The Particularities of Form: Reply to Commentary

In this brief reply to Bollas's commentary on our paper about his work, the cycles of intersubjective dialogue endlessly sustaining should be apparent. We begin with an example of the form—content distinction and attempt to use it as a springboard for further disentangling some of the nuances of Bollas's intersubjective theorizing. Bollas's emphasis on form over content as a means of conceptualizing the analyst's contribution to the analytic process is indeed compelling. We all know from both sides of the couch the profoundly different meanings and messages that an analyst's mien invites: whether she's abrupt, verbose, meditative, tranquil. Yes, the medium is the message, and, thus, whether the analyst conveys a message through the effects of form that Bollas points out, such as “We have all the time you need for the nuances of unconscious figuring” versus “This is hot—we hafta figure it out now” surely does have an effect on the psychic material produced in the analytic process. We go on to add to Bollas's discussion of form by considering the particularities of form and how these too affect the analytic process.     

An experience of supervision with nurses

Abstract

Clinical supervision is a concept that the nursing profession in the last two years has had to embrace. Clinical supervision, as denned by the Chief Nurse, is ‘a formal arrangement that enables nurses, midwives and health visitors to discuss their work regularly with another experienced professional, and involves reflecting on practice in order to learn from experience and improve competence’ (Moores 1996).     

Measuring Television Message Complexity as Available Processing Resources: Dimensions of Information and Cognitive Load

This article further tests the theoretical hypotheses supporting the use of number of camera changes (cc) and information introduced (ii) as indicators of resources allocated and resources required to process television messages. These two measures, combined, yield an indicator of available resources and can, therefore, be used as an indicator of television message complexity. Previous research has validated their use, averaged over time, as a global measure of message complexity. The two studies reported here test the underlying local complexity predictions and present support from two studies for the ii, cc combination as a valid indicator of local message complexity. Study 1 demonstrates that when a camera change has an increasing number of ii dimensions available resources become scarcer, eventually reaching cognitive overload. Study 2 examines the relative level of resources required for each of the seven dimensions, and demonstrates that specific theoretical groupings of dimensions (novelty, motivational, and cognitive) show differential impact on available resources. Results show that the individual dimensions increase required resources as predicted and that emotion change is the most cognitively taxing dimension. Together, the two studies increase our understanding of how the number of dimensions each individual dimension of ii increases cognitive load and provide strong support for the measure as an indicator of local message complexity.     

Perception of Genuine and Masking Smiles in Children and Adults: Sensitivity to Traces of Anger

The authors examined children's and adults' sensitivity to traces of anger in masking smiles by presenting participants with short video excerpts of smiles that differed by the intensity of an anger component. Fifty-two children, aged 6 to 12 years, and 26 adults were asked to judge whether a stimulus person was really happy or pretending to be happy. Six- and 7-year-old children were found to be sensitive to traces of anger, but less so than older children and adults. Researchers found evidence of explicit knowledge of the emotion hidden in masking smiles only in adult participants.     

Maximizing the efficacy of interoceptive exposure by optimizing inhibitory learning: A randomized controlled trial

Cognitive-behavioral treatments for panic disorder (PD) emphasize interoceptive exposure (IE) to target anxiety sensitivity (AS) but vary considerably in its manner of delivery. This randomized controlled trial was conducted to compare the efficacy of the low-dose delivery of IE exercises often prescribed in treatment protocols to an intensive form of IE hypothesized to optimize inhibitory learning. Participants (N = 120) with elevated AS were randomly assigned to one of four single-session interventions: (a) low-dose IE as prescribed in Barlow and Craske's Panic Control Treatment, (b) low-dose IE without controlled breathing or a lengthy between-trial rest period, (c) intensive IE, or (d) expressive writing control. Compared to the other conditions, intensive IE produced significantly greater reductions in AS and fearful responding to a straw breathing task from pretreatment to posttreatment. Maintenance of gains during the follow-up period did not differ between conditions. Changes in fear toleration and negative outcome expectancies fully mediated the superior efficacy of intensive IE over low-dose IE. The two low intensity IE conditions produced particularly high rates of fear sensitization on between-trial and outcome variables. The findings suggest that the intensive delivery of IE exercises has the potential to improve the efficacy of exposure-based treatments for PD.     

Activating and Enlivening Ourselves and Our Patients: Commentary on Paper by Susan H. Sands

In my response to Sands's paper I offer comments on four aspects of clinical work with dissociation: the sensory power of language, the evocation of the analyst's own dissociated experience and internal growth, the question of the relationship between dissociation and unconscious experience, and the different responses evoked by patients who are at different points on the path toward association.     

Preview benefit in speaking occurs regardless of preview timing

Speakers access information from objects they will name but have not looked at yet, indexed by preview benefit—faster processing of the target when a preview object previously occupying its location was related rather than unrelated to the target. This suggests that speakers distribute attention over multiple objects, but it does not reveal the time course of the processing of a current and a to-be-named object. Is the preview benefit a consequence of attention shifting to the next-to-be-named object shortly before the eyes move to that location, or does the benefit reflect a more unconstrained deployment of attention to upcoming objects? Using the multiple-object naming paradigm with a gaze-contingent display change manipulation, we addressed this issue by manipulating the latency of the onset of the preview (SOA) and whether the preview represented the same concept as (but a different visual token of) the target or an unrelated concept. The results revealed that the preview benefit was robust, regardless of the latency of the preview onset or the latency of the saccade to the target (the lag between preview offset and fixation on the target). Together, these data suggest that preview benefit is not restricted to the time during an attention shift preceding an eye movement, and that speakers are able to take advantage of information from nonfoveal objects whenever such objects are visually available.     

The development of numerical estimation: evidence against a representational shift

How do our mental representations of number change over development? The dominant view holds that children (and adults) possess multiple representations of number, and that age and experience lead to a shift from greater reliance upon logarithmically organized number representations to greater reliance upon more accurate, linear representations. Here we present a new theoretically motivated and empirically supported account of the development of numerical estimation, based on the idea that number‐line estimation tasks entail judgments of proportion. We extend existing models of perceptual proportion judgment to the case of abstract numerical magnitude. Two experiments provide support for these models; three likely sources of developmental change in children’s estimation performance are identified and discussed. This work demonstrates that proportion‐judgment models provide a unified account of estimation patterns that have previously been explained in terms of a developmental shift from logarithmic to linear representations of number.