Steady happiness on a wheel-chair. Denial,masochism or after-effects of a near-death experience?

The author describes his weird affective condition of steady happiness, after a severe haemorrhagic stroke, that brought to a sudden stop of all his professional activities and caused multiple severe motoric symptoms. The author suggests that his affective state, wholly different from his baseline condition before the stroke, is very close to what is reported by survivors of near-death experience (NDE), as long-time after-effects of the experience. Therefore, it is suggested that the psychoanalyst, in confronting with weird conditions of well-being, should consider the possibility of after-effects of an NDE, alongside with the operation of primitive defences.     

An epistemological history of time: From technology to representations

Abstract

This paper attempts to link the social history of the mechanization of time with the history of the psychological notion of time. Historical processes such as the mechanization of tower clocks from the Middle Ages onwards, the reform of the Gregorian calendar and the quarrel of the Christian and Chinese calendars characterized the modern representation of time on three points: isochrony, desacralization and abstraction. While Western societies learned to domesticate the practical aspects of time, the scholars of the Enlightenment naturalized time. They considered it a concept only related to man and used quantified time for scientific purposes. Empiricists saw time as a product of the succession of thought while idealists considered it a form necessary for the human experience to occur. Both trends agreed in removing time from nature and accepted isochrony, desaralization and abstraction as the necessary foundation for the modern notion of time.     

Bearing bad news: Dealing with the mimics of denial

Denial is a common label for certain reactions to bad news. However, true denial is rare, and most cases actually represent a variety of responses with very different causes and needs. Three of these, disbelief, deferral, and dismissal, are characterized according to origins and needs. Failure to differentiate between these seemingly similar behaviors can result in inappropriate counseling, and interfere with attempts to convey information and provide support during a time of crisis.     

The explosion of the present and the encapsulation of time: Transference phenomena in the analysis of a psychotic patient

The paper deals with some basic problems concerning the experience of time and space in the psychoanalytic treatment of psychotic patients. Whereas borderline patients tend to distort the experience of time and space under emotional pressure, the concepts of time and space seem to dissolve in acute psychotic states of mind. Sometimes this manifests itself in an explosion of the present, where the past is ubiquitous and the future is perceived as the end of all times. The case of a 48 year‐old patient with the external diagnosis of ‘paranoid–hallucinatory schizophrenia’ is presented to illustrate that the main task is to recreate a structure to contain the experience of space and time. Such a development may occur if primitive psychotic anxieties can be taken up and metabolized. A near‐psychotic decompensation before the first break and the development of a transference psychosis in the second year of the analysis are depicted in detail. Subsequently some developments became visible which helped the patient to better tolerate catastrophic fears of loss. This included the formation of a structure which the patient called ‘hibernation’ enabling her to psychically survive without falling apart. By retreating into her ‘time capsule’ she managed to overcome breaks and to delay her fears of fragmentation until they could be taken up and worked through in the transference. The creation of a structure like the patient's ‘time capsule’ is considered to be an attempt to construct the experience of time and space. It prevented a collapse of her internal space thereby enabling further steps towards thinking and symbolization. In conclusion, some theoretical and clinical aspects are discussed including the role of the countertransference.     

An exploratory study of psychodynamic therapists’ working with people with multiple sclerosis

There is little published on working psychodynamically with chronic illness and even less on the clinical insights of therapists working with people with multiple sclerosis. The objective of this study was to consider therapists’ reflections on the impact of multiple sclerosis on the internal worlds of clients with multiple sclerosis. I would also like to think about the challenges multiple sclerosis presents and how these challenges are worked with therapeutically. Finally, the impact of my multiple sclerosis diagnosis upon the research interviews was considered. Twelve counsellors / psychotherapists who had experience of working with clients with multiple sclerosis were interviewed. Data was analysed thematically and the findings revealed a number of significant themes. Denial appeared significant both for those with multiple sclerosis and those therapists working with them. Therapists also identified that people with multiple sclerosis hold a range of conscious and unconscious feelings in relation to their multiple sclerosis. Also, the meanings and impact of multiple sclerosis are broad and idiosyncratic. Therapists also faced a number of challenges in their work with people with multiple sclerosis: powerful countertransference feelings which could disable the therapy, embodied countertransference, the tendency to make generalisations, the physical reality of multiple sclerosis and its impact upon continuity, therapists’ unconscious phantasy and associations which if unaddressed could impact their ability to work with illness and the pressure multiple sclerosis placed on therapeutic boundaries. Therapists within the study recognised the need to work with both the physical reality of multiple sclerosis, as well as its psychological impact while at the same time keeping themselves open to powerful countertransference feelings and using them in the service of the therapy. The study has implications for theory, practice and future research.     

The memory‐impairing effects of simulated amnesia for a mock crime

The present study examined whether mock offenders, who were instructed to falsely deny crime details or to simulate amnesia, would consequently experience impaired memory. Ninety‐three university students were first asked to commit a mock crime and were then assigned to three different conditions (i.e., false denial, simulated amnesia, and truth telling) and then received the first memory test. The following day, participants completed a second memory test. Results showed that the memory impairment was not observed in participants in the false denial condition. However, in the simulated amnesia group, memory about being interviewed in the first session was impaired. The simulated amnesia group also had lower recollection and belief ratings in the occurrence of true details for the mock event. Findings suggest that after simulating amnesia, offenders can forget details related to the interview and exhibit diminished ratings for the recollection of and belief in their memory for experienced events.     

Experience Sampling Methodology reveals similarities in the experience of passage of time in young and elderly adults

Many people accept the idea that time seems to pass more quickly as they get older, as if this is a psychological reality. However, systematic investigations of differences in judgments of passage of time between young and elderly people are very rare and contradictory. The present study examined the experience of passage of time in daily life in young and elderly people using Experience Sampling Methodology (ESM), with 8 alerts per day for 5 days being delivered by smartphones. At each alert, a short questionnaire was filled in, asking questions about passage of present time, affective state, arousal level, and attention to current activities, among others. Our ESM study found no difference between the young and the old participants in the judgment of passage of present time. Irrespective of the participants' age, the experience of passage of time in every-day life was significantly related to affective states and current activities when they captured attention.     

“时间流”:概念、维度及影响因素初探

"时间流"(timeflow)是指从行为体验的角度来定义时间,即个体在当前某项活动中所感知到行为体验的时间过程,塑造"时间流"的维度包括:外部场景的塑造、自身肢体动作的配合、活动规则的初步感知、目标情感的逐渐融入、文化喻义的深入联想。影响个体"时间流"的主要因素包括感知和情绪,"时间流"也会影响消费体验和幸福体验。未来应关注时间"双扭结"价值函数如何影响人们的行为决策及验证"时间流"五个维度之间的耦合关系。     

听觉经验缺失对时距估计影响的实验研究

采用复制法,通过聋人与听力正常人时距估计的对比实验研究,结果发现听觉经验缺失对时距估计有一定的影响：（1）两类被试在2000ms和10000ms的时距估计中,再现时距的平均数表现出了显著性差异。听力正常被试倾向于低估时距,聋人被试倾向于高估时距。（2）聋人被试不同时距再现相对误差率之间不存在显著性差异;听力正常被试时距再现相对错误率在2000ms与10000ms、30000ms存在显著差异,10000ms和30000ms之间差异不显著。     

Unawareness of Deficits in Alzheimer's Disease and Other Dementias: Operational Definitions and Empirical Findings

Individuals with dementia frequently demonstrate decreased awareness of their cognitive difficulties. Empirical research examining this phenomenon has addressed a number of aspects of unawareness in Alzheimer's disease and other dementias, including occurrence in various disorders; possible neuroanatomical substrates; relationship to general cognitive functioning, executive functioning, and psychiatric symptomatology; and progression over time and across cognitive domains. Limitations of the current research literature are discussed, particularly issues surrounding operational definitions of unawareness and the current limited understanding of the role of the frontal lobes. A number of conclusions regarding unawareness that appear to be supported by the current body of empirical research and possible future directions are discussed.     

'Reverberation time', dreaming and the capacity to dream

In this paper the author suggests that understanding the roots of the subjective sense of time can throw light on the disturbances in psychic time which are found in particular in the more severe pathologies. She introduces the argument that the roots of the development of the sense of time rest on a primitive sense of time she calls 'reverberation time'. By this notion she refers to the particular quality of the earliest 'back and forth' internalized exchange with the mother in which the auditory dimension plays a significant part. Referring to a wide range of literature and clinical examples, the author thus suggests that the subjective sense of time is created by the reverberation between mother and infant. Disturbances in this area will be reflected in the pathological 'arresting' of time which is observed in the different pathologies and, in particular, around the negotiation of the depressive position and the oedipal situation. Extending this argument, the author goes on to suggest that it is the internalization of this experience of 'reverberation' which lies at the heart of the experience of dreaming; she considers that dreaming understood as an internal dialogue points both to its roots in the relationship to the maternal object and to its fundamental role in psychic life. The author concludes that 'reverberation time' is also the building block of a psychoanalysis, leading to 'unfreezing' psychic time and enabling the reconnection of 'here and now' with 'there and then' in a flexible way which promotes open possibilities, and that this takes place via the analyst's reverie, or time of reverberation.     

Three fragments on trauma and time

How does trauma influence a client and a therapist’s experience of time in time-limited therapy? The therapist must first work to understand and remain responsive to the different registers of time now operative following the traumatic event. This paper contends that in the immediacy of trauma, hallucinatory wish-fulfilment oblivious to the structuring conditions of time and space appears to dominate. In chronic traumatic states, time appears to circle in a narrow compass, buffering between a cluster of moments surrounding and including the moment of traumatic rupture – as if struggling to re-establish a secure connection with linear time. The three clinical fragments presented attempt to describe different experiences of traumatic bereavement and the felt movement of time within them. The death of another confronts us not only with their loss but with our own mortality – the time we have lived and the time we have left. It is not surprising, therefore, that an individual's otherwise fluid transitions between different temporalities are disturbed in the aftermath of traumatic bereavement. The therapist’s capacity to regulate tempo when the client’s subjective experience of time is dysregulated offers an important means of containment. The aim of the therapist working with the traumatically bereaved client is to develop collaborative understanding to get thinking moving again and to gradually help the client unpin time, moving it beyond the confines that it occupies in trauma.     

Reflections on coma: Man deprived of his consciousness

In this paper the authors reflect on the phenomena produced by the surprising communication between the unconscious of a therapist and that of a comatose patient. In a particularly disturbing context, when the patient’s sternum is open and exposed, the therapist communicates empathically with the comatose person, identifying the patient’s inexpressible experience and generating signs of a response from him in the form of the blinking of his eyelids. The absence of any reaction to pain, a pathognomonic sign of the comatose condition, could be related to the splitting‐off of the trauma, as if the situation were frozen, through a denial of the sensory and neurological perception of pain – a kind of self‐anaesthesia as a defence against the catastrophic anxieties raised by the threat of the return of the primary trauma. Starting from this encounter a relationship is formed whose guiding thread emerges in the shared illusion of a regression that makes it possible. It involves a process of returning to the past and a re‐actualization of the past that includes the question of its change through representation.     

Robert Burns in the counsellor's chair: A socio-cultural analysis of the Burns myth

To illustrate how difficult endings are, this paper first cites an Italian therapist's experience of the use of time with university students in Naples and then associates to contrasting examples in the novel, art, music and the cinema. It uses a dialogue about ending in the film Brief Encounter as a possible paradigm for what is needed in brief therapy. It then refers to the work of James Mann on different experiences of time which underlie the resistance to brief work. How can brief therapy contain the paradox between finite and infinite time? Incorporating another model of therapeutic intervention with the use of Milton Erickson's attitude to time and the unconscious, the paper then moves on to a clinical example, where treatment consisted of an assessment and five sessions. Here the practice of not interpreting the transference is challenged, along with an exploration of the concept of transference to the organization and the use of pre-treatment ‘maternal reverie’ associations. Using the combination of informal trance-like states with a clear focus on the ‘here and now’, the process of the therapeutic relationship is then worked with in the case material.     

时间隐喻表征的跨文化研究

通过广泛收集语料,用内容分析和因素分析方法探析了中英时间隐喻表征的概念结构,获得了时间隐喻概念的11个构成维度,证实了时间隐喻表征有着系统的内部结构的假想,并发现中英两种文化在时间隐喻概念结构上非常相似.     

Adolescence and the Changing Context of Optimal Experience in Time: Italy 1986–2000

This study focused on the daily activities and related quality of experience of two distinct groups of Italian high school students analyzed in 1986 and 2000. Altogether, 120 participants, aged between 15 and 18, were administered the experience sampling method, a procedure providing on-line repeated samplings of daily time budget and associated quality of experience. In particular, attention was paid to optimal experience, characterized by a balance between environmental challenges and personal skills, intrinsic motivation, involvement, and well-being. In spite of the time gap, no major differences in the daily activity distribution were detected. Adolescents in both groups spent most of their time studying at school and at home, interacting, watching TV, carrying out maintenance, and engaging in structured leisure activities. The use of new technologies (computers, internet, mobile phones) emerged in the data gathered in 2000. As concerns the quality of experience, each daily activity showed a specific experiential profile recurring in both groups. Studying at home and engaging in structured leisure activities were primarily associated with optimal experience, as was using new technologies in 2000. These results shed light on students' preferential engagement in specific domains and allowed us to explore the active role of adolescents in shaping their future. Findings also highlighted the importance of providing adolescents with meaningful activities in order to foster their personal growth, well-being, and social integration.     

Police interviewing and psychological vulnerabilities: predicting the likelihood of a confession

This paper is concerned with examining the differences between people who confess and those who deny offences during a police interview. The main hypothesis under investigation is that psychologically vulnerable suspects are particularly likely to confess. This paper is also concerned with identifying variables that might be related to the confession process. One hundred and sixty suspects detained at two London police stations were assessed psychologically prior to being interviewed by the police. The results of this assessment, an analysis of the interview procedure and biographic details were subjected to a logistic regression analysis. There was no evidence to support our main hypothesis. However, suspects were more likely to confess if they reported having consumed an illicit (non-prescribed) drug in the previous 24-hour period, and less likely to confess when interviewed in the presence of a legal adviser or if they had experience of prison or custodial remand. In this study younger suspects were also more likely to confess. © 1998 John Wiley & Sons, Ltd.     

影响时空隐喻理解中时间运动视角选择的因素

“自我动”和“时间动”在时空隐喻中常被用来表征时间的运动方式, 代表了人们理解个体与时间相对运动的不同视角。大量研究已证实这两种时间运动视角存在心理现实性。人们对时间运动视角的选择受到空间运动经验、情绪、语言与文化、个体差异等具身因素的影响, 反映了时空隐喻理解中视角选择的灵活性。时间运动视角选择的相关研究不仅有助于我们深入认识语言与思维、情感、运动经验等之间的关系, 同时也为具身认知理论提供了进一步的实验证据。     

The messianic temporality of theatre in I. L. Peretz’s At Night in the Old Marketplace

Theatre, as an art form that unfolds through time and moulds temporal experience, engages with its surrounding culture’s temporal imagination, the ways in which society conceives time, its movement, structures, and meaning. I. L. Peretz’s enigmatic and avant-garde Yiddish drama, At Night in the Old Marketplace, utilizes this potential of the theatre to tackle the question of messianic time and the ways in which it can be realized on the stage. By evoking Jewish traditions regarding the Messiah, religious nocturnal rituals, and the dynamics of Carnival, Peretz reconfigures messianic time as a radical, recurring yet fleeting, temporal experience. Theatrical temporality has affinities with messianic time because both are transitory and charged, condensed and ephemeral, and disjointed from the experience of time in everyday life. Rather than imagining messianic time as an eternal future to be awaited, Peretz’s play invites us to ponder in the theatre about the possibility of a messianically charged, albeit always fleeting, present.     

Configurations of time,the body,and verbal communication: Temporality in patients who express their suffering through the body

This paper focuses on the study of temporality used as a clinical pointer to processes of affect regulation in patients who express their suffering through a discourse driven by bodily allusions. Differences between symptoms revealed by body language that conveys an experience of conflict (psychoneurotic symptoms) and somatizations are reviewed. Somatization is examined as a benchmark for the failure to resolve states of tension. The body in the session is conceptualized as a speech event. The body is considered as a psychical construction organized in the exchanges with a fellow human‐being. It is thus established as a support for subjectivity. Two discourse registers are described: the discourse of the evoked body and the discourse of the perceived body. The study of Greek mythology allows us to distinguish two different types of temporality : Chronos and Kairos. Chronos represents chronological whereas Kairos subjective time. Both are present in the subject; but if greater mental disorganization supervenes, Chronos predominates as it paves the way for a defence against suffering, designed to avoid the unbearable meaning of ceasing to be. Adherence to one or other mode of temporality signals different conceptions of analytic work. The topics addressed are illustrated by various clinical vignettes .