Living with obsessive-compulsive disorder: A case study of a woman's construction of self

This qualitative case study employed social constructionist theory and a discursive or language-based approach to examine aspects of identity and subjectivity in one woman's account of living with obsessive-compulsive disorder (OCD). Two, 2-hour semi-structured interviews were conducted, 6 weeks apart. In the first interview, the participant was asked to tell her ‘story’ of what her life with OCD was like. A discursive analysis focusing on the woman's construction of self was conducted on her narrative. During the second interveiw, the participant was asked to give her reactions to the analysis and to provide further interpretations and/or explanations which were then discussed. The results indicate how different ‘voices’ in the woman's narrative represent the power relations involved in her self-presentation of life with OCD within a particular social and discursive context. A key discourse involving religion as a metaphor was also identified as a way of representing the woman's experience of OCD and understanding her perception of control. The study illustrates how a discursive approach involving reflexivity can be used to explore identity and subjectivity with an OCD respondent/client.     

When the Woman Presents Herself as "the Patient"

The thesis of this paper is that women are delegated by their families, by sociocultural norms and stereotypes, and by the psychotherapeutic community to perform in the role of patient. In many cases women are diagnosed, labeled and treated for supposed intrapsychic difficulties without adequate consideration of the relationships of the woman's social system to the dysfunction. This acceptance of the notion of intrapsychic causation in the woman, while ignoring the larger family system, grows out of a cultural world view which stresses individual self-determination is economically rewarding for the therapeutic community (two-thirds of the client population is female), it does a disservice to the woman and her family. A societal myth is perpetuated of the women as the "problem-bearer" and the one who is "sicker" or "crazier" than others in her family. The woman's symptoms need to be viewed as having interpersonal reality; symptoms are tactics of communication not mythological internalized driving forces with special attraction to the female psyche. An attempt will be made to outline how therapists may unwittingly collude in perpetuating the myth of individual dysfunction in the woman. Ideas are presented for viewing the woman's request for service as an attempt to solve a systemic problem and how therapists, by recognizing the function of the symptom in the woman's social system, can help the woman better define and solve the problem.     

The Glasgow Voice Memory Test: Assessing the ability to memorize and recognize unfamiliar voices

One thousand one hundred and twenty subjects as well as a developmental phonagnosic subject (KH) along with age-matched controls performed the Glasgow Voice Memory Test, which assesses the ability to encode and immediately recognize, through an old/new judgment, both unfamiliar voices (delivered as vowels, making language requirements minimal) and bell sounds. The inclusion of non-vocal stimuli allows the detection of significant dissociations between the two categories (vocal vs. non-vocal stimuli). The distributions of accuracy and sensitivity scores (d’) reflected a wide range of individual differences in voice recognition performance in the population. As expected, KH showed a dissociation between the recognition of voices and bell sounds, her performance being significantly poorer than matched controls for voices but not for bells. By providing normative data of a large sample and by testing a developmental phonagnosic subject, we demonstrated that the Glasgow Voice Memory Test, available online and accessible from all over the world, can be a valid screening tool (~5 min) for a preliminary detection of potential cases of phonagnosia and of “super recognizers” for voices.     

Witnessing and Passing. Discussion of Prince's “The Self in Pain: The Paradox of Memory. The Paradox of Testimony”

The author indicates that she has two voices. One voice speaks to the patient's loneliness and detachment and her expectation to not be seen, believed, or acknowledged. This voice, housing the knowledge that events that remain unprocessed continue to have an impact, wants Dr. Prince to risk intrusion and preemption. This voice believes that it is worth it. The author's other voice considers bottomless wounds and speaks to the patient's need to build up healthy aspects of personality that is necessary to do the holocaust work. This voice holds that this is not the time for Dr. Prince to witness what happened to the patient, what the perpetrators of massive crimes did to her or what the onlookers saw and chose not to do. This voice says that the patients lead should be followed. The author elaborates on her two voices and indicates what she would have done had she been working with the patient.     

The stranded cinderella and the wandering rascal. Two narratives of female housing exclusion

This article examines the life stories of two young Polish women who have faced severe marginalization and homelessness. The main aim of this article is to investigate how the notions of (in)visibility and (im)mobility are shaping participants' everyday lives and life stories they tell. Using concepts drawn from social sciences, as well as cultural and literary studies, this article attempts to reconstruct the narrative frameworks of their life stories. Marzena's story is a non-linear collection of adventures reminiscent of a picaresque novel, but with fractured agency, which leaves her powerless and restlessly moving around the city. Angelika, on the other hand, is trapped in a two-room dilapidated house with no running water, located in a rural part of Poland. Her narrative resembles a telenovela with melodramatic plot twists, romance and hard-to-believe revelations about the narrator's true self; further, it is a purposeful journey in search for happiness and fortune. Surprisingly, Marzena's mobility makes it unlikely for her to overcome homelessness, while the stranded Angelika finds the resilience necessary to improve her life. The proposed analysis contributes to a deeper understanding of women's experiences of homelessness and demonstrates the need to regard housing exclusion also as a biographical process.     

Reconstructing Life Stories of Holocaust Survivors Through Art

This article discusses the late works of two women Holocaust survivors, Esther Nisenthal Krinitz and Ilana Ravek, as seen through the prism of the artistic reconstructing of a life story. Their life stories are expressed in works depicting their Holocaust experiences together with additional “rehabilitation” works illustrating elements such as their childhood before the Holocaust, their establishment of families afterwards, their experience of parenthood and grandparenthood, their successful resettlement in their new countries and their acquisition of a new national identity. Each of these artists' work represents a different approach to the construction of a life story. Nisenthal Krinitz's art works exemplify a linear narrative approach, displaying a sequence of events arranged chronologically in an interrelated plot at whose centre stands her Holocaust story, wrapped by works depicting her life before and afterwards. Ravek's works, which are not limited to her Holocaust experience and its ramifications, demonstrate the second approach, which requires far more active involvement on the part of the viewer. Both artists' life stories express a conflicted ambivalent consciousness, as tragic depictions coexist side by side with images of rehabilitation. The enfolding of the past in the present assists them in their reconstruction of a consecutive identity that has a past, present, and future and enables them to give meaning to their life after their survival.     

我听故我在？自我声音识别机制的探索

自我声音是自我相关信息之一,同时也是个体识别身份时最重要的标志之一。声音具有骨传导和空气传导的传导方式和个体动机水平的差异都影响个体自我声音识别。在进行自我声音识别认知加工的过程中,会激活右半球额叶大部分脑区,并且在P3和N2成分上与在非我身份声音识别中同样存在显著差异。从声音刺激和个体动机两种角度来开展自我声音识别研究,并结合进化心理学与脑成像技术探索其神经机制,宜成为未来研究的一个方向。     

The Role of Organization in the Learning of a Sensori-Motor Task

Two experiments investigated the ability of five- and six-month-old Guatemalan infants to discriminate human faces visually and to associate faces and voices differing in age and sex. The 32 infants in Experiment I discriminated between photographs of a man, a woman, and a seven-year-old boy. They did not, however, discriminate between photographs of two men, two women, or of two seven-year-old boys. The 24 infants in Experiment II were presented three different pairs of photographs of faces. One pair consisted of a man and a woman, another of a woman and a child, and the third of a man and a child. Voices appropriate to each pair of photographs accompanied the presentation of the visual stimulus. Looking at the woman and child seemed to be influenced by the presentation of a woman's voice and a boy's voice. Appropriate voices did not alter looking behavior with regard to the woman and man or the man and child.     

Crippled feet

Critics of Lars von Trier's film Antichrist have regarded the depicted woman's destructive fury as difficult to understand. In this paper, separation anxiety is discussed as a central unconscious motivation behind the aggressive interaction between husband and wife, and the child is discussed as an obstacle to the mother's exclusive relationship with her husband. The film powerfully conveys how sadistic aggression is unconsciously acted out between mother and son, as symbolized by the mother's crippling of her son's feet. The woman's violence is also a reaction to a her husband “therapist” who, wishing to correct her, fails to understand and contain her inner world, wherefore the therapeutic dialogue itself, disguised as help, is experienced as violently aggressive. This in turn engenders a wish for revenge. Against this background, the film is seen as a critique of cognitively oriented therapy.     

Why are people with insecure attachments unhappy? The mediation of meaning in life

This study explores the mediating role of meaning in life with respect to the relationship between adult attachment and psychological well‐being. This study proposed that because people with insecure attachments have difficulty in connecting with the external world, this may decrease their ability to attain meaning in life, which may in turn diminish their well‐being. Two studies (N = 155 and 234, respectively, with age range from 18 to 31) were conducted. Participants completed self‐report measures of attachment, well‐being and meaning in life. The results consistently revealed a full mediation effect of meaning in life on the relationship between attachment and well‐being. The findings suggested that a deeper sense of meaning in life comes from one's connection with the external world, especially with other people.     

I Know My Story and I Know Your Story: Developing a Conceptual Framework for Vicarious Life Stories

Vicarious life stories are mental representations of other people's life stories. We propose a conceptual framework that situates the study of vicarious life stories at the crossroads between personality and social cognition, identifies their potential functions, and describes possible connections between vicarious and personal life stories. Two preliminary studies compared chapters and specific memories in personal and close others' life stories in two groups of student participants. Ages associated with chapters and specific memories in personal and vicarious life stories showed similar temporal distributions. Emotion ratings of both personal and vicarious life story chapters were related to personality traits and self‐esteem, although relations were more consistent for personal chapters. In conclusion, personal and vicarious life stories share important similarities. Mental models of other people include vicarious life stories that serve to expand the self as well as facilitate understanding of others.     

High voice pitch mitigates the aversiveness of antisocial cues in men's speech

Speech contains both explicit social information in semantic content and implicit cues to social behaviour and mate quality in voice pitch. Voice pitch has been demonstrated to have pervasive effects on social perceptions, but few studies have examined these perceptions in the context of meaningful speech. Here, we examined whether male voice pitch interacted with socially relevant cues in speech to influence listeners’ perceptions of trustworthiness and attractiveness. We artificially manipulated men's voices to be higher and lower in pitch when speaking words that were either prosocial or antisocial in nature. In Study 1 , we found that listeners perceived lower-pitched voices as more trustworthy and attractive in the context of prosocial words than in the context of antisocial words. In Study 2 , we found evidence that suggests this effect was driven by stronger preferences for higher-pitched voices in the context of antisocial cues, as voice pitch preferences were not significantly different in the context of prosocial cues. These findings suggest that higher male voice pitch may ameliorate the negative effects of antisocial speech content and that listeners may be particularly avoidant of those who express multiple cues to antisociality across modalities.     

Objective self awareness and self esteem

Based on a theory of objective self awareness three experiments were conducted with undergraduates to test the hypothesis that self-focused attention can alter self esteem levels. In Experiments I and II subjects were exposed either to the sound of their own voices or to the sound of another's voice, and while listening to the tape-recording they filled out a self esteem measure. Consistent with the theory, subjects whose attention was focused upon themselves by means of exposure to their own tape-recorded voices showed lower self esteem than subjects who heard another's voice. The impact of the self awareness manipulation on self esteem was greatest when it was first introduced. In Experiment III the variable of positive-negative feedback on a fictitious personality trait was added to the self-focused attention variable. An interaction resulted such that self-focused attention lowered self esteem given negative feedback, while there was a tendency toward the opposite result given positive feedback.     

The analysis of young people’s experiences of domestic violence: spiritual and emotional journeys through suffering

The hermeneutical analysis of the stories of young people who have experienced domestic violence is described as multi‐layered having been developed from a voice centred relational methodology. The purpose was to uncover the complexity of lived experience. As the analysis proceeded, the young people’s voices emerged as ‘feeling’ voices, encompassing emotionality. Each young person’s journey through suffering was characterised by individuality, but the analysis has offered a glimpse of commonality which is present within each of the young people’s stories. Their resilience, their journey from disempowering to humanising emotions and their indomitable spiritual powers have been revealed through the analytical process.     

Mapping the dialogical self: towards a rationale and method of assessment

It is widely believed that the well‐adjusted individual has an integrated, coherent and autonomous ‘core self’ or ‘ego identity’. In this paper it is argued that a ‘multi‐voiced’ or ‘dialogical self’ provides a better model. In this model the self has no central core; rather, it is the product of alternative and often opposing narrative voices. Each voice has its own life story; each competes with other voices for dominance in thought and action; and each is constituted by a different set of affectively‐charged attachments: to people, events, objects and our own bodies. It is argued that by exploring these attachments the dominant narrative voices of the self may be identified. A semi‐structured interview protocol, the Personality Web, is introduced as a method for studying the dialogical self. In phase 1, 24 attachments are elicited in four categories: people (6), events (6), places and objects (8), and orientations to body parts (4). During interviewing, the history and meaning of each attachment is explored. In phase 2, participants were asked to group their attachments by strength of association into clusters, and multidimensional scaling was used to map the individual's ‘web’ of attachments. Using a combination of qualitative and quantitative methods, the strategy of clustering attachments was shown to be successful as a means for empirically examining the dialogical self. Two case studies of midlife adults are described to illustrate the arguments and methods proposed. Copyright © 2000 John Wiley & Sons, Ltd.     

Auditory priming in an implicit memory task that emphasizes surface processing

Auditory priming was examined in an implicit memory task, phoneme monitoring, that emphasized surface processing. The contribution of voice to priming was investigated in single- and multiplespeaker environments by repeating studied words at test in either the same voice or different voices. Multiple-speaker environments, which preserved both acoustic and word repetition, eliminated priming when more than two voice changes between words were introduced. When voice familiarity attenuated acoustic variability, priming was reestablished in the condition in which three voices were heard. Voice changes between study and test, which eliminated acoustic repetition, also abolished priming. Word frequency affected reaction times but not priming. This demonstrated that priming entailed subword processing rather than word processing. This study demonstrates that the significance of voice in implicit memory is dependent on the level of processing required by the task and the acoustic environment. Supported in part by an OMRDD Fellowship in the CSI/IBR Center for Developmental Disabilities to M. P., portions of this study were conducted in partial fulfillment of her requirements for the Ph.D. in the Department of Psychology of The City University of New York Graduate School and University Center.     

Coming Out in Voices

This paper articulates the personal experiences of a woman with a physical disability who enters therapy to explore issues involving lesbian identity, health and illness, disability oppression and pride, and relationships. Written in the first person, the article uses anecdotes, poetry, and journal entries to chart the author's process of self-discovery. As a woman, a lesbian, and a person with a disability, the author frequently finds herself at odds with the culture around her. This creates conflicts between the author's real self, and the self she must present to others. She discusses how she had learned to "silence the voices" which were not useful in challenging the stereotypes, making others comfortable, or communicating with assistants. The author describes how therapy offered her the opportunity to unlearn the silence, value all of her voices, listen to herself, resolve her internal dilemmas, and develop a deeper sense of self.     

The effects of the presence of a face and direct eye gaze on voice identity learning

We rarely become familiar with the voice of another person in isolation but usually also have access to visual identity information, thus learning to recognize their voice and face in parallel. There are conflicting findings as to whether learning to recognize voices in audiovisual vs audio-only settings is advantageous or detrimental to learning. One prominent finding shows that the presence of a face overshadows the voice, hindering voice identity learning by capturing listeners' attention (Face Overshadowing Effect; FOE). In the current study, we tested the proposal that the effect of audiovisual training on voice identity learning is driven by attentional processes. Participants learned to recognize voices through either audio-only training (Audio-Only) or through three versions of audiovisual training, where a face was presented alongside the voices. During audiovisual training, the faces were either looking at the camera (Direct Gaze), were looking to the side (Averted Gaze) or had closed eyes (No Gaze). We found a graded effect of gaze on voice identity learning: Voice identity recognition was most accurate after audio-only training and least accurate after audiovisual training including direct gaze, constituting a FOE. While effect sizes were overall small, the magnitude of FOE was halved for the Averted and No Gaze conditions. With direct gaze being associated with increased attention capture compared to averted or no gaze, the current findings suggest that incidental attention capture at least partially underpins the FOE. We discuss these findings in light of visual dominance effects and the relative informativeness of faces vs voices for identity perception.     

Sleep in Women: A Review

Sleep complaints are common in women, and women are more likely to suffer from insomnia than men. Multiple factors across a woman's lifespan, including hormonal changes, age‐related physiological changes, psychosocial factors, the presence of sleep disorders, and physical and mental health conditions, can contribute to complaints of poor sleep in women. This article reviews the literature on the characteristics of, and contributing factors to, subjectively and objectively measured sleep during the menstrual cycle, pregnancy, and post‐partum period, as well as the menopausal transition and postmenopause. Evidence from both subjective and objective measurements supports the presence of chronic sleep fragmentation associated with pregnancy, acute sleep deprivation during labour and the immediate post‐partum periods, as well as disrupted sleep during the first few months after childbirth. While there is evidence for menstrual cycle and menopause related sleep disturbance based on women's self report, findings from objectively measured sleep have been mixed. Observational and intervention studies on the relationship between sleep and women's psychological well‐being suggest that underlying causes of sleep disturbance across a woman's lifespan are often multi‐factorial. Comprehensive assessments and targeted interventions are needed in managing sleep problems in women. Cognitive behavioural interventions have been shown to reduce sleep complaints during the perinatal and menopausal periods, and improvements in sleep are likely to lead to improvements in women's overall well‐being.