Some considerations about personality structure in child psychosis

This paper begins by describing the three main areas that can be addressed in seeking to bring about change in parent?–?infant work, and questions the extent to which a brief therapy model may be generally effective. Following a clinical example, there is a discussion of the nature of the process of change with this particular population. Drawing on ideas from Paula Heimann and others it is suggested that the ‘ghost in the nursery’ described by Fraiberg represents an ‘unassimilated object’ that may frequently be projected on to the infant but is also likely to appear elsewhere. It is argued that, especially if therapy relieves the infant of this projection, it will most often manifest its presence in the couple's relationship. In consequence, it is this relationship that should be a primary focus for our interventions, particularly as this also provides the essential context for the infant's psychological development.     

Prologue: Introduction and Overview to Special Volume

Abstract

The editors provide an overview of the obstacles that prevent us from ending child abuse in the United States and briefly summarize the various articles in this volume that address these obstacles from multiple points of view.     

Assessing volunteer motives: a comparison of an open‐ended probe and Likert rating scales

The purpose of the present study was to compare the motives of volunteers (career, esteem, protective, social, understanding, and value) as assessed by an open‐ended probe and the Volunteer Functions Inventory (VFI) which employs a Likert rating scale. One‐hundred‐and‐twenty‐nine individuals, who volunteered for an organization that focuses on episodic volunteering in the community, completed both measures of volunteer motives and reported their frequency of volunteering for the organization. The Spearman rank correlation between the rankings of the six volunteer motives in the two distributions was 0.71. The maximum variance shared between the same motive as assessed by the two methods was 0.14. Frequency of volunteering for the organization was predicted by the value (positive predictor) and social (negative predictor) VFI scale scores. A post hoc analysis of the data from the open‐ended probe revealed three additional motives for volunteering—enjoyment, religiosity, and team building. Copyright © 2002 John Wiley & Sons, Ltd.     

The Role of Avoidance in Complicated Grief: A Detailed Examination of the Grief-Related Avoidance Questionnaire (GRAQ) in a Large Sample of Individuals with Complicated Grief

Grief-related avoidance is a significant component of complicated grief, yet has rarely been formally measured in a validated fashion. Further, more work is needed to understand the impact of grief-related avoidance on symptom severity and functional impairment among individuals with complicated grief (CG). The Grief-Related Avoidance Questionnaire (GRAQ; Shear, Monk et al. 2007) was created to assess grief-related avoidance and the present analysis aimed to further develop this measure and construct by confirming the GRAQ’s psychometric properties and examining loss-related predictors of avoidance. In a sample of 393 adults with CG, we found the GRAQ had high internal consistency, with a Cronbach’s alpha of 0.89 and good convergent validity. While the EFA results suggest that the GRAQ may be unidimensional, a 3-factor model generally corresponded with the findings by (Shear, Monk et al. 2007), which suggested the presence of 3 subscales. Loss-related variables age, relationship to the deceased, and cause of death were all significant predictors of GRAQ scores. Our findings support that among individuals with complicated grief, avoidance is common, measurable and an important contributor to impairment.     

Sudden Death of the Therapist: The Effects on the Patient

While the termination phase of psychoanalytic psychotherapy has been discussed in the literature, the effects on the patient of a forced termination following the therapist's death have seldom been investigated. In this paper, two groups of patients (N = 35) were compared: those who experienced a planned termination and those who experienced a sudden termination as a result of their therapist's death. Data were gathered by means of detailed questionnaire and formal psychological assessment (i.e., the Grief Experience Inventory). Responses were also solicited from therapists who treated patients subsequent to the original therapist's death. Results indicate that patients forced to terminate due to the therapist's unexpected demise experienced significantly more intense grief reactions with regard to feelings of anger, despair, depersonalization, and somatization. The nature of the transference relationship with the original therapist at the time of the latter's death appeared to influence the subsequent therapeutic relationship as well. The authors present recommendations and practical guidelines concerning therapists' responsibility to their analytic patients to make reasonable accommodations in the event of their unexpected death.     

Alexithymia and risk preferences: Predicting risk behaviour across decision domains

Risk‐taking is a critical health factor as it plays a key role in several diseases and is related to a number of health risk factors. The aim of the present study is to investigate the role of alexithymia in predicting risk preferences across decision domains. One hundred and thirteen participants filled out an alexithymia scale (Toronto Alexithymia Scale—TAS‐20), impulsivity and venturesomeness measures (I7 scale), and—1 month later—the Cognitive Appraisal of Risky Events (CARE questionnaire). The hierarchical regression analyses showed that alexithymia positively predicted risk preferences in two domains: aggressive/illegal behaviour and irresponsible academic/work behaviour. The results also highlighted a significant association of the alexithymia facet, externally oriented thinking (EOT), with risky sexual activities. EOT also significantly predicted aggressive/illegal behaviour and irresponsible academic/work behaviour. The alexithymia facet, Difficulty Identifying Feelings, significantly predicted irresponsible academic/work behaviour. The results of the present study provide interesting insights into the connection between alexithymia and risk preferences across different decision domains. Implications for future studies and applied interventions are discussed.