Field Theory in Psychoanalysis,Part I: Harry Stack Sullivan and Madeleine and Willy Baranger

This is the first of two articles comparing conceptions of the field in interpersonal/relational psychoanalysis (IRP) and Bionian field theory (BFT). This article compares the thinking of the originators of IRP and BFT, Harry Stack Sullivan and Madeleine and Willy Baranger.     

Breathing Together: Reply to Harris and Shaw

These two very different but complementary discussions address two different “registers” of my thinking in my paper on patients who “live in airless intrapsychic worlds.” Harris is most interested in the meta-theoretical and historical contexts and frames of my theory and clinical approach, viewing my contribution as an example of various broad trends in contemporary relational psychoanalytic thought. Shaw, by contrast, engages with my particular insights and clinical/theoretical framework for understanding and working with patients whose struggles very much resemble and overlap with the struggles of the adult children of “traumatically narcissistic” parents, which his seminal work has focused on. In my Replies I voice my appreciation of each of their unique perspectives on my ideas, and engage with each of them regarding certain differences in our theoretical and clinical sensibilities.     

The Hard-to-Engage Patient: A Treatment Failure

I discuss the relatedness with certain hard-to-engage patients as a kind of dissociative enactment, and I present a case illustration of a man whom I liked but could not help.     

Structuring Case-Based Ethics Training: How Comparing Cases and Structured Prompts Influence Training Effectiveness

This study examined how structuring case-based ethics training, either through (a) case presentation or (b) prompt questions, influences training outcomes. Results revealed an interaction between case presentation and prompt questions such that some form of structure improved effectiveness. Specifically, comparing cases led to greater sensemaking strategy use and decision-ethicality when trainees considered unstructured rather than structured prompts. When cases were presented sequentially, structuring prompts improved training effectiveness. Too much structure, however, decreased future ethical decision making, suggesting that there can be too much of a good thing when structuring case-based ethics education. Implications for designing ethics training programs are discussed.     

The Effects of Note-Taking and Review on Sensemaking and Ethical Decision Making

The effectiveness of case-based learning in ethics education varies widely regarding how cases are presented. Case process instruction may impact case-based ethics education to promote sensemaking processes, ethical sensemaking strategy use, and ethical decision making (EDM) quality. This study examined two teaching techniques, notes and review, and participants completed note-taking and review activities examining a case-based scenario during an ethics education course. Results suggest that providing case notes in outline form improves sensemaking processes, strategy use, and EDM quality. In addition, combining processes of provided notes and passive review results in incremental, additive performance via certain ethical sensemaking strategies and EDM quality.     

Assessing At‐Risk Youth Using the Reynolds Adolescent Adjustment Screening Inventory With a Latino Population

Factor analyses were conducted on scores from the Reynolds Adolescent Adjustment Screening Inventory (RAASI; Reynolds, 2001 ) representing at‐risk Latino youth. The 4‐factor model of the RAASI did not exhibit a good fit. However, evidence of generalizability for Latino youth was noted.     

Fathers and Perceptions of God Play an Important Role in Psychological Adjustment Among Emerging Adults in Guatemala and the United States

Interpersonal acceptance-rejection theory posits that people require parental acceptance in childhood to develop healthy psychological adjustment. People’s beliefs about and their relationship with deity also influences their psychological adjustment. The purpose of the present study was to investigate how both perceived parental acceptance and a relationship with deity are related to psychological adjustment for emerging adults in Guatemala and the United States. Participants (N?=?189) from Guatemala and the United States completed measures of perceived parental acceptance-rejection, images of God, attachment to God, and psychological adjustment. Results indicate that perceived paternal acceptance-rejection was only a significant predictor of psychological adjustment in U.S. participants, and not in Guatemalan participants. In both samples, images of God did not predict psychological adjustment. However, an anxious attachment with God predicted psychological maladjustment for both groups. The findings suggest that two important factors to be considered by researchers, educators, and mental health professionals are adults’ perceptions of their father’s level of acceptance-rejection and the amount of anxiety they experience in their relationship with God.     

Discrimination, Religious Coping, and Tobacco Use Among White, African American, and Mexican American Vocational School Students

This study examined whether religious coping moderates the impact of racial/ethnic discrimination on current (past 30 day) cigarette and cigar/cigarillo use among a racially/ethnically diverse sample of 984 technical/vocational school students (47.1% women; mean age = 25 years). Results indicate that discrimination increased the likelihood of current cigarette use among African American students and current cigar/cigarillo use among white and African American students. Positive religious coping decreased the likelihood of cigarette and cigar/cigarillo smoking for white students only. Negative religious coping increased the likelihood of cigarette use for white students and cigar/cigarillo use for white and African American students. Two 2-way interactions indicate that positive and negative religious coping moderate the discrimination–cigarette smoking relationship for African American and Mexican American students, respectively.     

Maintaining Order and Following the Rules: Gender Differences in Punishing Inmate Misconduct

For this article, we examine gender differences in how staff members address inmate misconduct. Using in-depth interviews with forty-three correctional employees, we focus on how their various disciplinary styles create interpersonal conflict between staff members. We find that over half of interviewees are identified as “formal responders” who consistently punish inmate misconduct with formal sanctions, even if doing so creates conflict within the organization. However, female formal responders also claim that they work closely with male inmates to explain the importance of following the rules. They state that this puts them at odds with their male co-workers who misinterpret this behavior as instigating sexual relationships.     

Personality and social attitudes: Evidence for positive-approach motivation

Extensive research has linked general personality factors to social attitudes, but there has been comparatively little work on the roles played by specific approach-avoidance personality factors, especially positive-approach ones. Here we relate such factors to the two main clusters of social attitudes (Right-Wing Authoritarianism, RWA; and Social Dominance Orientation, SDO), and related cognitive constructs (Need for Cognition and Need for Closure). Results revealed: (a) positive-approach motivation is consistently related to both RWA and SDO, with little contribution from negative-avoidance motivation; and (b) negative-avoidance motivation played a part in Need for Cognition (negatively related) and Need for Closure (positively related). These data challenge previous theorizing concerning the role of fear/anxiety in social attitude formation and prejudice more generally. We conclude that, to a larger extent than previously thought, approach-related personality factors underpin the positive reinforcement of social attitudes and prejudice. Our results may help to account for the failure of programmes designed to reduce prejudice which have been based on the reduction of negative emotion and motivation.