The supervisory field and projective identification1

Taking as their starting point the Baranger and Baranger model of the ‘psychoanalytic field’, the authors extend the notion of intersubjectivity in the analytic relationship to the supervision process. They use a practical example of a supervision to show the development of what they term the ‘supervisory field’, formed from the superimposition of the two fields of analyst‐patient and supervisor‐supervisee. They emphasize the interplay of projective identifications with objects emanating from the inner world of the patient that are relived in the analytic relationship and transposed to the supervisory field. They believe that the concept of the ‘supervisory field’ contributes to a deeper understanding of the unconscious processes occurring in the mind of analysand, supervisee and supervisor during supervision, particularly regarding the identification, comprehension and resolution of persistent disturbances in the supervisory process.     

Comorbidity of specific and generalized social anxiety in Spanish adolescents

The comorbidity of the social anxiety disorder, including the specific and generalized subtypes, and other psychopathological problems in adolescents is explored. For this purpose, 961 Spanish young people were evaluated (mean age = 15.63 years) by means of various self-reports that measure sociodemographical variables, competences and clinical indexes. Those with social anxiety were divided into two groups: specific and generalized. The results indicated that the adolescents with social anxiety had a higher percentage of comorbidity in the indexes that refer to anxiety and avoidance in social situations, than did the young people with other psychopathologies. The group of generalized social anxiety had a higher percentage of comorbidity than the specific social anxiety group in the majority of the clinical problems measured by the YSR/11-18 and MMPI-A. Only in eleven of the evaluated clinical indexes was the difference in comorbidity between the two groups of social anxiety significant, and the percentage of comorbidity was lower in the first group.     

Opposite effects of a single versus repeated doses of gabapentin on retention performance of an inhibitory avoidance response in mice

CF-1 male mice were trained in an inhibitory avoidance (IA) task. A single gabapentin (GBP) administration (50mg/kg, ip) immediately after training enhanced retention performance when mice were tested 8 days after training. On the contrary, when the same dose of the anticonvulsant drug was given twice a day for 7 days (repeated treatment), a significant impairment on retention performance 12h after the last injection of GBP was observed. When the retention test was delayed 7 days after the end of the repeated treatment, the retention performance was not significant different from the control group, whereas if the retention test was delayed 14 days, retention performance was higher than control group but similar to that observed when GBP was administered once immediately after training. The impairment on retention performance was correlated with a significant decrease in the high affinity choline uptake in the hippocampus at the end of the retention test. The pretest administration of the direct muscarinic cholinergic agonist oxotremorine (50 microg/kg, ip) reversed the impairment on retention performance. This reversion was prevented by the muscarinic cholinergic antagonist scopolamine (0.5 mg/kg, ip). Taken together, these results suggest that the impairment on retention performance of an IA task in mice induced by repeated administration of GBP affected memory retrieval but not memory consolidation and that this impairment may be attributable to a reduction on central cholinergic activity.     

Effects of daily environmental enrichment on memory deficits and brain injury following neonatal hypoxia-ischemia in the rat

Environmental enrichment (EE) results in improved learning and spatial memory, as well as attenuates morphological changes resulting from cerebral ischemia in adult animals. This study examined the effects of daily EE on memory deficits in the water maze and cerebral damage, assessed in the hippocampus and cerebral cortex, caused by neonatal hypoxia-ischemia. Male Wistar rats in the 7th postnatal day were submitted to the Levine-Rice model of neonatal hypoxia-ischemia (HI), comprising permanent occlusion of the right common carotid artery and a period of hypoxia (90 min, 8%O(2)-92%N(2)). Starting two weeks after the HI event, animals were stimulated by the enriched environment (1h/day for 9 weeks); subsequent to the stimulation, performance of animals in the water maze was assessed. HI resulted in spatial reference and working memory impairments that were completely reversed by EE. Following the behavioral study, animals were killed and the hippocampal volume and cortical area were estimated. There was a significant reduction of both hippocampal volume and cortical area, ipsilateral to arterial occlusion, in HI animals; environmental stimulation had no effect on these morphological measurements. Presented data indicate that stimulation by the daily environmental enrichment recovers spatial memory deficits caused by neonatal hypoxia-ischemia without affecting tissue atrophy in either hippocampus or cortex.     

National Registry of Psychotherapies

In the United States, there is a National Registry of Evidence-Based Programs and Practices (NREPP), which is a listing of treatments and interventions in psychotherapy. In 2012, NREPP invited our research team to submit an application for registration of our short-term interpretive group therapy for patients experiencing complicated grief, which we had used since 1986. From the beginning, we experienced difficulties that seemed to be largely attributable to a lack of professional skills required of the director. The director and her team used the metaphor of American football to describe parts of application process. Despite continuing difficulties, we finally completed the application process on time. Eventually, the reviews of the application were completed and the application was approved. The information we provide in this article mainly concerns the trials and tribulations associated with the application process. Overall, the process was frustrating and time-consuming. Consideration of additional variables, such as patient personality characteristics, would likely have provided a more useful set of findings.     

Resurgence of time allocation

The resurgence of time allocation with pigeons was studied in three experiments. In Phase 1 of each experiment, response‐independent food occurred with different probabilities in the presence of two different keylights. Each peck on the key changed its color and the food probability in effect. In Phase 2, the food probabilities associated with each keylight were reversed and, in Phase 3, food was discontinued in the presence of either keylight. The food probabilities were .25 and .75, in Experiment 1, and 0.0 and 1.0 in Experiment 2. More time was allocated to the keylight correlated with more probable food in Phases 1 and 2, and in Phase 3 resurgence of time allocation occurred for two of three pigeons in Experiment 1, and for each of four pigeons in Experiment 2. Because time had to be allocated to either of the two alternatives in Experiments 1 and 2, however, it was difficult to characterize the time allocation patterns in Phase 3 as resurgence when changeover responding approached zero. In Experiment 3 this issue was addressed by providing a third alternative uncorrelated with food such that in each phase, after 30 s in the presence of either keylight correlated with food, the third alternative always was reinstated, requiring a response to access either of the two keylights correlated with food. In this experiment, the food probabilities were similar to those in Experiment 1. Resurgence of time allocation occurred for each of three pigeons under this procedure. The results of these experiments suggest that patterns of time allocation resurge similarly to discrete responses and to spatial and temporal patterns of responding.     

Diversifying counsellor education: a case study of U.S. students of colour

Due to limited research on the experiences of students of colour in counselling programmes, counsellor educators are ill-equipped to implement strategies to promote the graduation of students of colour. In this case study, we explored the protective and risk factors for students of colour enrolled in a counselling programme in the Western U.S. Participants identified three protective factors (diversity, faculty support, and family and friends) and three risk factors (balancing family and school, disconnect from programme, and White dominance) that impacted their post-graduate experience. Implications for the retention of students of colour are discussed.     

Reliability, diagnostic efficiency, and validity of the Millon adolescent clinical inventory: examination of selected scales in psychiatrically hospitalized adolescents

This study examined the internal consistency, diagnostic efficiency, and validity of selected scales of the Millon adolescent clinical inventory (MACI; Millon et al., Manual for the Millon Adolescent Clinical Inventory, National Computer Systems, Minneapolis, MN, 1993). 241 psychiatrically hospitalized adolescents were administered the MACI and a battery of established self-report measures and a multidisciplinary team independently assigned DSM-IV psychiatric diagnoses at the time of discharge. The internal consistency of MACI scales ranged from 0.71 to 0.93. Conditional probabilities (sensitivity, specificity, positive predictive power, and negative predictive power) were calculated for selected disorders using independently generated clinical diagnoses as the standard. The diagnostic efficiencies for the selected scales were variable, with adequate performance for predicting classes of diagnoses but not for specific diagnoses. The MACI showed good criterion validity for most disorders, with participants with a clinical diagnosis having a significantly higher corresponding MACI scale score than participants not assigned that diagnosis. Concurrent validity, tested by correlating MACI scale scores with those of relevant, validated measures, was generally good. The MACI appears to be a psychometrically sound self-report instrument and appears valuable as a screening instrument for many problems found in adolescent psychiatric inpatients.