‘Tied together feelings’ Group psychotherapy with latency children: the process of forming a cohesive group

In this paper we describe our experience of running a psychoanalytic psychotherapy group for six children, ranging in age from 4-8 years old. The group ran for a year, with sessions held weekly for an hour. The rationale for group work, selection criteria and the treatment setting are discussed. The paper charts the evolution within the children of the concept of an internal 'work group' (Bion, 1961), as opposed to a 'gang', as their self-awareness and capacity to relate to each other improved. This reflected a corresponding shift in their relationship to the two group leaders, moving from their initial perception of us as neglectful and in conflict with each other, towards recognizing us as a therapist couple who could work together thoughtfully for their benefit. The children's relationship to the group leaders, representing a 'parental couple' in the transference, was the focus of much of the work group. The positive outcomes for most of the children, resulting from this treatment, are reported.     

The role of attentional breadth in perceptual change detection

Previous research has shown that changes to scenes are often surprisingly hard to detect. The research reported here investigated the relationship between individual differences in attention and change detection. We did this by assessing participantś breadth of attention in a functional field of view task (FFOV) and relating this measure to the speed with which individuals detected changes in scenes. We also examined how the salience, meaningfulness, and eccentricity of the scene changes affected perceptual change performance. In order to broaden the range of individual differences in attentional breadth, both young and old adults participated in the study. A strong negative relationship was obtained between attentional breadth and the latency with which perceptual changes were detected; observers with broader attentional windows detected changes faster. Salience and eccentricity had large effects on change detection, but meaning aided the performance of young adults only and only when changes also had low salience.     

Psychosocial Factors and HIV Prevention for Gay,Bisexual, and Other Men Who Have Sex with Men

We are more than 30 years into the HIV epidemic, and, although we have made many important scientific advances, there remains much to understand and implement to prevent new infections. The science of HIV prevention, although interdisciplinary, has relied heavily on psychological theories and research methods to address many key questions. In this paper, we briefly review some historical and epidemiologic considerations about the U.S. HIV epidemic and then present some key psychological concepts from HIV prevention. We make the case for continuing to focus efforts on gay, bisexual, and other men who have sex with men, who represent the sociocultural group with the highest incidence and prevalence of HIV in the domestic epidemic. We present a summary of the research support for, and limitations of, the three major psychosocial models that predict HIV risk behaviors – the information–motivation–behavioral skills model, the minority stress model, and the syndemics framework. We discuss the use of these models in the development and testing of HIV prevention interventions and end by highlighting a few novel research areas, including bio‐behavioral approaches.     

The interrater reliability of DSM III in children

A total of 195 admissions to a child psychiatric inpatient unit were diagosed independently by two to four clinicians on the basis of case presentations at the first wardround after admission. The DSM HI as a whole and the major categories were of high or acceptable reliability, though a few were clearly unreliable. The results are generally consistent with other studies. Unlike other studies, the subcategories were examined and found to vary widely in reliability both as a whole across the system and within parent major categories, throwing considerable doubt upon their utility. The results indicate the need both for improved diagnostic datagathering techniques in child psychiatry and for more betterdesigned studies of reliability and, most necessarily, of validity.     

Spitting,kicking and stripping: technical difficulties encountered in the treatment of deprived children

The technical difficulties posed for the child psychotherapist working with children who have themselves experienced violence and abuse are addressed. A distinction is drawn between violence in the service of communicating about such experiences and violence that arises from more perverse aspects of the patient. The therapist's need to pay close attention to his counter-transference is emphasized. From an example of a single session we see the therapist's struggle to receive the communicative aspects of extreme acting-out behaviour at the same time as creating a safe setting in which thinking can take place.     

Mental curve tracing with elementary stimuli

It has been proposed that certain spatial relations are determined by an operation, or "visual routine," that can trace along a boundary (Ullman, 1984). This proposal was supported by Jolicoeur, Ullman, and Mackay's (1986) finding that the time required to determine if two Xs are on the same curve increased monotonically with the separation of the Xs along that curve. In the present study the generality of the curve tracing hypothesis was explored across four experiments by using elementary stimuli that eliminated interweaving curves, displaced the fixation point away from the curves and target Xs, and provided a simple alternative to curve tracing--namely, determining whether or not the Xs fell on the same side of the figure. Stimuli consisted of two curves (150 degrees arcs) and two Xs, and each stimulus was presented for 150 ms. In Experiments 1 and 2, subjects were instructed to decide as quickly as possible if the two Xs fell on the same curve or on different curves. Even for these elementary stimuli, mean reaction time (RT) for same trials increased monotonically with the distance separating the Xs. Mean RT for different trials, however, decreased with the distance separating the Xs. In Experiments 3 and 4 alternatives to curve tracing were tested. For same trials the evidence strongly favored curve tracing. However, different trials were apparently solved on the basis of judgmental processes presumably operating in parallel with curve tracing. Curve tracing rates fluctuated across experiments and seemed to be partially governed by the width of the "pathway" provided for the trace.