The prevalence of stalking of psychological therapists working in primary care by current or former clients

The prevalence of being a victim of harassment or stalking among the general population of the UK is held to be 11.8 per cent. There has been speculation that the prevalence rate would be higher for psychological therapists, as they could be at risk from their own clients. This study analysed the prevalence of job‐related experiences of harassment or stalking in a postal survey of psychological therapists who worked in primary care. The results showed a prevalence rate of more than twice the national average at 24 per cent. The stalkers, who were equally male or female, fell into three broad categories: those clients who were needy and made early attachments to their therapists; those experiencing erotic transference; and those with personality disorders. The implications of these findings for training and practice are discussed.     

Overshadowing of a stimulus-reinforcer association by an instrumental response

In two experiments, rats were first exposed to pairings of a clicker and food; they were subsequently, in order to measure the effectiveness of the clicker as a conditioned reinforcer, given the opportunity to press a lever which turned the clicker on. For one group of animals the food originally delivered in the presence of the clicker had been contingent on their performance of an instrumental response (running in a running wheel); for a second the contingency between clicker and food had been purely classical. Although the actual correlation between clicker and food was identical for the two groups, the clicker was a less effective conditioned reinforcer for the first group than for the second. In a third experiment, all animals were initially required to run to obtain food in the presence of the clicker, but one group received additional trials on which food was delivered contingent on running in the absence of the clicker. This group showed less tendency to lever press for the clicker than a second group that had received free food on trials when the clicker was not presented. The results of all three experiments suggest that conditioning to the clicker could be overshadowed if the occurrence of food was more reliably predicted by the execution of an instrumental running response; they thus support the view that instrumental conditioning depends on the establishment of an association between response and reinforcer similar to the association between stimulus and reinforcer underlying classical conditioning.     

Don’t tell me I’m normal: inpatient psychotherapy of a severely abused patient at the Cassel Hospital

This paper is a case study of a patient with severe personality disorder undergoing treatment at the Cassel Hospital. It looks at a phase of her individual psychoanalytic psychotherapy and how that sits within an institutional model of treatment that can be understood as applied psychoanalysis, in which Tom Main’s concept of a ‘culture of enquiry’ aims to observe and bring together splitting and projective processes operating at all levels of the organisation. The patient, who had been sexually abused and then suffered a prolonged suicidal breakdown, exerted intense pressure on the institution through her experience of herself as both a victim of abuse and a participant in it. A working through is described, in which different parts of the patient that had been projected into different parts of the institution are brought together, and her primitive demand for a two-person world gives way to an acceptance of triangulation. Themes from her individual sessions are enacted in the milieu-based treatment, and conversely struggles in the patient community appear in her sessions. It is from drawing these parts of the patient together as a whole institution that the treatment derives its power and effectiveness.     

Negative mood disrupts self- and reward-biases in perceptual matching

There are established effects of self- and reward-biases even on simple perceptual matching tasks [Sui, J., He, X., &; Humphreys, G. W. (2012). Perceptual effects of social salience: Evidence from self-prioritization effects on perceptual matching. Journal of Experimental Psychology, Human Perception and Performance, 38, 1105–1117]; however we know little about whether these biases can be modulated by particular interventions, and whether the biases then change in the same way. Here we assessed how the biases alter under conditions designed to induce negative mood. We had participants read a list of self-related negative or neutral mood statements [Velten, E. (1968). A laboratory task for induction of mood states. Behavior Research and Therapy, 6, 473–482] and also listen for 10?min to a passage of negative or neutral music, prior to carrying out perceptual matching with shapes associated to personal labels (self or stranger) or reward (£12 or £1). Responses to the self- and high-reward-associated shapes were selectively slower and less sensitive (d′) following the negative mood induction procedures, and the decrease in mood correlated with decreases in the reaction time bias across “high saliency” (self and high-reward) stimuli. We suggest that negative mood may decrease self- and reward-biases through reducing attention to salient external stimuli.     

Feature confirmation in object perception: Feature integration theory 26 years on from the Treisman Bartlett lecture

The Treisman Bartlett lecture, reported in the Quarterly Journal of Experimental Psychology in 1988, provided a major overview of the feature integration theory of attention. This has continued to be a dominant account of human visual attention to this day. The current paper provides a summary of the work reported in the lecture and an update on critical aspects of the theory as applied to visual object perception. The paper highlights the emergence of findings that pose significant challenges to the theory and which suggest that revisions are required that allow for (a) several rather than a single form of feature integration, (b) some forms of feature integration to operate preattentively, (c) stored knowledge about single objects and interactions between objects to modulate perceptual integration, (d) the application of feature-based inhibition to object files where visual features are specified, which generates feature-based spreading suppression and scene segmentation, and (e) a role for attention in feature confirmation rather than feature integration in visual selection. A feature confirmation account of attention in object perception is outlined.     

What makes counsellors working in primary care distinct from counsellors working in other settings?

Counselling in primary care can be considered a fast-evolving profession that is distinct from counselling in the private sector. There are specific differences in the way the counsellors work, vis-a-vis predominantly using time-limited approaches and counsellors tending to adapt their styles to working in more focused ways. The differences over confidentiality ethics and working hours encountered in primary care are discussed in the light of current guidelines. Additional roles within the primary care setting, referrals from the GP and attrition are also discussed and the distinctiveness of primary care counselling against working in more traditional settings is highlighted.     

In‐group relevance facilitates learning across existing and new associations

Studies have shown that attention prioritizes stimuli associated with the in‐group. However, the extent to which this so‐called in‐group favoritism is driven by relevance is not clear. Here, we investigated this issue in a group of university rowers using a novel perceptual matching task based on the team label–color associations. Across three experiments, participants showed enhanced performance for the in‐group stimulus regardless of its familiarity level. These findings confirmed the role of relevance in in‐group favoritism. In a further control study, the advantage for certain stimuli was not found in an independent sample of participants who were not identified with the teams but were familiar with the label–color associations, indicating that in‐group relevance was necessary for the in‐group favoritism. Together, these findings suggest that in‐group relevance facilitates learning across existing and new associations. The consequences of these findings for understanding in‐group effects on perceptual processing are discussed.     

Perceptual organization without perception. The subliminal learning of global contour

A critical step in visual perceptual processing is integrating local visual elements into contours so that shapes can be derived from them. It is often assumed that contour integration may reflect hardwired coding of low-level visual features. In this study, we present novel evidence indicating that integration of local elements into contours can be learned subliminally, despite being irrelevant to the training task and despite the local properties of the display varying randomly during training. Learning occurred only when contours were consistently paired with task-relevant targets--echoing the findings of previous studies on subliminal learning of low-level features. Our data indicate that task-irrelevant, exposure-based learning extends beyond local low-level visual features and may play a critical role at multiple levels of visual perceptual organization.     

Automatic guidance of attention from working memory

Recent research has shown interactions between the process of keeping information 'online' in working memory, and the processes that select relevant information for a response. In particular, our ability to select stimuli in the environment can be modulated by whether the stimuli match the current contents of working memory. Guidance of selection from working memory occurs automatically, even when it is detrimental to performance. Neurophysiological data, from functional brain imaging, indicate that the interaction between working memory and attention is based on neuronal mechanisms distinct from the processes mediating 'bottom-up' priming effects from implicit memory. We discuss the importance of 'top-down' influences from working memory on the 'early' deployment of attention and on the processes that gate visual information into awareness.