Cultural Identity and Groups of Belonging

Research into the cultural foundations of psychic structure must take place simultaneously at the individual, group, and psychosocial level of analysis. Identity, as both an individual and a collective phenomenon, and the primacy of the group dimension become manifest in the imaginary space created by groups, in Bion's protomental system. Cultural incorporates function like somatic processes and establish the synchrony of all cultural interactions. Individuation would thus emerge from the shared common base, which in turn is related to the individual's internalization of his group of belonging. A distinction is drawn between primary groups of belonging, which are extensions of family structure and supply the group's cultural identity, and secondary belonging groups, which are instituted by the society. The relationship between transcultural experiences, aiming at achieving unity, and intercultural experiences, which recognize limits and differences, is a source of tension for the individual and the group. Examples are given of the function of excitation screens within instituted groups and of the cultural dimension of the analytic setting.     

Updating target location at the end of an orienting saccade affects the characteristics of simple point-to-point movements

Six results are reported. (a) Reaching accuracy increases when visual capture of the target is allowed (e.g., target on vs. target off at saccade onset). (b) Whatever the visual condition, trajectories diverge only after peak acceleration, suggesting that accuracy is improved through feedback mechanisms. (c) Feedback corrections are smoothly implemented, causing the corrected and uncorrected velocity profiles to exhibit similar shapes. (d) Initial kinematics poorly predict final accuracy whatever the condition, indicating that target capture is not the only critical input for feedback control. (e) Hand and eye final variability are unrelated, suggesting that gaze direction is not a target signal for arm control. (f) Extent errors are corrected without modification of movement straightness; direction errors cause path curvature to increase. Together these data show that movements with straight paths and bell-shaped velocity profiles are not necessarily ballistic.     

Must phenomenology remain Cartesian?

Husserl saw the Cartesian critique of scepticism as one of the eternal merits of Descartes?? philosophy. In doing so, he accepted the legitimacy of the very idea of a universal doubt, and sought to present as an alternative to it a renewed, specifically phenomenological concept of self-evidence, making it possible to obtain an unshakable foundation for the edifice of knowledge. This acceptance of the skeptical problem underlies his entire conceptual framework, both before and after the transcendental turn, and especially the immanence/transcendence distinction, i.e., the very basis of intentionality. In taking as its starting point an analysis of perception, the article puts forth a certain number of phenomenological arguments in order to put into question the validity of the skeptical problem and, therefore, of the Husserlian conceptual framework; it defends, in the first place, a disjunctive conception of perception and, in the second place, a holism of experience.     

Group CBT for early psychosis--are there still benefits one year later?

Our team recently conducted a randomized controlled trial comparing group cognitive behavior therapy for psychosis (CBTp) to group social skills training for symptom management and a wait-list control group, for early psychosis. The results at post-therapy and six months provided considerable empirical support for the efficacy of the group CBTp. The results of the one-year follow-up are described here. Given the high attrition rates, mostly in the comparison and control conditions, imputations were not possible, so that only the results of those having completed more than 50% of the group CBTp are presented. Significant improvements at 12 months were found for social support and insight. Negative symptoms remained low, whereas positive symptoms went back to pre-therapy levels. Challenges regarding attrition with this clientele are discussed.     

What Does the Alliance Predict in Group Interventions for Early Psychosis?

The therapeutic alliance is considered an essential component of any clinical or psychological intervention. The therapeutic alliance can however change over time, and therefore it is relevant to determine if the alliance and its variations are related to clinical outcomes. The present study had three objectives: (1) determine the impact of the alliance measured by the client and the therapist, on clinical and psychosocial outcomes of individuals with early psychosis receiving group interventions; (2) measure the concordance between the client and the therapists’ ratings of the alliance; and (3) determine the best predictor of the client’s alliance in our sample. A total of 36 individuals with early psychosis who participated in group interventions for symptom management answered the WAI three times, and so did the group therapists. Outcomes included measures of insight, symptoms (total, positive and negative), and self-esteem. Attendance and group participation were also measured. Results suggest that the overall client’s alliance predicted total symptoms and self-esteem at post-therapy, whereas both clients’ and therapists’ ratings predicted group attendance and participation. Greater variations in the alliance overtime for the clients were somewhat linked to worse negative symptoms at post-therapy. Alliance ratings were generally high and fairly concordant between therapists and clients. Only the baseline measure of capacity for attachment, predicted the client’s overall alliance scores. Clinical implications are discussed.