Primary Femininity and Female Genital Anxiety

The American Journal of Psychoanalysis -     

Sanctions for ethics violations: does licensure of socioeconomic status matter?

Although sexual relationships between therapists and their clients are unethical, such beahviors still occur. This study investigated whether psychologists with applied versus nonapplied training differed in the severity of sanctions advocated for psychologists charged with sexual ethical violations toward high- or low-socioeconomic status victims. Licensed and Nonlicensed psychologists (N=48) viewed a 15-min videotape simulating the adjudication process about an alleged sexual involvement between client and psychologist, then prescribed either: Dismissal of Charges, Educative Advisory, Educative Warning, Reprimand, Censure, Stipulated Resignation, Permitted Resignation, or Expulsion. The alleged victim was described as a college professor of home economics or a hairdresser. Licensed psychologists chose more severe sanctions ("Stipulated or Permitted Resignation") than did Nonlicensed psychologists ("Censure"). Socioeconomic status made no significant difference in sanctions. Apparently, applied therapy training results in more severe judgements toward those who violate American Psychological Association ethical guidelines than other types of psychology training.     

Freud and feminism: a critical appraisal

This paper traces the contributions made by women to Freud's ideas about women. Freud paid back the gifts he received from women with encouragement and support for their careers and with a theory that was instrumental in freeing women from both domestic bondage and fantasies of inferiority, but which was used by later "Freudians" as justification for returning women to an exclusively domestic life. Paying particular attention to Sabina Spielrein, Lou Andreas-Salomé, and H.D., the paper illustrates some of the contributions of women to early psychoanalysis, and speculates on ways in which Freud's thinking was guided by his belief that women are, and should be considered, equal to men.     

Dual-Element Effects in Pigeons’ Matching-to-Sample with Temporal and Visual Stimuli

The present study examined whether the dual-element effect occurs when temporal and visual stimuli appear simultaneously in a zero-delayed, symbolic matching-to-sample task. Two groups of pigeons were first exposed to either a red or green sample stimulus, for either 30 s or 5 s. The sample was followed by the presentation of yellow and blue comparisons. For pigeons in one group, the duration of the sample was the relevant cue. Responses to the yellow comparison were reinforced if the sample was 30 s, and responses to the blue comparison were reinforced if the sample was 5 s. For the other group, sample duration was irrelevant. Responses to the yellow comparison were reinforced if the sample had been green and responses to the blue comparison were reinforced if the sample had been red. Both groups then learned a second matching task in which the sample and comparison stimuli were vertical and horizontal lines. Finally, matching performance was examined when the lines appeared together with the temporal or color elements. The results showed that the line matching task was acquired more slowly for pigeons that were first trained to attend to duration. More importantly, matching was reduced when the temporal and line elements appeared simultaneously, and the effects were similar to those obtained when visual elements are combined.

     

Units of analysis and item statistics for environmental assessment scales

Choice of units of analysis is a critical problem in evaluating environmental assessment items. The “Ecological Fallacy” involves interpreting results based on ecological entities, such as environmental settings, as applying to individuals. A less familiar error, the “Individual Differences Fallacy,” involves interpreting results based on individuals as applying to settings. Although this second error has been ubiquitous, little is known about the empirical consequences of using different units of analysis in item analysis. This study examined this issue when the units were (1) individuals, (2) observed settings, or (3) “artificial” or random settings. Neither item validities based on individuals nor item validities based on settings yielded unequivocal results. However, a measure developed specifically for environmental research, the Split-Sample Correlation, appeared useful for identifying environmental items. Researchers constructing environmental assessment scales should select items with both high Split-Sample Correlations and high setting-level item validities.     

Psychosocial Impact of Tubal Ligation in Alabama Women1

The prevalence of female sterilization has grown rapidly throughout the world, especially in the United States. Yet the psychosocial impact of tubal ligation is incompletely understood. Most previous research has been retrospective and has lacked comparison groups of women using other birth control methods. This study used procedures developed in World Health Organization research to study the impact of voluntary tubal ligation on Alabama women. The design was prospective, included a comparison group, and called for 6- and 12-month follow-ups. Tubal ligation reduced follow-up pregnancy rate and scores on a measure of fear of pregnancy. Sterilization also produced a small increase in menstrual distress but did not affect sexual satisfaction or mental health nor did it increase regrets about contraceptive choice over other methods. These results imply women attained the goals that led them to choose sterilization.     

Comparison of outcomes across low-intensity psychological interventions for depression and anxiety within a stepped-care setting: A naturalistic cohort study using propensity score modelling

Low-intensity interventions for common mental disorders (CMD) address issues such as clinician shortages and barriers to accessing care. However, there is a lack of research into their comparative effectiveness in routine care. We aimed to compare treatment effects of three such interventions, utilizing four years' worth of routine clinical data. Users completing a course of guided self-help bibliotherapy (GSH), internet-delivered cognitive behavioural therapy (iCBT) or psychoeducational group therapy (PGT) from a stepped-care service within the NHS in England were included. Propensity score models (stratification and weighting) were used to control for allocation bias and determine average treatment effect (ATE) between the interventions. 21,215 users comprised the study sample (GSH = 12,896, iCBT = 6862, PGT = 1457). Adherence-to-treatment rates were higher in iCBT. All interventions showed significant improvements in depression (PHQ-9), anxiety (GAD-7) and functioning (WSAS) scores, with largest effect sizes for iCBT. Both propensity score models showed a significant ATE in favour of iCBT versus GSH and PGT, and in favour of GSH versus PGT. Discernible differences in effectiveness were seen for iCBT in comparison with GSH and PGT. Given variance in delivery mode and human resources between different low-intensity interventions, building on these findings would be valuable for future service provision and policy decision making.     

Four categories of women who work as topless dancers

Many involved in the feminist debates over sex work have polarized the construction of women in the sex industry as either victims of exploitation, or free agents who choose this work. This study examined the life circumstances of 30 women who worked as toplesS dancers to determine, how, if at all, the polarized debates reflect the realities of the women in this study. Four catagories of women who worked as topless dancers emerged: (1) survivors, (2) workers, (3) non-conformists, and (4) dancers. These categories suggest that there is a continuum of experience with varying degrees of choice, and demonstrate the limitations of dichotomous thinking when it comes to understanding the lived experiences of women in the sex industry.     

Entheogens in the Study of Religious Experiences: Current Status*

This article addresses the potential significance of archetypal and mystical experiences sometimes reported when entheogens are employed in supportive, legal research contexts. This area of research, which has been difficult to pursue in recent decades due to Federal legislation and concerns about drug-abuse, is presented as a frontier in the psychology of religious experience that could prove to have profound implications for advancing our understanding of spiritual dimensions of consciousness. Consideration is given to how the action of entheogens may be understood, the question of experiential validity, the apparent universality of both archetypal and mystical experiences, and initial theological reflections.