Desistance from intimate partner violence: A critical review

Evidence suggests that a significant proportion of men who have been violent towards their partners desist from such violent behaviors; yet, research examining desistance from intimate partner violence (IPV) is limited. This omission is surprising given that an understanding of desistance processes is required to inform evidence-based IPV interventions. In this critical review of the empirical literature, eligible studies included 15 publications, identified through electronic databases and hand searches of bibliographies that directly investigated the cessation of physical violence against an intimate partner, by heterosexual men. No single theory was identified that explains desistance from IPV. However, empirical studies reveal that the severity and frequency of violence is associated with desistance, with those using moderate levels of violence being more likely to desist than those who engage in severe violence. Typology research suggests differences in individual characteristics (e.g., low psychopathology and impulsivity) can distinguish desisters from persisters. In addition, the nature of the dyad within which the violence occurs is also influential in desistance processes. It is concluded that much more research is needed to inform practice and in particular to examine the role of protective factors in mitigating risk and enabling individuals to desist from IPV.     

Conceptualizing cultural and gendered identities in psychological therapies

This paper addresses implications for psychological therapies and practices of recognizing the varieties of ways ‘race' and gender intersect and impact on therapeutic relationships. We illustrate how ‘race' and gender have either eluded analysis or been treated in oversimplified ways that disallow their interchange and varieties of forms, and impoverish the recognition and process of therapeutic change. Debates about ‘race' and gender in psychotherapy are situated within more general discussions about theorizing whiteness as a normalized cultural absence. This is used to inform how ethnic minorities in Britain, and specifically minority women, have been represented in (and omitted from) the psychiatric and psychotherapeutic literature. Common claims about cultural specificity (or its converse, universality) in psychological therapies, the grounds on which they are offered and their discursive consequences are evaluated. The case is made for therapy as an inevitably intercultural enterprise, while also cautioning against some prevalent misconceptions of intercultural approaches. The final substantive section develops the conceptual arguments proposed in relation to debates about culturally relevant and appropriate models in psychological therapies, including a critical commentary on the uses of gender, cultural and racial ‘matching'. Finally, implications for the training and practices of mental health professionals are discussed.     

Cognitive Neurorehabilitation of HIV-associated Neurocognitive Disorders: A Qualitative Review and Call to Action

Despite significant advances in the virologic management of HIV infection over the last two decades, effective treatments for HIV-associated neurocognitive disorders (HAND) remain elusive. While pharmacological interventions have yielded some success in improving neurocognitive outcomes in HIV, there is a dearth of rigorous studies examining the efficacy of cognitive rehabilitation for remediating HIV-associated neurocognitive impairment. This qualitative review summarizes and critiques the emerging literature on cognitive and behavioral treatments for HAND, which provides many reasons for optimism, but also has major limitations that underscore the scope of the work that lies ahead. Considering the notable real-world consequences of HAND, the development, validation, and clinical deployment of cognitive neurorehabilitation interventions tailored to the needs of persons living with HIV infection is a priority for clinical neuroAIDS investigators. In describing potential future directions for this endeavor, particular attention was paid to the application of cognitive neuropsychological principles in developing theory-driven approaches to managing HAND, improving everyday functioning, and enhancing HIV health outcomes.     

Disordered Eating in Women's Gymnastics: Perspectives of Athletes,Coaches, Parents,and Judges

This study examined the knowledge base and perspectives of current and retired gymnasts, parents, coaches and judges with respect to disordered eating in gymnasts. Surveys were designed for this study and included open-ended questions, Likert scales, and checklists. The results indicated that various discrepancies existed between the groups' reports. For example, the retired gymnasts reported more eating disorders and negative views of their experiences than did the current gymnasts. The coaches attributed the use of unhealthy weight control practices to other coaches but not to themselves. Gymnasts who received disparaging comments about their bodies or instructions to lose weight had significantly more disordered eating patterns than those who had not received such comments. The importance of one's social environment on eating and weight control practices is emphasized. Every group recommended further education about nutrition, adolescent development, body image, and psychological well-being. Limitations and future recommendations are addressed.     

A Plea for a Measure of Cautious Optimism: Reply to Book Reviews

The author responds to four reviews of his book Impossible Training. He describes how the book came into being, discusses his attitude to the Freud—Ferenczi and Klein—Winnicott debates, and raises the dangers of rigid views as to what is truly psychoanalytic and what is truly relational. The global scene of psychoanalytic training today is discussed. It is suggested that critiques do have an impact on psychoanalytic education and that in spite of its flaws and inner contradictions, this education raised generations of sophisticated thinkers and sensitive clinicians.     

Something there is that doesn't love a wall

The history of the stormy love affair between psychoanalysts and literature is explored, with an emphasis on their basic affinity and on the animosity created by analysts’ reductionistic tendencies. Past studies of the dynamics of Robert Frost's emotional world and poetry are reviewed in this context. Ogden's sensitive reading of Frost's poems is portrayed as an example of the potentially mutual egalitarian encounter allowed by newer trends in psychoanalytic theory.     

Differentiation of Personality Types Among Opiate Addicts

A wide range of studies indicate that although sociopathic characteristics are predominant in opiate addiction, depressive and psychotic features are also frequently observed. To test the hypothesis that there are really three types of individuals who become addicted to opiates (rather than a single, predominant personality style), fifty-three opiate addicts were given the Loevinger Sentence Completion Test, the Bellak Ego Functions interview, and the Rorschach. Variables derived from these three procedures were submitted to cluster and discriminant function analyses. Three groups of addicts were identified-those primarily with impaired interpersonal relationships and affective lability (42%), those primarily characterized by thought disorder and impaired ego functioning (30%), and a group with diminished ideational and verbal activity (28%). Comparison of the assessment of these three groups with independently defined normal, neurotic, and schizophrenic samples provided support for three opiate-addicted personality types, each respectively characterized as character disordered, borderline psychotic, arid depressed. Although there seems to be a predominance of character-disordered individuals who become addicted to opiates, the data indicate several additional types of opiate addicts with different types of psychopathology who may require different approaches to management and treatment.     

Introduction to Group-Analytic Psychotherapy by S. H. Foulkes

This article will explore special leader issues that emerge in psychodynamically oriented therapy groups with adult children of alcoholics. Particular focus will be on countertransference feelings that get stirred up in group leaders and techniques for dealing with some of these special dilemmas. Specific issues include (a) assumption of sameness between the therapist and the patient (the therapist assuming that he or she “understands” because of having also grown up in an alcoholic family); (b) the “will to restore,” which may be destructive when the therapist, whose own self-esteem is dependent on the patient's progress in therapy, forces a “rush to recovery” on the patient; (c) other personal issues in the life of the therapist that may also resonate with experiences of the patient; (d) “countertransference goodness and availability” as it affects therapists' abilities to set reasonable limits on their patients, as well as reasonable expectations for themselves; and (e) special issues regarding therapist transparency and self-disclosure.     

Escaping the recent past: Which stimulus dimensions influence proactive interference?

Proactive interference occurs when information from the past disrupts current processing and is a major source of confusion and errors in short-term memory (STM; Wickens, Born, & Allen, Journal of Verbal Learning and Verbal Behavior, 2:440–445, 1963). The present investigation examines potential boundary conditions for interference, testing the hypothesis that potential competitors must be similar along task-relevant dimensions to influence proactive interference effects. We manipulated both the type of task being completed (Experiments 1, 2, and 3) and dimensions of similarity irrelevant to the current task (Experiments 4 and 5) to determine how the recent presentation of a probe item would affect the speed with which participants could reject that item. Experiments 1, 2, and 3 contrasted STM judgments, which require temporal information, with semantic and perceptual judgments, for which temporal information is irrelevant. In Experiments 4 and 5, task-irrelevant information (perceptual similarity) was manipulated within the recent probes task. We found that interference from past items affected STM task performance but did not affect performance in semantic or perceptual judgment tasks. Conversely, similarity along a nominally irrelevant perceptual dimension did not affect the magnitude of interference in STM tasks. Results are consistent with the view that items in STM are represented by noisy codes consisting of multiple dimensions and that interference occurs when items are similar to each other and, thus, compete along the dimensions relevant to target selection.