Transmitting delusional beliefs in a hypnotic model of folie à deux

Folie à deux is the transference of delusional ideas from one ‘primary’ individual to one or more ‘secondary’ individuals (Lasègue & Falret, 1877). However, it is difficult to investigate experimentally because often only one patient is identified as delusional. We investigated whether hypnosis could model the experiences of the secondary in this delusion. Our primary was a confederate, who displayed two delusional beliefs and attempted to transmit them to hypnotised subjects. We manipulated the status of the confederate so that they were portrayed as either “credible” or merely “interesting”. Many high hypnotisable individuals adopted the confederate’s beliefs and confabulated evidence in support of them. Also, subjects who interacted with a credible confederate extended their delusions beyond those displayed by the confederate. We discuss the strengths and limitations of this approach and suggest ways to improve the validity of this model.     

A multiple case study of teachers’ visions and reflective practice

Researchers have found that teachers’ visions of what they hope to instill in their students beyond curricular objectives are integral to their instruction and to larger decisions such as their career paths. The purpose of this research was to examine 10 in-service teachers, who taught in different geographic locations across the United States, their visions, and the ways in which these visions influenced their reflective curricular decisions and instructional actions. The researchers describe salient dimensions of visions, the actions teachers reported to enact visions, and the distance and tensions in enacting visions. Researchers used grounded theory and constant comparative analysis to analyze interviews, questionnaires, and artifacts. Findings explore the relationship between teachers’ visions and reflective practice as well as the alignment of instructional practices teachers report in supporting their respective visions. Implications for future research, theory, and practice are discussed.     

A case of therapy by proxy?

Consultancy was offered to a worker requesting help, because of some concern he felt as to how best to progress with a single-parent family where a teenage son with a mental handicap wished to move out and establish himself independently. The situation appeared to us to be 'stuck', with parent and son engaged in a mutually distressing cycle of antagonism with both emotional and physical violence. During the consultancy, communication was established with the parent via messages carried by the worker, and significant change was promoted through these interventions. This work was novel, unusually complex and carried implications for theory, practice and ethics.     

Development through interruptions and reparations – A case study of a dual challenging psychotherapy

The aim of this study was to understand how relational difficulties in psychotherapy may be handled to represent possibilities for change. Temporary interruptions and subsequent reestablishment of contact were chosen as the strategic focus in one severely challenging case of long term psychodynamic psychotherapy where outcome was known to be good. Interruptions and reestablishments were conceptualised by how the informants gave meaning to them. The choice of focus represented a strategic selection of events in the course of therapy where the regulation of the alliance by the therapist as well as by the patient was at stake. A detailed case record was studied and interviews with patient and therapist were conducted. A hermeneutical-phenomenological approach was used to analyse the material. The narrative dimension was important in structuring and interpreting the data. It was shown how important relational difficulties, such as mutual incompatible expectations and demands was handled both on a structural and interpersonal level, and some important steps and hallmarks of the healing process was identified. Close inspection of the course of events in psychotherapies is seen as a promising method for bringing a better understanding of how change processes unfold.     

Humour and the super-ego: A case study of Paul Muldoon’s poetry

This article focuses on the workings of ‘humour’, a phenomenon that is often neglected in Freudian readings of literature, and also (perhaps relatedly) in the analysis of work with patients. Challenging views that the details of humour are best left uninterpreted, it explores how they can provide a mode of access to what is important. In particular, it focuses on the idea of Galgenhumor (literally ‘gallows humour’) in Northern Irish verse. The Ulster poet Paul Muldoon provides a ‘case study’ of someone using considerable humour while facing political atrocities. I aim to show that Muldoon can be viewed as a useful chronicler of ‘the Troubles’ and that a Freudian view of his humour can help readers to appreciate his significance. The method of the article is to interpret some of Muldoon’s verse by applying Freudian theory, working on the basis that poetry can sometimes achieve its effects in ways that are obscured to both the reader and the poet. I have not set out to psychoanalyze Paul Muldoon through a reading of his poems, but rather to stage a discussion of ways that humour can work, making use of Freud’s theories about the unconscious, especially his writings on humour. I examine how humour can create an outlet for affect while simultaneously assisting its repression, and also how it can leave memorable traces of traumatic experience, making it easier for the experience to become available for retrospective examination and exploration.     

Uncovering and managing unconscious ways of ‘looking’: A case study of researching educational care

Abstract

In this paper the author argues for the importance of those working as counsellors with children and adolescents to have specialist training. She outlines the need for many more properly trained counsellors to be available to children, and emphasizes the need for them to have detailed knowledge of children's emotional development. The argument is throughout illustrated with clinical examples. She draws attention to the differences between working with children and adolescents as opposed to adults, with an exploration of the special skills that need to be developed if working with younger clients. Reference is made to the differences in the contract and the thinking about the family. She explores the importance of including in a specialist training infant observation and the consideration of group and institutional dynamics.     

Combining the roles of “Priest” and “physician”: A clinical case

In antiquity the healing role was usually performed by one person-a priest-physician. This also applied to hypnotism. As science emerged, eventually the roles of physician and priest were separated and performed by different persons. In the present case the roles of priest and physician were again united, resulting in significant improvement for the patient. Previously the separated roles had been ineffective.Edward M. Scott, Ph.D., a licensed psychologist in private practice, is Professor of Medical Psychology, University of Oregon Health Sciences Center, Portland, and Clinical Manager of the Alcohol Treatment and Training Center, Department of Human Resources, Oregon State Mental Health Division. He is an Associate Editor of theInternational Journal of Offender Therapy and Comparative Criminology, the author of three books, and co-editor (with his wife Kathy) of a fourth book, and the author of 39 published articles.     

Bicycle helmets – A case of risk compensation?

Several studies have shown that bicycle helmets have the potential of reducing injuries from accidents. Yet, no studies have found good evidence of an injury reducing effect in countries that have introduced bicycle helmet legislation. Two of the most promising explanations for why helmet laws do not work as intended are risk compensation and shifts in the cycle population as a response to the law.The present article investigates whether the lack of effect of helmet wearing laws is due to risk compensation mechanisms or population shifts (i.e. discouraging cyclists with the lowest accident risk, and thereby increasing the overall average risk per cyclist). A random sample of 1504 bicycle owners in Norway responded to a questionnaire on among other things helmet use, bicycle equipment use, accident involvement, cycling behaviour and risk perception. Data were analysed by using structural equation model (SEM). The results show that the cyclist population in Norway can be divided into two sub-populations: one speed-happy group that cycle fast and have lots of cycle equipment including helmets, and one traditional kind of cyclist without much equipment, cycling slowly. With all the limitations that have to be placed on a cross sectional study such as this, the results indicate that at least part of the reason why helmet laws do not appear to be beneficial is that they disproportionately discourage the safest cyclists.     

Post-national citizenship without post-national identity? A case study of UK immigration policy and intra-EU migration

A key dividing line in the literature on post-national citizenship concerns the role of collective identity. While some hold that a post-national form of identity is desirable in developing citizenship in contexts such as the European Union (EU), others question the defensibility of a collective identity at this supra-national level. The aim of this article is to intervene in this debate, drawing on qualitative research to consider the extent to which post-national citizenship should be accompanied by a form of post-national identity. The article takes the UK as a case study, and explores tensions between the immigration policies and rhetoric of the Coalition Government since 2010 and the post-national citizenship rights of EU citizens migrating into British local communities. It draws on independently collected qualitative data from the county of Herefordshire, UK, to argue that the persistent reinforcement of national identity reproduces national lines of difference which further problematise the full realisation of European citizenship. At a theoretical level, this highlights the need for the development of post-national citizenship rights to be accompanied by a paradigmatic shift in the way that collective identity is constituted in post-national contexts.     

Moral self and moral emotion expectancies as predictors of anti- and prosocial behaviour in adolescence: A case for mediation?

Previous research has linked (im)moral behaviour with both moral emotion expectancies and the self-importance of moral values, indicating that these two factors influence moral decision making and action. Disentangling the relationship between moral emotion expectancies and self-importance of moral values as predictors of adolescents' anti- and prosocial behaviour was the primary goal of this research. Two hundred five participants (mean age = 14.83 years) completed a semi-structured interview assessing moral emotion expectancies in hypothetical situations and a written questionnaire measuring self-reported prosocial and antisocial behaviour and the self-importance of moral values. Moral emotion expectancies were found to mediate the relationship between the self-importance of moral values and self-reported levels of antisocial behaviour. When predicting levels of prosocial engagement, however, scores of moral value self-importance were the primary variable associated with prosocial behaviour whereas moral emotion expectancies were not involved in this relationship. In addition, a moderating effect of age was found when predicting antisocial behaviour by moral emotion expectancies. Overall, the study confirms and significantly extends previous research on the relationship between adolescents' moral self, moral emotion expectancies and anti- versus prosocial behaviour.     

Where Am I? A new case of developmental topographical disorientation

Recently, developmental topographical disorientation (DTD) was described (Bianchini et al., 2010, J Clin Exp Neuropsychol, 20, 807–27; Iaria & Barton, 2010, Exp Brain Res, 206, 189–96; Iaria, Bogod, Fox, & Barton, 2009, Neuropsychologia, 47, 30–40) as a navigational deficit in the absence of neurological or psychiatric disorders. Here, we reported the case of a healthy subject who presented this disorder. Dr. WAI was a 29‐year‐old right‐handed man with normal development and no clinical history of neurological or psychiatric diseases who was affected by a very pervasive topographical orientation and navigational disorder. A neuroradiological exam confirmed the absence of structural and anatomical alterations of the brain. Dr. WAI was submitted to an extensive neuropsychological examination and to a battery of tests specifically developed to assess developmental topographical disorder. Using this battery, we analysed Dr. WAI's acquisition of navigational information and re‐orientation processes. He showed severe DTD accompanied by deficits of different cognitive processes directly or indirectly involved in navigational skills. Dr. WAI showed a deficit in developing cognitive maps, already found in previous cases, plus difficulties in evaluating distances and computing metric environmental features. He represents a further confirmation of the existence of DTD suggesting dissociations within the disorder related to the level of development of the ability to build cognitive maps and the association of different imagery deficits. Dr. WAI can help in shedding some light on the mechanisms underlying lack of development of navigational skills.     

Empirical evidence of tourist satisfaction and loyalty in the case of Bucharest—A partial least squares structural equation modelling approach

Tourist satisfaction (TS), tourist loyalty (TL), the decision to revisit a destination and the choice to recommend it to acquaintances can have a decisive influence on inbound tourist flows. These influencing factors are closely related to tourist behaviour. The main objective of this study was to investigate TS and loyalty of both foreign and Romanian tourists in Bucharest, by testing under-examined and new variables. The hypotheses and conceptual research model were based on the following antecedents and consequences of TS: tourists' expectations and travel motivations (TEM), destination authenticity and infrastructure quality, destination safety (DS), tourists' emotions (TE) and TL. The analysis was unique in testing the effect of novelty-seeking tourists' desire to extend their stay on their expectations and motivations. The mediating effect of TE on the relationship between satisfaction and loyalty was also tested for the first time. Data were collected using a 24-item online questionnaire. The data were modelled with partial least squares structural equation modelling. Based on 122 valid responses processed with SmartPLS software, the results confirm most of the research hypotheses. The findings reveal that tourists' desire to extend the length of stay on their expectations and motivations has the highest statistical contribution to TEM. Furthermore, a statistically insignificant relationship between DS and TS was identified. The findings are useful for all stakeholders of tourism development in Bucharest.     

Behaviour Change and Environmental Citizenship: A case for spiritual development?

In spite of the efforts that have been made to increase awareness and understanding of environmental issues, there is little evidence of a general adoption of pro-environmental behaviours that might characterize environmental citizenship. This paper argues that awareness and understanding are necessary but not sufficient, and reports research which suggests that sufficiency might need to be understood in spiritual terms. An argument is developed in favour of a citizenship founded upon transformative spiritual values in preference to a morality founded upon imposed notions of duty or obligation to support a value system which is itself arguably part of the problem. The primary objection to such an approach is that it would seem to rely upon the preservation of childhood spirituality through the teenage years into adulthood, and this is seen to present many difficulties for researchers, policy-makers and practitioners.     

A review of: “The presentation of case material in clinical discourse”

Ivan Ward (ed.) (1997) The Presentation of Case Material in Clinical Discourse, London: Freud Museum Publications, 96 pp., $6.95     

A social host in the machine? The case of group attention

I argue that akin to mind-body dualism, social-mental dualism is open to critique. That is, mental processes can be inherently social, with sociality ‘baked into’ the architecture of the cognitive mechanism. As a case in point, I introduce the reader to the cognitive mechanism of group attention. In particular, I focus on the differences between group attention and ideomotor imitation in terms of their (a) compliance to the social-mental dichotomy, and (b) contributions to building common knowledge—a prerequisite for human communication and collective action. Finally, I suggest possible implications of group attention scholarship for other social memory phenomena such as social contagion, socially shared memory-induced forgetting, and the saying-is-believing effect.     

Excitement or anxiety? A case study of Indian postgraduate sojourners at University of Nottingham

Moving to a new country is often seen as a disturbing event in sojourners' lives. Several models of adjustment postulate that the first phase of the sojourn is either categorised by euphoria or anxiety. Using a case study of three Indian Postgraduate students, this paper investigates whether the beginning phase of these sojourners was euphoric or anxious in nature. The findings revealed that they had varied experiences and even mixed experiences that were both pleasant and/or unpleasant which were in turn determined by their individual differences and personal experiences. Another salient finding of this study was that the psychological side of the sojourn starts much before the students have even first set foot in the UK. This could serve as a basis for further research and to conceptualise a model of cultural adjustment that takes into account the impact of the pre-arrival phase on the overall sojourn experience.