The everyday lives of in- and outpatients when beginning therapy: The importance of values-consistent behavior

Background/ObjectiveThe manifestation of functional impairment in patients’ daily lives and interference with things they value is poorly understood. If values are compromised in patients, as theory suggests, social contexts (and the lack thereof) are especially important – though this is currently unexplored. We therefore examined whether daily values-consistent behavior was associated with the importance of a value and whether it involved social or non-social activity.MethodUsing Event Sampling Methodology, we examined daily values-consistent behavior in 57 transdiagnostic inpatients and 43 transdiagnostic outpatients at the beginning of treatment. Patients’ values-consistent behavior, its importance, and (social vs non-social) context was sampled six times per day during a one-week intensive longitudinal examination.ResultsAcross both groups, the probability of subsequent values-consistent behavior increased if (1) it was judged as more important by the patient or (2) if it was embedded in a social context. The probability of reporting values-consistent behavior was higher for outpatients than inpatients.ConclusionsClinicians are encouraged to examine the values of their patients more closely and to especially monitor important and/or social values. Incorporating these into clinical work might increase patients’ values-consistent behavior, which can play a role in reducing suffering.     

The importance of shared environmental influences in explaining the overlap between mother's parenting and sibling relationships: reply to Neale (1999)

This article addresses concerns raised by M. C. Neale (1999) in his commentary on the D. A. Bussell et al. (1999) Nonshared Environment in Adolescent Development (NEAD) study. These concerns fall into two categories: (a) model assumptions and sample design and (b) testing of alternative models. The validity of the assumptions of quantitative genetic models is a concern for all researchers in this area. Discussion of those assumptions in this reply is brief and focuses on those most relevant to the NEAD sample. The two alternative models proposed by Neale were designed to provide alternatives to the large shared environmental effect found in the original report of Bussell et al. Because these alternative models did not provide a better fit, the appropriateness of Bussell et al.'s basic model and the importance of shared environmental influences for explaining the association among family subsystems are supported.     

Perpetration of sibling aggression and sibling relationship quality in emerging adulthood

This study examined how emerging adults' perpetration of aggression toward a sibling closest in age was longitudinally associated with their sibling relationship quality. Emerging adults (N = 143; M_age = 19.62; 70% female) completed surveys online or by mail at two time points, 4 years apart. Of emerging adults, 25% perpetrated aggression against their closest‐in‐age sibling. Perpetration of sibling aggression was predictive 4 years later of less sibling warmth, involvement, and emotional help. None of the interactions with gender and sibling gender was significant. This study's findings demonstrate the importance of examining the consequences of perpetration of aggressive behavior toward a sibling for sibling relationship quality in emerging adulthood.     

Parental perceptions of sibling differences: towards a theory of sibling differentiation

A hypothesis of 'triadic and tetradic projective identification' is derived from work with nine cases in which family therapy was followed by psychodynamic counselling with the mother. It is suggested, first, that the dimensions of personality in which a parent perceives considerable difference between siblings may be linked to earlier traumatic issues experienced by that parent, especially in the family of origin; and, second, that siblings may identify with their parents' perceptions of difference, leading to differential development.
Case material is used to illustrate the ideas and a small pilot study of six different families is described, which tests a key element of the hypothesis - that personality dimensions in which a parent perceives most difference between siblings will relate more strongly to parental problem areas than dimensions in which a parent perceives least difference between siblings.
Findings give preliminary support to the hypothesis and proposals for further work are presented.     

"Meaning" connections and causal connections in the human sciences: the poverty of hermeneutic philosophy

In much of psychoanalytic theory and therapy, Freud repeatedly inferred a causal connection between thematically kindred events by relying on the kinship between their thematic contents. This paper strongly endorses his search for causal explanations. But it argues in detail that (1) his causal inferences from thematic connections rest on an important fallacy, which undermines major etiologic conclusions in psychoanalysis; (2) a related, weighty inferential error is damaging to the Freudian theory of transference, when it infers the pathogenic role of an early childhood scenario from the thematic reenactment (recapitulation) of that scenario in the adult patient's interactions with the analyst, and with other people. Both arguments draw on subject matter in psychoanalysis, physics, evolutionary biology, common-sense psychology, history, and medicine to arrive at a fundamental caveat for all of the sciences: Even when the thematic kinship (or so-called "meaning connection") between events is indeed of very high degree, this fact itself does not license the inference of a causal linkage between these events. A corollary of this result is that we must reject the accusation of Karl Jaspers and the hermeneutic philosophers that Freud's own conception of the psychoanalytic enterprise suffered from a "scientistic self-misunderstanding."     

Guilt and self-sacrifice: The plight of the better-off sibling

In this article, the experience of guilt and its behavioral sequelae, self-sacrifice, in the lives of certain therapy clients is explored. Subjects are adults who perceived as children that they were more gified in some area critical to their parents' values than was a sibling. These clients were successful children, but have come to therapy unsuccessful in some crucial area of their adult lives. Their sibling relationship was of primary importance to them. The relationship was very relevant to the lack of adult success they had experienced. Theory is developed to explain this phenomenon, and illustrative case examples are presented and suggestions are made for treatment.     

Older sibling correlates of younger sibling drug use in the context of parent-child relations

The purpose of this study was to examine older brother correlates of younger brother drug use in the context of parental influences and younger brother personality. The sample consisted of 278 White male college students and their oldest brothers, who volunteered to answer self-administered questionnaires. Results indicated that 3 domains of influence each had an independent impact on younger brother drug use: (a) parent-younger brother relationships and parent drug use, (b) older brother-younger brother relationships and older brother drug use, and (c) younger brother personality. Modeling of nondrug use and a strong attachment relationship in the parent-younger brother and sibling dyads, as well as younger sibling traits of conventionality, had strong links to low younger brother drug use. Our findings highlight the importance of modeling and mutual parent-child attachment relationships as well as sibling relationships as they relate to the possible etiology of drug use.     

Changing lives in the classroom

This paper sets out to describe the search for solutions as the complexity of the teacher’s role with vulnerable pupils gradually became apparent. The aim is to demonstrate how the application of psychoanalytic theories examining the unconscious processes in individuals and their influence on classroom behaviour enhanced the capabilities of the teacher and helped her to look beyond mere management of behaviour in the classroom. The use of these theories provided a ‘thinking’ space for the teacher whereby teacher–pupil relationships and behaviours could be thought about and ‘contained’ thereby facilitating the teaching process for both teachers and pupils. Examples of classroom practice are provided whereby an applied psychoanalytic framework proved to be a potent source of renewal and increased capacity in the teacher. The active participation of the teacher in her own learning process of applying psychoanalytic concepts contributes to an ongoing, developing project with her pupils.     

The singles scene: safe sex practices and attitudes among at-risk heterosexual adults

Heterosexual transmission of HIV accounts for 80% of AIDS cases worldwide and is the main mode of transmission in sub-Saharan Africa and some Asian countries. The extent of heterosexual HIV transmission will likely increase in Western countries. The safe sex practices and attitudes of 58 male and 54 female heterosexuals in Melbourne, Australia, aged 20-40 years, of mean age 27.4 years, were assessed through interview and questionnaire. Study participants were recruited at discotheques and bars catering to single adults. Respondents' attitudes toward safe sex were generally positive, although those attitudes were not always reflected in actual sexual practice. High levels of sexual activity were reported, including high risk behaviors such as unprotected anal sex with casual and regular partners by both men and women. Situational and partner characteristics frustrated the practice of safe sex despite intentions to use condoms. Few men and half of the women explicitly discussed condom use with their sex partners. These findings are similar to those which one would expect from a sample of adolescents.     

The singles scene: Safe sex practices and attitudes among at-risk heterosexual adults

Patient uncertainty is associated with conditions with no known cause or cure, such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA), and despite its potential role in chronic illness management, it is still a poorly understood concept. This study constitutes an in-depth investigation of patient uncertainty in SLE and RA. We conducted (i) structured interviews with a sample of rheumatology health care professionals (HCPs) (n?=?8) and (ii) in-depth, semi-structured interviews with a sample of SLE (n?=?17) and RA (n?=?15) patients. Interviews were audio-taped, transcribed verbatim and analysed thematically using detailed line-by-line coding. Patient uncertainty was conceptualised in a framework of five domains: symptoms and prognosis, medical management, self-management, impact and social functioning. Even though these five domains were present in both the SLE and RA data, there were some differences at the sub-domain level. Several sources of uncertainty were put forward by the HCPs and subsequently confirmed in the patient interviews including the illness trajectory, age, gender and timing. Patients reported uncertainty relative to various aspects of their illness, its management and impact. Finally, HCPs discussed the behavioural and psychosocial impact of uncertainty, which further suggests its important role in patient management.     

Good lives and the rehabilitation of offenders: Promises and problems

In this paper, I argue that every rehabilitation program presupposes conceptions of possible good lives for offenders and, associated with this, an understanding of the necessary internal and external conditions for living such lives. I first clarify the notion of good lives and outline its necessary features. Second, I establish the conclusion that all offender programs presuppose a conception of good lives. In order to make the argument a little more concrete, I demonstrate how a state-of-the-art treatment program for sex offenders and research on the process of offender change presuppose such a conception and expose the problems evident in the way they engage with this dimension of rehabilitation. Third, I argue that it is necessary for individuals working to rehabilitate offenders to explicitly construct conceptions of good lives for different offenders and to use these conceptions to shape the behavior change process.     

Parallel lives: Community psychology in Latin America and the United States

Comparing the history of community psychology as it developed in the U.S. during the 1960s with the community psychology that developed 10 years later in Latin America, one is reminded of the title of Plutarch’s masterpice,Parallel Lives. Although there was very little contact or communication between the first community psychologists in these regions, very similar principles and orientations evolved. These similarities are particularly striking given the many ways in which the U.S. and Latin American contexts and histories differ. Since most readers are expected to be familiar with the history of community psychology as it developed in the U.S., this paper focuses primarily on the development of community psychology in Latin America in order to highlight areas of convergence as well as divergence from the U.S. experience. This paper is based on an address presented at the Fourth Biennial Conference, Society for Community Research and Action, Division 27 of the American Psychological Association, William and Mary College, Williamsburg, Virginia, 1993. The author acknowledges the valuable help received from J. R. Newbrough and from the referees in the revision of this paper.     

Age moderates the link between relationship desire and life satisfaction among singles

Higher desire for a romantic partner has been shown to be associated with lower life satisfaction for singles, but research has not considered whether the strength of this association might vary across age groups. We collected data from single participants (N = 3057) across a broad age range (18 to 75 years of age, mean = 36.12, standard deviation [SD] = 12.34) to examine age as a moderator of the relationship between desire for a partner and singles' life satisfaction. Our results suggest that having greater desire for a partner is associated with lower life satisfaction for older (1 SD above the mean or 48.46 years) versus younger (1 SD below the mean or 23.78 years) individuals. We also found some evidence that this age-dependent association was stronger for women than men. Further, this interaction effect remained largely unchanged controlling for participants' attachment anxiety or avoidance. This study highlights the importance of considering how singlehood may play out differently for individuals at different life stages.     

The psychologist's biographer: Writing lives in the history of psychology

How should historians employ psychological insight when seeking to understand and analyze their historical subjects? That is the essential question explored in this methodological reflection on the relationship between psychology and biography. To answer it, this paper offers a historical, historiographical, and theoretical analysis of life writing in the history of psychology. It touches down in the genres of autobiography, psychobiography, and cultural history to assess how other historians and psychologists have answered this question. And it offers a more detailed analysis of one particularly useful text, Kerry Buckley's (1989) Mechanical Man, to illuminate specific ways in which historians can simultaneously employ, historicize, and critically analyze the theories of the psychologists they study. Although ostensibly about writing biographies of eminent psychologists, this article speaks to a methodological issue facing any historian contemplating the role psychological theories should play in their historical narratives.     

Meaning in the lives of humans and other animals

This paper argues that contemporary philosophical literature on meaning in life has important implications for the debate about our obligations to non-human animals. If animal lives can be meaningful, then practices including factory farming and animal research might be morally worse than ethicists have thought. We argue for two theses about meaning in life: (1) that the best account of meaningful lives must take intentional action to be necessary for meaning—an individual’s life has meaning if and only if the individual acts intentionally in ways that contribute to finally valuable states of affairs; and (2) that this first thesis does not entail that only human lives are meaningful. Because non-human animals can be intentional agents of a certain sort, our account yields the verdict that many animals’ lives can be meaningful. We conclude by considering the moral implications of these theses for common practices involving animals.     

Schizophrenic and sibling: A comparison of parental relationships

Abstract

Differences and similarities between schizophrenics and their siblings in terms of their parental relationships were examined by use of projective tests and questionnaires. The results indicated that schizophrenics were differentiated from their siblings in their tendencies to see themselves as symbiotically attached to their mothers and failing to be accommodated to by their fathers. In addition, it was discovered that schizophrenics tend to be aligned with the same sex parent. It was suggested that these findings may help explain the psychosexual identification difficulties of schizophrenics.