Children in family therapy

The distinctive skills of child psychotherapy can be utilized in the development of a form of conjoint family therapy especially applicable to the field of child psychiatry. It is suggested that the engagement of children in the process particularly enhances the specific characteristics and potentialities of this form of treatment.     

Body image variability: the influence of body-composition information and neuroticism on young women's body dissatisfaction

The current studies consider the effect of body size, body composition feedback, and the moderating influence of neuroticism (N) on three measures of body dissatisfaction (BD) in young women. In Study One, normal-sized subjects who were given false feedback indicating that they were either fatter or leaner than average showed heightened BD compared to groups who received either accurate or no feedback about body size. There was no evidence of a moderating effect of N. In Study Two, thinner-than-average subjects who received accurate body-size feedback showed greater satisfaction than a control group receiving no information. For heavier than average subjects, feedback only increased BD for those low on N. Although these results show mixed support for N as a moderator, they are the first to show an effect of body composition information on BD.     

Learning and Living Systemic: Exploring the Personal Effects of Family Therapy Training

Despite growing recognition that systemic family therapists need to be adept at personal reflection and managing the therapeutic relationship, little research has explored the effects of training beyond the development of skills. This article provides a report on a qualitative study focussed on the personal effects of family therapy training, with particular reference to the aspects of training that foster personal reflection and growth. Twenty three trainees from three training institutions were interviewed, utilizing the practices of grounded theory. Trainees reported a deepening relational awareness, which applied to both personal and professional domains and included shifts in perspectives on relationships with loved ones. Five aspects of training were identified as responsible: (1) personally challenging experiences with clients; (2) supervisors who live the paradigm; (3) the demystification of theory; (4) a safe supervisory space; and (5) the development of trusting peer relationships. Interns also described, in turn, how their personal development affected their clinical work, particularly in the development of compassion and empathy. This study serves to highlight training practices that support reflective practice in systemic family therapy.     

There is nothing paranormal about near-death experiences: how neuroscience can explain seeing bright lights, meeting the dead, or being convinced you are one of them

Approximately 3% of Americans declare to have had a near-death experience. These experiences classically involve the feeling that one's soul has left the body, approaches a bright light and goes to another reality, where love and bliss are all encompassing. Contrary to popular belief, research suggests that there is nothing paranormal about these experiences. Instead, near-death experiences are the manifestation of normal brain function gone awry, during a traumatic, and sometimes harmless, event.     

The Left Hand Doesn't Know What the Right Hand Is Doing: The Disruptive Effects of Attention to the Hands in Skilled Typewriting

ABSTRACT— Everyone knows that attention to the details disrupts skilled performance, but little empirical evidence documents this fact. We show that attention to the hands disrupts skilled typewriting. We had skilled typists type words preceded by cues that told them to type only the letters assigned to one hand or to type all of the letters. Cuing the hands disrupted performance markedly, slowing typing and increasing the error rate (Experiment 1); these deleterious effects were observed even when no keystrokes were actually inhibited (Experiment 3). However, cuing the same letters with colors was not disruptive (Experiment 2). We account for the disruption with a hierarchical control model, in which an inner loop controls the hands and an outer loop controls what is typed. Typing letters using only one hand requires the outer loop to monitor the inner loop's output; the outer loop slows inner-loop cycle time to increase the likelihood of inhibiting responses with the unwanted hand. This produces the disruption.     

Personality,Intelligence and Assessment Centre Expert Ratings

Just under 3000 middle managers were rated on seven dimensions/competencies by consultants after a 1‐day assessment centre and structured interview. They also completed two cognitive ability tests and two well‐established personality tests (NEO PI‐R; MBTI). Correlational analysis showed that the rated dimensions of ‘drive to achieve’, ‘internal locus of control’ and ‘resilience’ all modestly negatively correlated with Neuroticism. All seven ratings were significantly correlated with Extraversion and three each with Openness and Agreeableness. There were few significant correlations with the MBTI but the Thinking–Feeling dimension correlated significantly with combined ratings. Correlations with the intelligence test scores were mostly non‐significant. The seven ratings factored into three identifiable factors: labelled personal assertiveness, toughness and determination and curiosity. Regressions using both a total, overall computed rating of general aptitude, as well as the three scores as criterion variables and ability, personality, participant‐gender and management level as predictor variables demonstrated that they accounted for between a quarter and a third of the variance. Predictors varied considerably as a function of the different criteria measures but ability and gender accounted for little of the variance.     

Reduced or increased influence of non-pertinent information in patients with schizophrenia?

We tested the ability of 18 patients with schizophrenia and 18 matched controls to filter non-pertinent information in orientation matching tasks. The non-pertinent information consisted of pictures conveying semantic information. The pertinent information consisted of oriented line-segments drawn inside pictures or was represented by the overall orientation of the picture itself. The results showed that non-pertinent information interfered with performance of control subjects in all tasks. In contrast, non-pertinent information interfered with the performance of patients with schizophrenia to the same extent as that of matched controls only when non-pertinent and pertinent information was physically mingled, but not when they were separated. Yet, patients processed non-pertinent information in all experiments, as shown by reversed interference effects when non-pertinent and pertinent information was physically separated. These results suggest a deficit at linking physically distinct visual information in patients with schizophrenia. Additionally, performance was more impaired in patients with schizophrenia than in control subjects when the amount of displayed information increased. The results suggest the coexistence, and a possible relationship between attentional deficits and impairments at linking distinct visual information in patients with schizophrenia.     

Chronic Fatigue Syndrome: The Need for Subtypes

Chronic fatigue syndrome (CFS) is an important condition confronting patients, clinicians, and researchers. This article provides information concerning the need for appropriate diagnosis of CFS subtypes. We first review findings suggesting that CFS is best conceptualized as a separate diagnostic entity rather than as part of a unitary model of functional somatic distress. Next, research involving the case definitions of CFS is reviewed. Findings suggest that whether a broad or more conservative case definition is employed, and whether clinic or community samples are recruited, these decisions will have a major influence in the types of patients selected. Review of further findings suggests that subtyping individuals with CFS on sociodemographic, functional disability, viral, immune, neuroendocrine, neurology, autonomic, and genetic biomarkers can provide clarification for researchers and clinicians who encounter CFS characteristically confusing heterogeneous symptom profiles. Treatment studies that incorporate subtypes might be particularly helpful in better understanding the pathophysiology of CFS. This review suggests that there is a need for greater diagnostic clarity, and this might be accomplished by subgroups that integrate multiple variables including those in cognitive, emotional, and biological domains.     

Silent thoughts,spoken wishes: when candidate experience of the supervisor converges with patient fantasies

How and why a candidate's private experience of two supervisors emerged in patients' fantasies about them is explored. Four issues are examined in light of two control cases: (1) Patients divide, rather than split, the transference between supervisor and candidate, experiencing both ambivalently. (2) Even a patient with no knowledge of the supervisor's identity may have a fantasy of the supervisor that is congruent with the candidate's experience of the supervisor. (3) When new professional traits emerge in the candidate as he or she identifies with his or her mentor, the patient may attribute them to the invisible person in the room--the supervisor; the patient may intuit and be influenced by the candidate's feelings about the supervisor as well. (4) A patient's fantasies about the supervisor may reflect parallel process in reverse, whereby the patient discerns what is going on between supervisor and candidate through his or her treatment, just as the supervisor reads what is going on between patient and candidate through the candidate's reporting of the treatment. Because the trio is the truth of the training case, it seems fitting and empowering to acknowledge and analyze the role of the supervisor in the patient's mind.