A measure of agreement: an exploration of the relationship of D. W. Winnicott and Phyllis Greenacre

The British psychoanalyst D. W. Winnicott and the American psychoanalyst Phyllis Greenacre were both deeply absorbed by the vicissitudes of the infant's and young child's psychic development. Their clinical observations and theoretical ideas display striking convergences and reciprocal influences. Winnicott was deeply influenced by Greenacre's account of maturational processes, an important stimulus to his thinking that originated outside of the British Psychoanalytical Society. Greenacre's writings on early ego development and creativity were influenced by Winnicott's concept of transitional phenomena. The fact that these relationships have remained unexplored until now indicates the need for less insular accounts of the development of psychoanalytic thought on the two sides of the Atlantic.     

The Development of Abusive Personality: A Trauma Response

This article contains a review and counseling implications for an article titled “Witnessing Parental Violence as a Traumatic Experience Shaping the Abusive Personality” by Donald Dutton (2000). Dutton contends that the early combination of witnessing or directly experiencing violence, shaming, and insecure attachment contributes to the development of abusive personality in males. These individuals experience great difficulty in modulating aggression toward others. In particular, children who witness interpersonal violence have a greater likelihood of becoming partner abusers than do children who are victims of violence.     

Life after Trauma: Personality and Daily Life Experiences of Traumatized People

In this study, we explored differences in personality and daily life experiences of traumatized (n= 26) versus nontraumatized (n= 30) college students. Study participants completed a variety of personality measures as well as a 28–day experience sampling study assessing daily activities, emotions, and physical health. Although not differing on general demographics, traumatized individuals reported more trait anxiety and lower self–esteem than nontraumatized individuals. They scored higher on Neuroticism, were more introverted, and were less emotionally stable than nontraumatized participants. Traumatized individuals also reported more cognitive disturbances, emotional blunting, and interpersonal withdrawal. They did not report being more depressed, but did endorse cognitive styles associated with heightened risk for depression. Earlier age of trauma was associated with more pathological outcomes: lower self–esteem and psychological well–being, more anxiety, more pessimism, and emotional constriction of positive mood. We compare this symptom profile to that of posttraumatic stress disorder.     

Relationship Between Miscarriage and Dysfunctional Cognitions About Trauma,Coping Mechanisms,and Posttraumatic Growth

Many studies have described grief and psychiatric symptomatology as a typical feature following miscarriage. How women who had a miscarriage (MG) respond to trauma in terms of negative cognitions about their selves and the world, the coping strategies they employ to overcome the effects of the trauma, and what factors might be indicative of posttraumatic growth (PTG) in this population have not been extensively studied so far. We aimed to identify whether women who had a miscarriage (N = 74 vs. N = 82 control subjects) exhibited higher levels of psychological distress symptoms, dysfunctional cognitions, and maladaptive coping strategies, and whether women with lower PTG employed more maladaptive coping strategies, and reported higher levels of dysfunctional cognitions. Group comparisons according to the diagnostic groups based on self-report measures for depression, anxiety, posttraumatic stress disorder and according to the level of PTG, and stepwise linear regression analyses with PTG as the outcome were performed. Our study demonstrated that the MG does not necessarily differ from the control group on some measures of psychopathology, coping mechanisms, dysfunctional cognitions, or PTG. Yet, the MG who exhibited higher levels of PTG had specific predictors, and women with a psychiatric diagnosis differed from participants with no diagnoses on some measures of dysfunctional cognitions, coping mechanisms, and PTG. Further studies with a prospective design could further clarify the needs of the MG requiring psychotherapeutic interventions.     

Alexithymia Predicts Posttraumatic Growth and Distress After Trauma

The present study sought to investigate how alexithymia (a deficit in identifying and describing emotions) may hinder the development of posttraumatic growth (PTG) and contribute to ongoing distress. Participants were 250 undergraduate college students who had experienced a highly stressful event in the past six months. Regression analyses were conducted to examine how alexithymia contributes to PTG and distress in addition to other known predictors. Analyses revealed that alexithymia was a significant negative predictor of PTG, and a significant positive predictor of distress. It was also found that Difficulty in Identifying Feelings was the alexithymia component that best predicted PTG and distress.     

Loneliness as Moderator Between Trauma and Posttraumatic Growth

This study investigated the association between loneliness, trauma symptomatology, and posttraumatic growth (PTG) in undergraduate students (N = 362). The study also explored whether loneliness moderated the relationship between experiences of trauma and PTG. The results demonstrated that both loneliness and trauma symptoms predicted levels of PTG, and loneliness moderated the relationship between trauma and PTG. Limitations, directions for future research, and implications for counseling are discussed.     

Personality, Personality Disorders, and Defense Mechanisms

The prototype approach was used to assess the presence of personality features associated with borderline, narcissistic, histrionic, and psychopathic personality syndromes in a sample of 91 young adults from the Block and Block (1980) longitudinal study. These personality prototypes were found to be related to the use of denial and projection, and especially to the immature manifestations of those defenses, in ways consistent with theory.     

Religious Commitment's Moderating Effect on Refugee Trauma and Growth

The authors assessed religious commitment's moderating effect on the relationship between posttraumatic stress disorder and posttraumatic growth (PTG) in adult Liberian refugees who experienced trauma from war (N = 444). Results indicated that religious commitment predicted PTG and had an interaction effect on the relationship between trauma and PTG, albeit a negative one. Counselors should therefore gauge clients’ worldviews in terms of religion or spirituality before integrating spiritual or religious issues in therapy.     

Breast Cancer as Trauma: Posttraumatic Stress and Posttraumatic Growth

Diagnosis and treatment of cancer has been associated with both posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG). This cross-sectional study sought to assess the frequency, common predictors, and interrelationships of PTSD symptoms and PTG in breast cancer survivors (n = 65). In this sample, symptoms of PTSD and reports of PTG were common and were not significantly related to one another. Greater social constraints on talking about breast cancer and perception of cancer as a traumatic stressor were associated with greater PTSD symptomatology. Younger age and perception of cancer as a traumatic stressor were associated with greater PTG. Findings suggest the central role of subjective appraisal in adjustment to cancer. Psychosocial interventions should be sensitive to the potential for PTG, both in treatment design and in assessment of outcomes.     

Readability of Three Adult Personality Tests: Basic Personality Inventory,Jackson Personality Inventory,and Personality Research Form-E

Three personality tests, the Basic Personality Inventory (BPI), the Jackson Personality Inventory (JPI), and the Personality Research Form-E (PRF-E) were evaluated for readability using a number of indices. Sentence length, word length, sentence type, and four readability formulas indicated that the readability of the BPI, JPI, and PRF-E would not impede the administration or interpretation of these tests in broad segments of the population.     

Trauma,Treatment, and Religion

Abstract

When children and youth are traumatized, caretakers must attend to behavioral, cognitive, physiological, ecological and spiritual/existential aspects of their reactions. This article focuses on the latter facet of traumatization. The Hebrew Scriptures and the New Testament offer little about the traumatic symptoms of victims. Using many of the same sources, Fundamentalist Christians, Jews, mainline Christians and secularists may offer children different interpretations of the meaning of trauma events. Understanding these interpretations is crucial for children who develop symptoms which suggest a diagnosis of PTSD. Caretakers, other than mental health professionals, can understand and use various techniques explicated in the TREAT model for treatment of PTSD. Concepts discussed can be used, within a spiritual/existential framework, to support traumatized youngsters.     

Terror,Trauma, and Bereavement

Abstract

How is interpersonal loss incurred in a terror event similar and different from loss under non-terror conditions? Because terror and bereavement are located in the individual's experience of the event, this has important implications for assessment and intervention. In the Two-Track Model of Bereavement (TTMoB), the relationship between life threat, symptomatic response, and the ongoing relationship to the deceased allow therapy to target difficulties in functioning as well as relationship to the deceased. Two case vignettes are presented to ground the discussion.     

Personality patterns of white,black, and Mexican-American patrolmen as measured by the Sixteen Personality Factor Questionnaire

The Sixteen Personality Factor Questionnaire was administered to 461 Los Angeles patrolmen to abtain a normative police profile. Multivariate analysis revealed that the average patrolman appeared brighter, more reserved, dominant, and tough-minded (p less than .001) than the average male. Comparisons were made for 29 black, 33 Mexican-American, and 399 white officers. Mexican-American officers emerged as more conservative and relaxed than whites, while black officers appeared more experimental, analytical, and group-oriented. A comparison with an idependent police sample revealed common traits of self-assurance and conservatism. Results were compared with a social workers' profile and discussed in relation to police officers' actual job activities and community needs.     

Posttraumatic Growth and Optimism in Health-Related Trauma: A Systematic Review

Posttraumatic growth (PTG) research is an emerging area of empirical study, especially within the field of clinical health psychology. Much of the research in this area has thus far focused on determining the correlates and predictors of PTG. This systematic review aimed to evaluate the association between posttraumatic growth and dispositional optimism, specifically in relation to health traumas. Empirical studies that met the inclusion criteria were reviewed according to specific evaluation criteria. Results regarding the relationship between dispositional optimism and posttraumatic growth were found to be equivocal. A number of conceptual and methodological issues were identified and discussed in relation to the field of PTG research. Future directions for research are provided.