Clinical encounters with children in the Trump era

There is an emerging research and conceptual literature on the impact of the 2016 United States election of Donald Trump on the psychoanalytic psychotherapy process; however, the focus of this growing body of literature has been primarily with adults. Issues related to the election of Donald Trump, and the current political climate, also continue to arise in clinical encounters with children. These moments highlight the complexities of intersectionality, intersubjectivity, power dynamics, and self-disclosure. This article describes several clinical scenarios with American youth – reports from the front lines of a new political reality – drawn from the perspectives of trainees learning psychodynamic therapy, a private practitioner conducting an assessment for a young asylum seeker, and a school psychologist working in a private school for children with learning disabilities. We consider the fears and preoccupations that arise among children and their caregivers and the feelings that are provoked in the clinician, both in response to their clients and to the election itself. Traditional psychoanalytic paradigms of limiting self-disclosure and maintaining the therapeutic frame are challenged by the intensely personal nature of contemporary politics. This paper explores a contemporary phenomenon – the tension between therapeutic attending to internal experience and symbolisation, repression, and integration, while also considering a harsh, political external reality – through the lens of centuries of psychoanalytic work conducted in the face of war, trauma, and oppression. Children and adolescents who present for treatment or other forms of clinical intervention require a flexible therapeutic approach that acknowledges their unique position in history and the ways in which their distress is exacerbated by real and perceived political threats.     

Causality and the categorisation of objects and events

The “Tower of London” puzzle was adapted to tablet PCs to be used as a clinical bedside test. “Iso-problems”, a specific class of problems, require identical moves but ball colours are permuted. Thus difficulty is the same even if the appearance is different. We wanted to determine the impact of these as yet little-studied tasks and hypothesised that there may be a learning effect specific to them (the “iso-effect”). We interspersed a set of six iso-problems within one selection of 22 tasks and analysed problem solving by 81 healthy adults (mean age 41.6 years). Participants showed learning across iso-problems (less time, fewer moves, increasingly efficient solutions). This effect was distinct from general learning, as was obvious from comparison with a series of non-isomorphic tasks. However, participants seem not to be aware of solving such problems. This “iso-effect” may be related to implicit memory, a domain that so far has not been assessed using the Tower of London.     

Liberal Neutrality and Moderate Perfectionism

This article defends a moderate version of state perfectionism by using Gerald Gaus’s argument for liberal neutrality as a starting point of discussion. Many liberal neutralists reject perfectionism on the grounds of respect for persons, but Gaus has explained more clearly than most neutralists how respect for persons justifies neutrality. Against neutralists, I first argue that the state may promote the good life by appealing to what can be called “the qualified judgments about the good life,” which have not been considered by liberal perfectionists including Joseph Chan and Steven Wall. Then I clear up several possible misunderstandings of these judgments, and argue that: (a) moderate perfectionism does not rely on controversial rankings of values and is committed to promoting different valuable ways of life by pluralistic promotion; and (b) moderate perfectionism requires only an indirect form of coercion in using tax money to support certain moderate perfectionist measures, which is justifiable on the grounds of citizens’ welfare. Thus, I maintain that moderate perfectionism does not disrespect citizens, and is not necessarily unfair to any particular group of people. It is, in fact, plausible and morally important. The defence of moderate perfectionism has practical implications for the state’s policies regarding art development, drug abuse, public education, and so on.     

Successive and conditional discrimination learning in pigs

We studied the ability of pigs to discriminate tone cues using successive and conditional discrimination tasks. Pigs (n = 8) were trained in a successive discrimination Go/No-Go task (Experiment 1) to associate a Go-cue with a reward at the end of a runway and a No-Go-cue with the absence of reward. Latency to reach the goal-box was recorded for each cue-type. Learning of a conditional discrimination task was compared between low-birthweight (LBW, n = 5) and normal-birthweight (NBW, n = 6) pigs (Experiment 2) and between conventional farm (n = 7) and Göttingen miniature (n = 8) pigs (Experiment 3). In this active-choice task, one cue signalled a response in a right goal-box was correct and a second cue signalled a response in a left goal-box was correct. Cues were differentially rewarded. The number of sessions to learn the discrimination and number of correct choices per cue-type were recorded. In Experiment 1, four out of eight pigs showed learning on the task, that is, a higher latency to respond to the No-Go-cue, within 25 sessions. In Experiment 2, eight out of 11 pigs learned the discrimination within 46 sessions. LBW learners learned faster than NBW learners. In Experiment 3, all 15 pigs learned the task within 16 sessions. Göttingen miniature pigs learned faster than conventional farm pigs. While some methodological issues may improve the Go/No-Go design, it is suggested that an active-choice task yields clearer and more consistent results than one relying on latency alone.     

From STEM to STEAM: Cracking the Code? How Creativity & Motivation Interacts with Inquiry-based Learning

STEM subjects enriched with Arts (STEAM) are assumed to enhance science lessons and making them more attractive. A multidisciplinary STEAM module integrating inquiry-based learning was implemented to a sample of 160 students (11–12 years; 43.1% females). In a four-hour lesson, dealing with scientific phenomena surrounding bird flight, students learned at self-explanatory workstations that allowed space for creativity and a high level of autonomy. An arts facet was employed, using collaborative handicraft artwork. A workbook offered guidance, while the teacher’s role was of a passive tutor. A pre-/post-/retention-test design monitored knowledge, motivation, and two factors associated with creativity (Act and Flow) two weeks before, immediately after and six weeks later. The intervention produced long-term knowledge and built stable scores of intrinsic motivation, but self-reported aspects of creativity were not affected with a single STEAM intervention. Thus, it seems obvious that regular training in an adequate sociocultural setting is needed to develop creativity sustainably. Nevertheless, this study monitored the correlation of knowledge motivation and creativity in a science education setting for the first time. The findings indicate that fostering creativity, for example in STEAM environments, is a promising starting point for research into promoting motivation and creativity in educational settings.     

Who is a homosexual? A critique of the heterosexual‐homosexual dimension

Abstract

The heterosexual‐homosexual distinction as a construction inhibits appreciation of the diversity of sexual experience by encouraging use of static labels to classify people's continually evolving sexual histories. Distinguishing sexual preference may expedite comprehension of sexual acts, but is counterproductive when considering whole persons. We question the need for biological explanations of homosexuality and propose that “coming out” as homosexual is a personal choice to be celebrated, not a biological abnormality. We perceive sexuality as merely one aspect of per‐sonhood. When people instead see self‐proclaimed homosexuals as “homosexuals and only homosexuals” sexual behavior overshadows other salient individual characteristics, and sexual desire becomes inseparable from personality style.     

The Relationship‐specific Interpretation Bias Mediates the Link between Neuroticism and Satisfaction in Couples

Neuroticism has repeatedly been shown to be a predictor of relationship dissatisfaction in couples. The aim of the current research was to uncover the underlying cognitive processes of this robust effect. We focused on anxiety as one aspect of neuroticism that is associated with different kinds of cognitive biases. On the basis of the assumption that biased information processing will also affect specific interpersonal contexts such as romantic relationships, it was expected that the tendency to interpret ambiguous partner and relationship scenarios in a rather negative way would work as a potential mediator. In Study 1, parallel forms of a new measure to capture the relationship‐specific interpretation bias (RIB) were developed (N = 182). In Study 2, the proposed meditational role of the RIB was investigated in a dyadic sample of 210 couples. Dyadic analysis using the Actor–Partner Interdependence Mediation Model showed mediation of the interpretation bias even when the general interpretation bias and attachment styles were controlled. Results support the assumption that biased relationship‐specific interpretations are one important mechanism for how neuroticism exerts its negative influence on relationship satisfaction. We conclude that personality‐congruent cognitive processing may not only have individual consequences but also affect overall couple functioning. Copyright © 2013 John Wiley & Sons, Ltd.     

Wiederkehrende,primäre Kopfschmerzen im Jugendalter

Background

Recurrent pain, especially primary headache, is a serious health problem in adolescents. Music therapy in the treatment of children with migraine has already been evaluated. The aim of this pilot study was to adopt this treatment manual for adolescent patients with recurrent primary headache in preparation for the main randomized controlled trial.

Patients and methods

In this pilot study two different modes of treatment (standard and compact treatment) were tested in an outpatient setting with 19 patients. Frequency and intensity of headache symptoms were evaluated using pain diaries for 8 weeks in a pre-post design.

Results

The pilot study showed good feasibility of both treatment conditions in outpatient practice. Patients reported a reduction of pain frequency and intensity in both groups. The evaluation of the clinical relevance of these effects remains the objective for the main trial.

Conclusions

The music therapeutic treatment plan for children with migraine is even feasible in the treatment of adolescents with recurrent, primary headache. Further evidence questioning the effectiveness of the treatment under controlled conditions is needed.