In search of the elusive nature of clinical psychoanalytic theory

Two case vignettes illustrating different ways of listening to clinical material are presented. The author discusses some limitations of clinical psychoanalytic theory that stem from the fact that primary unconscious processes are, by their very nature, impossible to describe in a language regulated by secondary processes. Hegelian dialectics, first addressed in psychoanalysis by Lacan and later elaborated in the work of Green, as well as the use of paradox by Winnicott and the formalistic approaches of Matte Blanco and Bion, are briefly reviewed as alternative formulas. As psychoanalysts, we are condemned to live with doubt, and neither clinical theories nor metapsychology offer escape from this reality.     

Insulin and glucagon as determinants of body weight set point and microregulation in rats

Seven adult male rats were observed for body weight and microregulation (feeding, drinking, and running patterns) after manipulation of insulin and glucagon levels. They received three injections per day for 3 days each week of 3 U of protamine zinc insulin, .25 mg of zinc glucagon, 50 microgram of protamine zinc somatostatin (SRIF), or protamine zinc vehicle. Diabetes was then induced with an iv injection of streptozotocin (65 mg/kg), and the injection schedule was repeated after the full diabetic syndrome emerged. In all rats whose insulin levels were increased relative to glucagon levels, body weight increased; in those whose glucagon levels were increased relative to insulin levels, body weight decreased. All injections except vehicle reduced meal sizes in both normal and diabetic rats, but only insulin increased the frequency of feeding. These effects could be predicted by the glucostatic theory of food intake regulation and are thus interpreted as supportive of this theory. These results also support the hypothesis that the relative concentration of insulin to glucagon is a regulator of body weight set point.     

The influence of food distribution on the aggressive behaviour of juvenile white-seabream (Diplodus sargus cadenati de la Paz,Bauchot and Daget, 1974)

Experiments were conducted to investigate the effect of differences in the spatial distribution of food on the aggressive behaviour of juvenile white-seabream, Diplodus sargus cadenati, both in the presence and in the absence of food. The groups of fish receiving spatially fixed food displayed less aggression than those receiving spatially variable food. The period (before, during, or after feeding) during which aggressiveness is measured also has influence in the results. During the prefeeding and postfeeding periods (absence of food), groups that were fed with food spatially fixed displayed less aggression than those that received spatially variable food. However, when food was present there were no differences in the number of aggressive acts carried out by fish groups in both environments. The aggressiveness shown by the groups of fish was always more pronounced during the postfeeding period than during the prefeeding period. The dominant fish was more aggressive when food was spatially fixed, and especially when food was present. Therefore, the subordinates were more aggressive when food was spatially variable and particularly when food was present and during the postfeeding period. Aggr. Behav. 24:379–384, 1998. © 1998 Wiley-Liss, Inc.     

Ongoing physical activity advice by humans versus computers: the Community Health Advice by Telephone (CHAT) trial.

PURPOSE: Given the prevalence of physical inactivity among American adults, convenient, low-cost interventions are strongly indicated. This study determined the 6- and 12-month effectiveness of telephone interventions delivered by health educators or by an automated computer system in promoting physical activity. DESIGN: Initially inactive men and women age 55 years and older (N = 218) in stable health participated. Participants were randomly assigned to human advice, automated advice, or health education control. MEASURES: The validated 7-day physical activity recall interview was used to estimate minutes of moderate to vigorous physical activity. Physical activity differences by experimental arm were verified on a random subsample via accelerometry. RESULTS: Using intention-to-treat analysis, at 6 months, participants in both interventions, although not differing from one another, showed significant improvements in weekly physical activity compared with controls. These differences were generally maintained at 12 months, with both intervention arms remaining above the target of 150 min per week of moderate to vigorous physical activity on average. CONCLUSION: Automated telephone-linked delivery systems represent an effective alternative for delivering physical activity advice to inactive older adults.     

The Care and Development of Children Living in Contexts of Poverty

Human development is determined by both genetic and environmental factors, especially during early childhood. Recently, research has indicated that the circumstances surrounding poverty can significantly influence children’s development. In this study, we aimed to measure the developmental level of children living in low-income, rural areas in northern Colombia. A total of 629 children (aged 0–5 years) were assessed using the Battelle Developmental Inventory. Results indicated that 17?% of the participants had a general developmental delay for their age group. This was especially true for scores on cognitive development (35.5?%) and communication (21.5?%). Moreover, the number of children with developmental delay increased at 6 months of age and continued to increase after 1 year in the communication and cognitive domains. The findings of this study suggest that impoverished social contexts—such as the one studied herein—offer opportunities that favor the development of the social domain, but restrict the development of the cognitive domain. Therefore, to promote cognitive development, individuals within children’s environment need to actively and intentionally stimulate them. Thus, there is a need for interventions that will improve environmental conditions; especially those that will help parents improve their caregiving practices and train educational staff to recognize and respond to the stimulation needs of children, especially those developmental domains that are affected by the environment.     

Successfully Contesting the Policy Sphere: Examining Through the Press a Case of Local Protests Changing New Ecological Laws

It is crucial to gain better insights into how psychosocial processes can limit the power of the political/legislative sphere for promoting social change through new laws. One form of accomplishing this is by illuminating the arguments and the content and value of social representations at play in cases in which the public sphere succeeds in contesting new laws. In this article, we explore a case of successful resistance to new ecological laws in a Portuguese Natura site. The laws, restricting recreational fishing, were made less stringent after meeting with local opposition. Content analysis of 122 articles published from 2006 to 2014 in regional and national newspapers reveals that protestors (fishermen, local authorities) received higher visibility and support and had more direct voice than the political sphere in both presses. Dialogical analysis of direct quotations of protestors shows how they seek legitimacy by establishing common ground with valued representations, vividly invoking people‐place bonds and tradition, and also how they attempt to undermine the law's legitimacy by linking local and national concerns, avoiding (potentially devalued) “Nimby” (“not in my backyard”) arguments. The discussion highlights what can be learned from using the press to investigate policy struggles that successfully organized their argumentation to contest new laws.     

Arousing "gentle passions" in young adolescents: Sustained experimental effects of value affirmations on prosocial feelings and behaviors

When people reflect on their important values, they may become more attuned to the needs of others. Two longitudinal field experiments examined whether a subtle value-affirmation manipulation can initiate relatively enduring increases in young adolescents' prosocial feelings (Study 1; Mage = 12.9) and prosocial behaviors (Study 2; Mage = 12.9). Participants completed a brief writing exercise that affirmed the values they deemed either most important (value-affirmation group) or unimportant (control group). As predicted, the value affirmation, coupled with a booster affirmation 6 weeks later, caused increases in prosocial feelings and behaviors over the 3-month study period. Antisocial students who were value-affirmed showed especially strong increases in prosocial behavior. These results suggest that "gentle passions" can be aroused in youth by cost- and time-efficient means. The practical utility of value affirmations will need to be evaluated in future work.