American Indian Historical Trauma: Community Perspectives from Two Great Plains Medicine Men

The field of community psychology has long been interested in the relations between how community problems are defined, what interventions are developed in response, and to what degree power is distributed as a result. Tensions around these issues have come to the fore in debates over the influence of historical trauma (HT) in American Indian (AI) communities. After interviewing the two most influential medicine men on a Great Plains reservation to investigate how these tensions were being resolved, we found that both respondents were engaging with their own unique elaboration of HT theory. The first, George, engaged in a therapeutic discourse that reconfigured HT as a recognizable but malleable term that could help to communicate his “spiritual perspective” on distress and the need for healing in the reservation community. The second, Henry, engaged in a nation-building discourse that shifted attention away from past colonial military violence toward ongoing systemic oppression and the need for sociostructural change. These two interviews located HT at the heart of important tensions between globalization and indigeneity while opening the door for constructive but critical reflection within AI communities, as well as dialogue with allied social scientists, to consider how emerging discourses surrounding behavioral health disparities might be helpful for promoting healing and/or sociostructural change.     

Psychological‐Mindedness and American Indian Historical Trauma: Interviews with Service Providers from a Great Plains Reservation

The concept of historical trauma (HT) was developed to explain clinical distress among descendants of Jewish Holocaust survivors and has since been ascribed new meanings to account for suffering in diverse contexts. In American Indian (AI) communities, the concept of AI HT has been tailored and promoted as an expanded notion of trauma that combines psychological injury with historical oppression to causally connect experiences with Euro‐American colonization to contemporary behavioral health disparities. However, rather than clinical formulations emphasizing psychological injury, a focused content analysis of interviews with 23 AI health and human service providers (SPs) on a Great Plains reservation demonstrated strong preferences for socio‐cultural accounts of oppression. Reflective of a local worldview associated with minimal psychological‐mindedness, this study illustrates how cultural assumptions embedded within health discourses like HT can conflict with diverse cultural forms and promote “psychologized” perspectives on suffering that may limit attention to social, economic, and political determinants of health.     

Mood as a resource in dealing with health recommendations: How mood affects information processing and acceptance of quit-smoking messages

Objective: An experimental study tested the effects of positive and negative mood on the processing and acceptance of health recommendations about smoking in an online experiment. It was hypothesised that positive mood would provide smokers with the resources to systematically process self-relevant health recommendations.

Design: One hundred and twenty-seven participants (smokers and non-smokers) read a message in which a quit smoking programme was recommended. Participants were randomly assigned to one of four conditions: positive versus negative mood, and strong versus weak arguments for the recommended action.

Main outcome measures: Systematic message processing was inferred when participants were able to distinguish between high- and low-quality arguments, and by congruence between attitudes and behavioural intentions. Persuasion was measured by participant's attitudes towards smoking and the recommended action, and by their intentions to follow the action recommendation.

Results: As predicted, smokers systematically processed the health message only under positive mood conditions; non-smokers systematically processed the health message only under negative mood conditions. Moreover, smokers’ attitudes towards the health message predicted intentions to quit smoking only under positive mood conditions.

Conclusion: Findings suggest that positive mood may decrease defensive processing of self-relevant health information.     

Emotional expression affects the accuracy of gaze perception

Emotional facial expressions are powerful social cues. Here we investigated how emotional expression affects the interpretation of eye gaze direction. Fifty-two observers judged where faces were looking by moving a slider on a measuring bar to the respective position. The faces displayed either an angry, happy, fearful or a neutral expression and were looking either straight at the observer, or were rotated 2°, 4°, 6° or 8° to the left and right. We found that happy faces were interpreted as directed closer to the observer, while fearful and angry faces were interpreted as directed further away. Judgments were most accurate for neutral faces, followed by happy, angry and fearful faces. These findings are discussed on the background of the “self-referential positivity bias”, suggesting that happy faces are preferably interpreted as directed towards the self while negative emotions are interpreted as directed further away.     

Loudness counts: Interactions between loudness,number magnitude,and space

ATOM (a theory of magnitude) suggests that magnitude information of different formats (numbers, space, and time) is processed within a generalized magnitude network. In this study we investigated whether loudness, as a possible indicator of intensity and magnitude, interacts with the processing of numbers. Small and large numbers, spoken in a quiet and a loud voice, were simultaneously presented to the left and right ear (Experiments 1a and 1b). Participants judged whether the number presented to the left or right ear was louder or larger. Responses were faster when the smaller number was spoken in a quiet voice, and the larger number in a loud voice. Thus, task-irrelevant numerical information influenced the processing of loudness and vice versa. This bi-directional link was also confirmed by classical SNARC paradigms (spatial–numerical association of response codes; Experiments 2a–2c) when participants again judged the magnitude or loudness of separately presented stimuli. In contrast, no loudness–number association was found in a parity judgment task. Regular SNARC effects were found in the magnitude and parity judgment task, but not in the loudness judgment task. Instead, in the latter task, response side was associated with loudness. Possible explanations for these results are discussed.     

Von den Schwierigkeiten, Analytiker zu werden

The results of a study concerning the social situation of students in psychoanalytic training in DPG institutes are presented. The study based on a questionnaire worked out at the meetings of the spokesmen of DPG candidates as a reaction to the changing external conditions. The Psychotherapist Act, the introduction of a new medical specialization and the planning of demand have put a considerable strain on the training conditions and have led to reduced numbers of applicants also because more and more competing, low cost training courses for psychotherapy have come onto the market. Data are presented concerning age, gender, marital status of students, beginning and termination of training, original profession of students, means of funding, frequency and costs of training analysis and supervision, as well as monthly income and expenses. The findings show for example that students nowadays are considerably older than they used to be (see Pohl 1974 and Pollmann 1985), the number of men in training decreased as well as the number of physicians while the number of women and psychologists increased. The frequency and the expenses for training analysis strongly increased while the income decreased. Many students therefore can no longer fund their training by their current income. In addition the assumption is confirmed that psychoanalytic training takes considerably longer than required by the law. As a consequence it seems necessary to reduce costs and duration of training in order to keep psychoanalytic training competitive and practicable for applicants. Therefore it is proposed by the authors to give credit for theory acquired elsewhere, to start treating patients at earlier stages of training, to allow group supervision on a larger scale and to bring the costs for training analysis and supervision in line with the rates paid by the health insurance companies in order to keep costs manageable. Other means of support, such as scholarships or reasonable loans are discussed. It is proposed to promote and further use the innovative and creative potential of candidates at an early stage to prompt research and development of psychoanalysis. It is imperative to promote psychoanalysis in the public so that it can defend its place in society and make its contribution to public health.     

Some thoughts on empathy and countertransference

Two aspects of countertransference-namely, the countertransference reaction and empathic understanding-must be distinguished. The term countertransference should be reserved exclusively for the conscious reactions of the analyst emerging from the preconscious by virtue of the patient's current transferences; the term empathy should be used to denote a perspective whereby the analyst employs current countertransference reactions for an understanding of the patient's inner life.