Object loss, renewed mourning, and psychic change in Jane Austen's Persuasion

Austen's extraordinary realism in depicting the dynamic internal processes which follow on the heroine's loss in Persuasion becomes clear in the light of a psychoanalytic understanding of mourning. Persuasion dramatizes the effects of a mother's death in adolescence as these come into play at the time of the heroine's separation from her fiancée and her later mourning. The thesis of this paper is that, despite falling in love with the brilliant hero, an unfinished mourning and an unconscious identification with her dead mother helped to persuade the heroine Anne Elliot to break her engagement, to create a 'final parting' as her mother had done to her in dying. The heroine's internal monologues show that she has projected some of the darker feelings of mourning, her anger and resentment, on to the hero and that she reopens a complex mourning process, partly through the displacement of affect, showing how traumatic effects of loss can be worked through in deferred action, effecting positive psychic change.     

Emotional turbulence during the ending of psychotherapy with an anorexic adolescent

In this paper I reflect on the phase of the analytic process which precedes the termination of a psychoanalysis and describe my work with an adolescent girl. Adolescents with serious eating disorders relive in a particularly violent way, in the final phase of their analysis, the catastrophic anxiety of separation and the fear of annihilation connected with this. The perception of the final date, felt to be irrevocable, reactivates in these patients the psychotic part of their personality, which tries through a phantasy of omnipotent possession (expressed through pathological projective identification) to obscure the reality of separateness and loss. It is useful with these patients to set a date for ending at least a year in advance to enable the working through of these psychotic anxieties. Clinical material illustrates how in the final year of treatment all phases of the analytic process are relived in a violent way, and how this emotional turbulence manifests id as a battle between omnipotent phantasy and an increasing insight into psychic reality.     

‘Her Majesty the Baby’: narcissistic states in babies and young children

This article considers narcissistic states in babies and young children with some reference to the myth of Narcissus in Ovid’s Metamorphosis. The object-seeking character of babies from the beginning of life is elaborated in connection with selected research from mother–baby interaction. This forms the backdrop to a discussion of withdrawal into illusions of self-sufficiency and denial of dependence in adverse circumstances. Two clinical cases are discussed in some depth. One boy whose superiority, self-reliance and pseudo maturity is prompted by anxieties around separation as he approaches starting school is considered within the parameters of ordinary transient narcissism. The lengthy psychotherapy of another child, who developed entrenched narcissistic defences as a response to traumatic, abusive and neglectful experiences in early life, and who needed considerable help, is described in greater detail. Some links are made with difficulties associated with the emergence from narcissistic functioning and encountering the pain of separation and loss.     

Psychiatric Disorders and Childhood Parental Loss in Obesity: Relationship with the Mode of Weight Gain

We assessed the association between psychiatric disorders, childhood parental loss, and weight gain mode in 150 obese patients seeking bariatric surgery and with a history of sudden or gradual weight gain mode. Subjects with sudden weight gain mode (47%) showed significantly higher bipolar II disorder (p < .001), childhood parental death (p < .01), and separation (p < .01), but lower pure hypomania (p < .001) prevalence than subjects with gradual weight gain mode. We found preliminary evidence that lifetime bipolar spectrum disorders and childhood parental loss may influence weight gain mode in obese subjects. These findings may contribute to predict patients’ weight trajectories and implement preventive interventions.     

关于成本沉没效应的实验研究

运用IAT 技术,通过实验,证明“损失厌恶”具有内隐性,“损失厌恶”存在内隐偏差,并且二者具有很强的稳定性,即不受当前情绪及刺激材料性质等的影响,为进一步认识成本沉没效应等现象的本质特点提供了证据。     

Bittersweet: a qualitative exploration of mothers’ experiences of raising a single surviving twin

Loss of a child from a multiple birth pregnancy is not uncommon yet the idiographic experience of parents who have lost a single twin from a multiple birth pregnancy is underexplored. This novel study sought to explore the experiences of mothers bereaved after loss of a twin from a multiple birth pregnancy, focusing on the dual challenges of parenting and grieving. Eighteen mothers at least 12 months post loss were recruited from a private UK based Facebook page dedicated to supporting parents after loss from a multiple birth. Eligible mothers completed an independent qualitative open-ended survey to explore maternal experiences of loss. Data were analysed using Thematic Analysis. Findings represented a sense of duality for participants, with mothers experiencing conflict between roles and identities as well as the nature of their loss. Key themes identified include ‘Narrating a story of family and loss’, ‘Finding a place for the twins within the family’ and ‘A changing sense of self’. Findings fit with theoretical conceptualisations of bereavement that acknowledge retaining relationships with the deceased. Practically, suggestions for supporting mothers to identify stock answers to often asked questions about family make up were suggested.     

个体权力高低对其损失规避的影响

摘 要 以中国大学生为被试,采用问卷的方式,探讨权力对损失规避倾向的影响。实验一发现,与低权力被试相比,高权力被试具有较少的损失规避。实验二进一步考察权力影响损失规避的原因机制,结果发现,权力对收益的价值估计没有影响,但降低了个体对损失的价值估计,从而导致损失规避的减少。结果表明,权力除了激活个体对收益的趋近,还可能抑制个体对损失的感知,权力也是影响决策的因素之一。 关键词 权力 损失规避 估计价值     

Loss: the ultimate philosophical problem

This paper draws on Jan Zwicky’s claim in Lyric Philosophy that loss is the ultimate philosophical problem and Wittgenstein’s attitude to philosophy in his Culture and Value that: ‘philosophy ought really to be written only as a poetic composition’. This paper will enter the difficult territory of loss using poetry and reflections to engage loss as a spiritual challenge and perhaps one of the major forces shaping cultural ways. Death inescapably brings loss into life for those who remain after a death but loss has many other forms and is a persistent experience in living that touches every stage of the life journey. It is a philosophical problem rooted in common human experience from childhood on that has been addressed in a multitude of forms, conceptualizations, rituals, belief systems and religions. As a method, poetry is a way of inquiry that allows one to enter experience and meet the intensity of events, particularly loss. In her essay ‘Entering the Bird Cage: Poetry and Perceptibility’, Jane Hirschfield says that poetry allows us ‘to understand the world beyond the narrow self’ and to do so ‘it is necessary to be available to the unknown’ and loss moves experience into the unknown.     

Effects of hearing and vision impairments on the Montreal Cognitive Assessment

Many standardized measures of cognition include items that must be seen or heard. Nevertheless, it is not uncommon to overlook the possible effects of sensory impairment(s) on test scores. In the current study, we investigated whether sensory impairments could affect performance on a widely used screening tool, the Montreal Cognitive Assessment (MoCA). Three hundred and one older adults (mean age = 71 years) completed the MoCA and also hearing and vision tests. Half of the participants had normal hearing and vision, 38% impaired hearing, 5% impaired vision, and 7% had dual-sensory impairment. More participants with normal sensory acuity passed the MoCA compared to those with sensory loss, even after modifying scores to adjust for sensory factors. The results suggest that cognitive abilities may be underestimated if sensory problems are not considered and that people with sensory loss are at greater risk of cognitive decline.     

Maternal Identity Among Motherless Mothers and Psychological Symptoms in Their Firstborn Children

A variety of detrimental effects are associated with early parental loss. We examined the relationship between childhood maternal loss and maternal identity among 30 motherless mothers and their 26 matched controls, as well as the psychological health of their firstborns. Motherless mothers reported significantly lower maternal identity. However, firstborns of motherless mothers were no more likely to display psychological symptoms than firstborns of comparison mothers. The findings suggest that early maternal loss may not present risk for cross-generational effects.     

Exploration of likely engagement with Monetary Contingency Contracts for weight loss: a questionnaire study

Monetary Contingency Contracts (MCCs) are schemes that ask individuals to pledge money that is returned contingent on behaviour change. In relation to weight loss, this study explored likely levels of engagement with MCCs, how much individuals would be willing to pay into an MCC, and how these amounts vary under different contract conditions. Fifty-six individuals with BMI above 25 who were motivated to lose weight were recruited. The majority of participants (87.5%) indicated that they would be willing to engage with weight loss MCCs, but showed more reluctance to subscribe to pair-based MCCs which offered; (a) refunds contingent on the weight loss of a weight loss partner, and (b) ‘all or nothing refunds’ in which no reward is given for any weight loss below the target weight loss goal. This study provides preliminary evidence that individuals motivated to lose weight may be willing to engage with weight loss MCCs. Further research is needed to explore reasons for reluctance to subscribe to MCCs with certain conditions, to inform the design of future experimental studies testing the efficacy of MCCs as part of an intervention for weight loss.     

Attributes of successful approaches to weight loss and control

Most weight loss treatments result in only temporary losses, followed by slow regain. This paper examines those factors that are correlated with the most favorable results in terms of loss and maintenance of loss. Weight loss is positively related to self-monitoring, goal setting, social support, and length of treatment. Maintenance of weight loss is correlated with regular physical activity, self-monitoring, and continued contact with therapists. Regain is associated with inconsistent and restrictive dieting, life stress, negative coping style, and emotional or binge eating patterns. The implications drawn from these findings are (a) normalize eating patterns, (b) emphasize exercise, (c) ensure social support, (d) set realistic goal weights, (e) focus on health rather than appearance, (f) focus on self-esteem, and (g) target binge eating.     

Ambiguous Loss in Transnational Families’ Adolescents: An Exploratory Study in Ecuador

In psychosocial migration literature, the perspective of ambiguous loss has been relevant to articulate personal and relational experiences in the context of transnational families and ongoing separation. Most studies have focused on adult members’ experiences of transnational families, but research exploring ambiguous loss in adolescents whose parents have migrated is still lacking. The present study aimed to explore adolescents’ lived experiences of parental migration. In a pilot explorative study, 14 adolescents with at least one parent who migrated were interviewed about their lived experiences of transnational parent-child relationships and ongoing parent-child separation. Data analysis identified four themes in participants’ accounts: practices of separation creating confusion; current relationship with migrant parents permeated by ambiguity; distrustful representations of migrant parents; and family and social dynamics reactivating the pain of loss. The findings reveal how in the context of parental migration, patterns of separation and ongoing relational processes, compounded by the uncertainty of reunification and an exclusionary social fabric, constitute core elements that shape adolescents’ lived experiences of parent-child relationships characterized by ambiguity.     

衰老机制的思考

衰老原因和机制极为复杂,是一具有累积性、普遍性、渐进性、内生性和危害性的生命过程。衰老的本质是渐进性的功能减退,各种因素通过引起功能减退加速衰老,减慢功能损害则能延缓衰老。本文笔者认为：衰老机制是非特异性的;理论上,能引起功能减退的因素应能加速衰老。     

An inquiry into the emotional impact of sight loss and the counselling experiences and needs of blind and partially sighted people

Background: The link between sight loss and depression is well documented. The UK Vision Strategy seeks to bring the emotional impact of sight loss into public awareness and improve access to emotional support for visually impaired people. However, dedicated counselling services for visually impaired people remain scarce, and research into the effectiveness of psychological interventions is predominantly anecdotal rather than evidence based. Aim: To explore the emotional impact of sight loss in four core areas (mood, self concept, social connectedness and loss), and to explore the counselling experiences and needs of blind and partially sighted adults. Method: Data were collected using the mental health and social functioning sub-scales of the National Eye Institute Visual Functioning Questionnaire-25 and semi-structured interviews transcribed and analysed using grounded theory. Results: Participants with a serious eye condition shared a common transition from sight to blindness, starting with diagnosis, coping with deterioration of sight, experiencing loss in different areas of life, experiencing changed perceptions of self in relation to society, experiencing others in a changed way and experiencing rehabilitation. A theoretical model describing the transition from sight to blindness is proposed. Participants reported negative perceptions of counselling and a lack of counselling opportunities in relation to their sight loss. Implications: The implications for policy and practice are discussed, particularly the need for counselling after diagnosis of visual impairment and the specific challenges facing those who deliver counselling to blind and partially sighted clients.     

Some aspects of separation and loss in therapy with disturbed children

I have suggested that the impact of loss and separation on disturbed children can best be assessed from a developmental point of view that takes into account not only the reality of the object loss but the subjective experiences of the loss or separation, which will be determined by a host of subtle psychological variables. I have attempted to illustrate these existential variables with clinical examples.     

BORGES, IMMORTALITY AND THE CIRCULAR RUINS

The author explores ideas surrounding immortality and death focusing on the interplay between their development in two stories by Borges ('The circular ruins' and 'The immortal') and their manifestation in a patient. With the help of Borges's stories, the author addresses the desperate necessity experienced by some individuals to search for immortality. This is not just an expression of the universal wish to live forever but, at a deeper level, arises from the impossibility of bearing the mental pain of experiencing ordinary human vulnerability and loss - death being the ultimate expression of such vulnerability. It is suggested that the relentless pursuit of immortality in such individuals expresses an omnipotent phantasy of ridding the self of the emotional pain and fear that arises through being alive. It leads to a denial of the emotional significance of passage of time, of separation and sexual differences. In actuality, the individual's state of not feeling approximates to a complete loss of human identity and emotional death, with no place for any meaningful others. The individual him/herself becomes a 'mere image', living in a delusional world peopled by him/herself and his/ her projections, and ending up trapped inside the circular ruins he/she has generated. The horror experienced at the stark awareness of the individual's emotional death and the wish to re-establish contact with the good internal objects that have been attacked sets in motion the long process of searching for the recovery of a sense of temporality (that would still include the wish for immortality) and, with it, a sense of identity.     

Cheating: One common morality for gains and losses but two components of morality itself

Previous studies show that decision makers (DMs) lie more to avoid a loss than achieve a gain. Two compelling mechanisms might explain this observation. One assumes that lying is a risky activity and relates to the shape of the monetary value function described by prospect theory, which assumes (a) increased risk taking for loss frames and (b) an asymmetry between the perceived values of losses and gains. The other relates to the importance of self-esteem functions as expressed in self-concept maintenance models, self-esteem issues being weighed against monetary issues. This alternative explanation assumes that a loss frame serves as a factor lowering moral considerations. We report an experimental study presenting sets of lotteries to DMs, once in a moral context and once in a traditional probabilistic context. The results show that DMs take less risk when lotteries are presented in a moral context. It is also shown that DMs take more risk for losses than gains, this holding for both the moral and probabilistic contexts. This latter result suggests that loss/gain asymmetry can be completely explained by prospect theory factors, and framing makes no difference to the valuing of moral considerations.     

A loss function for alpha factor analysis

Most of the factor solutions can be got by minimizing a corresponding loss function. However, up to now, a loss function for the alpha factor analysis (AFA) has not been known. The present paper establishes such a loss function for the AFA. Some analogies to the maximum likelihood factor analysis are discussed.The author is greatly indebted to Prof. Henry F. Kaiser (University of California, Berkeley) for his kind encouragement. He is also indebted to an anonymous referee ofPsychometrika for having confronted him with the problem in 1977. Financial support by the Wiener Hochschuljubiläumsstiftung is gratefully acknowledged.