Charles Brenner: a practitioner's theorist

To avoid certain errors in practice, Charles Brenner offered an holistic substitute for the Freudian structural model of the mind. He used the term compromise formation ambiguously to refer to both actions and states, so as to render unnecessary what he considered artificial, judgmental attitudes embodied in images of psychic structures. He believed that a theory of conflicting structures transforms the phenomenological drama of the patient's actual life-world into an artificial drama of contending intrapsychic parties that may reflect the analyst's values. According to Brenner, the meaning of life, with its desires, fears, and regrets, is structured forever in the first articulation of the family drama, and that is all the structure a practitioner should have in mind. In principle, the ambiguity of the term compromise formation allows for observed continuities in human life, and might have inspired an ambitious theoretician to exploit that option for an account of character, but that aspect of theory moves in a direction opposite to Brenner's practical mission. For the same practical reason Brenner refused to acknowledge gradations of mental operation, such as differences in maturity, or style or level of thinking, so the theory cannot say how change can take place, analytic or otherwise. These lacunae in theory were unblinkingly (if implicitly) accepted in pursuit of Brenner's goal, which was not to polish up theory but to cleanse the analyst's mind of concepts that subtly interfere with the essential nondirectiveness of treatment. His theoretical minimalism and exclusive concern with practical consequences can be recognized as a peculiarly North American attitude to psychoanalysis.     

Directional variability of the isometric force vector produced by the human hand in multijoint planar tasks

Numerous studies have examined control of force magnitude, but relatively little research has considered force direction control. The subjects applied isometric forces to a handle and the authors compared within-trial variability when force is produced in different directions. The standard deviation of the force parallel to the prescribed direction of force production increased linearly with the targeted force level, as did the standard deviation of the force perpendicular to the instructed direction. In contrast, the standard deviation of the angle of force production decreased with increased force level. In the 4 (of 8) instructed force directions where the endpoint force was generated due to a joint torque in only 1 joint (either the shoulder or elbow) the principal component axes in force space were well aligned with the prescribed direction of force production. In the other directions, the variance was approximately equal along the 2 force axes. The variance explained by the first principal component was significantly larger in torque space compared to the force space, and mostly corresponded to positive correlation between the joint torques. Such coordinated changes suggest that the torque variability was mainly due to the variability of the common drive to the muscles serving 2 joints, although this statement needs to be supported by direct studies of muscle activation in the future.     

Five-factor personality traits and subjective health among caregivers: the role of caregiver strain and self-efficacy

This study examined the association among caregivers' five-factor personality traits and subjective health with particular emphasis on the role of two theoretically implicated mediators: multi-domain self-efficacy and caregiver strain. The sample comprised 536 informal caregivers (mean age = 62.9 years, SD = 19.9, 72% female, 98% White) of community-dwelling older adults with multiple functional impairments. Both physical health and mental health were negatively associated with neuroticism and positively associated with extraversion and conscientiousness. Agreeableness and openness were associated with better subjective mental health and physical health, respectively. Multiple mediation analyses indicated that self-efficacy mediated all observed associations between personality and subjective health, whereas caregiver strain selectively mediated the associations of neuroticism and agreeableness with mental health.     

Mandatory versus voluntary consent for newborn screening?

Virtually every infant in the United States undergoes a heel stick within the first week of life to test for a variety of metabolic, endocrine, and hematological conditions as part of state-run universal newborn screening (NBS) programs. The history of this mandatory public health program is examined, as well as whether the policy was morally justifiable. Three changes in NBS practice necessitate a re-evaluation of the mandatory nature of NBS. First is the adoption of NBS for hemoglobinopathies in the 1980s that led to the identification of many sickle cell carriers and carriers of other hemoglobin variants. In all other contexts, carrier testing requires consent, and there is no moral rationale why NBS ought to be exceptional. Second is the application of tandem mass spectrometry (MS/MS) to NBS in the 1990s that led to the identification of many metabolic conditions and variants, some of which were not treatable and others of which had unknown clinical relevance. To the extent that the conditions do not need emergent diagnosis and treatment, there is less justification for mandatory screening. Third, there is great interest in using residual blood spots for research, and the cornerstone of research ethics is the voluntary consent of the participant (or his or her proxy). These three changes support revising mandatory NBS with a tiered consent process to best balance respect for parental autonomy and the promotion of children's health.     

Modal Platonism: an Easy Way to Avoid Ontological Commitment to Abstract Entities

Modal Platonism utilizes “weak” logical possibility, such that it is logically possible there are abstract entities, and logically possible there are none. Modal Platonism also utilizes a non-indexical actuality operator. Modal Platonism is the EASY WAY, neither reductionist nor eliminativist, but embracing the Platonistic language of abstract entities while eliminating ontological commitment to them. STATEMENT OF MODAL PLATONISM. Any consistent statement B ontologically committed to abstract entities may be replaced by an empirically equivalent modalization, MOD(B), not so ontologically committed. This equivalence is provable using Modal/Actuality Logic S5@. Let MAX be a strong set theory with individuals. Then the following Schematic Bombshell Result (SBR) can be shown: MAX logically yields [T is true if and only if MOD(T) is true], for scientific theories T. The proof utilizes Stephen Neale’s clever model-theoretic interpretation of Quantified Lewis S5, which I extend to S5@.     

Cognitive Behavioral Treatment of Panic Disorder and Agoraphobia in a Multiethnic Urban Outpatient Clinic: Initial Presentation and Treatment Outcome

Few studies examine the effectiveness of panic control treatment across diverse ethnic groups. In this paper we present data on 40 patients (African American, n = 24; Caucasian, n = 16) with panic disorder and comorbid agoraphobia who presented at an anxiety disorder clinic in an inner-city area. On initial assessment both groups were similar on psychometric measures, and both groups moderately improved with treatment though significant residual symptoms remained. We illustrate, through case examples, a variety of clinical issues that need to be addressed when providing treatment to multiethnic African American clients with panic disorder and agoraphobia.     

Determining who owns what: do children infer ownership from first possession?

A basic problem of daily life is determining who owns what. One way that people may solve this problem is by relying on a ‘first possession’ heuristic, according to which the first person who possesses an object is its owner, even if others subsequently possess the object. We investigated preschoolers’ use of this heuristic in five experiments. In Experiments 1 and 2, 3- and 4-year-olds inferred that an object was owned by the character who possessed it first, even though another character subsequently possessed it. Two-year-olds also showed this bias, but only when the object was placed between the characters when children were asked about ownership. Experiment 3 ruled out the possibility that children’s bias to select the first possessor results from a tendency to select the character first associated with the object. Experiment 4 showed that 3- and 4-year-olds have difficulty disregarding the first possession heuristic, even when provided with evidence that the character who first possessed an object is not its owner. But Experiment 5 found that children can disregard the heuristic in at least some situations. These five experiments suggest that the first possession heuristic guides children’s ownership inferences. The findings provide the first evidence that preschoolers can infer who owns what, when not explicitly told, and when not reasoning about objects with which they are personally acquainted.     

Individual and Situational Factors Related to Young Women’s Likelihood of Confronting Sexism in Their Everyday Lives

Factors related to young women’s reported likelihood of confronting sexism were investigated. Participants were 338 U.S. female undergraduates (M?=?19 years) attending a California university. They were asked to complete questionnaire measures and to write a personal narrative about an experience with sexism. Approximately half (46%) the women reported confronting the perpetrator. Individual factors (prior experience with sexism, feminist identification, collective action) and situational factors (familiarity and status of perpetrator, type of sexism) were tested as predictors in a logistic regression. Women were less likely to report confronting sexism if (1) they did not identify as feminists, (2) the perpetrator was unfamiliar or high-status/familiar (vs. familiar/equal-status), or (3) the type of sexism involved unwanted sexual attention (vs. sexist comments).