One-session treatment for specific phobias

A rapid and effective treatment for specific phobias, in which the treatment is done in one single session, is described in detail. The treatment method consists of a combination of exposure in vivo and modeling. The short- and long-term outcome for a consecutive series of 20 patients are reported. Mean treatment time was 2.1 h and at follow-up after an average of 4 yr 90% were much improved or completely recovered.     

Negativism and countertransference

The purpose of this work is to explore the phenomenon of negativism and the analyst's response to it during the course of analytic work with a patient in whom negativism is a central behavioral pattern. Melville's short story, "Bartleby the Scrivener," describing in telling detail the response of a sympathetic lawyer to profound and pervasive negativism in his legal scribe, is discussed as a literary analogy to the analyst-analysand dyad. Aspects of the concept of negativism within psychoanalysis are discussed. The potential usefulness of understanding certain unexpected countertransference responses to pervasive negativism is explored, as this is a relatively neglected area of psychoanalytic technique. A case is presented describing the analysis of a patient whose character, like Bartleby's, is a mixture of profound negativism along with schizoid, obsessional, and masochistic elements.     

The changing face of visual persistence

In three experiments, the effect of target luminance on estimates of visual persistence was determined on a popular successive-field task. Even though the experiments differed from each other only in terms of minor changes in stimulus conditions, very different effects were obtained across the three experiments. The different findings were attributed to the often overlooked roles of masking and target degradation on tasks of persistence. Implications for the numerous contradictory findings in the persistence literature are discussed, and the current popularity of the successive-field task is questioned.     

Changing psychic structure through treatment: criteria for change

The author outlines his clinical observations during the "middle game" of psychoanalysis, leading to recognition that structural change is taking place. "Middle game," "structure," process, and content are defined and critically discussed. Illustrative clinical vignettes are offered. The presentation emphasizes the importance of an active and resolving transference "struggle"; in addition, more traditionally noted criteria are briefly touched on, e.g., development of observing ego and treatment alliance, changes in dream function and communication, and the reviewing of the neurosis and transference during the termination phase as instances of mourning and working through. The concept of optimal psychobiological function in the service of a homeostatic principle is discussed.     

Concepts and conceptual structure

Research and theory on categorization and conceptual structure have recently undergone two major shifts. The first shift is from the assumption that concepts have defining properties (the classical view) to the idea that concept representations may be based on properties that are only characteristic or typical of category examples (the probabilistic view). Both the probabilistic view and the classical view assume that categorization is driven by similarity relations. A major problem with describing category structure in terms of similarity is that the notion of similarity is too unconstrained to give an account of conceptual coherence. The second major shift is from the idea that concepts are organized by similarity to the idea that concepts are organized around theories. In this article, the evidence and rationale associated with these shifts are described, and one means of integrating similarity-based and theory-driven categorization is outlined.     

Colombian street children: gamines and chupagruesos

Through the use of participant observations and the collection of standardized psychological test scores from a sample of 56 street children, their characteristics were examined. The Kohs Block Design measured their intelligence; the Human Figure Drawing and the Bender-Gestalt tests were used to measure emotional and neurological functioning. The data indicated that their mental health was adequate, which is postulated to be the result of intense friendships between the children. Two different styles of street life are presented--the gamines and chupagruesos. Because of their public lives and because they live without parental supervision, their developmental periods have been altered. The paper illustrates how child development is dependent on societal reactions to aberrant children.