Exploring the process of progressive disorientation

While an increasing number of behavioral studies examining spatial cognition use experimental paradigms involving disorientation, the process by which one becomes disoriented is not well explored. The current study examined this process using a paradigm in which participants were blindfolded and underwent a succession of 70° or 200° passive, whole body rotations around a fixed vertical axis. After each rotation, participants used a pointer to indicate either their heading at the start of the most recent turn or their heading at the start of the current series of turns. Analyses showed that in both cases, mean pointing errors increased gradually over successive turns. In addition to the gradual loss of orientation indicated by this increase, analysis of the pointing errors also showed evidence of occasional, abrupt loss orientation. Results indicate multiple routes from an oriented to a disoriented state, and shed light on the process of becoming disoriented.     

A threshold approach to understanding the origins of attachment disorganization

Disorganized attachment in infancy is known to predict a wide range of maladaptive outcomes, but its origins are poorly understood. Parental lack of resolution concerning loss or trauma has been proposed to result in atypical parenting behaviors, which in turn have a disorganizing effect on the parent-child relationship. The authors review the evidence for this transmission pathway, considering other factors (e.g., social environment, child characteristics) that might enrich understanding of the antecedents of disorganization. A threshold approach is proposed to explain (a) why different parental behaviors are linked to disorganization depending on prevailing social conditions and (b) why certain children appear more vulnerable to forming a disorganized attachment relationship.     

Eye movements in action disorganization syndrome: A single case analysis

This study examines eye movements made by a patient with action disorganization syndrome (ADS) as everyday tasks are performed. Relative to both normal participants and control patients, the ADS patient showed normal time-locking of eye movements to the subsequent use of objects. However, there were proportionately more unrelated fixations, and more fixations concerned with locating objects irrelevant to the immediate action, compared with control participants. The data suggest a dissociation between normal eye movement patterns for control of visually guided actions such as reaching and grasping, and abnormal eye movements between object-related fixations. The implications for understanding ADS are discussed.     

Psychotherapy of a man with panic,somatization, and traumatic anxiety: A psychoanalytic case study

This is the case of a 42-year-old Englishman who suffers from acute anxiety attacks and panic episodes. His professional life is severely limited because he cannot tolerate separation from home and family. The relationship between himself and the significant others in his life has deteriorated and he is continually made to feel like the inadequate outsider. The roots of the psychopathology presented in adulthood are frequently found buried in the past. In this case, the traumatic episodes experienced in the first five years of life are being replayed over and over in the present. Whether he is home watching television, driving to work or in a store with other shoppers, he is alone—deserted, abandoned, lost. The first five years of this man's life were spent on an island during World War II. He experienced nightly bombardments. The patient recovers fragments of past episodes: darkness, lonely roads, uniformed men and the overriding feeling of helplessness. As he proceeds through his analysis, the shadowy places become illuminated for brief moments, as he relives the feelings of the past as they seem to be reenacted before him.     

Behavioral disorganization in schizophrenia during a daily activity: the kitchen behavioral scoring scale

Executive dysfunction has been extensively described in schizophrenia and has been found to correlate with the negative symptoms of the disease. However, executive dysfunction is usually assessed by cognitive tests, and these are not necessarily good predictors of an individual's daily functioning. This study aimed to discover whether executive dysfunction in schizophrenia can be measured by analyzing a daily routine such as cooking a meal. Behavior was scored on the basis of the optimal sequence of macrostructures (order of dishes) and microsteps (order of actions) that must be performed to prepare the meal in a minimum of time and with the smallest delay between the completion of the first and last dishes. The results showed that patients with schizophrenia make macrostructure but not micro-step sequencing errors. The number of repetitions and omissions and the delay between the completion of the first and last dish were all greater in patients than in control subjects. In patients with schizophrenia, but not in normal controls, these behavioral malfunctions were significantly correlated with both negative symptoms and performance on the executive tasks. Poor performance on the memory tests was not correlated with the behavioral malfunction. Therefore, daily functioning in schizophrenia may be specifically influenced by executive dysfunction in schizophrenia, and this can be quantitatively assessed with a behavioral scale of action sequences.     

Career counselling: A process in process

Career counselling, career guidance, and career interventions are terms in the process of evolution. Historical and contemporary factors in the US experience that have changed and expanded the needs for career counselling and related career interventions are discussed. For many work-adjustment problems, in particular, there is a growing acknowledgement that career and personal counselling must fuse. Where this fusion occurs, on a continuum from choice, indecision, and situational concerns to change, indecisiveness, and personal concerns, is analysed.     

Diagnosis of posttraumatic stress disorder with the MMPI: PK scale scores in somatization disorder

Clinic patients with diagnoses of either major depression or somatization disorder were given the MMPI. Women with somatization disorder had high scores on Keane's MMPI scale (PK) for posttraumatic stress disorder. Following the procedure for the MMPI-2 (46 of the 49 PK items and MMPI-2 norms), 59% of the women with somatization disorder and 21% of the women with major depression would have T scores > or = 65 on the MMPI-2 scale although none of them were known to have developed psychiatric disorder after exposure to a life threatening event. The PK scale has little use in the differential diagnosis of women patients with somatization disorder.     

Equanimity: The somatization of a moral sentiment from the eighteenth to late twentieth century

Over the past 40 years, mindfulness‐based therapies (MBTs) have gained a reputation among the biomedical community for their ability to contribute to health, mental capital, and human flourishing. Recently, however, critical mindfulness scholars have questioned the moral import of MBTs, claiming that, in modernizing meditation, they strip Buddhist practices of their ethical and soteriological content. Inspired by Harrington and Dunne's (2015, p. 630) recent call to historicize this present discontent, I offer an account for this perceived “de‐ethicization” of mindfulness, locating it in a long history of changes in the ontological infrastructures supporting moral reasoning from the eighteenth century onwards. Through the example of equanimity—a virtue that has been a part of Western and Eastern character ethics and theories of flourishing from the ancient period to the modern age—I show how, from the eighteenth century, research in the natural sciences on nervous diseases, stress, and relaxation, provided a frame for rethinking moral equanimity as a somatic experience of physiological calm. This transformation reaches its peak in the late twentieth century in research on mindfulness, which builds upon that tradition by folding into its ambit Eastern conceptions of equanimity as well. Insofar as modern MBTs continue to somatize moral virtues, I argue that they raise questions about the degree to which they are conducive to human flourishing and well‐being, as opposed to the related but narrower notions of health and mental capital.     

Cognitive-affective neuroscience of somatization disorder and functional somatic syndromes: reconceptualizing the triad of depression-anxiety-somatic symptoms

Somatization disorder is a somatoform disorder that overlaps with a number of functional somatic syndromes and has high comorbidity with major depression and anxiety disorders. Proposals have been made for revising the category of somatoform disorders, for simplifying the criteria for somatization disorder, and for emphasizing the unitary nature of the functional somatic syndromes in future classifications. A review of the cognitive-affective neuroscience of somatization disorder and related conditions suggests that overlapping psychobiological mechanisms mediate depression, anxiety, and somatization symptoms. Particular genes and environments may contribute to determining whether symptoms are predominantly depressive, anxious, or somatic, and there are perhaps also overlaps and distinctions in the distal evolutionary mechanisms that produce these symptoms.     

Couple interaction: A study of the punctuation process

This study examined couples' punctuation of their own interactions. The association between causal explanations for the interactions on issues involving differences and the nature of relatedness (i.e., degree of distress) was the major purpose of the study. Punctuation was defined as a way of grouping sequences of interactions. Punctuational differneces were operationalized by measuring couples' causal explanations and attributions of responsibility concerning their own interactions. Twenty distressed and non-distressed couples, matched on age, income, education, and length of relationship, participated in an intensive 3-hour interview conducted at their homes. Two relationship measures to determine the degree of distress were administered. The interview involved: generating issues of important differences, improvisational role plays of interactions, responses to open-ended questions about self and other perspectives, and rankings of causal explanations and attributions of responsibility about the interactions. The results suggested that the nature of relatedness, as defined by degree of distress, was associated with the punctuation of interactions by the communicators, tentatively supporting the Watzlawicket al. (1967) metacommunicational axiom. The main finding was that distressed couples attributed responsibility to the mate rather than self, whereas in nondistressed douples responsibility was shared.This article is based on a doctoral dissertation submitted to the University of Massachusetts, Amherst. The senior author is affiliated with the Department of Psychiatry, University of California, San Francisco     

Social and individual determinants of infant attachment security and disorganization

The aim of this study was to assess individual and social antecedents of attachment security and attachment disorganization of infants as assessed by the Strange Situation. Observations from two longitudinal studies, with a parallel assessment schedule yielding a total sample of 88 infant-mother pairs, formed the database of the study. Newborn behavioral organization, in terms of orienting ability and regulation of state, and maternal sensitivity assessed several times during the infant's first year were used to predict the security of infant-mother attachment and the status of disorganization of attachment behavior strategies at the age of 12 months. Whereas attachment security was significantly associated only with maternal sensitivity, the status of disorganization was only predicted by newborn behavioral organization. The findings are discussed with respect to specific assumptions about individual and social contribution to the development of infant-mother attachment on the background of maternal attachment representation.     

Studying the vocational counseling process: A preliminary examination

In this study, we examined the effects of counselor empathic and coping/mastery self-disclosure statements on clients' impressions of an initial vocational counseling interview. A primary purpose of our study was to reconsider one aspect of the investigation of Watkins et al(1990), in which the counselor responses of self-disclosure, self-involvement, empathy and open question were found to have no differential effects on clients' impressions of vocational counseling. Even though we attempted to provide a more specific test of empathy versus self-disclosure responses, we for the most part also obtained a general lack of significance on the dependent variables. In conjunction with Watkins et al.'s findings, we provide some discussion of our results, and their potential meanings for vocational counseling and future vocational counseling research.     

Group process: A developmental view

Group process is a phenomenon which is still only partly understood. This paper investigates different factors which might contribute to group process and possible group developmental sequences. Theoretical ideas are illustrated in the context of a two-day therapeutic group experience.     

Beyond abuse: the association among parenting style, abdominal pain, and somatization in IBS patients

This study assessed the relative strength of the association between abuse, negative parenting style, and somatization in irritable bowel syndrome (IBS) patients. Drawing from preclinical stress physiology and abuse research identifying the family social climate as a frequently stronger and independent determinant of long-term health effects than abuse-specific variables, we predicted that negative parenting behaviors would more strongly correlate with somatization than abuse. Subjects were 81 consecutively evaluated patients, who at baseline underwent psychological testing, measuring perceived parental style, abuse history, somatization, and pain. Although abuse correlated with maternal and paternal rejection, abuse was not associated with somatization. Higher levels of rejection and/or hostility among fathers (not mothers) were more strongly correlated with somatization than was abuse. Further, paternal parenting behaviors were more predictive of somatization than abuse, age, and gender. The lack of an association between abuse and somatization is discussed in light of limitations of biopsychosocial IBS models, whose strong focus on "pathological stressors" (e.g., abuse, trauma) as risk factors may overlook the importance of "less extreme" parenting variables in influencing somatic complaints. The relationship between parenting and somatization is discussed in the context of broader behavioral science research linking disruptions in the quality of parenting to dramatic and long-term changes in patterns of stress reactivity and brain abnormalities seen in IBS patients.