Psychoanalysis and evaluation: a stratified model focused on the uniqueness of the case

ABSTRACT

Objectives: This article addresses the methodological controversies surrounding the issue of how to evaluate the psychotherapies. It proposes to identify the principles of an integrative and stratified model in order to report the results of analytical therapy (its efficacy) based on the very effectiveness of its processes. Thus, the uniqueness of the case is put at the center of the evaluation setting.

Methods: Drawing on science studies, the authors engage in a reflexive exercise on the problem of psychoanalysis’ evaluation based on methodological questions raised in the field over time and current issues related to practice.

Results: First, the regularly asserted opposition between the norms of analytical practice and those governing standard evaluation procedures is reinterpreted as the effect of a lack of intermediate epistemic patterns.

Second, the fundamental principles of an integrative model are considered so as to translate and articulate a set of heterogeneous requirements into distinct strata.

Discussion: Since psychoanalysis is fundamentally a case-by-case practice characterized by inequivalence and unexpectedness, its utmost aim is to use a type of effectiveness based on the singularity of the case. However, this does not prevent it from being evaluable provided that the epistemic levels of the evaluation are clearly differentiated.     

The Psychology of Men's Health

Abstract

Although numerous measures of coping have been presented in the literature, many suffer from methodological flaws. This article argues that efforts to improve coping assessment should not be limited to enhancing psychometric quality, since methodological shortcomings reflect more basic underlying conceptual problems of the coping constud. TWO types of problems in coping assessment are discussed, based on a review of well-known coping measures. The first concerns conceptual issues, such as the process versus trait approach to cop ing and the lack of clear theoretical guidelines for systematic exploration of the appropriate measurement level and number of coping dimensions. He second concerns the issue of developing appropriate techniques to evaluate psychometric properties of proass measures of coping. Several recommendations for improving the quality of coping assessment are suggested.     

From intentions via planning and behavior to physical exercise habits

ObjectivesIndividuals who enact a health behavior effortlessly with minimal conscious deliberation can be assumed to have formed a healthy habit. This can be reflected by increases in self-reported habit strength of a behavior. We examined whether physical exercise intentions facilitate changes in exercise habit strength by increasing the use of action planning and exercise.DesignTwo field studies investigated the effect of behavioral intentions on changes in habit strength through a sequential path from action planning to exercise.MethodExercise intentions, action planning, habit strength, and exercise were assessed at two measurement points in time in 231 university students (Study 1), and at four points in time in 134 rehabilitation patients (Study 2).ResultsIn multiple-step mediation models in both samples, there were indirect effects of intentions on habit strength through action planning and behavior.ConclusionAction planning and behavior operated as sequential mediators to bridge the gap between intentions and habit strength. Exercise habit strength may increase as a result of conscious action planning and frequent behavior enactment. Including these constructs jointly into behavior change models may improve the understanding of the mechanisms involved in behavior maintenance.     

Synagogues without rabbis or Christians? Ancient institutions beyond normative discourses

Abstract

This article focuses on a problem that tends to afflict, especially but not exclusively, historical narratives involving written sources celebrated as normative texts in contemporary religious communities. The religious authority ascribed to such texts is often entangled in claims about historical phenomena, resulting in ideological support of specific narratives nourished within religious communities as not only religiously significant but also historically true. Such assumptions in turn sustain aspects of religious identities and thus fulfil the social function of maintaining the status quo within and between communities. Because of their contemporary usefulness, these types of normative narratives are liable to bleed into scholarly reconstructions too, complicating the academic search for historical scenarios untouched by the needs of societies unknown to the ancients. This study aims to illustrate the problems involved through an exercise in which sources that speak to a specific historical question – the nature of ancient synagogues – but which later attained normative status within religious communities, are removed from the historical archive. The reconstruction offered, based on sources with no direct relationship to the continuing histories of Judaism and Christianity, yields a very different picture than the one commonly embraced today. The exercise also indicates the value of re-reading the sources previously removed from a new perspective, which may enrich the religious communities in question as they seek to understand their own history and identity, as well as one another.     

Community Mental Health in Emergencies and Mass Disasters

Summary

Mass disasters are widespread and intensive, affecting individuals, families, communities, society, and culture. Mental health services must play a crucial role in order to meet non-routine challenges that put basic professional issues to the test both in theory and in practice. In the Tel Aviv Model, responsible planning is based on a broad system of mediators and activities during normal times, supplemented by intervention personnel and techniques set in motion during emergencies. This operation is coordinated with municipal and governmental support systems, which must be aware of the importance of comprehensive and flexible emergency systems for treating the population.     

The role of action and coping planning in the relationship between intention and physical activity: A moderated mediation analysis

Objective: Using a moderated mediation model, the present study investigated whether the mediation of intention into physical activity (PA) behaviour via action planning depends on the level of coping planning.

Method: A four-month prospective study was conducted among 157 French adults, who were recruited through a web-based survey. They were administrated measures of behavioural intention and sociodemographic variables at baseline and action and coping planning and PA four months later.

Results: Action planning partially mediated the contribution of intention on PA level. However, this indirect effect was conditional on the level of coping planning, insofar as action planning acted as a mediator of the intention–PA relationship only for individuals with high level of coping planning.

Conclusion: The results highlight the complexity of the relationship between intention and behaviour and provide evidence for the distinct role of both forms of planning.     

Beyond the image paradigm: Systemic evolution through participative planning

This paper is an attempt at introducing a formal framework for societal, participative, anticipatory, inner‐change oriented and open‐ended ‘’ learning for evolution.” The key point of our approach is that it considers the evolution of a social system not exclusively as an appropriate result of the given system structure, operating and behaving under external constraints; but mainly as an outer (or observable) consequence of some inner changes brought about from within the system of heterogenous actors‐designers in their effort to cope with complexities generated equally by external constraints and by the network of mutual relationships between them. The actors‐designers are thus trying to assess critically the courses the system could possibly take in the future and also to isolate —through a dialogue between them—the so‐called “evolutionary” ones. Consequently, a policy‐oriented approach to “social homcorhesis” is obtained. It opens the way to a participative planning outlook on societal learning.     

The Legacy of Fromm in México

Erich Fromm's fortuitous visit to México in 1949, and his meeting with a group of Mexican psychiatrists was the beginning of a working relationship that lasted for over 25 years. It left its mark on a number of community-oriented institutions, professional societies and publications, which are alive even today. This article describes some of the many activities in which researchers, psychoanalysts, medical doctors, psychologists, social workers, sociologists, anthropologists and religious scholars were involved over those 25 years, and the continuing importance of those initial projects and institutions today.     

Panning for the gold in health research: Incorporating studies’ methodological quality in meta-analysis

Background: Systematic reviews now routinely assess methodological quality to gauge the validity of the included studies and of the synthesis as a whole. Although trends from higher quality studies should be clearer, it is uncertain how often meta-analyses incorporate methodological quality in models of study results either as predictors, or, more interestingly, in interactions with theoretical moderators.

Objective and methods: We survey 200 meta-analyses in three health promotion domains to examine when and how meta-analyses incorporate methodological quality.

Results: Although methodological quality assessments commonly appear in contemporary meta-analyses (usually as scales), they are rarely incorporated in analyses, and still more rarely analysed in interaction with theoretical determinants of the success of health promotions. The few meta-analyses (2.5%) that did include such an interaction analysis showed that moderator results remained significant in higher quality studies or were present only among higher quality studies. We describe how to model quality interactively with theoretically derived moderators and discuss strengths and weaknesses of this approach and in relation to current meta-analytic practice.

Conclusions: In large literatures exhibiting heterogeneous effects, meta-analyses can incorporate methodological quality and generate conclusions that enable greater confidence not only about the substantive phenomenon but also about the role that methodological quality itself plays.     

Mediators of behavior change in two tailored physical activity interventions for adolescent girls

ObjectivesIt has been suggested that the lack of knowledge regarding the mechanisms responsible for behavior change may be responsible for the low levels of effectiveness in physical activity interventions among youth. While it is common for physical activity interventions to cite a theoretical framework, few test the validity of their constructs using an established mediation analysis technique. The purpose of this study was to identify mediators of physical activity behavior change in two tailored interventions for adolescent girls.DesignThis study involved an experimental design.MethodsParticipants (N=161) were randomly allocated to a control (CON) group, an intervention based on the Health Promotion (HP) Model or an intervention developed from the HP Model that included two processes from the Transtheoretical Model (THP). Both interventions included school-based education sessions, individual counseling sessions, and two physical activity sessions completed with the participants' mothers. Measures were assessed prior to the intervention, at post-intervention and at a 6-month follow-up. The following constructs were included in the mediation analyses: perceived benefits, perceived barriers, self-efficacy, exposure to models, social support, interpersonal norms, planning, stimulus control, and counterconditioning.ResultsPerceived benefits, perceived barriers, self-efficacy, and commitment to planning satisfied the criteria for mediation in the THP intervention. Self-efficacy and commitment to planning were identified as mediators in the HP intervention.ConclusionThe results of this study provide evidence that both interventions were successful in increasing physical activity through changes in the theoretical constructs.     

Systematic review of the effectiveness of interpersonal coach education interventions on athlete outcomes

ObjectivesTo systematically review and evaluate the literature on the effectiveness of coach education interventions. Specifically, we aimed to: (a) describe the non-formal coach education interventions aimed at coaches' interpersonal knowledge base, (b) highlight underpinning theoretical models, (c) assess the methodological quality of articles evaluating these interventions, (d) identify participant characteristics, and (e) establish the effect of these interventions on athletes' cognitive, affective, and behavioural outcomes.DesignSystematic review of published empirical research.MethodPublished English language articles were identified using electronic databases and manual searches of reference lists. The quality of the identified articles was assessed using the Effective Public Health Practice Project (EPHPP) tool.ResultsFour interventions fulfilled the inclusion criteria and were thus systematically reviewed. Overall, education interventions based on coach effectiveness training and achievement goal theory produced mixed effects on a variety of athlete outcomes, such as anxiety, self-esteem, fear of failure, and motivational orientation.ConclusionsDue to the diversity in athlete outcomes and intervention design, it is difficult to draw firm conclusions around the effectiveness of coach education interventions. The small number of identified interventions highlights the current paucity of empirical data on coach education intervention effectiveness. More research is needed to further our understanding of intervention effectiveness to allow for growth and improvement in coach education. Furthermore, theory-based, rather than “theory inspired” coach education interventions are required.     

Still Photography Provides Data for Community-Based Initiatives

We use community psychology's accent on methodological pluralism and giving voice to the marginalised as a platform to critically examine the utility and outcome of photography as a data collection and community engagement method. Accordingly we focus on two community projects that used still photographs to identify environmental and household childhood injury risks respectively. The first project involved the visual documentation, examination and analysis of environmental threats in an informal settlement. The second project focused on the documentation and identification of selected childhood injury risks in and outside homes in an informal settlement. This study provided visual images that are detailed and complex and that allowed the researchers to acquire greater understandings than would have been possible from written texts alone. These photographs may be used to create injury risk awareness in the respective communities and among other relevant stakeholders.     

Long-term adherence to a physical activity intervention: The role of telephone-assisted vs. self-administered coping plans and strategy use

Objective: This study investigated the role of coping plans and the use of selection, optimisation and compensation (SOC) strategies within an experimental evaluation of a 26-week physical exercise intervention.

Methods: Older women (N?=?86, M _age?=?73.7 years) were randomly assigned to a telephone-assisted or a self-administered coping planning intervention after 6 weeks’ participation in an exercise programme. The number of different coping plans formulated, exercise-specific SOC strategy use and their interaction were used to predict objectively measured long-term adherence to the intervention.

Results: The number of coping plans formulated (β?=?0.28) and goal-pursuit strategies reported (sum score of optimisation and compensation strategies, β?=?0.39) predicted adherence to the exercise programme over 20 weeks. The predictive strength of coping plans increased with decreasing numbers of goal-pursuit strategies (β?=??0.21). Women supported via telephone reported significantly more coping plans than did women in the self-administered coping planning group, F(1,80)?=?9.47, p?=?0.003.

Conclusion: Coping plans have a buffering effect on adherence levels when use of SOC strategies is low. Older women's adherence to physical activities may be improved if they are given direct support in generating coping plans involving strategies of selection, optimisation and compensation.     

Aesthetics and Affect: Engaging Energy Communities

ABSTRACT

Engaging publics in participatory events has become a central means to introducing lay people's voices into processes of technoscientific innovation and governance. However, little attention has been paid to the role of aesthetics, especially in terms of opening up potential ways of critically and creatively engaging with technoscientific matters of concern. The terms semblamatic and matters of potentially are proposed as addressing this dimension of aesthetics. Drawing on practice-based design research, a probe workshop with members of energy communities was implemented. Three probe exercises served to open up potential re-articulations of such core themes as energy, communities and futures. Our goals were to examine the whether such probes enabled semblamatic responses and the emergence of matters of potentiality. Findings were mixed. The continued retention of standard meanings of these core themes suggested that such events can be anaesthetic, blunting access to the semblamatic aspects of engagement. Conversely, there was some opening up in which the core themes were creatively re-articulated. The present perspective, with its three novel terms - semblamatic, matters of potentiality, and anaesthetic - might prove useful in alerting scholars to the complex role of aesthetics in the methodological and analytic practices entailed in engagement with publics.     

Abstract: Scenario Planning,Art or Science?

This article will argue that there is a science of scenario planning; or at least a logos, a logic, a scenariology. Scenario planning is not predictive. But a good set of scenarios, scientifically developed, can reliably and predictably change minds. Scenario planning is both art and science. In joining the club of the sciences, scenario planning calls for a new kind of membership, or a new kind of science, one that, following Stuart Kauffman, relies on the importance of story. Hegel tells us that all stories, all narratives include a conflict between desire and the law, intention, and necessity. Scenarios provide a way for communities to frame their intentions. They thereby effect “downward causality” on the present in order to project the present toward a preferred future. In fulfilling the promise of this new kind of science, scenario planning breaks with positivistic science, but without falling into a postmodern nihilism. Without setting out to do so, the discipline of scenario planning introduces us to a new epistemology, a new way of knowing the truth. Drawing on pragmatism, Wittgenstein, and Richard Rorty, this article reaches the conclusion that, for scenario planners, the future replaces objectivity as the horizon for justification. What is true? We'll see.     

Art Speaks in Healing Survivors of War

Abstract

Mental health clinics can use creative art therapies as a means of reaching out to war refugees in their communities who may not respond to traditional talk therapy. In this case, the use of quilting and other artwork was utilized by the staff at Chicago Health Outreach to assist displaced Bosnians to cope with their war-related trauma and integration into their new environment in the United States. It can be difficult to reach refugee populations within a community whose culture and language are different from the majority, but finding other means of communicating can make a real difference for these individuals as they find safety and understanding by working on and sharing special creative projects.     

Effects of exercise on anxiety: A review

Abstract

The focus of this review is physical exercise and its possible effectiveness as a means of reducing anxiety. This review is based on English language literature and covers the time period from 1958 to 1988. It provides an overview of the results of research studies carried out in the area of physical fitness and psychological health, more specifically anxiety. In doing so, it draws attention to methodological limitations associated with a number of these research studies. In addition, it describes the level of exercise considered necessary to achieve improved cardio-respiratory fitness (training effect). Conclusions are made which suggest mild support for the positive effect of exercise with some individuals for reducing anxiety. Some speculative explanations as to why exercise may be effective in reducing levels of state anxiety are discussed.     

On Sellars' exam question trilemma: are Kant's premises analytic,or synthetic a priori,or a posteriori?

ABSTRACT

Wilfrid Sellars argued that Kant’s account of the conceptual structures involved in experience can be given a linguistic turn so as to provide an analytic account of the resources a language must have in order to be the bearer of empirical knowledge. In this paper I examine the methodological aspects of Kant’s transcendental philosophy that Sellars took to be fundamental to influential themes in his own philosophy. My first aim here is to clarify and argue for the plausibility of what I claim is Sellars’ interpretation of Kant’s ‘analytic’ transcendental method in the first Critique, based ultimately on non-trivial analytic truths concerning the concept of an object of our possible experience. Kant’s ‘transcendental proofs’ thereby avoid a certain methodological trilemma confronting the candidate premises of any such proof, taken from Sellars’ 1970s undergraduate exam question on Kant. In part II of the essay I conclude by highlighting in general terms how Kant’s method, as interpreted in the analytic manner explained in part I, was adapted by Sellars to produce some of the more influential aspects of his own philosophy, expressed in terms of what he contends is their sustainable reformulation in light of the so-called linguistic turn in twentieth-century philosophy.     

Introducing Walk-Alongs in Visitor Studies: A Mobile Method Approach to Studying User Experience

Abstract

This article introduces the walk-along method as a potential approach to study visitor interactions and experiences in situ. Prompted by the methodological challenges involved in gaining insight into the individual, subjective visitor experience, this article explores the potentials and pros and cons of the mobile, walk-along method. The mobile walk-along method is an open-ended qualitative approach to capturing visitors’ immediate experiences, interpretations, and emotions in the instant of experiencing. This article points to the method’s relevance in visitor studies by drawing on empirical and methodological insights from a visitor study at a science center exhibition about movement and health at the Experimentarium near Copenhagen, Denmark. Based on 34 group walk-alongs (108 visitors), the findings show that the walk-along method can provide an understanding of visitor experience related to visitors’ spatial practice, personal biographies and the social architecture between visitors.