Architecture,urban planning and collective identity: Bilbao as a case study

The American Journal of Psychoanalysis - The emergence of a collective identity, a complex social and psychological process, may be linked to a specific place and a particular urban layout....     

Foetal trauma,body memory and early infant communication: a case illustration

This paper presents the complex case of a male patient who started life as an unwanted pregnancy and adoptee in an era of socio‐cultural shame and blame. When able to contact his birth mother later in life, he experienced a number of confronting synchronicities as well as visions which he felt were related to failed abortion attempts and to other pre‐ and post‐natal events. The case material lends weight not only to Freud's, Ehrenwald's and FitzHerbert's assertions that the earliest form of mother‐infant communications is telepathic in nature but that this mode of communication can be retained if emotional trauma inhibits normal developmental processes. Contemporary neuroscience research is presented supporting the hypothesis that emotional memory can become imbedded in the psyche/soma of the foetus. Such memory traces can later emerge into imagery and/or words if the traumatic impingement has been substantial enough and if other defensive strategies are in place. Clinical implications are then suggested regarding analysts’ attention to the emotional conditions underpinning their patients’ conceptions and foetal development; the connection to projective identification components of the countertransference as being aspects of the earliest telepathic mother/infant communication channel and the need for reductive analyses in analyst training programmes.     

Repertory grid in problem structuring: A case illustration

Although the results of previous psychological studies suggested the existence of behavioral freedom, there existed no methodology that could unequivocally identify the portion of human behavior resulting from self-determination or behavioral freedom in human action. The methodological innovations reviewed herein throw a different light on the factors involved in the genesis of human action than was previously possible with extant psychological research methodologies. But critics contend that in such studies subjects might simply be conforming to the experimenter's demands, rather than demonstrating their ability to self-determine. Two studies are presented that demonstrate that conformity is an extremely implausible explanation for the results attributed to self-determination in previous studies. Furthermore, the second study demonstrates the interaction between the idiographically construed meaningfulness of a behavior and one's desire or ability to voluntarily alter that behavior.     

Play therapy as a family restructuring technique: A case illustration

This paper presents a general treatment approach which uses play to integrate individual and family psychotherapy when working with young children as identified patients. Play therapy techniques are explored with regard to their potential impact upon a family system. Perspectives on concurrent and conjoint family oriented treatment using play are discussed with a focus upon achieving both individual and family system growth.     

Assessment of coping: an empirical illustration of the problem of inapplicable items

The prevalence and effects of inapplicable items on the Ways of Coping Questionnaire (WOC) were studied. Three hundred seventy-six college students completed the WOC twice, referring to both heterogeneous (i.e., different types of) and homogeneous (the same) stressors. In addition to the standard procedure for administering this questionnaire, subjects were asked to identify items that were inapplicable to the stressors with which they were coping. Item inapplicability ranged from 2.1% to 83.9%, with a mean of 21.5% inapplicability across all WOC items. Application of a correction for item inapplicability demonstrated that situational effects are confounded by this phenomenon and may not hold up when the correction is applied. Implications of these findings include the possibility that previous research has over- or misidentified situational effects on coping.     

Cotherapy treatment of phobias: A case study

A case study is presented of the treatment of a woman who had suffered from claustrophobia for over 13 years, by cotherapists using a combination of desensitization and flooding techniques. By assuming specific roles, the therapists expedited the therapeutic process to a successful conclusion in a brief period of time.     

Group focal conflict theory: Description,illustration and evaluation

Group focal conflict theory makes use of a set of interrelated concepts to contain, order, and introduce meaning into the evolving dynamics of therapeutic groups and to relate and connect group and individual dynamics. Key terms are group focal conflict, disturbing motive, reactive motive, enabling or restrictive solution, individual nuclear and derived individual focal conflict, and resonance. The relationships between these are shown. Two illustrations are offered. The first shows the therapist attending mainly to the dynamics of the group-as-a-whole in order to facilitate a newly formed group to develop into a fruitful medium for therapeutic work. In the second, a period of resonance between group and individual focal conflicts shows how an intensive mutual transference between two patients is embedded in whole-group dynamics and how such an episode can be used profitably both by those centrally and not so centrally involved. Criteria for evaluating a theoretical model are described, and group focal conflict theory is discussed in the light of these. The usefulness of the model for research is discussed.     

The importance of identifying underlying process abnormalities in alexithymia: Implications of the three-process model and a single case study illustration

We present an in-depth case study of a rare individual (whom we will refer to as “Jane”) who reported an inability to experience emotion. Jane completed a range of assessments measuring alexithymia, emotional awareness, and emotion recognition ability. She, along with 22 control participants, also underwent skin conductance (SC) measurement and facial electromyography (EMG) during exposure to affective images, and self reported the valence/arousal of their responses to those images. Jane scored high on alexithymia and low on emotional awareness; yet she performed well on emotion recognition measures and showed a typical pattern of valence ratings. Her SC responses and subjective arousal ratings were atypically low, and some of her EMG responses were also atypical. Jane’s deficit profile highlights the dissociability of self-focused emotional awareness and other-focused emotion recognition ability, as well as the dissociability between the generation and representation of valence and arousal (with both subjective and objective measures).     

Toilet training,cueing, praise,and self-cleaning in the treatment of classroom encopresis: A case study

This study was designed to ameliorate encopresis in a 6-year-old male child in the school setting. The procedure consisted of toilet training, cueing, praise, and self-cleaning. Prior to intervention, encopresis was a daily event at home and school. The intervention was successful in reducing the soiling to near zero at school, with no reported changes at home. Implications discussed for school psychologists were: (a) handling the intervention through a consultation model, (b) using the simplest approach before attempting more powerful procedures, and (c) attempting treatment in spite of the fact that other treatment attempts at home had been unsuccessful.     

Testing discrepancy effects: A critique, a suggestion, and an illustration

To assess the effects of discrepancy between two independent variables, investigators sometimes compute difference scores and correlate such scores with a criterion variable. However, the correlation of the difference with the criterion is accounted for by the correlations of the difference constituents with the criterion and the constituents’ variances. It follows that when investigators are testing a prediction that is not captured by the difference constituents’ main effects, using the difference correlation analysis may be misleading. Under these circumstances, the effects of a discrepancy between two independent variables can be assessed by a test of their interaction. The problems inherent in using difference scores and the advantage of testing the interaction are illustrated in relation to research programs on two separate topics in social psychology.     

Periventricular leukomalacia (PVL): an identical twin case study illustration of white matter dysfunction and nonverbal learning disability (NLD).

This paper discusses the implications of Periventricular Leukomalacia (PVL) lesions for the development of Nonverbal Learning Disabilities (NLD) as illustrated through an identical twin case study. PVL lesions were identified in an 8-year-old child, but were not detected in his identical twin brother who served as a matched comparison. While the nonclinical twin displayed a largely unremarkable neuropsychological profile, the clinical twin evidenced a distinct pattern of social, intellectual, academic, and neuropsychological test results often identified among children with PVL and those with the NLD syndrome. The clinical and theoretical implications for this case study are discussed.     

The treatment of socially oriented underachievers: A case study

Socially oriented underachievers are students who work for the rewards of social interaction rather than for those of academic achievement. A case report is presented which outlines the treatment of a socially oriented underachiever. The successful treatment employed behavior modification techniques and consisted, essentially, of rewarding the entire class for academic improvement shown by the underachiever.     

Multi-component behavioral treatment of trichotillomania: a case study.

A 21-year-old female with a 13-year history of compulsive hair pulling was treated via a multi-component behavioral intervention strategy. Dependent variables included both quasi-direct behavioral frequency counts (i.e., number of hairs pulled) and physical trace, natural erosion measures (i.e. size of bald areas). Results indicated dramatic decrease in number of hairs pulled from treatment through 40 weeks post-initiation of baseline. These findings were discussed with regard to situational-specificity of trichotillomania and reliance upon experimenter-derived rather than subject-controlled data collection sources.     

Caste,class and culture: A case study

This case study is concerned with the deteriorating relationship between an Indian doctor who comes from a wealthy, high-caste Brahmin family from Calcutta, and an English girl from a middle-upper-middle class family from Dorset. She is a graduate in English and is a “budding” novelist. They have known each other for several years and have often lived together. Despite the fact that they have decided to become engaged, and are planning to get married shortly, their relationship has turned sour, and she has walked out on him. The study examines the nature of their relationship, the irreconcilable cultural differences that separate them. The case is viewed almost entirely from the doctor's perspective because of her unwillingness to meet with him.