Transformations in hallucinosis and the receptivity of the analyst

Bion describes transformation in hallucinosis (TH) as a psychic defence present in elusive psychotic scenarios in which there is a total adherence to concrete reality: as the hallucinatory activity which physiologically infiltrates perception and allows us to know reality, setting it off against a background of familiarity; and then, surprisingly, as the ideal state of mind towards which the analyst has to move in order to intuit the facts of the analysis. When hallucinosis is followed by ‘awakening’, the analyst gains understanding from the experience and goes through a transformation that will inevitably be transmitted to the analytic field and to the patient. In this paper I illustrate Bion's concept and underline its eminently intersubjective nature. Then I differentiate it from two other technical devices: reverie, which unlike hallucinosis does not imply the persistence of a feeling of the real, and Ferro's transformation in dreaming, i.e. purposeful listening to everything that is said in the analysis as if it were the telling of a dream. Finally, I try to demonstrate the practical utility of the concept of transformation in hallucinosis in order to read the complex dynamics of a clinical vignette. Though not well known (only two references in English in the PEP archive), TH proves to be remarkably versatile and productive for thinking about psychoanalytic theory, technique and clinical work.     

Connecting Personal History and Organizational Context: Suggestions for Developing Educational Programs for Youth Soccer Coaches

Literature underscores the complex role of coaches in sport organizations, especially in youth sectors. Their need for support, not only on the technical level, is emerging. In recent years an interesting international debate has evolved regarding what education is most suitable to support coach development. The article intends to enter this debate by proposing an educational model for youth soccer coaches. This educational proposal is the outcome of reflection that originated from various experiences with about 110 Italian youth soccer coaches over the past six years. The first part is dedicated to a review of the literature on coaching education, and the second to the educational model presented (e.g., theoretical background, characteristics, setting, outcomes, and considerations regarding the management of this educational process). The strength of this model was precisely to have put some recurrent issues in dialogue with the specific organizational contexts in which the educational programs were implemented.     

Detecting fakers of the autobiographical IAT

Autobiographical memories might be identified using a variant of the implicit association test (IAT), or the autobiographical IAT (aIAT). The aIAT provides a measure of association between true sentences and sentences describing an autobiographical event. This tool might be used to evaluate whether specific autobiographical information is encoded within the respondent's mind/brain. This paper examines possible problems arising when the aIAT is used as a lie‐detector technique. The results indicate that, when given previous instruction or training with an aIAT, examinees can alter their results and beat the ‘memory‐detector’. However, we have been able to detect successful fakers of aIAT on the basis of their specific response patterns. Our algorithm has the ability to spot the faker in a satisfactory manner. If, as demonstrated here, faking can be detected, then the real autobiographical event might also be identified when the examinee attempts to alter their results. Copyright © 2010 John Wiley & Sons, Ltd.     

The lower subjective social status of neurotic individuals: multiple pathways through occupational prestige, income, and illness

Subjective social status seems to predict health outcomes, above and beyond the contribution of objective status. The present hypothesis was that neuroticism predicts subjective status and does so via the influence of neuroticism on objective status (i.e., education, occupation, and income), self-perceived illness, and greater negative affect. In turn, lower subjective status would be associated with more severe self-perceived illness. Older adults (N=341) shortly after retirement completed measures of neuroticism, attainment in education, occupation, and salary, and over 2 subsequent years, they completed measures of current subjective status, self-reported illness, and current negative affect. As hypothesized, greater neuroticism was associated with lower subjective status via lower objective status and more severe self-reported illness. However, current negative affect was not associated with subjective status, and subjective status did not predict future poorer subjective health.     

Toward operational architectonics of consciousness: basic evidence from patients with severe cerebral injuries

Although several studies propose that the integrity of neuronal assemblies may underlie a phenomenon referred to as awareness, none of the known studies have explicitly investigated dynamics and functional interactions among neuronal assemblies as a function of consciousness expression. In order to address this question, EEG operational architectonics analysis (Fingelkurts and Fingelkurts 2001, 2008) was conducted in patients in minimally conscious (MCS) and vegetative states (VS) to study the dynamics of neuronal assemblies and operational synchrony among them as a function of consciousness expression. We found that in minimally conscious patients and especially in vegetative patients neuronal assemblies got smaller, their life span shortened and they became highly unstable. Furthermore, we demonstrated that the extent/volume and strength of operational synchrony among neuronal assemblies was smallest or even absent in VS patients, intermediate in MCS patients, and highest in healthy fully conscious subjects. All findings were similarly observed in EEG alpha as well as beta1 and beta2 frequency oscillations. The presented results support the basic tenets of operational architectonics theory of brain–mind functioning and suggest that EEG operational architectonics analysis may provide an objective and accurate means of assessing signs of (un)consciousness in patients with severe brain injuries. Therefore, this methodological approach may complement the existing “gold standard” of behavioral assessment of this population of challenging patients and inform the diagnostic and treatment decision-making processes.     

General principles for treating personality disorder with a prominent inhibitedness trait: towards an operationalizing integrated technique

Psychotherapists need to perform tasks such as being empathetic, performing an ongoing assessment of cases, self-disclosing, making explicit treatment contracts, validating patients' experiences and promoting awareness of psychological experience, if they are to be effective in treating personality disorder (PD). Successful therapy also requires a systematic accurate PD model. We suggest here that it is still unclear how, when, and according to what session markers therapists need to perform specific operations to maximize therapeutic gains. This article describes and operationalizes a step-by-step procedure for organizing and delivering the interventions necessary for effective outcomes, such as maintaining a good therapeutic relationship, increasing understanding of mental states, reducing symptoms and improving social adaptation. The procedure is illustrated by reference to the treatment of cases of emotionally overly-constricted PDs. We include a theoretical proposal to facilitate the development of measures for evaluating the efficacy of therapist actions.     

EEG oscillatory states as neuro-phenomenology of consciousness as revealed from patients in vegetative and minimally conscious states

The value of resting electroencephalogram (EEG) in revealing neural constitutes of consciousness (NCC) was examined. We quantified the dynamic repertoire, duration and oscillatory type of EEG microstates in eyes-closed rest in relation to the degree of expression of clinical self-consciousness. For NCC a model was suggested that contrasted normal, severely disturbed state of consciousness and state without consciousness. Patients with disorders of consciousness were used. Results suggested that the repertoire, duration and oscillatory type of EEG microstates in resting condition quantitatively related to the level of consciousness expression in brain-damaged patients and healthy-conscious subjects. Specifically, results demonstrated that (a) decreased number of EEG microstate types was associated with altered states of consciousness, (b) unawareness was associated with the lack of diversity in EEG alpha-rhythmic microstates, and (c) the probability for the occurrence and duration of delta-, theta- and slow-alpha-rhythmic microstates were associated with unawareness, whereas the probability for the occurrence and duration of fast-alpha-rhythmic microstates were associated with consciousness. In conclusion, resting EEG has a potential value in revealing NCC. This work may have implications for clinical care and medical-legal decisions in patients with disorders of consciousness.     

The Purpose-in-Life Scale (PILS): internal consistency reliability,concurrent validity and construct validity among Catholic priests in Italy

ABSTRACT

The Purpose in Life Scale was designed to provide a 12-item unidimensional measure of purpose in life employing a five-point Likert rating for each item. The present study supports the psychometric properties of the Italian translation of this instrument among 155 Catholic priests (mean age?=?46 years, SD?=?12.16). Internal consistency reliability generated an alpha coefficient of .90. The first factor generated by principal component analysis accounted for 49.5% of variance. Concurrent validity against the Purpose in Life Test was supported by a correlation of .63. Construct validity was supported by a correlation of .54 with the Satisfaction in Ministry Scale and by a correlation of ?.51 with the Scale of Emotional Exhaustion in Ministry. These properties commend the scale for future use among Catholic priests.