LOVING THE PATIENT AS THE BASIS FOR TREATMENT

The author’s conviction is that a successful treatment is based on feelings of love by the therapist/analyst toward his or her patients. One should differentiate between love that is based on biological erotic-sexual drives and emotional love without erotic biological drive. The treatment process, especially for severely disturbed personalities, should be regarded as a process of new birth and new kind of development. Thus what the patient needs most is a kind of parental “primary love” (according to Balint). This paper presents a full report of a session through which the basic love to the patient is illustrated as enabling the treatment.Yecheskiel Cohen, Ph.D., is a member of the Israeli Psychoanalytic Society and the International Psychoanalytic Association.A version of this paper was presented at a conference of the Israel Psychoanalytic Society, May 2004.     

Attentional dysfunction, social perception, and social competence: what is the nature of the relationship?

The aim of this study was to examine the nature of the relationship between attentional dysfunction and social competence deficits in patients with schizophrenia. Attentional functioning, social perception, and social competence were assessed in 56 inpatients. Measures of vigilance and span of apprehension were administered to assess attentional functioning. Social perception was assessed with an audiovisual measure of affect recognition. Social competence was rated from a role-play task. Span of apprehension and auditory vigilance emerged as specific predictors of social competence. Affect recognition was tested as a mediator and a moderator of the relationship between attentional dysfunction and social competence. Affect recognition was found to moderate the relationship between span of apprehension and social competence.     

Acting intentionally and the side-effect effect

The concept of acting intentionally is an important nexus where theory of mind and moral judgment meet. Preschool children's judgments of intentional action show a valence-driven asymmetry. Children say that a foreseen but disavowed side effect is brought about "on purpose" when the side effect itself is morally bad, but not when it is morally good. This is the first demonstration in preschoolers that moral judgment influences judgments of whether something was done on purpose (as opposed to judgments of purpose influencing moral judgment). Judgments of intentionality are usually assumed to be purely factual. That these judgments are sometimes partly normative-even in preschoolers-challenges current understanding. Young children's judgments regarding foreseen side effects depend on whether the children process the idea that the character does not care about the side effect. As soon as preschoolers effectively process the theory-of-mind concept "not care that P," children show the side-effect effect.     

Trait and social processes in the link between social support and affect: an experimental, laboratory investigation

This study investigated the extent to which the link between perceived social support and affect reflected support recipients' trait perceived support as well as three distinct social processes: the objective supportiveness of providers, the unique relationships among recipients and providers that were stable over occasions, as well as the unique relationships that varied across occasions. Ten recipients interacted with each of the same four providers on five separate occasions, for a total of 200 interactions. Recipients and independent observers rated recipient affect and provider support. Greater perceived support was related to greater positive affect for recipients' trait perceived support, as well as for relationships that were stable over occasions and relationships that varied across occasions. No social support effects were found for negative affect. Perceived similarity was a consistent predictor of recipients' support perceptions. Implications for social support models and interventions were discussed.     

Contributions of invariants, heuristics, and exemplars to the visual perception of relative mass

Some potential contributions of invariants, heuristics, and exemplars to the perception of dynamic properties in the colliding balls task were explored. On each trial, an observer is asked to determine the heavier of 2 colliding balls. The invariant approach assumes that people can learn to detect complex visual patterns that reliably specify which ball is heavier. The heuristic approach assumes that observers only have access to simple motion cues. The exemplar-based approach assumes that people store particular exemplars of collisions in memory, which are later retrieved to perform the task. Mathematical models of these theories are contrasted in 2 experiments. Observers may use more than 1 strategy to determine relative mass. Although observers can learn to detect and use invariants, they may rely on either heuristics before the invariant has been learned or exemplars when memory demands and similarity relations allow.     

A reaction time advantage for calculating beliefs over public representations signals domain specificity for ‘theory of mind’

In a task where participants’ overt task was to track the location of an object across a sequence of events, reaction times to unpredictable probes requiring an inference about a social agent’s beliefs about the location of that object were obtained. Reaction times to false belief situations were faster than responses about the (false) contents of a map showing the location of the object (Experiment 1) and about the (false) direction of an arrow signaling the location of the object (Experiment 2). These results are consistent with developmental, neuro-imaging and neuropsychological evidence that there exist domain specific mechanisms within human cognition for encoding and reasoning about mental states. Specialization of these mechanisms may arise from either core cognitive architecture or via the accumulation of expertise in the social domain.     

Whatever does not kill us: cumulative lifetime adversity, vulnerability, and resilience

Exposure to adverse life events typically predicts subsequent negative effects on mental health and well-being, such that more adversity predicts worse outcomes. However, adverse experiences may also foster subsequent resilience, with resulting advantages for mental health and well-being. In a multiyear longitudinal study of a national sample, people with a history of some lifetime adversity reported better mental health and well-being outcomes than not only people with a high history of adversity but also than people with no history of adversity. Specifically, U-shaped quadratic relationships indicated that a history of some but nonzero lifetime adversity predicted relatively lower global distress, lower self-rated functional impairment, fewer posttraumatic stress symptoms, and higher life satisfaction over time. Furthermore, people with some prior lifetime adversity were the least affected by recent adverse events. These results suggest that, in moderation, whatever does not kill us may indeed make us stronger.     

Health Care Chaplains and their Role on Institutional Ethics Committees: An Australia Study

This paper presents the results of the largest Australian pastoral study concerning the perceptions of health care chaplains about their involvement on hospital research ethics committees (also known in some contexts as institutional ethics committees). Survey results from over 300 Australian health care chaplains indicated that nearly 90% of chaplains believed there was merit in chaplains serving on hospital research ethics committees, yet only a minority (22.7%) had ever participated on such committees. Data from in-depth interviews is also presented exploring the reasons for the lack of participation and the varying opinions regarding the role, appropriateness, and value of chaplains on ethics committees. Some implications of this study with respect to chaplaincy, hospital research ethics committees, health care institutions, ecclesiastical institutions, and government responsibilities are discussed.     

Psychological effects of risk glorification in the media: Towards an integrative view

Media contents that glorify risk-taking (e.g., video games that simulate illegal street racing, TV depictions of dangerous extreme sports or stunts) are becoming increasingly popular. Theory and research suggest that risk glorification is associated with risk-taking among the audience. Until recently the evidence was limited in three ways: First, most studies, being correlational, did not permit clear causal inferences. Second, we did not know the strength of the effect of different types of media and different types of risk-taking outcomes. Third, early research did little to isolate the underlying psychological processes that mediate the pernicious effects of risk glorifying media formats. In order to address these open questions we review the results of an experimental programme of research and the findings of a comprehensive meta-analysis. The main findings are that (a) the risky media contents do indeed have causal force; (b) according to our meta-analysis active participation in risk glorifying media interfaces has a larger effect than passive consumption; (c) psychological processes include the priming of risk-related constructs, effects of risk-positive situational heuristic cues, perceived social norms, personal risk habituation, and changes in the recipient's self-concept. To integrate these findings we propose a theoretical framework derived from broad-range socio-cognitive models. We conclude with a discussion of possible directions for future research.