Assessment of mothers' working models of relationships: Some clinical implications

The parent-child relationship exerts a powerful influence upon child behavior. Thus, it has been suggested that psychiatric diagnoses of infants and young children should include a characterization of parent-child relationships and interactions. In this article, we discuss one way of characterizing relationships, which is based upon interviews of parents' childhood histories and their conceptualizations or working models of early experiences (Adult Attachment Interview, George, Kaplan, & Main, 1985). The associations between mothers' working models, their parenting behavior, and the behavior of their children are discussed. Patterns of parent-child relationships described in mothers' subjective histories are discussed with respect to the patterns of interactional behavior of the mothers and their children observed in a laboratory play session. Case examples are given to illustrate the patterns, and implications for clinical use of this system are discussed. The interview appears to be a reliable tool for characterizing parental histories, assessing the associations between subjective conceptualizations and parenting behavior, exploring parental contributions to child behavior, and outlining patterns of relationships.     

Children's working understanding of the knowledge gained from seeing and feeling

In three experiments (N = 48 3‐ to 4‐year olds; 100 3‐ to 5‐year olds; 54 4‐year‐olds), children who could see or feel a target toy, recognized when they had sufficient information to answer ‘Which one is it?’ and when they needed additional access. They were weaker at taking the informative modality of access when the choice was between seeing more of a partially visible toy and feeling it; at doing so when the target was completely hidden; and at reporting seeing or feeling as their source of knowledge of the target's identity having experienced both. Working understanding of the knowledge gained from seeing and feeling (identifying the target efficiently) was not necessarily in advance of explicit understanding (reporting the informative source).     

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.     

Consciousness and the self-sensing brain: implications for feeling and meaning

A number of authors have proposed or alluded to the significance for consciousness of sensing within the brain. This article reviews some of these proposals along with questions that have been raised and argues that consciousness might be understood as a property of a system that functions as a sense in the biological meaning of that term. The sense of consciousness is conceived not as a fixed structure but rather as a structure with variations, consistent with contemporary notions of complexity theory. A sense of consciousness has implications for concepts central to an understanding of consciousness, most notably the concepts of feeling and meaning. William James and others have proposed feeling as a ubiquitous aspect of consciousness. The concept of sensing, like that of feeling, provides a bridge between the organic and phenomenological aspects of consciousness, and the rudiments of meaning can be seen in the symbolizing role of a sense as it relates to adaptive problem solving.     

Interference with prior knowledge while writing from sources: Effects of working memory capacity

Writing from sources requires the processing of both external (documentary) and internal (long-term memory; LTM) sources of information, which can sometimes interfere with each other. We hypothesised that writers with high working memory (WM) capacity would resolve interference faster than those with low-capacity WM. However, results showed that writing pause duration was shorter for low-capacity writers. This result suggests that when WM resources are limited, access to domain knowledge in LTM is restricted, thereby avoiding interference between the two sources. Results are discussed within the broader context of text composition from sources and individual differences.     

Slips of the analyst.

Understanding the analyst's work and its vicissitudes has been a major focus of recent psychoanalytic writing. This study on slips of the analyst represents an attempt to advance our understanding of analytic work. The slips described support the view that slips reflect not simply contributions from instinctual life, but active work-related goals of the analyst in carrying out the analytic tasks. Countertransference is discussed as reflected in the disturbance of intentionality betrayed by the occurrence of a slip. The essential role of the analyst's understanding his or her own reactions is emphasized.     

Use of audiotape recording in impasses with severely disturbed patients

The psychoanalytically oriented treatment of patients with severe personality disorders is characterized by impasses and by efforts to resolve them. Patient audiotape recording and review of sessions can be a particularly useful technical parameter in such situations. When judiciously employed, it is unusual, if not unique, in that it selectively amplifies the power of traditional elements of technique as well as some of the constructive elements of the analytic process itself, while reducing the power of some of the destructive elements of the transference. Indications for using this parameter are discussed, case illustrations presented, and hypotheses advanced about its mode of action. No single element of technique is responsible for the success or failure of analysis. The most that can be expected of tape recording is that it help break up the treatment log jam and facilitate further work.     

Searching while loaded: Visual working memory does not interfere with hybrid search efficiency but hybrid search uses working memory capacity

In “hybrid search” tasks, such as finding items on a grocery list, one must search the scene for targets while also searching the list in memory. How is the representation of a visual item compared with the representations of items in the memory set? Predominant theories would propose a role for visual working memory (VWM) either as the site of the comparison or as a conduit between visual and memory systems. In seven experiments, we loaded VWM in different ways and found little or no effect on hybrid search performance. However, the presence of a hybrid search task did reduce the measured capacity of VWM by a constant amount regardless of the size of the memory or visual sets. These data are broadly consistent with an account in which VWM must dedicate a fixed amount of its capacity to passing visual representations to long-term memory for comparison to the items in the memory set. The data cast doubt on models in which the search template resides in VWM or where memory set item representations are moved from LTM through VWM to earlier areas for comparison to visual items.     

Techniques for handling resistances in group psychotherapy with severely disturbed patients

There has been an increased interest in recent years in the treatment of those with severe psychopathology through application of object relations theory and modern ego psychology. Yet, for the past 20 years, such patients have been treated in day hospitals where rehabilitation and socialization concepts have been employed. This paper integrates some of the advances in psychoanalytic theory with more established methods of milieu therapy. In the patients studied, the therapists noted the presence of severe envy, dependency, passivity and with-holding, an intolerance for aggression along with an intransigent, paranoid-schizoid position. The techniques described here worked through the effects of these resistances so that the patients could use the psychotherapy group, and the entire milieu, more constructively than they did before.Ruthe Feilbert-Willis, C.S.W. was formerly Senior Social Worker in the Adolescent and Adult Day Hospital at The New York Hospital-Cornell Medical Center, in White Plains, New York.He was a psychiatric resident at The New York Hospital-Cornell Medical Center, in White Plains, New York, during the time the clinical work of this paper was undertaken.