A perspective on the patterns of loss, lack, disappointment and shame encountered in the treatment of six women with severe and chronic anorexia nervosa

Abstract :  This paper explores how the aggressive fantasies and energies expressed in anorexic self-hatred can be recycled to become the basis of psychological growth and recovery. This shift is made possible by focusing on the telos of the analysand's psychological system as it expresses itself through her illness, and using Clark's idea that sanity is a form of recycled madness. It also draws on Jung's view of the unconscious as an active and purposive agent, and libido as a neutral psychic energy which can serve different purposes.
I discuss a number of clinical vignettes, focusing on the hard, ruthless, defiant and hateful aspects of (what might appear to be) 'monstrous' anorexic behaviour, and the kinds of countertransference reactions these behaviours can provoke. I also explore what these kinds of behaviours might represent in terms of multi-generational family dynamics, as well as mother-daughter dynamics.
At the core of the paper is the idea that the capacity to use aggression in clear ways, but within the limits of conscience, is essential for the protection of one's physical and psychological boundaries. Without the capacity to defend oneself, and the ability to decide quickly and clearly when it is right to risk hurting the other in order to do so, one cannot take any level of risk in life, or draw close to the other. I suggest that for recovery from anorexia to occur, the aggressive, self-hateful, destructive energies which are so central to the illness need to be recycled into these kinds of awarenesses and life-skills.     

Relationships between personality, attitudes and dietary behaviour in a group of Scottish adolescents

Dietary behaviours, dietary attitudes, dietary knowledge and personality were surveyed in a group of 451 Scottish schoolchildren aged 11–15 years. A factor analysis of the behaviour items gave a three-factor structure with factors designated Healthy Eating, Unhealthy Eating and Health Habits. A general healthy vs. unhealthy eating factor was also extracted. A factor analysis of the attitude statements gave factors designated Pickiness, Neophobia and Food Interest. Dietary knowledge was found to be positively correlated with Healthy Eating score and negatively correlated with Unhealthy Eating score. The personality trait of Psychoticism was positively correlated with Unhealthy Eating score and negatively correlated with dietary knowledge, whilst Neuroticism was significantly negatively correlated with Healthy Eating and Health Habits and significantly positively correlated with Pickiness and Neophobia. Gender and socio-economic status differences in behaviour and attitude factor scores are also reported.     

Professionalism's Challenges to Professional Counselors' Collective Identity

The authors discuss how attaining various standards of professionalism has inadvertently resulted in challenges to professional counselors' collective identity. The authors reviewed interviews with senior contributors to the profession published in the Journal of Counseling & Development, identifying themes in their comments to suggest potential solutions to helping professional counselors find unity in diversity.     

The Axioms of Set Theory

In this paper I argue for the view that the axioms of ZF are analytic truths of a particular concept of set. By this I mean that these axioms are true by virtue only of the meaning attached to this concept, and, moreover, can be derived from it. Although I assume that the object of ZF is a concept of set, I refrain from asserting either its independent existence, or its dependence on subjectivity. All I presuppose is that this concept is given to us with a certain sense as the objective focus of a ”phenomenologically reduced“ intentional experience. The concept of set that ZF describes, I claim, is that of a multiplicity of coexisting elements that can, as a consequence, be a member of another multiplicity. A set is conceived as a quantitatively determined collection of objects that is, by necessity, ontologically dependent on its elements, which, on the other hand, must exist independently of it. A close scrutiny of the essential characters of this conception seems to be sufficient to ground the set-theoretic hierarchy and the axioms of ZF. This revised version was published online in August 2006 with corrections to the Cover Date.     

An experience sampling study of emotional reactions to music: listener, music, and situation

The Experience Sampling Method was used to explore emotions to music as they naturally occurred in everyday life, with a focus on the prevalence of different musical emotions and how such emotions are related to various factors in the listener, the music, and the situation. Thirty-two college students, 20 to 31 years old, carried a palmtop that emitted a sound signal seven times per day at random intervals for 2 weeks. When signaled, participants were required to complete a questionnaire on the palmtop. Results showed that music occurred in 37% of the episodes, and in 64% of the music episodes, the participants reported that the music affected how they felt. Comparisons showed that happiness-elation and nostalgia-longing were more frequent in episodes with musical emotions, whereas anger-irritation, boredom-indifference, and anxiety-fear were more frequent in episodes with nonmusical emotions. The prevalence of specific musical emotions correlated with personality measures and also varied depending on the situation (e.g., current activity, other people present), thus highlighting the need to use representative samples of situations to obtain valid estimates of prevalence.     

NK(3) receptor agonism promotes episodic-like memory in mice

The mammalian tachykinins are a family of closely related peptides including substance P, neurokinin A, neurokinin B and, recently, also hemokinin-1. They are present in the peripheral and central nervous systems, and bind to three known neurokinin (NK) receptors, the NK(1)-, NK(2)- and NK(3) receptors. In both rodents and humans, NK(3) receptors are expressed in brain structures which have been associated with learning and memory. Evidence for a role of NK(3) receptors in learning and memory has been found in NK(3) receptor knockout mice. Here, we investigated the influence of the NK(3) receptor agonist, senktide (0.1, 0.2 and 0.4 mg/kg), on the performance of C57BL/6 mice in a recently developed episodic-like memory task. Since a promnestic effect of senktide was expected, we employed an experimental protocol that provided sub-optimal learning conditions for episodic-like memory. The results indicate that senktide promotes episodic-like memory in mice in a dose-dependent manner, providing, for the first time, evidence for an involvement of NK(3) receptors in episodic-like memory.     

A Pilot Study Exploring PTSD Symptom Clusters as Mediators between Trauma Exposure and Attachment Behaviors in Married Adults

The purpose of this pilot study was to examine the mediating effect of posttraumatic stress disorder (PTSD) symptom clusters on the association between trauma exposure and attachment behaviors. Results from bootstrapped mediation analyses with a sample of 116 married adults revealed that total PTSD, avoidance, negative alterations in cognition/mood, and arousal symptoms partially mediated the effect of trauma exposure on perceived attachment behaviors in men only; the intrusion symptom cluster was not significant and there were no significant mediation effects for women. Findings shed light on possible gender variant mechanisms by which trauma may threaten secure attachment bonds in couples.     

Psychophysiological Synchrony During Verbal Interaction in Romantic Relationships

Previous studies about romantic relationships have shown that the reciprocal influence between partners occurs not only at the behavioral and socio‐emotional levels, but also at the psychophysiological level. This reciprocal influence is expressed in a pattern of physiological synchrony between partners (i.e., coordinated dynamics of the physiological time series). The main aim of the present study was to explore the presence of a pattern of physiological synchrony in electrodermal activity (EDA) during a couple interaction task. A second objective was to compare the synchrony levels during a negative interaction condition versus a positive interaction condition. Finally, we analyzed the association between synchrony and self‐perception of empathy, dyadic empathy, and relationship satisfaction. Thirty‐two couples (64 individuals) participated in this study. Each couple performed a structured interaction task while the EDA of both partners was being registered. The quantification of synchrony was based on the cross‐correlation of both members' EDA time‐series. In order to control for coincidental synchrony, surrogate datasets were created by repeatedly shuffling the original data of spouses X and Y of a dyad and computing synchronies on the basis of the shuffled data (pseudosynchrony values). Our results confirmed the presence of significant EDA synchrony during the interaction. We also found that synchrony was higher during the negative interactions relative to the positive interactions. Additionally, physiological synchrony during positive interaction was higher for those couples in which males scored higher in dyadic empathy. The clinical implications of these findings are discussed.