Moving towards Soul – an alchemical journey. Rehabilitation of women suffering from ‘chronic pain’ in a clinical and Jungian context

The aim of this paper is to explore the connection between symptom and symbol in the body of women suffering from chronic pain, diagnosed as fibromyalgia. The working hypothesis has been that the symbol that emerges from the symptom in the body can bridge the gap to a deeper meaning of pain and suffering, thereby becoming the agent of change for healing of the bodymind and the experience of pain in the physical body. To explore this subject I will introduce some recent research from the field of fibromyalgia, and the concepts of agency and affect systems in the body, which are important cornerstones in my work. I will briefly present my clinical concept of ‘Form and Freedom’. From this theoretical base I give some clinical examples of what I see as an alchemical journey towards soul, presented through vignettes, images and the words of three women – Maria, Riba and Ishtar. I conclude with how I see analytical psychology taking its rightful place alongside, informing or in conjunction with, as in my case, other psychotherapeutic modalities, working in creative ways that enhance healing in patients who suffer from chronic pain.     

Students’ Need Satisfaction Profiles: Similarity and Change over the Course of a University Semester

Self-determination theory positions the satisfaction of students’ needs for autonomy, competence, and relatedness as important determinants of various educational outcomes. In this study, we identify subpopulations of students characterized by distinct configurations of need satisfaction in the educational context, and assess the extent to which the nature of these configurations, and students’ individual profiles, remain stable over the course of a university semester. We also examine the role of perfectionism in the prediction of profile membership, and how these profiles relate to a variety of educational outcomes. A total of 521 first-year undergraduate university students completed our measures at the beginning and end of a university semester. We identified five need satisfaction profiles, which remained unchanged over the course of the study. Students characterized by higher levels of self-oriented perfectionism were more likely to be a member of a profile characterized by high levels of relatedness and global needs satisfaction associated with average levels of competence need satisfaction (“Globally Satisfied and Highly Connected” profile) relative to the other ones, and into the “Globally Satisfied” profile relative to the “Globally Dissatisfied, Highly Connected, and Competence Deficient” profile. Finally, the “Globally Dissatisfied, Highly Connected, and Competence Deficient” profile was associated with the least desirable outcomes (the lowest levels of students’ interest toward their studies, satisfaction, and attendance, and the highest levels of dropout intentions).     

Veracity is in the eye of the beholder: A lens model examination of consistency and deception

Research has attempted to explain perceived cues to deception based upon self-report of what participants believe are ‘good’ cues to deception, or self-report of what cues participants say they base their veracity judgements on. However, it is not clear to what extent participants can accurately self-report what influences their decision-making. Using a within-subjects design, 285 participants completed a questionnaire regarding their beliefs about deception before rating a selection of truthful and deceptive statements on a variety of cues. Expert coders also rated the statements for the same cues. Laypeople and expert coders do not conceptualise between-subject consistency in the same way. A lens model showed that whilst perceptions of cues, such as consistency and amount of detail, influence veracity judgements, these perceptions (and overall veracity judgements) are mostly inaccurate. Fundamentally, there seems to be inconsistencies between how deception research examines consistency and how it is understood and used by laypeople.     

The effectiveness of a proactive coping intervention targeting self-management in diabetes patients

Objective: The study’s aim was to investigate psychological, behavioral and medical long-term outcomes of an existing self-management intervention targeting the development of proactive coping skills (e.g. goal setting and identifying barriers) in type 2 diabetes patients. The study aimed to replicate prior research showing the intervention’s effectiveness, and to extend it by (a) adding booster sessions and (b) prolonging the period of follow-up measurement to capture long-term effects.

Design/outcome measures: A total of 141 type 2 diabetes patients were included in the intervention. The intervention employed a 5-step approach to target proactive coping skills. Psychological (e.g. proactive coping and self-efficacy) and behavioural variables (e.g. self-care, diet and physical activity) were assessed at baseline (T1), after the initial phase of the intervention (T2), after the booster phase (T3) and at follow-up (T4), comprising a total period of 15 months. Medical variables were assessed at T1 and T4.

Results: Employing piecewise Latent Growth Curve Modelling, results showed that participants improved on all psychological and behavioural variables during the initial phase and maintained these improvements over 12 months. The booster phase yielded no further improvements. Mixed findings were obtained on medical outcomes.

Conclusion: The original intervention is effective, but the added value of the booster sessions is uncertain.     

The effect of cognitive load on faking interrogative suggestibility on the Gudjonsson Suggestibility Scale

In the light of recent studies into the impact of cognitive load on detecting deception, the impact of cognitive load on faking on the Gudjonsson Suggestibility Scale (GSS) was investigated. Eighty undergraduate students participated in the study, and were randomly assigned to one of four conditions resulting from a combination of the factors: instruction type (genuine or instructed faking, see Hansen, Smeets, & Jelicic, 2009) and concurrent task (yes or no). Findings show that instructed fakers, not performing a concurrent task, score significantly higher on yield 1 in comparison to genuine interviewees. This is in-line with previous studies into faking on the GSS. However, instructed fakers, performing a concurrent task, achieved significantly lower yield 1 scores than instructed fakers not performing a concurrent task. Genuine (non fakers) showed a different response to increased cognitive load during the dual-task paradigm. This study suggests that increasing cognitive load may potentially indicate (and preclude) faking attempts on the yield dimension of the Gudjonsson Suggestibility Scale.     

Biological motion task performance predicts superior temporal sulcus activity

Numerous studies implicate superior temporal sulcus (STS) in the perception of human movement. More recent theories hold that STS is also involved in the understanding of human movement. However, almost no studies to date have associated STS function with observable variability in action understanding. The present study directly associated STS activity with performance on a challenging task requiring the interpretation of human movement. During functional MRI scanning, fourteen adults were asked to identify the direction (left or right) in which either a point-light walking figure or spinning wheel were moving. The task was made challenging by perturbing the dot trajectories to a level (determined via pretesting) where each participant achieved 72% accuracy. The walking figure condition was associated with increased activity in a constellation of social information processing and biological motion areas, including STS, MT+/V5, right pars opercularis (inferior frontal gyrus), fusiform gyrus, and amygdala. Correctly answered walking figure trials were uniquely associated with increased activity in two right hemisphere STS clusters and right amygdala. Present findings provide some of the strongest evidence to date that STS plays a critical role in the successful interpretation of human movement.     

Supporting children’s counterfactual thinking with alternative modes of responding

To speculate about counterfactual worlds, children need to ignore what they know to be true about the real world. Prior studies yielding individual differences data suggested that counterfactual thinking may be related to overcoming prepotent responses. In two experiments, we manipulated how 3- to 5-year-olds responded to counterfactual conditional and syllogism tasks. In Experiment 1 (N = 39), children’s performance improved on both conditional and syllogism tasks when they responded with an arrow rather than pointing with a finger. In Experiment 2 (N = 42), 3- and 4-year-olds benefited from both an arrow manipulation and, separately, the introduction of a delay before responding. We suggest that both manipulations help children to overcome an impulsive prepotent response to counterfactual questions arising from a default assumption that information about the past is true.     

Deaf and hearing children: a comparison of peripheral vision development

This study investigated peripheral vision (at least 30° eccentric to fixation) development in profoundly deaf children without cochlear implantation, and compared this to age-matched hearing controls as well as to deaf and hearing adult data. Deaf and hearing children between the ages of 5 and 15 years were assessed using a new, specifically paediatric designed method of static perimetry. The deaf group (N = 25) were 14 females and 11 males, mean age 9.92 years (range 5-15 years). The hearing group (N = 64) were 34 females, 30 males, mean age 9.13 years (range 5-15 years). All participants had good visual acuity in both eyes (< 0.200 LogMAR). Accuracy of detection and reaction time to briefly presented LED stimuli of three light intensities, at eccentricities between 30° and 85° were measured while fixation was maintained to a central target. The study found reduced peripheral vision in deaf children between 5 and 10 years of age. Deaf children (aged 5-10 years) showed slower reaction times to all stimuli and reduced ability to detect and accurately report dim stimuli in the far periphery. Deaf children performed equally to hearing children aged 11-12 years. Deaf adolescents aged 13-15 years demonstrated faster reaction times to all peripheral stimuli in comparison to hearing controls. Adolescent results were consistent with deaf and hearing adult performances wherein deaf adults also showed significantly faster reaction times than hearing controls. Peripheral vision performance on this task was found to reach adult-like levels of maturity in deaf and hearing children, both in reaction time and accuracy of detection at the age of 11-12 years.     

Inside the experience of anorexia nervosa: A narrative thematic analysis

Aim: This study considers the question of whether inpatient admission for anorexia nervosa was a therapeutic experience for two women with chronic anorexia nervosa. The question of whether inpatient admission for anorexia nervosa can be therapeutic is not answerable through existing research evidence. Method: The women were interviewed about their experience of having anorexia, its impact on their lives and the treatment they received. The interviews involved learning about the women's experiences by listening to their stories rather than asking them direct questions about what has been therapeutic about their treatment. Analysis: Their narratives were used to develop understanding grounded in experience and were analysed using a narrative thematic analysis. Ideas, themes and connections were noted but not coded as found in some forms of thematic analysis. Discussion: Consideration is given to the therapeutic qualities of the treatments the women received and the place of therapeutic inpatient admission. The central theme of this research was ‘relationships’ which indicates the use of therapeutic approaches that emphasise the importance of the therapeutic relationship in the treatment of chronic anorexia nervosa. It is suggested that psychodynamic and attachment theories should be used to inform overall treatment models. Some important issues for service provision and areas for further research are identified.     

Re-presenting Autism: The Construction of ‘NT Syndrome’

Autism is a widely researched area and much emphasis has been placed in research on the differences between the autistic and non-autistic populations. Such research commonly draws on proposed deficits within people with autism in order to explain differences. This paper seeks to present an alternative understanding of differences and draws on writings of people with autism in such a discussion. The construction of ‘Neurologically Typical syndrome’ (NT) will be presented as an inverted construction of diagnosis, which serves to challenge the dominant position of ‘NTs’ and ‘NT traits’ over autistic traits. It will be argued that such an alternative representation of people with and without autism has important implications for our construction of and understanding of autism.