THE PSYCHOANALYST AND THE BABY: A NEW LOOK AT WORK WITH INFANTS

The author argues that objections to involving the infant in a relationship with an analyst have led psychoanalysts to overlook the possibility that the interaction between the infant and the analyst may be able to activate and retrieve those parts of the infant's inner world that have been excluded from containment and be conducive to a vitalisation of the emotional disturbance that can then become worked through in the mother-infant relationship. As long as the infant's ego is weak, the infant and the mother have a unique flexibility that enables them to repair disturbances in their relationship when the emotional container-contained link is (re-)established. Based on the assumptions (1) that a relationship can be established between the infant and the analyst, (2) that the infant has a primordial subjectivity and self as base for intersubjectivity and the search for containment, (3) that the infant has an unique flexibility in changing representations of itself and others that comes to an end as the ego develops, and (4) that the infant is able to process aspects of language, three cases, at the ages of 6, 18 and 20 months, are presented to illustrate what is considered to be a novel approach to work with infants.     

Measuring fear of movement/(re)injury in chronic low back pain using implicit measures

Fear of movement/(re)injury is assumed to contribute to the development and maintenance of chronic low back pain (CLBP) in a subgroup of patients. Studying fear of movement/(re)injury with implicit attitude measures, without the awareness of the patient, might be a valuable addition to self-report questionnaires. The aims of the current study were to investigate whether CLBP patients demonstrate more implicit fear of movement/(re)injury than healthy controls, and whether 2 implicit measures are related to each other, and to an explicit self-report measure of fear of movement/(re)injury. A group of 66 CLBP patients and 30 healthy controls took part in this study. In addition to self-report questionnaires, fear of movement/(re)injury was implicitly assessed by the Extrinsic Affective Simon Task (EAST) and the Go-No-Go-Association Task (GNAT) that aimed to determine the association between back-stressing movements and the evaluation "threatening". On both implicit tasks it was found that neither CLBP patients nor healthy controls demonstrated implicit fear of movement/(re)injury, and that CLBP patients did not differ from healthy controls in their level of implicit fear of movement/(re)injury. In general, no associations were found between the EAST and the GNAT, or between implicitly measured and self-reported fear of movement/(re)injury. One major caveat in drawing inferences from these findings is the poor reliability of these implicit measures. Research towards the psychometric properties of these measures should first be expanded before modifying, and applying, them to more complex domains such as fear of movement/(re)injury.     

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.     

The role of sparsely distributed representations in familiarity recognition of verbal and olfactory materials

We present the generalized signal detection theory (GSDT), where familiarity is described by a sparse binomial distribution of binary node activity rather than by normal distribution of familiarity. Items are presented in a distributed representation, where each node receives either noise only, or signal and noise. An old response (i.e., a “yes” response) is made if at least one node receives signal plus noise that is larger than the activation threshold, and item variability is determined by the distribution of activated nodes as the threshold is varied. A distinct representation leads to better performance and a lower ratio of new to old item variability, than a more distributed and less distinct representations. Here we apply the GSDT to empirical data on verbal and olfactory memory and suggest that verbal memory relies on a distinct neural item representation, whereas olfactory memory has a fuzzy neural representation leading to poorer memory and inducing a larger ratio of new to old item variability.