Le Fond Psychologique De La Philosophie Bergsonienne

Sans résumé     

Therapeutic strategy and psychoanalytic technique

The role of therapeutic strategy within psychoanalytic technique is described. An antistrategic bias inherent in certain aspects of the "classical" technique is explored in relation to the historical development of psychoanalysis. Clinical expertise, which includes the making of strategic or tactical choices, is relegated to the "unofficial," due in part to this negative bias impeding the study of technical differences in favor of general agreement about a theory of technique that may differ considerably from actual clinical work. A case is presented that illustrates strategic choices in the management of a severe character resistance in a supervised analysis. Some consequences of a negative bias against therapeutic strategy as it relates to psychoanalytic training is described.     

Israeli adolescents and military service: encounters

Problems of mental health during combat activities are well documented in Israel (Dasberg, 1976). Much less attention has been paid to the problems of the young soldier who enters army life in Israel. This paper delineates some areas of friction and vulnerability between the worlds of the youth and the military. These encounters are systematized into groups, creating the "Binary Model." This model, based on the authors' experience as clinicians in the I.D.F. Central Mental Health Clinic, helps in locating and treating young soldiers in crisis situations.     

Methylphenidate in hyperactive children: Differential effects of dose on academic,learning, and social behavior

Methylphenidate (Ritalin) has been shown to have differential effects on hyperactive children's behavior as a function of dose level. In the present investigation, a triple-blind, placebo-control, within-subject (crossover) experimental design was employed in which 12 hyperactive boys between 6 and 10 years received three different dosages of methylphenidate (5, 10, and 15 mg) in a randomly assigned sequence. Dosage effects were assessed on clinic(PAL-Paired Associates Learning test) and school-(percent on task, teacher ratings, work completion rates, and accuracy) related behaviors. For 10 of the children, classified as responders to medication by the PAL using the criteria of Swanson, Kinsbourne, and colleagues, a series of ANCOVAs with repeated measures showed significant dosage effects on teacher ratings (p 01), percent on task (p 01), academic accuracy (p 05), and assignment completion rates (p 05). PAL performance was also significantly enhanced (p 01) after optimal dose levels were considered. Subsequent trend analysis showed a significant positive linear relationship between dose and each of the dependent variables. A comparison of fixed-dose and miligram-per-kilogram plots showed that children's performance across the different dosages were clearly individualistic and task-specific, even when similar body weights were compared. The implications of using clinic-based testing to determine optimal medication responsivity were discussed.We would like to express our sincere appreciation to the following pediatricians for their valuable assistance: W. H. McDermott, D. J. Chronley, R. B. Trivett, F. J. Jehle, P. M. Small, and F. T. Leong. Grateful acknowledgement is also extended to the two anonymous reviewers whose comments contributed to the content of this paper, and to the undergraduate and graduate student members of the Children's Learning Clinic.     

Vulnerability to depression,mild depression,and degree of self-schema consolidation

The present study investigated the degree of consolidation of self-schema content in mildly depressed individuals, individuals cognitively vulnerable to depression (but currently nondepressed), and nonvulnerable-nondepressed controls. All three groups of subjects were presented with pairs of adjectives involving one depressed and one nondepressed content adjective, and were asked to decide which of the two adjectives described them the best (or least). Following this, subjects rated each adjective on a 9-point degree of self-reference scale. On the basis of these two types of self-referent judgments, a measure of decision inconsistency was computed for each subject. In accord with predictions generated from a self-schema model of depression, similar decision inconsistency scores were found for mildly depressed and vulnerable-nondepressed individuals. In turn, both of these groups revealed greater decision inconsistencies than normal controls (the nonvulnerable-nondepressed group). Using the inconsistency measure as an index of the degree of consolidation of self-schema content, these findings suggest that relatively poor consolidation of depressed and nondepressed self-schema content may relate to both the etiology and maintenance of depression.