Women on the Couch: Genital Stimulation and the Birth of Psychoanalysis

Following Freud's emphasis on his rejection of hypnosis as leading up to the development of psychoanalysis, there has been little mention in the psychoanalytic literature of the larger context of the somatic medical treatment of hysteria within which Freud treated his hysterical patients, and which Freud himself practiced. We contend that Freud's emphasis obscured his association with massage, electrotherapy, and the procedure of genital stimulation practiced by his medical colleagues in the treatment of hysteria. We show that the history of genital stimulation—including its obfuscation, desexualization, medicalization, and co-option from traditional women healers by an exclusively male medical establishment—provides us with the background for a more sophisticated understanding of the context in which Freud developed his theories. Specifically, we examine the contribution of this understanding to Freud's theoretical emphases on autonomy and individuality, abstinence and the renunciation of gratification, penis envy, clitoral versus vaginal orgasm, mature genital sexuality, and the “repudiation of femininity” as the “bedrock” of psychoanalysis. We demonstrate that Freud's position as a Jew in an anti-Semitic milieu fueled his efforts to distance his psychoanalytic method from the more prurient practices of his day, including one his society associated with Jewish doctors and patients.     

Color preferences change after experience with liked/disliked colored objects

How are color preferences formed, and can they be changed by affective experiences with correspondingly colored objects? We examined these questions by testing whether affectively polarized experiences with images of colored objects would cause changes in color preferences. Such changes are implied by the ecological valence theory (EVT), which posits that color preferences are determined by people’s average affective responses to correspondingly colored objects (Palmer & Schloss, Proceedings of the National Academy of Sciences, 107, 8877–8882, 2010). Seeing images of strongly liked (and disliked) red and green objects, therefore, should lead to increased (and decreased) preferences for correspondingly colored red and green color patches. Experiment 1 showed that this crossover interaction did occur, but only if participants were required to evaluate their preferences for the colored objects when they saw them. Experiment 2 showed that these overall changes decreased substantially over a 24-h delay, but the degree to which the effect lasted for individuals covaried with the magnitude of the effects immediately after object exposure. Experiment 3 demonstrated a similar, but weaker, effect of affectively biased changes in color preferences when participants did not see, but only imagined, the colored objects. The overall pattern of results indicated that color preferences are not fixed, but rather are shaped by affective experiences with colored objects. Possible explanations for the observed changes in color preferences were considered in terms of associative learning through evaluative conditioning and/or priming of prior knowledge in memory.     

The Chinese Life-Steps Program: A Cultural Adaptation of a Cognitive-Behavioral Intervention to Enhance HIV Medication Adherence

China is considered to be the new frontier of the global AIDS pandemic. Although effective treatment for HIV is becoming widely available in China, adherence to treatment remains a challenge. This study aimed to adapt an intervention promoting HIV-medication adherence—favorably evaluated in the West—for Chinese HIV-positive patients. The adaptation process was theory-driven and covered several key issues of cultural adaptation. We considered the importance of interpersonal relationships and family in China and cultural notions of health. Using an evidence-based treatment protocol originally designed for Western HIV-positive patients, we developed an 11-step Chinese Life-Steps program with an additional culture-specific intervention option. We describe in detail how the cultural elements were incorporated into the intervention and put into practice at each stage. Clinical considerations are also outlined and followed by two case examples that are provided to illustrate our application of the intervention. Finally, we discuss practical and research issues and limitations emerging from our field experiments in a HIV clinic in Beijing. The intervention was tailored to address both universal and culturally specific barriers to adherence and is readily applicable to generalized clinical settings. This evidence-based intervention provides a case example of the process of adapting behavioral interventions to culturally diverse communities with limited resources.     

Childhood Emotional Abuse and Psychological Distress in Gay and Bisexual Men

Despite the high prevalence of childhood emotional abuse (CEA) and adult psychological distress (depression and anxiety) among gay and bisexual men (GBM), there is little research examining the relationships among these variables. This study examined internalized homophobia (IH) as a mediator between CEA and psychological distress in a sample of 286 GBM. Controlling for demographics and childhood sexual and physical abuse, CEA was associated with self-report and clinician-administered measures of psychological distress. Concern about stigma of being gay mediated the relationship between CEA and psychological distress. Internalized antigay attitudes might be important in the relationship between CEA and adult psychological distress. Clinicians might address negative beliefs about the self as a GBM that could be exacerbated due to CEA.     

Does Current Social Philosophy Develop Progressively?

This article begins with clarification of the notion of progress. The author believes that it is possible to consider progress objectively, if by progress we understand a positive change in the effectiveness of something. He mentions two types of progress: progress of improvement and progress of augmentation. He then distinguishes evaluative from reflective philosophy. Evaluative philosophy gives answers to the second and third of Kant's famous three questions; reflective philosophy answers the first, dealing with the limits of human knowledge. Progress in evaluative philosophy takes the form of augmentation. But in reflective philosophy it could take the form of improvement. The author believes, however, that it is not an easy task to improve contemporary social philosophy. Three main obstacles are: the “anthropological turn” in philosophy, the challenge of postmodernism, and the turning of social philosophy into a kind of useful knowledge.     

Transforming Fatherhood: Reconstructing Fatherhood Through Faith-Based Father School in South Korea

Despite the fast growing literature on religion and fatherhood, the majority of research on the topic was conducted in western societies, and the linkage between culture, religion, and fatherhood was understudied. Using in-depth interviews with 20 Korean fathers who completed an evangelical Duranno Father School (DFS) program, this study examines the processes through which they reconstruct fatherhood and become involved fathers in contemporary South Korean society. Results show the DFS program is instrumental in the reconstruction of new fatherhood through the provision of a strong moral foundation. The transformational processes of fatherhood are initiated and sustained within men’s relationships and interactions with families and religious communities in South Korean cultural context. However, reconstructing a new form of fatherhood is a daunting task and the processes of change are marked with constant tensions between old practices and new ways of doing fatherhood. Men must consciously make efforts to sustain new fatherhood through various means and strategies until new fatherhood becomes familiar. This Korean case suggests the significance of looking into the distinctive roles of religion in the processes of reconstruction of fatherhood, particularly in “unsettled times” characterized by social transformation. Implications of the findings for future research are discussed.     

Living with Cancer: Impact of Expressive Arts

This single case study explored the impact of participation in an expressive arts support group on a Caucasian female with lymphoma. The creative art process, a peer support group, and a five point data collection method were deployed. Four major themes emerged reflecting the impact of participation in the support group reshaping the occupational identity of the patient. This study combined the benefits of traditional support groups and expressive art activities, and demonstrated the holistic ability of occupational therapy to support a female cancer patient to reestablish her occupational identity as a catalyst to recovery.     

Definitions of Suicide and Self‐Harm Behavior in an Australian Aboriginal Community

In this small qualitative grounded theory study (21 interviews and focus groups with a total of 26 participants) investigating the understandings of and attitudes toward suicide and self‐harm of Aboriginal peoples in a coastal region of New South Wales, Australia, we found that cultural factors particular to these communities influence the way such behavior is defined in an Aboriginal context. A continuation of certain “traditional” cultural forms of self‐harm behavior was evident in participant definitions, notably the practice of female hair cutting, also described as a mourning ritual, which appears to serve as a marker both to the individual and others.