HELPLESSNESS AND THE ANALYST’S WAR AGAINST FEELING IT

In our view helplessness is a primal, often intolerable feeling. It underlies and intensifies other feelings that are also hard to bear. Both analyst and patients face helplessness, and both resort to defenses, often intensely, in order to avoid it. The intensity of this battle can merit calling it a war. The analyst’s war is conducted using distancing, anger, blaming and disparaging as well as by intellectualizing the patient’s struggles. Patients then find themselves abandoned and helplessly alone. We analysts, of course, want not to fall into the trap of war, and we try to free ourselves from waging it. A major way we accomplish this is through continuously working, often with the help of analysis and self-analysis, to increase our capacity to maintain our emotional stability in the face of these intensities. We learn to find new forms of awareness, beyond words and ideas. It requires a new understanding of what is threatening to us, which fosters a deeper capacity to empathize with the patient. This helps us to find the psychic, physical and emotional space within ourselves in which to hold our helplessness and other profound affective experiences. In this way we become an increasingly steady resource for our patients as well as for ourselves.     

A Test by Any Other Name: P Values,Bayes Factors,and Statistical Inference

Procedures used for statistical inference are receiving increased scrutiny as the scientific community studies the factors associated with insuring reproducible research. This note addresses recent negative attention directed at p values, the relationship of confidence intervals and tests, and the role of Bayesian inference and Bayes factors, with an eye toward better understanding these different strategies for statistical inference. We argue that researchers and data analysts too often resort to binary decisions (e.g., whether to reject or accept the null hypothesis) in settings where this may not be required.     

The prematurity stereotype revisited: Impact on mothers' interactions with premature and full‐term infants

Research exploring the effects of labeling on maternal perceptions and behaviors was extended by simultaneously examining the cognitive and behavioral effects of prematurity stereotyping with both mothers of full‐term and premature infants, and by examining the effects of an information‐based intervention on the stereotyped responses of mothers of premature infants. An experimental design wherein mothers of both full‐term and premature infants were randomly assigned to interact with, and then rate, either a full‐term or premature infant who was described as either full‐term or premature was employed to test several hypotheses. Two hypotheses related to prematurity stereotyping received support: mothers showed more positive responses to infants labeled full‐term than to infants labeled premature, and mothers of full‐term infants exhibited more prematurity stereotyping than did mothers of premature infants. The hypothesis concerning gender effects also was supported, with mothers showing more positive responses to male infants than to female infants. In contrast to expectations, a brief cognitive intervention provided to some mothers of premature infants failed to reduce stereotyping, and, indeed, appeared to increase stereotyping. These results are compared with the results of previous studies, most of which did not include actual interactions between mothers and infants, and the implications of these results are considered. © 2000 Michigan Association for Infant Mental Health.     

Case illustration: Moving along…and,is change gradual or sudden?

A sequence of analytic sessions of a professional woman in her forties is used to illustrate the moving along process. The material shows a gradual change, where the patient's experience of her sense of agency is altered through a particular kind of interactive sequence. The example is intended to make it clear that the group's view of how change occurs is not strictly or primarily in terms of sudden changes, and that the problem of assessing moments of meeting as well as quantitative and qualitative shifts is one with which the group continues to struggle. © 1998 Michigan Association for Infant Mental Health     

The role of right-wing authoritarianism and political sophistication in shaping attitudes toward redistribution

Using data from the Austrian National Election Study (Study 1) and the American National Election Study (Study 2), this research investigated the role of right-wing authoritarianism (RWA) in shaping attitudes toward governmental action related to the redistribution of wealth. We show that RWA is a relevant variable in explaining attitudes toward redistribution policies, and that the association between RWA and redistribution attitudes is moderated by political sophistication. RWA was associated with opposition to redistribution policies among individuals high in political sophistication, while among individuals low in political sophistication, RWA was either associated with support for redistribution policies (Study 1) or unrelated to redistribution attitudes (Study 2). Results suggest that exposure to the political discourse in a society affects how psychological needs and motives are related to preferences regarding the redistribution of wealth through the government.     

Remembering specific features of emotional events across time: The role of REM sleep and prefrontal theta oscillations

When an episode of emotional significance is encountered, it often results in the formation of a highly resistant memory representation that is easily retrieved for many succeeding years. Recent research shows that beyond generic consolidation processes, rapid eye movement (REM) sleep importantly contributes to this effect. However, the boundary conditions of consolidation processes during REM sleep, specifically whether these extend to source memory, have not been examined extensively. The current study tested the effects of putative consolidation processes emerging during REM sleep and slow wave sleep (SWS) on item and source memory of negative and neutral images, respectively. Results demonstrate superior emotional relative to neutral item memory retention after both late night REM sleep and early night SWS. Emotional source memory, on the other hand, exhibited an attenuated decline following late night REM sleep, whereas neutral source memory was selectively preserved across early night SWS. This pattern of results suggests a selective preservation of emotional source memory during REM sleep that is functionally dissociable from SWS-dependent reprocessing of neutral source memory. This was further substantiated by a neurophysiological dissociation: Postsleep emotional source memory was selectively correlated with frontal theta lateralization (REM sleep), whereas postsleep neutral item memory was correlated with SWS spindle power. As such, the present results contribute to a more comprehensive characterization of sleep-related consolidation mechanisms underlying emotional and neutral memory retention. Subsidiary analysis of emotional reactivity to previously encoded material revealed an enhancing rather than attenuating effect of late night REM sleep on emotional responses.     

The implicit cognition of reciprocal exchange: automatic retrieval of positive and negative experiences with partners in a prisoner's dilemma game

Models of reciprocity imply that cheater detection is an important prerequisite for successful social exchange. Considering the fundamental role of memory in reciprocal exchange, these theories lead to the prediction that memory for cheaters should be preferentially enhanced. Here, we examine whether information of a partner's previous behaviour in an interaction is automatically retrieved when encountering the face of a partner who previously cheated or cooperated. In two studies, participants played a sequential prisoner's dilemma game with cheaters and cooperative partners. Alternating with the game blocks, participants were asked to classify the smiling or angry facial expressions of cooperators and cheaters. Both experiments revealed congruence effects, reflecting faster identification of the smiles of cooperators (Experiments 1 and 2) and faster identification of the angry facial expressions of cheaters (Experiment 2). Our study provides evidence for the automatic retrieval of the partner's behaviour in the game, regardless of whether partners cheated or cooperated, and thus provides further evidence against the cheater detection hypothesis.     

Psychotherapeutische Kurzintervention bei somatisierenden Patienten im Krankenhaus

The manual describes the psychotherapeutic procedure for somatizing patients who are admitted to hospital for diagnostics and therapy of unclear physical complaints. An essential goal of the psychotherapeutic interventions is to achieve an understanding for the disease, in which body, psyche and social relationships are experienced as interrelated. By addressing the health fears and subjective concepts about the onset and maintenance of his physical complaints, the patient feels that he is being taken seriously and understood. Connections between physical symptoms and the suppression of undesirable affects like anger, rage and disappointment are verbalized and understood in greater depth, based on body perception exercises and a symptom diary. The positive experience of understanding and symptom relief obtained in the psychotherapeutic sessions is used for the main goal of the intervention: to motivate the (out- and in-)patient for a regular psychotherapy. Experience up to now has shown that three to five sequential sessions of about 45–60 minutes suffice to attain this therapy goal. Implementation is most successful within an established consultant or liaison service in close cooperation with the ward doctors.