The body one has and the body one is: Understanding the transsexual’s need to be seen

The transsexual individual confronts the analyst with a disturbing otherness. How this otherness is understood, that is, how the analyst ‘looks’ at the patient through her distinctive theoretical lens impacts, in turn, on the patient’s experience and what transpires between them. In this paper the author outlines a developmental model rooted in attachment and object relations theory to provide one alternative way of ‘looking’ at some of these patients’ experiences in the clinical setting. It is suggested that in some cases of transsexuality the primary object(s) did not mirror and contain an early experience of incongruity between the given body and the subjective experience of gender: it remains unmentalized and disrupts self‐coherence leading to the pursuit of surgery that is anticipated to ‘guarantee’ relief from the incongruity. Through an account of work with a male to female (MtF) transsexual who underwent surgery during her five years of psychotherapy, the author explores how a focus on the transsexual’s experience of ‘being seen’, that is, of being taken in (or not) visually and mentally by the object in their state of incongruity, affords another window through which to approach the transsexual’s experience in the transference–countertransference dynamics.     

Seeing,sitting and lying down: Reflections on the role of visual communication in analytic therapy

The paper develops the post-Winnicottian psychoanalyst Kenneth Wright's theory of the face which he sees as insufficiently theorized psychoanalytically. As compared with the breast, the face is intrinsically a vehicle for generating meaning and representation, rather than satisfying bodily need. Infants see themselves reflected back in the mother's facial expressions and this helps to build up self-representation in the child's mind's eye. Other Attachment-influenced research findings about care-giver/infant facial communication are also described: partial contingency, triangulation and rupture/repair. The relevance of this to the question of chair or couch-based therapy is discussed. The discussion is illustrated by a consideration of the work of the visual artist Louise Bourgeois.     

Perceived relationship with God moderates the relationship between social comparison and body appreciation

Social comparison has been shown to contribute to the negative attitudes that most Western women have towards their bodies. However, minimal research has addressed the relationship between social comparison and body appreciation, which entails holding favourable opinions towards the body, accepting the body along with its deviations from societal beauty ideals, respecting the body by engaging in healthy behaviours, and protecting the body by rejecting unrealistic media appearance ideals. This study tested whether feeling loved and accepted by God would weaken the inverse relationship between social comparison and body appreciation among a sample of 186 female undergraduates. Results showed that frequent body-related comparisons were related to lower body appreciation, but this relationship was conditional upon the quality of women's perceived relationship with God. Results suggest that future research should explore interventions designed to create improved secure attachment relationships between clients and God.     

The Application of Attachment Theory and Mentalization in Complex Tertiary Structural Dissociation: A Case Study

The concept of structural dissociation can provide useful information for increasingly complex applications of mentalizing in therapeutic settings; however, little integration of the two approaches has emerged. Grounded in the intricate case of a woman diagnosed with dissociative identity disorder, this case study integrates and applies the concepts of structural dissociation and mentalizing from an attachment perspective. Client history includes pervasive spiritual and sexual abuse, as well as extreme neglect throughout her development. The presenting problems, relevant history (including the profound impact of neglect), and the therapeutic models that guided treatment are described. Also presented are the specific therapeutic interventions that have facilitated and strengthened therapeutic alliances, levels of integration, and mentalizing capacity in this challenging but rewarding study of human resiliency.     

Selling behaviours and sales performance: the moderating and mediating effects of interpersonal mentalizing

A random sample of independent insurance agents was surveyed to explore the relationships among learned behaviours, such as, adaptive selling and customer orientation and personal dispositions, such as, interpersonal mentalizing in predicting sales performance. The primary focus of this research was to reexamine salespeople's theory of mind in a broader theoretical base of human abilities. The results confirmed that the dimensions of interpersonal mentalizing, such as, taking a bird's-eye view, shaping the interaction by creating a positive ambience, detecting nonverbal cues and rapport building have different roles for the effectiveness of selling behaviours. While taking a bird's-eye view was a moderator, creating a positive ambience was a mediator of the relationship between selling behaviours and performance. Furthermore, salespeople's ability to build rapport improved sales performance only when they were able to detect nonverbal cues from customers. Taken together, these findings shed light on the complementary role of autonomous abilities of salespeople in improving the productivity of their learned selling behaviours. Several managerial implications were derived from the findings.     

社交网站使用对体像满意度的影响:体像比较的中介作用和自我客体化的调节作用

为探讨社交网站使用强度对青少年体像满意度的影响和其中的作用机制,采用社交网站使用强度量表、体像比较量表、体像不满量表和自我客体化量表对1469名中学生(736名男生,733名女生)进行研究,结果表明:(1)青少年社交网站使用强度与体像比较显著正相关,与体像满意度显著负相关,女生体像比较与体像满意度显著负相关,男生则不显著。(2)女生社交网站使用通过体像比较的部分中介作用预测体像满意度,且体像比较的中介作用受到自我客体化的调节。研究结果进一步揭示了女生社交网站使用与体像满意度关系的作用机制,有助于指导青少年女生积极健康地进行网络社交活动。     

Effects of Prenatal X-irradiation on Open-Field Behavior in Rats: Application of Randomized Fostering Technique and Mapping Results

Sprague-Dawley (SD) rats were given X-irradiation (150 R) on Day 17 of gestation. After birth, all male pups were pooled once and then assigned randomly to irradiated mothers and control mothers. Offspring were administered an open-field test at about 7 weeks of age. The analysis was performed on the basis of two approaches: In the per subject approach, individual subject data (aggregation across Day 2 through Day 4) were treated as the basic unit of statistical analysis. In the per litter approach, double aggregation (aggregation across Day 2 through Day 4 for each subject and aggregation across subjects within each litter) was used. The per subject approach was slightly more sensitive as to the treatment effect, but it induced a reduction in the magnitude of eta squared. A principal component analysis was performed using eta squared together with those of several reference groups. Results were plotted on a map constructed from component scores. The characteristics of behavior in X-irradiated rats were very similar to those of the earlier stage of trials in terms of the location on the map. The postnatal maternal effect on open-field behavior was not serious and was adequately negligible in practice. A new fostering procedure was proposed and its advantages discussed.     

“Made This Way for a Reason”: Body Satisfaction and Spirituality

Nine female participants shared their experiences of body satisfaction, spiritual beliefs, and the intersection of these domains. Using phenomenological inquiry, the authors identified 6 themes in participant interviews. The authors discuss ways in which this study extends previous research, in addition to providing suggestions for counseling practice.     

Differences in personality characteristics between body-modified and non-modified individuals: associations with individual personality traits and their possible evolutionary implications

After a long history of negative stigmatisation, the practices of tattooing and body piercing have become fashionable in the last decade. Today, 10% of the population in modern western societies have some form of body modification. The aim of this study was to quantify the demographic and personality traits of tattooed and pierced individuals and to compare them with a control group of individuals without body modifications. These comparisons are based on questionnaires completed by 359 individuals that investigate the details of body modification, and which incorporate five personality scales. We describe several sex differences in ornament style and location. We found no relevant differences between modified and non-modified individuals in relation to demographic variables. This indicates that some of the traditional attitudes towards tattoos and piercings appear to be outdated. However, we found striking differences in personality traits which suggest that body-modified individuals are greater sensation seekers and follow a more unrestricted mating strategy than their non-modified contemporaries. We discuss these differences in light of a potential signalling function of tattoos and piercings in the mating context. Copyright © 2007 John Wiley & Sons, Ltd.     

Out of the body: embodiment and its vicissitudes

Body‐mind dualism and the consequent neglect of the body of the analyst can have important negative effects on the analytical process leading all too often to misinterpretations of the analysand's verbal and non‐verbal communications and to disturbances of analytical temporality. This is intensified when we are dealing with individuals where disembodiment and states of psychic deadness are central features. The paper explores the philosophical roots of the idea of a disembodied mind and the way in which this impacts our relationship with the world. While André Green's concept of the dead mother and disturbances in the sense of self‐agency have been held to play an important role in states of psychic deadness, I suggest that it is rather disturbances in the sense of body ownership and of the body image which are more central. The paper then discusses the particular kinds of countertransference that can be evoked in the analyst when we find ourselves dealing with this type of patient and suggests how we can use our embodied countertransference to become aware of and elaborate our own feelings of deadness in order to overcome the loss of temporality that is characteristic of such states. This is illustrated with reference to my work with a young man with a masochistic perversion and a severe disturbance of the body image with an accompanying profound sense of psychic deadness.     

Body Image Preference in the United States and Rural Thailand: An Exploratory Study

The authors conducted a field study to examine the female body image preferences of young women and young men in a rural northern province of Thailand and in central California. The Thai participants did not have stronger body image preferences than did the U.S. participants overall. However, the young women preferred a significantly more slender body image than did the young men, F(1, 80) = 14.98, p < .001, and the Respondent Gender x Nationality interaction was also significant, F(1, 80) = 4.42, p = .039. Thai men, as expected, exhibited preferences for figures that were heavier than those preferred by their U.S. counterparts. Thai women, in contrast, exhibited preferences for figures that were thinner than those preferred by their U.S. counterparts or their male countrymen. These results are explained in terms of traditional Thai and U.S. values and in terms of Western cultural influences in modern Thailand.     

Creative restorations: Holding a mirror to the self in brief dynamic therapy

The author outlines the conceptual framework that underpins psychoanalytic self-psychology, describing the function of the selfobject in meeting the need of the child and later the adult for mirroring, idealisation and essential alikeness, and thereby sustaining the coherence of the self within a structure that takes the form of a tension arc. Drawing from more recent elaborations of the need for optimal responsiveness by the selfobject in mirroring the expansiveness of the self, the author proceeds to compare this conceptual framework with that of Winnicott and Wright, who posited the role of mirroring in the development and realisation of the self. The contribution of mirroring to the facilitation of creativity as well as the relationship between the arts and the realisation of the self are explored in the particular context of the counselling of students in the field of the performing arts. The implications of these concepts are further explored in relation to short-term counselling and this is illustrated with a case example.     

Movies on the couch: The MOVIE model of film therapy

Film therapy, the therapeutic use of movies in psychological therapies, is a growing area of interest to therapists and researchers. This paper discusses the benefits of film therapy and presents a method, the MOVIE model of film therapy, a widely applicable, trauma-informed framework for individual or group therapy, counsellor education and self-help. Film or cinema therapy is a highly accessible and relatable method for many diverse groups. The benefits identified include emotional processing, greater ease of dialogue, increased empathy, interpersonal learning, new perspectives and learning skills. Following the model's reflective steps, clients mindfully observe and voice their emotional and psychological responses to movie-watching; identify how the imagery, characters, themes and story symbolise personal experience; and consider any new possibilities that emerged for their own lives. The model is informed by a practice-focussed review of literature and draws on methods from mindfulness and experiential and narrative therapies. The steps are widely applicable in a range of settings and can be adapted across counselling modalities. Further research to consider the outcomes of using the model, alongside qualitative research on clients' experiences of working this way with film, is recommended.     

依恋——早期亲密关系的持续影响

依恋形成于婴幼时期,并贯穿人的一生。自从英国精神病学家J.Bowlby最早提出了依恋这一概念以来,依恋一直是发展心理学乃至整个心理学领域的研究重点,文章从不同理论学派对依恋如何形成所持的观点开始,从时间纬度分别介绍了"依恋"研究在幼儿期、青少年期以至成年期的主要理论以及与依恋行为有关的研究发现。     

身体表征的分离:二分解释模型及其证据

身体表征是一种内部结构,它具有追踪身体状态并对其进行编码的功能。这种结构可以对身体进行错误的表征,并可以从身体中分离出来。来自海豹肢症与躯体失认症等方面的病例,证实部分身体畸形与脑损伤患者的身体表征存在分离;来自橡胶手错觉与全身错觉的实验证据,验证了健康个体身体表征分离的事实。基于上述证据,以身体图式和身体意象为二分维度的模型解释了身体表征的分离。未来的研究可以从神经心理学实验和虚拟现实技术着手,对身体表征的分离进行深入探究。     

The Effect of Attachment Insecurity in the Development of Eating Disturbances across Gender: The Role of Body Dissatisfaction

The present study examined the effects of insecure attachment on the development of negative body image as a contributing factor to the development of disturbed-eating patterns in male and female university students. Participants were nonclinical male (n = 100) and female (n = 381) university students. Administering self-report questionnaires, the authors assessed demographic information (gender, age), anthropometric data (Body Mass Index [BMI], age), romantic attachment (ECRS-R; R. C. Fraley, N. G. Waller, & K. A. Brennan, 2000), body dissatisfaction (BSQ), and disturbed eating (EAT-26). The authors found body dissatisfaction to fully mediate the relationship between attachment anxiety and disordered eating in women. Body dissatisfaction mediated anxious attachment and dieting in men. In addition, attachment avoidance had a direct impact on eating behaviors for both genders, without the mediation of any variables measured in this study. The findings of the present study suggest that the anxiety and avoidance dimensions of attachment insecurity affect eating behaviors differently, and the effects are different across genders. The authors discuss results in the context of therapeutic interventions design.     

Affective development and etiological implication in body image disorders and anorexia: reflections on bdd manifestations and refusal of food in a psychodynamic view

The literature demonstrates that relational experiences during childhood have a strong impact on the trajectories of psychological growth. This article focuses on the major developmental phases for identity formation, psychological growth, mentalization skills, and ability to share affective states. It presents a careful analysis of some key factors that influence the representation of body image and the relationship with food, from a perspective that integrates relational psychodynamic models. In particular, it looks at the ways in which individuals and caregivers actively co-create the symptomatic process of intrapsychic reality in which body disease and refusal of food are performed.