Maternal representations: A clinical and subjective phenomenological view

The relationship — as represented — is proving to be of growing value in our thinking about clinical problems such as “intergenerational transfer.” It is also an extremely positive influence in our thinking about how the interpersonal world is remembered, abstracted, and lived. Yet, the nature of a “represented relationship” remains unclear. This paper is an attempt to clarify some of the problems and areas for needed study regarding this concept. The mother's representation of her infant and of the people in her own life who have played “maternal roles” will be taken as the model. First, we will explore the richness and complexity of these representations and conclude that, for clinical purposes, different models are used to simplify this richness and render it therapeutically useful. Three models will be discussed. The first is the disfortion model which measures the distance between the mother's subjective experience of her interaction or relationship with another and some objective, observable “reality.” The model of overdeter-mining themes is a second model, largely the inspiration of psychoanalysis but inclusive of Bowlby's theory of attachment. Here psychobiological and/or psychodynamic themes organize the clinical material. Finally, a coherence model is discussed. Here the motive is goodness of the narrative construction rather than the historical “truth.” A second issue discussed is the capacity to represent dyads vs. triads and actual vs. second-hand narrated relationships. These issues are crucial for notions not only about the nature of such representations but also their limitations in understanding family interactions and relationships, i.e., where many members are concerned. A third issue concerns the nature of the subjective experience for a mother when a representation of her infant or herself in relation to the infant is “activated.” There exists here an unknown typology of experience. Finally, we will discuss what all of the above have to contribute to our further understanding of the nature of represented relationships.     

Power and Pleasure

SUMMARY

In exploring issues of power and pleasure in relationships the author uses Erikson's (1965) developmental 'eight ages of man' as both a conceptual framework and a way of describing aspects of the developmental growth of boys as men, and he completes Erikson's (1968) epigenesis of the life cycle in relation to identity and intimacy. Drawing on literature on male psychology, his own experience and his experience as a counsellor and a Transactional Analysis (TA) psychotherapist in clinical training, the author focuses on male identity and men's capacity for intimacy in relationships. The use and abuse of power in achieving male identity, and the implications for mutual pleasure and interdependence in intimate relationships are outlined and practice issues for counselling and psychotherapy with men in relation to identity and intimacy issues are considered.     

Rrepresentations of trauma in infancy: Clinical and theoretical implications for the understanding of early memory

Understanding the nature of the infant's internal experience is a crucial prerequisite for delineating the developmental effects of an early trauma. In addition, to the extent that internal representations of a trauma can be traced over time, traumatic experiences present unique opportunities for the study of early memory. This article will describe case vignettes of children who experienced a trauma in the preverbal period and who evidenced forms of memory of their trauma at subsequent points in time. In conjunction with the clinical material, developmental research bearing on the types of early memories described will be discussed. The clinical data, reinforced by research findings, indicate that preverbal children, even in the first year of life, can establish and retain some form of internal representation of a traumatic event over significant periods of time. The specificity and enduring nature of the internal representations suggest that specific therapeutic interventions over and above general comforting will be required if an infant is to maximally recover from a trauma. The clinical findings have relevance for a number of issues currently under debate in the area of infant memory, including the role of reminders in memory retention, the nature of early memory systems, and the development of autobiographical memory. ©2002 Michigan Association for Infant Mental Health.     

Inside the experience of anorexia nervosa: A narrative thematic analysis

Aim: This study considers the question of whether inpatient admission for anorexia nervosa was a therapeutic experience for two women with chronic anorexia nervosa. The question of whether inpatient admission for anorexia nervosa can be therapeutic is not answerable through existing research evidence. Method: The women were interviewed about their experience of having anorexia, its impact on their lives and the treatment they received. The interviews involved learning about the women's experiences by listening to their stories rather than asking them direct questions about what has been therapeutic about their treatment. Analysis: Their narratives were used to develop understanding grounded in experience and were analysed using a narrative thematic analysis. Ideas, themes and connections were noted but not coded as found in some forms of thematic analysis. Discussion: Consideration is given to the therapeutic qualities of the treatments the women received and the place of therapeutic inpatient admission. The central theme of this research was ‘relationships’ which indicates the use of therapeutic approaches that emphasise the importance of the therapeutic relationship in the treatment of chronic anorexia nervosa. It is suggested that psychodynamic and attachment theories should be used to inform overall treatment models. Some important issues for service provision and areas for further research are identified.     

Investigating Sustained Visitor/Museum Relationships: Employing Narrative Research in the Field of Museum Visitor Studies

ABSTRACT

Museums today are faced with a number of challenges and are currently searching for ways to attract and retain audiences and engage with the public. In order to address these issues, researchers have called for studies to help construct a more complete understanding of the visitor experience. Few studies employ methodological approaches that provide in-depth accounts of the museum experience. Narrative methodology is one means by which researchers may access rich accounts of the multi-faceted nature of audience relationships with museums. This article reports preliminary findings from a narrative research study that aimed to explore sustained visitor/museum relationships. The narrative methodology adopted for this study provides novel insights into the nature of these relationships and extends our understanding of those museum experiences that build and strengthen relationships with visitors.     

A sensorimotor account of vision and visual consciousness

Many current neurophysiological, psychophysical, and psychological approaches to vision rest on the idea that when we see, the brain produces an internal representation of the world. The activation of this internal representation is assumed to give rise to the experience of seeing. The problem with this kind of approach is that it leaves unexplained how the existence of such a detailed internal representation might produce visual consciousness. An alternative proposal is made here. We propose that seeing is a way of acting. It is a particular way of exploring the environment. Activity in internal representations does not generate the experience of seeing. The outside world serves as its own, external, representation. The experience of seeing occurs when the organism masters what we call the governing laws of sensorimotor contingency. The advantage of this approach is that it provides a natural and principled way of accounting for visual consciousness, and for the differences in the perceived quality of sensory experience in the different sensory modalities. Several lines of empirical evidence are brought forward in support of the theory, in particular: evidence from experiments in sensorimotor adaptation, visual "filling in," visual stability despite eye movements, change blindness, sensory substitution, and color perception.     

Contemporary attitudes and their ideological representation in Flanders (Belgium), Poland,and the Ukraine

The present research tests the validity of a two‐dimensional cultural and economic right‐wing model of ideology, as well as the relationships between these dimensions and attitudes toward recent political issues. Opinions about environmentalism, war on terror, and European Union enlargement were selected as representative contemporary attitudes. The present research questions were investigated in a Flemish (N = 176), Polish (N = 93), and Ukrainian (N = 93) sample. The results revealed that two dimensions underlie the ideological spectrum in all samples, one referring to cultural conservatism and right‐wing authoritarianism (RWA), and one referring to economic conservatism and social dominance orientation (SDO). Although the validity of differentiating between these ideological dimensions has been amply illustrated in studies on Western samples, the replication of these dimensions in former communist countries add to their validity and generality, because these countries have a specific political culture and history. However, important cross‐cultural differences with respect to the representation of the contemporary attitudes in this two‐dimensional ideological space were obtained as well. Whereas the war on terror attitude was meaningfully related to the cultural right‐wing dimension in all samples, the relationships for the environmentalism and EU enlargement attitudes were sample dependent. These cross‐cultural differences were explained in terms of saliency of the issue (nonsignificant versus significant relationships in the case of environmentalism) and pragmatic concerns in terms of profits and costs (in the case of EU enlargement). In the discussion it is also argued that the closer correspondence between the ideological representation of these attitudes in Polish and Western society may be caused by the fact that communism was less successful in penetrating political mentality in Poland than in the Ukraine.     

Taking stock of the longitudinal study of romantic couple relationships: The last 20 years

Longitudinal dyadic research provides significant benefits for our understanding of romantic couple relationships. In this systematic review, we begin by providing a broad overview of topical trends and approaches in longitudinal couple relationships research from 2002 through 2021. Then, we narrow our review to dyadic relationship quality articles, highlighting key themes as well as noting important gaps in the research. Using an intersectional perspective that acknowledges multiple ways that disadvantage, power, and oppression may be seen in both research and in couples' lived experience, we note prominent paradigms used in examining couple relationships, what types of questions have been most valued, and what groups and approaches are underrepresented in the literature. Most longitudinal couple relationships research is quantitative, relies on self-report approaches from American couples in the early-to-middle years of their relationships, concentrates more on negative aspects of relationships than positives, and takes a communication-satisfaction paradigm in studying couples. We see a clear need to increase the use of methodologies beyond self-report measures, conduct more studies with within-group minority, older adult, culturally-diverse, and context-specific samples to explore the diversity of relationships, and fully consider both strengths and positive processes in relationships as well as the challenges couples experience.     

An Experiment in the Prevention of Delinquency by Edwin Powers and Helen Witmer

A longitudinal clinical outcome study based primarily on a questionnaire method is the purpose of this two part paper. Techniques and approaches honed from fifteen years of para-analytic experience with one continuous Saturday morning group (seventy-five adolescents and young adults) are highlighted in this first part. Attention is focused on such pertinent issues as: lateness, selection, duration, individual sessions, physical setting, outside contacts, decreasing anxiety, parents and the important involvement of a female cotherapist. Catalyzing agents in the form of art therapy and mini-silent groups are described. The psychological position is presented for an age-mixed group (adolescents and young adults—age range twenty to thirty) to facilitate a natural flow of topics in the group dialogue rather than a “topic” format.     

Representing narrative process in therapy: Qualitative analysis of a single case

In recent years, there has been increasing interest in an approach which views counselling and psychotherapy as being concerned with giving clients opportunities to articulate, examine and re-author aspects of their life-stories. However, most of the literature associated with this approach has been based on observations of clinical practice, and there is a need to develop more systematic research in this area. The present study uses qualitative methods to identify and categorize different types of narrative events occurring in therapy discourse. A representation is offered of the process by which experience is narrativized during therapy. The data for this analysis is drawn from an intensive study of one session of person-centred counselling. The issues involved in applying this method of qualitative analysis are discussed, and the implications of these findings for research and practice are outlined.     

The Epistemological Status of Vision and its Implications for Design

Computational theories of vision typically rely on the analysis of two aspects of human visual function: (1) object and shape recognition (2) co-calibration of sensory measurements. Both these approaches are usually based on an inverse-optics model, where visual perception is viewed as a process of inference from a 2D retinal projection to a 3D percept within a Euclidean space schema. This paradigm has had great success in certain areas of vision science, but has been relatively less successful in understanding perceptual representation, namely, the nature of the perceptual encoding. One of the drawbacks of inverse-optics approaches has been the difficulty in defining the constraints needed to make the inference computationally tractable (e.g. regularity assumptions, Bayesian priors, etc.). These constraints, thought to be learned assumptions about the nature of the physical and optical structures of the external world, have to be incorporated into any workable computational model in the inverse-optics paradigm. But inference models that employ an inverse optics plus structural assumptions approach inevitably result in a naïve realist theory of perceptual representation. Another drawback of inference models for theories of perceptual representation is their inability to explain central features of the visual experience. The one most evident in the process and visual understanding of design is the fact that some visual configurations appear, often spontaneously, as perceptually more coherent than others. The epistemological consequences of inferential approaches to vision indicate that they fail to capture enduring aspects of our visual experience. Therefore they may not be suited to a theory of perceptual representation, or useful for an understanding of the role of perception in the design process and product.     

The valuing process: A study of favorite songs and the inner experience of persons diagnosed with schizophrenia

Since valuing is a process grounded in the organizational tendency of human behavior, the characteristics of a highly valued object should reflect the experience of the individual who selects it. This research compared the favorite songs of fourteen individuals diagnosed with schizophrenia to their inner experience as assessed in a standard interview. Many relationships were revealed between the two, often pertaining to important issues identified in theories of schizophrenia. Results may have therapeutic applications and shed light on processes through which psychological difficulties persist.     

Fragmentation,persecution and primitive guilt

The clinical and theoretical approaches of Melanie Klein and her followers provide valuable direction in the psychoanalytic treatment of psychotic patients. This paper looks at Klein's work as well as the goals of psychoanalytic work. The clinical issues of primitive guilt and paranoia are discussed with regard to more primitive patients who experience internal fragmentation and psychic chaos. Finally, a case is explored in which a psychotic patient struggled with experiences of primitive guilt and intense persecutory phantasies.     

Making Music Together: Discussion of Gianni Nebbiosi’s “The Smell of Paper”

Finding life in our patients is a common goal for analysts. Historically this project had been defined as one of freeing unacceptable impulses from their imprisoning defenses with the analyst, via interpretation, then contrasting the patient’s internal fantasied reality with “actual” reality. Untangling fantasy from reality could free the impulses to provide energy for more realistic projects. This imagery stands in stark contrast to the fluidity of a contemporary relational conceptualization of human experience where our inner experience is now understood to be the lens through which we construct our vision of external reality, always a subjective perception. Clinical change—finding life—now depends more on the activation of a generative intersubjective process between patient and analyst, which contributes to the expansion of the patient’s subjective experience. Gianni Nebbiosi’s use of music and of mime to help him feel his way into his patient’s and ultimately into his own similarly defended experience demonstrates the creativity and idiosyncratic clinical approaches that emerge from a contemporary relational orientation. This orientation recognizes the analyst’s subjectivity as a fundamental tool of clinical change—a vehicle through which any theoretical approach will necessarily be shaped. Differing approaches to a clinical situation do not always simply reflect theoretical disagreements; they may also reflect the expression of the particular subjectivity of the analyst.     

Psychoanalysis and Trauma

This article articulates some of the problems that surround the use of the term trauma in psychoanalytic theory and suggests that the key element for a theory of pathogenesis and mental functioning is not the either/or of external versus internal causation or trauma versus drive. Rather, it is an understanding of whether, or to what extent, the raw data of existential experience is or is not transformed into psychological experience. From this perspective, trauma is whatever outstrips and disrupts the psyche’s capacity for representation or mentalization. Absent the potential for mental representation, these events and phenomena are historical only from an external, third-person perspective. Until they are mentalized, they remain locked within an ahistorical, repetitive process as potentials for action, somatization, and projection.     

Refining the Inferential Model of Scientific Understanding

In this article, I use a mental models computational account of representation to illustrate some details of my previously presented inferential model of scientific understanding. The hope is to shed some light on possible mechanisms behind the notion of scientific understanding. I argue that if mental models are a plausible approach to modelling cognition, then understanding can best be seen as the coupling of specific rules. I present our beliefs as ‘ordinary’ conditional rules, and the coupling process as one where the consequent of one ordinary rule (OR) matches and activates the antecedent of the rule to which it is coupled in virtue of the activation of an intermediate ‘inference’ rule. I argue that on this approach knowledge of an explanation is the activation of ORs in a cognitive hierarchy, while understanding is achieved when those activated ORs are also coupled via correct inference rules. I do not directly address issues regarding the plausibility of mental models themselves. This article should therefore be seen as an exercise in refining the inferential model within an already presupposed computational setting, not one of arguing for the psychological adequacy of computational approaches.     

Psychological experiences of renal transplant patients: A qualitative analysis

Introduction: Organ‐sourcing developments now permit increasing numbers of renal transplants. Recipients commonly experience negative affect pre‐ and/or post‐transplant yet research on patient experience is lacking. Aims: This study aims to develop theory based on the lived experience of recipients, and to guide psychological and support interventions by counsellors and professional carers for the benefit of patients. Methods: A sample of eight participants was interviewed about their transplant experiences. The interview data were analysed using grounded theory methodology. Uniquely the research was conducted by a renal transplant patient, which potentially adds interpretive insight. Results: The central finding is that the issues facing transplant patients before and after transplant may be summarised as living with paradox and conflict. Thus, recipients may need to juxtapose anger/sadness about losses with an adaptive attitude to making the most of a second chance at life, and negotiate a positive relationship with an ‘alien’ organ. Conclusions/implications: The study offers evidence‐based guidance to counsellors supporting recipients to adjust to a changing sense of self, and to form adaptive relationships with self, others and the new kidney. Finally the research recommends action on improving awareness of and access to counselling and other supports for renal transplantees, and the need for in‐depth experiential research in this expanding area.     

The lived experience of spiritual abuse

Over the years there has been considerable research investigating the controversial issues of cult recruitment, “mind control” and post-group difficulties of ex-members from a variety of religious groups. However, the less-well-defined phenomenon of “spiritual abuse” is still under-researched as a specific phenomenon. This is particularly evident in the lack of studies exploring the subjective, internal experience. This study reports on the lived experiences of six individuals who left five different religious groups that were essentially Judeo-Christian in their orientation. An Interpretative Phenomenological Analysis (IPA) revealed six core themes throughout the participant narratives. They consist of “Leadership representing God,” “Spiritual bullying,” “Acceptance via performance,” “Spiritual neglect,” “Manifestation of internal states,” and “Expanding external/internal tension.” These are offered as a foundation to answer the question What can be described as the lived experience of spiritual abuse? The findings suggest that spiritual abuse is a multi-faceted and multi-layered experience that is both process and event, affecting the bio/psycho/social and spiritual domains of an individual.     

Experimental and Quasi-Experimental Designs in Visitor Studies: A Critical Reflection on Three Projects

Identifying causal relationships is an important aspect of research and evaluation in visitor studies, such as making claims about the learning outcomes of a program or exhibit. Experimental and quasi-experimental approaches are powerful tools for addressing these causal questions. However, these designs are arguably underused in visitor studies. In this article, we offer examples of the use of experimental and quasi-experimental designs in science museums to aide investigators interested in expanding their methods toolkit and increasing their ability to make strong causal claims about programmatic experiences or relationships among variables. Using three designs from recent research (fully randomized experiment, posttest only quasi-experimental design with comparison condition, and posttest with independent pretest design), we discuss challenges and tradeoffs related to feasibility, participant experience, alignment with research questions, and internal and external validity. We end the article with broader reflections on the role of experimental and quasi-experimental designs in visitor studies.