Book Reviews

Abstract

There are many brief, demanding, aborted cases that no one ever writes about. The typical psychoanalyst or psychoanalytic psychotherapist, however, has many outpatient cases that are shortlived, intense encounters with very disturbed patients. Rather than ignore these encounters as non-analytic or non-instructive, I think these cases add to our knowledge about the mind and its functions. In addition, it is unrealistic to think we can always help a very anxious and disturbed person to enter the treatment process with immediate success. It is more instructive to apply the analytic method and offer the patient what we can and have both analyst and patient learn as much as they can in the time they are able to stay together. Using case material, I show the Kleinian approach to working analytically with these difficult patients. Whether focusing on transference or extra-transference material, the analyst interprets the patient's internal phantasies and anxieties regarding the self and the self's important objects. This analytic stance tends to relieve the immediate anxiety and set the stage for potential self-reflection and the start of basic working-through processes.     

Jewish Identity and the Secular Achievements of American Jewish Men and Women

Three questions are addressed concerning the relationship of Jewish identity to secular achievements. Are the secular achievements of American Jews related at all to the strength of their Jewish identity? Which has a stronger relationship to secular achievement, a religious or an ethnic Jewish identity? Do communal aspects or private, personal aspects of Jewish identity have the stronger relationship to secular achievements? Using the 2000–2001 National Jewish Population Survey, we find that educational attainment, labor force participation, and occupational achievements are related to several expressions of Jewish identity, even after controlling for the traditional sources of variation (age, gender, education, family status). Jewish identity, as expressed in terms of religion, ethnicity, communal commitment, and private attitudes and practices, is related to contemporary Jewish secular achievement, albeit differently for men and women.     

Executive Function Among Preschool Children: Unitary Versus Distinct Abilities

Working memory (WM) and inhibitory control (IC) are considered related but separable executive functions (EFs) among adults and adolescents. Although available evidence suggests that these constructs have not diverged, especially among younger preschool children, questions remain regarding the age at which separable factors emerge.This study used confirmatory factor analysis to test a 2-factor model of EF among 289 preschool children whose ages ranged from 45 to 63 months (M?=?55.74, SD?=?7.56). As hypothesized, the model including separate but related factors provided a significantly better fit than a unitary model, indicating the presence of distinct WM and IC factors. Based on evidence that WM and IC measured during preschool relate differently to a variety of academic and behavioral outcomes, it was hypothesized that a model including separate factors for each EF would fit the observed data better than a single-factor model. Although the two-factor model provided the best fit for the full sample, the correlation between WM and IC factors was significantly higher for younger (??=?.95) than older (??=?.68) children, indicating increasing divergence as a function of age.     

Developing a Model of Advanced Training to Promote Career Advancement for Certified Genetic Counselors: An Investigation of Expanded Skills,Advanced Training Paths,and Professional Opportunities

There are currently multiple paths through which genetic counselors can acquire advanced knowledge and skills. However, outside of continuing education opportunities, there are few formal training programs designed specifically for the advanced training of genetic counselors. In the genetic counseling profession, there is currently considerable debate about the paths that should be available to attain advanced skills, as well as the skills that might be needed for practice in the future. The Association of Genetic Counseling Program Directors (AGCPD) convened a national committee, the Committee on Advanced Training for Certified Genetic Counselors (CATCGC), to investigate varied paths to post-master’s training and career development. The committee began its work by developing three related grids that view career advancement from the viewpoints of the skills needed to advance (skills), ways to obtain these skills (paths), and existing genetic counselor positions that offer career change or advancement (positions). Here we describe previous work related to genetic counselor career advancement, the charge of the CATCGC, our preliminary work in developing a model through which to view genetic counselor advanced training and career advancement opportunities, and our next steps in further developing and disseminating the model.     

Amelioration of infant sleep disturbances: II. Effects of scheduled awakenings by compliant parents

Twelve infants and toddlers who exhibited spontaneous awakening and crying episodes during the night were subjected to scheduled awakenings by their parents. Scheduled awakenings were determined from individual baseline data, and these consisted of awakening, feeding, and consoling the child about 15 to 30 minutes before typical spontaneous awakening times. Once spontaneous awakenings were precluded, scheduled awakenings by the parents were faded out and posttreatment data were collected. The technique appeared effective for most children when the parents complied with the procedure.     

On developing a clinical sense of self

It was Donald Winnicott who first described the mutual impact of mother and infant on each one's developing sense of self. It is my experience that something of the same occurs in the patient-clinician relationship. As the patient's sense of self evolves in the therapeutic relationship, the therapist's professional sense of self also develops in the context of this relationship. Herein, I describe a case in which I both assessed and treated a patient and recognized later the deep impact the experience had on my professional sense of self.     

Marital-Status and Sex Differences in Problems Reported by Married and Cohabiting Couples

Fifty married and 50 unmarried, cohabiting couples were asked to describe four problems which occurred in their relationshipproblems in which one partner was unhappy about the other's behavior, or in which the two of them disagreed about joint decisions. DesDite overall similarity of the kinds of problems reDorted by married and cohabiting- roiinles. marriea women were particularlv likely to complain that their nusDands did not give them sutticient attention. Husbands were especially unlikely to mention tnat their wives were too independent. After specirying two alternative behaviors for each partner in the problum situation, couples rated their degree of satisfaction with each of the four resulting behavioral combinations. Wives rated themselves as more unhappy when their problem arose than cohabiting partners rated themselves, and husbands were least unhappy. Wives' overall satisfaction was affected by their problem situation most of all, husbands' least of all, and cohabitors' satisfaction to an intermediate degree. Results were discussed with reference to the greater advantage that husbands derive from marriage than wives.     

‘It's a boy because he's painting a picture’: Age differences in children's conventional and unconventional gender schemas

Two studies investigated the development of children's gender knowledge using a procedure designed to tap into children's unconventional gender beliefs. Study 1 revealed a developmental progression with 34 3‐ to 4‐year‐old children providing more unconventional reasons than conventional reasons to explain the gender of a series of drawings. By contrast, 39 5‐ to 6‐year‐old and 42 7‐ to 8‐year‐old children provided more conventional than unconventional reasons. Study 2 found that a second sample of 42 3‐ to 4‐year‐old children mastered a close‐ended assessment of gender stereotyping, while they relied on unconventional and conventional reasoning equally when explaining the gender of a series of drawings displaying conventional cues only. This research supports the model that children's conventional gender schemas do not develop before their unconventional gender schemas.