Negativism and countertransference

The purpose of this work is to explore the phenomenon of negativism and the analyst's response to it during the course of analytic work with a patient in whom negativism is a central behavioral pattern. Melville's short story, "Bartleby the Scrivener," describing in telling detail the response of a sympathetic lawyer to profound and pervasive negativism in his legal scribe, is discussed as a literary analogy to the analyst-analysand dyad. Aspects of the concept of negativism within psychoanalysis are discussed. The potential usefulness of understanding certain unexpected countertransference responses to pervasive negativism is explored, as this is a relatively neglected area of psychoanalytic technique. A case is presented describing the analysis of a patient whose character, like Bartleby's, is a mixture of profound negativism along with schizoid, obsessional, and masochistic elements.     

Age-appropriate behaviors: a comparison of three generations of females

The purpose of this study was to examine differences in older adolescent and adult females' perceptions of age-appropriate behavior in adults. Subjects were three generations of maternally related females (95 older adolescents, 78 mothers, 83 grandmothers) who were administered a questionnaire designed to assess age-appropriate behaviors in three broad categories: recreation, occupation/career, and family. Major findings were that older adolescents were most tolerant of behaviors performed by individuals at varying ages while older women most closely ascribed to age constraints, and that the greatest agreement on appropriateness of age constraints concerned family relationships while least agreement concerned recreational activities. Results support the view that adolescents' values on family issues are consistent with those of their parents, and suggest that adherence to age norms increases throughout the life span or are the result of generational differences in socialization.     

Research-structured vs clinically flexible versions of social learning-based marital therapy

The purpose of this study was to compare our structured research-based version of marital therapy from a social learning perspective with a clinically flexible version of the same treatment where treatment plans were individually-based and there was no specific number of treatment sessions. Thirty distressed married couples were randomly assigned to one of these two treatments. Assessment of outcome was based on global marital satisfaction, spouse reports of functioning in specific areas, and direct observational measures of communication. At posttest there were no differences in efficacy between structured and flexible treatments, although both treatments led to significant improvements. At a 6-month follow-up couples treated with the structured format were more likely to have deteriorated and flexibly treated couples were more likely to have maintained their treatment gains.     

Definitional deficit: a model of senile dementia in context

This article presents some general theoretical concepts that can be used to consider processes of reality construction in interpersonal contexts. I developed a model of family context that taps affective dimensions of reality construction and used this model to explore these processes as highlighted by the labeling of symptoms of senile dementia. Ethnographic observations of 45 families with aged members were used to sketch a dichotomous typology of family-context patterns that promote symptom identification versus patterns that do not. The model suggests that the categorization of behavior as symptomatic or normal in context may be related to the extent to which reality construction processes are shared among members.     

Occupational choices of daughters of practicing rabbis

This paper examines the psychological impact that rabbis, as character types, have on their daughters. It describes how the father's impact psychologically predisposes these women to enter the helping professions in disporportionate numbers, and it shows how these job choices are often a means of coping with psychological issues connected to their upbringing.She is a candidate to become a psychoanalyst at the Chicago Center for Psychoanalytic Psychology.     

A CROSS-CULTURAL STUDY OF PERSONALITY: EGYPTIAN AND ENGLISH CHILDREN*

679 Egyptian boys and 696 girls completed the Junior Eysenck Personality Questionnaire, translated into Arabic. Factor comparisons were moderately high for extraversion and social desirability but weak for neuroticism and psychoticism. Suitable item substitution produced a scoring key resulting in adequate reliabilities with the exception of a somewhat low reliability for the boys on extraversion and low reliabilities on psychoticism for both sexes. Sex differences on means of the dimensions were as usual, boys scoring higher than girls on extraversion and psychoticism, but lower on neuroticism and social desirability. Moreover, on comparing Egyptian with English means, using scales of items in common only, the English boys and girls scored higher than their Egyptian counterparts on extraversion but significantly lower on social desirability. British boys scored higher on psychoticism than did Egyptian boys but British girls scored lower than Egyptian girls.     

Effect of depression on processing interactions in group psychotherapy

Two studies were conducted to investigate the possibility of individual differences in the ability of inpatients to process interactions in group psychotherapy. The first was a pilot study conducted on groups of major depressive patients and matched normal subjects. Subjects were asked to give process comments after viewing simulations of typical group therapy interactions. These comments were later rated on the extent to which they reflected process qualities and accuracy. These data led to a more rigorous and extensive study that included more appropriate control groups as well as measures of potential confounding factors, such as simulation realism, verbal ability, and interaction comprehension. Results indicated that major depressives suffer from deficits in the ability to process group interactions, relative to three types of control groups, including normals. These differences in processing were not significantly positively correlated with any of the potential confounding factors. The implications for understanding interactional processing and group psychotherapy are discussed.     

The "psychosomatic family" model: an empirical and theoretical analysis

Evolution of the Family Systems Paradigm has been constrained by the dichotomy between theory building and empirical research. This article integrates these two domains by presenting a theoretical analysis of the "psychosomatic family" model as it informs and is informed by an empirical research project. Forty families of children with Crohn's disease (CD), ulcerative colitis (UC), and functional recurrent abdominal pain syndrome (RAP) were rated during standard, videotaped family interaction tasks, lunch, and interview. Laboratory scores of disease activity were associated with triangulation, marital dysfunction, and total "psychosomatic family" scores. Disease activity was not significantly correlated with enmeshment, overprotection, rigidity, conflict avoidance, or poor conflict resolution. Thus, the marital/triangulation and enmeshment/overprotection/conflict clusters may be subcomplexes of the "psychosomatic family" complex. CD, UC, and RAP groups differed in the relations among particular family patterns and disease activity. A heuristic family-psycho-somatic model is presented to facilitate future research.