Transitional phenomena, projective identification, and the essential ambiguity of the psychoanalytic situation

Ambiguity, which is an intrinsic and essential aspect of the psychoanalytic situation, is related to the concepts of transitional phenomena and projective identification. The analyst's feelings of uncertainty that accompany this ambiguity are contrasted with a "pathological certainty." The consequences of the loss of ambiguity and the role of the analyst's countertransference in this process are described.     

Uses and limitations of Kohut's self psychology in the treatment of borderline patients

The treatment of borderline patients provides a setting in which the analyst can evaluate the clinical usefulness of Kohut's theories. The issues that arise in this treatment can also highlight aspects of Kohut's theories that are incomplete and require other theoretical models in order to understand the patient optimally.     

An exploratory study of planning, attention, simultaneous, and successive cognitive processes

Although there has been a considerable amount of research on simultaneous and successive processing (Luria's second functional unit) by Das and others, there have been relatively few investigations into the measurement of attention and planning (the first and third functional units, respectively). The purpose of this investigation was to examine the factorial validity of tasks designed to measure cognitive processing in each of Luria's three functional units. A sample of 112 normal fourth- and fifth-grade students were administered nine experimental tasks chosen or developed according to the theoretical components of planning, attention, simultaneous, and successive processes. Principal factor analyses (orthogonal and oblique) with rotation of four factors resulted in solutions that closely matched the anticipated groupings based on a structural analysis of the tasks. General support for the feasibility of measurement of Luria's cognitive processing model, and the need to further develop and refine these and other experimental tasks, was obtained.     

Toward the more efficient use of assessment center technology in personnel selection

Empirical research has consistently supported the validity and business utility of the assessment center method as a selection instrument. Nonetheless, the method as typically applied may be unnecessarily costly and inflexible. This paper begins by describing how the model for assessment center design that is widely used today came to be accepted as a standard. Then modifications in design and operation are discussed. These suggested modifications are intended to enhance the utility and flexibility of assessment centers, while at the same time maintaining, or even increasing, the validity of the process.Seymour Adler is Associate Professor of Applied Psychology at Stevens Institute of Technology, Hoboken, New Jersey, and Vice President of Assessment Systems Incorporated, a New York-based consulting firm.     

Are the times changing? An analysis of gender differences in sexual graffiti

This study examined the assumption that the gender gap has narrowed over time in the writing of sexual graffiti from male and female bathrooms of five colleges and universities in 1972 and 1984. In both studies, female graffiti, in relation to male graffiti, made fewer sexual references. In addition, female graffiti were more socially acceptable in regard to langauge and content. Overall, these results suggest that the decade of the 1970s may have had little or no impact on the pattern of gender differences in the sexual content and social acceptability of wall writings.An earlier version of this paper was presented at the annual meeting of the Society for the Study of Social Problems, August 26, 1985.     

TESTICULAR SELF-EXAMINATION: VALIDATION OF A TRAINING STRATEGY FOR EARLY CANCER DETECTION

Testicular self-examination (TSE) can lead to early diagnosis and treatment of testicular cancer, the third leading cause of death in young men. We evaluated the effectiveness of a brief and specific checklist for teaching TSE skills. Ten men were videotaped while performing testicular self-examinations before and after training. The TSE training resulted in large and significant increases in the number of TSE steps completed and duration of the TSE. Two urological validation measures supported the improvements observed in the mens' self-examinations. Subjects reported continued performance of TSE during a follow-up telephone interview. This pilot study indicates that a brief and specific checklist is an effective strategy for teaching early cancer detection skills.     

Voice onset time in aphasia: Thai II. Production

The aim of this study was to investigate voice onset time (VOT) production in homorganic word-initial stops in Thai in order to explore the nature of speech production deficits across clinical varieties of aphasia. Thai exhibits a three-category distinction in bilabial (/b,p,ph/) and alveolar (/d,t,t,h/) stops, and a two-category distinction in velar (/k,kh/) stops. Subjects included three Broca asphasics, one transcortical motor asphasic, two global asphasics, one conduction aphasic, one Wernicke aphasic, one nonaphasic dysarthric patient, one right-brain-damaged patient, and five normal controls. Test stimuli consisted of eight monosyllabic real words. The results of VOT measurements indicated that Broca and global asphasics exhibited a more severe production disorder than Wernicke, conduction, or transcortical motor asphasics. The right-brain-damaged patient showed no impairment in VOT production. Comparisons are drawn to earlier studies of VOT production in aphasia in two-category languages. Issues concerning the underlying basis of the production deficit for nonfluent aphasics, fluent aphasics, and nonaphasic dysarthrics as well as the relation between perception and production of VOT are discussed.     

Psychopathology in anxiety disorders

Complaints of anxiety, often meetingDiagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III), criteria for anxiety disorder, are among the most common problems presenting to health practitioners. In spite of the frequency of anxiety and anxiety disorders, little is known about the basic psychopathology of these conditions that would lead to the development of more efficient and effective treatments and possible preventive efforts. Recently, there has been an increase in research on the psychopathology of anxiety disorders from biological, psychological, and social perspectives. The National Institute of Mental Health's Clinical Research Branch sponsored a 2-day workshop of investigators representing diverse research approaches to discuss emerging issues and research practices within the anxiety disorders. Discussions centered on a review of the general areas of classification, phenomenology, and etiology. A selective summary of this workshop is presented along with recommendations for specific research directions.