Psychoanalysis of the older patient

A small informal poll of local colleagues revealed that despite their interest in the subject, many had doubts about the possibility of analyzing persons aged sixty or over successfully. Their specific questions are collated and are offered as a sample of the questions in the minds of many analysts everywhere. Selected material from the ongoing analysis of a sixty-four-year-old patient is presented that bears on some of the questions raised. In addition, changes in the patient are noted. These are discussed in terms of changes in function, which are equated with structural change. The major thrust of the paper is that development continues throughout the life course, and that the criteria for analyzability remain constant. The chronological age of the adult by itself is not an indicator of eligibility or of suitability for psychoanalysis.     

Proximity and hierarchy: orthogonal dimensions of family interconnectedness

The purpose of this research was to develop logical and empirically valid conceptual tools for investigating relationships between family patterns of interconnectedness and psychosocial functioning of children in the family. The family systems concept of boundary was analyzed into two component concepts: Proximity (interpersonal boundaries) and generational Hierarchy (subsystem boundaries). These concepts were operationalized as dimensions, and eight families were assessed by means of interaction coding, interview, and Kinetic Family Drawing to yield empirical verification of these dimensions. Findings indicated that Proximity and Hierarchy are reliable, valid, and independent dimensions of family interconnectedness. Weak generational Hierarchy was associated with increased levels of psychological dysfunction for both identified patients and their siblings. High Proximity was similarly associated with psychological dysfunction, but only for identified patients. The hypothesis that enmeshment is a composite pattern of high Proximity and weak Hierarchy was disconfirmed. Suggestions for future research include systemic analysis of deviation-counteracting and -amplifying relationships between patterns of Proximity and Hierarchy, on the one hand, and psychosocial dysfunction, on the other.     

Profiles of adolescents' clothing practices: purchase, daily selection, and care

The purpose of this study was to examine the clothing practices in the daily selection, care, and purchase of clothing by adolescents in order to determine the extent these practices are performed independently or influenced by others, and to identify the factors involved in the activities. Clothing Practice Profiles were developed for both sexes in the three age groups corresponding to divisions in the Oregon 4-H program. The age group comparison revealed increasing frequency of independent activity in all three clothing practice areas (selection, care, and purchase) as age increased. Parental influence appeared to decrease with increasing age. Siblings' influence was minimal. Peer influence on selection and purchase practices increased. Media influence on daily clothing selection practices and clothing purchase practices in terms of wearing or buying identical or similar clothing was minimal. Media influence in advertisements increased with age, but purchases of advertised clothing items remained about the same. Age group comparisons were also made for selection factors and other care and purchase practices, including responsibilities for care of the member's and family's clothing, planning clothing purchases, sources of funds and methods of paying for clothing, use of clothing label information, and purchase factors.