Differentiating Ego Functions of Borderline and Narcissistic Personalities

This study investigated differences in ego functions of borderline and narcissistic personality disorders through examining responses to Rorschach structural and content variables. Reality testing, thought process, affective regulation, impulse control, and the defenses of splitting and grandiosity were examined from Rorschach protocols of 50 borderlines and 26 narcissists. The borderlines produced greater distortion in reality testing, p < .05; the narcissists produced more insidious thought process disturbance, p < .05; and higher functioning groups demonstrated greater control of impulses, p < .05. Borderlines in this sample demonstrated more affective constriction than the narcissists and used more splitting, p < .05; narcissists used more grandiosity, p < .05. Implications of this study are (a) ego functions mature inconsistently, (b) affective responsivity influences ego disorganization, and (c) level of functioning and IQ are related to the production of Rorschach variables.     

On Interaction Analysis and Dialogical Perspective: Emergent Patterns of Order and Relational Agency

This essay proposes to contribute with a continuing discussion on Grossen’s paper (2010) establishing a link between the analysis of interactions and dialogical perspective using what I call simplication-for-approaching-complexity (SFAC). This approach conceives of dialogical dynamics as a dynamic system of relationship that construct patterns. Moreover, these emergent patterns allow inferring the features of dialogical partners as relational agencies. The specific characteristics of the relational agency at any moment in dialogue can be inferred from the analysis of the specific pattern of order achieved by the historical development of dialogue. This proposal is illustrated by the analysis of mother-infant interactions.     

How Group Analysis Cures: An Exploration of Narcissistic Rage in Group Treatment

This paper addresses the use of group analysis in treating individuals for whom chronic narcissistic rage is a prominent feature of their character. Such individuals are often especially suspicious of participating in group experiences, as their sensitivity to slight and circumscribed empathy for others often leaves them vulnerable to being attacked and ostracized in groups. Their history often reveals experiences in which they were either the scapegoat of the family or of the playground, often both. Such individuals, however, may also long for inclusion and acceptance, and thus participation in a therapeutic group may be a particularly important part of their continued development. An extended clinical vignette illustrates how such work occurs within a therapeutic group using a self-psychological model. Narcissistic rage as manifested within the group-as-a-whole or groupself is also examined.     

Interaction Analysis and Psychology: A Dialogical Perspective

Interaction analysis is not a prerogative of any discipline in social sciences. It has its own history within each disciplinary field and is related to specific research objects. From the standpoint of psychology, this article first draws upon a distinction between factorial and dialogical conceptions of interaction. It then briefly presents the basis of a dialogical approach in psychology and focuses upon four basic assumptions. Each of them is examined on a theoretical and on a methodological level with a leading question: to what extent is it possible to develop analytical tools that are fully coherent with dialogical assumptions? The conclusion stresses the difficulty of developing methodological tools that are fully consistent with dialogical assumptions and argues that there is an unavoidable tension between accounting for the complexity of an interaction and using methodological tools which necessarily “monologise” this complexity.     

Assessing Client Progress Session by Session in the Treatment of Social Anxiety Disorder: The Social Anxiety Session Change Index

Frequent assessment during therapy can improve treatments and provide accountability. However, clinicians often do not monitor progress because of the time it takes to administer and score assessments. In response, the Social Anxiety Session Change Index (SASCI) was developed. The SASCI is a short, easily administered rating of subjective improvement that asks clients with social anxiety disorder how much they have changed since the beginning of therapy. Change on the SASCI was related to change in fear of negative evaluation, a core aspect of social anxiety, and to clinician-rated improvement, but not to ratings of anxiety sensitivity or depression. Because it is brief and easily interpretable, the SASCI can be used in a variety of clinical settings to monitor change across therapy. The SASCI is presented along with examples of how the information gathered from frequent administration can inform clinical practice.     

Individual and Couple Patterns of Self-views and their Implications for Working with Premarital Couple Relationship Dissatisfaction

A sample of 520 Australian heterosexual couples participating in the PREPARE premarital program completed the multidimensional PREPARE relationship assessment inventory (Olson D. H. Prepare-Enrich Counsellor’s Manual. Brisbane, Australia: Prepare-Enrich, 1996) providing measures of couple relationship satisfaction and individual levels of self-confidence, assertiveness, avoidance, and partner dominance. Multiple regression analyses indicated that, after controlling for idealistic distortion and couple relationship status, high individual male and female self-confidence and assertiveness, and low individual male and female avoidance and partner dominance, were all significant independent predictors of couple satisfaction. Couples in which both partners were high on self-confidence were significantly more satisfied than couples in which one or both of the partners were low on self-confidence. A similar result was evident for couple patterns involving mutually high assertiveness, low avoidance or low partner dominance, relative to couple patterns in which one or both partners were unassertive, highly avoidant or high in partner dominance. These aspects of self-view point to a salient evidence-based intrapersonal and interpersonal context in which to conduct couple therapy.     

Liminality in Language Use: Some Thoughts on Interactional Analysis from a Dialogical Perspective

This essay traces my engagement with Michèle Grossen’s ideas of a dialogical perspective on interaction analysis (Grossen Integrative Psychological and Behavioral Science, 1–22, 2009) and highlights a process account of self in interaction. Firstly I draw on Turner’s concept of liminality with respect to the transformative, temporal significance in interaction. Secondly I explored further the conversation analytic concepts such as formulation and reformulation as a viable analytical tool for a dialogical perspective. Lastly, I addressed the issue of interaction in institutional settings, in particular with interactional asymmetries of interaction, whilst relativising the I-position dialogical perspective. I explore insights from social anthropology as well as revisiting conversation analysis and discursive psychology, concluding that a promising direction would be sought through a cross-fertilisation between dialogism and other sibling perspectives concerning language use, communication, social action and discourse- and narrative-based analyses.     

Pain and its Metaphors: A Dialogical Approach

Most health professionals are unaware of the extent to which aspects of language, such as metaphor, influence their practice. Sensitivity to metaphor can deepen our understanding of healthcare and, arguably, improve its quality. This is because metaphors, and the linguisticality of which they are a part, shape medical practice in important ways. Examples are the metaphors used in pain management. By exploring the dialogical tension between such metaphors, we can better understand the ways in which they influence medical practice.     

青少年孤独感与人格五因素的关系:人际关系能力的中介作用

该研究采用小五人格问卷、中学生孤独感问卷和人际关系能力问卷,以784名青少年为被试,考察青少年孤独感的特点及其与人格五因素、人际关系能力的关系。结果发现:(1)青少年的孤独感存在显著的性别差异,男生显著高于女生;(2)在孤独感各维度中,除同伴关系评价与开放性的相关不显著外,其他维度与人格各维度及人际关系能力间均相关显著;(3)人格的情绪性和开放性显著正向预测孤独感,外向性、宜人性和人际关系能力显著负向预测孤独感;(4)在外向性、情绪性及开放性与孤独感的关系中,人际关系能力起部分中介作用,而在宜人性与孤独感的关系中,人际关系能力起完全中介作用。     

Organizing Patterns in a Dyad and in a Group: Theoretical and Clinical Implications

This paper describes the importance of group experience in relation to affect regulation for the individual and the group. After surveying work that has significantly influenced the psychoanalytic perspective on the group, the author illustrates how group experience can be a key affect regulator during some developmental phases and can have an important role in development of a person's identity. From an inter-subjective perspective, the author emphasizes how group identity is attained through shared and repeated expectations that regulate the affective life of the group—what he calls group organizing principles. Last, using clinical examples, the author emphasizes the importance of affect regulation and the creation of expectations and group organizing principles in the therapeutic arena.     

Substance Abuse Treatment Outcomes: Treatment Practice and Policy Implications

Treatment professionals, whether clinicians, scientists, or policy makers, are interested in developing methods to improve behavioral health treatment outcomes. Clinicians are interested in knowing what treatment practices to incorporate into the services they offer clients. Policymakers request guidance regarding which decisions are most likely to lead to effective treatment approaches and structures. Scientists are eager to contribute knowledge pertinent to building and evaluating effective treatment practices and policies. The papers in this special series provide information on substance abuse treatment practices andpresent findings relevant to clinical practice, policy decisions, and scientific inquiry. This paper provides a brief overview of the National Treatment Improvement Evaluation Study (NTIES) and briefly summarizes the other research papers included in this issue, all of which exemplify practice and policy issues in the substance abuse treatment field and bolster approaches applied to address these issues.     

Narcissistic defensiveness: Hypervigilance and avoidance of worthlessness

Clinical theories of narcissism postulate the paradoxical coexistence of explicit self-perceptions of grandiosity and covert fragility and worthlessness. To examine the operation and time course of the latter component at a very early stage of information processing, a sequential priming study was conducted. Consistent with predictions high narcissists appear to be hypervigilant for ego-threats; they initially activated worthlessness and then rapidly and automatically inhibited it. In contrast, low narcissists neither activated nor inhibited worthlessness after ego-threat. A second study showed that conscious suppression did not elicit parallel effects among narcissists, thus supporting the idea that the effects in the first study were the result of unconscious repression processes. Differences between intentional and automatic processes in self-regulation are discussed. The findings demonstrate the importance of worthlessness in narcissistic self-regulation and help clarify how narcissists protect and defend their grandiose self-views.     

A Theoretical Approach to the Treatment of Work Difficulties in Borderline Personalities

This paper reviews the psychodynamic basis of borderline personality disorder with special reference to work difficulties. The model of human occupation is reviewed, and its use as a theoretical framework model for a formulation of borderline occupational functioning is proposed. A hypothetical model is conceptualized and the expected deficits in the volitional, habituation, and performance subsystems described. The primary occupational dysfunction of the borderline patient is shown to occur at the level of exploratory behavior, or play, and to manifest itself in the inability to perform autonomous adult roles. A treatment approach derived from this formulation is delineated, emphasizing the need for a context of exploration and curiosity. A specific treatment program is described and the therapeutic change process is illustrated through clinical case examples.     

Introduction: The Dialogical Self in a Global and Digital Age

In this article, culture and self, like society and identity, are conceived as mutually inclusive. On the basis of this premise, self and identity are discussed in the context of an evolution toward a global and digital society. The core concept is the "dialogical self" that is described as a spatial and temporal process of positioning. Examples of multivoiced and dialogical selves are given in communities and cultures that lack advanced technological means. Apparently, the dialogical self is not an exclusive feature of the present era but a general human condition. Specific to the era is that dialogue is becoming increasingly mediated as a result of technological advances. Closely related to these advances, one can witness an increasing cultural complexity, mobility, and hybridization. It is argued that technological developments and global interconnectedness provide new opportunities for innovation of the self as multivoiced and dialogical. At the same time, such developments evoke counter forces that can close the self off from such opportunities. This article ends with a short introduction to the several contributions in this special issue.     

From the Analysis of Verbal Data to the Analysis of Organizations: Organizing as a Dialogical Process

The analysis of conversational turn-taking and its implications on time (the speaker cannot completely anticipate the future effects of her/his speech) and sociality (the speech is co-produced by the various speakers rather than by the speaking individual) can provide a useful basis to analyze complex organizing processes and collective action: the actor cannot completely anticipate the future effects of her/his acts and the act is co-produced by multiple actors. This translation from verbal to broader classes of interaction stresses the performativity of speeches, the importance of the situation, the role of semiotic mediations to make temporally and spatially distant “ghosts” present in the dialog, and the dissymmetrical relationship between successive conversational turns, due to temporal irreversibility.     

Interpersonal Subtypes in Social Phobia: Diagnostic and Treatment Implications

Interpersonal assessment may provide a clinically useful way to identify subtypes of social phobia. In this study, we examined evidence for interpersonal subtypes in a sample of 77 socially phobic outpatients. A cluster analysis based on the dimensions of dominance and love on the Inventory of Interpersonal Problems–Circumplex Scales (Alden, Wiggins, &; Pincus, 1990 Alden, L. E. and Phillips, N. 1990. An interpersonal analysis of social anxiety and depression. Cognitive Therapy and Research, 14: 499–513. [Crossref], [Web of Science ®] , [Google Scholar]) found 2 interpersonal subtypes of socially phobic patients. These subtypes did not differ on pretreatment global symptom severity as measured by the Brief Symptom Inventory (Derogatis, 1993 Derogatis, L. R. 1993. Brief Symptom Inventory: Administration, scoring, and procedures manual , (4th ed.), Minneapolis, MN: NCS Pearson Assessments, Inc.  [Google Scholar]) or diagnostic comorbidity but did exhibit differential responses to outpatient psychotherapy. Overall, friendly-submissive social phobia patients had significantly lower scores on measures of social anxiety and significantly higher scores on measures of well-being and satisfaction at posttreatment than cold-submissive social phobia patients. We discuss the results in terms of interpersonal theory and the clinical relevance of assessment of interpersonal functioning prior to beginning psychotherapy with socially phobic patients.