From dating to mating and relating: Predictors of initial and long‐term outcomes of speed‐dating in a community sample

We studied initial and long‐term outcomes of speed‐dating over a period of 1 year in a community sample involving 382 participants aged 18–54 years. They were followed from their initial choices of dating partners up to later mating (sexual intercourse) and relating (romantic relationship). Using Social Relations Model analyses, we examined evolutionarily informed hypotheses on both individual and dyadic effects of participants' physical characteristics, personality, education and income on their dating, mating and relating. Both men and women based their choices mainly on the dating partners' physical attractiveness, and women additionally on men's sociosexuality, openness to experience, shyness, education and income. Choosiness increased with age in men, decreased with age in women and was positively related to popularity among the other sex, but mainly for men. Partner similarity had only weak effects on dating success. The chance for mating with a speed‐dating partner was 6%, and was increased by men's short‐term mating interest; the chance for relating was 4%, and was increased by women's long‐term mating interest. Copyright © 2010 John Wiley & Sons, Ltd.     

新疆农村医疗救助制度实施效果评价

为评价新疆农村医疗救助制度实施效果,利用2008年和2012年两次横断面调查资料,分析医疗救助对象和非医疗救助对象的卫生服务需要、利用及费用变化.救助对象的两周患病率由2008年的181.34‰下降到2012年的87.81‰,2008年两周患病率救助对象高于非救助对象.救助对象两周就诊率由2008年的110.92‰下降至2012年的46.93‰,2012年两周就诊率救助对象高于非救助对象.年住院率救助对象均高于非救助对象.新疆农村医疗救助制度提高了贫困人口对卫生服务的利用,应将医疗救助制度与新农合紧密结合,持续资助贫困家庭参合.     

Perversion on the other side of the couch

Abstract

Taking as his starting point the fact that, according to Freudian theory, perversion is inherent to the human being, the author focuses upon an aspect of perversion that has been little discussed: perversion on the other side of the couch, and thereby questions of how, in psychoanalytic theoretical and clinical practice, perverted drive motions may be presented. Such a phenomenon takes various forms: actually being enacted with patients; using psychoanalytic theory as a normative rule; the individual choice of profession and so forth. To exemplify his point of view, the author presents four different expressions of sexuality in Freudian theory: genital sexuality, perverted sexuality, the sexuality of the Ideals and narcissistic sexuality. After differentiating these four sexual expressions, the author shows how each of them may generate perversion in both clinical and theoretical psychoanalysis.

Ceccarelli P Perversion auf der anderen Seite der Couch

Indem er als Ausgangspunkt die Tatsache nimmt, daß entsprechend der Freudianischen Theorie Perversion dem menschlichen Sein inhärent ist, fokussiert der Autor auf einen Aspekt der Perversion, der wenig diskutiert wurde: Perversion auf der anderen Seite der Couch und damit Fragen, wie in der psychoanalytischen und klinischen Praxis pervertierte Triebbewegungen dargestellt werden können. Ein solches Phänomen zeigt sich in verschiedenartigen Formen: tatsächlich mit Patienten in Szene gesetzt; im Gebrauch psychoanalytischer Theorie als einer normativen Regel; die individuelle Wahl des Berufs und so weiter. Um seinen Standpunkt zu exempifizieren, stellt der Autor vier verschiedene Ausdrücke von Sexualität in der Freudianischen Theorie dar: genitale Sexualität; perverse Sexiualität; die Sexualität der Ideale; und narzißtische Sexualität. Nach einer Differenzierung dieser vier Ausdrücke für Sexualität zeigt der Autor, wie jeder von ihnen Perversion in klinischer und theoretischer Psychoanalyse generieren kann.

Ceccarelli P. Perversión del otro lado del diván.

Tomando como punto de partida el hecho de que de acuerdo a la teoría Freudiana la perversión es inherente al ser humano, el autor se enfoca en un aspecto de la perversión que ha sido muy poco discutido: la perversión del otro lado del diván, se pregunta cómo en la práctica psicoanalítica clínica y teórica, algunos impulsos pervertidos pueden estar presentes. Un fenómeno así puede tomar diversas formas: pasos al acto con pacientes, usar la teoría psicoanalítica como regla normativa, la elección individual de profesión y así. Para ejemplificar su punto de vista, el autor presenta cuatro diferentes expresiones de la sexualidad en la teoría freudiana: la sexualidad genital, sexualidad pervertida, la sexualidad de los Ideales, y la sexualidad narcisista. Además de diferenciar estas cuatro expresiones sexuales, el autor demuestra como cada una de estas formas puede generar perversión en el psicoanálisis clínico y teórico.     

Reconstructing Hymens or Constructing Sexual Inequality? Service Provision to Islamic Young Women Coping with the Demand to be a Virgin

In Islamic culture, there is an imperative demand that women should be virgins on their wedding night. Service providers in The Netherlands are increasingly confronted by Islamic young women who find themselves in serious difficulties because they are no longer virgins, and are about to enter a forced or arranged marriage. These young women report a diversity of problems such as loneliness, social isolation, depression, despair, suicidal feelings, identity problems and serious conflicts with parents. In this article we focus attention on the circumstances that can result in these types of difficulties, and also critically consider the kinds of help that young Islamic women are given. Attention is paid to the question of whether existing forms of service provision, especially surgical reconstruction of the hymen, take sexual and other inequalities into account.     

Positive and negative self-related goals and subjective well-being: A prospective study

To examine whether having self-related personal goals, or rather whether positive or negative appraisal of them, is associated with subjective well-being, 311 students were asked to complete the Personal Project Analysis (PPA) and revised Beck Depression Inventory, first at the beginning of their studies, and then 2 years later. After 3 years they were asked about the use of mental health services. Two groups of students were identified: (1) those with positive self-projects and (2) those with negative self-projects. The results showed that both positive and negative self-related projects showed stability across a 2-year period, but only negative ones were prospectively predicted by earlier depressive symptomatology. Although neither positive nor negative projects predicted depressive symptomatology, both predicted the use of mental health services.     

Surviving Toward College Graduation

This 5-year longitudinal study with a diverse sample of 405 graduating high school seniors examined the person, behavior, and environment (PBE) factors that increased student chances of deciding to attend a 2- or 4-year college, enrolling in college the fall semester immediately following high school graduation, and then returning to that same college a year later as a retained college student. Survivability across these three critical college-going transitions was a function of two different kinds of PBE patterns. First, certain PBE factors played prominent roles at specific transition points and then more minor support roles at others. Second, several factors provided consistent support at each transition point without being the primary determiner of success at any single transition. Students are more likely to succeed in college if school counselors help them to learn and take advantage of those PBE patterns that promote postsecondary success.     

The California Linkages Program: Doorway to Housing Support for Child Welfare‐Involved Parents

Housing instability can complicate parents’ efforts to provide for their children. Child welfare service agencies have had difficulty adequately serving parents’ housing needs due to limited and constrained funding streams. This article integrates the voices of four important stakeholders to illuminate how an innovative model of service system coordination called Linkages addresses housing needs for child welfare‐involved parents eligible for public assistance. Facilitated by Linkages, these parents can receive supportive housing services through programs affiliated with the California public assistance program CalWORKs. Personal narratives reflecting the diverse perspectives of stakeholders in the Linkages collaboration—the statewide program director, a child welfare services coordinator, a CalWORKs caseworker, and a parent program participant—shed light on how the collaboration assists parents in attaining case plan goals, and highlights some of the factors facilitating and hindering effective collaboration between the agencies involved. Stakeholders emphasized the value of flexible service approaches, the intensity of the efforts required, the role of advocacy, and the importance of a shared vision between agencies working together to provide housing supports.     

中美两国医疗救助模式比较分析

医疗救助作为保障贫困人群健康权的最后一道防线,在世界各国均备受关注.各国因国情的不同,医疗救助模式也大有不同.为进一步完善我国医疗救助制度,从救助对象的选择、救助项目、筹资及运作方式几个方面对中美两国医疗救助进行了比较分析.发现中美两国的医疗救助在救助对象的选择、救助项目、筹资及运作方式方面有所不同,而这些不同给我国医疗救助制度、模式乃至理念带来很多可借鉴之处,推动我国进一步完善医疗救助制度.     

Reliability and Validity of the Vicarious Trauma Organizational Readiness Guide (VT‐ORG)

The Vicarious Trauma Organizational Readiness Guide (VT‐ORG) is an assessment of an organization's readiness to address vicarious trauma (VT), which is exposure to the traumatic experiences of people served. This study reports on the psychometric properties of the VT‐ORG. Employees of first responder agencies (e.g., law enforcement, fire, emergency services) and victim assistance agencies are at a high risk for vicarious traumatization, which can lead to PTSD, substance use, and suicidal ideation, among other negative impacts. Organizations that do not address VT may see such effects as employee turnover, reduced efficiency, and negative work environments. The VT‐ORG is an assessment tool designed to help organizations complete the first step of organizational change—conducting a needs assessment. Study participants were 3,018 employees across 13 first responder and victim assistance agencies who completed the 67‐item VT‐ORG and additional measures for evaluation of its validity and reliability. The VT‐ORG was found to have excellent internal consistency (Cronbach's α = .98). A structural equation model demonstrated that the subscales of the VT‐ORG predicted criterion measures of turnover intention, compassion satisfaction, and organizational resilience, with an overall model fit of CFI = .99, RMSEA = .053. This study found the VT‐ORG to be a reliable and valid assessment of organizational responses to vicarious trauma.     

Types of sexual transference and countertransference in psychotherapeutic work with children and adolescents

The question of normal sexuality begins to arise in the treatment of severely sexually abused or sexually offending patients. The author suggests that it is an interesting and delicate moment during the process of recovery when less perverse, more normal sexuality appears mixed with, or even disguised by, the more habitual perverse fantasies. Writers in the adult field have drawn distinctions between perverse, eroticized and normal erotic transferences, and between Oedipal and post-Oedipal sexuality. Some have also distinguished between countertransferences in the analyst of an erotised versus a normal erotic nature. The paper discusses whether these distinctions could have any relevance for child patients. Freud and Klein have taught us much about the child's sexuality in relation to his interest in and attraction to his parents as sexual beings. But can we also detect some origins in earlier experiences in infancy of the child's later capacity to feel himself a sexual being capable of being wanted by an other? How might such a feeling of sexual self-worth differ from narcissism and from sexualised exhibitionism? The paper asks how therapists might deal with such problems and such possibly healthy developments.     

L’analyse des risques psychosociaux en ESAT parmi des travailleurs en situation de handicap (TSH) : éléments de réflexion

Unlike the mainstream world of labour, studies on psychosocial risks (PSR) in Establishments and Work Assistance Services (ESAT) among workers with disabilities are scarce. Given the adverse effects of the PSR on both these workers and on the work itself, it seems essential to focus specifically on the PSR in the context of ESAT. The paper shows that the application of different theoretical models of PSR from the mainstream environment to the ESAT is possible. The health at work for people with disabilities requires taking into account the disorders influencing the identification and the mobilization of resources and skills. Working conditions in ESAT allow health promotion if they are adapted to the specificities and needs of people with disabilities.     

Understanding and Treatment of Narcissistic Personality Disturbances

The author discusses how sexuality on the one hand develops and changes during childhood, but on the other hand, holds onto the old residues of different, earlier phases. In adult sexuality, there always remain enigmatic, regressive, even borderline emotions and feelings from earlier experiences. These residues make sexuality incomprehensible and primitive, but also offer possibilities for dreams, fantasies and creativity later in life. Autoerotic fantasies, object fantasies, enigmatic knowledge, sexuality fantasies and creative thinking are realised via these developmental residues.     

Surviving as a personality disorder service

Personality disorder services working along psychotherapeutic lines gained appeal with Health Care Commissioners following the publication of the National Institute for Health and Clinical Excellence (NICE) guidelines for Borderline & Antisocial Personality Disorders and the emerging successful application of psychoanalytically derived approaches. In parallel to this creative development, the economic downturn has faced the National Health Service (NHS) with considerable challenges in its ongoing survival. The potential for creative pursuit often then sits in competition, juxtaposed with the need to survive. We examine the impact of this dynamic upon the therapeutic efforts of a newly established personality disorder service. We suggest that both conscious and unconscious aspects stirred up within such encounters are demanding of the need for development of a capacity within each to bear contact with unfamiliar experiences. Through attention to that development, both patient and clinician may further enliven and enrich individual and collective identities, such that the potential to survive creatively is actualized.     

Intimate Partner Violence Victimization among Heterosexual,Gay, Lesbian and Bisexual College Students: The Role of Pro-Abuse Peer Support

Most studies of peer support for intimate partner violence (IPV) at U.S. institutions of higher learning focused solely on male assaults on heterosexual women. As well, the bulk of this work only examined how all-male social networks perpetuate and legitimate this behavior. Using recent data from a survey administered at a large U.S. residential university, the main objective of this paper is to help fill a research gap by presenting findings on (1) how having peers who have perpetrated dating abuse and (2) peers’ encouragement to be abusive to dates contributes to IPV victimization in a campus lesbian, gay, and bisexual (LGB) community. The results show that LGB students report a higher rate of such victimization than heterosexual students and the two aforementioned types of pro-abuse peer support significantly predict victimization among both sexual orientation groups.     

Pastoral Support for Late-Life Sexuality

SUMMARY

As more persons live longer and enjoy relatively good physical health, new ethical questions arise. One set of questions regards the continuation of sexual life among older persons, especially among older unmarried persons. Women live many years longer than their spouses and often were of a younger age than the spouses. The Judeo-Christian tradition affirms the vitality of sex as a basic part of God's gift of physical creation. A large majority of older people view sexual expression as important and many see it as crucial to a good relationship with a partner. These issues are raised for the awareness of pastoral counselors to understand and be responsive to the varied sexual alternatives m the later years m order to offer practical help to older persons.     

Surviving and Thriving After Trauma and Loss

Abstract

Individuals and their communities experience trauma and loss during times of natural disaster. Using Hurricane Katrina as a context, the authors provide an overview of the phases of disaster coping and discuss the ambiguous losses that can occur during these traumatic and life-changing times. The use of rituals as a creative intervention is introduced to help individuals and families facilitate their grief processes.     

Infantile sexuality and Freud's legacy

The topic of sexuality and infantile sexuality, though less frequently discussed by psychoanalysis in recent decades, has received renewed attention for some years. The intention of this paper is to share some reflections around the role of infantile sexuality in our thinking, how we encounter it in our work with patients and in clinical material. Through reference to questions put forward by Freud (1905) in Three Essays, this paper takes into consideration some areas of the debate that has developed on the subject of infantile sexuality, starting from Freud's original intuition, including various hypotheses on the genesis of the sexual drive. The author will concentrate on two specific points. Firstly, how infantile sexuality – as a permanent dimension of the subject's existence – unfolds in the relationship and is deeply influenced by it. And that is how in childhood and adolescence, infantile sexuality ushers in parental sexuality – just as, in the case of our patients, infantile sexuality ushers in the analyst's sexuality. The second point pertains to the temporal dimension within which infantile sexuality is inscribed. The hypothesis that the author proposes is that infantile sexuality may be understood in the specific time of psychoanalysis [Nachträglichkeit], distinct and different with respect to the linear, evolutionary dimension.     

Lesbian-Related Issues in Counseling Supervision

No abstract available for this article.     

Crones, Dirty Old Men, Sexy Seniors: Representations of the Sexuality of Older Persons

The representations of the sexuality of older persons in American society are neither flattering nor accurate. Often what is presented is filled with confusion, uncertainty, and contradictions. Sexuality of old people, like sexuality of adolescents, frightens most adults in between. Evidence suggests hope that in popular culture, conventional representations of sexless older people are finally undergoing a change. The popular literature aimed at elderly or midlife audiences increasingly portrays older persons as healthy, vigorous, and not unattractive. Since in the popular mind attractiveness and sexuality are believed to be closely linked, this change signals an increased willingness to credit old people who are aging well (i.e., who look and act young) with being sexually interested and probably active.