Transformative Aspects of Our Own Analyses and Their Resonance in Our Work With Our Patients

As psychoanalysts, our own relational stories, our “wounds that must serve as tools” (Harris, 2009 Harris, A. April 2009. “Keynote address at the meeting of the Division of Psychoanalysis, American Psychological Association, Toronto, Canada.”. In You must remember this April,  [Google Scholar]), represent both our greatest liabilities and potential for change, at times facilitating and at times impeding our capacity to engage deeply in the analytic process. Transformative aspects of our personal analysis dwell, often unconsciously or preconsciously, in the analyst, generating unanticipated opportunities in our work with our patients. In this paper, the author describes how a profound piece of work in her own analysis around healing in her relationship with her young son resonated in her work with a long-term patient, enlivening and deepening the treatment. The author explores how she drew on the interpenetrating experiences of analyst, patient, mother, and child, helping her to deconstruct a complex enactment with her patient, and opening up potential space. In the process, her patient discovered new places within herself, which enabled her to reach out to her vulnerable teenage son in new and reparative ways.     

Development of Infant Positive Emotionality: The Contribution of Maternal Characteristics and Effects on Subsequent Parenting

The current study examined the influence of maternal characteristics on the development of infant smiling and laughter, a marker of early positive emotionality (PE) and how maternal characteristics and the development of infant PE contributed to subsequent maternal parenting. One hundred fifty‐nine mothers with 4‐month‐old infants participated. Maternal characteristics were assessed 4 months postpartum, infant smiling and laughter were assessed at 4, 6, 8, 10 and 12 months postpartum, and maternal negative parenting was assessed 18 months postpartum. Latent growth modelling was used to test hypotheses regarding the influence of maternal characteristics on the development of infant smiling and laughter, and the contribution of infant smiling and laughter to later maternal parenting. Higher maternal effortful control and PE predicted more initial infant smiling and laughter, whereas more maternal parenting stress predicted lower slopes of infant smiling and laughter. More frequent/intense symptoms of maternal depression predicted higher scores on a measure of negative parenting, whereas higher maternal PE and better effortful control predicted lower negative parenting scores. After accounting for maternal characteristics, higher intercepts and slopes of infant smiling and laughter predicted fewer reports of negative parenting practices. The implications of these findings for future research are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Reconciling Spiritual Values Conflicts for Counselors and Lesbian and Gay Clients

Counselors and lesbian and gay clients experience parallel values conflicts between religious beliefs/spirituality and sexual orientation. This article uses critical thinking to assist counselors to integrate religious/spiritual beliefs with professional ethical codes. Clients are assisted to integrate religious/spiritual beliefs with sexual orientation.     

Intellectual Freedom: Challenges and Responsibilities of Seventh-day Adventist Academic Libraries

A survey was conducted among Library Directors in Seventh-day Adventist (SDA) colleges and universities around the world to learn how Seventh-day Adventist librarians view and define intellectual freedom, whether SDA libraries are having censorship challenges to library materials, and what policies and procedures are used to resolve the challenges. It was found that the majority of libraries surveyed have had materials challenged, most often because of differences in religious/theological beliefs or strong language. A comparison made between this study and Hippenhammer's (1993) survey of Christian college libraries showed significant differences in the following areas: written selection policy, reasons for materials challenges, and group submitting challenges.     

Attachment Style and Early Maladaptive Schemas as Mediators of the Relationship between Childhood Emotional Abuse and Intimate Partner Violence

Theoretical and empirical research suggests possible pathways between women's experiences of childhood emotional abuse (CEA) and later intimate partner violence victimization (IPV-V) and perpetration (IPV-P), including attachment style and early maladaptive schemas. This study tested a model examining the unique mediating effects of insecure attachment and early maladaptive schemas on the relationship between CEA and IPV-V (n?=?396) or IPV-P (n?=?409) in college women. Contrary to hypotheses that both attachment style and maladaptive schema endorsement would mediate the relationship between CEA and IPV-V and IPV-P, regression analyses indicated the disconnection/rejection schema domain was the only significant mediator between CEA and IPV-V (p = .01). This same relation held for childhood emotional abuse and IPV-P (p < .001). These findings provide preliminary clinical utility for examining schema endorsement, the use of schema therapy (Young, Klosko, &; Weishar, 2003 Young, J. E., Klosko, J. S. and Weishar, M. E. 2003. Schema therapy: A practitioner's guide, New York: NY: Guilford.  [Google Scholar]), or both with women who have emotional abuse and IPV histories.     

Psychological correlates of reasons for nonbelief: tolerance of ambiguity,intellectual humility,and attachment

ABSTRACT

The process of acquiring beliefs – including the belief that there is no God–is largely implicit. We propose that psychological factors that function largely outside of conscious awareness make different conscious reasons for nonbelief more plausible to different people. The present study focuses on intellectual humility, tolerance of ambiguity and attachment and how they relate to stated reasons for nonbelief. The survey was distributed online to an international network of over 100 atheist, secular, and freethought organisations. As predicted, emotional reasons for nonbelief were positively related to anxious attachment, and intellectual reasons for nonbelief were inversely related to tolerance of ambiguity. We did not find evidence for our hypotheses that intellectual reasons for belief would be related to intellectual humility, or that uncertainty reasons would be related to tolerance of ambiguity, intellectual humility, and avoidant attachment. We unexpectedly found that early socialisation reasons for nonbelief were negatively related to intellectual humility.     

Factors shaping condom use among South African university students: a thematic analysis

This study aimed to investigate contextual influences on condom use by South African university students. Twenty one-to-one, semi-structured interviews were conducted with male and female South African undergraduates. The data were thematically analysed. Results revealed that condom use was transient and often unrelated to disease prevention. Condom use was impeded by closer perceived intimacy, gender dynamics, and social stigma against proposing use of condoms in a presumably committed relationship. Public health policies regarding condom, pill and injection pricing / promotion, and religious toleration also hampered condom use, by encouraging a preference over hormonal contraception or proscribing contraceptive measures altogether. The results provide a basis for considering the impact of immediate and wider social contexts on condom use, as proposed by socio-ecological models of HIV risk behaviour.     

Extended Family Impact of Genetic Testing: The Experiences of X-linked Carrier Grandmothers

In many cases, X-linked conditions are transmitted through families “silently” until the first affected individual is diagnosed. Grandmothers are often then tested to help determine the risk to other family members. To date, psychosocial research on carriers of X-linked conditions has focused primarily on mothers and sisters of affected males. In the wider social science literature, studies on grandparents of children with disabilities have centered on their role within the family and relationship with the grandchild. We therefore know little about the impact of carrier testing for a genetic condition on grandparents. This qualitative study aims to contribute towards filling that gap. This study included thirteen grandmothers in families with Fragile X or Duchenne muscular dystrophy; ten had living affected grandsons and three had daughters who chose not to continue with affected male pregnancies after prenatal diagnosis. All thirteen took part in semi-structured interviews and provided a rich and varied data source for conducting thematic analysis. Most of the grandmothers expressed recurring feelings of guilt and a strong sense of responsibility for what had occurred in the family. Other themes included feelings of shock after receiving their test result, changes in family relationships and searching to make sense of the inheritance within the context of the family’s experience. This study provides evidence that X-linked carrier testing can have a profound and lasting impact on grandmothers. Although genetic counseling for X-linked conditions is often focused on the potential reproductive implications for carriers, these findings suggest that grandmothers should also be offered genetic counseling when tests are carried out, because of the likely psychosocial impact of a positive test result.     

Predictors of Perceived Need for Medical Care in an Inpatient Rehabilitation Unit: An Update

Limited awareness of illness, or poor insight, has been associated with poor treatment outcomes and prognoses in both psychiatric and medical populations. We examined predictors of insight in a sample of 403 patients in an inpatient rehabilitation unit at a Midwest Veterans Affairs Medical Center. A multiple regression analysis revealed that age, depression, IQ, and a measure of judgment were significant predictors of acknowledgement of illness. Younger age, higher IQ, better judgment, and depression were associated with better insight. By identifying risk factors for poor insight, these findings have significant clinical implications for healthcare providers.