Book reviews

Institutions represent both the conscious and unconscious aspects of the interacting members. Psychotherapists need to address their unconscious position in the institution as well as the conscious aspects of their work. This paper describes the possible relevance that psychotherapy may have at the unconscious level. The notion of the ‘social defence system’ is extremely useful in finding one's way in the engulfing emotional attitudes, and for tolerating the often dismaying sense of irrelevance that psychotherapy appears to attract. The social defence system of a prison and a mental hospital are considered in this light and some thought are devoted to the changing state of the National Health Service at present.     

“What If” Dimensions of the Analytic Field: Imagination,Object Vitality,and Psychic Growth

This paper considers the role of imagination in the context of Bionian Field Theory. Expanding on Hanna Segal’s idea of “what if” dimensions of the analytic process, it is argued that “what if” states engage evocative and vital aspects of objects. They set up particular tensions in the analytic field that trigger “imaginative work.” The processes at work share many similarities with the artist’s creative process. For this reason, William Kentridge’s reflections on his own creative process are used to elucidate “imaginative work” as an esthetic, creative and agentive process. Three case fragments are used to illustrate some of these ideas in the clinical setting.     

Favourite objects of autistic children

Favourite objects (FOs) of autistic children were compared with the FOs of healthy preschool and school children as well as mentally handicapped children. Three clusters of objects were obtained for normal children (comprising primary transitional objects and their forerunners, secondary transitional objects, and non-cuddly toys). When autistic children and mentally handicapped children were included, a fourth cluster of deviant objects was found. Frequency distributions of the two handicapped groups in the clusters were similar. Similarities between the two handicapped groups were also found within each cluster. The occurrence of secondary transitional objects was rare in the handicapped groups. The characteristics of "autistic" FOs reported in earlier case studies (e.g. being hard, often having an exciting effect, not being used in their adequate functions) were typical only of objects in the fourth cluster.     

The Born-Einstein debate: Where application and explanation separate

Application in science has its own structure, distinct from the structure of theoretical science, and therefore needs its own philosophy. The covering power of a formal scientific theory is no guide to its explanatory power. Explanation is too much to ask of a fundamental scientific theory. This is seen by considering two strands of the Born-Einstein debate: first the explanatory power of quantum mechanics and second, the reality of unobserved properties. The function of theoretical physics is to describe rather than to explain. Some techniques are a standard part of theory; while some aread hoc to the problems at hand. Very few of the derivations in mathematical physics are explanatory. This shows distinctly separate structures for theory and for application.This paper was written while I was at the Center for Interdisciplinary Research in Bielefeld, West Germany, and I would like to thank the Center, and Lorenz Kruger, and others who made my visit there possible. I would also like to thank Lorenz Kruger and Norton Wise for their philosophical help.     

Delivered from the Temptation of Smoking: An Examination of Religion and Health Behaviors of New US Immigrants

Journal of Religion and Health - This study aims to contribute to the literature on smoking, religion, and health, by analyzing the associations between smoking and health of a sample of US...     

A Pilot Study of a Method for Teaching Clinical Psychology Trainees to Conceptualise and Manage Countertransference

There is evidence that therapists' countertransference responses can affect the therapeutic relationship. There is also evidence that trainee therapists can experience difficulty understanding and managing countertransference. This evidence suggests the need for greater focus on countertransference in the training of professionals, such as psychologists, for whom therapy is a core activity. However, little is currently known about the best way of providing such training or the impact of such training on recipients. This pilot study examined clinical psychology trainees' responses to a teaching and learning method for conceptualising and managing countertransference. The method was designed to be accessible to a range of psychology trainees including those in cognitive behavioural therapy programmes. This article outlines the method and its pilot evaluation. An anonymous online questionnaire was completed by 55 trainees pre‐intervention and 40 post‐intervention. Qualitative methods were used to examine changes in trainees' analyses of countertransference pre‐ and post‐intervention, and their reports of understanding and managing countertransference. Trainees also rated the intervention. The majority of participants who completed the post‐intervention questionnaire reported that training increased awareness of or the ability to conceptualise countertransference. They reported strategies for managing countertransference, although they were less confident in this area.