Dyadically Expanded States of Consciousness and Therapeutic Change in the Interaction Between Analyst and Adult Patient

This paper presents a discussion of the mutual regulation model and the dyadic expansion of consciousness model as a way to better understand the interaction between the analysand and analyst and the process of therapeutic change. We argue that by examining matching, mismatching, and in particular reparation of therapeutic exchanges at the micro-level as well as the macro-level of the therapeutic exchange, including whole sessions or even over multiple sessions provides insight in the establishment of the therapeutic relationship and the formation of Dyadic States of Consciousness. Clinical examples are presented.     

Words and Drugs: Same Mechanisms of Action?

The therapeutic effects of words, rituals and, more in general, of the whole psychosocial context around the patient, have been investigated over the past few years by using the placebo response as a model. Today we are in a good position to study all these complex psychological factors by using a physiological and neuroscientific approach that uses modern neurobiological tools to probe different brain functions. Since a placebo is represented by the whole ritual of the therapeutic act, the main concept that has emerged today is that words and rituals may modulate the same biochemical pathways that are modulated by drugs. Most of our knowledge about these mechanisms comes from the field of pain, and represents a biomedical, psychological and philosophical enterprise that is changing the way we approach and interpret medicine, psychology and human biology. If on the one hand we know some of the mechanisms of drug action in the central nervous system, on the other we can now understand how the therapist’s words may affect different physiological functions. In fact, the placebo effect and the therapist–patient relationship can be approached by using the same biochemical, cellular and physiological tools of the materia medica. Although the responses to the therapist’s words cannot be reduced merely to the action of a single drug, this represents an epochal transition, in which the distinction between psychotherapy and pharmacotherapy is progressively getting thinner, and which helps us overcome the old dichotomy between psychology and biology.     

Interpretative Disputes,Explicatures, and Argumentative Reasoning

The problem of establishing the best interpretation of a speech act is of fundamental importance in argumentation and communication in general. A party in a dialogue can interpret another’s or his own speech acts in the most convenient ways to achieve his dialogical goals. In defamation law this phenomenon becomes particularly important, as the dialogical effects of a communicative move may result in legal consequences. The purpose of this paper is to combine the instruments provided by argumentation theory with the advances in pragmatics in order to propose an argumentative approach to meaning reconstruction. This theoretical proposal will be applied to and tested against defamation cases at common law. Interpretation is represented as based on a hierarchy of interpretative presumptions. On this view, the development of the logical form of an utterance is regarded as the result of an abductive pattern of reasoning in which various types of presumptions are confronted and the weakest ones are excluded. Conflicts of interpretations and equivocation become essentially interwoven with the dialectical problem of fulfilling the burden of defeating a presumption. The interpreter has a burden of explaining why a given presumption is subject to default, assuming that the speaker is reasonable and acting based on a set of shared expectations.     

The Ethical Criticism of Art: A New Mapping of the Territory

The goal of this paper is methodological. It offers a comprehensive mapping of the theoretical positions on the ethical criticism of art, correcting omissions and inadequacies in the conceptual framework adopted in the current debate. Three principles are recommended as general guidelines: ethical amenability, basic value pluralism, and relativity to ethical dimension. Hence a taxonomy distinguishing between different versions of autonomism, moralism, and immoralism is established, by reference to criteria that are different from what emerging in the current literature. The mapping is then proved capable of (1) locating the various theories that have been proposed so far and clarifying such theories’ real commitments, (2) having the correct relationship with actual art making and art criticism practices, and (3) showing the real weight of the alleged counter-example to a moralist position of a work that succeeds artistically because of its immorality.

Rorschach Comprehensive System data for a sample of 249 adult nonpatients from Italy

This project provides information on how Italian adult nonpatients perform on the Rorschach test administered and scored following Rorschach Comprehensive System (CS) guidelines (Exner, 1995). Lis, Zennaro, Calvo, and Salcuni (2001) reported previously initial data for 101 of the nonpatients who were administered this instrument between July 1998 and February 2001 by graduate and postgraduate students in a 2-year research course at the Psychotherapy School of the University of Padua. The current study extends that previous work and includes information on an additional 148 participants gathered between April 2001 and March 2004, for a total of 249 individuals. Exclusion criteria are described and interrater reliability statistics at the response level for scoring segments are reported using both percent of agreement and iota. Comprehensive System findings are presented.     

The impact of administration and inquiry on Rorschach Comprehensive System protocols in a national reference sample

We investigated the impact of administration and inquiry skills on Rorschach Comprehensive System (CS; Exner, 1974, 1991, 1993) protocols collected for the Italian adult nonpatient reference sample. The same research team collected CS protocols on two occasions. The initial reference sample (N = 212; Lis, Rossi, & Priha, 1998) was collected under the supervision of experienced psychologists who carefully studied CS administration and scoring procedures (Exner, 1986, 1990, 1993). The second sample (N = 101; Lis, Zennaro, Calvo, & Salcuni, 2001) was collected after the team obtained additional and sustained CS training from Rorschach workshops certified instructors. Both samples were scored, reliably but they showed large differences on many codes, with protocols from the second sample being richer and more complex than the first. The results indicate that administration skills can have a dramatic impact on CS protocols and may contribute to variations in samples collected by different investigators. Training standards should be devised to insure uniform administration procedures are followed when collecting CS protocols.     

The CA3 network as a memory store for spatial representations

Comparative neuroanatomy suggests that the CA3 region of the mammalian hippocampus is directly homologous with the medio-dorsal pallium in birds and reptiles, with which it largely shares the basic organization of primitive cortex. Autoassociative memory models, which are generically applicable to cortical networks, then help assess how well CA3 may process information and what the crucial hurdles are that it may face. The analysis of such models points at spatial memories as posing a special challenge, both in terms of the attractor dynamics they can induce and how they may be established. Addressing such a challenge may have favored the evolution of elements of hippocampal organization observed only in mammals.