Gestural impairment and gestural ability in aphasia: A review

Studies of gestural ability in aphasic subjects have found impairment of gestural expression and comprehension, with a close relationship between severity of aphasia and degree of gestural impairment. A few investigators have correlated gestural ability with specific language functions or subcategories of aphasia. Reading appears to correlate better with gestural recognition than does auditory comprehension. Despite the general findings of gestural impairment in aphasia, successes have been reported with gestural training including artificial language techniques, pantomime, Amerind, and American Sign Language. Future studies of gestural therapy in aphasia should examine specific language deficits in order to identify those aphasic individuals who can benefit from gestural training.     

The concept of the self in psychoanalytic theory and its philosophical foundations.

Concepts of "the self" in psychoanalytic theory have important philosophic underpinnings which may not be adequately appreciated. Both self psychology and ego psychology, with their contrasting positions on the self as a mental structure, retrace paths taken by Western philosophy beginning at least with Hume and Descartes. They reflect traditional philosophic questions, notably of a homuncular self internal to consciousness and the isolation of the subject from other selves. Psychoanalysis has not utilized Hegel's conception of the intersubjective origins of the self, in which the self emerges only in an encounter with another subject, although this approach is implicit in the work of Winnicott on the mother-infant dyad. This movement from a one- to a two-person psychology also presents conceptual problems, as illustrated by the psychoanalytic theories of Sartre and Lacan, who take up opposing positions on the status of consciousness and on intersubjectivity in the formation of the self. Sartre's phenomenology, with its emphasis on the questing nature of the subject in search of an identity, resonates with contemporary theories of narcissism in which the painful isolation of self from self-affirming and mirroring objects is central to clinical practice. Lacan's insight into the role of acquisition of language helps us to understand the formation of the subject in pursuit of a virtual selfhood, as Sartre described, but embedded within an intersubjective matrix.     

The role of sincere amends and perceived partner responsiveness in forgiveness

In a sample of 188 people currently in a romantic relationship, the authors examined the extent to which perceiving a partner as responsive and sincere in making amends relates to participants' forgiveness of a partner after a real‐life hurtful event. Specifically, it was predicted that sincere amends would be associated with greater forgiveness because it conveys that one's partner has understood and validated one's experience of the hurtful event. Results supported this mediational model. Further, exploratory analyses suggested that this meditational model is moderated by event severity and relationship satisfaction. Discussion focuses on understanding how this work might help to inform the dynamic process of forgiveness in couples.     

Toward a postmodern realism for psychoanalysis.

The current status of psychoanalysis is explored in the light of the postmodern critique of forms of knowledge. Analysts have tended to respond by redefining psychoanalysis in the language of the exact sciences or by finding a language that includes both (Kuhn, Rorty), thereby falling either into a reductive "scientism" or the fallacies of the "strong program" in postmodern thought. However, psychoanalytic theories do not meet the probative requirements of science. Neither is the serious problem of competing theories and interpretations adequately addressed by hermeneutics. Philosophical realism (Putnam 1981, 1988) offers some helpful ways to look at this problem. Following Lacan, we define psychoanalysis as a clinical discipline which has as its unique object of study the human subject, an indeterminate and language dependent entity. Concepts and rules specific to our field make an internal realism of psychoanalytic inquiry possible. An extended case vignette accompanies this philosophical discussion.     

Trauma and psychosis: A review and framework for psychoanalytic understanding

Empirical research substantiates Ferenczi's conception of the etiological importance of early neglect and abuse in the development of psychosis. Abuse can derail the development of language, identity, and social relationships that are intrinsic to schizophrenia, possibly through undermining secure attachment relationships. The Lacanian emphasis on language and early proto-dialogues with the Other can be useful in understanding this process. Some therapeutic implications for psychoanalytic approaches to the treatment of psychosis are proposed.