Development of the concepts of transference and counter-transference

SUMMARY

This paper traces the development of the concepts of transference and counter-transference over nearly a hundred years, from the origin of the concepts to current understanding of them. Clinical material will be given to illustrate some of the ideas held today.     

A new look at the vulnerability of puerperal mothers — A clinical study of two inpatient families at the Cassel Hospital

SUMMARY

The paper reviews some previous writings by Dr. Tom Main and Dr. Peter Lomas about the work of the Cassel Hospital with puerperal mothers. It goes on to describe the case histories and treatment of two patients recently treated with their families. The emphasis is on actual material produced in therapy but with reference to other aspects of the much wider treatment structures employed by the Cassel, for example the nursing and the community. Important aspects focussed upon include the essential experience of good mothering in becoming a mother, how closeness to the infantile impulses and urges of a real baby can lead to profound measures of identification and projection, and the effects of motherhood on femininity and sexuality.     

“Hotspots” in trauma memories in the treatment of post-traumatic stress disorder: A replication

“Hotspots” refer to memories of detailed moments of peak emotional distress during a traumatic event. This study investigates hotspot frequency, and the emotions and cognitions contained in hotspots of memory for trauma, to replicate a previous study in this area (Holmes, Grey, & Young, 2005). Participants were patients receiving treatment for post-traumatic stress disorder (PTSD) at a specialist outpatient clinic after experiencing a range of traumatic events. The main finding was that, after fear, the most common emotions reported were anger and sadness. Cognitions related to psychological threat to the self were more common than those related to physical threat.     

Long-term memory for the emotional gist and the emotional essence of an experience

We investigated accuracy in recalling past emotional behaviours and emotionality. Male couples discussed the history of their relationship, and coders rated the extent to which each partner engaged in behaviours such as complimenting or criticising. These ratings were combined into dimensions representing the deeper, emotional essence of that partner's discussion (expressions of We-ness, Fondness, Negativity, and Disappointment). Four years later, participants accurately recalled some of their own and some of their partner's emotional gist-level behaviours, but their answers indicated that they also remembered the emotional essence of the conversation. We conclude that individuals can retain the emotional essence of an experience for a long time, and that they may use this memory to infer, in part, gist-level details of the experience.     

Post-traumatic Growth in Breast Cancer Survivors: New Insights into its Relationships with Well-Being and Distress

Research investigating possible relations between Post-traumatic growth (PTG) and clinical indexes—such as psychosocial distress, physical and psychological well-being—is lacking in medical settings. The aim of this study was to look into such relationships in breast cancer survivors (Bcs) and in healthy control subjects who experienced other stressful events. Sixty Bcs and 60 healthy women reporting other stressful events were compared according to the following scales: Post-traumatic Growth Inventory, Psychological Well-being Scales (PWB), Symptom Questionnaire and Psychosocial Index. Bcs reported significantly higher levels of PTG and distress, and lower levels of PWB compared to healthy women. Bcs with high levels of PTG showed increased levels of physical well-being and decreased distress. Healthy women under stressful circumstances reporting high levels of PTG showed increased levels of PWB. PTG levels were higher in Bcs and associated with decreased psychological distress and somatisation. These results carry important implications for clinical assessment, as well as for planning interventions to improve well-being and resilience in oncology.     

Countertransference issues in psychotherapy with lesbian and gay clients

This article briefly reviews literature on responses towards same-sex (lesbian and gay) sexualities from psychoanalytic and ‘lesbian and gay affirmative’ psychotherapeutic perspectives. An analysis is presented of reports of countertransferential reactions to lesbian and gay clients, obtained from interviews with fourteen psychotherapists who work in a lesbian and gay affirmative manner and eighteen clients who had received affirmative psychotherapy. Data were subjected to grounded analysis. Participants consistently attended to the thoughts, feelings and values that therapists held in relation to lesbian and gay clients and how these affected the meanings and practices available to them. These were linked with the therapist's sexual identity among other factors. Negative countertransferential reactions were regarded as potentially occurring among heterosexual and lesbian and gay therapists and were seen as arising from therapists’ conscious and unconscious fears about same-sex sexualities. These findings indicate a need to continue debating these issues more widely in the professional arena.     

Dimensions of belief about miraculous healing

Although social scientists have convincingly demonstrated relationships between religious beliefs/practices and mental health, almost none of the empirical findings or related theory apply specifically to Jews. To address this limitation, we investigated the role of Jewish religiousness in anxiety, depression, and happiness, in a large Jewish community sample (n = 565). Several facets of global Jewish religiousness were examined, as well as a theoretically based Jewish religious variable, trust in God. A self-report measure of trust in God was created, and factor analyses yielded two reliable and valid subscales: trust in God and mistrust in God. Contrary to our hypotheses, global Jewish religiousness was on the whole unrelated to mental-health functioning. As expected, higher levels of trust in God were associated with less anxiety and depression, and greater personal happiness, whereas inverse associations emerged for the unanticipated but robust mistrust subscale.     

Being religious implies being different in humour: evidence from self- and peer-ratings

Previous research indicated negative associations between religiosity and humour creation and appreciation. The present studies on 175 students (study 1) and 196 adults from married couples (study 2) investigated the links between religiosity and spirituality and the use of specific humour styles (assessed on the basis of Martin et al. (2003 Martin, RA, Puhlik-Doris, P, Larsen, G, Gray, J and Weir, K. 2003. Individual differences in uses of humor and their relation to psychological well-being: Development of the Humor Styles Questionnaire. Journal of Research in Personality, 37: 48–75. [Crossref], [Web of Science ®] , [Google Scholar]) Humor Styles Questionnaire and Craik et al. (1996 Craik KH Lampert MD Nelson AJ 1996 Sense of humor and styles of everyday humorous conduct In W. Ruch (Ed.), Measurement approaches to the sense of humor (special issue) Humor: International Journal of Humor Research 9 273 302 [Crossref], [Web of Science ®] , [Google Scholar]) Humorous Behavior Q-Sort Deck). In study 1 (self-reports), men's spirituality and religiosity were found to be negatively related respectively to the use of hostile and social humour. In study 2 (self- and/or spouse-ratings), there was weak but meaningful evidence that both religious men and women did not tend to use hostile and earthy humour nor, to some extent, social humour. Religious men tended to use self-defeating humour, a finding partially due to their high insecurity in attachment. Moreover, religiosity and/or spirituality was found to be related to between-spouse similarity in many humour styles. The discussion points out the willingness of religious people to share similar values and ways of enjoyment with their partners as well as the fact that the ‘discomfort’ of religion with humour seems to encompass a large number of humour styles.     

Construction and validation of an ecological version of the Wisconsin Card Sorting Test applied to an elderly population

ABSTRACT

The goal of this project was to construct and validate an ecological version of the Wisconsin Card Sorting Test (WCST) aimed at the elderly. This was accomplished by replacing the geometric stimuli of the traditional version with stimuli belonging to the semantic category of transport vehicles, and by elimination of the color yellow. The results showed the ecological WCST version was preferred over the traditional version and older people felt less tired during test performance. In the two independent normal elderly groups, all pairs of scores that can be derived from the WCST correlated significantly with each other. Six of 11 outcome measures of the traditional WCST-128 (long) version were significantly influenced by age. By contrast, in the WCST-64 (short) version and in the ecological WCST-54 version only one measure was affected by the age variable. No significant effect of education level or gender emerged from the results in any WCST version. Again, the subjects with cognitive deterioration had lower performance in the ecological WCST-54 version than in the two traditional WCST versions. It seems reasonable to assume that the ecological version of WCST is more discriminating and has more advantages than the traditional versions. Further research on individual differences in the performance on this task will increase understanding of the components of the test, and of the variety of factors and possible deficits that could lead to an impaired performance of the test.     

The Implicit Domain in Couples and Couple Therapy

At this point in the evolution of our field, developments in psychoanalysis and family systems, as well as findings from cognitive neuroscience and research in infant development are pointing to convergences in our understanding of the human experience. One central point of convergence has been the understanding of implicit modes of experience, particularly as this relates to affective communication. Through the lens of couples and couple therapy, this paper examines the ways in which the patterning of couple and family relationships takes place in the enactive domain through nonconscious, implicit communication processes. With the understanding that it is in the nature of implicit experience that it must be enacted to be accessed, this paper argues that some of that which is stored in the implicit domain remains embedded and enacted in one's most intimate relationships and therefore can only be accessed within the context of those relationships. This paper then explores some of the implications of implicit processes as this relates to the triad of the therapist and the couple in couple therapy.