Sado-masochism as a defense against merging: Six case studies

This paper reports on several patients who use sado-masochism as a defense against an unconscious wish for and fear of merging. The sado-masochism can be expressed as a sexual perversion or in a difficult ungratifying interpersonal relationship. These relationships have some of the quality of addictions in that the patients have a compulsive need to continue them and find it extremely difficult to leave them. Therapy must focus on helping the patient become more separate, rather than on other problems which may also be present. Initially, the therapist needs to take an educational stance in regard to the process the patient must complete, rather than the more traditional analytic stance.     

Evaluation of a “mental effort” hypothesis for correlations between cortical metabolism and intelligence

Previous research indicates that low scores on the Raven's Advanced Progressive Matrices (RAPM) test are associated with increased cortical glucose utilization during problem solving. We hypothesized that previous results may reflect the neurophysiological consequences of patterns of effort requirements; that is, high-effort expenditure from lower aptitude participants (for whom the problems are hard) and low-effort expenditure from higher aptitude participants (for whom the problems are easy). In this experiment, positron emission tomography (PET) data were gathered on participants (N = 28) who solved easy and hard problems that were tailored to the participants' own ability levels, thereby eliminating aptitude group differences in effort requirements. Contrary to previous results, high aptitude was associated with high cortical glucose use. Average aptitude participants showed diminished glucose use in the hard condition. A significant Group X Condition X Hemisphere Effect was also noted, with greater right hemisphere activation in the hard condition for the high-aptitude group. These results demonstrate that the relation of cerebral glucose use and cognitive ability is sensitive to participant and task selection.     

Stories for therapy: The right story to the right person at the right time

In the postmodern information era with its increasing complexity and demands on my time, I find storytelling increasingly attractive. The right story told to the right person(s) at the right time in the right way can powerfully define and shape both individuals and the systems into which they organize themselves. As interventions go, I find stories to be relatively high impact, low-risk, parsimonious, and user-friendly. This paper contains some of my favorite teaching stories and describes why and how I use them as both a family therapist and teacher of family therapy.     

The recovering female alcoholic: A family affair

Supported by a review of relevant literature and a case study, the author argues that family therapy intervention enhances the likelihood of a female alcoholic's positive prognosis. With a basis in systems theory, family therapy views the family as a system and, hence, perceives the alcoholism as a symptom of that family. A profile of the female alcoholic, how her drinking affects her family, and the role that family therapy plays in the recovery process are examined.     

Prediction of mood and risk appraisals from trait measures: Two studies of simulated driving

Two contrasting hypotheses concerning the relationship between personality and mood are distinguished. First, broad traits may relate to emotional temperament, and so predict mood across situations. Second, the interactionist approach to personality implies that narrow, context specific traits may sometimes be the most powerful predictors of mood within situations. This article reports correlations between mood and broad and narrow trait measures, the Eysenck Personality Inventory (EPI; Eysenck and Eysenck, 1964) and the Driving Behaviour Inventory (DBI; Gulian, Matthews, Glendon, Davies and Debney, 1989), within the context of vehicle driving. Mood was measured with the UWIST Mood Adjective Checklist (UMACL; Matthews, Jones and Chamberlain, 1990), in two samples before and after a simulated drive. One sample (N = 73) performed a ‘passive’ drive, in which little interaction with other traffic was required. The second sample (N = 93) performed an ‘active’ driving task, in which subjects had to decide when to overtake other vehicles. Results showed that the DBI traits were more strongly related to mood than EPI traits, particularly following the active drive. The DBI Dislike of Driving scale was the strongest single predictor of post-drive mood. Prior to the drive, subjects also rated accident risk, driving skill, and judgement, for themselves and for a ‘peer’ driver of similar age and sex. Analysis of these data in the combined sample (N = 166) showed that the DBI was the more consistent predictor of self-ratings of risk and driving competence, although some relationships between ratings and the EPI were found. Again, the DBI Dislike of Driving scale was the strongest single predictor of self-ratings. Drivers scoring high on this scale seem immune to drivers' general bias towards rating themselves as safer and more competent than their peers. It is concluded that narrow traits are more predictive than broad traits within the driving context. Data are consistent with the transactional model of driver stress, which proposes that dislike of driving is derived from negative secondary appraisals.     

Long term marriages in Sweden: And some comparisons with similar couples in the United States

This international, five-country long term marriages study of couples who have been married, or unmarried and cohabiting, for 20 years or longer is designed to study, among other things, marital satisfaction. This first report of the Swedish part of the study reports on a Swedish version of the self-rating Dyadic Adjustment Scale (DAS) used to investigate self-rated marital satisfaction. The couples describe high marital satisfaction and a high sense of coherence (SOC) compared to other groups. Contrary to other studies, no differences were found between men and women regarding SOC. The differences between them, that describe high relative to low marital satisfaction, pertain to matters of recreation, sex, life philosophy, time spent together, and frequency of quarrels. The men reported greater marital satisfaction than the women.     

Adaptation effects and reversible figures: A comment on Horlitz and O’Leary

In a recent article, Horlitz and O’Leary (1993) offer a reinterpretation of the results of several studies over the past 40 years that have employed the prolonged-inspection technique in the investigation of reversible figures. Specifically, they contend that, contrary to the favored interpretation of neural adaptation effects, the results of these studies reveal the combined influence of such topdown processes as attention and perceptual learning as well as such methodological difficulties as unwanted demand characteristics. In this note, we examine their analysis of the literature, their alternative theoretical model, and the supporting conclusions they draw from their two experiments. We argue that there is considerable evidence from a variety of studies for the joint role of bottom-up and top-down processes in reversible figures. Moreover, we propose that Horlitz and O’Leary’s own research, rather than eliminating the possibility of neural-adaptation effects, is best conceptualized as providing additional evidence for the role of higher-order processes in these phenomena.     

Modelling cognition in emotional disorder: The S-REF model

Cognitive therapy techniques are applied to an ever-increasing range of psychological disorders. However, both basic methods and general theory of therapy have evolved more slowly. Although cognitive therapy is based on experimentally testable concepts derived from cognitive psychology, an integration of these areas capable of explaining cognitive-attentional phenomena and offering treatment Implications remains to be achieved. In this paper, we outline the Self-Regulatory Executive Function (S-REF) model of emotional disorder, which integrates information processing research with Beck's schema theory. The model advances understanding of the roles of stimulus-driven and voluntary control of cognition, procedural knowledge (beliefs), and of the interactions between different levels of information-processing. It also accounts for cognitive bias effects demonstrated in the experimental psychopathology literature. The model presents implications concerning not only what should be done in cognitive therapy, but how cognitive change may be most effectively accomplished.