Dynamic of Change in Pathological Personality Trait Dimensions: A Latent Change Analysis Among at-Risk Women

This study explores longitudinally a four-factor structure of pathological personality trait dimensions (PPTDs) to examine both its structural stability and intra-individual changes among PPTDs over time. Personality Disorder (PD) scales of the Millon Clinical Multiaxial Inventory-III were administered to 361 low-income women with various psychiatric conditions (drug dependence, depression), who were followed in a two-wave study over 5-years. Cross-sectional and longitudinal factor analyses outlined a robust factorial structure of PPTDs, extrinsically invariant over time, representing Negative Emotionality, Introversion, Antagonism and Impulsivity. Despite moderate rank-order stability in the PPTDs, results also indicated substantial intra-individual variability in the degree and direction of change, consistent with trajectories of change in participants’ clinical diagnoses. Results are discussed in light of current debates on the structure and dynamic of pathological personality.     

Simulationspatienten in der Psychotherapieausbildung

Background

The development of therapeutic skills is an essential therapist-related variable that deserves special attention in the context of the currently increasingly discussed topic of therapeutic failures and discontinuation of therapy.

Aim

The study investigated whether the use of simulated patients (SP) in the training of psychotherapists can lead to an increase in therapeutic skills.

Material and methods

The use of SP (16 teaching units) was tested in a pre-post comparison with 29 training participants for child and adolescent therapy and analyzed from three perspectives: from the perspective of the SP, the training of participants and rater.

Results

The work with SP in psychotherapy training leads to a significant increase in therapeutic skills; however, it requires further research to see if this teaching method is more effective than other approaches to teaching, whether it contributes to long-term changes in therapeutic skills and to what extent the results can be transferred to other therapeutic contexts (except exploration).     

A structural model for surface-enhanced stabilization in some metallic glass formers

A structural model for surface-enhanced stabilization in some metallic glass formers is proposed. In this model, the alloy surface structure is represented by five-layer Kagomé-net-based lateral ordering. Such surface structure has intrinsic abilities to stabilize icosahedral-like short-range order in the bulk, acting as ‘a cloak of liquidity’. In particular, recent experimental observations of surface-induced lateral ordering and a very high glass forming ability of the liquid alloy Au₄₉Ag_5.5Pd_2.3Cu_26.9Si_16.3 can be united using this structural model. This model may be useful for the interpretation of surface structure of other liquid alloys with a high glass forming ability. In addition, it suggests the possibility of guiding the design of the surface coating of solid containers for the stabilization of undercooled liquids.     

Adolescents in “Transition”: The Sexual Risk of Self-Channelization

Does labeling teenagers as reckless, impulsive, ruled by hormones, and incapable of considering the consequences of unprotected sex help us understand them better? The present article proposes an interpretation of adolescence as a combination of processes that allow teenagers to undertake experiments, much like (naïve) scientists, with the aim of finding new constructions of self, including in the area of sexuality. After considering some theoretical aspects in construing adolescents’ points of view, examples of adolescents’ stories are presented to suggest an alternative perspective of their risk-taking behavior. It is proposed that this alternative view of adolescents may influence those who work with young people to think differently when drawing up healthcare plans and sex education courses, in which the idea of right and wrong behavior gives way to one of elaborative choice.     

Preschoolers joke with jokers, but correct foreigners

Thirty- and 36-month-old English speakers' (N = 106) ability to produce jokes, distinguish between humorous and sincere intentions, and distinguish between English- and foreign-language speakers, was examined in two tasks. In the Giving task, an experimenter requested one of two familiar objects, and a confederate always gave her the wrong object. In the Naming task, the confederate mislabeled familiar objects. In the English-speaking conditions, the confederate laughed after doing the wrong thing (English-Humor) or said, 'There!' (English-Sincere). In the Foreign conditions, the French- or Italian-speaking confederate laughed (Foreign-Humor) or said, 'D'accord!' or 'Va bene!' (Foreign-Sincere). When preschoolers were subsequently requested to give and name the same objects and a new set of familiar objects they were significantly more likely to imitate and 'do the wrong thing' in the Humor versus Sincere, and in the English versus Foreign conditions.     

Fifteen minute stories about training

This panel presentation at the Journal's conference in St Petersburg responded to the conference theme of 'Ancestors in Personal, Professional and Social History' by relating it to the experience of training and being trained on the IAAP 'router' programme in Russia. The two organizers of the programme (JW and CC) have worked in Russia for over 12 years, bringing analysts from Britain to Moscow and St Petersburg on a 'shuttle' basis as supervisors and personal analysts. A few months after handing over the router programme in December 2010 to the Russian colleagues they had trained, they invited four analysts, three Russian and one Belarusian, to tell a short personal story about their training, linking it to the theme of 'the Ancestors'. The resulting four stories are very different but complement each other, using imagery to illustrate issues concerning both value and ambivalence. JW and CC jointly wrote their story about the programme in response to the four stories, reflecting on some of their themes and from them, giving consideration to the flexibility and limits of such a model of cross-cultural training. Themes in the stories included the possibility of mutual adaptation to another culture without losing tradition and identity; moving on from doctrinaire Soviet attitudes in education to embrace 'not knowing'; both organizers and routers learning from mistakes and from joint experience without guilt or shame; the need to protect reflective space amidst the constraints of time and geography. All Russian and UK contributors could finally acknowledge their shared luck to find themselves in the right place at the right time to respond to the collective revival of psychoanalytic practice in Russia.     

The effects of time perspective and level of construal on social distance

Psychological causes of social distance were examined from the perspective of Construal Level Theory (CLT; Liberman, Trope, & Stephan, 2007), which predicts that temporal distance from and abstract construal of a social target would create perception of social distance. Our studies demonstrate that expectations for temporally remote (versus proximal) social interaction produce greater social distance from a target person, measured as reduced familiarity (Study 1) and as reduced similarity to the self (Study 2). We also show that a more abstract, higher level construal of a social target results in less familiarity (Study 3) and in less allocation of resources (Study 4). The research sheds light on how social closeness can be promoted or hindered by previously unaddressed psychological factors.     

From one room to the other: a story of contamination. The relationship between child and adult analysis

Does the analyst who works with both children and adults using ostensibly the same theoretical model perform similar mental operations in these two fields? The author suggests that child analysis is rooted in a different creative process from that of adults. Comparing the analysis of children to painting and that of adults to writing, and making use of the debate between Virginia Woolf and her sister Vanessa Bell on the relative merits of words and images, the author explores the psychoanalytic debate on the role of child analysis in the development of psychoanalytic theory and practice. Child analysis, initially regarded as an application of psychoanalysis, ended up acting as a catalyst for a true epistemological revolution in the 20th century through the work of Klein and Bion. Playing is not only an alternative medium to words for representing the unconscious but a different method for giving shape to representations through a specific creative process. The reverie which is born in the child analyst’s consulting room reproduces itself through the body’s actions during play, whereas in the adults’ consulting room the analyst’s capacity to dream presupposes the suspension of action. Child analysis, deploying a distinctive creative process that makes use of the body and serves itself of action in its development, may be said to rest on a similar creative process to that of figurative art. For this reason, the child analyst’s mind relates to objects in a different way, being in a more prolonged state of fusion with these as a result of ‘concentration of the body’. The significance of the unspeakable things that take place can often only be conceptualized in après‐coup. Although this difference in the development of the process suggests a significant distinction between the two ‘arts’ of child and adult analysis, the aesthetic sensitivity acquired through child analysis can be profitably used with adults, as will be demonstrated with the help of several clinical examples.     

From crumpled-up paper to origami: an analyst learns to play

In the course of an analysis, the analytic relationship can go through moments of difficulty generated by patient and analyst while they learn to "play" together. In this paper, different kinds of difficult relational moments are illustrated through fragments of a child analysis, and some components are explored that can catalyze the creative transformation of turbulence and the resumption of analytic "play." In particular, the author hypothesizes that some conscious feelings described by Winnicott as characterizing play, understood as the optimal functioning of the analytic process, can be indicators of the efficiency of--or, conversely, of difficulties in--the unconscious oneiric work carried out by the couple. These indicators may be useful in monitoring the process not so much in the immediate moment, but rather over a medium to long period. Considering these indicators can initiate the revival of a playful equilibrium in the bi-personal system on which play and the analytic field are based.     

Prayer to the Saints or the Virgin And Health Among Older Mexican Americans

The purpose of this study was to evaluate a conceptual model that assesses whether praying to the saints or the Virgin is associated with the health of older Mexican Americans. A survey was conducted of 1,005 older Mexican Americans (Mean age = 73.9 years; SD = 6.6 years). Data from 795 of the Catholic respondents are presented in this study. The findings support the following relationships that are embedded in the conceptual model: (1) older Mexican Americans who attend church more often are more likely to believe in the efficacy of prayer to the saints or the Virgin; (2) stronger beliefs in the efficacy of intercessory prayer are associated with more frequent prayer to the saints or the Virgin; (3) frequent prayer is to the saints or the Virgin is associated with greater God-mediated control beliefs; (4) stronger God-mediated control beliefs are associated with greater optimism; and (5) greater optimism is associated with better self-rated health.