Neutrality, interpretation, and therapeutic intent.

Neutrality is a central concept within the theory of psychoanalytic technique. We spell out the major controversies in which the concept has become embroiled, and provide a definition that we believe coincides with actual psychoanalytic practice. We discuss its merits and weaknesses, noting also the negative consequences of relying on older definitions. We relate neutrality to the interpretive process, indicating ways interpretation protects neutrality and is made more effective by it. We discuss the complex and controversial relation between neutrality and the analyst's therapeutic intent.     

From front line to home front: a study of secondary traumatization.

While the long-term effects of combat trauma on veterans have been studied extensively, its impact on veterans' wives has yet to be investigated. This study examined the implications of combat-induced psychopathology--wartime combat stress reaction (CSR) and current posttraumatic stress disorder (PTSD)--in a sample of 205 wives of Israeli combat veterans of the 1982 Lebanon war. Results show that both CSR and PTSD were associated with increased psychiatric symptoms in the wives. In addition, current PTSD was particularly found to contribute to impaired social relations among veterans' wives in a broad range of contexts, from inner feelings of loneliness, through impaired marital and family relations, and extending to the wider social network. Implications of these findings for treatment and further research are discussed.     

Negativism and countertransference

The purpose of this work is to explore the phenomenon of negativism and the analyst's response to it during the course of analytic work with a patient in whom negativism is a central behavioral pattern. Melville's short story, "Bartleby the Scrivener," describing in telling detail the response of a sympathetic lawyer to profound and pervasive negativism in his legal scribe, is discussed as a literary analogy to the analyst-analysand dyad. Aspects of the concept of negativism within psychoanalysis are discussed. The potential usefulness of understanding certain unexpected countertransference responses to pervasive negativism is explored, as this is a relatively neglected area of psychoanalytic technique. A case is presented describing the analysis of a patient whose character, like Bartleby's, is a mixture of profound negativism along with schizoid, obsessional, and masochistic elements.     

Psychosocial risk factors, natural immunity, and cancer progression: Implications for intervention

One of the more important and emerging fields in which psychologists collaborate with other disciplines is psychoimmunology. Centuries of clinical anecdote and decades of psychosomatic hypotheses have gained credibility in the eyes of the medical establishment—and many patients—by the systematic investigation of mechanisms potentially explaining how events intrapsychic and interpersonal could affect physical disease processes. The central nervous system is connected with the immune system by both neuronal and endocrinological pathways. The immune system has been found to mediate the organism’s response to aberrations of its own normal functions, as well as to invading organisms from without. AIDS, arthritis, asthma, lupus, and herpes are some of the illnesses in which research is demonstrating important relationships among psychosocial and immunological factors and disease course. In this article, we first discuss the immunological apparatus in order to provide a base for subsequent discussions of the effects of stress on immune function. Then we discuss malignant diseases and current evidence that disease course is related to both psychosocial stressors and immune function. We next discuss a model of these interactions, and finally we talk about interventions incorporating psychosocial factors aimed at influencing immune status and, thus, disease course.     

Case Study: New Directions For the College Counselor at CCNY

Community mental health concepts suggest that college counselors may move towards preventive activity rather than remaining focused primarily on response to established symptoms in troubled students. Preventive activity views the college, its policies, and its administration as legitimate areas of counselor-involvement. Experience indicates there is room on the campus for both functions: (a) traditional one-to-one interactions within the counseling office; and (b) outreach programs affecting large numbers of students and administrators. Outreach has shown itself effective in reaching students who might not spontaneously seek out the counseling office. Several areas of counselor involvement at City College in which the staff has experimented with the outreach philosophy are discussed.     

A REPLY TO JASPER HOLLEY'S DEFENSE OF THE G INDEX

Holley argues that the appearance of effects related to person means in the factor analysis of G indices is due to Levy's failure to adopt the procedure of 'double extending' the score matrix in Q analysis. Holley also points out that this same procedure has no effect upon the G indices. Therefore there is no argument and Levy's results and conclusions stand unaltered.     

Aspects of preschoolers' comprehension of indoor and outdoor gender-typed toys

Forty-nine 44- to 81-month-old predominantly white children's classification of and clustering in recall of gender-typed indoor and outdoor toys, and their gender schematicity, were assessed. Consistent with predictions, children high in gender schematicity demonstrated significantly greater clustering in their recall by gender type than children low in schematicity. As expected, all children demonstrated more accurate classification of same-sex than other-sex gender-typed toys in general. However, boys and girls showed distinctively different patterns in their abilities to accurately classify same-sex and other-sex indoor and outdoor gender-typed toys. Results are discussed in terms of the different social and play contexts inhabited by preschool boys and girls.Completion of this project was facilitated by funds received when the author was a National Institute of Mental Health Postdoctoral Fellow at the University of Denver; Grant 5T32 MH 15780-09, in addition to an Academic Challenge Award from the University of Toledo. This support is gratefully acknowledged. Special thanks to Maryjo Jones for her data collection efforts and to the faculty, children, and parents of Iliff Preschool of Denver, Colorado, and especially to Director Jean True for assisting in the completion of this research. Thanks also to Joan M. Barth, Narina N. Nightingale, Kathy A. Park, and Peg Hull-Smith for their comments on earlier versions of this article. A shorter version of this paper was presented at the Conference on Human Development, Richmond, Virginia, March 1990.To whom reprint requests should be addressed at Department of Psychology, University of Wyoming, P.O. Box 3415, Room 135 Biological Sciences Building, Laramie, WY 82071-3415.