Behavioral Management of Inappropriate Masturbation in an 8-Year-Old Girl

An 8-year-old girl, previously diagnosed with infantile masturbation, was referred and treated for inappropriate masturbation. Treatment involved age-appropriate sexual education, reinforcement contingencies, the use of distraction and redirection, and when necessary, timeout. The inappropriate masturbation behavior was substantially reduced during treatment phase from daily occurrence to occasional occurrence, and at 6-week post-treatment follow-up, inappropriate masturbation was absent.     

Generation,intentionality of processing at encoding and retrieval,and age-related associative deficits

This research tested age-related differences in the retrieval of self-generated new associations under conditions that required intentional or incidental processing. Under intentional or incidental encoding conditions, young and older adults generated new associations by producing a response to a two-letter stem paired with a cue/prime word (e.g., throne–mo_____). Memory for these new associations was tested under intentional or incidental retrieval conditions by pairing the word stem with the previous cue/prime word, its homophone partner, or a prime/cue not previously presented. Results indicated equivalent priming and cueing effects for both age groups in all conditions. These results suggest that generation of new associations can eliminate age-related associative deficits, even under intentional encoding and retrieval conditions that typically disadvantage older adults.     

Memory for pitch in congenital amusia: Beyond a fine-grained pitch discrimination problem

Congenital amusia is a disorder that affects the perception and production of music. While amusia has been associated with deficits in pitch discrimination, several reports suggest that memory deficits also play a role. The present study investigated short-term memory span for pitch-based and verbal information in 14 individuals with amusia and matched controls. Analogous adaptive-tracking procedures were used to generate tone and digit spans using stimuli that exceeded psychophysically measured pitch perception thresholds. Individuals with amusia had significantly smaller tone spans, whereas their digits spans were a similar size to those of controls. An automated operation span task was used to determine working memory capacity. Working memory deficits were seen in only a small subgroup of individuals with amusia. These findings support the existence of a pitch-specific component within short-term memory and suggest that congenital amusia is more than a disorder of fine-grained pitch discrimination.     

You can't get something for nothing: Kierkegaard and Heidegger on how not to overcome Nihilism 1

This paper analyzes Kierkegaard's Religiousness A sphere of existence, presented in his edifying works, and Heidegger's concept of authenticity, proposed in Being and Time, as responses to modern nihilism. While Kierkegaard argues that Religiousness A is an unsuccessful response to modern nihilism, Heidegger claims that authenticity, a secularized version of Religiousness A, is a successful response. We argue that Heidegger's secularization of Religiousness A is incomplete and unsuccessful, that Heidegger's later work offers a reconsideration of the problem of modern nihilism, and that later Heidegger suggests a way out of nihilism which is compatible with Kierkegaard's Religiousness B sphere of existence.     

Effects on Face Recognition of Spatial-Frequency Information Contained in Inspection and Test Stimuli

Researchers often assume a critical band of spatial frequencies is required for face recognition. Also, many studies have not measured the contrast required for recognition. On Day 1, observers viewed high-pass-filtered (HP), low-pass-filtered (LP), or unfiltered (UF) faces. On Day 2, they viewed a variety of faces, some of which were LP filtered, HP filtered, and UF. Observers adjusted contrast until they achieved both detection and recognition. Observers were most accurate and sensitive when filtered faces agreed in spatial-frequency content across days. Faces differing in spatial-frequency content were least well recognized. Unfiltered faces always fell between the 2 extremes. Observers generally used less contrast to recognize unfiltered than filtered faces. Correspondence of information between inspection and testing seemed more important than any particular range of frequencies.     

Psychoanalytic identity and the external world: Interaction between psychoanalysis and health service systems in Sweden

Abstract

This paper continues the exploration of the clinical phenomenon of analytic contact. The author demonstrates, through case material, the essential ingredients of psychoanalysis to be not frequency or use of the couch, but rather the moment-to-moment analysis of the patient's transference state and phantasies of what it means to establish relational contact with their objects and with themselves. The nature of the treatment can be shaped, prevented, perverted, or fostered by the patient's phantasies and unconscious conflicts into something more analytic or less analytic. Interpretation needs to include the exploration of the patient's attempts to change the treatment into something that is often a replica or a repetition of archaic object relations. The typical patient in psychoanalytic treatment is struggling with rather profound pathology and as such tends to create a significant stand-off with the analyst when analytic contact is forming. Analytic contact is often threatening to these patients in very primitive and alarming ways that must be gradually understood and interpreted if the treatment is to survive and remain a primarily analytic journey rather than be transformed into a more supportive counseling or a pathological re-enactment of conflictual phantasy states.     

Girls,their fathers,and their mothers: Patterned links to ambition and prohibition in women

Abstract

This paper explores the dilemmas women face when they strive to achieve. It is about why women have trouble with their own deeply held ambitions, how patterns of interaction with important others are internalized in their childhood years that render their own strivings for power unacceptable to them, and how this early sense of prohibition against achievement is reinforced by the larger social and cultural surround. I contend that these interdictions against success are held by the female both in and out of her awareness, and are evoked in situations that trigger pathogenic memories in ever more complex ways. I explore current concepts about gender and gender formation, in particular the ideas of Adrienne Harris articulated in her book, Gender as Soft Assembly. Two clinical cases are described in order to explore and illustrate these issues, one a child and the other an adult.

Estelle Shane. Mädchen, ihre Väter und Mütter: Verbindende Muster zu Erfolgsstreben und Verboten im Leben von Frauen.

Dieser Aufsatz untersucht das Dilemma von Frauen, die nach Erfolg streben. Es geht Frauen, bei denen die Wünsche nach Erfolg in der Tiefe verborgenen sind. Die Muster von internalisierten Beziehungen mit wichtigen Bezugspersonen aus der Kindheit verhindern, dass sie das eigene Streben nach Macht akzeptieren können. Dieses Verbot von Erfolgsstreben ist verstärkt durch die sozialen und kulturellen Verhältnisse in denen sie leben. Im Hin und Her zwischen Bewusstwerdung und Verdrängung der Konflikthaftigkeit von Erfolgsstreben, können Erinnerungen an frühere pathogenene Konflikte ausgelöst werden. Gängige Konzepte der Entstehung von Geschlechtsidentität werden untersucht, speziell die Ideen von Adrienne Harris aus ihrem Buch: “Gender as soft Assembly”. Zwei klinische Fälle werden zur Illustration untersucht, der eines Kindes und der eines Erwachsenen.

Estelle Shane. Las niñas, sus padres, y sus madres: Patrones ligados a la ambición y la prohibición en las mujeres.

Este trabajo explora los dilemas que las mujeres enfrentan cuando luchan por lograr. Trata del porque las mujeres tienen problemas con sus ambiciones más profundamente sostenidas, cómo los patrones de interacción con otros son internalizadas en sus años de infancia, y dan cuenta de sus propias luchas por el poder, inaceptables para ellas, y cómo esta sensación temprana de prohibición en contra del logro es reforzado por el ambiente social y cultural que les rodea. Estas prohibiciones en contra del éxito son sostenidas por las mujeres tanto con o sin conciencia y son evocadas en situaciones que apuntalan recuerdos patogénicos en formas más complejas. Exploro conceptos actuales sobre la formación del género, en particular las ideas de Adrienne Harris articuladas en su libro, Gender and soft Assembly. Dos casos clínicos son descritos para explorar e ilustrar estos aspectos, uno se trata de una niña y otro de una mujer adulta.     

Living with a pituitary tumour: A narrative analysis

This study aimed to synthesise the illness narratives of individuals living with a pituitary tumour. Eight adults with a pituitary tumour were recruited from an endocrinology service in the north-west of England. A narrative methodology was adopted which investigated elements of the individual narratives such as metaphor and structure but which also aimed to produce a joint account of experience in this particular illness context by extracting themes across the stories; these are presented as part of a chronological narrative. However, the resulting group story was also analysed in terms of different types of narrative plots. The group narrative started from the recognition of symptoms and then diagnosis though treatment to post-treatment and future plans. In terms of narrative plots, one notable element of the joint narrative was the flow between the culturally dominant restitution narrative, where participants focused on treatment and recovery and the chaos narrative when recovery did not seem possible. The findings contain many elements consistent with previous research; however, the use of a celebrity figure to communicate about the illness experience and a perception that objects or individuals should not be taken at face value emerged as more novel findings.     

Gender differences in the construction and experience of cancer care: The consequences of the gendered positioning of carers

The experience and construction of caring in 50 informal cancer carers, 35 women and 15 men, was examined using a critical realist approach and a mixed method design. Women reported higher rates of depression, anxiety, unmet needs and burden of care than men. No gender differences were found in time spent care-giving, suggesting that gendered roles are implicated in distress and coping. Semi-structured interviews with 13 carers were used to identify gender differences in caring, analysed using positioning theory. Women described being positioned as all encompassing expert carers, expected to be competent at decision-making, a range of physical caring tasks, and provision of emotional support for the person with cancer. The consequences of this positioning were over-responsibility and self-sacrifice, physical costs and overwhelming emotions, which were self-silenced. In contrast, men carers positioned caring as a competency task which they had mastered, and which provided them with satisfaction, with the emotions of the person with cancer, or their own emotions, being negative aspects of caring. It is concluded that cancer caring is tied to gendered constructions and expectations, with considerable implications for psychological well-being and coping, and for carer support services, which need to take gender issues on board.     

Negotiating control: Patients’ experiences of unsuccessful weight-loss surgery

Interviews were carried out with 10 men and women who had undergone weight-loss surgery (WLS) up to 10 years ago and felt that it had failed. Seven had had a further successful procedure. Data were analysed using Interpretative Phenomenological Analysis. Weight regain following surgery was explained in terms of either the mechanics of the operation or with participants describing ways to ‘cheat’ as food continued to be used for emotional regulation. Everyone spoke of how surgery neglected their mind. Following the second successful surgery, participants described changes in both their eating behaviour and cognitions emphasising how their mind had been brought ‘in gear’ through the investment of two invasive procedures. Transcending all accounts was the mind/body relationship and the issue of control with attributions for both failed and successful surgery shifting from the self to the surgical mechanism as the participants negotiated the pathway between self-blame and responsibility and utilised conflicting frameworks in which the mind and body were either divided or united. Whereas failed surgery is characterised by a battle for control, successful surgery involves handing control over to their restricted stomachs or considering WLS as a tool to be worked with.