The Risks of Therapist Passivity and the Potentials of Constructivist Influence

Francesca Colzani’s rich report of her sensitive work with Elisa highlights the therapist’s struggle with the issue of the exercise of power and authority bearing on the patient’s choices. It is suggested that sometimes the analyst poses her dilemma in dichotomous terms, choosing, in effect, between coercion and passivity. Also, it is argued that moral choices can be obscured by a turn to medicalization, diagnosis and treatment, of the patient’s “condition.” An alternative is proposed in which the analyst may offer constructive suggestions imbued with her subjectivity—her experience of conflict and uncertainty—leaving Elisa room for the exercise of her own responsible agency. In finding her own voice, the analyst may awaken selves or aspects of self of the patient that might otherwise remain dormant, potentially to her detriment. An example of an interpretation of projective identification, with self-disclosure on the analyst’s part, is proposed that might encourage collaborative reflection on a seemingly dissociative dimension of Elisa’s way of being and relating.     

What Good is a Feminist Identity?: Women’s Feminist Identification and Role Expectations for Intimate and Sexual Relationships

Women’s feminist identification is associated with a growing list of favorable outcomes, predicting that these correlations will extend to egalitarian and assertive role expectations for committed and sexual partnerships, respectively. Surveying 165 undergraduate US women, nonfeminist passive acceptance was linked to low egalitarian expectations overall and across all seven subscales of the marriage role expectation inventory. It also was related to depressed sexual assertiveness overall and specifically in initiating sexual encounters and engaging in safe sexual practices. These negative associations were nonsignificant or positive for women with stronger feminist identification. When endorsement of passive acceptance was controlled for, the positive correlation between egalitarian and assertive expectations fell to nonsignificance, consistent with regarding nonfeminist attitudes as a confounded third common factor.     

Sleep and Immunity: Cytokine Pathways Linking Sleep and Health Outcomes

ABSTRACT— The functions of sleep are enigmatic but are beginning to be delineated. Sleep has been long thought to be important for health, and poor sleep is prospectively associated with worsened health outcomes. Yet the mechanisms accounting for this are only partially understood. In this review, we suggest that the immune system plays a role in the relationship between sleep and health and that sleep processes and immunity show bidirectional interactions, as evidenced in both animal and human studies. Immunological signaling molecules, termed cytokines, are important in coordinating brain–immune system communication, and particular cytokines such as tumor necrosis factor, interleukin-1, and interleukin-6 play a crucial role in sleep regulation. Elevated levels of these cytokines are also associated with a number of chronic diseases and may provide a pathway linking poor sleep with health outcomes.     

The neurobiology of addiction: implications for voluntary control of behavior

There continues to be a debate on whether addiction is best understood as a brain disease or a moral condition. This debate, which may influence both the stigma attached to addiction and access to treatment, is often motivated by the question of whether and to what extent we can justly hold addicted individuals responsible for their actions. In fact, there is substantial evidence for a disease model, but the disease model per se does not resolve the question of voluntary control. Recent research at the intersection of neuroscience and psychology suggests that addicted individuals have substantial impairments in cognitive control of behavior, but this "loss of control" is not complete or simple. Possible mechanisms and implications are briefly reviewed.     

Social-Evaluative Threat and Proinflammatory Cytokine Regulation: An Experimental Laboratory Investigation

ABSTRACT— This study experimentally tested whether a stressor characterized by social-evaluative threat (SET), a context in which the self can be judged negatively by others, would elicit increases in proinflammatory cytokine activity and alter the regulation of this response. This hypothesis was derived in part from research on immunological responses to social threat in nonhuman animals. Healthy female participants were assigned to perform a speech and a math task in the presence or absence of an evaluative audience (SET or non-SET, respectively). As hypothesized, stimulated production of the proinflammatory cytokine tumor necrosis factor-α (TNF-α) increased from baseline to poststressor in the SET condition, but was unchanged in the non-SET condition. Further, the increases in TNF-α production correlated with participants' cognitive appraisals of being evaluated. Additionally, the ability of glucocorticoids to shut down the inflammatory response was decreased in the SET condition. These findings underscore the importance of social evaluation as a threat capable of eliciting proinflammatory cytokine activity and altering its regulation.     

Visual direction constancy across eyeblinks

When a visual target is displaced during a saccade, the perception of its displacement is suppressed. Its movement can usually only be detected if the displacement is quite large. This suppression can be eliminated by introducing a short blank period after the saccade and before the target reappears in a new location. This has been termed the blanking effect and has been attributed to the use of otherwise ignored extraretinal information. We examined whether similar effects occur with eyeblinks and other visual distractions. We found that suppression of displacement perception can also occur due to a blink (both immediately prior to the blink and during the blink), and that introducing a blank period after a blink reduces the displacement suppression in much the same way as after a saccade. The blanking effect does not occur when other visual distractions are used. This provides further support for the conclusion that the blanking effect arises from extraretinal signals about eye position.     

Are Oppositional-Defiant and Hyperactive–Inattentive Symptoms Developmental Precursors to Conduct Problems in Late Childhood?: Genetic and Environmental Links

Inattentive–hyperactive and oppositional behavior have been hypothesized to be developmental precursors to conduct problems. We tested these hypotheses using a longitudinal sample of 6,466 offspring of women selected from nationally representative US households. Conduct problems across 8–13 years were robustly predicted by conduct problems at 4–7 years, but also were independently predicted to a small extent by both inattentive–hyperactive and oppositional behaviors at 4–7 years. Longitudinal multivariate behavior genetic analyses revealed that the genetic and environmental factors that influence conduct problems at both 4–7 and 8–13 years also influence the putative precursors at 4–7 years. After genetic and environmental influences on conduct problems at 4–7 years were taken into account, however, inattentive–hyperactive and oppositional behavior at 4–7 years shared causal influences with conduct problems 8–13 years to a negligible extent. These findings suggest that after early conduct problems are controlled, little is gained in terms of prediction or understanding genetic and environmental influences on later child conduct problems by treating early inattentive–hyperactive and oppositional behavior as developmental precursors to later conduct problems.     

测试特异人娜达莎

娜达莎的特异功能美国探索频道(Discovery Channel)导演和制片莫尼卡·盖塞(Monica Garnsey),做了一期电视节目——“一个具有X射线眼的女孩”。为了这个电视片,她向CSICOP的理查德·怀斯曼(RichardWiseman),安德鲁·斯库尔尼克(Andrew Skolnick)和我提出,希望对自称能“阅读”(透视)人们身体内部器官的一个17岁的俄罗斯女孩——娜达莎·戴金娜(Natasha Demkina)进行相关的测试,来检验她的声称是否确实。据了解最近世界很多地方流传,一个17岁俄罗斯女孩娜达莎有一双能够透视的X射线眼,可以看到人体内部。她10岁的时候,做了一个修道…