Something torn or burst or unbearable: a psychoanalytically-informed exploration of the experience of somatic symptoms

Experiences of and responses to bodily symptoms have long held interest, from earlier roots in hysteria to the most recent category of somatic symptom disorder (SSD) in DSM 5. SSD’s focus on distress implies that symptoms hold meaning for individuals. This study used a psychoanalytically-informed, multiple interview method and analysis to explore such possible meanings. Six participants were interviewed on three occasions each, with four themes emerging as follows: (1) a foreign body in charge; (2) left alone with the foreign body; (3) the body works for the mind; and (4) the body mirrors the mind. Bion’s idea of an active container-contained function and the construct of psychic pain formed a useful framework for understanding themes. The distress that lies in somatic symptoms was formulated as potentially stemming from an initial difficulty with containment in the primary object relationship. It is argued that distress may indicate a struggle with suffering that is not only somatic but also psychological in nature; and that the symptomatic body may have reached its limits in containing psychic pain. Implications for working clinically include the importance of close and sustained attention, through the clinician’s reverie, to somatic and emotional feeling states to help guide treatment.     

Deliberative Discourse Idealized and Realized: Accountable Talk in the Classroom and in Civic Life

Classroom discussion practices that can lead to reasoned participation by all students are presented and described by the authors. Their research emphasizes the careful orchestration of talk and tasks in academic learning. Parallels are drawn to the philosophical work on deliberative discourse and the fundamental goal of equipping all students to participate in academically productive talk. These practices, termed Accountable Talk^SM, emphasize the forms and norms of discourse that support and promote equity and access to rigorous academic learning. They have been shown to result in academic achievement for diverse populations of students. The authors outline Accountable Talk as encompassing three broad dimensions: one, accountability to the learning community, in which participants listen to and build their contributions in response to those of others; two, accountability to accepted standards of reasoning, talk that emphasizes logical connections and the drawing of reasonable conclusions; and, three, accountability to knowledge, talk that is based explicitly on facts, written texts, or other public information. With more than fifteen years research into Accountable Talk applications across a wide range of classrooms and grade levels, the authors detail the challenges and limitations of contexts in which discourse norms are not shared by all members of the classroom community.

Gender stereotypes as situation–behavior profiles

Recent research suggests that social perceivers’ dispositional inferences are influenced by information about the ways others’ behavior varies stably across situations. We extend this research to stereotypes. Specifically, we examined peoples’ preconceptions about the situation–behavior profiles that social groups are likely to display, as well as the implications of such preconceptions for behavioral judgments. Focusing on gender stereotypes, in Study 1 we found that perceivers’ expectations about men’s and women’s assertiveness are qualified by situational information. Study 2 revealed that perceivers’ beliefs about the mentalistic attributes (e.g., goals, beliefs, motivations) that characterize men and women mediated the relationship between target gender and perceivers’ expectations about situation–behavior patterns. Study 3 explored how such contextualized stereotypes affect on-line judgments of targets’ behavior, showing that perceivers judge a given behavior’s assertiveness based not only on target gender but also on situation type.     

Characteristics of Children and Adolescents Admitted to a Residential Treatment Center

Studies of youths in residential treatment that utilize systematic assessments and validated measures are rare. We examined psychopathology, family characteristics, occurrence of physical or sexual abuse, types of aggressive behavior, hyperactive/impulsive behavior, medical and neurological problems, and self-reported drug and alcohol use in 397 youth who were assessed using reliable measures and consecutively treated in a residential treatment center. Results indicate high rates of internalizing and externalizing psychopathology, aggressive behavior, and consistent gender differences, with girls having higher levels of internalizing and externalizing psychopathology and aggressive behavior. The sample was characterized by high rates of medical problems including asthma, seizures, and obesity, as well as evidence of extensive family dysfunction, including high rates of parental alcohol use, violence, and physical or sexual abuse. Residential treatment needs to progress beyond the one size fits all approach and develop more specific and empirically proven treatments for the specific needs of this population.     

Individual differences in the effect of smoking on frontal-central distribution of the CNV: Some observations on smokers' control of attentional behaviour

A previous investigation of individual differences in cortical activation during smoking reported differential development of vertex CNV ‘O’ and ‘E’ wave components in introverted and extraverted smokers. In the present paper the frontal CNV recorded from 12 extraverted and 12 introverted smokers was analysed under simple and choice foreperiod conditions during sham and real smoking. Smokers were matched for age, sex and neuroticism. Analysis of variance revealed significant group by smoking session effects for the later ‘E’ wave component but not for the early ‘O’ wave component. ‘O’ wave negativity though more prominent in frontal regions particularly in extraverts tended to be more affected by foreperiod conditions than smoking sessions. In general smoking produced an increase in central negativity in extraverts, and a decrease in parietal positivity in introverts. These results challenge the stimulus-related/response-related separation of smoking effects made previously to account for early and late CNV component differences. It is suggested that a distinction of CNV components in terms of input (sensory) and output (motor) aspects may anyway be inappropriate.An attempt is made to relate CNV negativity/positivity topography differences to a motor model of attentional strategies differentially deployed during smoking. Extraverted smoker strategies may aim to relieve boredom, enhance readiness to act and so increase central negativity. Introverts may smoke to inhibit distraction, maintain a complex attentional set, and so these affect parietal positivity.It is further suggested that the pharmacological effects of nicotine are those of a generalized mild stressor which supplement the motor aspects of smoking in inducing more motivated performance. Some further predictions concerning the effect of smoking on cortical activity are discussed.     

Auditory and visual similarity effects in recognition and recall

The role of auditory and visual factors in short-term recall and recognition performance was evaluated. Auditory similarity, but not visual similarity, was found to be predictive of the probability of a correct response and response confidence for both types of tests. The results were interpreted as support for a single-trace model of recall and recognition performance.     

Use of the titles Ms., Miss,or Mrs.: Does it make a difference?

In a study of sexism and language 112 persons at a shopping mall were asked to read a paragraph about an achieving woman who was either given the title Miss, Mrs., or Ms., or not given a title. Persons receiving the paragraph with the Ms. title rated the woman as less honest. No effect of the title variation was obtained on a number of other rating dimensions. The results were interpreted as reflecting public acceptance of the use of the Ms. title.     

Recognition memory for objects in very young children: The effect of shape and label similarity on preference for novel stimuli

In two studies, 88 children 12 to 38 months of age were briefly shown 24 common objects on familiarization trials. On subsequent test trials, these objects reappeared paired with novel objects. On one-third of the test trials pairs were similar in shape, on another third of the test trials pairs shared a common label, and on the remaining test trials pairs were unrelated. Looking times for each of the two objects on test trials were measured. All but the youngest age group showed significantly longer looking times for novel than for familiar objects for all three kinds of test pairs. However, for 19- to 31-month-olds preference for novel stimuli in the common Label Condition, although significant, was less than preference for novel stimuli when shape was similar or when unrelated stimuli were paired. Recognition in the oldest group was unaffected by condition. The results suggest a developmental period during which label or conceptual similarity has a special significance for recognition, and are discussed within theoretical frameworks concerning the very young child's developing semantic and categorization skills.