Bowen家庭治疗模式评析

和其它经典的家庭治疗一样,Bowen家庭治疗模式也建立在系统理论的基础之上.他认为,个人症状的出现,在于个人与家庭情感的融合而使自己丧失了自我判断和选择的能力.因此,主张用代际互动疗法来解构病态的三角关系,增加与扩大家庭中的互动,从而增强个体的自我分化程度,以减轻焦虑.     

Integrating Minuchin's Boundary Continuum And Bowen's Differentiation Scale: A Curvilinear Representation

The purpose of this article is to discuss an integration of Minuchin's boundary continuum and Bowen's differentiation scale. Minuchin's boundary continuum provides a framework for understanding proximity and distance within relationships. It graphically depicts health in relationships as being a dynamic middle ground between the extremes of enmeshment and disengagement. Bowen's differentiation scale illustrates differences in emotional health, such as the ability to distinguish between thoughts and feelings, associated with varying levels of differentiation. A curvilinear integration of Minuchin's continuum and Bowen's scale retains the advantages of each and also expands their understanding.     

Organizational and family systems factors in stress among ministers

Forty-one Protestant ministers completed measures of stress-related symptoms, family of origin contact, church governing body density, history of pastor-parish conflict in the church, and a measure of Bowen's (1959b/1985) concept of emotional triangles. A denominational executive provided ratings of each church's history of pastor-parish conflict. Path analysis using multiple regression showed support for a model in which governing body density and history of conflict predicted emotional triangles, and emotional triangles predicted stress symptoms. Contact with the pastor's family of origin moderated the relationship between emotional triangles and stress symptoms. Results suggest that the organizational and family ecology of the ministerial role can be important in understanding occupational stress among ministers.     

A Swedish adaptation of the Emotional Contagion Scale: factor structure and psychometric properties

The Emotional Contagion Scale (ECS) is a self-report scale used to measure individual differences in susceptibility to converge towards the emotions expressed by others. The original American ECS (Doherty, 1997), translated into Swedish, was completed by 665 undergraduate students in two independent samples (N = 233 and N = 432, respectively). To investigate the factor structure of the ECS, confirmatory factor analyses of alternative models derived from previous research in emotion and emotional contagion were conducted. The results showed that the proposed one-dimensional structure of the ECS was not tenable. Instead a multi-facet model based on a differential emotions model and a hierarchal valence/differential emotions model was supported. Cross-validation on the second independent sample demonstrated and confirmed the multi-faceted property of the ECS and the equality of the factor structure across samples and genders. With regard to homogeneity and test-retest reliability, the Swedish version showed acceptable results and was in concordance with the original version.     

Integration of Two Skeptical Emotion Theories: Dimensional Appraisal Theory and Russell's Psychological Construction Theory

This inquiry attempts to integrate two skeptical emotion theories: dimensional appraisal theory and Russell's (2003) psychological construction theory. To bring out the skeptical elements of these theories, I compare them first with two classic theories: affect program theory and discrete appraisal theory. The skeptical theories are similar to each other in that they replace the concept of emotion with the concept of emotional episode, and that they organize the variety within the set of emotional episodes according to dimensions instead of vernacular emotion subsets. Their differences concern the strength of the relations among the components in emotional episodes and the scientific status of the set of emotional episodes. To make an informed decision about the elements to keep and to revise from both theories, I engage in a separate analysis of the behavior-related components and the experience component, guided by insights from general behavior theories and general theories of consciousness. The analysis of the behavior-related components suggests the relatively uncharted idea that the so-called emotional aspect of behavior can be caused by a goal-directed mechanism. The analysis of the experience component reveals that different theories have emphasized different aspects of experience and hence different paths toward experience. The inquiry ends with an integrated theory that rejects the scientific status of emotions or emotional episodes, but accepts the scientific status of the components and sees strong causal relations among them.     

Disruption of conditioned taste aversion: evidence that ECS weakens the gustatory engram

Two experiments are reported concerning the neural substrate of conditioned taste aversion (CTA) and the amnesic mechanisms involved when such learning is disrupted by electroconvulsive shock (ECS). Subjects were adult male rats. In the first experiment it is demonstrated that an aversion established to a 2.5% sucrose solution can simulate the learning loss reported in earlier studies which was caused by interpolating ECS between tasting and illness when the aversion was established using a 10% sucrose cue. It is concluded that if ECS acts to disrupt the memory of the taste cue, it possibly reduces it to only about one-quarter of its original strength, a substantial deficit not readily apparent simply from the degree of aversion displayed. In the second experiment, CTAs were established using either a 2.5% sucrose cue or a 10% cue with ECS interpolated during the taste-illness interval. Animals in the two groups were subsequently confronted with a range of sucrose stimuli and their respective aversions were compared. Near identical responses were observed under all conditions tested. These findings are consistent with the theory that ECS disrupts CTA by weakening the gustatory engram.     

Trauma, reverie, and the field

The author uses a clinical vignette to demonstrate complex concepts at work--concepts such as those derived from a productive grafting of Bion's thinking onto the concept of the psychoanalytic field. The underlying theory is narrated by the use of images, which the author finds to be the most appropriate way to demonstrate this theory at work--a theory of the mind based on the concept of digestibility of emotions, as well as the progressive introjection of instruments to render such an operation possible. Key points include the waking dream thought, the analyst's reverie, unsaturated interpretations, continual re-dreaming on the content of the session as permitted by the field, and the development of the ability to metabolize emotional contents.     

情绪概念加工与情绪面孔知觉的相互影响

通过3个实验探讨情绪概念加工与情绪面孔知觉是否存在相互影响, 以及加工深度对两者关系的影响。实验1采用情绪面孔启动范式, 探讨较深的情绪概念加工层面对情绪概念与情绪面孔的关系的影响。实验2更改概念任务, 探讨较浅的概念加工层面对两者关系的影响。实验3缩短启动面孔呈现时间, 探讨较浅的面孔知觉层面对两者关系的影响。通过研究主要得出以下结论：(1)情绪概念加工与情绪面孔知觉确实存在相互影响; (2)概念加工深度影响两者关系的方向性, 在较深的概念加工层面, 两者的关系是双向的, 在较浅的概念加工层面, 两者的关系是单向的; (3)知觉加工深度也影响两者关系的方向性, 在较深的知觉加工层面, 两者的关系是双向的, 在较浅的知觉加工层面, 没有发现两者的相互影响。本研究为抽象概念的具身表征提供了实证支持。     

Are our emotional feelings relational? A neurophilosophical investigation of the James–Lange theory

The James–Lange theory considers emotional feelings as perceptions of physiological body changes. This approach has recently resurfaced and modified in both neuroscientific and philosophical concepts of embodiment of emotional feelings. In addition to the body, the role of the environment in emotional feeling needs to be considered. I here claim that the environment has not merely an indirect and thus instrumental role on emotional feelings via the body and its sensorimotor and vegetative functions. Instead, the environment may have a direct and non-instrumental, i.e., constitutional role in emotional feelings; this implies that the environment itself in the gestalt of the person–environment relation is constitutive of emotional feeling rather than the bodily representation of the environment. Since the person–environment relation is crucial in this approach, I call it the relational concept of emotional feeling. After introducing the relational concept of emotional feeling, the present paper investigates the neurophilosophical question whether current neuroimaging data on human emotion processing and anatomical connectivity are empirically better compatible with the “relational” or the “embodied” concept of emotional feeling. These data lend support to the empirical assumption that neural activity in subcortical and cortical midline regions code the relationship between intero- and exteroceptive stimuli in a relational mode, i.e. their actual balance, rather than in a translational mode, i.e., by translating extero- into interoceptive stimulus changes. Such intero-exteroceptive relational mode of neural coding may have implications for the characterization of emotional feeling with regard to phenomenal consciousness and intentionality. I therefore conclude that the here advanced relational concept of emotional feeling may be considered neurophilosophically more plausible and better compatible with current neuroscientific data than the embodied concept as presupposed in the James–Lange theory and its modern neuroscientific and philosophical versions.

The Concept of Psychological Health in Rational Emotive Behavior Therapy

The argument has been made that if Rational Emotive Behavior Therapy (REBT) is to survive and prosper in the 21st century, its underlying personality theory requires further development and clarification. In this spirit, the concept of psychological health in REBT theory is examined in the present article. The concept of psychological health in personality theories is discussed briefly, as are the core aspects of the REBT view of emotional disturbance. Given that necessary context, a definition of the essence of psychological health in REBT theory is proposed and discussed. The clinical implications of the proposed definition are then explored.     

Genetic Counselors’ Perspectives and Practices Regarding Expanded Carrier Screening after Initial Clinical Availability

Expanded carrier screening (ECS), introduced in 2009, identifies carriers for dozens or hundreds of recessive diseases. At the time of its introduction into clinical use, perspectives of the genetic counseling community regarding ECS were unknown. We conducted a survey in early 2012 of GCs and report the results here. They represent a snapshot of opinions and usage at that time, providing a baseline for comparison as the technology continues to evolve and as usage increases. The survey assessed personal perspectives, opinions on clinical implementation and clinical utilization of ECS. The sample included 337 GCs of varying clinical fields, of whom 150 reported practicing in reproductive settings. Our findings demonstrate that, at the time, GCs indicated general agreement with ECS as a concept – for example, most GCs agreed that carrier screening should address diseases outside of current guidelines and also indicated personal interest in electing ECS. There were also disagreements or concerns expressed regarding appropriate pre- and post-test counseling (e.g., the content and delivery mode of adequate informed consent) and practical implementation (e.g., the amount of time available for follow-up care). This was the first quantitative study of a large number of GCs and it revealed initial overall support for ECS among the GC profession. The authors plan to re-administer a similar survey, which may reveal changes in opinions and/or utilization over time. A follow up survey would also allow further exploration of questions uncovered by these data.     

情绪变化的自动化加工：来自EMMN的启示

人脑如何自动化加工瞬息万变的情绪信息?研究者们在借鉴听觉通道的失匹配负波(mismatch negativity, MMN)研究的基础上, 进一步发展出了表情失匹配负波(expression mismatch negativity, EMMN), 以此作为视觉情绪信息前注意加工的重要指标。与以往的一般视觉线索的视觉失匹配负波(visual mismatch negativity, vMMN)有所区别, EMMN研究专注于人脑如何自动化加工瞬息万变的情绪信息。当前的研究主要探讨了不同类型的面部表情、不同性别、高低流体智力个体的EMMN差异, 以及自闭症、抑郁症、精神分裂症等异常个体EMMN的特点。此外, 从预测编码的角度阐释了EMMN的机制。今后的研究有必要聚焦EMMN在临床诊断和治疗中的应用, 考察不同情绪线索EMMN的特点, 并进一步揭示EMMN的神经机制。     

Revisiting rapprochement in the light of contemporary developmental theories

Margaret Mahler's thinking, revolutionary for its time, led to the observational study of mother-infant pairs, followed almost day by day as the preverbal infant developed into a toddler whose increasing cognitive capacities made new demands on the mother's presence and emotional availability. The rapprochement crisis, as formulated based on these observations, is reexamined in the light of contemporary theory, and the concept of co-construction is used to show how mother and toddler repair misunderstandings and inevitable conflicts. With the growth of new verbal capacities during rapprochement, the toddler moves from early, sensorimotor interactions to interactions governed by language, in the process gaining new understanding of his or her emotional life.     

Sources of “relational homes”: a qualitative study of cancer survivors’ perceptions of emotional support

The aim of this article is to shed light on the different ways in which a group of Danish cancer survivors fulfil their need of emotional support. The study comprised participant observation at a Danish cancer rehabilitation centre, individual semi-structured interviews and focus group interviews with course participants. The analytical process combined the inductive approach of interpretative phenomenological analysis with a deductive theoretical strategy. Key concepts from Robert D. Stolorow's existential-phenomenological trauma theory were used as interpretative framework. Findings suggest that cancer survivors’ perception of emotional support is captured by the theoretical concept a “relational home,” understood here as a supportive and caring environment. A relational home may include different dimensions in various situations and contexts, including an existential and metaphysical dimension in which God/a higher power may provide emotional support similar to that obtained in human relationships.     

Pregnant Women’s Perspectives on Expanded Carrier Screening

Expanded carrier screening (ECS) is a relatively new carrier screening option that assesses many conditions simultaneously, as opposed to traditional ethnicity-based carrier screening for a limited number of conditions. This study aimed to explore pregnant women’s perspectives on ECS, including reasons for electing or declining and anxiety associated with this decision-making. A total of 80 pregnant women were surveyed from Northwestern Medicine’s Clinical Genetics Division after presenting for aneuploidy screening. Of the 80 participants, 40 elected and 40 declined ECS. Trends regarding reasons for electing or declining ECS include ethnicity, desire for genetic risk information, lack of family history, perceived likelihood of being a carrier, and perceived impact on reproductive decisions. Individuals who declined ECS seemed to prefer ethnicity-based carrier screening and believed that ECS would increase their anxiety, whereas individuals who elected ECS seemed to prefer more screening and tended to believe that ECS would reduce their anxiety. These findings provide insight on decision-making with regard to ECS and can help guide interactions that genetic counselors and other healthcare providers have with patients, including assisting patients in the decision-making process.     

Emotional engagement in the context of development and spirituality research

An awareness of spirituality and religion is increasingly being integrated within development theory and practice in order to recognise the way that many people approach community development. There are significant implications for researchers and their methodological practice that arise in paying attention to this area of development studies, particularly with regard to spiritual aspects of emotional engagement for researchers. This paper explores some of those implications from an analysis of my participatory research into geographies of development and spirituality. Two community groups with self-identified Christian spiritualities took part: a Melanesian settlement in Fiji and a women’s church-based group in rural Tanzania. I argue that emotional engagement and spiritual engagement are implicitly connected and demonstrate how attention to emotional knowledge provides valuable insight within this area of research. In particular, I illustrate how a relational approach to emotional knowledge, inspired by the philosophic and psychoanalytic work of Luce Irigaray, is particularly suited to approaching human and spiritual relationships and resonates with key concerns within participatory and community development. Paying particular attention to the concept of fidelity and the spatiality of subjectivity within her work, this paper illustrates the challenge from Luce Irigaray’s work regarding the relational framing of emotional knowledge and the transformational potential implicit within all research relationships.     

On Becoming Meta

This presentation will develop the concept of metapsychological capacity and describe the convergence of Systemic, Self, Intersubjective and Horneyan theory that integrates into the metapsychological construct. The traditional concepts of repetition compulsion and projective identification are expanded from their mechanistic roots towards a more real, existential, iterative force that influences the therapeutic process. Metapsychological capacity creates a therapeutic presence enabling greater emotional awareness and psychological growth for both the therapist and the patient. The foundations of repetition compulsion, Horneyan character splits and projective identification serve to frame the intersubjective space from which real self emerges. Focused on subjective/relationship-near immersion, real self emergence and resonating character splits, Horney clearly understood the metapsychological capacity required for emotional growth. Deconstruction of other more classic historical and mechanistic theoretical legacies is required to comprehend and experience this therapeutic presence.     

Evaluating Environmental Change Strategies: Challenges and Solutions

In this introductory article we define environmental change strategies (ECS), summarize the primary challenges associated with evaluating ECS, and provide an overview of the methods researchers have employed to begin to address these challenges. This special issue provides a range of examples, from researchers and practitioners in the field, of different approaches for addressing these challenges. These articles present new methods to understand and test how ECS are implemented and propose methods to evaluate their implementation. The content of the articles covers multiple public health issues, including substance abuse prevention, tobacco control, HIV prevention, and obesity prevention. This special issue is intended to build the evidence base for effective ECS, generate compelling discussion, critical analyses, and spur future research that will help improve the implementation and evaluation of ECS.     

The degree of similarity of differentiation of self between partners in married and dating couples: Preliminary evidence

Bowen's differentiation of self construct is examined through a test in two studies of the hypothesis that people select partners at similar levels of differentiation of self. One study used a sample of married couples and the other a sample of dating and engaged couples. The studies used different instruments for determining differentiation of self. Three data analysis procedures—correlations, t-tests, and the degree of similarity procedure—provided conflicting evidence for the similarity hypothesis. Results are discussed as they pertain to statistical analysis issues using related individuals and to Bowen family systems theory and the use of this theory in clinical practice.     

Adopted Individuals’ Views on the Utility and Value of Expanded Carrier Screening

Adoptees may not have family medical history and ethnicity information. Carrier screening assesses reproductive risk. Expanded carrier screening (ECS) screens for many genetic conditions regardless of a patient’s knowledge of family history and ethnicity. This study aimed to better understand the opinions and attitudes of adopted individuals on the use of ECS in determining a patient’s reproductive genetic risks. Specifically, the study assessed how adopted individuals feel that results of ECS may be useful to them and whether adoptees feel that meeting with a genetics professional in the process of undergoing ECS would be useful. Adult adoptees (N?=?124) were recruited online. Their opinions on ECS were explored. The majority reported they had never been offered carrier screening (92%). The majority of adoptees wanted ECS (76%). Neither the amount of contact with biological relatives nor having medical knowledge about biological relatives was significantly associated with adoptees’ desire to pursue ECS. There was a significant positive correlation between adoptees of higher education levels and the amount they would pay for ECS (p?=?0.004). The majority of participants (95%) indicated a genetics professional would be helpful when undergoing ECS. The findings suggest this population may want ECS and support from genetics healthcare professionals. Advocacy for genetic counseling and testing for adoptees appears justifiable.