum or the lung parenchyma. In a few instances, they appear within the neck mimicking a neoplasm and, depending on their size and site, may also cause acute upper respiratory obstruction. We describe a case of two cervical bronchogenic cysts adjacent to the larynx in a child who presented with a hoarse voice.

The genus Simplimorpha Scoble is recognized for the first time from South America. We describe a subgenus, Myrtinepticula Stonis & Diškus, subgen. nov., for three new species from the southern Andes (Chile and Argentina): Simplimorpha (Myrtinepticula) cercaria Diškus & Stonis, sp. nov., S. (M.) nielseni Remeikis & Stonis, sp. nov., S. (M.) sapphirella Remeikis & Stonis, sp. nov.; and one new species from the southwestern Amazon (Peru): S. (M.) kailai Stonis, sp. nov. We provide a pictorial differentiation scheme for Simplimorpha Scoble and Pectinivalva Scoble. We synonymize the recently erected, predominantly Australian Menurella Hoare, syn. nov. and Cosanovula Hoare, syn. nov. with Pectinivalva Scoble. We also revise the taxonomic status of the Australian Roscidotoga Hoare as a subgenus of Simplimorpha which now exhibits a Gondwanan distribution in the Southern Hemisphere, with the presence of a single species in the Mediterranean. All new taxa are illustrated with photographs of the adults and the genitalia; the leaf mines of Simplimorpha (Myrtinepticula) nielseni sp. nov. are also provided.

ABSTRACT An 8-year-old child was admitted to our ENT department for a year because of a hoarse voice. An endoscopic examination displayed that a cystic, solid lesion can be seen in the right subglottis. The lesion was removed using a CO2 laser under general anesthesia. Postoperative histopathology confirmed granular cell tumor (GCT), S-100(+), vimentin (+), and SOX-10(+). GCT, also known as the Abrikossoff tumor, is a rare benign tumor that rarely occurs in the larynx, particularly in children. This case report emphasizes that considerable attention should be given to the differential diagnosis of the laryngeal granulosa cell tumor. Given the recurrence risk of GCT, long-term postoperative follow-up is necessary.

Williams-Beuren syndrome (WBS), also known as Williams syndrome, is a rare congenital disorder involving cardiovascular problems, mental retardation, distinctive facial features and tooth anomalies. It is caused by the submicroscopic deletion of 1.5 to 1.8 Mb on chromosome 7q11.23. This paper reports the dental care to a 7-year-old child with WBS syndrome. The interview also revealed visual impairment, sensorineural hearing loss, hyperacusis, photophobia and hoarse voice. The intraoral clinical examination showed anterior open bite, tongue thrusting, excessive interdental spacing, enamel hypomineralization of the incisors, hypoplasia and caries lesions. The dental treatment included: modulating sessions to control aversion to noises, the photophobia, and the dental fear and anxiety because of his reduced visual acuity; oral hygiene instructions, dietary and daily use of a 0.05% sodium fluoride mouthwash; the permanent mandibular left first molar was treated endodontically, and maxillary and mandibular first molars were restored with amalgam. Due to the patient's heart defect, a prophylactic antibiotic regimen was prescribed prior to the dental procedures. This patient has been followed up for 4 years and this case report underscores the importance of early dental evaluation and counseling for parents of WBS patients.

ABSTRACTA number of infant burials in Britain, both cremations and inhumations, contained a consistent deposit of a small jet bear, black mineral jewellery, a coin, and a pottery beaker. Some of the graves held several examples of these items, and some a wider variety of objects. Comparison with more obviously amuletic grave deposits from Butt Road, Colchester, and Lankhills, Winchester, suggests that the coins were selected for their reverse image, and that both they and the bears are representations of guardians placed in the burials to ensure that the child did not enter the underworld alone and unprotected. These bears are set in the wider context of the animal's iconography and mythology, with particular reference to the Greek cult of Artemis, who oversaw childbirth and child-rearing. The choice and importance of materials and the positions of objects within graves are also briefly explored and the social identity of the dead infants is examined. In an appendix of other burials containing jet animals, the Chelmsford hoard of jet jewellery is reinterpreted as grave goods from the inhumation of a young woman.

We present a rare case of a paediatric laryngeal granular cell tumour (GCT) of the vocal cord. GCTs are rare clinical entities, thought to arise from Schwann cells. There are only a handful of paediatric laryngeal GCTs in the literature, and therefore, little is known regarding their natural history or preferred management strategies. In this case report, we discuss the incidence, aetiopathogenesis, presentation and management of a laryngeal GCT in an 11-year-old girl, who presented with dysphonia. We believe that this case will aid otolaryngologists in the management of paediatric patients with the common dysphonia.

Background: Phlebectasia is a term used for the dilatation of a vein without tortuosity. Rarely, the condition may affect the internal jugular vein (IJV), causing prominence in the neck, which may be confused with other neck swellings. Clinical Description: A 6-year-old boy presented with bilateral episodic swelling in the neck noticed since 2 years of age and a hoarse voice since 3 years of age. On examination, the neck swelling was soft, cystic, compressible, nontender, and nonpulsatile, increasing in size by all maneuvers increasing intrathoracic pressure. Systemic examination revealed the apex beat was on the right side, and the liver was palpable below the left subcostal margin. Management and Outcome: The workup for tuberculosis was negative, and direct laryngoscopy was normal. X-ray of the chest with abdomen showed dextrocardia and stomach shadow on the right side. Color Doppler revealed nontortuous dilatation of both IJVs. Dynamic computed tomography venography confirmed the diagnosis of bilateral IJV phlebectasia (IJVP). The child was started on speech therapy. The mother was counseled regarding the benign nature of the disease and advised regular follow-up. The child had no complications, and his voice improved with speech therapy at 1-year follow-up. Conclusion: Pediatricians should be aware that IJVP may rarely be the cause of neck swelling associated with hoarseness of voice. Increase in the size of the swelling with Valsalva maneuvers and color Doppler ultrasound helps to confirm the diagnosis.

ABSTRACT: Background: Postpartum thyroiditis (PPT) is a thyroid dysfunctionn syndrome which is temporary or permanent that occurs 1 year after giving birth or abortion. The occurrence of postpartum thyroiditis is 5 – 10% of postpartum women in the world. It is caused by an inflammation of the thyroid gland which leads to a destruction of the thyroid follicle and proteolysis of thyroglobulin. Case presentation: A woman, 31 years old, was admitted to the hospital complaining an enlargement on her neck. The patient said her the enlargement keeps getting larger and she also complained a feeling of something stuck in the throat. The patient also complained a hoarse voice. The patient has just given birth of her second child 5 months ago. From a hematologic examination, radiologic, and blood culture, the patient was diagnosed with Postpartum Thyroiditis. The patient was given Euthyrox therapy and will undergo repeated evaluation after 1 months of the therapy. Conclusion: We reported a case of Postpartum Thyroiditis that was treated comprehensively, and showed a good prognosis.

Abstract This report describes the diagnostic process of a rare disorder in a Brazilian female child. The patient presented initially as a 7-year-old with multiple whitish submucosal nodules of a fibrous consistency in the lower lip, but with an inconclusive pathology report. When she turned 9 years of age, she presented with exacerbation of the original clinical findings, which then involved the upper lip, buccal mucosa, tongue and lingual frenulum. In addition, dermatological lesions were noted on the child’s limbs and face, as well as a hoarse voice. Histopathological examination of the buccal mucosa revealed dense connective tissue with hyaline foci, which were positive with periodic acid-Schiff (PAS) staining and resistant to diastase digestion. Clinical and histopathological findings led to the diagnosis of a rare genetic disease with fewer than 300 reported cases - lipoid proteinosis. Magnetic resonance imaging revealed calcium deposits in her amygdaloid region of the brain, and nasopharyngolaryngoscopy revealed lesions in her vocal cords. The patient currently is stable and under multidisciplinary follow-up, but no treatment has been recommended to date.

AbstractThe importance of a hoarse voice or voice change in children has not been stressed in the literature in the same way as it has been in adults. We present 21 children who had been suffering from chronic hoarseness for more than three months and had on fibre-optic laryngoscopy findings suggestive of gastroesophageal reflux. None of them had complained of gastroesophageal symptoms. Twenty-four hour pH monitoring revealed that 13 (62 per cent) of these children had gastroesophageal reflux, seven (33 per cent) having gastroesophageal reflux more than three times the upper limit of normal. The pH graphs highlighted frequent refluxes, ranging from 0.4 to 37.4 refluxes per hour (median of 7.3 refluxes/hour). The majority of these refluxes occurred when the child was awake as opposed to asleep, with a median of 14.8 refluxes/hour and 0.9 refluxes/hour respectively (p = 0.0009). The refluxes were classically of short duration. This study suggests that gastroesophageal reflux plays a direct role in the pathogenesis of chronic laryngitis and hoarseness in children.

(1) Background: Hoarseness is not uncommon in children, especially at school age, as communication with peers is intensified. It is caused by improper use or overuse of the vocal apparatus. (2) Methods: The study included 85 hoarse children aged 6–12 (study group) and 240 healthy children (control group) of the same age. The study group underwent a detailed medical history, phoniatric examination, larynx fiber endoscopy, allergy treatment and the Pediatric Voice-Related Quality of Life questionnaire, modified by Jasmina Stojanovic. (3) Results: Our modified questionnaire revealed the significance of parental perception of a voice disorder in a child after organized activities. Using our modified questionnaire, we were able to determine the most frequent form of a voice disorder in children—speaking too loudly—is often neglected by the environment and can lead to an overall lower life quality. (4) Conclusions: As the presence of hoarseness impairs the quality of life in the pediatric population, awareness of a voice disorder must be recognized and treated on time to overcome the possible side effects on a child’s psychological and emotional development.

Executive functions (EF) deficits are hypothesized to be a core contributor to hoarding symptoms. EF have been studied in adult hoarding populations, but studies in youth are lacking. The current study compared multiple EF subdomains between youth with obsessive-compulsive disorder (OCD) and youth with OCD and hoarding symptoms. Forty youth (8–18 years old) with a primary diagnosis of OCD were recruited. Participants were divided by hoarding severity on the Child Saving Inventory (CSI) into either the “hoarding group” (upper 33.3%) or the “low-hoarding group” (lower 66.7%). Groups were compared on EF tasks of cognitive flexibility, decision-making, and inhibitory control. Youth in the hoarding group exhibited significantly higher cognitive flexibility and lowered perseveration than the low-hoarding group. Hoarding and low-hoarding groups did not differ in any other EF subdomain. Hoarding symptoms in youth with OCD were not associated with deficits in EF subdomains; instead, youth who hoard exhibited higher cognitive flexibility compared to youth with low hoarding symptoms.

Hypothyroidism resulted from deficiency ofthyroid hormone production due to adefect in thyroid gland. The disorder maybe manifested earlier. When symptomsoccur after a period of normal function of thyroid gland,the disorder may be either truly “acquired” or onlyappear as a variety of congenital defects in which themanifestation of the deficiency is delayed. Normal levelof triiodothyronine (T3) in children is 100-260 ng/dl,thyroxin (T4) 7.3 - 15 mg/dl and thyroid-stimulatinghormone (TSH) 2-10 mU/mL. 1,2 The age at whichsymptoms appear depends on the impairment degreeof thyroid function. In many cases, the deficiency ofthyroid hormone is severe, and symptoms tend todevelop in the early weeks of life. 1,3 The prevalence ofcongenital hypothyroidism has been found to be 1 in4,000 infants world wide; it is lower in Japan (1 in 5,500infants) and in African American population (1 in32,000 infants). Most infants with congenitalhypothyroidism are asymptomatic at birth, even whenthere is a complete agenesis of the thyroid gland. 1,3 Butin other cases, during the first few months of life, thesymptoms of hypothyroidism such as feeding problems,failure to thrive, constipation, hoarse cry, andsomnolence usually can be found. 1,3,4 The purpose ofthis study is to report a case of congenital hypothyroidismin a 14 months old child.

Hoarseness in children is very common and usually self-limiting, but there are several very serious and potentially life-threatening causes of hoarseness that always should be considered. A careful history and physical examination usually can suggest underlying etiologies, with the definitive diagnosis usually made at the time of airway endoscopy. The following case and subsequent discussion attempt to clarify some of these issues. Case Report An 8-year-old boy presented to the emergency room with a 2-week history of increasing hoarseness, accompanied in the past 5 days by some respiratory distress. On physical examination he was alert and cooperative, with a hoarse but understandable voice and moderate inspiratory and expiratory stridor. Further history revealed that 6 weeks earlier he had been admitted to the pediatric intensive care unit with severe asthma that required 8 days of intubation and mechanical ventilation. He had done well after discharge for about 4 weeks, when his symptoms of hoarseness and then stridor developed. Differential Diagnosis The entities causing hoarseness can be divided primarily into congenital, neurogenic, neoplastic, inflammatory, physiologic, and traumatic (Table). The most common overall etiology is laryngitis associated with an upper respiratory infection (URI), which generally is benign and self-limiting. Vocal nodules are the acquired lesions encountered most frequently and usually are not associated with airway compromise.

Introduction. Hyperkinetic (hyperfunctional) dysphonia is a common pathology. The disorder is often found in vocal professionals faced with high vocal requirements. Objective. The objective of this study was to evaluate the effects of vocal therapy on voice condition characterized by hyperkinetic dysphonia with prenodular lesions and soft nodules. Methods. The study included 100 adult patients and 27 children aged 4-16 years with prenodular lesions and soft nodules. A subjective acoustic analysis using the GIRBAS scale was performed prior to and after vocal therapy. Twenty adult patients and 10 children underwent objective acoustic analysis including several acoustic parameters. Pathological vocal qualities (hoarse, harsh and breathy voice) were also obtained by computer analysis. Results. The subjective acoustic analysis revealed a significant (p<0.01) reduction in all dysphonia parameters after vocal treatment in adults and children. After treatment, all levels of dysphonia were lowered in 85% (85/100) of adult patients and 29% (29/100) had a normal voice. Before vocal therapy 9 children had severe, 13 had moderate and 8 slight dysphonia. After vocal therapy only 1 child had severe dysphonia, 7 had moderate, 10 had slight levels of dysphonia and 9 were without voice disorder. The objective acoustic analysis in adults revealed a significant improvement (p?0.025) in all dysphonia parameters except SD F0 and jitter %. In children, the acoustic parameters SD F0, jitter % and NNE (normal noise energy) were significantly improved (p=0.003-0.03). Pathological voice qualities were also improved in adults and children (p<0.05). Conclusion. Vocal therapy effectively improves the voice in hyperkinetic dysphonia with prenodular lesions and soft nodules in both adults and children, affecting diverse acoustic parameters.

Abstract Speech disorders occur commonly in individuals with Down syndrome (DS), although data regarding the auditory-perceptual speech features are limited. This descriptive study assessed 47 perceptual speech features during connected speech samples in 26 children with DS. The most severely affected speech features were: naturalness, imprecise consonants, hyponasality, speech rate, inappropriate silences, irregular vowels, prolonged intervals, overall loudness level, pitch level, aberrant oropharyngeal resonance, hoarse voice, reduced stress, and prolonged phonemes. These findings suggest that speech disorders in DS are due to distributed impairments involving voice, speech sound production, fluency, resonance, and prosody. These data contribute to the development of a profile of impairments in speakers with DS to guide future research and inform clinical assessment and treatment.

Excavations took place at this site in 1975-6, followed by a survey in 1977, at the invitation of the Inspectorate of Ancient Monuments, as clearance of turf and rubble had previously revealed a hoard of post-medieval coins. Further coins were found, which relate to the period after usage of the chapel had ceased: the group is interpreted in votive terms and related to accounts of pilgrimage to the site. The unicameral chapel itself had both a timber and a stone phase. The timber chapel probably had a stone 'cladding' and additions to the stone chapel at one stage included at least one stone bench. Little dating evidence was forthcoming, but a 10th-century coin was found in an intermediate stage between the two phases. The area around the chapel was enclosed, in the later phase, by a rectangular low stone wall, and in the earlier by a series of gullies and a possible timber fence. Few burials were found: two infant graves from the timber phase, one adult, one child and two infants from the stone phase. This raises questions about the status of the site, sometimes seen as an early Christian monastery. The survey revealed more buildings than recognized before, and a regularity of layout, which may be of more than one phase. Interpretation as a Norse monastery is referred to, and the possibility is raised that the buildings may be secular, surrounding a chapel dating from the Norse period, rather than earlier.

The trefoil – a magical object?In 1997, a trefoil was found in a cremation pit at Bilstrup near Skive in Viborg county. The other grave goods, comprising fragments of arm rings and smaller rings, the stem of an iron pin, a small handled vessel etc., gave no hint as to the trefoil’s function and I have therefore searched ever since for information on these small ornaments (figs. 1 and 3).Trefoils are relatively rare finds, but are known from across most of Denmark (fig. 2 and catalogue) and large parts of Europe: Norway, Germany, Slovenia, Hungary, France and Italy, as well as possibly Serbia and Greece. They were also around for a remarkably long period of time, from c. 900 to c. 400 BC. As the trefoil has never been subjected to an independent study and analysis, but only described and discussed in minor notes, I will investigate here how it was used and the functions it had, based on finds from various European areas.A trefoil consists of three rings soldered together to form a triangle, but a few examples are cast in one piece. Its size varies from c. 2.5 to 5 cm. There are some special versions, for example where the rings are joined together by short bars, but these are not included here. In Germany and a few other countries the trefoil is referred to as the Dreipass, but in Denmark these objects have been recorded under various different names and are therefore difficult to trace in the archives. Trefoils are usually made of bronze, but there are some versions carved in sandstone or even made from human skulls. They tend to be found in graves, but are also recorded from hoards. In Denmark, they fall within a dating range extending from Bronze Age period V up to and including Pre-Roman Iron Age period I.The Scandinavian finds are presented in figure 2 and in the catalogue. As can be seen from these, the trefoil has been recorded from a number of graves, but has also been found in two hoards – at Voldtofte in Funen and Falling in eastern Jutland. Trefoils were presumably produced locally, as an example has been found in a pit together with casting waste at Otterup on Funen (cat. no. 11).With the aim of determining the trefoil’s function, an analysis was first carried out relating it to gender. An examination of finds combinations from Scandinavia shows that the trefoil occurs exclusively in graves containing ornaments such as neck and arm rings (table 1). It is possible that a few of these could be child graves, as suggested for example by the oath ring from the grave at Gåsdal, which has an internal diameter of only c. 5 cm (fig. 4).The other graves are in Germany, France and Italy (table 2). Even though the trefoil occurs in a large number of German graves, it is combined with other finds in only three cases, and in only one of these is a female ornament involved, i.e. an arm ring. As one of the other graves contains a knife, together with two twisted rings and two accessory vessels, this could be the grave of a man (table 2). Two of the graves in France have both neck and arm rings, whereas the third merely contains perforated animal teeth and a ceramic bead. France is also where the trefoils carved from human skulls were found, but there is unfortunately no information on their context. Two of these bone trefoils are now in the Corel Collection at the British Museum; one of them is illustrated in figure 5, together with a rounded disc perforated by three holes. The second example was apparently found together with two blue glass beads. Finally, mention should be made of a third example where the trefoil was attached to a necklace (fig. 6). Examination of the Italian graves, several of which contain particularly rich grave goods, reveals that three of these differ from the others by containing more than one trefoil (table 2). However, only grave 31 also has neck and arm rings. The grave at Padova can be interpreted as that of a man, because it contains an iron axe and an ornamented belt of sheet bronze. The other two graves contain glass beads and, according to Ludwig Pauli, these are characteristic of female and child graves.The result of the analysis is, accordingly, that trefoils are found primarily together with grave goods characteristic of women and possibly also children.The next question relates to how the trefoil was worn, and stray finds and finds from hoards are also included in this an­alysis. In one of the Italian graves, the trefoil is a pendant on a fibula and two metal chains are attached to one of its rings (fig. 7). A trefoil from Bömitz in Pomerania is fitted with a small eye, thereby confirming its use as a pendant. A necklace from the Voldtofte hoard on Funen incorporates several rings and a trefoil in a small spiral, and the same arrangement is seen on a neck ring from Juvigny, where the trefoil is made of human skull (figs. 8 and 6). In one of the Danish finds, the trefoil hangs from a long string of organic material (cat. no. 13). As metal neck rings are rare finds in graves, this was perhaps the usual way in which the trefoil was worn.It must be concluded that the trefoil was a form of ornament, more precisely a pendant, and there are several examples showing that it was worn suspended on neck rings of either metal or organic material, or alternatively attached to a fibula.Considering that the trefoil was in existence for about 500 years and was the only ornament that survived the extensive societal changes that took place in the period c. 800-400 BC, it presumably had great symbolic significance. It was, however, rare as an iconographic motif as it has only been found in this form on one artefact: a razor from Fousing, western Jutland (fig. 9).Due to its distribution as a plastic ornament and its association with female and possibly also child graves, it is presumed that the trefoil functioned as an amulet. Amulets are generally understood as being small objects that are worn on the body and which protect the individual wearing them from supernatural forces, misfortune and illness, as well as ensuring the successful delivery of children. They can also have curative powers if worn on the affected part of the body.In Central Europe in the Late Bronze Age and Early Iron Age, a variety of amulets emerged that existed for a long period of time: wheels, waterfowl, jingle plates and trefoils. Classical sources reveal that a number of small objects, such as corals, amber, perforated animal teeth, glass beads and so on, were also perceived as amulets at this time. The most significant analysis of amulets has been carried out by Ludwig Pauli on the basis of a large number of finds from graves in Central Europe, dating from the period relevant here. Pauli classifies a range of objects that cannot be considered as either ornaments, weapons or tools into five categories: a. noise-generating objects such as ceramic rattles and jingle plates, b. externally sensuous objects, such as human and animal figures, and less readily recognisable objects, such as trefoils, c. unfinished objects, casting waste and bent objects, d. abnormal or curious objects such as scrap metal, e. natural materials such as stone, amber, animal teeth, but also glass beads.His classification shows that these objects occur primarily in the graves of women and children, which corresponds to the use of trefoils in Scandinavia.It must therefore be concluded that the trefoil was most probably an amulet, regardless of whether it was made of bronze or of human skull, as there are several examples clearly showing its use as a pendant. The trefoil was a relatively rare artefact and its presence in the, by Scandinavian standards, richly-furnished Bilstrup grave and in elite graves in Central Europe shows that it possessed several layers of significance. Consequently, it was not merely a magical object but presumably also possessed symbolic importance, at the same time as being an ornament reserved for individuals from the uppermost strata of society.According to Ludwig Pauli, the use of amulets increased in periods of political and economic unrest, for example around 500 BC, and in Scandinavia there were violent societal upheavals from c. 800-400 BC. However, despite the many changes that took place during this period, the tradition of wearing this specific type of amulet prevailed across large parts of Europe.Karen Margrethe HornstrupMoesgaard Museum

Archaeologists of Sverdlovsk-Yekaterinburg and Tomsk in the taiga of the Surgut and Lower Ob’ River regions examined six burial objects of the 1st—4th centuries BC of Kulayka cultural and historical community with a large number of imported and local inventory. These include the graves of people located in different territories (a child, adults), the burial of ittarmadolls, which were posthumous dummies of warriors who died in a foreign land, as well as a hoard with metal regalia of the shaman’s vestments. This indicates the beginning of an active social-economic stratification in the society of the Ob’Ugrians and formation of the administrative, military, property and spiritual elite in it. The main reason for this was not the development of the producing economy, which was practically not present among the fishermen-hunters in the western regions of the taiga Ob’ region, but rather the integration of the north of Western Siberia in the system of the common Eurasian economy as a permanent supplier of furs, especially since the evolution of the northern (“fur”) branches of the Great Silk Road in the 1st century BC. At the same time, the first signs of social differentiation and the separation of the military class were traced here as early as the second half of the 1 st millennium BC. This is confirmed by the finds of bronze and iron weapons of the steppe (Scythian-Sarmatian) and taiga (Kulaika) forms at forest sanctuaries, the first single copper-bronze anthropomorphous images in helmets and “sun crowns”, as well as the proliferation of miniature fortresses with powerful bastion-tower fortifications, likely places of residence of the Ugric elite. The architecture of such “towns” was borrowed from the forest-steppe tribes of the Tobol-Irtysh River region, and those from the Saka of the Aral Sea region.

BackgroundFarber disease is frequently misdiagnosed as polyarticular juvenile idiopathic arthritis or seronegative rheumatoid arthritis which leads to a delay in diagnosis for many patients. Farber disease is an ultra-rare lysosomal storage disease caused by mutations in the ASAH1 gene. The resulting deficiency of the acid ceramidase enzyme leads to accumulation of the pro-inflammatory and pro-apoptotic sphingolipid ceramide. Accumulation of ceramide throughout the body leads to the symptoms of Farber disease. Cardinal symptoms include joint disease (polyarticular arthritis and contractures), subcutaneous nodules, and a hoarse or weak voice due to laryngeal nodules. The phenotypic spectrum of Farber disease ranges from rapidly progressive disease causing death in infancy to moderate or slowly progressive disease with survival into late adulthood. Symptoms may vary in severity across patients and phenotypes.ObjectivesTo further define the symptoms of Farber disease, including joint disease, subcutaneous nodules, dysphonia, and osteolysis, which can lead to referral to rheumatology or related specialties. To understand the clinical presentation and broad phenotypic spectrum of this rare disease to aid in clinical diagnosis and reduce diagnostic delay.MethodsThe Observational and Cross-Sectional Cohort Study of the Natural History and Phenotypic Spectrum of Farber Disease (NCT03233841) was the first systematic clinical study of the natural history of Farber disease. The study collected retrospective and prospective data on living and deceased patients, including demographics, clinical presentation, phenotype, diagnostic history, and patient reported outcomes.Results45 patients with Farber disease (27 living, 18 deceased) who had or had not undergone hematopoietic stem cell transplant (HSCT) were enrolled from 16 centers in 9 countries. A cohort of 24 living non-HSCT patients were followed prospectively. The patients represented the broad phenotypic spectrum of Farber disease, from rapidly progressive (severe) to slowly progressive (attenuated). In patients whose data was available for analysis, the average age of patients at enrollment was 7.2 years (range 1 to 28 years). The average age of onset of joint disease (arthritis and/or contractures) was 15 months (range 3 months to 7 years), of subcutaneous nodules was 13 months (range 3 months to 5 years), and of dysphonia was 13 months (range birth to 8 years). The average time from onset of symptoms to Farber disease diagnosis was 2 years (range <1 to 12 years). At baseline, the mean number of joints affected with active arthritis was 11.3 (range 0-36) and the mean number affected with contractures was 18 (range 0-38). 12.5% of patients were reported to have a bone disorder such as osteoporosis or osteolysis. The Child Health Assessment Questionnaire Disability Index (CHAQ) ranging from 0 (no impairment) to 3 (unable to do) was high, with mean scores of 2.62-3.00 across visits.ConclusionData from the Farber disease natural history study further defined the cardinal symptoms, phenotypic spectrum, and high disease-related burden in patients with Farber disease. The large number of joints affected with arthritis or contractures reflects that patients with Farber disease are often referred to rheumatology and can be misdiagnosed with polyarticular juvenile idiopathic arthritis or seronegative rheumatoid arthritis. Demographic information and numbers of patients enrolled indicate that Farber disease is likely not as rare as previously thought. ASAH1 genetic testing for adult and pediatric patients referred to the rheumatology clinic with symptoms including polyarticular arthritis, subcutaneous nodules, dysphonia, or osteolysis, may shorten the time to diagnosis in patients with Farber disease.Disclosure of InterestsLothar Seefried Speakers bureau: Aceragen, Amgen, Alexion, Biomarin, Chiesi, KyowaKirin, Novartis, Theramex, and UCB, Consultant of: Amgen, Alexion, Biomarin, Chiesi, KyowaKirin, Novartis, Theramex, and UCB, Grant/research support from: Alexion, KyowaKirin and Novartis, Kathleen Crosby Employee of: Aceragen, Alexander Solyom Employee of: Aceragen

Canon and oblivion. The memorials of archaeologyThe article takes its point of departure in the sun chariot; the find itself and its find site at Trundholm bog where it was discovered in 1902. The famous sun chariot, now at the National Museum in Copenhagen, is a national treasure included in the Danish “Cultural Canon” and “History Canon”.The find site itself has alternated bet­ween experiencing intense attention and oblivion. A monument was erected in 1925; a new monument was then created in 1962 and later moved in 2002. The event of 1962 was followed by ceremonies, speeches and songs, and anniversary celebrations were held in 2002, during which a copy of the sun chariot was sacrificed.The memorial at Trundholm bog is only one of several memorials at archaeological find sites in Denmark. Which finds have been commemorated and marked by memorials? When did this happen? Who took the initiative? How were they executed? Why are these finds remembered? What picture of the past do we meet in this canon in stone?Find sites and archaeological memorials have been neglected in archaeology and by recent trends in the study of the history of archaeology. Considering the impressive research on monuments and monumentality in archaeology, this is astonishing. However, memorials in general receive attention in an active research field on the use of history and heritage studies, where historians and ethnologists dominate. The main focus here is, however, on war memorials. An important source of inspiration has been provided by a project led by the French historian Pierre Nora who claims that memorial sites are established when the living memory is threatened (a thesis refuted by the many Danish “Reunion” monuments erected even before the day of reunification in 1920).Translated into Danish conditions, studies of the culture of remembrance and memorials have focused on the wars of 1848-50 and 1864, the Reunion in 1920, the Occupation in 1940-45 and, more generally, on conflicts in the borderland bet­ween Denmark and Germany.In relation to the total number of memorials and public meeting places in Denmark, archaeological memorials of archaeology are few in number, around 1 % of the total. However, they prompt crucial questions concerning the use of the past, on canon and oblivion.“Canon” means rule, and canonical texts are the supposed genuine texts in the Bible. The concept of canon became a topic in the 1990s when Harold Bloom, in “The Western Canon”, identified a number of books as being canonical. In Denmark, canon has been a great issue in recent years with the appearance of the “Danish Literary Canon” in 2004, and the “Cultural Canon” and the “History Canon”, both in 2006. The latter includes the Ertebølle culture, the sun chariot and the Jelling stone. The political context for the creation of canon lists is the so-called “cultural conflict” and the debate concerning immigration and “foreigners”.Canon and canonization means a struggle against relativism and oblivion. Canon means that something ought to be remembered while something else is allowed to be forgotten. Canon lists are constructed when works and values are perceived as being threatened by oblivion. Without ephemerality and oblivion there is no need for canon lists. Canon and oblivion are linked.Memorials mean canonization of certain individuals, collectives, events and places, while others are allowed to be forgotten. Consequently, archaeological memorials constitute part of the canonization of a few finds and find sites. According to Pierre Nora’s thesis, memorials are established when the places are in danger of being forgotten.Whether one likes canon lists or not, they are a fact. There has always been a process of prioritisation, leading to some finds being preserved and others discarded, some being exhibited and others ending up in the stores.Canonization is expressed in the classical “Seven Wonders of the World”, the “Seven New Wonders of the World” and the World Heritage list. A find may be declared as treasure trove, as being of “unique national significance” or be honoured by the publication of a monograph or by being given its own museum.In practice, the same few finds occur in different contexts. There seems to be a consensus within the subject of canonization of valuing what is well preserved, unique, made of precious metals, bears images and is monumental. A top-ten canon list of prehistoric finds from Denmark according to this consensus would probably include the following finds: The sun chariot from Trundholm, the girl from Egtved, the Dejbjerg carts, the Gundestrup cauldron, Tollund man, the golden horns from Gallehus, the Mammen or Bjerringhøj grave, the Ladby ship and the Skuldelev ships.Just as the past may be used in many different ways, there are many forms of memorial related to monuments from the past or to archaeological excavations. Memorials were constructed in the 18th and 19th centuries at locations where members of the royal family had conducted archaeology. As with most other memorials from that time, the prince is at the centre, while antiquity and archaeology create a brilliant background, for example at Jægerpris (fig. 2). Memorials celebrating King Frederik VII were created at the Dæmpegård dolmen and at the ruin of Asserbo castle. A memorial celebrating Count Frederik Sehested was erected at Møllegårdsmarken (fig. 3). Later there were also memorials celebrating the architect C.M. Smith at the ruin of Kalø Castle and Svend Dyhre Rasmussen and Axel Steensberg, respectively the finder and the excavator of the medieval village at Borup Ris.Several memorials were erected in the decades around 1900 to commemorate important events or persons in Danish history, for example by Thor Lange. The memorials were often located at sites and monuments that had recently been excavated, for example at Fjenneslev (fig. 4).A large number of memorials commemorate abandoned churches, monasteries, castles or barrows that have now disappeared, for example at the monument (fig. 5) near Bjerringhøj.Memorials were erected in the first half of the 20th century near large prehistoric monuments which also functioned as public meeting places, for example at Glavendrup, Gudbjerglund and Hohøj. Prehistoric monuments, especially dolmens, were also used as models when new memorials were created during the 19th and 20th centuries.Finally, sculptures were produced at the end of the 19th century sculptures where the motif was a famous archaeological find – the golden horns, the girl from Egtved, the sun chariot and the woman from Skrydstrup.In the following, this article will focus on a category of memorials raised to commemorate an archaeological find. In Denmark, 24 archaeological find sites have been marked by a total of 26 monuments (fig. 6). This survey is based on excursions, scanning the literature, googling on the web and contact with colleagues. The monuments are presented chronological, i.e. by date of erection. 1-2) The golden horns from Gallehus: Found in 1639 and 1734; two monu­ments in 1907. 3) The Snoldelev runic stone: Found in c. 1780; monument in 1915. 4) The sun chariot from Trundholm bog: Found in 1902; monument in 1925; renewed in 1962 and moved in 2002. 5) The grave mound from Egtved: Found in 1921; monument in 1930. 6) The Dejbjerg carts. Found in 1881-83; monument in 1933. 7) The Gundestrup cauldron: Found in 1891; wooden stake in 1934; replaced with a monument in 1935. 8) The Bregnebjerg burial ground: Found in 1932; miniature dolmen in 1934. 9) The Brangstrup gold hoard. Found in 1865; monument in 1935.10-11) Maglemose settlements in Mulle­rup bog: Found in 1900-02; two monuments in 1935 and 1936. 12) The Skarpsalling vessel from Oudrup Heath: Found in 1891; monument in 1936. 13) The Juellinge burial ground: Found in 1909; monument in 1937. 14) The Ladby ship: Found in 1935; monument probably in 1937. 15) The Hoby grave: Found in 1920; monument in 1939. 16) The Maltbæk lurs: Found in 1861 and 1863; monument in 1942. 17) Ginnerup settlement: First excavation in 1922; monument in 1945. 18) The golden boats from Nors: Found in 1885; monument in 1945. 19) The Sædinge runic stone: Found in 1854; monument in 1945. 20) The Nydam boat: Found in 1863; monument in 1947. 21) The aurochs from Vig: Found in 1904; monument in 1957. 22) Tollund Man: Found in 1950; wooden stake in 1968; renewed inscription in 2000. 23) The Veksø helmets: Found in 1942; monument in 1992. 24) The Bjæverskov coin hoard. Found in 1999; monument in 1999. 25) The Frydenhøj sword from Hvidovre: Found in 1929; monument in 2001; renewed in 2005. 26) The Bellinge key: Found in 1880; monument in 2003.Two monuments (fig. 7) raised in 1997 at Gallehus, where the golden horns were found, marked a new trend. From then onwards the find itself and its popular finders came into focus. At the same time the classical or old Norse style of the memorials was replaced by simple menhirs or boulders with an inscription and sometimes also an image of the find. One memorial was constructed as a miniature dolmen and a few took the form of a wooden stake.The finds marked by memorials represent a broader spectrum than the top-ten list. They represent all periods from the Stone Age to the Middle Ages over most of Denmark. Memorials were created throughout the 20th century; in greatest numbers in the 1930s and 1940s, but with none between 1968 and 1992.The inscriptions mention what was found and, in most cases, also when it happened. Sometimes the finder is named and, in a few instances, also the person on whose initiative the memorial was erected. The latter was usually a representative part of the political agency of the time. In the 18th and 19th centuries it was the royal family and the aristocracy. In the 20th century it was workers, teachers, doctors, priests, farmers and, in many cases, local historical societies who were responsible, as seen on the islands of Lolland and Falster, where ten memorials were erected between 1936 and 1951 to commemorate historical events, individuals, monuments or finds.The memorial from 2001 at the find site of the Frydenhøj sword in Hvidovre represents an innovation in the tradition of marking history in the landscape. The memorial is a monumental hybrid between signposting and public art (fig. 8). It formed part of a communication project called “History in the Street”, which involved telling the history of a Copenhagen suburb right there where it actually happened.The memorials marking archaeological finds relate to the nation and to nationalism in several ways. The monuments at Gallehus should, therefore, be seen in the context of a struggle concerning both the historical allegiance and future destiny of Schleswig or Southern Jutland. More generally, the national perspective occurs in inscriptions using concepts such as “the people”, “Denmark” and “the Danes”, even if these were irrelevant in prehistory, e.g. when the monument from 1930 at Egtved mentions “A young Danish girl” (fig. 9). This use of the past to legitimise the nation, belongs to the epoch of World War I, World War II and the 1930s. The influence of nationalism was often reflected in the ceremonies when the memorials were unveiled, with speeches, flags and songs.According to Marie Louise Stig Sørensen and Inge Adriansen, prehistoric objects that are applicable as national symbols, should satisfy three criteria. The should: 1) be unusual and remarkable by their technical and artistic quality; 2) have been produced locally, i.e. be Danish; 3) have been used in religious ceremonies or processions. The 26 archaeological finds marked with memorials only partly fit these criteria. The finds also include more ordinary finds: a burial ground, settlements, runic stones, a coin hoard, a sword and a key. Several of the finds were produced abroad: the Gundestrup cauldron, the Brangstrup jewellery and coins and the Hoby silver cups.It is tempting to interpret the Danish cultural canon as a new expression of a national use of the past in the present. Nostalgia, the use of the past and the creation of memorials are often explained as an expression of crisis in society. This seems reasonable for the many memorials from 1915-45 with inscriptions mentioning hope, consolation and darkness. However, why are there no memorials from the economic crisis years of the 1970s and 1980s? It seems as if the past is recalled, when the nation is under threat – in the 1930s and 40s from expansive Germany – and since the 1990s by increased immigration and globalisation.The memorials have in common local loss and local initiative. A treasure was found and a treasure was lost, often to the National Museum in Copenhagen. A treasure was won that contributed to the great narrative of the history of Denmark, but that treasure has also left its original context. The memorials commemorate the finds that have contributed to the narrative of the greatness, age and area of Denmark. The memorials connect the nation and the native place, the capital and the village in a community, where the past is a central concept. The find may also become a symbol of a region or community, for example the sun chariot for Trundholm community and the Gundestrup cauldron for Himmerland.It is almost always people who live near the find site who want to remember what has been found and where. The finds were commemorated by a memorial on average 60 years after their discovery. A longer period elapsed for the golden horns from Gallehus; shortest was at Bjæverskov where the coin hoard was found in March 1999 and a monument was erected in November of the same year.Memorials might seem an old-fashioned way of marking localities in a national topography, but new memorials are created in the same period as many new museums are established.A unique find has no prominent role in archaeological education, research or other work. However, in public opinion treasures and exotic finds are central. Folklore tells of people searching for treasures but always failing. Treasure hunting is restricted by taboos. In the world of archaeological finds there are no taboos. The treasure is found by accident and in spite of various hindrances the find is taken to a museum. The finder is often a worthy person – a child, a labourer or peasant. He or she is an innocent and ordinary person. A national symbol requires a worthy finder. And the find occurs as a miracle. At the find site a romantic relationship is established between the ancestors and their heirs who, by way of a miracle, find fragments of the glorious past of the nation. A paradigmatic example is the finding of the golden horns from Gallehus. Other examples extend from the discovery of the sun chariot in Trundholm bog to the Stone Age settlement at Mullerup bog.The article ends with a catalogue presenting the 24 archaeological find sites that have been marked with monuments in present-day Denmark.Jes WienbergHistorisk arkeologiInstitutionen för Arkeologi och ­Antikens historiaLunds Universitet

<p><strong>List of Abstract Titles and authors:<br /></strong></p><p><strong>1. Psychosis: A matter of mental effort?</strong></p><p>M Borg, Y Y van der Zee, J H Hsieh, H Temmingh, D J Stein, F M Howells</p><p><strong>2.In search of an affordable, effective post-discharge intervention: A randomised control trial assessing the influence of a telephone-based intervention on readmissions for patients with severe mental illness in a developing country</strong></p><p><strong></strong>U A Botha, L Koen, M Mazinu, E Jordaan, D J H Niehaus</p><p><strong>3. The effect of early abstinence from long-term methamphetamine use on brain metabolism using 1H-magnetic resonance spectro-scopy (1H-MRS)</strong></p><p>A Burger, S Brooks, D J Stein, F M Howells</p><p><strong>4. The effect of <em>in utero exposure </em>to methamphetamine on brain metabolism in childhood using 1H-magnetic resonance spectroscopy (1H-MRS)</strong></p><p>A Burger, A Roos, M Kwiatkowski, D J Stein, K A Donald, F M Howells</p><p><strong>5. A prospective study of clinical, biological and functional aspects of outcome in first-episode psychosis: The EONKCS Study</strong></p><p><strong></strong>B Chiliza, L Asmal, R Emsley</p><p><strong>6. Stimulants as cognitive enhancers - perceptions v. evidence in a very real world</strong></p><p><strong></strong>H M Clark</p><p><strong>7. Pharmacogenomics in antipsychotic drugs</strong></p><p><strong></strong>Ilse du Plessis</p><p><strong>8. Serotonin in anxiety disorders and beyond</strong></p><p><strong></strong>Ilse du Plessis</p><p><strong>9. HIV infection results in ventral-striatal reward system hypo-activation during cue processing</strong></p><p><strong></strong>S du Plessis, M Vink, J A Joska, E Koutsilieri, A Bagadia, D J Stein, R Emsley</p><p><strong>10. Disease progression in schizophrenia: Is the illness or the treatment to blame?</strong></p><p>R Emsley, M J Sian</p><p><strong>11. Serotonin transporter variants play a role in anxiety sensitivity in South African adolescents</strong></p><p> S M J Hemmings, L I Martin, L van der Merwe, R Benecke, K Domschke, S Seedat</p><p><strong>12. Iron deficiency in two children diagnosed with multiple sclerosis: Report on whole exom sequencing</strong></p><p><strong></strong>S Janse van Rensburg, R van Toorn, J F Schoeman, A Peeters, L R Fisher, K Moremi, M J Kotze</p><p><strong>13. Benzodiazepines: Practical pharmacokinetics</strong></p><p><strong></strong>P Joubert</p><p><strong>14. What to consider when prescribing psychotropic medications</strong></p><p><strong></strong>G Lippi</p><p><strong>15. Current prescribing practices for obsessive-compulsive disorder in South Africa: Controversies and consensus</strong></p><p><strong></strong>C Lochner, L Taljaard, D J Stein</p><p><strong>16. Correlates of emotional and behavioural problems in children with preinatally acquired HIV in Cape Town, South Africa</strong></p><p><strong></strong>K-A Louw, N Phillips, JIpser, J Hoare</p><p><strong>17. The role of non-coding RNAs in fear extinction</strong></p><p><strong></strong>S Malan-Muller, L Fairbairn, W M U Daniels, M J S Dashti, E J Oakleley, M Altorfer, J Harvey, S Seedat, J Gamieldien, S M J Hemmings</p><p><strong>18. An analysis of the management og HIV-mental illness comorbidity at the psychiatric unit of the Dr George Mukhari Academic Hospital</strong></p><p><strong></strong>M L Maodi, S T Rataemane, T Kyaw</p><p><strong>19. The identification of novel genes in anxiety disorders: A gene X environment correlation and interaction study</strong></p><p><strong></strong>N W McGregor, J Dimatelis, S M J Hemmings, C J Kinnear, D J Stein, V Russel, C Lochner</p><p><strong>20. Collaborations between conventional medicine and traditional healers: Obstacles and possibilities</strong></p><p><strong></strong>G Nortje, S Seedat, O Gureje</p><p><strong>21. Thought disorder and form perception: Relationships with symptoms and cognitive function in first-episode schizophrenia</strong></p><p>M R Olivier, R Emsley</p><p><strong>22. Investigating the functional significance of genome-wide variants associated with antipsychotic treatment response</strong></p><p><strong></strong>E Ovenden, B Drogemoller, L van der Merwe, R Emsley, L Warnich</p><p><strong>23. The moral and bioethical determinants of "futility" in psychiatry</strong></p><p><strong></strong>W P Pienaar</p><p><strong>24. Single voxel proton magnetic resonance spectroscopy (1H-MRS) and volumetry of the amylgdala in social anxiety disorder in the context of early developmental trauma</strong></p><p>D Rosenstein, A T Hess, J Zwart, F Ahmed-Leitao, E Meintjies, S Seedat</p><p><strong>25. Schizoaffective disorder in an acute psychiatric unit: Profile of users and agreement with Operational Criteria (OPCRIT)</strong></p><p><strong></strong>R R Singh, U Subramaney</p><p><strong>26. The right to privacy and confidentiality: The ethics of expert diagnosis in the public media and the Oscar Pistorius trial</strong></p><p><strong></strong>C Smith</p><p><strong>27. A birth cohort study in South Africa: A psychiatric perspective</strong></p><p>D J Stein</p><p><strong>28. 'Womb Raiders': Women referred for observation in terms of the Criminal Procedures Act (CPA) charged with fetal abduction and murder</strong></p><p><strong></strong>U Subramaney</p><p><strong>29. Psycho-pharmacology of sleep wake disorders: An update</strong></p><p>R Sykes</p><p><strong>30. Refugee post-settlement in South Africa: Role of adjustment challenges and family in mental health outcomes</strong></p><p><strong></strong>L Thela, A Tomita, V Maharaj, M Mhlongo, K Jonathan</p><p><strong>31. Dstinguishing ADHD symptoms in psychotic disorders: A new insight in the adult ADHD questionnaire</strong></p><p>Y van der Zee, M Borg, J H Hsieh, H Temmingh, D J Stein, F M Howells</p><p><strong>32. Oscar Pistorius ethical dilemmas in a trial by media: Does this include psychiatric evaluation by media?</strong></p><p>M Vorster</p><p><strong>33. Genetic investigation of apetite aggression in South African former young offenders: The involvement of serotonin transporter gene</strong></p><p>K Xulu, J Somer, M Hinsberger, R Weierstall, T Elbert, S Seedat, S Hemmings</p><p><strong>34. Effects of HIV and childhood trauma on brain morphemtry and neurocognitive function</strong></p><p>G Spies, F Ahmed-Leitao, C Fennema-Notestine, M Cherner, S Seedat</p><p><strong>35. Measuring intentional behaviour normative data of a newly developed motor task battery</strong></p><p><strong></strong>S Bakelaar, J Blampain, S Seedat, J van Hoof, Y Delevoye-Turrel</p><p><strong>36. Resilience in social anxiety disorder and post-traumatic stress disorder in the context of childhood trauma</strong></p><p>M Bship, S Bakelaar, D Rosenstein, S Seedat</p><p><strong>37. The ethical dilemma of seclusion practices in psychiatry</strong></p><p>G Chiba, U Subramaney</p><p><strong>38. Physical activity and neurological soft signs in patients with schizophrenia</strong></p><p>O Esan, C Osunbote, I Oladele, S Fakunle, C Ehindero</p><p><strong>39. A retrospective study of completed suicides in the Nelson Mandela Bay Metropolitan Area from 2008 to 2013 - preliminary results</strong></p><p><strong></strong>C Grobler, J Strumpher, R Jacobs</p><p><strong>40. Serotonin transporter variants play a role in anxiety sensitivity in South African adolescents</strong></p><p><strong></strong>S M J Hemmings, L I Martin, L van der Merwe, R Benecke, K Domschke, S Seedat</p><p><strong>41. Investigation of variants within antipsychotic candidate pharmacogenes associated with treatment outcome</strong></p><p>F Higgins, B Drogmoller, G Wright, L van der Merwe, N McGregor, B Chiliza, L Asmal, L Koen, D Niehaus, R Emsley, L Warnich</p><p><strong>42. Effects of diet, smoking and alcohol consumption on disability (EDSS) in people diagnosed with multiple sclerosis</strong></p><p>S Janse van Rensburg, W Davis, D Geiger, F J Cronje, L Whati, M Kidd, M J Kotze</p><p><strong>43. The clinical utility of neuroimaging in an acute adolescnet psychiatric inpatient population</strong></p><p><strong></strong>Z Khan, A Lachman, J Harvey</p><p><strong>44. Relationships between childhood trauma (CT) and premorbid adjustment (PA) in a highly traumatised sample of patients with first-episode schizophrenia (FES</strong>)</p><p>S Kilian, J Burns, S Seedat, L Asmal, B Chiliza, S du Plessis, R Olivier, R Emsley</p><p><strong>45. Functional and cognitive outcomes using an mTOR inhibitor in an adolescent with TSC</strong></p><p>A Lachman, C van der Merwe, P Boyes, P de Vries</p><p><strong>46. Perceptions about adolescent body image and eating behaviour</strong></p><p><strong></strong>K Laxton, A B R Janse van Rensburg</p><p><strong>47. Clinical relevance of FTO rs9939609 as a determinant of cardio-metabolic risk in South African patients with major depressive disorder</strong></p><p>H K Luckhoff, M J Kotze</p><p><strong>48. Childhood abuse and neglect as predictors of deficits in verbal auditory memory in non-clinical adolescents with low anxiety proneness</strong></p><p>L Martin, K Martin, S Seedat</p><p><strong>49. The changes of pro-inflammatory cytokines in a prenatally stressed febrile seizure animal model and whether <em>Rhus chirindensis</em> may attenuate these changes</strong></p><p><strong></strong>A Mohamed, M V Mabandla, L Qulu</p><p><strong>50. Influence of TMPRSS6 A736v and HFE C282y on serum iron parameters and age of onset in patients with multiple sclerosis</strong></p><p><strong></strong>K E Moremi, M J Kotze, H K Luckhoff, L R Fisher, M Kidd, R van Toorn, S Janse van Rensburg</p><p><strong>51. Polypharmacy in pregnant women with serious mental illness</strong></p><p>E Thomas, E du Toit, L Koen, D Niehaus</p><p><strong>52. Infant attachment and maternal depression as predictors of neurodevelopmental and behavioural outcomes at follow-up</strong></p><p>J Nothling, B Laughton, S Seedat</p><p><strong>53. Differences in abuse, neglect and exposure to community violence in adolescents with and without PTSD</strong></p><p><strong></strong>J Nothling, S Suliman, L Martin, C Simmons, S Seedat</p><p><strong>54. Assessment of oxidative stress markers in children with autistic spectrum disorders in Lagos, Nigeria</strong></p><p><strong></strong>Y Oshodi, O Ojewunmi, T A Oshodi, T Ijarogbe, O F Aina, J Okpuzor, O C F E A Lesi</p><p><strong>55. Change in diagnosis and management of 'gender identity disorder' in pre-adolescent children</strong></p><p>S Pickstone-Taylor</p><p><strong>56. Brain network connectivity in women exposed to intimate partner violence</strong></p><p>A Roos, J-P Fouche, B Vythilingum, D J Stein</p><p><strong>57. Prolonged exposure treatment for PTSD in a Third-World, task-shifting, community-based environment</strong></p><p>J Rossouw, E Yadin, I Mbanga, T Jacobs, W Rossouw, D Alexander, S Seedat</p><p><strong>58. Contrasting effects of early0life stress on mitochondrial energy-related proteins in striatum and hippocampus of a rat model of attention-deficit/ hyperactivity disorder</strong></p><p><strong></strong>V Russell, J Dimatelis, J Womersley, T-L Sterley</p><p><strong>59. Attention-deficit hyperactivity disorder in adults: A South African perspective</strong></p><p>R Schoeman, M de Klerk, M Kidd</p><p><strong>60. Cognitive function in women with HIV infection and early-life stress</strong></p><p>G Spies, C Fennema-Notestine, M Cherner, S Seedat</p><p><strong>61. Changes in functional connectivity networks in bipolar disorder patients after mindfulness-based cognitic therapy</strong></p><p>J A Starke, C F Beckmann, N Horn</p><p><strong>62. Post-traumatic stress disorder, overweight and obesity: A systematic review and meta-analysis</strong></p><p><strong></strong>S Suliman, L Anthonissen, J Carr, S du Plessis, R Emsley, S M J Hemmings, C Lochner, N McGregor L van den Heuvel, S Seedat</p><p><strong>63. The brain and behaviour in a third-trimester equivalent animal model of fetal alcohol spectrum disorders</strong></p><p>P C Swart, C B Currin, J J Dimatelis, V A Russell</p><p><strong>64. Irritability Assessment Model (IAM) to monitor irritability in child and adolescent psychiatric disorders.</strong></p><p>D van der Westhuizen</p><p><strong>65. Outcome of parent-adolescent training in chilhood victimisation: Adaptive functioning, psychosocial and physiological variables</strong></p><p>D van der Westhuizen</p><p><strong>66. The effect of ketamine in the Wistar-Kyoto and Sprague Dawley rat models of depression</strong></p><p>P J van Zyl, J J Dimatelis, V A Russell</p><p><strong>67. Investigating COMT variants in anxiety sensitivity in South African adolescents</strong></p><p>L J Zass, L Martin, S Seedat, S M J Hemmings</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong><br /></strong></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p>

<p><strong>List of abstracts and authors:</strong></p><p><strong>1. Bipolar disorder not otherwise specified -overdiagnosed or underdiagnosed?</strong></p><p>E Allers</p><p><strong>2. The prognosis of major depression untreated and treated: Does the data reflect the true picture of the prognosis of this very common disorder?</strong></p><p>E Allers</p><p><strong>3. Can we prolong our patients' life expectancy? Providing a better quality of life for patients with severe mental illness</strong></p><p>O A Betencourt</p><p><strong>4. The scope of ECT practice in South Africa</strong></p><p>J Benson-Martin, P Milligan</p><p><strong>5. Biomarkers for schizophrenia: Can we evolve like cancer therapeutics?</strong></p><p>P Buckley<strong></strong></p><p><strong>6. Relapse in schizophrenis: Major challenges in prediction and prevention</strong></p><p>P Buckley</p><p><strong>7. Informed consent in biological treatments: The right to know the duty to inform</strong></p><p><strong></strong>I Chetty</p><p><strong>8. Effectiveness of a long-acting injectable antipsychotic plus an assertive monitoring programme in first-episode schizophrenia</strong></p><p><strong></strong>B Chiliza, L Asmal, O Esan, A Ojagbemi, O Gureje, R Emsley</p><p><strong>9. Name, shame, fame</strong></p><p>P Cilliers</p><p><strong>10. Can we manage the increasing incidence of violent raging children? We have to!</strong></p><p>H Clark</p><p><strong>11. Serotonin, depression and antidepressant action</strong></p><p>P Cowen</p><p><strong>12. Prevalence and correlates of comorbid psychiatris illness in patients with heroin use disorder admitted to Stikland Opioid Detoxification Unit</strong></p><p>L Dannatt, K J Cloete, M Kidd, L Weich</p><p><strong>13. Investigating the association between diabetes mellitus, depression and psychological distress in a cohort of South African teachers</strong></p><p>A K Domingo, S Seedat, T M Esterhuizen, C Laurence, J Volmink, L Asmal</p><p><strong>14. Neuropeptide S -emerging evidence for a role in anxiety</strong></p><p>K Domschke</p><p><strong>15. Pathogenetics of anxiety</strong></p><p>K Domschke</p><p><strong>16. The effects of HIV on the fronto-striatal system</strong></p><p>S du Plessis, M Vink, J Joska, E Koutsilieri, C Scheller, B Spottiswoode, D Stein, R Emsley</p><p><strong>17. Effects of acute antipsychotic treatment on brain morphology in schizophrenia</strong></p><p>R Emsley, L Asmal, B Chiliza, S du Plessis, J Carr, A Goosen, M Kidd, M Vink, R Kahn</p><p><strong>18. Development of a genetic database resource for monitoring of breast cancer patients at risk of physical and psychological complications</strong></p><p>K Grant, F J Cronje, K Botha, J P Apffelstaedt, M J Kotze</p><p><strong>19. Unipolar mania reconsidered: Evidence from a South African study</strong></p><p><strong></strong>C Grobler</p><p><strong>20. Antipsychotic-induced movement disorders: Occurence and management</strong></p><p>P Haddad</p><p><strong>21. The place of observational studies in assessing the effectiveness of long-acting injectable antipsychotics</strong></p><p>P Haddad</p><p><strong>22. Molecular mechanisms of d-cycloserine in fear extinction: Insights from RNS sequencing</strong></p><p>S Hemmings, S Malan-Muller, L Fairbairn, M Jalali, E J Oakeley, J Gamieldien, M Kidd, S Seedat</p><p><strong>23. Schizophrenia: The role of inflammation</strong></p><p>DC Henderson</p><p><strong>24. Addictions: Emergent trends and innovations</strong></p><p>V Hitzeroth</p><p><strong>25. The socio-cultural-religious context of biological psychiatric practice</strong></p><p>B Janse van Rensburg</p><p><strong>26. Biochemical markers for identifying risk factors for disability progression in multiple sclerosis</strong></p><p><strong></strong>S Janse van Rensburg, M J Kotze, F J Cronje, W Davis, K Moremi, M Jalali Sefid Dashti, J Gamieldien, D Geiger, M Rensburg, R van Toorn, M J de Klerk, G M Hon, T Matsha, S Hassan, R T Erasmus</p><p><strong>27. Alcohol-induced psychotic disorder: Brain perfusion and psychopathology - before and after antipsychotic treatment</strong></p><p>G Jordaan, J M Warwick, D G Nel, R Hewlett, R Emsley</p><p><strong>28.'Pump and dump': Harm reduction strategies for breastfeeding while using substances</strong></p><p>L Kramer</p><p><strong>29. Adolescent neuropsychiatry - an emerging field in South African adolescent psychiatric services</strong></p><p>A Lachman</p><p><strong>30. Recovery versus remission, or what it means to be healthy for a psychiatric patient?</strong></p><p>B Latecki</p><p><strong>31. Holistic methods utilised to normalise behaviours in youth diagnosed with neuro-biochemical disorders</strong></p><p>P Macqueen</p><p><strong>32. Candidate genes and novel polymorphisms for anxiety disorder in a South African cohort</strong></p><p>N McGregor, J Dimatelis, S M J Hemmings, C J Kinnear, D Stein, V Russel, C Lochner</p><p><strong>33. Higher visual functioning</strong></p><p>A Moodley</p><p><strong>34. The effects of prenatal methylmercury exposure on trace element and antioxidant levels in rat offspring following 6-hydroxydopamine-induced neuronal insult</strong></p><p>Z M Moosa, W M U Daniels, M V Mabandla</p><p><strong>35. Paediatric neuropsychiatric movement disorders</strong></p><p>L Mubaiwa</p><p><strong>36. The South African national female offenders study</strong></p><p>M Nagdee, L Artz, C de Clercq, P de Wet, H Erlacher, S Kaliski, C Kotze, L Kowalski, J Naidoo, S Naidoo, J Pretorius, M Roffey, F Sokudela, U Subramaney</p><p><strong>37. Neurobiological consequences of child abuse</strong></p><p>C Nemeroff</p><p><strong>38. What do Stellenbosch Unviversity medical students think about psychiatry - and why should we care?</strong></p><p>G Nortje, S Suliman, K Seed, G Lydall, S Seedat</p><p><strong>39. Neurological soft skins in Nigerian Africans with first episode schizophrenia: Factor structure and clinical correlates</strong></p><p><strong></strong>A Ojagbemi, O Esan, O Gureje, R Emsley</p><p><strong>40. Should psychiatric patients know their MTHFR status?</strong></p><p>E Peter</p><p><strong>41. Clinical and functional outcome of treatment refractory first-episode schizophrenia</strong></p><p>L Phahladira, R Emsley, L Asmal, B Chiliza</p><p><strong>42. Bioethics by case discussion</strong></p><p>W Pienaar</p><p><strong>43. Reviewing our social contract pertaining to psychiatric research in children, research in developing countries and distributive justice in pharmacy</strong></p><p>W Pienaar</p><p><strong>44. The performance of the MMSE in a heterogenous elderly South African population</strong></p><p>S Ramlall, J Chipps, A I Bhigjee, B J Pillay</p><p><strong>45. Biological basis addiction (alocohol and drug addiction)</strong></p><p>S Rataemane</p><p><strong>46. Volumetric brain changes in prenatal methamphetamine-exposed children compared with healthy unexposed controls</strong></p><p><strong></strong>A Roos, K Donald, G Jones, D J Stein</p><p><strong>47. Single voxel proton magnetic resonance spectroscopy of the amygdala in social anxiety disorder in the context of early developmental trauma</strong></p><p>D Rosenstein, A Hess, S Seedat, E Meintjies</p><p><strong>48. Discussion of HDAC inhibitors, with specific reference to supliride and its use during breastfeeding</strong></p><p>J Roux</p><p><strong>49. Prevalence and clinical correlates of police contact prior to a first diagnosis of schizophrenia</strong></p><p>C Schumann, L Asmal, K Cloete, B Chiliza, R Emsley</p><p><strong>50. Are dreams meaningless?</strong></p><p>M Solms</p><p><strong>51. The conscious id</strong></p><p>M Solms<strong></strong></p><p><strong>52. Depression and resilience in HIV-infected women with early life stress: Does trauma play a mediating role?</strong></p><p>G Spies, S Seedat</p><p><strong>53. State of affairs analysis for forensic psychiatry in SA</strong></p><p>U Subramaney</p><p><strong>54. Escitalopram in the prevention of post-traumatic stress disorder: A pilot randomised controlled trial</strong></p><p>S Suliman, S Seedat, J Pingo, T Sutherland, J Zohar, D J Stein</p><p><strong>55. Epigenetic consequences of adverse early social experiences in primates</strong></p><p>S Suomi</p><p><strong>56. Risk, resilience, and gene x environment interactions in primates</strong></p><p>S Suomi</p><p><strong>57. Biological aspects of anorexia nervosa</strong></p><p>C Szabo</p><p><strong>58. Agents used and profiles of non-fatal suicidal behaviour in East London</strong></p><p>H Uys</p><p><strong>59. The contributions of G-protein coupled receptor signalling to opioid dependence</strong></p><p>J van Tonder</p><p><strong>60. Emerging trend and innovation in PTSD and OCD</strong></p><p>J Zohar</p><p><strong>61. Making the SASOP treatment guidelines operational</strong></p><p>E Allers</p><p><strong>Poster Presentations</strong></p><p><strong>62. Neuropsychological deficits in social anxiety disorder in the context of early developmental trauma</strong></p><p><strong></strong>S Bakelaar, D Rosenstein, S Seedat</p><p><strong>63.Social anxiety disorder in patients with or without early childhood trauma: Relationship to behavioral inhibition and activation and quality of life</strong></p><p><strong></strong>S Bakelaar, C Bruijnen, A Sambeth, S Seedat</p><p><strong>64. Exploring altered affective processing in obssessive compulsive disorder symptom subtypes</strong></p><p>E Breet, J Ipser, D Stein, C Lochner<strong><br /></strong></p><p><strong>65. To investigate the bias toward recognising the facial expression of disgust in obsessive compulsive disorder as well as the effect of escitalopram</strong></p><p>E Breet, J Ipser, D Stein, C Lochner</p><p><strong>66. A fatal-case of nevirapine-induced Stevens-Johnson's syndrome in HIV mania</strong></p><p>A Bronkhorst, Z Zingela, W M Qwesha, B P Magigaba<strong></strong></p><p><strong>67. Association of the COMT G472A (met/met) genotype with lower disability in people diagnosed with multiple sclerosis</strong></p><p>W Davis, S J van Rensburg, L Fisher, F J Cronje, D Geiger, M J Kotze</p><p><strong>68. Homocycsteine levels are associated with the fat mass and obesity associated gene FTO(intron 1 T&gt;A) polymorphism in MS patients</strong></p><p>W Davis, S J Van Rensburg, M J Kotze, L Fisher, M Jalali, F J Cronje, K Moremi, J Gamieldien, D Geiger, M Rensburg, R van Toorn, M J de Klerk, G M Hon, T Matsha, S Hassan, R T Erasmus</p><p><strong>69. Analysis of the COMT 472 G&gt;A (rs4680) polymorphism in relation to environmental influences as contributing factors in patients with schizophrenia</strong></p><p>D de Klerk, S J van Rensburg, R A Emsley, D Geiger, M Rensburg, R T Erasmus, M J Kotze</p><p><strong>70. Dietary folate intake, homocysteine levels and MTHFR mutation detection in South African patients with depression: Test development for clinical application </strong></p><p>D Delport, N vand der Merwe, R Schoeman, M J Kotze</p><p><strong>71. The use ofexome sequencing for antipsychotic pharmacogenomic applications in South African schizophrenia patients</strong></p><p>B Drogmoller, D Niehaus, G Wright, B Chiliza, L Asmal, R Emsley, L Warnich</p><p><strong>72. The effects of HIV on the ventral-striatal reward system</strong></p><p>S du Plessis, M Vink, J Joska, E Koutsilieri, C Scheller, B Spottiswoode, D Stein, R Emsley</p><p><strong>73. Xenomelia relates to asymmetrical insular activity: A case study of fMRI</strong></p><p>S du Plessis, M Vink, L Asmal</p><p><strong>74. Maternal mental helath: A prospective naturalistic study of the outcome of pregancy in women with major psychiatric disorders in an African country</strong></p><p>E du Toit, L Koen, D Niehaus, B Vythilingum, E Jordaan, J Leppanen</p><p><strong>75. Prefrontal cortical thinning and subcortical volume decrease in HIV-positive children with encephalopathy</strong></p><p>J P Fouche, B Spottiswoode, K Donald, D Stein, J Hoare</p><p><strong>76. H-magnetic resonance spectroscopy metabolites in schizophrenia</strong></p><p>F Howells, J Hsieh, H Temmingh, D J Stein</p><p><strong>77. Hypothesis for the development of persistent methamphetamine-induced psychosis</strong></p><p><strong></strong> J Hsieh, D J Stein, F M Howells</p><p><strong>78. Culture, religion, spirituality and psychiatric practice: The SASOP Spirituality and Psychiatry Special Interest Group Action Plan for 2012-2014</strong></p><p>B Janse van Rensburg</p><p><strong>79. Cocaine reduces the efficiency of dopamine uptake in a rodent model of attention-deficit/hyperactivity disorder: An <em>in vivo</em> electrochemical study</strong></p><p><strong></strong>L Kellaway, J S Womersley, D J Stein, G A Gerhardt, V A Russell</p><p><strong>80. Kleine-Levin syndrome: Case in an adolescent psychiatric unit</strong></p><p>A Lachman</p><p><strong>81. Increased inflammatory stress specific clinical, lifestyle and therapeutic variables in patients receiving treatment for stress, anxiety or depressive symptoms</strong></p><p>H Luckhoff, M Kotze, S Janse van Rensburg, D Geiger</p><p><strong>82. Catatonia: An eight-case series report</strong></p><p>M Mabenge, Z Zingela, S van Wyk</p><p><strong>83. Relationship between anxiety sensitivity and childhood trauma in a random sample of adolescents from secondary schools in Cape Town</strong></p><p>L Martin, M Viljoen, S Seedat</p><p><strong>84. 'Making ethics real'. An overview of an ethics course presented by Fraser Health Ethics Services, BC, Canada</strong></p><p>JJ McCallaghan</p><p><strong>85. Clozapine discontinuation rates in a public healthcare setting</strong></p><p>M Moolman, W Esterhuysen, R Joubert, J C Lamprecht, M S Lubbe</p><p><strong>86. Retrospective review of clozapine monitoring in a publica sector psychiatric hospital and associated clinics</strong></p><p>M Moolman, W Esterhuysen, R Joubert, J C Lamprecht, M S Lubbe</p><p><strong>87. Association of an iron-related TMPRSS6 genetic variant c.2007 C&gt;7 (rs855791) with functional iron deficiency and its effect on multiple sclerosis risk in the South African population</strong></p><p>K Moremi, S J van Rensburg, L R Fisher, W Davis, F J Cronje, M Jalali Sefid Dashti, J Gamieldien, D Geiger, M Rensburg, R van Toorn, M J de Klerk, G M Hon, T Matsha, S Hassan, R T Erasmus, M Kidd, M J Kotze</p><p><strong>88. Identifying molecular mechanisms of apormophine-induced addictive behaviours</strong></p><p>Z Ndlazi, W Daniels, M Mabandla</p><p><strong>89. Effects of lifestyle factors and biochemistry on the major neck blood vessels in patients with mutiple sclerosis</strong></p><p>M Nelson, S J van Rensburg, M J Kotze, F Isaacs, S Hassan</p><p><strong>90. Nicotine protects against dopamine neurodegenration and improves motor deficits in a Parkinsonian rat model</strong></p><p>N Ngema, P Ngema, M Mabandla, W Daniels</p><p><strong>91. Cognition: Probing anatomical substrates</strong></p><p>H Nowbath</p><p><strong>92. Chronic exposure to light reverses the effects of maternal separation on the rat prefrontal cortex</strong></p><p>V Russel, J Dimatelis</p><p><strong>93. Evaluating a new drug to combat Alzheimer's disease</strong></p><p>S Sibiya, W M U Daniels, M V Mabandla</p><p><strong>94. Structural brain changes in HIV-infected women with and without childhood trauma</strong></p><p>G Spies, F Ahmed, C Fennema-Notestine, S Archibald, S Seedat</p><p><strong>95. Nicotine-stimulated release of hippocampal norepinephrine is reduced in an animal model of attention-deficit/ hyperactivity disorder: the spontaneously hypertensive rat</strong></p><p>T Sterley</p><p><strong>96. Brain-derive neurotrophic factor (BDNF) protein levels in anxiety disorders: Systematic review and meta-regression analysis</strong></p><p>S Suliman, S M J Hemmings, S Seedat</p><p><strong>97. A 12-month retrospective audit of the demographic and clinical profile of mental healthcare users admitted to a district level hospital in the Western Cape, South Africa</strong></p><p>E Thomas, K J Cloete, M Kidd, H Lategan</p><p><strong>98. Magnesium recurarization: A comparison between reversal of neuromuscular block with sugammadex v. neostigmine/ glycopyrrolate in an <em>in vivo</em> rat model</strong></p><p><strong></strong>M van den Berg, M F M James, L A Kellaway</p><p><strong>99. Identification of breast cancer patients at increased risk of 'chemobrain': Case study and review of the literature</strong></p><p>N van der Merwe, R Pienaar, S J van Rensburg, J Bezuidenhout, M J Kotze</p><p><strong>100. The protective role of HAART and NAZA in HIV Tat protein-induced hippocampal cell death</strong></p><p>S Zulu, W M U Daniels, M V Mabandla</p>

Dear Readers,As an avid book collector, I derive great pleasure from deciding what kinds of books should be acquired for my personal library. I collect books that I love in a few subject areas, and over the years my library has grown into a carefully curated collection.My collecting habit began early in life when I hoarded picture books in my dresser drawers. Regrettably, I did not have a proper bookshelf or even a set of bookends to stand my books upright on a flat surface, but I had plenty of drawers for storage. Assembling my little library of picture books was great fun and the experience taught me that a personal book collection can provide a lifetime of enjoyment. Indeed, I still enjoy buying picture books from time to time for my library.I am always delighted when I see children who are keen to build their own book collections. In fact, developing a home library for your child is a great way to demonstrate that books are extensions of our interests and passions, and they can enrich our lives in manifold ways. Now of course I am not advocating that parents should rush out, spend a small fortune on children’s books, and immediately install a room full of bookcases. Building a library for young readers can be easy and inexpensive, and you can have fun helping young readers gain a deep appreciation for print books in their homes.If you want to encourage your child to have a compelling selection of books at home, you can stretch your book budget by taking your child to garage sales, thrift stores, flea markets, book fairs, and library sales. All of these venues are great places to pick up piles of books at a significant discount. As your child’s library begins to grow, you could suggest that s/he add a bookplate to each book to indicate its rightful owner. Bookplates are the decorative labels that are pasted down inside the cover of a book to give us some information about the owner, and they usually have the title Ex Libris, meaning “from the library of.” There are many websites that offer bookplate designs for children that are free to download and use, and they are a great way to customize a growing library.Of course, one of the best ways to build a child’s library is to begin by checking them out at the local library, and if your children find a personal favourite, a book that they enjoy reading over and over, then go ahead and buy a copy for their library. Supporting their library will show your commitment to investing in knowledge, and children who grow up with books are well positioned to make tremendous gains in educational attainment.Our new issue has many excellent books that would be well suited to a personal library, so I hope you’ll consider adding one or two to your child’s bookshelf.Happy reading!Robert DesmaraisManaging Editor

During February and March, in Costa Rica, as well as in many other countries in Latin America, public health authorities and government officials insisted that there was no reason to panic or to hoard toilet paper, canned food, and disinfectants. Even though, by this time, the World Health Organization had declared that transmission of the viral infection caused by the novel coronavirus (SARS-Cov-2) had reached the level of pandemic, these health authorities and elected officials asserted that most people need not feel afraid. After all, they claimed, the disease caused by this virus appeared to be mild in most cases, that is, except in people older than 70 years of age and people with concomitant health issues such hypertension or diabetes. The purpose of this paper is to demonstrate that the epistemic authority from which the dominant narrative about COVID-19 has emerged in Costa Rica is rooted in extended and normalized discriminatory and oppressive ideologies regarding the value of people and their bodies. This official discourse is an expression of the condescending and paternalistic tradition of medical epistemology in the country. With this paper, therefore, I make a critical contribution to the exploration of the following questions. How does this narrative discourse affect older people, people with disabilities, and people who live with physical circumstances such as hypertension or diabetes? Does this narrative discourse help the general public, fairly and in a dignify manner, to understand the risks of contagion with respect to COVID-19 and the preventative measures required to avoid the infection?

A political minimalism? That would obviously go against the grain of our current political ideology → in fact, we are in an era of political maximalisation (Roland Barthes 200, arrow in original).Barthes’ comment is found in the ‘Annex’ to his 1978 lecture course The Neutral. Despite the three decade difference I don’t things have changed that much, certainly not insofar as academic debate about the cultural and social is concerned. At conferences I regularly hear the demand that the speaker or speakers account for the ‘political intent’, ‘worth’ or ‘utility’ of their work, or observe how speakers attempt to pre-empt and disarm such calls through judicious phrasing and citing. Following his diagnosis Barthes (201-206) proceeds to write under the title ‘To Give Leave’. Here he notes the incessant demand placed upon us, as citizens, as consumers, as representative cultural subjects and as biopolitical entities and, in this context, as academics to have and to communicate our allegiances, views and opinions. Echoing the acts, (or rather the ‘non-acts’), of Melville’s Bartleby, Barthes describes the scandalous nature of suspending the obligation of holding views; the apparent immorality of suspending the obligation of being interested, engaged, opinionated, committed – even if one only ever suspends provisionally, momentarily even. For the length of a five thousand word essay perhaps. In this short, unfortunately telegraphic and quite speculative essay I want pause to consider a few gestures or figures of ‘suspension’, ‘decline’ and ‘remaining aside’. What follows is in three parts. First a comment on the nature of the ‘demand to communicate’ identified by Barthes and its links to longer running moral and practical imperatives within Western understandings of the subject, the social and the political. Second, the most substantial section but still an all too brief account of the apparent ‘passivity’ of the narrator of Imre Kertész’s novel Fatelessness and the ways in which the novel may be read as a reflection on the nature of agency and determination. Third, a very brief conclusion, the question directly; what politics or what apprehension of politics, could a reflection on stillness and its ‘political minimalism’ offer? 1.For Barthes, (in 1978), one of the factors defining the contemporary intellectual scene was the way in which “politics invades all phenomena, economic, cultural, ethical” coupled with the “radicalization” of “political behaviors” (200), perhaps most notably in the arrogance of political discourse as it assumes the place of a master discourse. Writing in 1991 Bill Readings identified a similar phenomenon. For Readings the category of the political and politically inspired critique were operating by encircling their objects within a presupposed “universal language of political significance into which one might translate everything according to its effectivity”, an approach which has the effect of always making “the political […] the bottom line, the last instance where meaning can be definitively asserted” (quoted in Clark 3) or, we may add, realized. There is, of course, much that could be said here, not least concerning the significant differences in context, (between, for example, the various forms of revolutionary Marxism, Communism and Maoism which seem to preoccupy Barthes and the emancipatory identity and cultural politics which swept through literature departments in the US and beyond in the last two decades of the twentieth century). However it is also possible to suggest that a general grammar and, moreover, a general acceptance of a telos of the political persists.Barthes' (204-206) account of ‘political maximalisation’ is accompanied by a diagnosis of its productivist virility, (be it, in 1978, on the part of the increasingly reduced revolutionary left or the burgeoning neo-liberal right). The antithesis, or, rather, the outside of such an arrangement or frame would not be another political program but rather a certain stammering, a lassitude or dilatoriness. A flaccidness even; “a devirilized image” wherein from the point of view of the (political) actor or critic, “you are demoted to the contemptible mass of the undecided of those who don’t know who to vote for: old, lost ladies whom they brutalize: vote however you want, but vote” (Barthes 204). Hence Barthes is not suggesting a counter-move, a radical refusal, a ‘No’ shouted back to the information saturated market society. What is truly scandalous he suggests, is not opposition or refusal but the ‘non-reply’. What is truly scandalous, roughish even, is the decline or deferral and so the provisional suspension of the choice (and the blackmail) of the ‘yes’ or ‘no’, the ‘this’ or the ‘that’, the ‘with us’ or ‘against us’.In Literature and Evil Georges Bataille concludes his essay on Kafka with a comment on such a decline. According to Bataille, the reason why Kafka remains an ambivalent writer for critics, (and especially for those who would seek to enrol his work to political ends), lays precisely in his constant withdrawal; “There was nothing he [Kafka] could have asserted, or in the name of which he could have spoken. What he was, which was nothing, only existed to the extent in which effective activity condemned him” (167). ‘Effective activity’ refers, contextually, to a certain form of Communism but more broadly to the rationalization or systematization intrinsic to any political program, political programs (or ideologies) as such, be they communist, liberal or libertarian. At least insofar as, as implied above, the political is taken to coincide with a certain metaphysics and morality of action and the consequent linking of freedom to work, (a factor common to communist, fascist and liberal political programs), and so to the labour of the progressive self-realization and achievement of the self, the autos or ipse (see Derrida 6-18). Be it via, for example, Marx’s account of human’s intrinsic ‘capacity for work’ (Arbeitskraft), Heidegger’s account of necessary existential (and ultimately communal) struggle (Kampf), or Weber’s diagnoses of the (Protestant/bourgeois) liberal project to realize human potentiality (see also Agamben Man without Content; François 1-64). Hence what is ‘evil’ in Kafka is not any particular deed but the deferral of deeds; his ambivalence or immorality in the eyes of certain critics being due to the question his writing poses to “the ultimate authority of action” (Bataille 153) and so to the space beyond action onto which it opens. What could this space of ‘worklessness’ or ‘unwork’ look like? This non-virile, anti-heroic space? This would not be a space of ‘inaction’, (a term still too dependent, albeit negatively, on action), but of ‘non-action’; of ‘non-productive’ or non-disclosive action. That is to say, and as a first attempt at definition, ‘action’ or ‘praxis’, if we can still call it that, which does not generate or bring to light any specific positive content. As a way to highlight the difficulties and pitfalls, (at least with certain traditions), which stand in the way of thinking such a space, we may highlight Giorgio Agamben’s comments on the widespread coincidence of a metaphysics of action with the determination of both the subject, its teleology and its orientation in the world:According to current opinion, all of man’s [sic] doing – that of the artist and the craftsman as well as that of the workman and the politician – is praxis – manifestation of a will that produces a concrete effect. When we say that man has a productive status on earth, we mean, that the status of his dwelling on the earth is a practical one […] This productive doing now everywhere determines the status of man on earth – man understood as the living being (animal) that works (laborans), and, in work, produces himself (Man without Content 68; 70-71 original emphasis).Beyond or before practical being then, that is to say before and beyond the determination of the subject as essentially or intrinsically active and engaged, another space, another dwelling. Maybe nocturnal, certainly one with a different light to that of the day; one not gathered in and by the telos of the ipse or the turning of the autos, an interruption of labour, an unravelling. Remaining still, unravelling together (see Harrison In the absence).2.Kertész’s novel Sorstalanság was first published in his native Hungary in 1975. It has been translated into English twice, in 1992 as Fateless and in 2004 as Fatelessness. Fatelessness opens in Budapest on the day before György Köves’ – the novel’s fourteen year old narrator – father has to report for ‘labour service’. It goes on to recount Köves’ own detention and deportation and the year spent in the camps of Auschwitz-Birkenau, Buchenwald and Zeitz. During this period Köves’ health declines, gradually at first and then rapidly to a moment of near death. He survives and the novel closes with his return to his home town. Köves is, as Kertész has put it in various interviews and as is made clear in the novel, a ‘non-Jewish Jew’; a non-practicing and non-believing Hungarian Jew from a largely assimilated family who neither reads nor speaks Hebrew or Yiddish. While Kertész has insisted that the novel is precisely that, a novel, a work of literature and not an autobiography, we should note that Kertész was himself imprisoned in Buchenwald and Zeitz when fourteen.Not without reservations but for the sake of brevity I shall focus on only one theme in the novel; determination and agency, or what Kertész calls ‘determinacy’. Writing in his journal Galley Boat-Log (Gályanapló) in May 1965 Kertész suggests ‘Novel of Fatelessness’ as a possible title for his work and then reflects on what he means by ‘fate’, the entry is worth quoting at length.The external determinacy, the stigma which constrains our life in a situation, an absurdity, in the given totalitarianism, thwarts us; thus, when we live out the determinacy which is doled out to us as a reality, instead of the necessity which stems from our own (relative) freedom – that is what I call fatelessness.What is essential is that our determinacy should always be in conflict with our natural views and inclinations; that is how fatelessness manifests itself in a chemically pure state. The two possible modes of protection: we transform into our determinacy (Kafka’s centipede), voluntarily so to say, and I that way attempt to assimilate our determinacy to our fate; or else we rebel against it, and so fall victim to our determinacy. Neither of these is a true solution, for in both cases we are obliged to perceive our determinacy […] as reality, whilst the determining force, that absurd power, in a way triumphs over us: it gives us a name and turns us into an object, even though we were born for other things.The dilemma of my ‘Muslim’ [Köves]: How can he construct a fate out of his own determinacy? (Galley Boat-Log 98 original emphasis).The dilemma of determinacy then; how can Köves, who is both determined by and superfluous to the Nazi regime, to wider Hungarian society, to his neighbours and to his family, gain some kind of control over his existence? Throughout Fatelessness people prove repeatedly unable to control their destinies, be it Köves himself, his father, his stepmother, his uncles, his friends from the oil refinery, or even Bandi Citrom, Köves’ mentor in the camps. The case of the ‘Expert’ provides a telescoped example. First appearing when Köves and his friends are arrested the ‘Expert’ is an imposing figure, well dressed, fluent in German and the director of a factory involved in the war effort (Fatelessness 50). Later at the brickworks, where the Jews who have been rounded up are being held prior to deportation, he appears more dishevelled and slightly less confident. Still, he takes the ‘audacious’ step of addressing a German officer directly (and receives some placatory ‘advice’ as his reward) (68-69). By the time the group arrives at the camp Köves has difficulty recognising him and without a word of protest, the ‘Expert’ does not pass the initial selection (88).Köves displays no such initiative with regard to his situation. He is reactive or passive, never active. For Köves events unfold as a series of situations and circumstances which are, he tells himself, essentially reasonable and to which he has to adapt and conform so that he may get on. Nothing more than “given situations with the new givens inherent in them” (259), as he explains near the end of the novel. As Köves' identity papers testify, his life and its continuation are the effect of arbitrary sets of circumstances which he is compelled to live through; “I am not alive on my own account but benefiting the war effort in the manufacturing industry” (29). In his Nobel lecture Kertész described Köves' situation:the hero of my novel does not live his own time in the concentration camps, for neither his time nor his language, not even his own person, is really his. He doesn’t remember; he exists. So he has to languish, poor boy, in the dreary trap of linearity, and cannot shake off the painful details. Instead of a spectacular series of great and tragic moments, he has to live through everything, which is oppressive and offers little variety, like life itself (Heureka! no pagination).Without any wilful or effective action on the part of the narrator and with only ‘the dreary trap of linearity’ where one would expect drama, plot, rationalization or stylization, Fatelessness can read as an arbitrarily punctuated series of waitings. Köves waiting for his father to leave, waiting in the customs shed, waiting at the brick works, waiting in train carriages, waiting on the ramp, waiting at roll call, waiting in the infirmary. Here is the first period of waiting described in the book, it is the day before his father’s departure and he is waiting for his father and stepmother as they go through the accounts at the family shop:I tried to be patient for a bit. Striving to think of Father, and more specifically the fact that he would be going tomorrow and, quite probably, I would not see him for a long time after that; but after a while I grew weary with that notion and then seeing as there was nothing else I could do for my father, I began to be bored. Even having to sit around became a drag, so simply for the sake of a change I stood up to take a drink of water from the tap. They said nothing. Later on, I also made my way to the back, between the planks, in order to pee. On returning I washed my hands at the rusty, tiled sink, then unpacked my morning snack from my school satchel, ate that, and finally took another drink from the tap. They still said nothing. I sat back in my place. After that, I got terribly bored for another absolute age (Fatelessness 9). It is interesting to consider exactly how this passage presages those that will come. Certainly this scene is an effect of the political context, his father and stepmother have to go through the books because of the summons to labour service and because of the racial laws on who may own and profit from a business. However, the specifically familial setting should not be overlooked, particularly when read alongside Kertész’s other novels where, as Madeleine Gustafsson writes, Communist dictatorship is “portrayed almost as an uninterrupted continuation of life in the camp – which in turn [...] is depicted as a continuation of the patriarchal dictatorship of a joyless childhood” (no pagination, see, for example, Kertész Kaddish). Time to turn back to our question; does Fatelessness provide an answer to the ‘dilemma of determinacy’? We should think carefully before answering. As Julia Karolle suggests, the composition of the novel and our search for a logic within itreveal the abuses that reason must endure in order to create any story or history about the Holocaust […]. Ultimately Kertész challenges the reader not to make up for the lack of logic in Fatelessness, but rather to consider the nature of its absence (92 original emphasis).Still, with this point in mind, (and despite what has been said above), the novel does contain a scene in which Köves appears to affirm his existence.In many respects the scene is the culmination of the novel. The camps have been liberated and Köves has returned to Budapest. Finding his father and step-mother’s apartment occupied by strangers he calls on his Aunt and Uncle Fleischmann and Uncle Steiner. The discussion which follows would repay a slower reading, however again for the sake of brevity I shall focus on only a few short excerpts. Köves suggests that everyone took their ‘steps’ towards the events which have unfolded and that prediction and retrospection are false perspectives which give the illusion of order and inevitability whereas, in reality, “everything becomes clear only gradually, sequentially over time, step-by-step” (Fatelessness 249): “They [his Uncles] too had taken their own steps. They too […] had said farewell to my father as if we had already buried him, and even later has squabbled about whether I should take the train or the suburban bus to Auschwitz” (260). Fleischmann and Steiner react angrily, claiming that such an understanding makes the ‘victims’ the ‘guilty ones’. Köves responds by saying that they do not understand him and asks they see that:It was impossible, they must try to understand, impossible to take everything away from me, impossible for me to be neither winner nor loser, for me not to be right and not to be mistaken that I was neither the cause nor effect of anything; they should try to see, I almost pleaded, that I could not swallow that idiotic bitterness, that I should merely be innocent (260-261).Karolle (93-94) suggests that Köves' discussion with his uncles marks the moment where he accepts and affirms his existence and, from this point on begins to take control of and responsibility. Hence for Karolle the end of the novel depicts an ‘authentic’ moment of self-affirmation as Köves steps forward and refuses to participate in “the factual historical narrative of Auschwitz, to forget what he knows, and to be unequivocally categorized as a victim of history” (95). In distinction to Karolle, Adrienne Kertzer argues that Köves' moment of self-affirmation is, in fact, one of self-deception. Rather than acknowledging that it was “inexplicable luck” and a “series of random acts” (Kertzer 122) which saved his life or that his near death was due to an accident of birth, Köves asserts his personal freedom. Hence – and following István Deák – Kertzer suggests that we should read Fatelessness as a satire, ‘a modern Candide’. A satire on the hope of finding meaning, be it personal or metaphysical, in such experiences and events, the closing scenes of the novel being an ironic reflection on the “desperate desire to see […] life as meaningful” (Kertzer 122). So, while Köves convinces himself of his logic his uncles say to each other “‘Leave him be! Can’t you see he only wants to talk? Let him talk! Leave him be!’ And talk I did, albeit possibly to no avail and even a little incoherently” (Fatelessness 259). Which are we to choose then? The affirmation of agency (with Karolle) or the diagnosis of determination (with Kertzer)? Karolle and Kertzer give insightful analyses, (and ones which are certainly not limited to the passages quoted above), however it seems to me that they move too quickly to resolve the ‘dilemma’ presented by Köves, if not of Fatelessness as a whole. Still, we have a little time before having to name and decide Köves’ fate. Kertész’s use of the word ‘hero’ to describe Köves above – ‘the hero of my novel…’ – is, perhaps, more than a little ironic. As Kertész asks (in 1966), how can there be a hero, how can one be heroic, when one is one’s ‘determinacies’? What sense does it make to speak of heroic actions if “man [sic] is no more than his situation”? (Galley Boat-Log 99). Köves’ time, his language, his identity, none are his. There is no place, no hidden reservoir of freedom, from which way he set in motion any efficacious action. All resources have already been corrupted. From Kertész’s journal (in 1975): “The masters of thought and ideologies have ruined my thought processes” (Galley Boat-Log 104). As Lawrence Langer has argued, the grammar of heroics, along with the linked terms ‘virtue’, ‘dignity’, ‘resistance’ ‘survival’ and ‘liberation’, (and the wider narrative and moral economies which these terms indicate and activate), do not survive the events being described. Here the ‘dilemma of determinacy’ becomes the dilemma of how to think and value the human outside or after such a grammar. How to think and value the human beyond a grammar of action and so beyond, as Lars Iyer puts it, “the equation of work and freedom that characterizes the great discourses of political modernity” (155). If this is possible. If such a grammar and equation isn’t too all pervasive, if something of the human still remains outside their economy. It may well be that our ability to read Fatelessness depends in large part on what we are prepared to forsake (see Langar 195). How to think the subject and a politics in contretemps, beyond or after the choice between determination or autonomy, passive or active, inaction or action, immoral or virtuous – if only for a moment? Kertész wonders, (in 1966), ”perhaps there is something to be savaged all the same, a tiny foolishness, something ultimately comic and frail that may be a sign of the will to live and still awakens sympathy” (Galley Boat-Log 99). Something, perhaps, which remains to be salvaged from the grammar of humanism, something that would not be reducible to context, to ‘determinacies’, and that, at the same time, does not add up to a (resurrected) agent. ‘A tiny foolishness, something ultimately comic and frail’. The press release announcing that Kertész had been awarded the Nobel prize for literature states that “For Kertész the spiritual dimension of man lies in his inability to adapt to life” (The Swedish Academy no pagination). Despite the difficulties presented by the somewhat over-determined term ‘spiritual’, this line strikes me as remarkably perspicuous. Like Melville’s Bartleby and Bataille’s Kafka before him, Kertész’s Köves’ existence, insofar as he exists, is made up by his non-action. That is to say, his existence is defined not by his actions or his inaction, (both of which are purely reactive and functional), but rather by his irreducibility to either. As commentators and critics have remarked, (and as the quotes given from the text above hopefully illustrate), Köves has an oddly formal and neutral ‘voice’. Köves’ blank, frequently equivocal tone may be read as a sign of his immaturity, his lack of understanding and his naivety. However I would suggest that before such factors, what characterizes Köves’ mode of address is its reticence to assert or disclose. Köves speaks, he speaks endlessly, but he says nothing or almost nothing - ‘to no avail and even a little incoherently’. Hence where Karolle seeks to recover an ‘intoned self-consciousness’ and Kertzer the repressed determining context, we may find Köves' address. Where Karolle’s and Kertzer’s approaches seek in some way to repair Köves words, to supplement them with either an agency to-come or an awareness of a context and, in doing so, pull his words fully into the light, Köves, it seems to me, remains elusive. His existence, insofar as we may speak of it, lies in his ‘inability to adapt to life’. His reserves are not composed of hidden or recoverable sources of agency but in his equivocality, in the way he takes leave of and remains aside from the very terms of the dilemma. It is as if with no resources of his own, he has an echo existence. As if still remaining itself where a tiny foolishness, something ultimately comic and frail.3.Is this it? Is this what we are to be left with in a ‘political minimalism’? It would seem more resignation or failure, turning away or quietism, the conceit of a beautiful soul, than any type of recognisable politics. On one level this is correct, however any such suspension or withdrawal, this moment of stillness where we are, is only ever a moment. However it is a moment which indicates a certain irreducibility and as such is, I believe, of great significance. Great significance, (or better ‘signifyingness’), even though – and precisely because – it is in itself without value. Being outside efficacy, labour or production, being outside economisation as such, it resides only in its inability to be integrated. What purpose does it serve? None. Or, perhaps, none other than demonstrating the irreducibility of a life, of a singular existence, to any discourse, narrative, identity or ideology, insofar as such structures, in their attempt to comprehend (or apprehend) the existent and put it to use always and violently fall short. As Theodor Adorno wrote;It is this passing-on and being unable to linger, this tacit assent to the primacy of the general over the particular, which constitutes not only the deception of idealism in hypostasizing concepts, but also its inhumanity, that has no sooner grasped the particular than it reduces it to a thought-station, and finally comes all too quickly to terms with suffering and death (74 emphasis added).This moment of stillness then, of declining and remaining aside, represents, for me, the anarchical and all but silent condition of possibility for all political strategy as such (see Harrison, Corporeal Remains). A condition of possibility which all political strategy carries within itself, more or less well, more or less consciously, as a memory of the finite and corporeal nature of existence. A memory which may always and eventually come to protest against the strategy itself. Strategy itself as strategy; as command, as a calculated and calculating order. And so, and we should be clear about this, such a remaining still is a demonstration.A demonstration not unlike, for example, that of the general anonymous population in José Saramago’s remarkable novel Seeing, who ‘act’ more forcefully through non-action than any through any ends-directed action. A demonstration of the kind which Agamben writes about after those in Tiananmen Square in 1989:The novelty of the coming politics is that it will no longer be the struggle for control of the state, but a struggle between the State and the non-State (humanity) […] [who] cannot form a societas because they do not poses any identity to vindicate or bond of belonging for which to seek recognition (Coming Community 85-67; original emphasis).A demonstration like that which sounds through Köves when his health fails in the camps and he finds himself being wheeled on a handcart taken for dead;a snatch of speech that I was barely able to make out came to my attention, and in that hoarse whispering I recognized even less readily the voice that has once – I could not help recollecting – been so strident: ‘I p … pro … test,’ it muttered” (Fatelessness 187 ellipses in original).The inmate pushing the cart stops and pulls him up by the shoulders, asking with astonishment “Was? Du willst noch leben? [What? You still want to live?] […] and right then I found it odd, since it could not have been warranted and, on the whole, was fairly irrational (187).AcknowledgmentsMy sincere thanks to the editors of this special issue, David Bissell and Gillian Fuller, for their interest, encouragement and patience. Thanks also to Sadie, especially for her comments on the final section. ReferencesAdorno, Theodor. Minima Moralia: Reflections on a Damaged Life. London: Verso, 1974.Agamben, Giorgio. The Coming Community. Minneapolis: U of Minnesota P, 1990.———. The Man without Content. Stanford: Stanford U P, 1999.Barthes, Roland. The Neutral. New York: Columbia U P, 2005.Bataille, Georges. Literature and Evil. London: Marion Boyars, 1985.Clarke, Timothy. The Poetics of Singularity: The Counter-Culturalist Turn in Heidegger, Derrida, Blanchot and the Late Gadamer. Edinburgh: Edinburgh U P, 2005.Deák, István. "Stranger in Hell." New York Review of Books 23 Sep. 2003: 65-68.Derrida, Jacques. Rogues. Two Essays on Reason. Stanford: Stanford U P, 2005.François, Anne-Lise. Open Secrets. The Literature of Uncounted Experience. Stanford: Stanford U P, 2008.Gustafsson, Madeleine. 2003 “Imre Kertész: A Medium for the Spirit of Auschwitz.” 6 Mar. 2009 ‹http://nobelprize.org/nobel_prizes/literature/articles/gustafsson/index.html›.Harrison, Paul. “Corporeal Remains: Vulnerability, Proximity, and Living On after the End of the World.” Environment and Planning A 40 (2008): 423-445.———.“In the Absence of Practice.” Environment and Planning D: Society and Space forthcoming.Heidegger, Martin. Introduction to Metaphysics. London: Yale U P, 2000.Iyer, Lars. Blanchot’s Communism: Art, Philosophy and the Political. Basingstoke: Palgrave Macmillan, 2004.Karolle, Julia. “Imre Kertész Fatelessness as Historical Fiction.” Imre Kertész and Holocaust Literature. Ed Louise O. Vasvári and Steven Tötösy de Zepetnek. West Lafayette: Purdue U P, 2005. 89-96.Kertész, Imre. 2002 “Heureka!” Nobel lecture. 6 Mar. 2009 ‹http://nobelprize.org/nobel_prizes/literature/laureates/2002/kertesz-lecture-e.html›.———. Fatelessness. London: Vintage, 2004.———. Kaddish for an Unborn Child. London: Vintage International, 2004.———.“Galley Boat-Log (Gályanapló): Excerpts.” Imre Kertész and Holocaust Literature. Ed Louise O. Vasvári and Steven Tötösy de Zepetnek. West Lafayette: Purdue University Press, 2005. 97-110.Kertzer, Adrienne. “Reading Imre Kertesz in English.” Imre Kertész and Holocaust Literature. Ed Louise O. Vasvári, and Steven Tötösy de Zepetnek. West Lafayette: Purdue U P, 2005. 111-124.Langer, Lawrence. Holocaust Testimonies: The Ruins of Memory. London: Yale U P, 1991.Melville, Herman. Bartleby the Scrivener: A Story of Wall Street. New Jersey: Melville House, 2004.Marx, Karl. Capital Volume 1. London: Penguin Books, 1976.Readings, Bill. “The Deconstruction of Politics.” In Deconstruction: A Reader. Ed Martin McQuillan. Edinburgh: Edinburgh U P, 2000. 388-396.Saramago, José. Seeing. London: Vintage, 2007. The Swedish Academy. "The Nobel Prize in Literature 2002: Imre Kertész." 2002. 6 Mar. 2009 ‹http://nobelprize.org/nobel_prizes/literature/laureates/2002/press.html›.Weber, Max. The Protestant Ethic and the Spirit of Capitalism. London: Routledge, 1992.