“E” Enactments in Psychoanalysis: Another Medium,Another Message

This paper explores sources of therapeutic action located in inchoate experience, in the often-preconscious resonance that is generated in that dimension of experience which we have come to regard as enacted in the transference/countertransference field. The living and working through of a wide range of problematic and reparative elements distilled in the analytic relationship are described as a crucial source of therapeutic action. A brief historical treatment of the place of enactment in different psychoanalytic traditions is followed by the explication of two different kinds of enactments: ordinary, quotidian enactments that form the daily ebb and flow or ordinary analytic process and (capital E) Enactments. The latter are highly condensed precipitates of unconscious psychic elements in patient and in analyst that mobilize our full, heightened attention and define, and take hold of, analytic activity for periods of time. Clinical vignettes by Theodore Jacobs and Margaret Black are discussed in explicating the latter distinction and considering its implications for technique.     

When the Frame Doesn't Fit the Picture

I reconsider the function and construction of the psychoanalytic frame from an intersubjective, relational perspective. The analytic frame is meant to create and stand for, both practically and symbolically, a therapeutic structure with clear and safe boundaries in which the process of therapy unfolds. From my perspective, the establishment of the frame is, at the same time, an integral part of the process itself and reflects conscious and unconscious aspects of both patient and analyst. I explore this paradox and its implications for both practice and theory. In theorizing the functions of the frame, I draw on Goffman's frame theory, Bateson's anthropological and ethological studies, Ferenzci's perspective on the elasticity of technique, and a number of contemporary relational theorists. Several clinical vignettes are presented as illustrative of a new perspective on the analytic frame as cocreated and contextual, reflecting the variability of the psychoanalytic situation and the uniqueness of each dyad.     

Something Is Happening Here Thoughts and Clinical Material Regarding Multiplicity,Gender, and Touch in a Psychoanalytic Treatment

There has been much consideration in recent years of the nature of gender as socially constructed. During the same time there has also been much consideration of the nature of consciousness and of self-experience, and a calling into question of the experience of a unitary self versus multiple self-states. This paper offers case material of a patient who presents with traumatically induced multiple self-states. The author considers the way in which the gender of different self-states reflects both cultural and personal experience; the way in which the patient's and the therapist's respective and mutual experience of their genders are intersubjectively experienced; and the impact of an inadvertent touch in the course of treatment, in the light of both multiplicity and gender.     

Zen and behavior analysis

Zen's challenge for behavior analysis is to explain a repertoire that renders analysis itself meaningless-a result following not from scientific or philosophical arguments but rather from a unique verbal history generated by Zen's methods. Untying Zen's verbal knots suggests how meditation's and koans' effects on verbal behavior contribute to Enlightenment and Samādhi. The concept of stimulus singularity is introduced to account for why, within Zen's frame of reference, its methods can be studied but its primary outcomes (e.g., Samādhi and Satori) cannot be described in any conventional sense.     

Education and testing strategy for large-scale cystic fibrosis carrier screening

Population-based screening for cystic fibrosis carrier mutations presents a number of challenges for genetic counselors, owing primarily to the inability of current DNA testing technology to identify all possible mutations and the difficulty involved in conveying the concept of residual risk to those patients who test negative. To address these issues, we are conducting a pilot study, as part of a consortium established by the National Center for Human Genome Research, to explore the efficacy, acceptance, and psychosocial impact of various approaches to carrier screening in an ethnically diverse Southern California population. This article reports the patient instructional and screening strategies we developed in the initial phase of the project in order to optimize our chances of answering these questions and delivering this service on a large scale.     

Integrity Testing and Deviance: Construct Validity Issues and the Role of Situational Factors

Two studies were conducted to investigate relationships among several types of preemployment integrity tests and situational factors which could play a role in employee deviance. In one study, three integrity measures were administered to subjects who were told to assume the role of job applicant for a position in either a large, small, or unspecified organization. Moral development stage, social desirability, and demographic data were collected. While there was some construct consistency across the different integrity measures, the expected relation between honesty and moral development was not found. There was also no difference in integrity test scores as a function of the organizational size manipulation. In a second laboratory study in which subjects were asked to play the role of job incumbents, both size and perceived equity of organizational climate were experimentally manipulated. The dependent measure was a scale of likelihood of engaging in organizationally proscribed behaviors. While again no effect was found for organizational size, those individuals who perceived themselves as employed in an organization in which employees are mistreated tended to report greater likelihood of engaging in organizational deviance. Implications for integrity testing in personnel selection are discussed.     

Family perception of rapists and pedophiles.

Previous research indicates that sex offenders were more likely to have been reared in dysfunctional families and to have identified less with their parents than were individuals in most comparison groups. It is unclear whether such failure to identify may be related to the perceived parenting styles and attitudes of the sex offenders' parents. 16 rapists, 18 pedophiles, 9 general offenders, and 11 college students completed the Children's Report of Parental Behavior Inventory to assess perceived parental communication patterns and attitudes. It was predicted that rapists and pedophiles would perceive their parents as (1) having been more rejecting, (2) as having exerted more control while encouraging less autonomy, and (3) as having provided harsher discipline than would individuals in comparison groups. Results supported the first two predictions.     

The Mystery of the Mozart Effect: Failure to Replicate

The Mozart effect is the purported increase in spatial-reasoning performance immediately after exposure to a Mozart piano sonata. Several laboratories have been unable to confirm the existence of the effect despite two positive reports from the original laboratory. The authors of the original studies have provided a list of key procedural components to produce the effect. This experiment attempted to produce a Mozart effect by following those procedural instructions and replicating the procedure of one of the original positive reports. The experiment failed to produce either a statistically significant Mozart effect or an effect size suggesting practical significance. This general lack of effect is consistent with previous work by other investigators. We conclude that there is little evidence to support basing intellectual intervention programs on the existence of the Mozart effect.