The psychoanalytic view of phobias. Part III: Agoraphobia and other phobias of adults.

This is the third part of a review and commentary on the psychoanalytic literature on phobias. This section takes up agoraphobia and other phobias of adults, and suggests further avenues for interpenetration of psychoanalytic and psychiatric approaches.     

The wish to be soothed as a resistance.

As the analyst makes the correct interpretations of resistance in the opening phase of an analysis, the patient begins to feel understood, often for the first time. This feeling allays anxiety and depressive affects, and the patient comes to experience the analyst as a soother. These initial exchanges may lay the foundation for a positive transference which acts as a buffer against turbulent transferences. In some patients this positive transference develops rapidly, often with prompt symptom remission. In others--children as well as adults--the analyst must persistently interpret defensive regressions before a stable, positive transference can emerge. In either case, in order to avoid the analysis of conflict, some patients become resistant to the analysis of the wish to be soothed. Many of these patients have had a childhood filled with traumatic parental stimulation or rejection. Two clinical accounts illustrate these contentions.     

Impulsiveness, attitude to authority, and gender.

This article examined the relationship between impulsiveness and attitudes toward institutional authority among Australian secondary school students. Reliable questionnaire measures of these constructs were completed by 48 boys and 57 girls, about 14 years of age. Correlations between impulsiveness and attitude to authority differed between the sexes, with a significant negative correlation of -.43 being obtained for boys only.     

Using three different types of assessment data for diagnostic purposes.

This study investigated the performance of 38 learning disabled and 16 emotionally impaired children and youth on the Wechsler Intelligence Scale for Children--Revised, Wide Range Achievement Test--Revised, and Minnesota Percepto-Diagnostic Test--Revised. The ages of the children ranged from 8.4 to 16.7 years (M = 12.4, SD = 3.6). The findings suggest that discriminate functional analysis may be useful in the differential diagnosis process. Implications for clinicians are discussed.     

Validity and clinical scale comparisons between the MMPI and MMPI-2 with psychiatric inpatients.

This study was designed to investigate the comparability of the original MMPI (1950) and the MMPI-2 (1989) with a psychiatric patient population. 34 male and 3 female patients, shortly after admission to one of two acute psychiatry units, completed the old and revised versions of the MMPI. Paired t tests indicated but scant differences for raw scores, while many more differences were found among T scores for validity, clinical, and supplemental scales. Analyses, however, showed all scales on the two forms to be highly correlated. Analysis of the high-point and two-point codes across the two administrations also showed relative stability, although the proportion of Scales 2 (Depression) and 8 (Schizophrenia) decreased, while those for Scales 6 (Paranoia) and 7 (Psychasthenia) increased markedly in the MMPI-2 protocols. Examination of each version's discriminability among mood- and thought-disordered subsamples suggested that the MMPI provides slightly better delineation between diagnostic classes. Discriminant function analyses showed that there were essentially no differences between the two forms in the accurate classification of clinical and nonclinical groups. The findings reported here provide support for the MMPI-2; despite modification, the newer form retains the advantages of the original MMPI. Differences found here may be unique to psychiatric patients and their patterns of MMPI/MMPI-2 equivalence and may not generalize to other special populations.     

Reliability and validity of the Cognitive Slippage Scale in two populations.

Analyses of responses from a clinical sample of 120 patients (primarily schizophrenics) and from 158 college students to the Cognitive Slippage Scale, a scale designed by Miers and Raulin to identify speech deficits and confused thinking in schizophrenic and schizotypal personality disorders showed high internal reliability; Cronbach's coefficients alpha were .89 and .86 in the clinical and college student samples, respectively. The mean scale scores significantly differentiated the two samples. Also, change scores over 4 wk. showed adequate stability for both samples. Item analysis indicated Items 11, 20, 21, and 28 may not reliably discriminate between schizophrenic and college student samples. Over-all, these preliminary results are consistent with the reliability and validity of the scale.     

Psychological compensation: a theoretical framework.

The 2 main objectives of this article are to review a variety of literatures in which the concept of compensation is used and to integrate the results of this review into a general framework of compensation. The review focuses on 4 domains of psychological inquiry: compensation for sensory handicaps, cognitive deficits, interpersonal losses, and brain injury. In the proposed framework, underlying dimensions and 4 basic steps in the progression of compensatory behavior are distinguished. The latter include origins, mechanisms, forms, and consequences. Finally, we describe ways in which researchers in particular domains can benefit from the global, process-oriented framework we propose. For most of the areas of compensation research reviewed, investigators can profit from a consideration of a broader selection of dimensions, additional steps in the process, alternative outcomes, and both objective and subjective assessment procedures.     

Regular and irregular inflection in the acquisition of German noun plurals.

In this paper we study the acquisition of German noun plurals in relation to the question of how children represent regular and irregular inflection. Pinker and Prince (1992) have demonstrated several dissociations between regular and irregular inflection in the English past tense system. However, in English, the default status of -ed is confounded with its high frequency; therefore inflectional systems other than English past tense formation must be examined. The noun plural system in German is particularly interesting, because most nouns have irregular plurals in German and the regular (default) plural is less frequent than several of the irregular plurals. Thus it is unclear how a language learner determines whether German even has a regular plural, and if so what form it takes. Based on longitudinal data from impaired and unimpaired monolingual German-speaking children, we find a striking, statistically significant correlation: plural affixes that are used in overregularizations, namely -n or -s, are left out within compounds. This correlation shows that even impaired children are sensitive to the distinction between regular and irregular morphology. We propose a linguistic analysis of the correlation in terms of Kiparsky's (1982, 1985) level-ordering model plus an additional ordering condition on affixes: default (regular) affixes cannot serve as input to compounding processes.     

A spreading-activation theory of lemma retrieval in speaking.

This paper presents a spreading-activation theory of conceptually driven lemma retrieval--the first stage of lexical access in speaking, where lexical items specified with respect to meaning and syntactic properties are activated and selected. The mental lexicon is conceived of as a network consisting of concept, lemma, and word-form nodes and labelled links, with each lexical concept represented as an independent node. A lemma is retrieved by enhancing the activation level of the node representing the to-be-verbalized concept. This activation then spreads towards the lemma level, and the highest activated lemma node is selected. The theory resolves questions such as the hypernym problem (Levelt, 1989). Furthermore, a computer model that implements the theory is shown to be able to account for many basic findings on the time course of object naming, object categorization, and word categorization in the picture-word interference paradigm. In addition, non-trivial predictions regarding the time course of semantic facilitation for hypernyms, hyponyms, and cohyponyms are experimentally tested, and shown to be valid.