A personal reaction to freud's paper ‘on beginning the treatment’

Abstract

Sometimes, when reading Freud, I imagine I hear the sound of far-off warning bells tolling their alarm somewhere deep in my mind. I feel as if I am experiencing a great sense of danger, as if I am a child being led by the hand into a confusing, directionless, murky wood by an adult who appears to know the way, yet whom I do not quite trust to keep hold of my hand. It is as if, although I read the decrepit, over-grown sign at the edge as we advanced under the eaves: proceed with caution: at risk of losing touch with reality, I was hurried quickly past by the firm grip of the Omnipotent Adult who plunged straight in, and whose knowledge I do not altogether credit. So, for me, reading some of Freud's papers has a distinctly nightmarish quality, an atmosphere of being slightly out-of-control, an unnerving feeling of being in severe danger of being sucked in.     

Exploring sudden gains in behavioral activation therapy for Major Depressive Disorder

Understanding the onset and course of sudden gains in treatment provides clinical information to the patient and clinician, and encourages clinicians to strive for these sudden clinical gains with their patients. This study characterizes the occurrence of sudden gains with Behavioral Activation (BA; Martell, Addis, & Jacobson, 2001), and the extent to which pre-treatment dysfunctional depressive thinking predicts sudden gains during treatment. We enrolled a sample of adults (n = 42) between ages 18-65 diagnosed with primary Major Depressive Disorder. All participants completed a 16-week course of BA, with clinical and self-report assessments at pre-, mid- and post-treatment. Results indicated that sudden gain and non-sudden gain participants showed differential improvement across treatment. No significant effects emerged for the dysfunctional cognitive style as a predictor of sudden gain status. Sudden gains may result from interaction of non-specific factors with the BA techniques implemented during early phases of therapy.     

Is priming during anesthesia unconscious?

General anesthesia provides an alternative to typical laboratory paradigms for investigating implicit learning. We assess the evidence that a simple type of learning--priming--can occur without consciousness. Although priming has been shown to be a small but persistent phenomenon in surgical patients (Merikle & Daneman, 1996) there is reason to question whether it occurs implicitly due to problems in detecting awareness using typical clinical signs. This paper reviews the published studies on priming during anesthesia that have included a measure of awareness or of anesthetic depth. We conclude that perceptual priming, but not conceptual priming, takes place in the absence of conscious awareness.     

Reconstructing the Sacred: Evolving Conceptualizations of Religious Faith in Psychoanalytic Theory and Practice

Freud's original understanding of religion was categorically depreciative, and tended to portray religious faith in exclusively western and patriarchal terms (S. Freud, 1913/1989, 1927/1989). More recently, many of Freud's assertions about religion have been questioned. The psychoanalytic contributions of W. D. Fairbairn (1954), and D. W. Winnicott (1971) as well as the work of feminist scholars (N. Chodorow, 1974, 1989; C. Gilligan, 1993) and multicultural theorists (A. Roland, 1996) have profoundly shaken the metapsychological substructure upon which Freud rested his critique of spiritual faith. This paper describes how a gradual historical evolution has occurred in psychoanalytic theory, so that the work of such theorists as A. M. Rizutto (1979), M. H. Spero (1992), and H. Kohut (1984, 1985) now delineates the adaptive and creative place that religious experience can have in human development and psychological life.     

Child Behavior Problems Related to Inconsistency and Average Negativity in Mother–Child Conflict Characteristics: The Mediating Role of Parenting Stress

Journal of Child and Family Studies - We examined the mediating effect of parenting stress on the association between children’s internalizing and externalizing behaviors and mothers’...