The body of the analyst and the analytic setting: Reflections on the embodied setting and the symbiotic transference

In this paper the author questions whether the body of the analyst may be helpfully conceptualized as an embodied feature of the setting and suggests that this may be especially helpful for understanding patients who develop a symbiotic transference and for whom any variance in the analyst's body is felt to be profoundly destabilizing. In such cases the patient needs to relate to the body of the analyst concretely and exclusively as a setting ‘constant’ and its meaning for the patient may thus remain inaccessible to analysis for a long time. When the separateness of the body of the analyst reaches the patient's awareness because of changes in the analyst's appearance or bodily state, it then mobilizes primitive anxieties in the patient. It is only when the body of the analyst can become a dynamic variable between them (i.e. part of the process) that it can be used by the patient to further the exploration of their own mind.     

Residues in the analyst of the patient's symbiotic connection at a somatic level: unrepresented states in the patient and analyst

This paper discusses the residues of a somatic countertransference that revealed its meaning several years after apparently successful analytic work had ended. Psychoanalytic and Jungian analytic ideas on primitive communication, dissociation and enactment are explored in the working through of a shared respiratory symptom between patient and analyst. Growth in the analyst was necessary so that the patient's communication at a somatic level could be understood. Bleger's concept that both the patient's and analyst's body are part of the setting was central in the working through.     

Developmental path between language and autistic‐like impairments: a twin study

Autism spectrum disorders (ASDs) are diagnosed when individuals show impairments in three behavioural domains: communication, social interactions, and repetitive, restrictive behaviours and interests (RRBIs). Recent data suggest that these three sets of behaviours are genetically heterogeneous. Early language delay is strongly associated with ASD, but the basis for this association and the relationship with individual sub‐domains of ASD has not been systematically investigated. In the present study, data came from a population‐based twin sample with language development data at 2–4 years, measured by the MacArthur Communicative Development Inventory (MCDI), and data at 8 years using the Childhood Asperger Syndrome Test (CAST). For the total CAST and the three subscales at 8 years, approximately 300 same‐sex twin pairs were selected as showing extreme autistic‐like traits (ALTs), defined here as pairs in which at least one member of the twin pair scored in the highest 5% of the distribution. Phenotypic analyses indicated that children showing extreme social and communication ALTs (but not the RRBI subscale) at 8 years were below average in language development at 2–4 years. A regression model for selected twin data suggested that genetic influences account for this overlap, but that these effects are only in part mediated by genes that are shared between language and extreme autistic traits. Copyright © 2008 John Wiley & Sons, Ltd.     

Finding one's meaning: a test of the relation between quantifiers and integers in language development

We explored children’s early interpretation of numerals and linguistic number marking, in order to test the hypothesis (e.g., Carey (2004). Bootstrapping and the origin of concepts. Daedalus, 59-68) that children’s initial distinction between one and other numerals (i.e., two, three, etc.) is bootstrapped from a prior distinction between singular and plural nouns. Previous studies have presented evidence that in languages without singular-plural morphology, like Japanese and Chinese, children acquire the meaning of the word one later than in singular-plural languages like English and Russian. In two experiments, we sought to corroborate this relation between grammatical number and integer acquisition within English. We found a significant correlation between children’s comprehension of numerals and a large set of natural language quantifiers and determiners, even when controlling for effects due to age. However, we also found that 2-year-old children, who are just acquiring singular-plural morphology and the word one, fail to assign an exact interpretation to singular noun phrases (e.g., a banana), despite interpreting one as exact. For example, in a Truth-Value Judgment task, most children judged that a banana was consistent with a set of two objects, despite rejecting sets of two for the numeral one. Also, children who gave exactly one object for singular nouns did not have a better comprehension of numerals relative to children who did not give exactly one. Thus, we conclude that the correlation between quantifier comprehension and numeral comprehension in children of this age is not attributable to the singular-plural distinction facilitating the acquisition of the word one. We argue that quantifiers play a more general role in highlighting the semantic function of numerals, and that children distinguish between numerals and other quantifiers from the beginning, assigning exact interpretations only to numerals.     

Clearing the path to transcend barriers to walking: Analysis of associations between perceptions and walking behaviour

Walkability is much studied, but the relative importance of perceptions and motivations is still not consensual. This study took a holistic approach to examine the comparative importance of a range of possible perceptions, motivations and individual characteristics on walking levels.Data from Auckland Transport's Active Modes online survey (AT survey, N = 4,114) captured environmental perceptions and travel behaviour. Machine learning (gradient boosting) was used to predict walking levels from perceptual data and individual characteristics and determine the relative importance of each variable. Strong predictors of walking included the use of public transport, walking perceived as saving money and avoiding parking hassle, age group, and overall satisfaction with walking. Surprisingly, the importance of expected dimensions such as perceived availability of destinations or internal motivations was null in the general model.These findings suggest a more holistic view of walking behaviour is needed, one that moves beyond the pure availability of destinations.     

The relationship between attachment, personality and antisocial tendencies in a prison sample: a pilot study

This study examined the role of adult attachment and personality in relation to antisocial tendencies (i.e. convictions for violence and interpersonal problems in romantic relationships) in Norwegian prison inmates (N=92). Attachment styles and personality were measured using self-report questionnaires (RSQ; Griffin & Bartholomew, 1994; and NEO-FFI, Costa & McCrae, 1992a). The prison inmates scored higher on avoidant than on anxious attachment style. While age and agreeableness (negatively associated) emerged as significant predictors of violence, anxious attachment explained most of the variances in aggression in intimate relationships. The study suggests that different types of antisocial tendencies could have different attachment and general personality correlates.     

From one room to the other: a story of contamination. The relationship between child and adult analysis

Does the analyst who works with both children and adults using ostensibly the same theoretical model perform similar mental operations in these two fields? The author suggests that child analysis is rooted in a different creative process from that of adults. Comparing the analysis of children to painting and that of adults to writing, and making use of the debate between Virginia Woolf and her sister Vanessa Bell on the relative merits of words and images, the author explores the psychoanalytic debate on the role of child analysis in the development of psychoanalytic theory and practice. Child analysis, initially regarded as an application of psychoanalysis, ended up acting as a catalyst for a true epistemological revolution in the 20th century through the work of Klein and Bion. Playing is not only an alternative medium to words for representing the unconscious but a different method for giving shape to representations through a specific creative process. The reverie which is born in the child analyst’s consulting room reproduces itself through the body’s actions during play, whereas in the adults’ consulting room the analyst’s capacity to dream presupposes the suspension of action. Child analysis, deploying a distinctive creative process that makes use of the body and serves itself of action in its development, may be said to rest on a similar creative process to that of figurative art. For this reason, the child analyst’s mind relates to objects in a different way, being in a more prolonged state of fusion with these as a result of ‘concentration of the body’. The significance of the unspeakable things that take place can often only be conceptualized in après‐coup. Although this difference in the development of the process suggests a significant distinction between the two ‘arts’ of child and adult analysis, the aesthetic sensitivity acquired through child analysis can be profitably used with adults, as will be demonstrated with the help of several clinical examples.     

Synchronicity and the capacity to think: a clinical exploration

Synchronicity blurs the boundaries of psyche and physis. This invisible dance of mind and matter suggested to Jung an interconnection between physical and mental events reflecting a unified 'psychophysical space-time continuum'. His idea of exteriorization put forth the notion that unconscious thoughts can manifest themselves in the external world. I have related this to Bion's theory of thinking, where thoughts, which should be a prelude to action, become actions in themselves, projections of unthought thoughts. Through detailed clinical work with dreams I will explore the effects of early trauma on the development of the capacity to think, and the way in which synchronistic events relate to projections of early traumatic experiences which have not been 'mentalized'.     

The society for community research and action on a path toward conocimiento: From silences and statements to solidarities in action in U.S. community psychology

A first-person narrative essay is presented through a critically reflexive auto-ethnography of a community psychologist's experiences as a member of the Society for Community Research and Action (SCRA) and (as of this writing) co-chair of the Cultural, Ethnic and Racial Affairs council. Through this methodological orientation, an analysis of some of the discourses that circulated within the SCRA listserv in relation to the murder of Mr. George Floyd, and amidst an ensuing pandemic are analyzed and discussed in relation to Anzaldúa's seven stages of conocimiento. The intentions that guide and ground this first-person account are to animate deeper reflection, accountability, and solidarity-in-action, as well as an organizational shift in the culture of the SCRA. Guided by a set of questions—What accounts for the organizational silences within the SCRA? How did the SCRA respond or engage with the murder of Mr. Floyd, anti-Blackness, Black Lives Matter, and related racial justice efforts?—the purpose is to turn a critical social analysis gaze to the SCRA in order to align its purpose, values, and mission with liberation and a decolonial feminist praxis. Anzaldúa's seven-stage framework of conocimiento is utilized to describe the possibilities for an organizational cultural shift in the SCRA that aligns with racial justice and liberatory decolonial feminist praxes.     

From agape to organs: religious difference between Japan and America in judging the ethics of transplant

This essay argues that Japan's resistance to the practice of transplanting organs from persons deemed "brain dead" may not be the result, as some claim, of that society's religions being not yet sufficiently expressive of love and altruism. The violence to the body necessary for the excision of transplantable organs seems to have been made acceptable to American Christians at a unique historical "window of opportunity" for acceptance of that new form of medical technology. Traditional reserve about corpse mutilation had weakened and, especially as presented by the theologian Joseph Fletcher, organ donation was touted as both expressive of agape and a way of "updating" Christianity via the ethics of Utilitarianism. Many Japanese, largely Buddhist and Confucian in their orientation, view these changed valorizations as neither necessary nor patently more ethical than those of their own traditions.     

From scapegoating to thinking and finding a home: delivering therapeutic work in schools

This paper discusses how the child psychotherapist's core skills can be usefully applied in a school setting. It outlines some of the important policy changes that have necessitated a move towards delivering therapeutic work in community settings such as schools. It is argued that the role of the child psychotherapist in schools has much in common with the role played by the psychotherapist in a therapeutic community. The paper suggests that therapy in schools is in many ways less simple than therapy in clinic settings, and in particular it is often unclear who exactly the client is and at what level to intervene when a referral is made. The referred patient is not necessarily the ‘problem’, so that the child psychotherapist must be prepared to tackle issues in the system to ensure that splitting and projection are reduced, and systems around children can become more containing. Clinical vignettes and one main clinical illustration are used to try to illustrate these points.     

From Environmental to Ecological Ethics: Toward a Practical Ethics for Ecologists and Conservationists

Ecological research and conservation practice frequently raise difficult and varied ethical questions for scientific investigators and managers, including duties to public welfare, nonhuman individuals (i.e., animals and plants), populations, and ecosystems. The field of environmental ethics has contributed much to the understanding of general duties and values to nature, but it has not developed the resources to address the diverse and often unique practical concerns of ecological researchers and managers in the field, lab, and conservation facility. The emerging field of “ecological ethics” is a practical or scientific ethics that offers a superior approach to the ethical dilemmas of the ecologist and conservation manager. Even though ecological ethics necessarily draws from the principles and commitments of mainstream environmental ethics, it is normatively pluralistic, including as well the frameworks of animal, research, and professional ethics. It is also methodologically pragmatic, focused on the practical problems of researchers and managers and informed by these problems in turn. The ecological ethics model offers environmental scientists and practitioners a useful analytical tool for identifying, clarifying, and harmonizing values and positions in challenging ecological research and management situations. Just as bioethics provides a critical intellectual and problem-solving service to the biomedical community, ecological ethics can help inform and improve ethical decision making in the ecology and conservation communities.

The Hospital Anxiety and Depression Scale: a pilot study to examine its latent structure and the link between psychological state and symptom severity in transient ischaemic attack patients

Transient ischaemic attack (TIA) is often associated with anxiety and depression, which may precipitate secondary stroke and interfere with treatment. The Hospital Anxiety and Depression Scale (HADS) is widely used to assess these states and to inform the management of any associated psychological problems, but there is considerable debate about what it actually measures. The HADS scores from a range of different clinical groups have been reviewed in order to assess its psychometric properties, but so far, no research has examined either its latent structure when used with TIA patients, or the association between symptom severity and the test’s validity. The aims of this study, therefore, were to investigate: (a) the underlying structure of the HADS when used with TIA patients; and (b) the impact of symptom severity on the validity of the HADS. The HADS and a functional capacity measure were administered by post to a sample of 542 confirmed TIA patients. Exploratory factor analysis was conducted on the HADS scores to establish its underlying structure for this clinical group, and then, sub-sample correlations were undertaken between the anxiety/depression scores for different levels of functional capacity. Two factors emerged, with 13 of the 14 HADS items loading significantly on both, suggesting there is a common affective state underlying the standard anxiety and depression scales. Further data-exploration indicated that convergence between these affective states increased as functional capacity deteriorated. The results suggest firstly that the HADS measures general subjective distress when used with TIA patients, and secondly that the higher reported symptom severity in this clinical group may be associated with reduced affective differentiation. As the ability to retain clear affective discrimination is associated with health and well-being, this could provide a focus for post-TIA rehabilitation.     

Cultural psychology: a two-way path between mind and culture / Psicología cultural: un camino de ida y vuelta entre la mente y la cultura

Abstract

This brief introduction serves as an opening to the monographic issue on cultural psychology. We will begin this introduction by providing an overview of the main features of this branch of psychology. Heavily influenced by Vygotsky’s concept of mediation, cultural psychology centres on how we use different cultural tools or mediational artefacts to make sense of the world and guide our actions within it. On the basis of this approach, the nine articles of which this monograph is comprised are briefly introduced: articles which are eminently empirical in nature and which relate to areas such as creativity, collective memory, identity and developmental shifts, as well as migration and mobility in a globalized world.     

Systems Theory and Family Therapy: From a Critique on Systems Theory to a Theory on System Change

Some system therapists reject the systemic view for various reasons, often related to violence, victimisation and power. This critique is based on an outdated narrow and incomplete knowledge of linear systems theory. A better understanding of these linear systems theories and of systems levels of organisation already answers much of the critique, but does not explain change. For the latter, a theory of how systems change is necessary for systems therapy in general and family therapy in particular. Modern dynamic systems and chaos theory are most useful to understand change, chaos, history, unpredictability and flexibility.     

Finding the good in the bad: age and event experience relate to the focus on positive aspects of a negative event

All lives contain negative events, but how we think about these events differs across individuals; negative events often include positive details that can be remembered alongside the negative, and the ability to maintain both representations may be beneficial. In a survey examining emotional responses to the 2013 Boston Marathon bombings, the current study investigated how this ability shifts as a function of age and individual differences in initial experience of the event. Specifically, this study examined how emotional importance (i.e. self-reported emotional arousal and personal significance), involvement (i.e. self and friend/family involvement in the 2013 Boston Marathon and self-involvement in prior marathons), and self-reported surprise upon hearing about the event related to the tendency to report focusing on the negative and positive aspects of the bombings. Structural equation models revealed that while greater emotional importance and surprise were associated with a greater focus on negative elements, involvement and age were associated with increased consideration of positive aspects. Further, emotional importance was more strongly related to an increased focus on negative aspects for young adults and an increased focus on positive aspects for older adults, highlighting a tendency for older adults to enhance positive features of an otherwise highly negative event.     

From reading to thinking: Student lines of thought in a seminar on Christianity and colonialism

This article describes a seminar I taught on Christianity and colonialism. I wanted to introduce students to some content while also allowing them to practice some of the expert skills that we use in religious studies, and more specifically in my own sub‐discipline, the anthropology of religion. In particular, I wanted to make more visible some of our practices of critical reading, and how these can feed into practices of complex thinking. However, given the differences between undergraduate and expert practices, what does “critical reading” and “complex thinking” look like in the undergraduate religion classroom? The article presents student readings and lines of thought through the semester, and describes how these undergraduates began to approach complex thinking on the topic of Christianity and colonialism.     

In sickness and in health: An exploration of some of the unconscious processes involved in the decision by family caregivers to place a family member with dementia in residential care

This paper explores the feelings, conscious and unconscious, evoked by the difficult decision to place a family member with dementia into residential care. In an exploratory study I interviewed five people who had made this decision with a view to exploring some of the unconscious processes involved in their decision-making. The interviews were interpreted paying attention to my understanding of the transference and my countertransference feelings and as triangulated by a psychodynamic supervision group.

Intimate contact with ageing and death evokes fears about mortality and activates primitive anxieties. The progress of dementia may amplify primitive or psychotic states of functioning, particularly those involving evacuatory projection, and family carers may resort to splitting off unbearable feelings of anxiety which such projections can evoke and may contribute to their decision to look for residential care.

Once placed in residential care different dynamics evolve and further difficult questions arise: how often to visit; whether and when to dispose of the person's possessions and ultimately how to grieve. The focus of this paper is, as far as it is possible, on the partner without dementia as an individual and the impact of their relative's dementia on their lives.     

From posts to protection: Ethical considerations regarding forensic psychiatrists and a duty to warn based on social media

Increasing use of social media in forensic mental health evaluations will lead to new challenges that must be resolved by forensic practitioners and the legal system. One such dilemma is the discovery of information that would typically trigger a legal duty and professional ethics obligation for mental health professionals to breach doctor-patient confidentiality to promote public safety and prevent harm to vulnerable third parties. Although the law and professional organizations offer clear guidance for practitioners in the treatment role, there is currently no clarity from the law or instruction from professional organizations on what mental health professionals should do if they discover such information during a confidential forensic evaluation. For example, a forensic evaluator may find evidence on social media of an evaluee’s threats to seriously harm others, abuse of children and the elderly, or severely impaired driving. There are no clear guidelines for how a forensic psychiatrist should respond in these complicated situations. We review the legal concepts and historical evolution of confidentiality, privilege, and mandated reporter duties that forensic practitioners should consider in these legally ambiguous situations. Finally, we discuss ethics frameworks practitioners can implement to determine their most ethical course of action when faced with such dilemmas.     

From Moment to Movement: Empowerment and Resilience as a Framework for Collective Action in Hong Kong

The Transconceptual Model of Empowerment and Resilience (American Journal of Community Psychology, 52, 2013, 333) suggests that a set of resilience and empowerment resources fuel both initial and sustained participation in collective action. Using the case study of a prodemocracy movement in Hong Kong, the present study focused on the subset of those resources that are relevant in ongoing collective action: efficacy, skills, and maintenance. As individuals possess varying combinations of these resources, the present study utilized latent profile analysis to test how patterns of empowerment and resilience resources influence initial and long‐term collective action. Five groups were identified: (a) Uncommitted/Uninspired; (b) Committed to Status Quo; (c) Mainstream Populist; (d) Empowered; and (e) Ambivalent. ANOVA and ANCOVA analyses found that there are significant group differences in initial and long‐term participation. Groups with higher level of resources reported greater levels of initial participation than their counterparts; however, high resource groups did not uniformly report greater levels of intention to participate in future collective action. Of the maintenance processes tested, collective identity emerged as a particularly important predictor differentiating initial and sustained participation. Findings from the present study raise questions about how individuals with multiple identities can come together and participate in collective action.