“The primary process”: The vicissitude of a concept

Abstract

During the first twenty years that Freud spent creating his theory, he assumed that most of the functions responsible for creating mental-thought structures were organized according to two different forms or principles of thought. He called these forms “primary process” and “secondary process”. The “secondary process” is identified with rational thinking and the ego, and it is easy to follow the changes that this concept underwent in the works of Freud that followed. The concept of “primary process”, on the other hand, disappeared from his later works with no explanation. This article traces the changes that the “primary process” underwent in Freud's thinking and examines the connection between his analytical technique and his research method. A close study of the changes that the “primary process” underwent reveals that Freud's developmental thought process included concepts whose directional changes may be termed “regressive”.     

The Primary Process: Freud’s Profound Yet Neglected Contribution to the Psychology of Consciousness

ABSTRACT

The primary process model is part of Freud’s struggle to define and distinguish conscious and unconscious mental activity. He created two embryonic models of unconscious mind. One he derived from studying symptoms of dynamic repression or sequestration of content already capable of symbolic mental representation. The other, the primary process, is his landmark effort to define a mental activity different from reflective representational thought, derived from studying dreaming. He could not clearly separate the repression model, as it is also based on the primary process. He vacillated as to whether the primary process is qualitatively different from representational symbolic thought. His efforts to articulate preconscious mentation suggest an ambiguous gray area between conscious thought and the primary process. Although he concluded that the primary process is unconscious because it is not intrinsically reflective, its manifestations are psychologically conscious and directly evident except in the physiologically unconscious state of dreaming. Similar problems color the efforts of others including Klein, Matte-Blanco, and theorists of attachment and implicit learning to separate conscious and unconscious mind and to articulate a model of mental function different from reflective consciousness. A model of conscious mental activity different from reflective representational consciousness, called primordial consciousness, is proposed to account for a wide spectrum of human phenomena both normal and pathological that share characteristics of immediacy and belief. They include, in addition to dreaming, psychosis, creativity, spirituality, and mental process in non-western cultures.     

Understanding adolescent type 1 diabetes self-management as an adaptive process: A grounded theory approach

Objective: To develop a conceptual understanding of the process of adapting to the self-management of type 1 diabetes during adolescence.

Design: Participants were recruited from a National Health Service paediatric diabetes service within the south-west of England which runs six countywide diabetes clinics. Thirteen interviews were conducted using a social constructivist grounded theory approach.

Results: The findings illustrate how self-management can be understood in terms of a continuum-based framework, ranging from difficulties with, to successful self-management. Adaptation within the continuum can further be understood by specific transitional phases and process mechanisms, providing further depth to individuals’ experiences of adaptation.

Conclusion: This investigation provides a conceptual understanding of the complex issues adolescents encounter while adapting to and integrating a diabetes self-management regime into their lives. It provides an invaluable framework for exploring psychological mechanisms and contextualising them within a self-management continuum. Implications for healthcare professionals are discussed and further research proposes whether the model could be applicable to other chronic illnesses.     

From Projective Identification to Empathic Connection

SUMMARY

This article examines the challenging journey of successful coupling by understanding the marital relationship within a developmental framework. The process of Projective Identification is viewed as a useful concept found at the confluence of family systems and psycho-dynamic streams of thought, bridging the interpersonal and intrapsychic experience of couples whose individuative strivings are stalled. A map is offered for the transformation of a marriage from the stages of Idealization and Disillusionment toward the stage of Acceptance and empathic connection.     

Some notes on Freud's concept of conversion

Abstract

The author investigates conversion, the process by which psychic contents are transformed into bodily symptoms. The author concludes that this process cannot be explained by libido theory or by assuming the existence of a psychic energy. He argues that although Freud was convinced that “the leap from a mental process to a somatic innervation … can never be fully comprehensible to us,” this process is, nonetheless, comprehensible in terms of Freud's own conceptualisation. To understand this process, one must take the characteristics of the primary process to which the “replacement of external by psychical reality” belongs as radical as his thesis of a hallucinatory wish fulfilment. This thesis includes not only the hallucinatory satisfaction of instinctual wishes, but also the hallucinatory satisfaction of the desire to avoid unpleasure, which is understood as a process by which the internal conditions of this affect are displaced from the presentational world into perceptions via conversion.     

A subculture of mental toughness in an Australian Football League club

ObjectiveThe current study aimed to provide a subcultural analysis of mental toughness in a high-performance context in sport.DesignUsing Schein's (1990) framework of organisational culture, an exploratory qualitative analysis, employing focus group and individual interviews, was used to investigate mental toughness in an Australian Football League club.MethodNine senior coaches and players participated in focus group and individual interviews. Photo elicitation was used as a method to capture mental toughness through the identification of prominent club artefacts. Participants were considered to have significant subcultural knowledge of their football club and were willing to describe personal experiences and perceptions of mental toughness through this cultural lens. Deductive and inductive analyses were conducted to capture the core themes of mental toughness across the disparate levels of Schein's organisational framework.ResultsMental toughness was found to be a socially derived term marked by unrelenting standards and sacrificial displays. These acts were underpinned by subcultural values emphasising a desire for constant improvement, a team first ethos, relentless effort, and the maintenance of an infallible image. At its core, mental toughness was assumed to be an internal concept, epitomised an idealised form of masculinity, elitist values, and was rhetorically depicted through metaphors of war.ConclusionsIt may be difficult to understand mental toughness without giving attention to the contextual norms related to the term. Appreciating how people promote, instil, and internalise prized ideals coveted as mental toughness could be intriguing for future research in sport psychology.     

Use of relaxation skills in differentially skilled athletes

ObjectivesTo examine the use of relaxation skills by differentially skilled athletes in relation to the deliberate practice framework.DesignDifferentially skilled athletes completed a survey about their use of relaxation skills.Method150 athletes representing three skill levels (recreational, college, and professional) completed the deliberate relaxation for sport survey, which assessed relaxation on three deliberate practice dimensions (relevancy, concentration, and enjoyment); time spent in different relaxation skills in a recent typical week; and functions of relaxation.ResultsAthletes perceived relaxation as relevant to performance, requiring concentration, and enjoyable, and the relationships between these dimensions were positive. Professional and college athletes perceived relaxation as more relevant to effective competition than recreational athletes. Professional athletes engaged in more relaxation in a typical week than college and recreational athletes. In a typical week, autogenic, eastern, and muscle relaxation types were used least, deep breathing, meditation, and imagery relaxation types moderately, and stretching most. Athletes reported the primary functions of relaxation were to cope with competitive anxiety and promote recovery but relaxation was also reported to be used to cope with “everyday” anxieties associated with being an athlete. More physical (e.g., muscle relaxation) than mental relaxation types were used in relation to coping with competitive anxiety, whereas more mental (e.g., meditation) than physical relaxation types were used in relation to coping with everyday anxiety.ConclusionsThe study provides support for the sport-specific framework of deliberate practice in relation to use of relaxation skills and informs the current understanding of self-regulation by athletes.     

A functional-cognitive framework for attitude research

In attitude research, behaviours are often used as proxies for attitudes and attitudinal processes. This practice is problematic because it conflates the behaviours that need to be explained (explanandum) with the mental constructs that are used to explain these behaviours (explanans). In the current chapter we propose a meta-theoretical framework that resolves this problem by distinguishing between two levels of analysis. According to the proposed framework, attitude research can be conceptualised as the scientific study of evaluation. Evaluation is defined not in terms of mental constructs but in terms of elements in the environment, more specifically, as the effect of stimuli on evaluative responses. From this perspective, attitude research provides answers to two questions: (1) Which elements in the environment moderate evaluation? (2) What mental processes and representations mediate evaluation? Research on the first question provides explanations of evaluative responses in terms of elements in the environment (functional level of analysis); research on the second question offers explanations of evaluation in terms of mental processes and representations (cognitive level of analysis). These two levels of analysis are mutually supportive, in that better explanations at one level lead to better explanations at the other level. However, their mutually supportive relation requires a clear distinction between the concepts of their explanans and explanandum, which are conflated if behaviours are treated as proxies for mental constructs. The value of this functional-cognitive framework is illustrated by applying it to four central questions of attitude research.     

Organizational Commitment in the Sales Force

Abstract

Research concerning the determinants of salesperson performance has emphasized expectancy theory. While results of such studies have added greatly to our understanding of sales force behavior, the expectancy theory approach has been questioned concerning its ability to explain consistency in behavior. A potential alternative explanation for behavioral consistency lies in the concept of organizational commitment. This paper explores organizational commitment in a sales setting, discussing research findings from other disciplines and providing a conceptual framework to help guide future research in sales management.     

The concept of parsimony in factor analysis

The concept of parsimony in factor analysis is discussed. Arguments are advanced to show that this concept bears an analogic relationship to entropy in statistical mechanics and information in communication theory. A formal explication of the term parsimony is proposed which suggests approaches to the final resolution of the rotational problem. This paper provides the rationale underlying Carroll's (2) analytical solution for approximating simple structure, and the solutions of Saunders (7) and Neuhaus and Wrigley (5).     

Sport participation and stress among women and men

ObjectivesIn-depth analysis of the relationship between sports participation and stress among adult women and men.Design644 women and 783 men, 20–65 years, from the SPAH Flemish-Policy-Research-Centre, reported data on participation in favourite sports and mental health.MethodGender-specific multiple MANOVAs with stress appraisal and the stress response of emotional distress as dependent variables, and participation in 15 different types of sports as independent variables, including effect sizes (Cohen’s d) per sport-type.ResultsVery little difference in perceived-stress and emotional-distress existed in women and men who participated in different sport-types, suggesting that “one-activity-fits-all recommendations” are likely inappropriate. Different sports are suitable for different individuals, and it is important that one finds the sport that suits one best. Conversely, significant associations between participation in walking and in meditation sports manifested with both stress appraisal and emotional distress among women, and significant associations between participation in ball games and in water sports manifested with emotional distress among men.ConclusionsThe paper gathered substantial comprehensive insight and connected its quantitative data to existing qualitative data, presenting stimulating theoretical arguments. Sport-type related variations in the physical activity – mental health relationship were analyzed, based on the theory of mindful movement and the complexity paradigm identifying 3 coordinates on which the physical activity – mental health complexity unravels, based on: activity domains, mental health dimensions, and individual characteristics. The mindful movement theory proposes an underlying mechanism that could explain the positive physical activity – mental health relationship, and the complexity paradigm provides basis for creating a workable definition for ther concept of mindful physical activity.     

Exploring athletes' perceptions of the relationship between mental toughness and dispositional flow in sport

ObjectivesDespite considerable scholarly attention over the last two decades, little is known about the influence of dispositional attributes on flow in sport. In achievement settings, mental toughness (MT) is a personal capacity supporting the process of high performance. Based on common overlaps with peak performance, confidence, control, concentration, and thriving in demanding situations, the present research aimed to explore the relationship between MT and dispositional flow and elucidate the psychological variables underlying dispositional flow.DesignA mixed method explanatory participant-selection design was adopted, whereby a quantitative approach was used to identify individuals for a qualitative follow-up phase to explore the relationship between MT and dispositional flow.MethodAn intensity sampling strategy was used to identify individuals with higher/lower MT and dispositional flow. Semi-structured interviews were conducted with 16 athletes (M age = 25, SD = 3.24; female n = 10; male n = 6). An inductive content analysis was undertaken to interpret data.ResultsSeven general dimensions describing the psychological attributes related to dispositional flow in athletes with higher and lower MT emerged. Specifically, differences in confidence, perfectionism, goal orientation, coping mechanism selection, locus of control, optimism and concentration were apparent and could account for differences in dispositional flow.ConclusionWhile all athletes experienced flow, there were differences in dispositional flow and the processes involved in entering, maintaining and restoring flow between higher and lower MT subgroups. Findings are discussed in relation to the existing literature, and recommendations for future research into the MT-flow relationship are outlined.     

Neuropsychoanalytic Explorations: Linking Practice,Theory, and Research

ABSTRACT

Clinical vignettes along with applicable neuroscientific research findings are considered for the purpose of examining the utility of neuropsychoanalysis to psychoanalytic thought and practice. Several fundamental psychoanalytic concepts are revisited along both lines. Among them are: identification, embodiment, attachment, drive, danger situations, dreams, memory, metaphor, conflict, defense. In the process, the metapsychology of the “mental apparatus” gains renewed attention. The article uses instances of three different clinical situations as moments open to neuro-psychoanalytic explorations of several basic psychoanalytic propositions: on the couch; on the phone; in the chair.     

Personal construct theory and mental health

Although it has been an illusive and controversial concept, mental health is likely to continue to have currency in the presently high-profile debates on health and health education. In this article, I consider the manner in which personal construct theory deals with the concept of mental health. I suggest that an augmentation of the mode of construing called perspectivism provides a sound and workable idea of mental health. That augmentation is provided from the study of mentalities, in particular the idea of egalitarian mentality.     

Control-Mastery

Abstract

This paper will introduce the theory of Control-Mastery, an empirically supported, cognitively oriented interpersonal theory of psychotherapy. Control-Mastery theory offers a distinctive approach to counter-transference in particular and suggests a unique way to understand unconscious functioning. The theory also provides specific guidelines for conducting psychotherapy as well as a useful framework for understanding the impact of familial as well as cultural context on individual psychological struggles.     

Transference Interpretations as Relationship Work

Abstract

In the development of the psychoanalytical treatment technique, a polarity has formed between interpretation and relationship. In contrast to this, the view is elaborated in this paper that interpretation is the specific relationship mode of psychoanalysis. Against the background of the object relationship theory, interpretation work provides an alternative to internalised experiences. A prerequisite is the concept, that transference is a circular process, in which the analyst and analysand both participate.     

The Application of Behavior Change Theory to Family-Based Services: Improving Parent Empowerment in Children’s Mental Health

We describe the development of a parent empowerment program (PEP) using a community-based participatory research approach. In collaboration with a group of dedicated family advocates working with the Mental Health Association of New York City and state policy makers, academic researchers took an iterative approach to crafting and refining PEP to better prepare family advocates to help bridge the gaps in service access among children with emotional and behavioral problems. Despite the growth of family-led, family support programs nationally, research that demonstrates the positive benefits of such programs is scarce in the children’s mental health literature. The PEP model is based on research data about barriers families face in mental health service utilization (e.g., stigma, perceptions of providers, attitudes towards mental illness, service availability, etc.). PEP is premised on (a) the concept of empowerment as a process, (b) the need to engage parents in becoming active agents of change, and (c) the application of an integrated framework to empower parents, called the Parents as Agents of Change model. Our paper focuses on describing the application of a Unified Theory of Behavior Change as a theoretical framework to help activate parents as change agents in meeting their children’s mental health needs. Based on an integrated model of grassroots driven Principles of Parent Support and research-based Unified Theory of Behavior Change, PEP’s Parents as Agents of Change model provides a conceptual framework for testing the effectiveness of family support services in children’s mental health, a much-needed area for future research.     

Integrating flow theory and the serious leisure perspective into mental health counseling

This article explores how flow theory and the serious leisure perspective (SLP) can be integrated into mental health counseling. Although different counseling models have acknowledged the role of leisure in the counseling process, leisure is largely an unknown and superficial concept in the mental health counseling literature. Four broad-based pragmatic ideas regarding how flow theory and the SLP can be integrated into the counseling process include mental health counselors (1) understanding the concepts of serious leisure, casual leisure, project-based leisure, flow (enjoyment), and hedonistic pleasure; (2) becoming aware of various assessment instruments that measure flow and serious leisure; (3) using the provision characteristics of entering flow into the counseling process; and (4) empowering clients to becoming community change agents through serious leisure pursuit, resulting in flow experiences.