Sado-masochism as a defense against merging: Six case studies

This paper reports on several patients who use sado-masochism as a defense against an unconscious wish for and fear of merging. The sado-masochism can be expressed as a sexual perversion or in a difficult ungratifying interpersonal relationship. These relationships have some of the quality of addictions in that the patients have a compulsive need to continue them and find it extremely difficult to leave them. Therapy must focus on helping the patient become more separate, rather than on other problems which may also be present. Initially, the therapist needs to take an educational stance in regard to the process the patient must complete, rather than the more traditional analytic stance.     

Adult sex typing of children's toys

A primary focus of this study was to determine whether adults use traditional sex-type standards when choosing toys for boys or girls. I also investigated whether an adult's sex or gender role influences this decision. College students were shown pictures of 74 toys, and were asked to indicate whether they would buy each toy for a boy or girl. Traditional sex-type ratings were found. In addition, male subjects sex-typed toys to a greater extent than female subjects. Subjects' gender role was unrelated to sex-type ratings. Subjects also judged whether each toy provided educational value, required activity, and encouraged cooperation. Toys rated as requiring activity were not considered educational, but many toys considered educational were also rated as encouraging cooperation. In addition, toys considered masculine were rated as requiring more activity than feminine toys.The author thanks Fran Rosati, Dawn Pillitteri, and Karen Molison for their help with data scoring.     

Internalizing and externalizing characteristics of sexually and/or physically abused children

This study evaluates the behavioral consequences of childhood abuse (sexual, physical, or both), with particular focus on prevalence of posttraumatic stress disorder (PTSD). Three abuse type groups and nonabused controls were contrasted on behavioral rating scales and on structured psychiatric interview data. The participants (109 abused children and 16 normal control children) were recruited from Arkansas Children’s Hospital and local agencies for abused children. As expected, proportionately more females than males were sexually abused. Overall, males were rated as more disturbed than females. Type of abuse did not consistently influence behavioral ratings. Externalizing scores were significantly higher than internalizing scores in all abused groups. PTSD was diagnosed in 50% of the abused children, with a higher rate for boys who had been sexually abused as opposed to physically abused only (58% versus 13%). The most frequent comorbid condition with PTSD was Separation Anxiety. Sexually abused boys were hospitalized for psychiatric treatment at a higher rate than were other abused children.     

Adaptiveness: A moderator of the adverse impact of hassles?

Adaptiveness constitutes coping consistently with Stressors so to reduce distress or, at worst, not aggravate it. Accordingly, it should moderate the adverse impact of hassles. Undergraduate volunteers (N = 200) responded to measures of hassles, adaptiveness, and the criteria of subjective distress, psychiatric symptomatology and minor physical ailments. In all three regression analyses, hassles made a substantial positive contribution and adaptiveness a small negative contribution to adverse outcome. The interaction between hassles and adaptiveness was non-significant in all three cases. Alternative interpretations were identified to guide further research.     

The numbers game: Gender and attention to numerical information

Research suggests that males outperform females on standardized tests of math ability from early adolescence onward. Several explanations for this difference focus on the different experiences of females and males with numerical information. We reasoned that males have more experience with numerical information than females because typical male interests (e.g., sports) are more likely to involve numerical information than typical female interests (e.g., physical appearance). Thus, we predicted that males would attend more to numerical information than would females, at least when the information was presented in a male-related or gender-neutral context. Females were expected to attend more than males when the context was female-related. Results using White/Caucasian subjects provided some support for these predictions. Implications for future research on the relationship between the gender-linkage of math materials and gender differences in math performance are discussed.     

A DEVELOPMENTAL DEFICIT IN LOCALIZING OBJECTS FROM VISION

Abstract— We describe a college student, A. H., with a developmental deficit in determining the location of objects from vision. The deficit is selective in that (a) localization from auditory or tactile information is intact, (b) A H reports the identity of mislocalized objects accurately, (c) visual localization errors preserve certain parameters of the target location, and (d) visual localization is severely impaired under certain stimulus conditions, but nearly intact under other conditions. These results bear on the representation and processing of location information in the visual system, and also have implications for understanding developmental dyslexia.     

Stories for therapy: The right story to the right person at the right time

In the postmodern information era with its increasing complexity and demands on my time, I find storytelling increasingly attractive. The right story told to the right person(s) at the right time in the right way can powerfully define and shape both individuals and the systems into which they organize themselves. As interventions go, I find stories to be relatively high impact, low-risk, parsimonious, and user-friendly. This paper contains some of my favorite teaching stories and describes why and how I use them as both a family therapist and teacher of family therapy.     

The self-narrative and acute psychosis

The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.     

“Not with me you don't”: A story of narrative practice and dissociative disorder

This paper discusses issues relating to therapeutic practice based upon the narrative metaphor. A case of someone suffering the effects of Dissociative Identity disorder is used to illustrate the difficulties that clients can experience with the “expert” knowledge conception of therapy. The value of the “respectful” and “non-expert” emphasis of Narrative Practice emerges even when the therapist believes that he or she lacks expertise in the client's apparent “condition.” Three themes emanating from the case form the basis for the discussion: the client's experience of being recruited into accepting the diagnostic label of Dissociative Identity Disorder; the effects of being forced to accept a contract to eliminate self-abusive behaviour; and the therapist's dealing with a gun in the therapy room.