Psychotherapy with an adolescent boy who refused medical treatment

In this paper we describe psychotherapeutic work carried out in a paediatric hospital to illustrate the important contribution of a psychoanalytically-oriented approach in a hospital context. The work concerns an adolescent boy who had undergone several surgical operations with the result that some of his natural orifices were obstructed and artificial ones had to be created. He was referred to us because he refused pharmacological and rehabilitative treatment necessary prior to further surgery and his eventual recovery. The boy's experience of loss of control of his life and the more primitive anxieties of not feeling safely contained in his physical and psychic skin emerged and were worked through in the psychotherapeutic relationship. The parallel work with medical staff reduced the risk of splitting and acting out by the patient and professionals. The approach adopted enabled this boy to resume his medical treatment and his developmental process.     

Moral sentiments and cooperation: Differential influences of shame and guilt

For centuries economists and psychologists (Frank, 1988 Frank , R. H. (1988) . Passions within reason: The strategic role of the emotions . New York : Norton . (Originally published 1988)  [Google Scholar]; Ketelaar, 2004 Ketelaar, T. 2004. “Ancestral emotions, current decisions: Using evolutionary game theory to explore the role of emotions in decision-making”. In Evolutionary psychology, public policy and personal decisions, Edited by: Crawford, C. and Salmon, C. 145–163. Mahwah, NJ: Lawrence Erlbaum Associates, Inc.  [Google Scholar]; Smith, 1759) have argued that moral emotions motivate cooperation. Ketelaar and Au (2003 Ketelaar, T. and Au, W. T. 2003. The effects of guilt on the behaviour of uncooperative individuals in repeated social bargaining games: An affect-as-information interpretation of the role of emotion in social interaction. Cognition and Emotion, 17: 429–453. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) recently found first evidence that guilt increases cooperation for proselfs in social bargaining games. We investigated whether this effect would also occur for shame, another moral emotion. Using a dyadic social dilemma game in Experiment 1 and an everyday cooperation measure in Experiment 2 as measures for short-term cooperation, we replicated Ketelaar and Au's findings for guilt. However, as predicted on the basis of previous emotion research, we found no such effect for shame. These results clearly indicate that the effects of moral emotions on cooperative behaviour can only be understood if the specific moral emotion is known.     

The social side of shame: approach versus withdrawal

ABSTRACT

At present, the consequences and functions of experiences of shame are not yet well understood. Whereas psychology literature typically portrays shame as being bad for social relations, motivating social avoidance and withdrawal, there are recent indications that shame can be reinterpreted as having clear social tendencies in the form of motivating approach and social affiliation. Yet, until now, no research has ever put these alternative interpretations of shame-motivated behaviours directly to the test. The present paper presents such a test by studying the extent to which shame motivates a preference for social withdrawal versus a preference for social approach. Two studies (N?=?148 and N?=?133) using different shame inductions both showed people experiencing shame to prefer to be together with others (social approach) over being alone (social withdrawal). In addition, the preference for a social situation was found to be unique for shame; it was not found for the closely related emotion of guilt. Taken together, these findings provide direct empirical support for the idea that shame can have positive interpersonal consequences.     

Sharing and Confronting Propositions in Collaborative Inquiry Learning

This study investigates how collaborative knowledge construction within an inquiry learning environment can be assisted with scaffolds that aim to support students' hypothesis generation process. Sixty-six students on a university preparatory track worked collaboratively on a kinematics task. The instructional goal was to develop students' understanding of one-dimensional kinematics. All students completed a proposition test in which they indicated their individual opinions about the truth-value of specific propositions. Subsequently, students were coupled into dyads and assigned to one of three conditions: (a) a shared proposition scratchpad (expression builder), (b) a shared proposition table, and (c) a control condition. Students in the scratchpad condition were given an expression builder consisting of dropdown menus with pre-defined variables and relations. Students in the shared proposition table condition could combine individual opinions about the truth-value of a proposition into one shared proposition table that highlighted differences in opinion. Students in the control condition received no extra support related to propositions. Learning outcomes were assessed using a variety of pre- and posttests. The findings indicate that students supported with the shared proposition table showed significant gains for qualitative knowledge about relations. The number of unique propositions students discussed during the learning session was a significant predictor of learning gains. A more detailed analysis of students' interaction protocols suggests that students differed in their task perceptions, their interaction patterns, and their use of prior knowledge.     

Perversion from the medical-legal perspective

Abstract

The medical-legal view of perversion is strictly concerned with the sexual aspect. This is the result of a controversial historical process full of moralism with respect to sexuality. Psychoanalysis questions this reductionist view, offering itself as instrument of special importance in the characterization of perversion as a complex of structures in human beings.

Alves KC und Prado de Sousa S. Perversion aus der medizin-rechtlichen Perspektive

Die medizin-rechtliche Sicht der Perversion ist strikt mit dem sexuellen Aspekt befaßt. Dies ist das Ergebnis eines kontrovers historischen Prozesses, der ganz mit Moralismus im Hinblick auf Sexualität angefüllt ist. Psychoanalyse stellt diese reduktionistische Sicht in Frage und bietet sich selbst als Instrument von besonderer Bedeutung an, die Perversion als einen Komplex von Strukturen bei Menschen zu charakterisieren.

Alves KC y Prado de Sousa. Perversión desde la perspectiva médico-legal.

El punto de vista médico-legal de la perversión esta estrictamente relacionado con el aspecto sexual. Este es el resultado de un proceso controvertido moral histórico con respecto a la sexualidad. El Psicoanálisis cuestiona este punto de vista reduccionista, ofreciéndose como instrumento de especial importancia en la caracterización de la perversión como una complejidad estructural en los seres humanos.     

Social trauma: The pathogenic effects of untoward social conditions

Abstract

Psychoanalysis has traditionally overlooked the fact that unsuitable and damaging life conditions, originating in the social milieu, play a part in the pathogenesis of emotional suffering and mental disorders. Nonetheless, the self establishes an object relation with the social system, as well as with the non-human environment. This is expected to act as a container–contained relationship. Whenever the community and its institutions fail to act as a container for individuals and groups, this generates a trauma, which can be compared with the baby's experience of a failure in mothering. Such failures can be classified in several categories. The first is when the social system fails to contain, nurture, care for, and protect individuals, as in the case of the lack of assistance and compassion towards the victims of poverty, disease, natural catastrophe, social turmoil, economic crisis, violence, or war. The second category occurs when there is a blatant attack, on the part of the authorities or privileged social groups, on minorities, or even on the bulk of the population, as in the case of social repression, war—both internal and external—racism, genocide, or persecution. The third is when there is a perversion of the social system, which feigns to uphold current social values and laws while actually breaking them, as in the case of corruption, chicanery, and mendacity on the part of the authorities. One recent example of this is the impeachment process against the Chief of Government of Mexico City. The author approaches this problem by exploring the consequences of such experiences for the development and functioning of personality structure and personal relations, as well as their repercussions for individuals living together in the community and for the necessary relation between them and the authorities.     

Task conflict,information processing,and decision-making: The damaging effect of relationship conflict

A popular theoretical assumption holds that task-related disagreements stimulate critical thinking, and thus may improve group decision making. Two recent meta-analyses showed, however, that task conflict can have a positive effect, a negative effect, or no effect at all on decision-making quality (De Dreu & Weingart, 2003; De Wit, Greer, & Jehn, 2012). In two studies, we built upon the suggestion of both meta-analyses that the presence of relationship conflict determines whether a task conflict is positively or negatively related to decision making. We hypothesized and found that the level of perceived relationship conflict during task conflict (Study 1), and the actual presence (vs. absence) of relationship conflict during task conflict (Study 2), increased group members’ rigidity in holding onto suboptimal initial preferences during decision making and thus led to poor decisions. In both studies the effect of relationship conflict on decision making was mediated by biased use of information.     

Identity in the asphalt jungle

We present a study of 40 youngsters who live and work in the streets of Mexico City and who have abandoned their homes for significant periods of time. They seek out their own means of survival from a very young age. In many cases they have children of their own already as teenagers. The Seminario de Sociopsicoanálisis was invited to take part in a project aimed at facilitating the access of these children to graphic arts, artistic creation and therapeutic listening. This article presents our principal findings of the children's everyday life conditions, their work and their dreams, based on data obtained from social character questionnaires – with which therapeutic intervention in this project began. Vignettes of two case studies are also presented. The interviews were complemented by data gathered in weekly sessions attended by the youngsters on a voluntary bases. The sessions attested to both the narcissistic, aggressive impulsiveness of these youngsters and the vital effort they make toward their own recovery and toward establishing affective emotional ties with instructors and therapists. We found that socio‐psychoanalytic methods could be used successfully to expand the scope of psychoanalytic theoretic postulates about character to a non‐clinical, disadvantaged population. By analyzing the content of the psychoanalytically guided interviews we were able to recognize the central, distinctive motive, which leads these youngsters to run away from home and forge their own sense of identity.     

Moses,Michelangelo and Freud: From an interlacement of stories in history to some suggestions for treatment theory

Abstract

The first part of this paper is inspired by Freud's interpretation of Michelangelo's Moses, which as the author shows, profoundly expresses Freud's subjectivity and personal features. With reference to clinical treatment, when the analyst “reasons” without considering his or her partner's position, the setting is lacking from a relational point of view. The consequence is that the analyst is missing a precious resource, that is, his or her patient and the documental sources he or she transmits in the analytic dialogue. In the second part of the paper, the author analyzes the nature of documental sources. This information pertains to both the patients’ pasts and their histories, expressing their rigid conservative needs, and to their evolution and transformational needs, in view of future possible change. Evolution needs are not visible, because they are implicitly present, and—according to the author—they could be recognized through the method of discrete details proposed by the Italian art critic G. Morelli. A broader vision of analytic listening is also considered: the past should be taken into account with the aim of interpreting the present and the future, as changing spaces. Change in therapy is announced through nonrepressed unconscious signals and by the language of the implicit. In the conclusion, the author exposes the connections of change, implicit, symbol, metaphorical language and waiting time.     

What is nonconceptualism in Kant’s philosophy?

The aim of this paper is to critically review several interpretations of Kantian sensible intuition. The first interpretation is the recent construal of Kantian sensible intuition as a mental analogue of a direct referential term. The second is the old, widespread assumption that Kantian intuitions do not refer to mind-independent entities, such as bodies and their physical properties, unless they are brought under categories. The third is the assumption that, by referring to mind-independent entities, sensible intuitions represent objectively in the sense that they represent in a relative, perspective-independent manner. The fourth is the construal of Kantian sensible intuitions as non-conceptual content. In this paper, I support the alternative view that Kantian sensible representation is to be seen as iconic de re presentation of objects without representational content.