The curative fantasy in group psychotherapy

The concept of a curative fantasy includes patient's conscious and unconscious hopes and expectations of what is necessary for their relief of suffering. On entering group psychotherapy these elements emerge in the treatment matrix. This paper describes how patients with significant deficits in their intrapsychic organization express their curative fantasies through the development of selfobject transferences. The concept illuminates aspects of patients entering and forming a group as well as some elements in unanticipated terminations.     

Suicide: Dynamics and Implications for Counseling

‘The authors discuss the dynamics of suicide, how to work with a potentially suicidal client in the counseling relationship, and legal and ethical implications for the counselor.     

Sexual responding of “nonrapists” to aggressive sexual themes: Normative data

The present study presents data relevant to the sexual responding to aggressive cues of a large sample of nonrapist males recruited from the community. Two hundred three subjects received physiological assessment of sexual arousal to heterosexual and rape stimuli. Results indicated that under instructions not to interfere with sexual responding, approximately 80% of the nonrapists would be correctly classified, which was significantly different from chance. However, under instructions to suppress arousal, classification was no better than chance. The rape index was not related to age, socioeconomic status, sexual experience, or amount of arousal shown in the laboratory. However, there was a small but significant relationship to IQ. Overall, the data suggest that for instructions not to interfere with responding, the error rate seen in this larger-scale sample was equivalent to that in previous studies using smaller normative samples and that classification in general is not biased by the subject characteristics measured in this study.Portions of this project were supported by USPHS Grant MH-34030-02 from the Center for the Studies of Crime and Delinquency and by Tennessee Department of Mental Health and Mental Retardation Research Contract ID-0783 to the Department of Psychiatry.     

Personality correlates of retrieval processes in intentional and unintentional forgetting

Early accounts of intentional forgetting relied exclusively on mechanisms that operate at encoding. The results of more recent experiments indicate that memory-retrieval inhibition also is involved, thus linking waking intentional forgetting with hypnotic amnesia. The present Experiment 1 was designed to provide further support for the retrieval-inhibition hypothesis by testing four alternative explanations for some of the recent results. Experiment 2 examined the role of word affect in both intentional forgetting and unintentional forgetting to evaluate theoretical interpretations of the retrieval mechanisms thought to be involved. Unintentional forgetting of negative words was consistent with a repression-like interpretation, whereas intentional forgetting of negative words appeared to be limited by sensitization. Personality correlates of the recall results were identified and were found to be in support of these interpretations.     

Who we are: The political origins of the medical humanities

The medical humanities were organized, beginning in the late 1960s, by a small group of people who shared a critique of medical education and a commitment to vigorous action to change it. They proposed to create several demonstration programs in humanities education at American schools. Although the group began with a religious orientation, it soon acquired a broader, more secular mission. As a result of shrewd political organizing, the group attracted members from within medicine, and was awarded a grant to promote the medical humanities. This paper describes these events and sets them in the context of the social and medical history of the 1960s and early 1970s.     

Early selective-attention effect on evoked potential reinterpreted

In a dichotic listening situation stimuli were presented one at a time and at random to either ear of the subject at constant inter-stimulus intervals of 800 msec. The subject's task was to detect and count occasional slightly different stimuli in one ear. In Experiment 1, these ‘signal’ stimuli were slightly louder, and in Experiment 2 they had a slightly higher pitch, than the much more frequent, ‘standard’, stimuli. In both experiments signals occured randomly at either ear. Separate evoked potentials from three different locations were recorded for each of the four kinds of stimuli (attended signals, unattended signals, attended standards, unattended standards). Contrary to Hillyard et al. (1973), no early (N₁ component) evoked-potential enhancement was observed to stimuli to the attended ear as compared with those to the unattended ear, but there was a later negative shift superimposed on potentials elicited by the former stimuli. This negative shift was considered identical to the N₁ enhancement of Hillyard and his colleagues which in the present study was forced, by the longer inter-stimulus interval used, to demonstrate temporal dissociation with the N₁ component. The ‘Hillyard effect’ was, consequently, explained as being caused by a superimposition of a CNV kind of negative shift on the evoked potential to the attended stimuli rather than by a growth of the ‘real’ N₁ component of the evoked potential.     

Development of lateral asymmetry in the perception of sequentially touched fingers

In order to investigate lateral asymmetry in tactile perception, two or four fingers of normal primary school children were touched sequentially. Stimulation was either unimanual or bimanual and either verbal or nonverbal responses were required. Right hand advantage was demonstrated subsequent to uni- and bimanual stimulation in both the verbal and nonverbal response conditions. Neither an age nor a sex effect on laterality was found. Right hand advantage was affected by direction of stimulation in the bimanual condition. Left hemispheric dominance was argued to be related to the temporal nature of the tasks.