Characteristics of auditory agnosia in a child with severe traumatic brain injury: a case report

We present a case that is unusual in many respects from other documented incidences of auditory agnosia, including the mechanism of injury, age of the individual, and location of neurological insult. The clinical presentation is one of disturbance in the perception of spoken language, music, pitch, emotional prosody, and temporal auditory processing in the absence of significant deficits in the comprehension of written language, expressive language production, or peripheral auditory function. Furthermore, the patient demonstrates relatively preserved function in other aspects of audition such as sound localization, voice recognition, and perception of animal noises and environmental sounds. This case study demonstrates that auditory agnosia is possible following traumatic brain injury in a child, and illustrates the necessity of assessment with a wide variety of auditory stimuli to fully characterize auditory agnosia in a single individual.     

Putting stereotype content in context: image theory and interethnic stereotypes

Two studies apply intergroup image theory to better understand divergent interethnic images and to highlight the important role of intergroup context and perceived intergroup relations in shaping the content of social stereotypes. Image theory hypothesizes that specific interethnic stereotypes arise from specific patterns of perceived intergroup competition, relative power, and relative cultural status. Results from surveying Black, White, and Native Americans' appraisals of intergroup relations and reported outgroup stereotypes in various intergroup contexts suggest that the content of outgroup stereotypes varies systematically as a function of the perceived state of intergroup relations and the intergroup context in which these groups are situated. The data reported from both studies establish the importance of examining social stereotypes from a functional perspective in the context of intergroup relations.     

Implementation of a comprehensive schoolwide behavioral intervention: The ABC program

The Academic and Behavioral Competencies (ABC) Program, a schoolwide program to reduce classroom disruption and encourage rule following, academic task completion, and homework completion, is described. The program was initially developed and implemented in an elementary school with a high-risk population. Data from teachers, parents, and children indicate high levels of satisfaction with the program. In addition, unobtrusive measures of program impact, reported as reductions in referrals to the principal's office, suspensions, and increases in homework completion rates relative to the year prior to implementation of the program, suggest a preliminary positive impact of the program. A replication is reported for another school district, with teacher evaluations of satisfaction and effectiveness reported, supporting the flexibility and adaptability of the program. Although the present article does not constitute a systematic evaluation of the ABC Program, it presents preliminary data on the process of implementation and stakeholder satisfaction.     

Treatment of pharmacotherapy-refractory posttraumatic stress disorder among Cambodian refugees: a pilot study of combination treatment with cognitive-behavior therapy vs sertraline alone

Cambodian refugees with posttraumatic stress disorder (PTSD) represent a cohort in severe need of treatment, but little information is available to guide treatment choices. We selected a sample of pharmacotherapy-refractory individuals to test the efficacy of combination treatment with sertraline and cognitive-behavior therapy (CBT) for treating PTSD. Participants in this pilot study were ten Khmer-speaking women who had been at a mean age of 22-26 years during the Pol Pot period (1975-1979). These patients were randomly assigned to either sertraline alone or combined treatment. We found that combined treatment offered additional benefit in the range of medium to large effect sizes for PTSD and associated symptoms. Our findings indicate that substantial gains can be achieved by adding CBT to pharmacotherapy for PTSD, and that a program of CBT emphasizing information, exposure, and cognitive-restructuring can be successfully modified for Khmer-speaking refugees.     

Self Psychology, Dreams and Group Psychotherapy: Working in the Playspace

This paper presents one leadership style within a self-psychological approach to working with dreams in group psychotherapy. It stresses an empathic attunement, the creation of safety, and an experience-near playful relationship. Playful is not used lightly here. It is used in the spirit of Winnicott's intermediate space where a mother suspends questions of what is real or not real and what is me and not me. Freud's analogy to a playspace forms a metaphor for the creation of a special atmosphere in a group, or for that matter in individual work as well, that encourages exploration, risk taking, and vulnerability. Working with dreams in this playspace deepens the curative process, not only for the dreamer, but for the entire group.     

Promoting responsible conduct in research through “survival skills” workshops: Some mentoring is best done in a crowd

For graduate students to succeed as professionals, they must develop a set of general "survival skills". These include writing research articles, making oral presentations, obtaining employment and funding, supervising, and teaching. Traditionally, graduate programs have offered little training in many of these skills. Our educational model provides individuals with formal instruction in each area, including their ethical dimensions. Infusion of research ethics throughout a professional skills curriculum helps to emphasize that responsible conduct is integral to succeeding as a researcher. It also leads to the consideration of ethical dimensions of professional life not covered in traditional ethics courses.     

Self as verb and the metaphor of dance: An explanation of the self discovery experience within a constructivist framework

The concept of self discovery within a constructivist framework is difficult to explain given the central assumption of constructivism that self is a created construct rather than an entity to be discovered. Two problems are identified as impediments to constructivist accounts of the self discovery experience: first, their failure to adequately account for the embodied experience of self, and second, the difficulties inherent in using self as a noun to express a process.
It is proposed that if self is considered as a verb, as the action of a body-subject, the verbal contortionism of referring to self as a process in a language that places self as an entity may be overcome. The notion of self as verb places the individual firmly in the role of active embodied participant in the experience of self. The metaphor of "self'" as "dance" is explored to emphasize the materiality of the human animal that is argued to be central to the experience of self discovery.     

Vulnerability, tenderness, and the experience of selfobject relationship: a self psychological view of deepening curative process in group psychotherapy.

A focus on patients' self-experiences and narcissistic vulnerability can enhance the deepening of curative process. From a self psychological view, deepening the therapeutic process means that, through the analyst's empathic immersion in the patient's subjective view, earlier and earlier forms of the patterns and beliefs that organize this view, including selfobject yearnings and fears of retraumatization, are experienced and become available for interpretation. Vulnerability is viewed as one end of a dimension of self-state. The other end is a state of self-protectiveness. Tenderness and emotional availability as aspects of a selfobject relationship are seen as crucial to the encouraging of vulnerable moments that are key to the deepening of curative process. A group session is presented to illustrate the attitudes that facilitate this process.