The jouissance of the other and the prohibition of incest: a Lacanian perspective

The authors describe how Lacan diverged from classical Freudian concepts to arrive at an alternative model of psychoanalysis. In a discussion that also addresses the concept of the mirror stage and Lacan's use of language, the authors show how the Lacanian concepts of jouissance and the prohibition of incest contribute to this model, which can be successfully applied to the psychoanalytic treatment of more seriously disturbed patients. A clinical vignette is presented to illustrate the latter point.     

Motor imagery vividness and symptom severity in Parkinson's disease

Motor imagery (MI), the mental simulation of movement in the absence of overt motor output, has demonstrated potential as a technique to support rehabilitation of movement in neurological conditions such as Parkinson's disease (PD). Existing evidence suggests that MI is largely preserved in PD, but previous studies have typically examined global measures of MI and have not considered the potential impact of individual differences in symptom presentation on MI. The present study investigated the influence of severity of overall motor symptoms, bradykinesia and tremor on MI vividness scores in 44 individuals with mild to moderate idiopathic PD. Linear mixed effects modelling revealed that imagery modality and the severity of left side bradykinesia significantly influenced MI vividness ratings. Consistent with previous findings, participants rated visual motor imagery (VMI) to be more vivid than kinesthetic motor imagery (KMI). Greater severity of left side bradykinesia (but not right side bradykinesia) predicted increased vividness of KMI, while tremor severity and overall motor symptom severity did not predict vividness of MI. The specificity of the effect of bradykinesia to the left side may reflect greater premorbid vividness for the dominant (right) side or increased attention to more effortful movements on the left side of the body resulting in more vivid motor imagery.     

Attachment Style,Assertive Communication,and Safer-Sex Behavior1

This research tested the proposition that the effect of attachment security on safer-sex practice may be mediated by communication patterns. One hundred eighty-five undergraduate students completed questionnaire measures of attachment, assertiveness, and attitudes to communication about AIDS. Eight weeks later, they reported on their practice of safer sex in the period since the first testing session. Hierarchical regressions showed that at Step I, anxiety about relationships (a measure of insecure attachment) was associated with less safer-sex practice, for all outcome measures. Attitudes to communication about AIDS added to the prediction of general reports of safer-sex practice: in line with the mediational model, anxiety about relationships became unimportant as a predictor when communication variables were included. Communication variables failed to add to the prediction of safer sex on the most recent encounter, and both anxiety about relationships and attitudes to communication about AIDS predicted condom use. Some gender differences in patterns of prediction were noted. The results are discussed in terms of attachment style and its links with the negotiation of sexual practice and relationship issues.     

A counseling approach to assist near-death experiencers: A response to Bette Furn's paper

Conclusion In sum, I believe a practitioner's theoretical orientation is a necessary factor for NDErs to consider when choosing a therapist. As stated, I feel that an orientation reflecting a phenomenological, client-centered approach will encourage experiencers to find the personally relevant answers they are seeking. Additionally, it is important that that approach be conceptually clear to the clinician and be congruent with his or her value system. I agree with Furn regarding the need for practitioners to be knowledgeable about NDEs and sensitive to other spiritual and paranormal phenomena. And I believe that if by chance the practitioner is also an experiencer, then the NDEr who has chosen that clinician will have indeed come across a winning combination.     

The double bind of personal striving: Ethnic working class women in psychotherapy

Ethnic working class women's special responsibility for transmitting their heritage ties them, often painfully, to that heritage and to their traditional gender role. Psychologically, they experience a unique set of exodus stresses. When they seek psychotherapy the process can place them in a double bind in that their personal striving deeply threatens their ethnic and class ties. These women may leave treatment prematurely unless clinicians are willing to recognize the unique configuration of symptoms that derive in large part from their subcultures of origin. By challenging their own ethnic, racial and class identities, clinicians can open up new treatment possibilities to help strengthen positive group identity, enhance self-esteem and support personal striving in their patients and in themselves.     

DECREASING DANGEROUS INFANT BEHAVIORS THROUGH PARENT INSTRUCTION

One adult and three adolescent mothers with 1-year-old infants were taught to reduce their infants' potential for injury in the home. After being taught to increase their positive interactions with their infants, the mothers were taught to child-proof the home, to use playpen time-out for potentially dangerous behaviors, and to give positive attention for safe behaviors. A multiple baseline design across subjects was used to evaluate functional control. Potentially dangerous behaviors, observed during 10 min of free play, decreased from variable and, at times, high rates during baseline to stable near-zero rates after treatment. These target behaviors remained low at a 7-month follow-up assessment.     

Automatic and effortful processing in Attention Deficit/Hyperactivity Disorder

Twenty-five boys with Attention Deficit/Hyperactivity Disorder and 23 age-matched controls were compared on verbal memory tasks differentiating automatic versus effortful information processing. Automatic processing tasks included the recognition of new or old words in a list and the recognition of frequency of occurrence of words in a list. Effortful tasks included free recall of lists of both related and unrelated words. Hyperactive boys did not differ from controls in automatic processing capabilities but demonstrated significantly poorer effortful processing. Intercorrelations of the variables revealed high correlations between scores on effortful measures and also raise questions about the purity of automaticity in some tasks employed. Stepwise discriminant analysis demonstrated that free recall of related words (an effortful task) best discriminated between groups. Effort-related processing in hyperactive and normal children is discussed in relation to variables of motivation, affect, arousal, and other higher-order cognitive processes.     

Sex typing: Construct and measurement issues

This study examined the relationships among commonly used measures of sex typing. A sample of 101 children, three to five years of age, were each seen on three occasions and administered six different measures of sex typing. The results showed that relations among the various measures of sex typing were quite modest for girls and only moderate for boys. Gender constancy scores did not mediate the relationships among measures for either girls or boys. The results are interpreted as supporting a multidimensional view of children's sex typing and as urging caution in generalizing results based on single measures of sex typing.     

Taking a taxi: Front or back seat? The effects of gender and community size

A study of seat choice, front or back, of solo taxi passengers found that a significantly greater number of men than women sat next to the driver in large urban areas, but that no sex difference in front-seat choice appeared in smaller communities. Very few women taxi drivers were observed. The data were interpreted in terms of sex differences in feelings of security, with solo women feeling more vulnerable than men, particularly in large cities.