Suicide schemas in non-affective psychosis: An empirical investigation

Suicide is the leading cause of premature death among individuals experiencing psychosis. The risk of suicide is proposed to increase with a greater potential for activation of suicide related schemas. Empirical representations of suicide schemas were compared between individuals experiencing non-affective psychosis, with and without a history of suicidal behaviour. Employing a cross-sectional between-groups comparison design, 84 participants, previously diagnosed with a non-affective psychotic disorder, were recruited from community mental health services. Participants completed a demographic questionnaire and clinical measures of psychopathology. To assess participants’ suicide schemas, a series of direct and indirect cognitive tasks were designed and administered. Pathfinder analysis enabled the construction of empirically derived representations of the groups’ suicide schemas based on responses to the cognitive tasks. The suicide group achieved significantly greater scores on measures of anxiety, depression, hopelessness and suicidality than the non-suicide group, but not on measures indicative of the severity of psychosis. The suicide schema for the suicide group was more elaborate and extensive than for the non-suicide group, even when clinical measures were taken into account. Clinical and theoretical implications are discussed.     

Locke's theory of classification

In §155 of his New Theory of Vision Berkeley explains that a hypothetical ‘unbodied spirit’ ‘cannot comprehend the manner wherein geometers describe a right line or circle’.1 ¹All references to Berkeley are from, A. A. Luce and T. E. Jessop (eds.), The Works of George Berkeley, Bishop of Cloyne (London: Thomas Nelson and Sons, Ltd., 1948) The following abbreviations are used: An Essay Towards A New Theory of Vision, section x = New Theory x; Philosophical Commentaries, entry x = Commentaries x; Part I of A Treatise concerning the Principles of Knowledge, section x = Principles x. All other references to Berkeley's works are of the form The Works of George Berkeley, Bishop of Cloyne, volume x, page y = Works, x, y. The reason for this, Berkeley continues, is that ‘the rule and compass with their use being things of which it is impossible he should have any notion.’ This reference to geometrical tools has led virtually all commentators to conclude that at least one reason why the unbodied spirit cannot have knowledge of plane geometry is because it cannot manipulate a ruler or a compass. In this article I will show that such an interpretation is flawed. I will instead argue that Berkeley's understanding of Euclidian geometry was based on Isaac Barrow's account of the foundations of geometry. On this view geometrical objects are conceived in terms of the idealized motion that generates the objects of geometry. Consequently, that what the unbodied spirit cannot do in this context is to form an idea of motion rather than being unable to handle geometrical tools.     

An Exploratory Study of the Relationship Between Mood States and Creativity Self-Perceptions

The purpose of this study was to investigate the relationship between noninduced mood state and self-perceptions of creativity. Undergraduate teacher education students (N = 287) completed 2 mood state inventories (Teasdale 100-Point Thermometer and Perception of Mood States) and a creative self-perception inventory (What Kind of Person Are You? [Khatena &; Torrance, 1976]). The group expressed overall indications of happiness and normally distributed creativity perceptions. Findings were mixed when the 5 scales of the creativity measure (i.e., Acceptance of Authority, Self-confidence, Inquisitiveness, Awareness of Others, and Disciplined Imagination) were correlated to the 6 dimensions of mood (i.e., Tension/Anxiety, Depression/Dejection, Anger/Hostility, Vigor/Activity, Fatigue/Inertia, and Confusion/Bewilderment). There was, however, some indication that positive mood was related to creative self-perception. Results are discussed and future research is suggested.     

An Expanded View of Intersubjectivity in Infancy and its Application to Psychoanalysis

We consider the relevance of forms of intersubjectivity in infancy to the nonverbal and implicit dimension of intersubjectivity in psychoanalysis. The term forms of intersubjectivity, within the adult explicit and implicit modes and the infant presymbolic implicit mode, is offered to clarify the multiple meanings of intersubjectivity. The ideas of infant intersubjectivity of Meltzoff, Trevarthen, and Stern that have particular relevance for psychoanalysis are highlighted: the dialogic origin of mind, the role of correspondences, and the idea that symbolic forms of intersubjectivity are built on presymbolic forms. We build on their work to define a fourth position: that the full range of patterns of interactive regulation provides the broadest definition of the presymbolic origins of intersubjectivity, with correspondence being only one of many critical patterns. We additionally address the place of interactive regulation, problems with the concept of matching, the role of self-regulation, the role of difference, and the “balance model” of self- and interactive regulation. We take the position that all forms of interactive regulation are relevant to the possibility of perceiving and aligning oneself with the moment-by-moment process of the other. A broadened understanding of intersubjectivity in infancy sets the stage for a more fruitful exchange between infant researchers and psychoanalysts.     

The Bulimia Workshop: A Unique Integration of Group Treatment Approaches

The time constraints of weekly group therapy and the slow evolution of group cohesion attenuate the direct confrontation that is essential with bulimic patients. Consequently, a three-phase, multidimensional group program was devised to accelerate the treatment process. Treatment begins with an intensive weekend workshop during which members formulate contracts for interrupting the binge–purge cycle and changing symptomatic behavior. During a follow-up session problems in fulfilling the contracts are dealt with and successes are reinforced, in the final phase, group members convene without their therapists to provide peer support, reevaluate contracts, and share feelings regarding treatment progress. The unique implications for treatment process and therapist interventions prompted by this new format are discussed, and preliminary research findings are highlighted.     

Rehabilitating the Stroke Patient through Patient-Family Groups

The observer's impact on the process and content of over fifty, two-day, intensive training groups was evaluated by leaders, members, and observers. There was general agreement across the three perspectives that the observer's influence was significant and potentially negative. The group members experienced the observer as more intrusive than did their leaders. The effects were predominantly indirect, and reflected in the content of group interactions both during and after the observer's visit. Results are discussed in terms of their clinical implications, and recommendations are made for how leaders may maximize the therapeutic potential of the observer's contributions.     

Adolescent Precursors of Intensity of Marijuana and Other Illicit Drug Use Among Adult Initiators

This study examined (a) adolescent psychosocial risk factors for frequency (intensity) of marijuana use and for other illicit drug use among those who started using these drugs in early adulthood (adult initiators) and (b) the protective role of parent-adolescent relations in reducing or preventing drug use when adolescents enter early adulthood. The study's participants were male and female youth from a longitudinal prospective study. The participants' mean ages were 17 and 22 years at late adolescence and early adulthood, respectively. Independent measures assessed personality, parental, peer, and self-drug-use factors during late adolescence; dependent measures assessed frequency of marijuana use and other illicit drug use during early adulthood for initiators of the respective drug categories. The authors found that intensity of marijuana use was directly associated with the personality, parental, and self-drug-use domains and indirectly associated with the peer domain. Intensity of other illicit drug use was directly associated with personality and self-drug use. Analyses also revealed that some parent-adolescent relations factors buffered the effects of risk factors for both marijuana and other illicit drug-use intensity, whereas others enhanced the effects of protective factors against other illicit drug-use intensity. The results indicate that there are both commonalities and differences in precursors of marijuana and other illicit drug-use intensity among initiators of these drugs during early adulthood.     

Reacquisition and Transfer of Motor Skills With Sensory Feedback Reduction

Reacquisition and transfer of Morse key tapping and finger circling under total peripheral feedback reduction were investigated. 23 medical students were tested. Kinesthetic and tactile feedback were reduced by compression block. The results showed that tapping performance was reacquired to 56.4% of normal and circling to 26.4% by the tenth preshift trials. Strong positive transfer was found for both tasks in Groups 1 and 2. This positive transfer indicated the existence of central, general programming operations. With trials alternating between the two tasks (Group 3) reacquisition curves followed the preshift trials for tapping and circling, showing absence of adverse emotional influence of the block technique. Marked individual differences in performance in the absence of peripheral information were observed, grouping Ss into two distinct categories.     

Transfer Variables in Tracking Skills

In the present work the effect of two task variables on transfer were studied: shape of the track-circular or triangular; and target speed-constant or variable. One or both of these variables was changed on transfer. Experimental conditions were (a) 10 preshift and 10 post-shift trials, and (b) 20 single-trial alternations of two tasks. 22 groups of 12 Ss each were tested. Condition (a) showed positive transfer with single variable change and zero or negative transfer with simultaneous change in two variables, and condition (b) annulled all transfer effects. Results are discussed in terms of commonality between tasks and receptor and perceptual anticipation.