Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: The Importance of Active Engagement,Active Rescue,and Collaboration Between Crisis and Emergency Services

In 2012, the SAMHSA‐funded National Suicide Prevention Lifeline (Lifeline) completed implementation of the first national Policy for Helping Callers at Imminent Risk of Suicide across its network of crisis centers. The policy sought to: (1) provide a clear definition of imminent risk; (2) reflect the state of evidence, field experience, and promising practices related to reducing imminent risk through hotline interventions; and (3) provide a uniform policy and approach that could be applied across crisis center settings. The resulting policy established three essential principles: active engagement, active rescue, and collaboration between crisis and emergency services. A sample of the research and rationale that underpinned the development of this policy is provided here. In addition, policy implementation, challenges and successes, and implications for interventions to help Lifeline callers at imminent risk of suicide are detailed.     

Hannah Arendt,evil and the eradication of thought

Evil deeds may be committed intentionally or out of madness, but it is those who follow orders that present us with the most complex moral, philosophical and psychological questions. In writing about the banality of evil, Hannah Arendt argues that “in granting pardon, it is the person and not the crime that is forgiven; in rootless evil there is no person left whom one could ever forgive.” Arendt postulates that “being a person” necessarily entails the acts of memory and thought. This paper explores Arendt’s ideas on memory and thought and how these processes can become subverted in the service of a higher order. Clinical material illustrates Whitmer’s idea of dissociation as an “impairment of subjectivity” as distinct from Freud’s view of dissociation as a form of repression. This shift in theoretical perspective sheds new light on our understanding of the totalitarian state of mind, i.e. of the mind of a “nobody”, and the conditions within which evil is committed.     

Achievement dynamics: The interaction of motives,cognitions, and emotions over time

Abstract

The history of research on achievement striving has been characterized by the development of several separate lines of inquiry in relative isolation, one from the other. Three themes are most notable: research on need achievement (motivation), formulations of test anxiety (emotion), and the exploration of information-processing (cognitive) factors with special attention given to the organization of effective study skills. In the absence of a unified approach to an understanding of achievement behavior, research has been largely confined to attempts to establish simple one-to-one correspondences between various organizing constructs, say, test anxiety, and the achievement outcomes they are thought to influence. For instance, a veritable flood of studies beginning at the turn of the century has demonstrated the existence of a negative relationship between level of anxiety arousal and performance across a variety of testing and assessment conditions (for a review, see Heinrich & Spielberger, 1982). Likewise, individual variations in level of need achievement (nAch) have been associated with preferences for risk taking and study persistence (Atkinson, 1957, 1964).     

Book Reviews

K ast , V erena . The Creative Leap: Psychological Transformation through Crisis
K ast , V erena . Die Dynamik der Symbole: Grundlagen der Jungschen Psychotherapie
B ion , W. R. A Memoir of the Future
Z iegler , A lfred J. Bilder einer Schattenmedizin     

Book Reviews

N agy , M. Philosophical Issues in the Psychology of
N agy , M. Philosophical Issues in the Psychology of C. G. Jung.
E dinger , E. F. Transformation of the God-Image: An Elucidation of Jung's 'Answer to Job'.
M oon , B., (ed.). An Encyclopaedia of Archetypal Symbolism: The Archive for Research in Archetypal Symbolism.
T ustin , F. The Protective Shell in Children and Adults.     

Reviews

H enderson , J oseph , L. Shadow and Self: Selected Papers in Analytical Psychology .
J ung , C. G. Analytical Psychology: Notes of the Seminar given in 1925 .
H opcke , R obert H. Jung, Jungians, and Homosexuality .
J acoby , M ario . Individuation & Narcissism: The Psychology of Self in Jung & Kohut .
E dinger , E dward , F. The Living Psyche: A Jungian Analysis in Pictures .
B isagni , F rancisco (Ed.) Analysis: An International Review of Clinical Psychotherapy     

Purposive aspects of the erotic transference

This paper illustrates the erotic transference of a male patient towards his female analyst and the pressures and resistances within the transference and counter-transference to act out sexually. The patient's desire to act out sexually is seen both as a form of repetition compulsion within the transference and, in its purposive aspect, as an expression of the patient's need to find a loving breast and an empathic father. The patient's confused sexual identity is seen as a narcissistic defence against the experience of unbearable frustration in the pre-Oedipal stage. Through internalizing a new primal scene, the patient is able to separate from his past and to work through the Oedipus complex within the transference.     

Modality-specific attention under imminent but not remote threat of shock: evidence from differential prepulse inhibition of startle

Theories of animal defensive behavior postulate that imminent, predictable threat elicits highly focused attention toward the threat source, whereas remote, unpredictable threat elicits distributed attention to the overall environment. We used threat of shock combined with measurement of prepulse inhibition of the startle reflex to test these claims in humans. Twenty-seven participants experienced periods of threat and safety. Threat and safe periods were short or long, with the short threat periods conveying relatively predictable, imminent shocks and the long threat periods conveying unpredictable shocks. Startle reflexes were elicited with equal numbers of acoustic probes presented alone, preceded by a tactile prepulse, or preceded by an auditory prepulse. We observed enhanced tactile relative to auditory prepulse inhibition during short threat periods only. This finding supports the notion that imminent threat, but not remote threat, elicits attention focused toward the relevant modality, potentially reflecting preparatory activity to minimize the impact of the noxious stimulus.     

Intrinsic Versus Extrinsic Motivation in Schools: A Reconciliation

This article explores the nature of the relationship between intrinsic and extrinsic motivation in schools, and in particular examines critically the assertion that these processes are necessarily antagonistic. The weight of evidence suggests that rewards in the form of school grades and the focus of many students on doing well, gradewise, need not necessarily interfere with learning for its own sake. Educational implications of these findings are considered. One such implication is that focusing on students' interests can be a valuable motivational strategy.