Mothers and Daughters from Today's Psychoanalytic Perspective

In this paper, I review and synthesize findings that may help us remodel the way we think about the vicissitudes of the mother-daughter relationship. Although exciting new ideas are burgeoning in the literature, there seems to be a lag between discoveries and their integration into clinical practice. Older theories emphasizing separation and the girl's “change of libidinal object” from mother to father reflect linear models that do not encompass the development we observe and experience. Newer theories depict development as interactive and relational throughout the life cycle—leading not to separation but to autonomy with connectedness. Applying male models to the female superego or speaking of the “female Oedipus complex” is misleading. New myths are being proposed to describe the conflicts integral to the girl's triangular situation. Applying the myth of Persephone and Demeter has been especially instructive. Many analysts tend to pathologize or infantilize the woman's ongoing tie to her mother and tend to misunderstand the intense ambivalence between daughter and mother. Once we recognize that the course of development is not linear, we should expect to see the woman revisiting, reexamining, and resynthesizing representations of self-versus-mother and self-with-mother over her lifetime.     

Validation of Self-Report Measures of Emotional and Physical Distress Tolerance

The Distress Tolerance Scale (DTS) and Discomfort Intolerance Scale (DIS) are self-report measures developed for the assessment of emotional and physical distress tolerance, respectively. However, little evidence exists for their construct and specifically criterion-related validity. The current study examined the associations of these self-report measures with lab-based assessments of perceived emotional tolerance and physical discomfort tolerance. Undergraduate participants (N?=?166) were administered four film clips intended to induce sadness, disgust, fear, and anger, and a handgrip persistence task intended to elicit physical discomfort. The DTS, but not the DIS, was significantly associated with self-reported emotional tolerance and perceived threat associated with each film after controlling for emotional intensity. Among DTS subscales, the absorption subscale was the only subscale incrementally predictive of negative perceptions of the sad film, the appraisal subscale was incrementally predictive of negative perceptions of the other three films, and little support for the incremental validity of the tolerance and regulation subscales was found. The DTS also incrementally predicted tolerance and perceived threat of film-elicited emotions across films after controlling for anxiety sensitivity. The DIS was only marginally predictive of handgrip task persistence and was unrelated to emotional film perceptions. Overall, these findings uniquely add to the empirical literature on the construct and criterion-related validity of the DTS and DIS.     

Sticks and Stones May Break My Bones but Words Relate to Adult Physiology? Child Abuse Experience and Women's Sympathetic Nervous System Response while Self-Reporting Trauma

Child abuse predicts a wide range of long-lasting deleterious outcomes, including disruptions in the biological systems central to emotion arousal and regulation. However, little is known about the specific ways in which child abuse affects adulthood sympathetic reactivity and recovery. This study investigated the association between child abuse experience and adult skin conductance level and habituation in 85 at-risk women as they completed a self-report trauma questionnaire. Childhood emotional abuse was independently associated with blunted skin conductance habituation over the course of survey completion after controlling for other abuse subtypes and current trauma symptoms. These results suggest that women emotionally abused as children experience prolonged emotional arousal and poor physiological regulation of emotion in response to reminders of traumatic experiences.     

Mediators of the relationship between media literacy and body dissatisfaction in early adolescent girls: Implications for prevention

This study examined in young adolescent girls the fit of a theoretical model of the contribution of media literacy to body dissatisfaction via the mediating influences of internalisation of media ideals and appearance comparisons. Female Grade 7 students (N = 469) completed self-report assessments of media literacy, internalisation, appearance comparisons, body dissatisfaction, and media exposure. Strong, significant inverse associations between media literacy and body dissatisfaction, internalisation, and appearance comparisons were observed. Path analysis revealed that a slightly modified revision of the model provided a good fit to the data. Specifically, body dissatisfaction was influenced directly by appearance comparisons, internalisation, and body mass index, and indirectly by media literacy and media exposure. Indirect pathways were mediated by appearance comparisons and internalisation. Thus, a relationship between media literacy and eating disorder risk factors was observed. Findings may explain positive outcomes of media literacy interventions in eating disorder prevention.     

Investigation of Body Comparison Among Adolescent Girls1

Grade differences in appearance and nonappearance social comparisons, and targets for body comparison were examined in adolescent girls. A model describing potential contributors to, and consequences of, body comparison tendency was examined. Girls (n= 545) completed measuring social comparisons, targets for comparisons, dieting in response to comparisons, body attitudes, eating patterns, psychological variables, height, and weight. Appearance and nonappearance social comparisons increased with age. Girls reported comparing their bodies most frequently with peers and fashion models. Body comparison tendency was significantly predicted by: importance of thinness, internalization of socio‐cultural ideal, friend concern with weight, body image instability, competitiveness, grade, public self‐consciousness, perfectionism, and family concern with weight. Predictors of dieting in response to body comparison were also explored.     

An ‘Extra Legible Illustration' of the Christian Faith: Medicine,medical ethics and missionaries in the Arabian Gulf1

This article presents a view of missionary medicine in the Gulf and the ethical issues missionary medical practices evoked. It shows that, as both physicians and missionaries, and seeing themselves as an 'extra legible illustration' of the Christian faith (Paul Harrison, Doctor in Arabia, New York, John Day Co., 1940, 23-4), the missionary physicians gave selflessly to provide the best medical care possible according to their individual abilities and given the environment in which they worked. At the same time, they experimented, took risks that were sometimes unnecessary and were forced to make ethical choices that challenged their Christian moral compass. Furthermore, given the remoteness of their stations, they were absolved from professional oversight and second-guessing by patients who had nowhere else to turn. Drawing on this paradox of self-sacrifice and self-service, of Christian benevolence and imperial posturing, the article considers to what extent the mission was an exercise in altruism or imperialism.     

Cork Older Adult Intervention Project: Outcomes of a gestalt therapy group with older adults

The study investigated the effects of a gestalt therapy group with older adults. A total of 43 adults, 65 years or older, were randomised into treatment and assessment control groups of 22 and 21 respectively. ANCOVA results indicated that group therapy participants reported less anger control and more overall expression of anger than the control participants. In addition, they were significantly more agreeable and less hostile and more clear-headed and less confused at the end of the group. These findings were supported by reported emotional changes. Younger group participants were significantly more composed and less anxious than younger control group members. Qualitative results further illustrated this reduction in anxiety. Participants significantly increased their level of clear-headedness and were less confused. Qualitative evidence also illustrated their clear-headedness and agreeableness. Exploratory analysis illustrated substantial learning about oneself by group participants.