On countertransference enactments

This communication focuses on the relation of countertransference to psychoanalytic technique, calling attention not to the more obvious forms of countertransference that have been commented on by previous writers on the subject, but to its subtler ones. Often well camouflaged within the framework of traditional, time-tested techniques, this aspect of countertransference may attach itself to our way of listening and thinking about patients, to our efforts at interpretation, to the process of working through, or to the complex issue of termination. Less recognizable than its more boisterous counterpart and in some respects less tangible, this side of the problem of countertransference is no less important. For it is precisely those subtle, often scarcely visible countertransference reactions, so easily rationalized as parts of our standard operating procedures and so easily overlooked, that may in the end have the greatest impact on our analytic work.     

EMG biofeedback training, relaxation training, and placebo for the relief of chronic back pain

24 patients with chronic low back pain were randomly assigned to three treatment conditions: EMG biofeedback, relaxation training, and a placebo condition. Patients were seen for eight sessions and were evaluated before Session 1 and after Session 8. Eight analyses of covariance which were adjusted for age and pretest scores were computed on the final scores to find which variables could detect significant difference between treatments. Age was included as a covariate because the differences in age between conditions were significant. Four variables with significant and nearly significant differences were chosen for analysis. The second set of analyses identified the nature of the differences among the three conditions. These included a priori planned comparisons among conditions, and paired t tests. Relaxation-trained subjects were significantly superior to subjects in the placebo condition, in decreasing pain during the function test, increasing relaxation, and decreasing Upper Trapezius EMG. They were superior to EMG Biofeedback training in increasing reported activity. Both Relaxation and EMG trained subjects were able to reduce Upper Trapezius EMG by Session 8. Relaxation-trained subjects showed significant change on eight of the 14 possible comparisons for each treatment condition. EMG biofeedback training showed significant favorable results in only one condition; the placebo condition showed no significant results. Relaxation training gave better results in reducing EMG and pain, and in increasing relaxation and activity than either EMG biofeedback alone or a placebo condition.     

Karl Popper and Albert Ellis: Their ideas on psychology and rationality compared

This paper considers leading ideas of Albert Ellis on psychological theory and therapy in relation to ideas of the celebrated philosopher, Karl Popper. The aim is to indicate striking similarities in their views on learning, the genesis of emotional disturbance and, in particular, rationality. Discussion commences with Popper's early, and little studied, work on psychology. His philosophy of science is then surveyed along with the theory of rationality that he analogically extends from it. After tracing the evolution of Ellis' thought, we note the central roles he assigns to irrational thinking in explaining emotional disturbance and to rational thinking in its treatment. Different senses of rationality are distinguished in his work, one of them associated with criticism, which provides a most important similarity to Popper's view of rationality.For helpful comments on draft versions of this paper the author is indebted to Barry Butcher.Drs. Jocelyn Dunphy and Albert Ellis, and an anonymous reviewer for this journal.Studies of Popper on psychology have only begun to appear in recent years. The most detailed is (Berkson & Wettersten, 1984).     

Speech acts and arguments

Speech act theory seems to provide a promising avenue for the analysis of the functional organization of argument. The theory, however, might be taken to suggest that arguments are a homogenous class of speech act with a specifiable illocutionary force and a single set of felicity conditions. This suggestion confuses the analysis of the meaning of speech act verbs with the analysis of the pragmatic structure of actual language use. Suggesting that arguments are conveyed through a homogeneous class of linguistic action overlooks the way in which the context of activity and the form of expression organize the argumentative functions performed in using language. An alternative speech act analysis would treat folk terminology as a heuristic entry point into the development of a technical analysis of the myriad argumentative functions and structures to be found in natural language use. This would lead to a thorough-going pragmatic analysis of the rational and functional design of speech acts in argumentation.     

Neighborhood frequency effects and letter visibility in visual word recognition.

Two experiments are described that measured lexical decision latencies and errors to five-letter French words with a single higher frequency orthographic neighbor and control words with no higher frequency neighbors. The higher frequency neighbor differed from the stimulus word by either the second letter (e.g., ASTRE-AUTRE) or the fourth letter (CHOPE-CHOSE). Neighborhood frequency effects were found to interact with this factor, and significant interference was observed only to CHOPE-type words. The effects of neighborhood frequency were also found to interact with the position of initial fixation in the stimulus word (either the second letter or the fourth letter). Interference was greatly reduced when the initial fixation was on the critical disambiguating letter (i.e., the letter P in CHOPE). Moreover, word recognition was improved when subjects initially fixated the second letter relative to when they initially fixated the fourth letter of a five-letter word, but this second-letter advantage practically disappeared when the stimulus differed from a more frequent word by its fourth letter. The results are interpreted in terms of the interaction between visual and lexical factors in visual work recognition.     

Consultant choice across decision contexts: are abortion decisions different?

A survey conducted among college students in the midwestern US indicated that abortion decision-making consultation patterns differ substantially from those associated with other types of decisions. Surveyed were 169 predominantly White, middle-income students (68 males and 101 females) 18-20 years of age recruited from an introductory psychology class. Participants were presented with vignettes that pertained to four types of decisions: abortion (unplanned pregnancy), medical (cancer treatment type), future (career move), and interpersonal (crisis with a friend). For each decision, students were asked who they would consult (specific family members, significant others, friends, various professionals) and the order in which they would consult them. The mean number of consultants selected was 3.72 for abortion, 5.54 for medical, 4.90 for future-oriented, and 2.41 for interpersonal decisions. Significant others were selected most often for all decision scenarios; however, the highest frequency of consultation and lowest mean rank order for the significant other was on the abortion decision. The next most important consultant for abortion decisions was friends, then family members, and, finally, professionals. The only gender difference was a greater tendency for females to consult their mothers. For every category of consultant (except best friend), the pattern differed depending on the type of decision. These findings underscore the importance of considering context and multifaceted approaches in the design of programs aimed at enhancing adolescents' decision-making skills.     

Nature, nurture, and the development of functional specializations: A computational approach

The roles assigned to nature and nurture in the acquisition of functional specializations have been modified in recent years due to increasing evidence that experience-dependent processes are more influential in determining a brain region’s functional properties than was previously supposed. Consequently, one may study the developmental principles that play a role in the acquisition of functional specializations. This article studies the hypothesis that a combination of structure-function correspondences plus the use of competition between modules leads to functional specializations. This principle has been instantiated in a family of neural network architectures referred to as “mixtures-ofexperts” architectures. These architectures are sensitive to structure-function relationships in the sense that they often learn to allocate to each task a network whose structure is well matched to that task. The viewpoint advocated here represents a middle ground between nativist and constructivist views of modularity.     

A Controlled Explosion? a Decade of Counselling Training

The dramatic increase in size of counselling courses in Leicester is illustrated. Opportunities and problems created both by their location within an adult education programme and also by large numbers are outlined. The incentive for innovative development as a result of working with such large numbers is suggested. Questions are raised about the relationship between quality and quantity, especially for the depth of personal and professional learning.     

Development and analysis of a community-based resource recovery program

Five studies were conducted over a 10-month period to determine the effectiveness of specific procedures in encouraging recycling among residential neighborhoods. Results indicated that: (a) initial levels of participation in neighborhoods were frequently related to housing values; (b) weekly recycling pick-ups that coincided with garbage collection days resulted in higher levels of participation than pick-ups that occurred at other times; (c) notifying homes about the recycling program through distributed door-to-door brochures was more effective than soliciting participation through newspaper ads; (d) distributing containers to help residents separate recyclable from nonrecyclable material proved to be an effective procedure, especially when combined with frequent prompting (prompting alone did not have much effect); and (e) procedures that facilitated the greatest levels of participation were not always cost-effective. The subsequent combination of these procedures into a package program resulted in high levels of neighborhood participation that were cost-effective and maintained over a 6-month period.     

The effect of divorce on fathers: An overview of the literature

Divorce is becoming a major mental health problem in the United States. With rare exceptions psychological attention has usually focused on the effect of divorce on children and mothers. The author suggests that as some fathers become more involved in family nurturing they will be more intensely affected by marital disruption, particularly as it involves changes in the relationship to their children. A review of the recent psychological literature on divorce and custody is presented as a framework for understanding the divorcing father who is requesting psychiatric help.This paper is reprinted here from theAmerican Journal of Psychiatry, 1982,139:10, pp. 1235–1241, with the permission of the original publisher.