Clinical identification of compensatory structures on projective tests: a self psychological approach

In this article I discuss compensatory structure, a concept from Kohut's (1971, 1977) psychology of the self that is not as familiar as Kohut's other views about the self. Compensatory structures are attempts to repair selfobject failure, usually by strengthening idealization or twinship in the face of mirroring deficits. Compensatory structures, particularly their early indications, can be detected on projective tests for identifying adaptive resources and treatment potential. The clinical identification of compensatory structures on test findings is described using Rorschach and Thematic Apperception Test (Murray, 1943) content. Particular attention is devoted to the 2-part process of demonstrating first, an injury to the self, and second, how attempts to recover from such injuries can be detected on projective tests. Clinical examples are provided, and the differentiation between compensatory structures and defenses and sublimation is discussed.     

A Complicated Friendship

The author presents a complicated friendship with a woman who helped to raise her children. As a feminist therapist, the author is aware of the non-egalitarian nature of an employer/employee relationship, resulting in a complicated friendship. She discusses the valuable lessons she learned from her comadre (co-mother or allomother) on poverty, Latino culture, and immigration. The author applies these valuable lessons to her work as a feminist therapist, supervisor, and teacher.     

Does Religiousness Increase with Age? Age Changes and Generational Differences Over 35 Years

We examine aging patterns and generational trends in religion using 35 years of survey data from 420 four‐generation families and in‐depth interviews with a subset of 25 families. Results indicate the importance of three time‐related effects on religiosity: individual aging and religious development over the life course; cohort influences; and effects of historical trends in religion. Results indicate an overall aging effect with an upward drift in religious intensity and strength of beliefs over the adult lifespan, though religious attendance remains generally stable over adulthood until it drops in late life. Growth curves show that the oldest generations (G1 and G2) display a “retirement surge” in religiosity. Trajectories of change for G3s and G4s reflect both lifecycle and cohort effects. Qualitative analysis provides insight concerning the generational differences identified in the survey, suggesting two trends: (1) from older‐ to later‐born age groups, spirituality becomes increasingly decoupled from religion; (2) conceptualizations of the divine show a shift from a God who is primarily transcendent (“out there”) for the G1s to one that is more imminent and personal in the G4s.     

Community Screening for Preschool Child Inhibition to Offer the ‘Cool Little Kids’ Anxiety Prevention Programme

Temperamental inhibition has been identified as a key risk factor for childhood anxiety and internalizing problems. An efficacious early prevention programme for shy/inhibited children has been developed; however, accurate, efficient and acceptable screening is needed to support wider implementation. We explore community screening options in the context of a trial implementing the Cool Little Kids prevention programme for anxiety disorders. In comparison to the Australian Temperament Project's inhibition scale, we examine the Strengths and Difficulties Questionnaire's (SDQ) ability to screen for inhibited preschool children. Parents of 6307 children aged 3 to 6 years enrolled in preschool programmes from eight socio‐economically diverse districts in Melbourne, Australia, first completed the measures of inhibition and SDQ. Parents with inhibited children then enrolled in the Cool Little Kids randomized trial (n = 545). Of these, 88% provided feedback about inhibition screening. Parents allocated to the intervention also provided feedback on the Cool Little Kids parenting programme. Results demonstrated that parents of preschool children (i) find inhibition screening acceptable, (ii) take up this parenting programme and (iii) report favourable feedback. The SDQ emotional symptoms subscale demonstrated acceptable sensitivity but insufficient specificity to identify inhibited preschool children. Presenting parents with a brief, validated inhibition scale could be a low‐cost option for identifying inhibited preschool children in the community to offer early anxiety prevention. Copyright © 2014 John Wiley & Sons, Ltd.