Heal the Hurt Child by Hertha Riese

Abstract

The mental health needs of the long–term nursing home resident receive little attention. It is especially difficult for the more cognitively intact resident to obtain psychological help. An integrated group psychotherapy model that incorporates developmental, cognitive–behavioral, and psychodynamic approaches is described, based on the author’s clinical experience in developing and co–leading four groups in three long–term care facilities over a period of ten years. The technical and countertransference challenges of working with this unique population and in this format are described, along with clinical material to illustrate common themes. The success of the groups in improving the morale, sense of community, and quality of life for group members is demonstrated.     

Hope and social support utilisation among different age groups of women with breast cancer and their spouses

Objective: Social support and hope are considered positive, important contributors to psychological well-being for women with breast cancer and their spouses. Few studies examine the role of age in relation to these variables. The current study compares the relationship between social support, hope and depression among different age groups of women with advanced breast cancer and their healthy spouses.

Design: Cross-sectional sample of 150 women with advanced breast cancer and their spouses.

Main outcome measures: Social support, hope, depression and socio-demographic data. Analysis included comparison of these variables between groups of older and younger patients and their spouses. Structural equation modelling (SEM) was used to examine hope as a mediator of the relationship between social support and depression within each group (older and younger patients and spouses).

Results: Older patients and spouses reported lower levels of depression than younger ones. SEM showed that social support related directly to depression among younger women and older spouses, while hope was directly related to depression among older women and younger spouses and acted as a mediator between social support and depression.

Conclusions: Theoretical, empirical and clinical implications regarding the understanding of the role of age in coping with cancer are discussed.     

Normalization in the courtroom: Does the formation of a group norm affect how judges adjust prosecutors' demands?

Legal archives concerning a new type of offence first introduced onto the French statute books in 2005 reveal a normalization effect over the following 2 years in judges' sentence decisions but not in prosecutors' sentence demands. We examine the hypothesis that the formation of a normally accepted range of sentences will influence how judges respond to the extremity of the prosecutor's initial sentence demand. In line with a normalization perspective, results reveal that judges were less influenced by extreme (out‐of‐range) sentence demands but more influenced by moderate (in‐range) sentences in 2007 than in 2005. Over time, it seems that a shared standard of reference is established, which appears to lead judges to adjust moderate prosecutor demands less and extreme prosecutor demands more. Copyright © 2013 John Wiley & Sons, Ltd.     

Friendship Quality and School Achievement: A Longitudinal Analysis During Primary School

This study examined the longitudinal relationship between friendship quality (positive and negative) and school achievement among 228 school-age children (51% girls, M = 8.09, SD = 0.41). A three-wave cross-lagged analysis was used to determine the direction of influence between these domains across school years. Findings revealed that: (a) school achievement in second grade decreased negative friendship quality in third grade; (b) school achievement in second grade predicted positive friendship quality in third grade; (c) positive friendship quality in third grade predicted school achievement in fourth grade. The protective role of school achievement against peer relationship impairment and the reciprocal relationship between positive friendship quality and school achievement were underlined. Implications for educational practices for Italian primary schools are discussed.     

Mother—infant interaction structures and presymbolic self‐ and object representations

Using research on the purely social face‐to‐face exchange, we examine patterns of mother—infant interaction and their relevance for the presymbolic origins of self and object representations, focusing on the representation of inter‐relatedness between self and object. Based on a dyadic systems view in which the system is defined by both self‐ and interactive‐regulation processes, we argue that characteristic patterns of self and interactive regulation form early interaction structures, which provide an important basis for emerging self and object representations. What will be represented, presymbolically, is the dynamic interactive process itself, the interplay, as each partner influences the other from moment to moment. This is a dynamic, process view of “interactive”; or “dyadic”; representations. The argument that early interaction structures organize experience is based on a transformational model in which there are continuous transformations and restructurings, where development is in a constant state of active reorganization. To define the capacities on which a presymbolic representational capacity is based, we review the last decade's research on infant perception and memory, which has radically changed our concepts of representation. The interaction structures we describe illustrate the salience of arousal, affect, space, and time in the early organization of experience: (1) state transforming, the expectation that an arousal state can be transformed through the contribution of the partner; (2) facial mirroring, the expectation of matching and being matched in the direction of affective change; (3) disruption and repair, the expectation of degree of ease and rapidity of interactive repair following facial‐visual mismatches; (4) “chase and dodge,”; the expectation of the misregulation and derailment of spatial‐orientation patterns, without repair; and (5) interpersonal timing, the expectation of degree of vocal rhythm matching.     

Introduction: A Systems View

Our goal in this series of four papers is a further refinement of a theory of interaction for psychoanalysis, with a specific focus on the concept of intersubjectivity. Psychoanalysis has addressed the concept of intersubjectivity primarily in the verbal/explicit mode. In contrast, infant research has addressed the concept of intersubjectivity in the nonverbal/implicit mode of action sequences, or procedural knowledge. We propose that an integration of explicit/linguistic with implicit/nonverbal theories of intersubjectivity is essential to a deeper understanding of therapeutic action in psychoanalysis today. To shed light on an implicit/nonverbal dimension of intersubjectivity in psychoanalysis, we include concepts from adult psychoanalysis, infant research, developmental systems theories, and nonverbal communication, particularly the distinction between implicit processing out of awareness and explicit processing at the declarative/verbal level. We conclude with an adult psychoanalytic case illustrating the integration of implicit/nonverbal forms of intersubjectivity into adult treatment.     

A Comparison of Meltzoff,Trevarthen, and Stern

Whereas the first paper of this series compared the work of five theorists of intersubjectivity in psychoanalysis, this paper compares three theorists of intersubjectivity in infant research, Andrew Meltzoff, Colwyn Trevarthen, and Daniel Stern. By evaluating the points at which the theorists concur and differ, we hope to clarify the meanings or “forms” of intersubjectivity in infancy. All three have addressed the question of how infants can sense the state of the other, and all have used the concept of cross-modal correspondences as a central aspect of the answer. Nevertheless each has a distinctly different theory of intersubjectivity in infancy.     

Impaired face recognition does not preclude intact whole face perception

We studied intact and impaired processes in a prosopagnosic patient (RP). In Experiment 1, RP showed an inversion superiority effect with both faces and objects, with better performance when stimuli were presented upside down than in normal upright orientation. In Experiment 2, we studied the effect of face configuration directly by comparing matching performance with normal vs. scrambled faces. RP was worse with normal than with scrambled faces, whereas normal controls showed an advantage of a good face context. In Experiment 3, RP showed interference from external face features on the evaluation of internal face features. These results indicate, first, that although RP is impaired in face recognition and face matching, he does still encode the whole face rather than relying completely on parts-based procedures. Second, RP has a deficit at the level of the configural processes involved in finding subtle differences between individual faces, as his performance is worse when presented with a normal face configuration than with scrambled or inverted faces.     

Making Attributions for Behaviors: The Prevalence of Correspondence Bias in the General Population

Previous research on the question of whether matching message content to the functional basis of people's attitudes may lead to biased message processing has been inconclusive. In particular, existing evidence is open to reinterpretation such that matched strong arguments led to more attitudinal agreement because they were scrutinized more effortfully than mismatched strong arguments. The present study was conducted to examine the hypothesis that matching the message to attitude functions may lead to biased processing only given an ambiguous (vs. an unambiguous strong or weak) message. High and low self-monitors were presented with a matched message (i.e., a quality appeal for low self-monitors and an image appeal for high self-monitors) or a mismatched message (opposite combinations). The message content was strong, weak, or ambiguous. As predicted, only given an ambiguous message did biased processing lead to more agreement when the appeal matched (versus mismatched) attitude functions. In contrast, a strong message led to more agreement than a weak message regardless of functional matching (unbiased processing).