Working through a group's fantasy of the deceased leader's wish for the group's continuation

This paper reflects the working through of a group's fantasy that the deceased group leader wished the group to continue. As in any defense, the fantasy protected members from the pain of the finality of the leader's death. This article reveals the subjective experience concerning the effect of the leader's death on the group and members' intrapsychic struggle to separate and individuate from the deceased leader, while attending to and striving toward the group's continuation. The group's painful and growing individuation enabled the group to follow its own tasks without the spector of the deceased leader.     

A Video Life-world Approach to Consultation Practice: The Relevance of a Socio-Phenomenological Approach

This article discusses the [development and] use of a video life-world schema to explore alternative orientations to the shared health consultation. It is anticipated that this schema can be used by practitioners and consumers alike to understand the dynamics of videoed health consultations, the role of the participants within it and the potential to consciously alter the outcome by altering behaviour during the process of interaction. The study examines health consultation participation and develops an interpretative method of analysis that includes image elicitation (via videos), phenomenology (to identify the components of the analytic framework), narrative (to depict the stories of interactions) and a reflexive mode (to develop shared meaning through a conceptual framework for analysis). The analytic framework is derived from a life-world conception of human mutual shared interaction which is presented here as a novel approach to understanding patient-centred care. The video materials used in this study were derived from consultations in a Walk-in Centre (WiC) in East London. The conceptual framework produced through the process of video analysis is comprised of different combinations of movement, knowledge and emotional conversations that are used to classify objective or engaged WiC health care interactions. The videoed interactions organise along an active or passive, facilitative or directive typical situation continuum illustrating different kinds of textual approaches to practice that are in tension or harmony. The schema demonstrates how practitioners and consumers interact to produce these outcomes and indicates the potential for both consumers and practitioners to be educated to develop practice dynamics that support patient-centred care and impact on health outcomes.     

Entrevista con Jean-Paul Bronckart

RESUMEN

Bronckart comienza revisando su trayectoria científica y explicando cuáles son sus dos enfoques básicos: el análisis del contexto o de situaciones y el análisis del lenguaje en función de sus operaciones subyacentes definidas en el marco de las teorías de la enunciación. Seguidamente justifica su renuncia a posiciones estructuralistas porque no tienen en cuenta el problema de las relaciones funcionales ni prestan atención al contexto. El autor relaciona las operaciones psicológicas con universales funcionales diferenciándolos de los estructurales de Chomsky y del enfoque de Searle, defendiendo su interés por la lingüística comparativa. Seguidamente aborda el tema de análisis de textos en ambientes escolares, sugiriendo que hay que sensibilizar a los educadores sobre el hecho de que constantemente estamos en situaciones de comunicación que van cambiando y crear instrumentos para que puedan analizar su propia práctica. Con relación al aspecto cognitivo del lenguaje, enfatiza la proliferación excesiva de los enfoques representativos y seguidamente desarrolla qué entiende por especificidad de la naturaleza del lenguaje y de su carácter comunicativo. Esta entrevista aborda, además, cuestiones tales como el fenómeno presuposicional, las aportaciones de Vygotsky o las experiencias de enseñar lenguaje a chimpancés, y finaliza planteando algunos aspectos de la teoría de Culioli.     

Cognitive Factors in Fibromyalgia: The Role of Self-Concept and Identity Related Conflicts

Fibromyalgia is a syndrome characterized by the presence of diffuse and chronic musculoskeletal pain of unknown etiology. Clinical diagnosis and the merely palliative treatments considerably affect the patient's experience and the chronic course of the disease. Therefore, several authors have emphasized the need to explore issues related to self in these patients. The repertory grid technique (RGT), derived from personal construct theory, is a method designed to assess the patient's construction of self and others. A group of women with fibromyalgia (n = 30) and a control group (n = 30) were assessed using RGT. Women with fibromyalgia also completed the Fibromyalgia Impact Questionnaire and a visualanalogue scale for pain, and painful tender points were explored. Results suggest that these women had a higher present self-ideal self discrepancy and a lower perceived adequacy of others, and it was more likely to find implicative dilemmas among them compared to controls. These dilemmas are a type of cognitive conflict in which the symptom is construed as "enmeshed" with positive characteristics of the self. Finally, implications of these results for the psychological treatment of fibromyalgia are suggested to give a more central role to self-identity issues and to the related cognitive conflicts.     

Mental workload and visual impairment: differences between pupil, blink, and subjective rating

This research has two aims: (a) To study the concurrent validity of three measures of mental workload, NASA TLX rating scale, pupil dilation and blink rate, testing the hypothesis that they will provide convergent results using a single-task, and dissociative results for dual-task; and (b) To analyse their capability to predict visual search impairment. These three measures were analyzed in the same cognitive tasks in single-task and dual-task (cognitive task and visual search) conditions in a within-subjects experiment with twenty-nine participants. Mental workload measures showed concurrent validity under single-task condition, but a complex pattern of results arose in the dual-task condition: it is suggested that NASA TLX would be a subjective addition of the rating of each task; pupil dilation would measure the average arousal underlying the cognitive tasks; and the blink rate would produce opposite effects: whereas mental workload of cognitive tasks would increase blink rate, visual demand would inhibit it. All three measures were good predictors of visual impairment. The soundness of these measures is discussed with regard to the applied field of driving and other activities.