Introduction to Judit Mészáros' “Progress and Persecution in the Psychoanalytic Heartland: Antisemitism,Communism, and the Fate of Hungarian Psychoanalysis”

In this introduction, a rationale is developed for why these accounts of the historical movements and catastrophes in psychoanalytic institutional histories are so important. I argue that we need to contextualize theory and practice in political and historical terms, seeing that historical forces shape institutions, the fates of individuals, and the evolution of theory and practice. In particular, I consider the impact of the events in Hungary over nearly 50 years as crucial elements in the eclipse of Ferenczi and his school. I argue that we need to rethink our too-narrow focus on comparative theory and imagine the role of history in the fate of ideas. The impact of fascism and of Stalinism on psychoanalytic work and practitioners is seen here as a necessary element in our understanding of where we are now and from what cultural and historical experiences we have emerged.     

Discussion: Putting our Heads Together; Mentalizing Systems

This discussion reviews the psychoanalytic and developmental psychological theories that utilize nonlinear dynamic systems theory to situate Sperry's paper in its theoretical and historical context. The power of such nonlinear models for clinical work and theories of mind is argued. The essay then argues that the shift in theory entails a shift in ways of clinical writing and that the clinical discussion in the paper does not always feel consonant with the theory. Moving to a model of nonlinearity, intersubjectivity, and uncertainty is likely to entail shifts in conceptualizing and conveying clinical material.     

Living with Hereditary Haemorrhagic Telangiectasia: stigma,coping with unpredictable symptoms,and self-advocacy

Abstract

Objective: Hereditary Haemorrhagic Telangiectasia (HHT) is a genetic condition causing frequent nose bleeds, skin lesions (telangiectasia) and arteriovenous malformations. Approximately, 50% of people experience life-threatening HHT symptoms including haemorrhages in the brain, lungs and liver. This study aimed to gain a qualitative understanding of the psychosocial impact of HHT over time. Design: Using a phenomenological framework, a rigorous narrative analysis was performed on 20 semi-structured interviews with individuals with HHT aged 20s–60s. Main outcome measures: Qualitative themes explaining life experiences prior to and following a clinical diagnosis of HHT. Results: Narratives highlighted four psychosocial themes: (i) the psychological impact of visible symptoms was significant and related to experiences of social stigma, (ii) individuals struggled to identify triggers of symptoms in order to reduce unpredictability, (iii) an illness identity was rejected by minimising HHT when talking about the present self, and by positive reframing as ‘lucky’ and (iv) self-advocacy was necessitated due to lack of expert coordinated care. Conclusion: HHT has a demanding impact on social, physical and psychological well-being. These findings have significant implications for health care, as narratives about interactions with health professionals often used the terms ‘frustrating’ and ‘not being heard’.     

Parents Will Be Parents: Conceptualizing and Measuring Nonoffending Parent and Other Caregiver Support Following Disclosure of Sexual Abuse

A gap exists in the literature with regard to the theoretical conceptualization of nonoffending parental and other caregiver (NOC) support of sexually abused children. Measures need to be developed that appropriately capture this construct. The purpose of this article is to present a qualitative study that asked 17 NOCs in different ways how they supported their sexually abused children after the disclosure of the sexual abuse. The multiple different types of support were coded and, using grounded theory, the structure of NOC support emerged from the data. The final structure of NOC support had 8 dimensions, including basic needs, safety and protection, decision making, active parenting, instrumental support, availability, sensitivity to child, and affirmation.     

A developmental study of recognition of pictures and nouns

Children at four age levels (4, 6, 8, and 10 years) were given continuous recognition tasks using concrete noun, abstract noun, and pictorial stimuli in a 4 × 3 factorial design. Pictures were recognized significantly better than concrete and abstract nouns at the 4- and 6-year age levels and significantly better than abstract nouns at the 8- and 10-year age levels. This supported Paivio's contention that pictures are easier to remember than words because of a greater possibility of dual encoding, while Rohwer's contention that there is a shift in recognition memory development received no support. There were no significant differences between recognition of concrete and abstract nouns at any age level, which opposed the findings from adult studies and suggested that Paivio's theoretical orientation would have to be extended in order to account for developmental data. Recognition for both concrete and abstract nouns was found to be linear and increasing significantly with age, but no age trends for picture recognition were found.     

The relational tradition: landscape and canon

This essay charts the origins, influences, and evolution of the relational tradition in contemporary psychoanalysis. Considering the theoretical and philosophical influences from nineteenth-century Americans like William James and C. S Pierce, and noting the seminal modern work of Steven Mitchell and Jay Greenberg in opening a critique of one-person focused drive theory, the essay follows developments over a quarter century. Hallmarks of the relational approach-social construction, two-person psychologies, multiple self-states, social regulation and construction of identities like gender and sexual orientation, and an evolving theory of clinical practice-are reviewed. New developments in clinical theory, in the study of identity categories, in the work on embodiment and enactment, and in developmental models are also reviewed.     

The formation of a generalized categorization repertoire: effect of training with multiple domains,samples, and comparisons

The present experiment explored the effects of three variables on the spontaneous categorization of stimuli in perceptually distinct and novel domains. Each of six stimulus domains was created by morphing two images that were the domain endpoints. The endpoints of the domains were male and female faces, two abstract drawings, a car and a truck, two banded-elevation satellite land images, a tree and a cat, and two false-color satellite images. The stimulus variants at each end of a domain defined two potential perceptual classes. Training was conducted in a matching-to-sample format and used stimuli from one or two domains, one or three variants per class as samples, and one or three variants per class as comparisons. The spontaneous categorization of stimuli in the untrained stimulus domains showed the emergence of a generalized categorization repertoire. The proportion of spontaneously categorized stimuli in the new domains was positively related to the number of domains and samples used in training, and was inversely related to the number of comparisons used in training. Differential reaction times demonstrated the discriminability of the stimuli in the emergent classes. This study is among the first to provide an empirical basis for a behavior-analytic model of the development of generalized categorization repertoires in natural settings.