The vicissitudes of affect in Horney's theory

Abstract

Karen Horney, a Neo-Freudian analyst who immigrated from Germany to the USA, undertook the difficult task of developing a theory that remained concrete psychology without resorting to biology or to metapsychological entelechies. Although her basic construct, as in Freud, is a conflict between nature and culture, nature for her is the naturally endowed real self, which the neurotic abandons bowing to cultural pressures. This process of desertion is teleological and based on imagination, and is also creative. It entails the pursuit of a god-like idealized image of the self shaped according to narrow and despoiled values. Being interpersonal, Horney's theory avoids third-person objectification which creates a false distance; it thus remains (inter)subjective. A theory of interpersonal affect, it is dramatic before being dynamic. It also abandons claims to universality as it does to the “objectivity” of the natural sciences. Horney's focus on alienation brings her close to Hegel and Marx, a neglected fact, and she pioneered feminist and self-help theories. The difficulty in reading Horney is not her abstruseness, since her theory refuses technicism. It resides rather in that resistance created by what Althusser called interpellation: one feels her finger pointed at oneself as one reads.     

Quasi-Maximum Likelihood Estimation of Structural Equation Models With Multiple Interaction and Quadratic Effects

In this article, a nonlinear structural equation model is introduced and a quasi-maximum likelihood method for simultaneous estimation and testing of multiple nonlinear effects is developed. The focus of the new methodology lies on efficiency, robustness, and computational practicability. Monte-Carlo studies indicate that the method is highly efficient and that the likelihood ratio test of nonlinear effects is robust and outperforms alternative testing procedures. The new method is applied to empirical data of middle-aged men, where a latent interaction between physical fitness and flexibility in goal adjustment on complaint level is hypothesized. A model with 5 simultaneous nonlinear effects is analyzed, and the hypothesized interaction is quantified and tested positively against an additive model with quadratic and linear effects.     

A Plea for Semantic Localism

The purpose of this paper is to defend a conception of language that does not rely on linguistic meanings, and use it to address the Sorites and Liar paradoxes.     

Internet‐based CBT intervention for gamblers in Finland: Experiences from the field

From September 2007 to May 2011 a total of 471 participants (325 males and 146 females) signed up for an 8‐week Internet‐based cognitive behavioral therapy offered for gamblers in Finland. Sixty‐four percent of the participants were pathological gamblers (PGs) (NODS 5> points), 14% were problem gamblers (NODS 3–4 points) and 10% were at risk of gambling problems (NODS 1–2 points). Two hundred and twenty four participants completed the treatment and after the treatment period significant changes were found in the following variables: gambling related problems (NODS), gambling urge, impaired control of gambling, alcohol consumption (AUDIT‐C), social consequences, gambling‐related cognitive erroneous thoughts and depression (MARD‐S). In this sample co‐morbid alcohol consumption was stronger among males. The main finding of this study was that the onset age of gambling was associated with a greater amount of gambling‐related cognitive erroneous thoughts.     

Determination of problems in patients with post‐laryngectomy

The purpose of this study is the determination of the physical and psychosocial problems of total and partial laryngectomies. A total of 25 patients, who were operated with the diagnosis of larynx carcinoma in 2010 at Gazi University Faculty of Medicine Otolaryngology Department, were included in the study. They were evaluated with the help of the Personal Information Form (PIF) and the Determination Form of Post Laryngectomy Problem (DFPLP) for the problems they encountered after the operation. Total laryngectomy (TL) was performed on 76% of patients. It was determined that patients undergoing total laryngectomy experienced some physical and psycho‐social problems such as problems in sleep (31.6%), smell (52.6%), taste (36.8%), and difficulty in swallowing solid foods (36.8%). Furthermore in patients with TL surgery whilst 47.4% of them think that their sexual lives were affected rather negatively, this rate was determined as 33.3% in patients with partial laryngectomy surgery (PL). The psychosocial score averages of the patients who had smell and taste disorders were significantly lower (p < 0.05). The patients, who underwent a laryngectomy operation, experienced many physical, social, and psychological problems. Thus, medical personnel also need to pay attention to these concomitant problems that occur during the treatment of the primary disease and the application of necessary supplementary treatments such as voice prosthesis, pre‐op and post‐op counseling, and anti‐depressants seems significant in terms of increasing the life quality of the patients.     

Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas

Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants (“intervention effect”). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas.     

Agreement and similarity in self-other perceptions of moral character

We surveyed well-acquainted dyads about two key moral character traits (Honesty–Humility, Guilt Proneness), as well as several other individual differences. We examined self-other agreement, similarity, assumed similarity, and similarity-free agreement (i.e., self-other agreement controlling for similarity and assumed similarity). Participants projected their own level of moral character onto their peers (i.e., moderately high assumed similarity), but were nonetheless able to judge moral character with reasonable accuracy (moderately high self-other agreement and similarity-free agreement), suggesting that moral character traits can be detected by well-acquainted others. Regardless of reporting method, Honesty–Humility and Guilt Proneness were correlated with delinquency, unethical decision making, and counterproductive work behavior, suggesting that unethical behavior is committed disproportionately by people with low levels of these character traits.