“Presence” and “Absence”: Kaleidoscopic Hide and Seek: Reply to Commentaries

In this reply I respond to Cambray’s introduction of the “self-organizing” and “emergent” qualities of telepathic communication, looking more closely at the relationship between dissociation and the emergence of telepathic phenomena. I highlight the creative aspect of such telepathic “intrusions,” viewing the clinician’s capacity for intuitive imagination as key to the emergence of telepathic material. In response to Eshel’s connection between the analyst’s “presence,” “absence,” and the patient’s unmet need for recognition, I examine the roles of co-construction and mutual dissociation in transference-countertransference enactments that generate uncanny phenomena. Verbal interpretation not always being the most viable mode of communication, “absence” can sometimes serve as a co-constructed, unconscious “solution” to the problem of multiple conflicting needs, holding a space for telepathic emergence to express the inexpressable.     

Reply to “Expanding the Frame” by Anthony Bass and to Commentaries

In this reply I offer a short answer to the question about the theme “What do we learn from experience?” I can say that certainly the power of that particular experience with that patient made me more sensitive and careful toward similar moments with other patients. I then offer some comment on the contributions in this issue of the journal. I emphasize the interweaving of structure and process and the process of building meaning as an intersubjective achievement. I also intervene on the theme “how to transmit psychoanalytic wisdom.”     

“A Place to Enter and in Which to Feel”: Reply to Cath,Levine, and Peltz

In this response, I clarify my argument for the utility of affectively organizing and containing work in the treatment of a traumatized child. I find myself in agreement with many of the comments of Peltz regarding the vitalizing aspects of the work and Levine’s discussion of scaffolding to promote development. I delineate my thinking in response to Cath’s queries about transference, Oedipal themes, and the value of interpretation.     

Exploring the “New” Frontier of Spirituality in Health Care: Identifying the Dangers

Enthusiasm is growing in nursing and medicine for addressing spirituality and religious needs in patient care. We urge caution and stress the need for greater awareness of the dangers involved. The first danger is the lack of any attention given to how informed consent might be relevant to the topic of patient autonomy in spiritual health care decisions. The second danger is that the major health care providers, nursing and medicine, are not adequately educated to provide such care. The third danger is that we have not yet sufficiently clarified the roles of the various providers and as a consequence coordination of quality spiritual care is in jeopardy.     

Exploring the Time Preferences by Procrastinators: Night or Day,Which is the One?

In study 1, trait procrastinators compared to nonprocrastinators claimed they were ‘night persons’, individuals who are most alert and active in the late afternoon and evening hours. However, there were no significant individual differences in time preference for a set of social and individual activities considered pleasurable. In study 2, participants kept daily records for six straight days of when they had engaged in activities. Proneness toward behavioral (but not decisional) procrastination was significantly related to number of activities performed in the evening. Together, these studies suggest that procrastinators may be ‘late starters’ who prefer to engage in daily activities later in the day than early in the morning. © 1997 John Wiley & Sons, Ltd.     

Commentary on “Exploring the Sensitivity of Horn's Parallel Analysis to the Distributional Form of Random Data”

Bong (1998) extended the internal/external frame of reference (I/E) model by attempting to operationalize the internal and external comparison processes that are central to the model and expanding the range of academic self-concept domains. Bong concluded that the "I/E model failed to receive clear support" (p. 102) in relation to predictions that she derived from her extension of the original model. Our critical evaluation and reanalysis, however, reveals problems in the operationalization of the internal and external comparisons, the rationale for post hoc confirmatory factor analysis models and, thus, the original conclusions. Our reanalysis, however, provide strong support for the original I/E model, some support for the separation of the internal and external comparison processes, and good support for a new extension to incorporate a wider range of academic domains. In particular, for these largely Hispanic-American students, Spanish achievement and self-concept were very distinct from achievements and self-concepts in all other school subjects. Accomplishments in Spanish provided one basis for evaluating accomplishments in other school subjects. In contrast, achievements and self-concepts in these other school subjects could be explained in terms of higher-order Verbal achievement and self-concept factors and higher-order Math achievement and self-concept factors.     

Strategies Used by an Elite Curling Coach to Nurture Athletes’ Self-Regulation: A Single Case Study

Competition outcomes are a test of an athlete's ability to self-regulate; however, scant literature exists on how self-regulation processes are developed. This study investigated the strategies used by an elite curling coach to support co-regulation and help nurture his athletes’ self-regulation during a 16-week intervention involving multiple individual and group intervention sessions and interviews. The content analysis revealed that the coach utilized the following types of strategies to facilitate the athletes’ self-regulation: (a) preparatory strategies (e.g., anticipating/preparing for obstacles), (b) performance strategies (e.g., letting go of mistakes), and (c) self-reflection strategies (e.g., attributing errors to controllable aspects of performance).     

“Expanding the Frame”: Reply to Commentary

In responding to a discussion by Susi Federici-Nebbiosi of “When the Frame Doesn't Fit the Picture,” I further consider the ways in which analysts and analysands together create the best conditions for their work. I emphasize that analytic work best fulfills its potential when it grows out of a collaborative search for ways of constructing the psychoanalytic situation that are most fully and subtly responsive to the unique qualities and circumstances of each patient and analyst. Implications for psychoanalytic training of an intersubjective model of frame construction are briefly considered.     

“No More Buzz”: A Qualitative Study of the Current Response to HIV in the Anglican Church in the Western Cape,South Africa

Using a triangulation design combining participant observation, survey results, and interviews, this paper studies the current form of the response to HIV in the local Anglican Church in the Western Cape, South Africa. The results show that people are generally aware of HIV. The “buzz” around HIV has, however, subsided. The local church does not directly engage HIV anymore, and HIV is more mentioned than talked about. HIV stigma continues to pose a challenge. To work towards the prevention of HIV, the local church needs to put HIV back on the agenda and continue to speak about the virus.     

No Place Like Home? Potential Pathways to Loneliness in Older Adults Under the Care of a Live-In Foreign Home Care Worker

The arrangement in which frail older adults from the developed world are cared for in their homes by individuals from the developing world has become increasingly prevalent worldwide. In Israel, this arrangement is termed foreign home care. In this article, the authors first describe the global phenomenon of foreign home care of frail older adults as well as the more local characteristics of this arrangement in Israel. The authors then describe the concept of loneliness. Based on empirical and theoretical knowledge in the field of loneliness, the authors argue that older adults under live-in foreign home care may be particularly prone to feelings of loneliness for several reasons: some that are general to older adults with cognitive or physical disability and others that are specific to this particular caregiving arrangement. The authors conclude by providing ideas for future practice and research on this highly vulnerable group that, to date, has received only minimal research attention.     

“Can We Say the N-word?”: Exploring Psychological Safety During Race Talk

Classroom interactions that engender psychologically safe climates have rich developmental potential; these interactions often facilitate engagement in academic risk-taking and exploration (Cooper, 2013). On the contrary, classroom interactions that are threatening to adolescents’ identities send messages of devaluation and can negatively impact feelings of belonging and academic achievement, particularly for youth of color (Sherman et al., 2013). In efforts to help explicate the interrelations between racial-identity linked risks and threats and psychological safety in classroom learning contexts, this exploratory case study examined two 9th grade English Language Arts teachers’ negotiation of attunement, authenticity, and power sharing during race talk. Our in-depth analysis of these classrooms suggested the following teacher moves may be particularly important for psychological safety during race talk: teacher moves that (a) support or inhibit power sharing, (b) indicate high or low levels of teacher attunement, and (c) demonstrate or mask the teacher’s authenticity. These results have implications for understanding the co-construction of psychological safety in classrooms during identity-salient and racialized interactions.     

Returning to the Fire: Surviving the Holocaust and “Going Back”

This paper examines the multiply determined factors in Holocaust survivors who return to their native countries and sites of persecution. Citing material from archived interviews and consultations with a gravely ill survivor, as well as published accounts from others, the author explores historical, cultural, and psychodynamic dimensions. Intrapsychic, developmental, and traumatic aspects are considered, such as the fantasy of reunion with the lost maternal object, unresolved grief, the repetition compulsion, attempts at mastery, and the use of counterphobic or hypomanic defenses. This constellation of factors is seen in the context of the Jewish premium on remembering and the political realities of post war Europe. The role of the Second Generation in assisting the survivor parents in the working through process is also emphasized.