Trauma and psychosis: A review and framework for psychoanalytic understanding

Empirical research substantiates Ferenczi's conception of the etiological importance of early neglect and abuse in the development of psychosis. Abuse can derail the development of language, identity, and social relationships that are intrinsic to schizophrenia, possibly through undermining secure attachment relationships. The Lacanian emphasis on language and early proto-dialogues with the Other can be useful in understanding this process. Some therapeutic implications for psychoanalytic approaches to the treatment of psychosis are proposed.     

直感判断力:理解儒学的心之能力

Mou Zongsan incorrectly uses Kant’s practical reason to interpret Confucianism. The saying that “what is it that we have in common in our minds? It is the li 理 (principles) and the yi 义 (righteousness)” reveals how Mencius explains the origin of li and yi through a theory of common sense. In “the li and the yi please our minds, just as the flesh of beef and mutton and pork please our mouths,” “please” is used twice, proving aesthetic judgment is necessary to understanding Mencius. An analysis of Zhu Xi and Wang Yangming’s ideas will show that Confucianism should be interpreted by appealing to aesthetic judgment, and a discussion of Kant’s theory of judgment and Gadamer’s critique of Kant’s theory will support the same point. The conclusion is that Chinese moral philosophy should be interpreted through aesthetic judgment.     

Six things worth understanding about psychoanalytic psychotherapy

This paper is written for family therapists who may be curious but sceptical about psychoanalysis and psychoanalytic psychotherapy. It examines a number of areas of misunderstanding within mainstream family therapy discourse (diversity, authoritarianism, terminology, blame, history and separation) which, the author believes, have acted to help maintain a false coherence for family therapy through a distorted construction of the otherness of psychoanalytic therapy and, in so doing, inhibited a potentially more productive relationship.     

Children's understanding of human and super-natural mind

Barrett, Richert, and Driesenga [Barrett, J. L., Richert, R. A., & Driesenga, A. (2001). God's beliefs versus mother's: The development of nonhuman agents concepts. Child Development, 72(1), 50–65] have suggested that children are able to conceptualize the representational properties held by certain super-natural entities, such as God, before they achieve representational understanding of the human mind. The two experimental conditions of the present study aimed at cross-checking the above suggestion. One hundred and twenty children aged from 3 to 7 years were involved in both conditions. In the first, a modified perspective-taking and appearance-reality task, similar to that adopted in Barrett et al.'s study, was used. The task in the second addressed another aspect of representational understanding of the human mind, that is, the early emerging of the rule that knowledge is constrained by perception. The results of the study showed that younger children systematically treat God as a human protagonist regarding the representational properties they possess. Moreover, it was found that children are able to reason, accurately, about God's representational properties, only upon reaching their 5th year of age, when their representational understanding of the human mind becomes stable and robust.     

The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought

The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.     

Loneliness then and now: Reflections on social and emotional alienation in everyday life

Loneliness, social isolation, and emotional alienation have become an all-too-common way of life to millions of North Americans; to those who succumb to it and become immobilized, to those who are in the midst of their life's race and do not want to admit it, and to many of those who seek psychological intervention for problems which are seemingly unrelated to loneliness. Being so fundamental to human experience, loneliness merits a closer look and examination of its effects on daily living and its relation to time and space. The present paper describes the various facets of loneliness and looks at man's search for refuge from its devastating pain—a search that is as old as the history of man, and which transcends geographical, cultural, and religious boundaries.     

Loneliness then and now: Reflections on social and emotional alienation in everyday life

Loneliness, social isolation, and emotional alienation have become an all-too-common way of life to millions of North Americans; to those who succumb to it and become immobilized, to those who are in the midst of their life's race and do not want to admit it, and to many of those who seek psychological intervention for problems which are seemingly unrelated to loneliness. Being so fundamental to human experience, loneliness merits a closer look and examination of its effects on daily living and its relation to time and space. The present paper describes the various facets of loneliness and looks at man's search for refuge from its devastating pain—a search that is as old as the history of man, and which transcends geographical, cultural, and religious boundaries.     

Family-based obesity treatment, then and now: twenty-five years of pediatric obesity treatment.

OBJECTIVE: Family-based treatments for pediatric obesity were developed over 25 years ago. Over that time, youth have become more obese and the environment more obesiogenic, which may influence efficacy of pediatric weight control. Mixed-effects regression models were used to compare the efficacy of programs initiated 20 to 25 years ago to current programs through 24-month follow-up, as well as to reanalyze 10-year outcomes of previous research using contemporary measures and analytic strategies. MAIN OUTCOME MEASURES: z-BMI and percent overweight. RESULTS: Results showed significant reductions over time, with no differences in z-BMI change for older versus contemporary studies. Age was a predictor of z-BMI up to 24 months, with younger children showing larger change. Mixed-effects regression models replicated previous long-term effects of family-based interventions. Gender was a predictor of long-term z-BMI change, with girls benefiting more over time than did boys. CONCLUSION: The efficacy of the family-based behavioral approach to treating pediatric obesity replicates over a 25-year period. Challenges in evaluating treatment effects over time are discussed. Ideas for studying choice of treatments that vary in effect size and for strengthening family-based behavioral treatments are noted.     

Constructing an understanding of mind: the development of children's social understanding within social interaction

Theories of children's developing understanding of mind tend to emphasize either individualistic processes of theory formation, maturation, or introspection, or the process of enculturation. However, such theories must be able to account for the accumulating evidence of the role of social interaction in the development of social understanding. We propose an alternative account, according to which the development of children's social understanding occurs within triadic interaction involving the child's experience of the world as well as communicative interaction with others about their experience and beliefs (Chapman 1991; 1999). It is through such triadic interaction that children gradually construct knowledge of the world as well as knowledge of other people. We contend that the extent and nature of the social interaction children experience will influence the development of children's social understanding. Increased opportunity to engage in cooperative social interaction and exposure to talk about mental states should facilitate the development of social understanding. We review evidence suggesting that children's understanding of mind develops gradually in the context of social interaction. Therefore, we need a theory of development in this area that accords a fundamental role to social interaction, yet does not assume that children simply adopt socially available knowledge but rather that children construct an understanding of mind within social interaction.     

disowning our shadow: a psychoanalytic approach to understanding punitive public attitudes

Punitive public attitudes cannot be easily explained by pointing to instrumental concerns (e.g., fear of crime, personal victimization, or real or perceived levels of crime). Instead, numerous observers have suggested that public punitiveness is more a symptom of free-floating anxieties and insecurities resulting from social change than a rational response to crime problems. We argue that these public concerns might be better understood by drawing on the insights of psychoanalytic theory, and we review relevant theoretical work to that effect.     

儿童心理理论能力中特质理解的研究

特质是可以概括、预测和解释行为的稳定的内部特征,包含了人的理智、情绪和社会方面的特征。特质理解是心理理论研究中的一个重要研究领域,它对于社会能力的促进和发展具有重要意义。文章概述了国内外该研究领域的主要研究成果及研究动态,包括儿童自由描述中特质词的使用、特质稳定性的理解、特质心理因果性的理解及与特质理解相关的其他方面的理解的研究。     

Children's understanding of idioms and theory of mind development

The aim of this study was to test the hypothesis according to which theory of mind competence was a prerequisite to ambiguous idioms understanding. We hypothesized that the child needs to understand that the literal interpretation could be a false world representation, a false belief, and that the speaker's intention is to mean something else, to correctly process idiomatic expressions. Two kinds of ambiguous idioms were of interest: decomposable and nondecomposable expressions (Titone & Connine, 1999). An experiment was designed to assess the figurative developmental changes that occur with theory of mind competence. Five-, 6- and 7-year-old children performed five theory of mind tasks (an appearance-reality task, three false-belief tasks and a second-order false-belief task) and listened to decomposable and nondecomposable idiomatic expressions inserted in context, before performing a multiple choice task. Results indicated that only nondecomposable idiomatic expression was predicted from the theory of mind scores, and particularly from the second-order competences. Results are discussed with respect to theory of mind and verbal competences.