Self-analysis and post-termination improvement after psychoanalysis and long-term psychotherapy

Long-term follow-up studies of long-term psychoanalytically oriented psychotherapy or psychoanalysis are extremely rare, and few have focused on the post-treatment process itself. In the Stockholm Outcome of Psychoanalysis and Psychotherapy project, one of the results was that patients in psychoanalysis continued to improve after termination to a higher degree than patients in long-term psychotherapy. In this study 20 patients selected from the project were interviewed on two occasions, one and two years after termination, in order to explore how they described their post-treatment processes. The interviews were studied qualitatively using a multiple case study design, and categories of different types of post-treatment development were created from these case studies. Results indicate that the variation within treatment groups is large, and that development may continue in several ways after termination. The most striking difference between psychoanalysis and psychotherapy was not, as hypothesized, in the self-analytic function, but in various self-supporting strategies described by former analysands but not by former psychotherapy patients. However, only self-analysis was significantly correlated with post-termination improvement across both treatments. Three patients improving after termination and three deteriorating are described in detail as illustrations. Some methodological constraints of the design limit the generalizeability of results.     

Type D personality as a prognostic factor in heart disease: assessment and mediating mechanisms

Type D personality, a synergy between negative affectivity and social inhibition, has established itself as a serious risk factor for morbidity and mortality in patients suffering from cardiovascular disease. In this review, we summarize studies on the validity of the assessment methods of Type D, emphasizing its role as an independent vulnerability factor in the progression of cardiovascular disease. We further present evidence on the physiological characteristics that accompany the 2 psychological traits negative affectivity and social inhibition and may mediate the relation between personality and prognosis in heart disease. Further research needs to determine the mechanisms by which Type D affects the course and outcome of cardiovascular disease as well as how Type D patients may benefit from psychosocial intervention.     

Modeling Reasoning in a Social Setting

In this survey and position paper, we discuss some issues in logical modeling of interactive behavior. We draw together a number of lines in current logics for social action, emphasizing uses of ‘small models’ rather than complex spaces.     

The Leuven Perceptual Organization Screening Test (L-POST), an online test to assess mid-level visual perception

Neuropsychological diagnostic tests of visual perception mostly assess high-level processes like object recognition. Object recognition, however, relies on distinct mid-level processes of perceptual organization that are only implicitly tested in classical tests. The Leuven Perceptual Organization Screening Test (L-POST) fills a gap with respect to clinically oriented tests of mid-level visual function. In 15 online subtests, a range of mid-level processes are covered, such as figure–ground segmentation, local and global processing, and shape perception. We also test the sensitivity to a wide variety of perceptual grouping cues, like common fate, collinearity, proximity, and closure. To reduce cognitive load, a matching-to-sample task is used for all subtests. Our online test can be administered in 20–45 min and is freely available at www.gestaltrevision.be/tests. The online implementation enables us to offer a separate interface for researchers and clinicians to have immediate access to the raw and summary results for each patient and to keep a record of their patient’s entire data. Also, each patient’s results can be flexibly compared with a range of age-matched norm samples. In conclusion, the L-POST is a valuable screening test for perceptual organization. The test allows clinicians to screen for deficits in visual perception and enables researchers to get a broader overview of mid-level visual processes that are preserved or disrupted in a given patient.     

Personality Predicts Obedience in a Milgram Paradigm

This study investigates how obedience in a Milgram‐like experiment is predicted by interindividual differences. Participants were 35 males and 31 females aged 26–54 from the general population who were contacted by phone 8 months after their participation in a study transposing Milgram's obedience paradigm to the context of a fake television game show. Interviews were presented as opinion polls with no stated ties to the earlier experiment. Personality was assessed by the Big Five Mini‐Markers questionnaire (Saucier, 1994). Political orientation and social activism were also measured. Results confirmed hypotheses that Conscientiousness and Agreeableness would be associated with willingness to administer higher‐intensity electric shocks to a victim. Political orientation and social activism were also related to obedience. Our results provide empirical evidence suggesting that individual differences in personality and political variables matter in the explanation of obedience to authority.     

Still Not ‘Good’ in Terms of ‘Better’

Erik Carlson puts forward a new way of defining monadic value predicates, such as ‘good’, in terms of dyadic value relations, such as ‘better’. Earlier definitions of this kind have the unwanted feature that they rule out some reasonable axiologies by conceptual fiat. Carlson claims that his definitions do not have this drawback. In this paper, I argue that they do.     

An exploration of the Self-Appraisal Questionnaire for assessing female recidivism in South Africa

This study profiled incarcerated female offenders’ criminogenic-oriented self-appraisals. Respondents were 77 female offenders between the ages of 20 and 56 years, serving custodial sentences within the South African Department of Correctional Services ranging from under a year to 25 years, and of whom 7 per cent were reoffenders. They completed the Self-Appraisal Questionnaire (SAQ: Loza, 2005 Loza, W. (2005). Self-Appraisal Questionnaire (SAQTM). Technical manual. Toronto: Multi-Health Systems. [Google Scholar]), which is a self-report measure for assessing violent and non-violent recidivism. Findings suggest offenders with a history of violence to be at risk for reoffending compared to non-violent offenders.     

Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival

In children, intense levels of anxiety during anesthetic induction are associated with a higher risk of pain, poor recovery, and emergence delirium. Therefore, it is important to identify these high-risk children at hospital arrival. The current study examined internalizing behavior (Child Behavior Checklist, CBCL) and state anxiety measures (modified Yale Preoperative Anxiety Scale, mYPAS, and State Trait Anxiety Inventory for Children, STAIC) at hospital arrival as predictors of anxiety during induction of anesthesia. One hundred children (aged 4 to 12 years) undergoing elective daycare surgery were included. The STAIC and mYPAS at hospital arrival were significant predictors of anxiety during induction, whereas CBCL was not. The STAIC state form at hospital arrival was the strongest predictor and could be used to identify children who will experience intense levels of anxiety during anesthetic induction, with sufficient to good diagnostic accuracy. Using the STAIC at hospital arrival allows targeted interventions to reduce anxiety in children.

     

Exploring the Relationship Between Self-Isolation and Distress Among People with Gastrointestinal Disorders During the COVID-19 Pandemic

Journal of Clinical Psychology in Medical Settings - This study aimed to explore the association between perceived isolation and symptoms of distress in people with GI disorders at the time of the...