Cardiovascular reactivity in hypertensives: differential effect of expressing and inhibiting emotions during moments of interpersonal stress

This study investigated cardiovascular reactivity of hypertensive adults during periods of emotional stress. Two types of instructions were given at different moments, to the same subject, either to express or to suppress feelings during role-play. Expressing, but not inhibiting, emotions elicited significantly higher reactivity during responding to negative scenes, followed by responding during the positive interactions. Blood pressure increases in both expressing and inhibiting conditions, were also found during the instruction periods. Results indicated that socially demanding situations represent a stressor whose effects may vary depending on whether or not respondents regulate expression of emotions. It is suggested that the difficulty in expressing emotions found in some hypertensive individuals may have the function of controlling or reducing blood pressure reactivity.     

The kinds of information that support novel associative object priming and how these differ from those that support item priming

We investigated how the information that supports novel associative and item object priming differs under identical study/test conditions. In Experiments 1 and 2, participants rated the meaningfulness of sentences linking two object pictures at study. At test, they performed either a size judgement or an associative recognition memory task on intact, recombined and novel picture (Experiment 1) or word (Experiment 2) associations. Associative priming was modulated by subjective meaningfulness of the encoded links, and depended on study/test perceptual overlap. In contrast, item priming was neither affected by the meaningfulness of the sentences nor by study/test changes in the stimulus presentation format. Associative priming and recognition were behaviourally dissociated, and associative recognition was probably too slow to have seriously contaminated associative priming. In Experiment 3, participants performed a perceptually oriented task during both experimental phases, and both associative and item priming were observed. These results suggest that associative priming depends on stored associative semantic and perceptual information when the test task requires flexible retrieval of associative information. Under the same conditions, item priming may only require activation of items' semantic properties. When both study and test tasks stress perceptual processing, retrieval of perceptual information is sufficient to support both kinds of priming.     

Ferenczi and Winnicott: Why We Need Their Radical Edge: Commentary on Paper by Michael Parsons

Parsons's paper, “An Independent Theory of Clinical Technique,” is discussed. Agreement is expressed with many of the theoretical points made by Parsons, and the creative and freeing historical role of the British Independent tradition (recently attacked by Kleinian authors such as Segal) is praised. However, the author sees some of the clinical examples in the paper as expressing a traditionalist conception of psychoanalytic practice, with a strong one-sided emphasis on the analyst as a knowledgeable expert offering deep interpretations. Parsons does not question the nature of the actual intersubjective relationship in each dyad, with its fluctuations and its subtle nuances, which can go far beyond the proclaimed roles of the two partners, at times even reversing them. More radical points of view can be found in the work of Ferenczi and Winnicott, two authors who are significant both for Parsons and for the author; for example, Ferenczi's emphasis on the patient's capacity to interpret the analyst's countertransference, and the experiments with the setting both made in their search for an adaptation to the unique ‘analysand's needs. In conclusion, the paper calls for continued departure from standard techniques of any kind, critically deconstructing all traditional assumptions regarding the analytic process.     

Learning Disabilities, Gender, Sources of Efficacy, Self-Efficacy Beliefs, and Academic Achievement in High School Students

This study examined the impact of gender, learning disability (LD) status, and sources of efficacy on self-efficacy beliefs and academic achievement in the concept of Bandura's self-efficacy theory. Two hundred and seventy-eight high school students participated in the study. Structural equation modeling was used. The results revealed that LD status had indirect influence on self-efficacy via the source variable; gender did not have direct or indirect influences on self-efficacy; sources of efficacy had direct impact on self-efficacy, which in turn affected academic performance. The structural model fit the data well and explained 55% of the variance in academic achievement.     

The blossoming of bioethics at NIH

The establishment of the Department of Clinical Bioethics at the Warren G. Magnuson Clinical Center of the National Institutes of Health (NIH) has coincided with a burgeoning of interest and activity related to bioethical issues at NIH. The department has precipitated a reexamination and revitalization of existing bioethics activities in the Clinical Center and has launched new programs especially in the areas of education and research. In addition, the department contributes to the work of others throughout NIH who address bioethical issues.     

The creative process in psychoanalytic treatment

Conclusion In summary, then, what is conducive to creative functioning is arelaxation of one's rationality: the analyst who feels exhilarated rather than threatened, receptive rather than anxious, at the hint of an appearance of the unexpected, at the peeking out of something that may challenge his understanding, that may not fit the theory neatly—he is the one who is capable of more creativity. The analyst might thus orient himself to give rein to his own inner processes, his inner radar rather than his intellect, and thus without preconceived theoretical expectations aspire to discover anew that which is uncovered ineach patient. It is this which makes each analysis a fresh experience, not a stale rehash, for the therapist; it is this which makes the analysis an authentic encounter for the patient—thus, an adventuring together.Another factor grows out of the above. If the analyst orients himself to think-feel-respondvia that deeper more personal channel of images — closer to the language of dream images early in the history of analysis recognized as the royal road to the unconscious—then he may find his creative responsiveness more liberated, his intuition in general more active for the work of the session. He thereby may enliven his reactivity not only along the pithy, affect-enriched modality of images, but also along other dimensions of intervention involving more nuanced responses of all sorts.Read at the convention of the Metropolitan Academy of Psychoanalytic Training, March 12, 1971, New York City, panel on The Creative Process.