The unreachable object? Difficulties and paradoxes in the analytical relationship with borderline patients

The author investigates the main difficulties the analyst encounters in borderline patient analysis, focusing on the specific way in which such patients put the analyst's mental functioning to the test and highlighting the most salient elements of the transference-countertransference dynamic. The author picks out several of the paradoxes that characterize the analytical relationship with these patients, who are constantly seeking contact with the object, which is inevitably traumatic for them. On the basis of highly detailed clinical material, the author demonstrates how - no matter which theoretical-clinical model is adopted - a specific technical problem with these patients is how to manage their intense destructiveness. With these patients, countertransferential difficulties are inevitably predominant because of the looming threat of the destruction of the analytical relationship. Maintaining a balance between the recognition-legitimization of primary narcissistic mirroring needs and the recognition-control of narcissistic demands and attacks on the analytical link is as crucial as it is complex. The paper examines the most important therapeutic and anti-therapeutic factors, highlighting the importance of countertransference analysis and self-analysis as ways of accessing as yet unrepresented elements of the patient and analyst respectively. Particular attention is given to the role played by the analyst's subjectivity and to the enactment.     

Falling revenues of violence

Juvenile Violence in a Winner‐Loser Culture, by Oliver James London: Free Association Books, 1995, 171 pages, £15.95.     

Bodily ownership and self-location: Components of bodily self-consciousness

Recent research on bodily self-consciousness has assumed that it consists of three distinct components: the experience of owning a body (body ownership); the experience of being a body with a given location within the environment (self-location); and the experience of taking a first-person, body-centered, perspective on that environment (perspective). Here we review recent neuroimaging studies suggesting that at least two of these components—body ownership and self-location—are implemented in rather distinct neural substrates, located, respectively, in the premotor cortex and in the temporo-parietal junction. We examine these results and consider them in relation to clinical evidence from patients with altered body perception and work on a variety of multisensory, body-related illusions, such as the rubber hand illusion, the full body illusion, the body swap illusion and the enfacement illusion. We conclude by providing a preliminary synthesis of the data on bodily self-consciousness and its neural correlates.     

Validation of the Measure of Delinquent Social Identity Among Youth Offenders in the UK

ABSTRACT

The current study aimed to develop and validate the Measure of Delinquent Social Identity (MDSI). Dimensionality and construct validity of the MDSI was investigated in a sample of youth offenders (N = 536). Four alternative models of the MDSI were estimated using Mplus. The model identified as being the best fit for the data was a bifactor model with three dimensions (cognitive centrality, in-group affect, in-group ties) while controlling for the general factor. The three subscales differentially correlated with criminal friend index, self-esteem, parental attachment, and peer rejection. Limitations and advantages, including practical implications, of the current research are discussed.     

Perceptual Learning in the Rat: Stimulus Differentiation or Latent Inhibition of Common Elements?

Preexposure to an unreinforced stimulus facilitates learning (perceptual learning) under some conditions, but it can have the opposite effect (latent inhibition) under other conditions. Researchers have suggested that perceptual learning depends on a change of context, whereas latent inhibition is usually context specific. The associative theory explains both phenomena within a single framework. The authors report 4 experiments that show that perceptual learning does not depend on a context change. The experiments suggest that latent inhibition, unlike perceptual learning, depends on passive exposure. Thus the results do not support the associative theory. They are more consistent with Gibson's stimulus-differentiation theory.     

How scientific models can explain

Scientific models invariably involve some degree of idealization, abstraction, or fictionalization of their target system. Nonetheless, I argue that there are circumstances under which such false models can offer genuine scientific explanations. After reviewing three different proposals in the literature for how models can explain, I shall introduce a more general account of what I call model explanations, which specify the conditions under which models can be counted as explanatory. I shall illustrate this new framework by applying it to the case of Bohr’s model of the atom, and conclude by drawing some distinctions between phenomenological models, explanatory models, and fictional models.     

Clinical Decision-Making Following Disasters: Efficient Identification of PTSD Risk in Adolescents

The present study aimed to utilize a Receiver Operating Characteristic (ROC) approach in order to improve clinical decision-making for adolescents at risk for the development of psychopathology in the aftermath of a natural disaster. Specifically we assessed theoretically-driven individual, interpersonal, and event-related vulnerability factors to determine which indices were most accurate in forecasting PTSD. Furthermore, we aimed to translate these etiological findings by identifying clinical cut-off recommendations for relevant vulnerability factors. Our study consisted of structured phone-based clinical interviews with 2000 adolescent-parent dyads living within a 5-mile radius of tornados that devastated Joplin, MO, and northern Alabama in Spring 2011. Demographics, tornado incident characteristics, prior trauma, mental health, and family support and conflict were assessed. A subset of youth completed two behavioral assessment tasks online to assess distress tolerance and risk-taking behavior. ROC analyses indicated four variables that significantly improved PTSD diagnostic efficiency: Lifetime depression (AUC = .90), trauma history (AUC = .76), social support (AUC = .70), and family conflict (AUC = .72). Youth were 2–3 times more likely to have PTSD if they had elevated scores on any of these variables. Of note, event-related characteristics (e.g., property damage) were not related to PTSD diagnostic status. The present study adds to the literature by making specific recommendations for empirically-based, efficient disaster-related PTSD assessment for adolescents following a natural disaster. Implications for practice and future trauma-related developmental psychopathology research are discussed.     

Quantum measurements and supertasks

This article addresses the question whether supertasks are possible within the context of non-relativistic quantum mechanics. The supertask under consideration consists of performing an infinite number of quantum mechanical measurements in a finite amount of time. Recent arguments in the physics literature claim to show that continuous measurements, understood as N discrete measurements in the limit where N goes to infinity, are impossible. I show that there are certain kinds of measurements in quantum mechanics for which these arguments break down. This suggests that there is a new context in which quantum mechanics, in principle, permits the performance of a supertask.     

The Expanded Skills Confidence Inventory: Measuring basic dimensions of vocational activity

This series of studies describes the development and psychometric evaluation of 17 scales measuring confidence or self-efficacy with respect to basic domains of vocational activity. The confidence scales assessed previously measured interest dimensions such as Writing, Mechanical Activities, and Public Speaking, but also included dimensions reflective of recent changes in the nature of work or the culture of the workplace, for example, Using Technology, Creative Production, and Cultural Sensitivity. The scales were internally consistent, showed predictable patterns of gender differences and similarities, and were in generally most highly related to the predicted Holland confidence theme. Discriminant analyses of scores across the eight largest occupational groups represented indicated large improvements over chance, or a priori probabilities, in the prediction of occupational group membership. Further research on and use of these 17 new scales in joint interpretations of parallel measures of interest and confidence are discussed.