The narcissistic therapist meets a narcissistic patient

The presence of narcissism in both therapist and patient results in a collusion that preserves the narcissistic integrity of the therapist and validates the narcissistic injury of the patient. Not only is the narcissistic behavior of the patient condoned, but narcissistic excesses in the therapist are tolerated. The unconscious identification on the part of the therapist with the patient produces anxiety in the therapist which results in treatment that intensifies the pathology of the patient.     

Men's and Women's Beliefs about the Influence of the Menstrual Cycle on Academic Performance: A Preliminary Study1

A preliminary investigation of beliefs about the influence of the menstrual cycle on work performance was conducted. Undergraduate students were asked to make a pass/fail decision about a borderline exam mark based on a wide variety of educational, medical, and personal information about the candidate and to rate the importance of various factors in their decisions. Three versions of the questionnaire were used, varying only in the menstrual cycle status of the examinee. The results showed that students do believe that the premenstrual and, particularly, menstrual phases have a negative impact on performance. However, in this context, they were considered of minor importance compared with educational and personality factors.     

Mothers' attributions and expectancies regarding their conduct-disordered children

As an extension of Patterson's family coercion model, we hypothesized that parental attributions about the causes of child misbehavior and parental expectancies concerning the effectiveness of parenting techniques are involved in the establishment and maintenance of coercive exchanges. Mothers of 40 conduct-disordered children and 40 matched control children completed questionnaires measuring their attributions regarding the causes of their children's misbehavior and their expectations concerning the general and personal effectiveness of parenting techniques. Results supported the hypotheses: parents of conduct-disordered children were more likely to regard their children's misbehavior as intentional and to attribute it to stable, global causes beyond the parents' control. They also were less likely to see their own parenting as effective. We speculate that these parents hold cognitive stances of blame and helplessness that contribute to aversive parent behavior as well as to parent withdrawal in the face of escalating child aggressiveness.This article is based on a doctoral dissertation conducted by Anne Davison Baden while at Peabody College of Vanderbilt University, and was presented in part at the annual meeting of the American Psychological Association, New Orleans, August 1989.     

The shattered mirror: Treatment of a group of narcissistic patients

Increasingly, group psychotherapy takes its place as a valid treatment model for patients with severe character pathology. This paper explores the impact of group treatment on a homogeneous group of patients with narcissistic character problems. The clinical example serves to illustrate the particular dynamics of this patient population; addresses the challenges inherent in treating these patients in a homogeneous, long-term therapy group; and, finally, underscores the countertransference pitfalls in such a clinical situation. Nonetheless, the successful working through of some of these patients' terrifying pathology supports the important of continuing experience and research into this arena.The author wishes to acknowledge with gratitude the invaluable assistance of J. Scott Rutan, Ph.D., in the planning and preparation of this clinical report.     

An anxiety-related bias in semantic activation when processing threat/neutral homographs

Three experiments are reported comparing high and low-trait anxious subjects in terms of their patterns of semantic activation in response to ambiguous primes, with one threat-related and one neutral meaning. Such primes were followed by targets related to either their threat or neutral meaning, or by unrelated targets, in a lexical decision task. Experiments 1 to 3 employed stimulus onset asynchronies (SOAs) of 750 msec, 500 msec, and 1250 msec, respectively. At 500-msec SOA all subjects showed facilitation for both meanings. At 750-msec SOA the only significant priming effect was that for the threat-related meaning in the high-anxiety group, and a similar trend was found at 1250-msec SOA. Consideration of the patterns of priming for targets following ambiguous threat/neutral primes suggest that at the longer SOAs, high-anxiety subjects consciously “lock on” to a threatening interpretation if one has been made available by earlier automatic spreading activation.     

Evidence for a distinction between judged and perceived causality

Two experiments investigated Michotte's launch event, in which successive motion of two objects appears to evoke an immediate perception that the first motion caused the second, as in a collision. Launching was embedded in event sequences where a third event (a colour change of the second object) was established as a competing predictor of the second motion, in an attempt to see whether subjects' learning of alternative predictive relationships would influence their causal impressions of launch events. In Experiment 1 subjects saw launch events in which temporal contiguity at the point of impact was varied so that an impact was varied so that an impact itself did not reliably predict when the second object would move. Half of these scenes, however, contained a colour change of the second object which did reliably predict when it would move. In accordance with Michotte's theory, subjects' ratings of the degree of perceived causality were not affected by the colour change. In Experiment 2 subjects saw scenes that contained launch events with or without temporal contiguity and a colour change. These were interspersed with events in which a colour change alone did or did not precede the second motion. Thus, movement of the second object was either contingent on or independent of the impact. Subjects repeatedly (a) rated perceived causality in single launch events and (b) judged the necessity of collisions for movement in the overall set of events. These responses dissociated, in that ratings type (a) showed only a substantial contiguity effect, whereas judgements of type (b) showed both a contingency and a much smaller contiguity effect. These results appear to support a distinction between judged and perceived causality and are discussed with respect to Michotte's theory of direct causal perception.     

The effects of differential ascribed category membership and norms on minority influence

Investigated how either perceived competency or self-interest-and Zeitgeist affect minority influence, or: how Moscovici's theory does apply to actual social minorities. The self-interest notion predicts that ‘single’ minorities (deviating only in terms of beliefs) are more influential than ‘double’ minorities (deviating also in category membership) while the competency notion predicts the reverse. Further, either minority is expected to be influential only when the Zeitgeist is in favour of the minority position. In a 2 (pro/anti Zeitgeist) × 3 (single/double minority/control) factorial design, 120 conservative male American undergraduates discussed in groups of six-including two either male (single minority) or female (double minority) consistently liberal con federates-one of two issues: abortion (pro-) or death penalty (anti- Zeitgeist). The results support the self-interest notion: double minorities are perceived as having a stronger self-interest and exerted less influence than single minorities. The Zeitgeist hypothesis is confirmed, too. The underlying attributional processes and the ecological validity of previous studies are discussed.     

Dimensions and correlates of third through eighth graders' sex-role self-concepts

The sex-role self-concepts of 238 third- through eighth-grade children were assessed by means of a modified Bem Sex Role Inventory. Most children's sex-role self-concepts were congruent with their biological sex, although a large portion of the sample was categorized as having androgynous self-concepts (33.98% of males and 31.11% of females). The frequency of cross-sex-role self-concepts was very low. The stability of children's sex-role self-concepts was evidenced by nonsignificant developmental trends in the percentage of children classified as masculine, feminine, androgynous, and undifferentiated. The relationship between children's sex-role self-concept and general self-concept, occupational stereotyping, frequency of TV watching, and a variety of parent-rated behaviors was also explored. While some developmental trends and sex differences occurred, sex-role self-concept was nonsignificantly related to these variables. Results are discussed in terms of the usefulness of the sex-role self-concept, particularly androgyny, as a developmental construct.The authors would like to thank the children and parents of St. Helen's Grammar School for their cooperation, and Karen Hyde, Jeff Wilbert, and Jill Tschopp for their help in data collection and analysis.     

Ethical and consultation issues in the behavioral sciences and terrorism

This paper briefly examines ethics as a process and as an element of philosophy with a long historical tradition. The paper then reviews elements of the professional ethics of a terrorist or hostage event, issues involved with consulting with an institution, and ethical issues for the clinician who chooses to become personally involved in a hostage event. Although reference is made particularly to psychiatrists, the principles discussed apply in large part to other mental health professionals as well. The paper concludes with the principles articulated by the American Psychiatric Association's Task Force on the Psychiatric Aspects of Terrorism and Its Victims as guidelines for psychiatric intervention in hostage or terrorist situations.     

Training of interns and practicum students at community mental health centers

The training of interns and practicum students has become a significant part of the overall program of CMHCs over the last decade. Although many centers provide innovative training in areas consistent with the philosophies of community mental health/community psychology, CMHCs consider the outstanding training which they provide to be in the traditional clinical areas. The fact that the revolution envisaged by the early proponents of the CMH/CP ideology has become transformed into an evolution is not cause for dismay but rather constitutes a study in social change. The planned incorporation of additional CMH/CP components into training programs augurs well for the future. However, the future of training programs is dependent on the extent to which the profession as a whole marshals its resources to not only maintain but increase the financial resources required for maintaining our network of training facilities—CMHCs along with other facilities.