Zones of Proximal Emotional Development — Psychotherapy Within a Neuroaffective Perspective

This article outlines a conceptual framework for assessing personal and emotional functions of a person’s zone of proximal emotional development. The framework is based on the integrative theory Neuroaffective Developmental Psychology (NADP), which brings together attachment theory, neuropsychology, developmental psychology, and trauma theory. Within the NADP framework, this article describes a way of understanding children’s normal emotional mental organization and of examining how this mental organization may be developed or disturbed by relational issues. It also describes how a child’s mental organization can be disturbed and thus, without intervention, disturb the child’s personality development on a lifelong basis. The article presents three case vignettes, describing three children growing into adolescence with three different attachment patterns and suggested individually tailored intervention plans for each of them, relevant and useful for clinicians working with vulnerable children and families. Because the nervous system retains its plasticity throughout life, attachment is not necessarily an unchangeable pattern. That is why we as clinicians should develop psychotherapeutic methods and a research-based way of determining “what works for whom” by assessing the zone of individual proximal emotional development. The text outlines the characteristics of NADP and how it can be used to structure an intervention plan.     

Book reviews

Arvind Sharma, The Philosophy of Religion and Advaita Vedānra: A Comparative Study in Religion and Reason. University Park, Pennsylvania, The Pennsylvania State University Press, 1995, viii+232 pp., £29.50, $32.50. ISBN 0 271 01032 0.

Niels C. Nielsen Jr (ed.), Christianity After Communism: Social, Political and Cultural Struggle in Russia. Boulder, Westview Press, 1994, ix+171 pp., £37.00, $49.95. ISBN 0 8133 2365 7.

Mary Pickering, Auguste Comte: An Intellectual Biography, Volume 1, Cambridge, Cambridge University Press, 1993, xi+744 pp., £45.00, $49.95. ISBN 0 521 43405 X.

Christopher Herbert, Culture and Anomie: Ethnographic Imagination in the Nineteenth Century. Chicago, University of Chicago Press, 1991, 312 pp., $48 (hardback) ISBN 0 1226 32738 8, $16.95 (paperback) ISBN 0 226 32738 6.

Clifford Geertz, After the Fact: Two Countries, Four Decades, One Anthropologist. Cambridge, Massachusetts, Harvard University Press, 1995, 198 pp., $27.50. ISBN 0 674 00871 5.

William Hamilton, A Quest for the Post-Historical Jesus. New York, Continuum, 1994, 304 pp., $27.50. ISBN 0 8264 0641 6.

Valerie J. Hoffman, Sufism, Mystics, and Saints in Modern Egypt. University of South Carolina Press, 1995, 377 pp.+ notes and index. ISBN 1 57003 055 3.

Margaret H. Case (ed.), Heinrich Zimmer: Coming Into His Own. Princeton, Princeton University Press, 1994, vi+ 148 pp., $24.95. ISBN 0 691 03337 4.

Tessa J. Bartholomeusz, Women Under the Bō Tree: Buddhist Nuns in Sri Lanka. (Cambridge Studies in Religious Traditions 5.) Cambridge, Cambridge University Press, 1994, xx+284 pp., £37.50, $59.95. ISBN 0 521 46129 4.

Philip C. Almond, Heaven and Hell in Enlightenment England. Cambridge, Cambridge University Press, 1994, xiii+ 218 pp., £35. ISBN 0 521 45371 2.

George W. Stocking, Jr., After Tylor: British Social Anthropology 1888–1951. Madison, University of Wisconsin Press, London, Athlone Press, 1996, xx+441 pp., $40. ISBN 0 485 30072 9.

P. F. Kornicki and I. J. McMullen (eds), Religion in Japan: Arrows to Heaven and Earth. Cambridge, Cambridge University Press, 1996, xxv+315 pp., £40. ISBN 0 521 55028 9.

Michael Angold, Church and Society in Byzantium under the Comneni 1081–1261. 605 pp., $89.95 (cloth). ISBN 0521 26432 4.

David Nirenberg, Communities of Violence: Persecution of Minorities in the Middle Ages. Princeton, Princeton University Press, 1996, ix+301 pp., $29.95, £23.95. ISBN 0 691 03375 7.     

Psychotherapy with compulsively striving professional women 1: Introducing the patient group

In this paper I develop a profile of compulsively striving professional women with whom I have found myself working in private psychotherapy practice. I put them into a developmental, systemic and cultural context, and suggest a theoretical perspective. In a subsequent article (‘Clinical issues’) I shall describe the challenge they present from a clinical point of view and how these difficulties might be addressed in individual psychotherapy.     

Perception of lightness and illumination in a world of one reflectance

Observers looked into a miniature room in which everything was painted matte white, or--in another room--matte black. They made both reflectance and illumination judgments for eight test spots. The test spots (which varied in luminance) were perceived as approximately equal in reflectance--not different, as conventional contrast theories would seem to require. The illumination matches made to the same points, however, closely paralleled the pattern of actual illumination levels, and this result is discussed as evidence that edges are classified as changes in either reflectance or illumination. The white room was correctly perceived as white, and the black room was perceived as middle gray; similar results were obtained even when the luminances in the black room were higher (owing to higher illumination) than the corresponding luminances in the white room. An explanation in terms of differences in gradient patterns is presented and supported with luminance profiles.     

Retrospective and Prospective Cognitions in Anxiety and Depression

A study is reported that examined memory for past experiences and anticipation of future experiences within panic disorder patients (N = 17), depressed patients (N = 16), and controls (N = 17). Anticipation and recall of positive and negative experiences were examined by administering an adapted verbal fluency paradigm. Participants were asked to generate future and past, positive and negative experiences in response to various time-frame cues. Anxiety was associated with generating more negative experiences but not fewer positive experiences; depression was associated with generating fewer positive experiences but not more negative experiences. The patterns for recall of past experiences and anticipation of future experiences were very similar.     

Fatigue and Quality of Life Following Radiotherapy for Breast Cancer: A Comparative Study

Clinical reports suggest that fatigue is a common and disruptive long-term side effect of radiotherapy; however, there has been little systematic attention given to this phenomenon. The primary aim of this study was to assess fatigue its impact on quality of life in women who had completed radiotherapy for breast cancer. A key feature of this study was the inclusion of a comparison group of women of similar age with no history of cancer. The results indicated that the fatigue experienced by women after radiotherapy for breast cancer was not significantly different in intensity, duration, or disruptiveness from fatigue experienced by healthy women. In addition, radiotherapy recipients reported a quality of life similar to that of the healthy women. For both groups of women greater fatigue was related to a poorer quality of life. These findings suggest that following radiotherapy for breast cancer, women can expect to experience fatigue which is not worse than what they might normally experience. This information may be a useful part of psychoeducational interventions designed for women scheduled to begin radiotherapy for breast cancer.     

Making Epistemologists Nervous: Relational Memory and Psychological Individualism

We cannot rethink the ethical and political dimensions of memory—especially its role in constituting persons and identities—without rethinking the nature of memory itself. I first describe a traditional epistemological view of memory, according to which memory is a faculty for preserving knowledge of the past, and then juxtapose a relational theory of memory developed by Sue Campbell. The relational theory is represented in terms of a distinction between actions and achievements; this distinction enables us to both clarify and defend the shift from an epistemological to a political conception of memory. On the resulting view, accuracy, not truth, is the appropriate norm for evaluating memory, and remembering is no longer conceived as an interior process. In the penultimate section I confront an objection to a relational theory of memory—and to relational theories of cognition generally—and suggest a strategy of response.