A Clinical Application of the Training Model

This article offers a perspective and a summary of Jack Danielian's (2010) Horneyan training model, highlighting the benefits of a meta-psychological approach for analysts in training and seasoned practitioners alike. To help illustrate the complexity of Karen Horney's views of character structure and character pathology, this article presents a model that reflects the dynamic tensions at play within individuals with narcissistic issues. It suggests that therapeutic listening can be tracked and that thematic material unfolds in a somewhat predictable, sequential, yet altogether systemic manner. Listening is not just art or intuition, nor is it merely interpretation of content based on a theoretical framework. It represents a way of holding the dialectic tension between conscious and unconscious, syntonic and dystonic. If we can better track these dynamic tensions, we can better anticipate and hopefully avoid clinical ruptures through the acting out of negative transference.     

Memory specificity as a risk factor for suicidality in non-affective psychosis: The ability to recall specific autobiographical memories is related to greater suicidality

A difficulty in recalling specific autobiographical memories has been noted as a risk factor for suicidal behaviour. However, the relationship between memory specificity and suicide has not previously been investigated in those with non-affective psychosis. It was predicted that in this group, more specific memory recall would be associated with an increased risk of suicide. This is because such specific memories are likely to be associated with greater levels of distress and negative affect than less specific memories. This prediction contradicts the prevailing belief that lower memory specificity is associated with greater suicidality. Sixty participants with schizophrenia spectrum disorders were recruited, 40 of whom reported past suicide attempts. Analyses showed suicide attempters recalled a greater proportion of specific memories, whilst controlling for trait anxiety and depressive symptoms. These results supported the main hypothesis, and suggest non-specific memory may have adaptive qualities in individuals with psychosis.     

Suicide schemas in non-affective psychosis: An empirical investigation

Suicide is the leading cause of premature death among individuals experiencing psychosis. The risk of suicide is proposed to increase with a greater potential for activation of suicide related schemas. Empirical representations of suicide schemas were compared between individuals experiencing non-affective psychosis, with and without a history of suicidal behaviour. Employing a cross-sectional between-groups comparison design, 84 participants, previously diagnosed with a non-affective psychotic disorder, were recruited from community mental health services. Participants completed a demographic questionnaire and clinical measures of psychopathology. To assess participants’ suicide schemas, a series of direct and indirect cognitive tasks were designed and administered. Pathfinder analysis enabled the construction of empirically derived representations of the groups’ suicide schemas based on responses to the cognitive tasks. The suicide group achieved significantly greater scores on measures of anxiety, depression, hopelessness and suicidality than the non-suicide group, but not on measures indicative of the severity of psychosis. The suicide schema for the suicide group was more elaborate and extensive than for the non-suicide group, even when clinical measures were taken into account. Clinical and theoretical implications are discussed.     

The ad coefficient as a descriptive measure of the within‐group agreement of ratings

The a_d coefficient was developed to measure the within‐group agreement of ratings. The underlying theory as well as the construction of the coefficient are explained. The a_d coefficient ranges from 0 to 1, regardless of the number of scale points, raters, or items. With some limitations the measure of the within‐group agreement of different groups and groups from different studies is directly comparable. For statistical significance testing, the binomial distribution is introduced as a model of the ratings' random distribution given the true score of a group construct. This method enables a decision about essential agreement and not only about a significant difference from 0 or a chosen critical value. The a_d coefficient identifies a single true score within a group. It is not provided for multiple true score settings. The comparison of the a_d coefficient with other agreement indices shows that the new coefficient is in line with their outcomes, but does not result in infinite or inappropriate values.     

Mediators of aggression among young adult offspring of depressed mothers

The current article explores the connection between maternal depression and offspring aggression during the transition to adulthood, expanding the scope of prior research on this topic. Both family-level factors (including parent-child relationship quality and maternal romantic relationship quality) and youth factors (including depression history and social functioning in midadolescence) were tested as potential mediators in a longitudinal community sample of 710 youth at ages 15 and 20. The results suggest that maternal depression confers a risk for higher levels of aggressive behavior by offspring at age 20. Structural equation models suggested that the association between maternal depression and youth aggression is fully mediated by youth history of depression by midadolescence, even when accounting for the stability of aggression between ages 15 and 20. Parent-child relationship quality, youth social functioning, and maternal relationship quality were not unique mediators of this association. Limitations and implications are discussed.     

Autobiographical narratives of deaf and hearing adults: An examination of narrative coherence and the use of internal states

To examine the impact of early linguistic experiences on later verbal report of autobiographical memory, 13 hearing adults and 13 deaf adults born to hearing parents described events that occurred before and after the age of 10 years. The contextual, temporal, and thematic coherence of the narratives was rated. The use of emotional, perceptual, mental, and physiological states was also recorded. There were differences in the coherence of the narratives and use of internal states according to the age at which the events occurred. There were no group differences in coherence, but hearing adults provided longer narratives than deaf adults. When narrative length was controlled, deaf adults included more emotional states than hearing adults. Results suggest that early unavailability of language does not impact the coherence of adults’ narratives, although certain features of linguistic expression specific to ASL may result in greater saturation of emotional states references in autobiographical narratives of deaf adults.     

The onset of childhood amnesia in childhood: A prospective investigation of the course and determinants of forgetting of early-life events

The present research was an examination of the onset of childhood amnesia and how it relates to maternal narrative style, an important determinant of autobiographical memory development. Children and their mothers discussed unique events when the children were 3 years of age. Different subgroups of children were tested for recall of the events at ages 5, 6, 7, 8, and 9 years. At the later session they were interviewed by an experimenter about the events discussed 2 to 6 years previously with their mothers (early-life events). Children aged 5, 6, and 7 remembered 60% or more of the early-life events. In contrast, children aged 8 and 9 years remembered fewer than 40% of the early-life events. Overall maternal narrative style predicted children's contributions to mother–child conversations at age 3 years; it did not have cross-lagged relations to memory for early-life events at ages 5 to 9 years. Maternal deflections of the conversational turn to the child predicted the amount of information children later reported about the early-life events. The findings have implications for our understanding of the onset of childhood amnesia and the achievement of an adult-like distribution of memories in the school years. They highlight the importance of forgetting processes in explanations of the amnesia.     

Boundary Issues in Academia: Student Perceptions of Faculty—Student Boundary Crossings

Boundary crossings in academia are rarely addressed by university policy despite the risk of problematic or unethical faculty—student interactions. This study contributes to an understanding of undergraduate college student perceptions of appropriateness of faculty—student nonsexual interactions by investigating the influence of gender and ethnicity on student judgments of the appropriateness of numerous hypothetical interactions. Overall, students deemed the majority of interactions as inappropriate. Female students judged a number of interactions as more inappropriate than did male students, and with a few exceptions, Mexican American and Anglo American students were similar in their ratings of the appropriateness of faculty—student interactions. These findings suggest that universities need to be proactive in establishing guidelines concerning faculty-student boundary crossings.     

General Belongingness,Workplace Belongingness,and Depressive Symptoms

Research has shown that a strong relationship exists between belongingness and depressive symptoms; however, the contribution of specific types of belongingness remains unknown. Participants (N=369) completed the sense of belonging instrument, psychological sense of organizational membership, and the depression scale of the depression anxiety stress scales. Factor analysis demonstrated that workplace and general belongingness are distinct constructs. When regressed onto depressive symptoms, these belongingness types made independent contributions, together accounting for 45% of variance, with no moderation effects evident. Hence, general belongingness and specific workplace belongingness appear to have strong additive links to depressive symptoms. These results add support to the belongingness hypothesis and sociometer theory and have significant implication for depression prevention and treatment. Copyright © 2012 John Wiley & Sons, Ltd.