Letting go: some thoughts about termination

Termination of analysis is discussed from three perspectives. First, considered as a vicissitude of the analytic relationship, termination contains essential elements of the psychoanalytic process itself. Cycles of attachment, loss, mourning, and internalization mark moments in, as well as overviews of, every analysis from its beginning to well past its termination. Second, Freud's approach to the subject of termination is explored and widened, with an emphasis on its relation to mourning and on the depth and permanence of analytic transference--two dimensions relatively neglected by Freud, perhaps for personal reasons. Finally, clinical issues are presented that are meaningful to the author in his work with analysands, including his work as a training analyst.     

Home cage testing of delay discounting in rats

Testing rodents in their home cages has become increasingly popular. Since human intervention, handling, and transport are minimized, behavior can be recorded undisturbed and continuously. Currently existing home cage systems are too complex if only relatively simple operant-learning tests are to be carried out in rats. For that purpose, a new low-cost computer-controlled operant panel was designed, which can be placed inside the home cage. A pilot study was carried out, using an intolerance-to-delay protocol, classically developed for testing behavioral impulsivity. Male adult rats were tested in their home cages, containing the operant panel provided with nosepoking holes. Nose poking in one hole resulted in the immediate delivery of one food pellet (small-soon, SS), whereas nose poking in the other hole delivered five food pellets after a delay (large-late), which was increased progressively each day (0–150 sec). The two daily sessions, spaced 8 h apart, lasted 1 h each, and the time-out after food delivery was 90 sec. A clear-cut shift toward preference for SS, which is considered a classical index of cognitive impulsivity, was shown at the longest delay. It is noteworthy that rats shifted when the delay interval was longer than the mean intertrial interval—that is, when they experienced more than one delay-equivalent odds against discounting (see Adriani & Laviola, 2006). The shortened training (2 days) and testing (5 days) phases, as allowed by prolonged and multiple daily sessions, can be advantageous in testing rodents during selected short phases of development. Current research is focusing on further validation of this and similar protocols.     

Letting go of little Albert: disciplinary memory, history, and the uses of myth

In 2009 American Psychologist published the account of an attempt to identify the infant “Albert B.,” who participated in Watson and Rayner's study of the conditioning of human fears. Such literal interpretations of the question “Whatever happened to Little Albert?” highlight the importance of historical writing that transcends the narrowly biographical and that avoids the obsessive hunt for “facts.” The author of a 1979 study of how secondary sources have told the story of Little Albert relates his attempts to purge incorrect accounts of that story from college textbooks. He renounces such efforts as misguided and suggests that myths in the history of psychology can be instructive, including the myth that the identity of Little Albert has been discovered. © 2011 Wiley Periodicals, Inc.     

Timing of retirement: Including a delay discounting perspective in retirement models

This research examined the influence of delay and anticipated health and enjoyment on the amount of retirement savings sacrificed for early retirement. In addition to testing and supporting predictions that willingness to sacrifice retirement savings would be less with shorter delays to retirement, greater anticipated health, and greater anticipated enjoyment, an individual difference delay discounting measure derived from experimental studies was used to extend the Beehr, Glazer, Nielson, and Farmer’s (2000) model of retirement age. We predicted and found that oldest preferred retirement age related to personal characteristics, current work factors, future retirement factors, and individual differences in delay discounting, with greater delay discounting being associated with a younger preferred retirement age. Findings suggest that delay discounting is an important consideration in retirement planning and also highlight the significance that retirement expectations and being tired of work have in affecting one’s preferred retirement age.     

Behavioral trainings and manipulations to reduce delay discounting: A systematic review

In everyday decision-making, individuals make trade-offs between short-term and long-term benefits or costs. Depending on many factors, individuals may choose to wait for larger delayed reward, yet in other situations they may prefer the smaller, immediate reward. In addition to within-subject variation in the short-term versus long-term reward trade-off, there are also interindividual differences in delay discounting (DD), which have been shown to be quite stable. The extent to which individuals discount the value of delayed rewards turns out to be associated with important health and disorder-related outcomes: the more discounting, the more unhealthy or problematic choices. This has led to the hypothesis that DD can be conceptualized as trans-disease process. The current systematic review presents an overview of behavioral trainings and manipulations that have been developed to reduce DD in human participants aged 12 years or older. Manipulation studies mostly contain one session and measure DD directly after the manipulation. Training studies add a multiple session training component that is not per se related to DD, in between two DD task measurements. Ninety-eight studies (151 experiments) were identified that tested behavioral trainings and manipulations to decrease DD. Overall, results indicated that DD can be decreased, showing that DD is profoundly context dependent and changeable. Most promising avenues to pursue in future research seem to be acceptance-based/mindfulness-based trainings, and even more so manipulations involving a future orientation. Limitations and recommendations are discussed to identify the mechanistic processes that allow for changes in discount rate and behavior accordingly.

     

Letting them go - The short-term treatment of an adolescent at risk

This paper is based on my experience of working in an outpatient centre for adolescents at risk in a North London borough. The paper focuses on the pressures encountered when adolescent patients want to stop treatment prematurely, and on the risks of re-enactment in the transference. Clinical material is presented from the treatment of an adolescent girl who resorted to cutting herself when she had to face new developmental stages. Her unresolved Oedipal anxieties as well as possible meanings of the nature of her self-destructive behaviour are explored. Finally I attempt to explore how my struggles with letting her go contributed to her psychic development, which has continued since the end of the therapy.     

Reduced goal specificity is associated with reduced memory specificity in depressed adults

Models of autobiographical memory suggest a close association between memories, future imagination and setting specific personal goals. However this association has yet to be tested with depressed individuals. The aim of this study was to examine whether the specificity of remembering past and imagining future personal events is associated with the specificity of approach and avoidance goals in depressed individuals. Two samples comprising adults who met criteria for major depressive disorder (MDD; N=30) and adults who had no prior history or current depression (N=30) completed autobiographical memory and future event tests, and a personal goal task. In the depressed sample, the specificity with which participants remembered the past was significantly associated with the specificity with which they generated future goals. The depressed sample also elicited fewer specific approach and avoidance goals compared to the non-depressed sample. These findings suggest that an overgeneral memory deficit extends to impairments in goal specificity.     

Greater delay discounting among girls,but not boys,with ADHD correlates with cognitive control

Cognitive neuroscience models suggest both reward valuation and cognitive control contribute to reward-based decision-making. The current study examined the relationship between cognitive control and delay discounting (i.e., choosing smaller, immediate over larger, delayed rewards) in a large sample of boys and girls diagnosed with attention-deficit/hyperactivity disorder (ADHD; N = 95) and typically developing control children (TD; N = 59). Specifically, we examined performance on multiple measures of cognitive control (i.e., Go/No-Go task, Stop Signal task, and Spatial Span task) and delay discounting (i.e., Classic Delay Discounting and Real-Time Delay Discounting tasks), as well as the relationship between these measures. Results indicated that sex moderated the effects of group on task performance. Specifically, girls with ADHD, but not boys with the disorder, exhibited atypical delay discounting of real-time rewards. Results from correlational analyses indicated that delay discounting and cognitive control were not significantly correlated in the overall sample. Multiple regression analyses demonstrated that among girls with ADHD poorer spatial working memory and inhibitory control predicted greater real-time discounting. Collectively, findings provide support for distinct patterns of cognitive control and delay discounting among school-aged girls and boys with ADHD. Additionally, findings suggest that among girls with ADHD, those who exhibit relatively poor working memory and inhibitory control might be a particularly vulnerable subgroup with the greatest propensity to exhibit maladaptive decision-making.     

Methodological considerations in the study of delay discounting in intertemporal choice: A comparison of tasks and modes

An experimental comparison of two commonly used delay-discounting procedures (binary choice and fill in the blank) and modes of administration (paper and pencil and computer based) was conducted. Statistically significant main effects were found for task type—steeper discounting was observed in the binary-choice task— but not for mode of administration. As simple evidence of validity, hyperbolic curves consistently provided a better fit to the data than did exponential curves for both tasks. Further, magnitude effects were also observed across conditions. Correlational results varied largely as a function of the discounting index (either k or area under the curve) under consideration. Across the two tasks, discounting indices showed modest levels of reliability [r(AUC)=.33; r(k)=.75]. The findings pointed to refinements for both the methodology and criteria that are used to study delay discounting and raised questions about the commonly assumed relationship between discounting and the construct of impulsivity.     

The need of young adults to text now: Using delay discounting to assess informational choice

This study examined the value of responding immediately to a text or call and the ability to wait. The willingness to delay texting or calling for a larger monetary reward was compared with delay tolerance for monetary rewards alone. The results of two experiments showed no differences in the qualitative shape of the delay discounting functions, indicating a similar decision-making process for informational (texting or calling) and monetary decisions. Data in the second experiment showed that the degree of delay tolerance varied as a function of the social distance of the texting partner, indicating a strategic decision-making process in informational decisions. However, the time course of loss of value for informational versus monetary rewards revealed substantial quantitative differences. While money loses value on the time span of weeks, information loses value within minutes, which may explain why behaviors like texting often occur in inappropriate situations and may seem like addictions.     

Letting go of yesterday: Effect of distraction on post-event processing and anticipatory anxiety in a socially anxious sample

According to cognitive models, post-event processing (PEP) is a key factor in the maintenance of social anxiety. Given that decreasing PEP can be challenging for socially anxious individuals, it is important to identify potentially useful strategies. Although distraction may help to decrease PEP, the findings have been equivocal. The primary purpose of this study was to examine whether a brief distraction period immediately following a speech would lead to less PEP the next day. The secondary aim was to examine the effect of distraction following an initial speech on anticipatory anxiety for a second speech, via reductions in PEP. Participants (N = 77 undergraduates with elevated social anxiety; 67.53% female) delivered a speech and were randomly assigned to a distraction, rumination, or control condition. The following day, participants reported levels of PEP in relation to the first speech, as well as anxiety regarding a second, upcoming speech. As expected, those in the distraction condition reported less PEP than those in the rumination and control conditions. Additionally, distraction following the first speech was indirectly related to anticipatory anxiety for the second speech, via PEP. Distraction may represent a potentially useful strategy for reducing PEP and other maladaptive processes that may maintain social anxiety.     

Mind-wandering: phenomenology and function as assessed with a novel experience sampling method

Mind-wandering refers to the occurrence of thoughts whose content is both decoupled from stimuli present in the current environment and unrelated to the task being carried out at the moment of their occurrence. The core of this phenomenon is therefore stimulus-independent and task-unrelated thoughts (SITUTs). In the present study, we designed a novel experience sampling method which permitted to isolate SITUTs from other kinds of distractions (i.e., irrelevant interoceptive/exteroceptive sensory perceptions and interfering thoughts related to the appraisal of the current task). In Experiment 1, we examined the impact of SITUTs on the performance of the Sustained Attention to Response Task (SART; a Go/No-Go task). Analyses demonstrated that SITUTs impair SART performance to the same extent as irrelevant sensory perceptions. In Experiment 2, we further examined SITUTs in order to assess the possible functions of mind-wandering. We observed that the content of most of reported SITUTs refers to the anticipation and planning of future events. Furthermore, this “prospective bias” was increased when participants' attention had been oriented toward their personal goals before performing the SART. These data support the view that an important function of mind-wandering relates to the anticipation and planning of the future.     

Temporal discounting when the choice is between two delayed rewards

The present experiments extend the temporal discounting paradigm from choice between an immediate and a delayed reward to choice between 2 delayed rewards: a smaller amount of money available sooner and a larger amount available later. Across different amounts and delays, the data were consistently well described by a hyperbola-like discounting function, and the degree of discounting decreased systematically as the delay to the sooner reward increased. Three theoretical models (the elimination-by-aspects, present-value comparison, and common-aspect attenuation hypotheses) were evaluated. The best account of the data was provided by the common-aspect attenuation hypothesis, according to which the common aspect of the choice alternatives (i.e., the time until the sooner reward is available) receives less weight in the decision-making process.     

Salivary progesterone is associated with reduced coherence of attentional, cognitive, and motivational systems

The present study tested whether the hypothesis that high levels of progesterone (P) have a decoupling effect on the function of the brain hemispheres (Hausmann & Gunturkun, 2000) also extends to attentional functions, referential connections between verbal and nonverbal representations and the degree to which implicit motivational needs match a person's explicit goal commitments. Participants (28 women on oral contraceptives, 14 naturally cycling women, 50 men) completed the Lateralized Attention Network Task (Greene et al., 2008), a measure of the alerting, orienting, and conflict-resolution functions of attention for each hemisphere; a measure of referential competence (i.e., the ability to quickly name nonverbal information); a measure of the implicit motives power, achievement, and affiliation; and a content-matched personal goal inventory. In addition, they provided a saliva sample that was assayed for P and cortisol (C). Higher levels of P were associated with lower interhemispheric correlations for alerting and orienting, but with a higher correlation of conflict-resolution performance. Higher P was also associated with longer interhemispheric transfer time, lower congruence between implicit motives and explicit goal commitments and, after controlling for C, with lower referential competence. These results suggest that (a) P is associated with the degree to which attentional functions are correlated between hemispheres, although in a different direction for more posterior (alerting and orienting: decoupling) than for more anterior functions (conflict resolution: coupling), (b) that high P is associated with other indicators of reduced functional coherence between cognitive systems (longer interhemispheric transfer time, lower referential competence), and (c) that high P is also associated with low coherence between implicit and explicit motivational systems.     

Individual differences in delay discounting: relation to intelligence, working memory, and anterior prefrontal cortex

Lower delay discounting (better self-control) is linked to higher intelligence, but the basis of this relation is uncertain. To investigate the potential role of working memory (WM) processes, we assessed delay discounting, intelligence (g), WM (span tasks, 3-back task), and WM-related neural activity (using functional magnetic resonance imaging) in 103 healthy adults. Delay discounting was negatively correlated with g and WM. WM explained no variance in delay discounting beyond that explained by g, which suggests that processes through which WM relates to delay discounting are shared by g. WM-related neural activity in left anterior prefrontal cortex (Brodmann's area 10) covaried with g, r= .26, and delay discounting, r=-.40, and partially mediated the relation between g and delay discounting. Overall, the results suggest that delay discounting is associated with intelligence in part because of processes instantiated in anterior prefrontal cortex, a region known to support the integration of diverse information.     

Threatened to distraction: Mind-wandering as a consequence of stereotype threat

Two experiments tested the hypothesis that the threat of a negative stereotype increases the frequency of mind-wandering (i.e., task-unrelated thought), thereby leading to performance impairments. Study 1 demonstrated that participants anticipating a stereotype-laden test mind-wandered more during the Sustained Attention to Response Task. Study 2 assessed mind-wandering directly using thought sampling procedures during a demanding math test. Results revealed that individuals experiencing stereotype threat experienced more off-task thoughts, which accounted for their poorer test performance compared to a control condition. These studies highlight the important role that social forces can have on mind-wandering. More specifically, these results serve as evidence for task-unrelated thought as a novel mechanism for stereotype threat-induced performance impairments.     

Letting go of your dreams—Adjustment of child-related goal appraisals and depressive symptoms during infertility treatment

To examine the adjustment of child-related goal appraisals during infertility treatment and whether such adjustment contributes to depressive symptoms 178 (86 men, 92 women; age for women M = 33.92, SD = 0.34, for men M = 35.68, SD = 0.45) patients at an Infertility Clinic filled in child-related goal appraisal questionnaires six times: (1) before starting the hormone injections, (2) before the oocytes were retrieved, (3) after embryo transfer, (4) the day when the pregnancy test was done, and (5) two and (6) six months after the infertility treatment. At the first and last measurement times they filled in questionnaire on depressive symptoms. Appraisals concerning child-related goal changed in tandem with the treatment result, and goal adjustment had an effect on depressive symptoms.     

Reformative self‐control and discounting of reward value by delay or effort1

Abstract: The relation between reformative self‐control and discounting of reward value by delay or effort was examined. Thirty‐two Japanese undergraduates were selected based on their scores on a standardized pencil and paper test of self‐control, the Redressive–Reformative Self‐Control Scale ( Sugiwaka, 1995 ). The subjects indicated their preference (i) between a hypothetical 100 000 yen reward available with various delays and a certain reward of variable amount available immediately; or (ii) between a hypothetical 100 000 yen reward available with various efforts and a certain reward of variable amount available without effort. The discounting of delayed reward value was described well by a hyperbolic function proposed by Mazur (1987 ). The slopes of the delayed discounting curves were steeper for subjects who scored low on the Reformative Self‐Control Scale, which is a measure of reformative self‐control and a subscale of the Redressive–Reformative Self‐Control Scale. The discounting by effort was also described well by the hyperbolic function. The slopes of the effortful discounting curves did not correlate to those of the delayed discounting curves. The slopes were not systematically different across the groups of subjects with different scores on the reformative self‐control scale.