Controlling,Avoiding, or Protecting the Object: Three Reactions to the Breakdown of Psychic Retreats

In working psychoanalytically, it is common to encounter patients who need to carefully manage their immediate objects. This is evident in their stories about external life at home, at work, and with friends as well as in how it emerges within the transference. While a frequent theme in many analytic cases, the motives behind this need are varied.

Case material is used to show how these reactions emerge when psychic retreats fail. When unable to find refuge in pathological organizations or psychic retreats, patients are exposed to the worst of paranoid and depressive anxieties with only a fragile foxhole to withdraw into or defend from. In such a precarious psychological state, fantasies of unbearable self and object danger emerge, leading to various forms of acting out, overreliance on projective identification, and perverted images of giving and receiving. These fantasies result in the desire for idealized objects, the drive to resurrect fallen objects, and the need to avoid cruel and attacking objects that have taken over and replaced the sought out ideal.     

The role of the body as the medium in child psychotherapy: snapshots of therapy with an 11-year-old,severely abused,multiply placed girl

In Victoria, Australia, children with a history of abuse and severe attachment difficulties, and who have experienced multiple carers and placements, have been traditionally viewed by mental health services as unsuitable for psychoanalytic psychotherapy. A number of factors, including the lack of integrated, long-term case planning; unstable residential placement; and the belief that psychotherapeutic treatment will be of an extended duration, have influenced the decision not to provide individual psychotherapy for these children. Currently, the movement within mental health services is towards responsive and briefer treatment models. The child psychotherapist is challenged to re-think theory, technique and practice. This paper identifies contextual constraints that have led to these children being precluded from accessing psychotherapy. An alternative model of intervention is discussed and illustrated with clinical material. The contributions of Alvarez, Trevarthen, Schore and other writers are drawn on to underpin the clinical work. This model involves a change in technique and role and the use of a time-limited intervention. Intrinsic to the model is the understanding of the child's psycho-biological experience of trauma and disrupted attachment. The child's experiences are conveyed in the pre-verbal, gestural domain to enable history to be given voice.     

Exploring the Non-objectified Character of Dao in the Laozi: A Modem Articulation

This article focuses on the interpretation of heng dao 恆 道 (sometimes translated as "the constant dao") and its fundamental character in the Laozi.It argues against the prevailing interpretation of dao as an unchanging metaphysical substance or reality,and maintains that the fundamental feature of heng dao is both dynamic and eternal.Heng dao is beyond language because of its dynamic character,but the Laozi nevertheless strives to express it in three aspects:1) its flexibility and adaptability as represented in the metaphor of water;2) its movement of reversal and return;3) and in its existential significance as a guide for life.Heng dao can be called the non-objectified dao,which produces law,principle,rule,method,and so on.Looked at in this way,the dynamic character of heng dao can be called non-objective.     

The relationship between the shape of the mental number line and familiarity with numbers in 5- to 9-year old children: evidence for a segmented linear model

This experiment aimed to expand previous findings on the development of mental number representation. We tested the hypothesis that children's familiarity with numbers is directly reflected by the shape of their mental number line. This mental number line was expected to be linear as long as numbers lay within the range of numbers children were familiar with. Five- to 9-year-olds (N=78) estimated the positions of numbers on an external number line and additionally completed a counting assessment mirroring their familiarity with numbers. A segmented regression model consisting of two linear segments described number line estimations significantly better than a logarithmic or a simple linear model. Moreover, the change point between the two linear segments, indicating a change of discriminability between numbers, was significantly correlated with children's familiar number range. Findings are discussed in terms of the accumulator model, assuming a linear mental representation with scalar variability.     

部分日本室町写本《周易》的宋刻唐写融合特征

日本室町时代(1393—1573)部分写本《周易》既有宋刊本特征,又有唐写本的异文,是一种融合了宋刊本与唐写本的特殊文本。此类文本今时日本早稻田大学、内阁文库各有一本。杨守敬日本访书时亦曾据此类文本影抄一部。根据校勘,《七经孟子考文》记载的足利学校所藏三种古本《周易》与此类文本大体相似。江户时代(1603—1867),这类特殊的《周易》写本过渡到刊本形态,刊本当中包括《七经孟子考文》所引足利本《周易》,以及东洋文化研究所藏活字本《周易》。     

Involving Family Members in the Treatment of OCD

This review focuses on previous research with families of adults and children with obsessive‐compulsive disorder (OCD). Three primary areas of research are covered: (i) characteristics of family members and the family environment; (ii) the prediction of treatment response based on family variables; and (iii) the inclusion of family members in treatment. Much of the research supports a hypothesized model of family response to symptoms of OCD that ranges on a continuum from overly accommodating to overly antagonistic. Further research indicates that responses at either extreme of this continuum are associated with poorer response to both exposure and response prevention (ERP) and pharmacotherapy. Finally, results of preliminary treatment outcome studies suggest that family‐based interventions aimed at reducing such responses and/or including family members in ERP as coaches or co‐therapists may enhance patients' response to treatment. Based on current theory and research, suggestions for future research and general recommendations for involving family members in treatment are made.     

Loss of feeling in the university counsellor: Some clinical illustrations of personal illness in a university context

Abstract

This paper is concerned with anaesthesia, loss of feeling or state of lifelessness, including numbness, helplessness and paralysis in the university counsellor, and explores briefly contributions to such states in a university counsellor.     

《周易》思想与文化传播——以道教和西南少数民族禹步为例

《周易》是中华传统文化的组成部分,是道家道教思想的重要来源.《周易》中有关乾坤、卦的思想,是道教和西南少数民族禹步的理论基础.论文以道教和西南少数民族禹步为例,详细考察其宗教法术蕴涵的《周易》思想,指出道教和西南少数民族宗教法师的禹步,其科仪始终按九宫八卦布局行法,此深得《周易》思想天人关系的精要.作为仪式中具有宗教象征意义的《周易》八卦符号,表达出中华先民对自然界阴阳运动规律的认识.     

From Resistance to Buy-In: Experiences of Clinicians in Training Using Feedback-Informed Treatment

In this qualitative research study, the authors use grounded theory analysis to examine the experiences of clinicians in training and use client feedback to inform treatment. Twenty-six marriage and family therapy graduate students in their first or second semester of clinical practicum participated in this study. Participants were trained in eliciting and responding to client feedback at the end of every therapy session. At the end of the semester, participants reflected on their learning experience. Participant experiences reflected a developmental learning process beginning with significant challenges followed by positive clinical changes and positive clinician changes, culminating in overall buy-in regarding the importance of client feedback for nearly all clinicians. The results support the literature that client feedback directly informs the therapeutic process while suggesting important recommendations for training new clinicians in learning to use client feedback.     

Finding the Lost Sheep: A Panel Study of Business Students' Intrinsic Religiosity,Machiavellianism, and Unethical Behavior Intentions

This research investigates 266 business students' panel data across 4 time periods and tests a theoretical model involving intrinsic religiosity, the love of money (Time 1), Machiavellianism (Time 2), and propensity to engage in unethical behaviors (PUB; Times 3 and 4). There was a short ethics intervention between Times 3 and 4. We identified good apples and bad apples using the PUB measure collected at Time 4. From Time 3 to Time 4, good apples became more ethical, whereas bad apples became less ethical after the ethics intervention. Moreover, for the whole sample, intrinsic religiosity deterred unethical intentions not only directly but also indirectly through the absence of Machiavellianism. Before the ethics intervention, intrinsic religiosity curbed unethical intention directly for good apples but indirectly for bad apples. After the intervention, only the indirect effect was significant for bad apples. Intrinsic religiosity offers us hope to open the hearts of the lost sheep and bring them home. Research results were discussed in light of this study's theoretical, empirical, and practical contributions; Judeo-Christian ethics and values; challenging roles of educators and executives in educating Gen-Yers; creating a sea change of the ethical social norm in schools, organizations, and society, or ethical community building, and promoting ethical behavior; and future directions for research.     

和平、发展、合作——儒家文明在世界文明对话中的地位和价值

在经济全球化、科技一体化、互联网普及化的情境下 ,世界的政治、经济、文明、宗教、制度等仍然持续多元化、多极化的趋势。是全球化的多元化 ,或多元化的全球化。人作为“会自我创造的和合存在” ,是创造世界文明的原动力和原载体。儒家文明孕育了中华民族精神的成长 ,担当着建构民族主体精神的重任 ,绵延着民族生命的智慧。儒家文明一言以蔽之 ,是以治平为本 ,以仁为核 ,以和为贵。从文明冲突到文明对话 ,是价值观念、思维方式、观照视角的转换。文明对话可依照和合学的“融突论” ,而不是二元对立的非此即彼论 ,它以承认、接纳“他者”的存在为前提。儒家文明在化解世界文明冲突中 ,以其“己所不欲 ,勿施于人”的和生、和处、和立、和达、和爱原理 ,发挥着重要的、独特的、整体的作用     

Motivational Interviewing Versus Cognitive Behavioral Group Therapy in the Treatment of Problem and Pathological Gambling: A Randomized Controlled Trial

Pathological gambling is a widespread problem with major implications for society and the individual. There are effective treatments, but little is known about the relative effectiveness of different treatments. The aim of this study was to test the effectiveness of motivational interviewing, cognitive behavioral group therapy, and a no-treatment control (wait-list) in the treatment of pathological gambling. This was done in a randomized controlled trial at an outpatient dependency clinic at Karolinska Institute (Stockholm, Sweden). A total of 150 primarily self-recruited patients with current gambling problems or pathological gambling according to an NORC DSM-IV screen for gambling problems were randomized to four individual sessions of motivational interviewing (MI), eight sessions of cognitive behavioral group therapy (CBGT), or a no-treatment wait-list control. Gambling-related measures derived from timeline follow-back as well as general levels of anxiety and depression were administered at baseline, termination, and 6 and 12 months posttermination. Treatment showed superiority in some areas over the no-treatment control in the short term, including the primary outcome measure. No differences were found between MI and CBGT at any point in time. Instead, both MI and CBGT produced significant within-group decreases on most outcome measures up to the 12-month follow-up. Both forms of intervention are promising treatments, but there is room for improvement in terms of both outcome and compliance.     

The efficacy of the Triple P-Positive Parenting Program in improving parenting and child behavior: a comparison with two other treatment conditions

The aim of this randomized controlled trial was to evaluate the efficacy of an evidence-based parenting program (the Triple P-Positive Parenting Program), intending to improve parenting skills and children's well-being. Parents participating in a Group Triple P program (n=50 couples) were compared with parents of a non-treated control group (n=50 couples) and parents participating in a marital distress prevention program (couples coping enhancement training (CCET)) (n=50 couples). The two major goals of this study were (a) to evaluate the efficacy of Triple P compared with the two other treatment conditions over a time-span of 1 year and (b) to answer the question whether this program that was developed in Australia is culturally accepted by Swiss parents. Results revealed that Triple P was effective with Swiss families. Mothers of the Triple P group showed significant improvements in parenting, parenting self-esteem, and a decrease in stressors related to parenting. Women trained in Triple P also reported significantly lower rates of child's misbehavior than women of the two other conditions. However, in men only a few significant results were found. Positive effects of the relationship training (CCET) were somewhat lower than those for the Triple P. These findings are further discussed.     

Impact of motivation on cognitive control in the context of vigilance lowering: an ERP study

We assessed the effects of time-on-task on cognitive control expressed by the CRN/Nc and the extent to which motivation modulates this relationship. We utilized two groups of participants, who were told that their performance would (evaluation condition) or would not (control condition) be evaluated online. Both groups performed a version of the Eriksen Flanker Task for 60 min. We observed classical vigilance lowering, manifested by a progressive performance decline with time-on-task, in the control, but not in the evaluation, condition. In the latter, performance remained stable throughout the task. ERP analysis indicated the same interaction in our main component of interest, the CRN/Nc, whose amplitude decreased from the first to the last period in the control condition but remained stable over time in the evaluation condition. To our knowledge, this study is the first to demonstrate the impact of motivation on monitoring processes as indexed by the correct response negativity, in the context of a prolonged task. Vigilance lowering caused by a repetitive and prolonged flanker task, results in compromised response control and compromised control of correct responses. Our results suggest that alterations in ACC functioning may underlie vigilance decline and can be viewed as evidence that the action monitoring functions of the ACC can be positively affected by motivation.     

Abortion as a stigma: in the eyes of the beholder

The purpose of this study was to investigate social perceptions of a man who impregnated a woman and advised her to have an abortion, and those of a woman who had an abortion. Each subject rated one of four persons on a social distance measure: either a man involved in an abortion, a woman having had an abortion, a male control target, or a female control target. Both abortion targets were perceived less favorably than the control targets. The female abortion target was rejected more by male subjects than by female subjects, and the male abortion target was more rejected by females than by males. While holding permissive attitudes toward abortion was related to willingness to meet the female abortion target, restrictive attitudes toward abortion predicted willingness to meet the male abortion target. Variables related to stigmatization of the man were lack of identification, restrictive attitudes toward abortion, and perceived responsibility. Restrictive attitudes toward women's rights and roles in this society and restrictive attitudes toward abortion predicted stigmatization of the woman. It is suggested that shifting one's attention from characteristics of the stigmatized to observers' characteristics provides a useful perspective on the stigmatization process.     

Motor timing deficits in community and clinical boys with hyperactive behavior: the effect of methylphenidate on motor timing

In a previous paper we showed that community children with hyperactive behavior were more inconsistent than controls in the temporal organization of their motor output. In this study we investigated: (1) various aspects of motor timing processes in 13 clinically diagnosed boys with attention deficit hyperactivity disorder (ADHD) who were compared to 11 community boys with hyperactive behavior and to a control group and (2) the effect of methylphenidate on the motor timing processes in the clinical group with ADHD in a double blind, cross-over, medication-placebo design, including 4 weeks of medication. The clinical group with ADHD, like the community group with hyperactivity, showed greater variability in sensorimotor synchronization and in sensorimotor anticipation relative to controls. The clinical group was also impaired in time perception, which was spared in the community group with hyperactivity. The persistent, but not the acute dose, of methylphenidate reduced the variability of sensorimotor synchronization and anticipation, but had no effect on time perception. This study shows that motor timing functions are impaired in both clinical and community children with hyperactivity. It is the first study to show the effectiveness of persistent administration of methylphenidate on deficits in motor timing in ADHD children and extends the use of methylphenidate from the domain of attentional and inhibitory functions to the domain of executive motor timing.     

Treating a Chronically Depressed Adolescent Female Using the Cognitive Behavioral Analysis System of Psychotherapy: A Case Study

A case is presented of an adolescent female with double depression who was treated using the Cognitive Behavioral Analysis System of Psychotherapy (CBASP). CBASP is designed to teach a social problem-solving procedure called Situational Analysis (SA). Generalized treatment effects were measured through monitoring of diagnostic status, two administrations of the Minnesota Multiphasic Personality Inventory-Adolescent, weekly administrations of the Child Depression Inventory, and acquisition performance ratings on the SA task. The results showed that CBASP appeared to be an effective treatment. The double depressive disorder remitted, and the patient learned to identify behavioral consequences as well as target and attain her interpersonal goals. CBASP can be effective for adolescents, although modifications of the adult form of the therapy may be necessary.