<Emphasis Type="Italic">Girls</Emphasis> and Sex: A Content Analysis of Sexual Health Depictions in HBO’s <Emphasis Type="Italic">Girls</Emphasis>

Sex on television has been a topic of interest to scholars and critics alike. History has shown that certain programs break the mold when talking about sex. One show that is currently leading this trend is HBO’s Girls, a fictional comedy-drama show with 4.1 million viewers that has received much attention for its portrayals of sex. This systematic, quantitative content analysis is a case study of the first three seasons of Girls. It examines sexual behaviors, sexual talk, and sexual risk and responsibility. Results revealed kissing to be the most prevalent sexual behavior and talking about own or other’s sexual interests/actions was the most frequent form of sexual talk. Most surprisingly, sexual risk/responsibility was represented much more in Girls than in shows evaluated in previous television content analyses.     

Auditory, visual, tactile, olfactory, and bodily hallucinations in patients with obsessive-compulsive disorder

Although much attention has been paid to patients who lack insight into their obsessional beliefs, less importance has been given to individuals with obsessive-compulsive disorder (OCD) who display perceptual disturbances typically found in psychotic disorders, including schizophrenia, schizoaffective disorders, or mood disorders with psychotic features. We would like to call the attention to a phenomenon that has been neglected in the psychiatric literature: the occurrence of hallucinations and related phenomena in patients with OCD. In this case report, we describe five clinical vignettes of patients with OCD with hallucinations in several different sensory modalities, including the auditory, the visual, the tactile, the olfactory, and the cenesthetic ones. Further psychopathological research should clarify the clinical significance of hallucinations among patients with OCD.     

Normal and pathological altruism.

The psychoanalytic literature on altruism is sparse, although much has been written on this topic from a sociobiological perspective. Freud (1917) first described the concept in "Libido Theory and Narcissism." In 1946 Anna Freud coined the term "altruistic surrender" to describe the psychodynamics of altruistic behavior in a group of inhibited individuals who were neurotically driven to do good for others. The usefulness and clinical applicability of this formulation, in conjunction with the frequent coexistence of masochism and altruism, encouraged psychoanalysts to regard all forms of altruism as having masochistic underpinnings. Since then, there has been a conflation of the two concepts in much of the analytic literature. This paper reexamines the psychoanalytic understanding of altruism and proposes an expansion of the concept to include a normal form. Five types of altruism are described: protoaltruism, generative altruism, conflicted altruism, pseudoaltruism, and psychotic altruism. Protoaltruism has biological roots and can be observed in animals. In humans, protoaltruism includes maternal and paternal nurturing and protectiveness. Generative altruism is the nonconflictual pleasure in fostering the success and/or welfare of another. Conflicted altruism is generative altruism that is drawn into conflict, but in which the pleasure and satisfaction of another (a proxy) is actually enjoyed. Pseudoaltruism originates in conflict and serves as a defensive cloak for underlying sadomasochism. Psychotic altruism is defined as the sometimes bizarre forms of caretaking behavior and associated self-denial seen in psychotic individuals, and often based on delusion. We consider Anna Freud's altruistic surrender to combine features of both conflict-laden altruism and pseudoaltruism. Two clinical illustrations are discussed.     

Studying visual attention using the multiple object tracking paradigm: A tutorial review

Human observers are capable of tracking multiple objects among identical distractors based only on their spatiotemporal information. Since the first report of this ability in the seminal work of Pylyshyn and Storm (1988, Spatial Vision, 3, 179–197), multiple object tracking has attracted many researchers. A reason for this is that it is commonly argued that the attentional processes studied with the multiple object paradigm apparently match the attentional processing during real-world tasks such as driving or team sports. We argue that multiple object tracking provides a good mean to study the broader topic of continuous and dynamic visual attention. Indeed, several (partially contradicting) theories of attentive tracking have been proposed within the almost 30 years since its first report, and a large body of research has been conducted to test these theories. With regard to the richness and diversity of this literature, the aim of this tutorial review is to provide researchers who are new in the field of multiple object tracking with an overview over the multiple object tracking paradigm, its basic manipulations, as well as links to other paradigms investigating visual attention and working memory. Further, we aim at reviewing current theories of tracking as well as their empirical evidence. Finally, we review the state of the art in the most prominent research fields of multiple object tracking and how this research has helped to understand visual attention in dynamic settings.     

A prospective study of stressful life events and schizophrenic relapse

In this prospective, longitudinal study, 11 recent-onset schizophrenic outpatients who met criteria for psychotic relapse or significant psychotic exacerbation during a 1-year period of standardized maintenance medication, and 19 patients who did not relapse during this follow-up period, were interviewed monthly regarding life events. As hypothesized, for relapsing patients, a significantly higher number of independent life events (those not the result of symptomatology or personal influence) occurred in the month preceding relapse. This increase was apparent relative to either the analogous month of a "nonrelapse" period in the same patient or the average number of independent events per month during a 1-year standardized medication period for nonrelapsing patients. The methodological advances of this design as well as the consistency of these findings with those of previous retrospective studies supports the hypothesis that life events may sometimes "trigger" schizophrenic episodes.     

Young infants' triangular communication with their parents in the context of maternal postpartum psychosis: Four case studies

With increasing data on the dynamics of normative couples as they transition to parenthood and become a triad, the need for greater understanding of the impact of parental psychopathology on this transition has become clear. The goal of the current article is to begin exploring this area that has received little attention to date, by describing case examples from a study of clinical families as they transitioned to parenthood. Four representative cases were selected from a pool of 13 mother–father–baby triads, for whom the mother had been hospitalized conjointly with her infant due to a psychotic episode during the postpartum period. The families were observed as part of a clinical consultation that included a semistructured play paradigm known as the Lausanne Trilogue Play (LTP; E. Fivaz‐Depeursinge, & A. Corboz‐Warnery, 1999). Interactions were scored using standardized measures as well as clinical impressions. All families from the clinical sample were noted to struggle and frequently failed to achieve the goals of play. The impact on the infants in terms of their developing sense of self as well as their defensive strategies in this context are discussed, with clinical implications explored.     

Incubation in Insight Problem Solving

A break in the attentive activity devoted to a problem may eventually facilitate the solution process. This phenomenon is known by the name incubation. A new hypothesis regarding the incubation mechanism is suggested. It is based on analysis of the structure of insight problems and their solution process. According to this hypothesis, no activity takes place during the break. The break's only function is to divert the solver's attention from the problem, thus releasing her mind from the grip of a false organizing assumption. This enables the solver to apply a new organizing assumption to the problem's components upon returning to the problem. The numbers of experimental studies that confirm the existence of the incubation phenomenon, and those that do not support it, are roughly equal, thus the primary experimental aim of the study is to improve the methodology of manipulating the break. This was done by starting the break only after an impasse has been reached. The results indicate that the break improves performance in insight problem solving, but its length does not make a difference. This supports the suggested hypothesis and does not support hypotheses that postulate unconscious ongoing processes during the break.     

Is it the symptom or the relation to it? Investigating potential mediators of change in acceptance and commitment therapy for psychosis

Cognitive and behavioral interventions have been shown to be efficacious when used as an adjunct to pharmacotherapy for psychotic disorders. However, little previous research has investigated potential mediators of change in psychological treatments for psychosis. Acceptance and mindfulness-based therapies do not focus on directly reducing the psychotic symptoms themselves, but instead attempt to alter the patient's relationship to symptoms to decrease their negative impact. The current study examined this issue with data from a previously published randomized trial comparing brief treatment with Acceptance and Commitment Therapy (ACT) versus treatment as usual for hospitalized patients with psychotic symptoms (Gaudiano & Herbert, 2006a). Results showed that the believability of hallucinations at posttreatment statistically mediated the effect of treatment condition on hallucination-related distress. Hallucination frequency did not mediate outcome. The current study is a first step toward understanding the potential mechanisms of action in psychological treatments for psychosis.     

New interpretative styles: Progress or contamination? Psychoanalysis and phenomenological psychopathology1

Psychoanalysis has started to recoup, often quite implicitly, a more phenomenological stance, ever since psychoanalysts have started working with borderline and psychotic patients. As many of these patients have commonly been through traumatic experiences, psychoanalysts have been using an approach that questions the role of traditional psychoanalytical interpretation and pays more attention to the patient's inner conscious experiences; this approach is characteristic of a specifi c form of contemporary psychiatry: phenomenological psychopathology, founded by Karl Jaspers in 1913 and developed into a form of psychotherapy by Ludwig Binswanger, with his Daseinsanalyse. If what we could call a phenomenological ‘temptation’ has been spreading over psychoanalysis, so too has a psychoanalytical ‘temptation’ always been present in phenomenological psychopathology. In fact, even though this branch of psychiatry has led us towards a deeper understanding of the characteristics of psychotic being‐in‐the‐world, its therapeutic applications have never been adequately formalised, much less have they evolved into a specifi c technique or a structured psychotherapeutic approach. Likewise, phenomenological psychotherapy has always held an anaclitic attitude towards psychoanalysis, accepting its procedures but refusing its theoretical basis because it is too close to that of the objectifying natural sciences. Psychoanalytic ‘temptation’ and phenomenological ‘temptation’ can thus be considered as two sides of the same coin and outline a trend in psychoanalytic and phenomenological literature which points out the fundamental role of the patient's inner conscious experiences in the treatment of borderline and psychotic patients.     

Response bias and judgments of the location of clicks in sentences

This study examines the view that response bias is the basis of the “click effect,” i.e., the influence of grammatical structure on subjects’ location of clicks sounded during the presentation of a sentence. It is argued that, since response bias is more likely to operate when one is unsure of one’s perception, if response bias generates the “click effect,” the effect should be weaker for certain than for uncertain responses. Subjects were asked to identify the location of the click and allowed to make more than one response if they were uncertain of their first choice. Using the number of locations selected as an index of uncertainty, it was found that when a subject was less certain, the click was less likely to be judged as having occurred in the major grammatical break. Further, performance was superior when the click had been in the break, and this effect, which was more pronounced for “certain” responses, was not eliminated by correcting for possible response bias. It is concluded that the "click effect" is not attributable solely to response bias.     

Existential crises in two religious patients: Vicissitudes of faith and the emergence of the true self

The authors present two clinical cases involving an existential crisis which led the patients to lose what had been the foundation in their lives, their faith. Although the therapeutic settings differ – the first patient had a few psychotherapy sessions following a psychotic episode with a mystical background, while the second was in the final stage of analytic treatment – the authors highlight how in both clinical cases a loss of faith becomes a total and urgent crisis of the Self. The fracture which ensues seems to generate an intense engagement of the body which, paradoxically during a loss of faith, induces an experience of ecstasy of the kind that has traditionally been reported. In the first case the experience of ecstasy was lived first‐hand by the patient who thereafter redefined the psychotic breakdown as a “moment of truth”; whereas the second patient, through a deep projective identification, induces an eerie countertransferential feeling of ‘metaphysical’ shortfall in the agnostic psychoanalyst, triggering bewilderment, physical discomfort and awe in him. In both cases the authors believe that the notable somatic involvement may be correlated to a potentially profound and unprecedented contact with the True Self.     

The symbolic and concrete: Psychotic adolescents in psychoanalytic psychotherapy

Unique disturbances in symbolisation are characteristic of the pathology of schizophrenia. Drawing on the case vignette of a psychotic adolescent, the author discusses theoretical problems in the symbolisation process in general and then in psychosis, in particular the relation between 'concretism' as a thought disorder and other psychotic defences. The ability to symbolise on the one hand and to maintain sufficiently stable ego boundaries on the other hand are examined in their relation. The author's clinical experience supports her hypothesis that there is a close relationship between the impairment of the symbolisation process in the adolescent or adult psychotic patient and his/her inability to engage in symbolic play as a child. Special attention is paid to the role of early trauma and consequent pathology of object relations for disturbances of symbolic play in childhood. Regression to concrete thinking is understood as the chance of the psychotic patient to give some meaning to reality in an unreal, delusional world and as his/her last chance to communicate at all. Conclusions are drawn for psychoanalytic techniques in the treatment of patients who are deeply regressed in this respect. Special attention is given to the particular circumstances and challenges of adolescence and to providing psychoanalytic psychotherapy to adolescent psychotic patients.     

The Impact of Breaks on Sustained Attention in a Simulated,Semi‐Automated Train Control Task

Summary: Sustained attention is a factor in many work environments where operators intervene on a regular basis to ensure the safety and security of a system. Different types of activity during break periods may facilitate different levels of performance following extended periods of attention in these environments. The impact of five different breaks from task activity was assessed against the performance of a no‐break control group during a simulated, high signal probability rail control task. A total of 87 university students were assigned to a no‐break control condition, or one of five break activity conditions that occurred between two, 20‐minute periods of simulated rail control. Post‐break, the analysis revealed that, in comparison to the control condition, performance was greater in all of the five break conditions. Any activity that drew operators' attention from the primary rail control task enabled improvements in performance beyond a no‐break control task.Copyright © 2017 John Wiley & Sons, Ltd.     

Clinico-psychologic studies on the problem of functional psychotic deterioration in schizophrenia

Our concept of the functional-psychotic mental deterioration of schizophrenia approximately characterizes the same point of view as Kraepelin's terminus "Dementia praecox". The first result of our psychological examination on 225 schizophrenic persons with defect psychotic symptoms was the statement of the deficit in achievement between the former school education (average IQ of the school-type) and the results of examination of intelligence during our research. The functional-psychotic mental deterioration as well appears as a decrease of memory and psychomotoric speed deficiency, furthermore as mental deconcentration and increase of psychoorganic signs in the Rorschach-Test. The psychometric results of this research were statisticly significant.     

Unique temporal change is the key to attentional capture

Abstract— Attentional capture refers to the observation that some events break through and attract one's attention even when one is engaged in a task for which these events are irrelevant. Previous research, focusing primarily on spatial factors, has shown that a new object is more salient in this regard than an abrupt change in an object's features. Here we show that feature changes can be as effective as new objects in capturing attention, provided that they occur during a period of temporal calm. Conversely, both feature changes and new objects are far less effective in capturing attention when they occur simultaneously with other display changes, such as coincident with the initial onset of the display or with small visual transients that occur during a display transition. These results highlight the importance of considering both space and time in studies of attentional capture; the most effective stimulus is unique in both dimensions.     

Reflections on public bioethics: a view from the trenches

For many reasons, and more than its predecessors, the President's Council on Bioethics has been the subject of much public attention and heated controversy. But little of that attention and controversy has been informed by knowledge of the Council's mission, its ways of working, and, most importantly, its actual work. This essay describes the Council's mission, discusses its public ways of working, and reviews the five major works produced during the Council's first term. In all its activities, the Council has sought to develop a richer bioethics, one that recognizes and tries to do justice to the deep issues of our humanity raised by the age of biotechnology. Believing that these issues are properly matters to be discussed and governed by the polity as a whole, the Council also has sought to contribute to a genuinely public or political bioethics, beyond the rule of "experts," scientific and bioethical.     

The explosion of the present and the encapsulation of time: Transference phenomena in the analysis of a psychotic patient

The paper deals with some basic problems concerning the experience of time and space in the psychoanalytic treatment of psychotic patients. Whereas borderline patients tend to distort the experience of time and space under emotional pressure, the concepts of time and space seem to dissolve in acute psychotic states of mind. Sometimes this manifests itself in an explosion of the present, where the past is ubiquitous and the future is perceived as the end of all times. The case of a 48 year‐old patient with the external diagnosis of ‘paranoid–hallucinatory schizophrenia’ is presented to illustrate that the main task is to recreate a structure to contain the experience of space and time. Such a development may occur if primitive psychotic anxieties can be taken up and metabolized. A near‐psychotic decompensation before the first break and the development of a transference psychosis in the second year of the analysis are depicted in detail. Subsequently some developments became visible which helped the patient to better tolerate catastrophic fears of loss. This included the formation of a structure which the patient called ‘hibernation’ enabling her to psychically survive without falling apart. By retreating into her ‘time capsule’ she managed to overcome breaks and to delay her fears of fragmentation until they could be taken up and worked through in the transference. The creation of a structure like the patient's ‘time capsule’ is considered to be an attempt to construct the experience of time and space. It prevented a collapse of her internal space thereby enabling further steps towards thinking and symbolization. In conclusion, some theoretical and clinical aspects are discussed including the role of the countertransference.     

Time-course of sensitivity changes as attention shifts to an unpredictable location.

Shifting visual attention is often described as analogous to a spotlight moving through empty space between locations. In the present experiment, a peripheral precue summoned attention to an initial location, and 200 ms later a second peripheral cue appeared beside one of two possible second locations, each 14 degrees away from the initial location. The target was twice as likely to appear at the location that had been indicated by the immediately preceding cue as at the location that had been previously cued or that would be cued. Fine-grained temporal analyses indicated that, as attention was shifted, sensitivity to information at the second location gradually increased while sensitivity at the first location simultaneously decreased. Average sensitivity over the two locations during the shift remained significantly greater than average sensitivity immediately following the initial precue. In contrast, an attentional "spotlight" moving from the first to the second location would produce a decrease in average sensitivity to its initial level while the spotlight was between locations.     

To count or not to count: the effect of instructions on expecting a break in timing

When a break is expected during a time interval production, longer intervals are produced as the break occurs later during the interval. This effect of break location was interpreted as a result of distraction related to break expectancy in previous studies. In the present study, the influence of target duration and of instructions about chronometric counting strategies on the break location effect was examined. Using a strategy such as chronometric counting enhances the reliability of temporal processing, typically in terms of reduced variability, and could influence how timing is affected by break expectancy, especially when relatively long target durations are used. In two experiments, results show that time productions lengthened with increasing value of break location at various target durations and that variability was greater in the no-counting than in the counting instruction condition. More important, the break location effect was stronger in the no-counting than in the counting instruction condition. We conclude that chronometric counting orients attention toward timing processes, making them less likely to be disrupted by concurrent nontemporal processes.