Elizabeth Severn: The “Evil Genius” of Psychoanalysis,by Arnold William Rachman,Routledge, Abingdon and New York, 2018, 332pp and Confusion of Tongues: A Return to Sándor Ferenczi,by Miguel Gutiérrez-Peláez,Routledge, Abingdon and New York, 2018, 186pp.

The American Journal of Psychoanalysis -     

Parents' attachment styles,mental representations,and institutionalization of children in Bulgaria

We first summarize the history, extent, and characteristics of institutionalization of non‐orphan children in Bulgaria. Then we describe a study of certain psychological characteristics of mothers who use institutionalization compared with mothers similar in ethnicity and close‐to‐poverty circumstances, those using state daycare programs, and those using weekly care programs for their children. Institutionalizing mothers had been institutionalized themselves far more often than had the other mothers. On two attachment measures, as expected, institutionalizing mothers were less secure and more insecure than daycare mothers, with weekly care mothers intermediate. On a parental representation task, results were somewhat more equivocal. Results suggest that psychological characteristics, especially attachment style, are important in decisions to use institutionalization as a means of child care.     

Electroencephalographic intercentral interaction as a reflection of normal and pathological human brain activity

The authors summarized EEG findings and defined the nature of the intercentral EEG relationships in different functional states in healthy subjects and patients with organic cerebral pathology, based on a coherence analysis. Similar EEG characteristics in healthy individuals were identified: an anterior-posterior gradient of average coherence levels, the type of cortical-subcortical relationships in anterior cerebral structures. Right- and left-handed individuals showed frequent and regional differences in EEG coherence, which mainly reflected specificity of intracortical relationships. Development and regression of pathology in right-and left-handed individuals with organic brain lesions were thought to be caused by these differences. Lesions of regulatory structures (diencephalic, brain stem and limbic structures) provoked a more diffused kind of changes of intercentral relationships, in contrast to cortical pathology. These changes tended to reciprocate. The dynamic nature of intercentral relationships and their interhemispheric differences was revealed when changing functional states of the brain (increase and decrease of functional level) in healthy individuals and patients with organic cerebral pathology in the process of conscious and psychic activity restoration. Changing activity predominance of certain regulatory structures was considered one of the most important factors determining the dynamic nature of EEG coherence.     

Neuronal manifestation of two-way connections in conditioning

Neuronal characteristics of two-way conditional connections were studied in chronic experiments with alert cats during different types of alimentary conditional reflexes. Single unit and multi-unit activities were chronically recorded in the visual and motor cortex and the lateral hypothalamic nucleus. Cross-correlational analysis of neuronal impulse trains was used to characterize the organization of neuron groups in brain structures involved in the formation of a conditional reflex. The experimental data showed an increase in the number of neuronal two-way connections after learning in all three investigated coordinations: visual-motor, visual-hypothalamic, and motor-hypothalamic. With visual-motor interneuronal coordination, the strengthening of two-way connections was due to the enhancement of connections from the motor to the visual neuron (backward connections); with visual- and motor-hypothalamic coordination, the number of interneuronal connections was equal in both directions. In all investigated coordinations, the analysis of the temporal parameters of the interactions between the neurons of different groups showed a dependence of the conditioning procedure on delays of up to 30 ms and a dependence of the motivational state on the interval range of 90–100 ms. The polyfunctional and polycomponent character of two-way neuronal connections in conditioning can be inferred from these data. Evaluation of the activity of neurons of different brain structures suggests the specific organization of intracortical and cortical-subcortical integrity in learning.     

Social dominance mediates the association of testosterone and neurobehavioral disinhibition with risk for substance use disorder.

This investigation determined the influence of testosterone and neurobehavioral disinhibition (ND) on risk for substance use disorder (SUD). Testosterone level during puberty was hypothesized to promote social dominance associated with norm-violating behavior that, in turn, predisposes individuals to use of illicit drugs and, subsequently, SUD. Using a prospective paradigm, the authors recruited 179 boys (mean age=11.62 years, SD=0.88) and followed up when participants were ages 12-14, 16, 19, and 22. Results indicated that social dominance/norm-violating behavior (SD/NVB) at age 16 mediated the association between testosterone level (ages 12-14) and SUD (age 22). In addition, SD/NVB mediated the association between ND and SUD. These findings suggest that development of SUD is influenced by androgen-dependent and neurobehavioral processes via a social motivational style characterized by SD/NVB.     

Testing the subtractive pattern of cultural identification

Identity integration, and more specifically, the subtractive pattern of cultural identification, is investigated in this article. This pattern is hypothesized to occur when individuals integrate a new group identity of higher and legitimate status than their original identity, resulting in lower identification with the original group. The first study examined how relative status predicts the subtractive pattern of identification in immigrants living in Canada. Studies 2 and 3—conducted among Kyrgyz and Canadian participants—extended these results by measuring the impact of legitimacy on the subtractive pattern of identification. Results support the hypothesis that the subtractive pattern of identification takes place when the new identity has a higher and legitimate status compared with the original one, highlighting the possible different patterns of identity integration.     

Development and Psychometric Evaluation of an Item Bank for Computerized Adaptive Testing of the EORTC Insomnia Dimension in Cancer Patients (EORTC CAT-SL)

To further advance assessment of patient-reported outcomes, the European Organisation of Research and Treatment of Cancer (EORTC) Quality of Life Group has developed computerized adaptive test (CAT) versions of all EORTC Quality of Life Core Questionnaire (QLQ-C30) scales/items. The aim of this study was to develop and evaluate an item bank for CAT measurement of insomnia (CAT-SL). In line with the EORTC guidelines, the developmental process comprised four phases: (I) defining the concept insomnia and literature search, (II) selection and formulation of new items, (III) pre-testing and (IV) field-testing, including psychometric analyses of the final item bank. In phase I, the literature search identified 155 items that were compatible with our conceptualisation of insomnia, including both quantity and quality of sleep. In phase II, following a multistep-approach, this number was reduced to 15 candidate items. Pre-testing of these items in cancer patients (phase III) resulted in an item list of 14 items, which were field-tested among 1094 patients in phase IV. Psychometric evaluations showed that eight items could be retained in a unidimensional model. The final item bank yielded greater measurement precision than the original QLQ-C30 insomnia item. It was estimated that administering two or more items from the insomnia item bank with CAT results in a saving in sample size between approximately 15–25%. The 8-item EORTC CAT-SL item bank facilitates precise and efficient measurement of insomnia as part of the EORTC CAT system of health-related quality life assessment in both clinical research and practice.