Acting out in the treatment situation

More and more frequently the deficiencies and deprivations of early life are seen in the inability of patients to utilize psychic process to ameliorate conflict and painful affect. As a result, the tendency to act out anger and violent feelings in the external world in ways that are destructive and damaging is a prominent symptom. In the course of therapy, this somatic expression enters the treatment situation itself, often directed to the person of the analyst as the transference object. Understanding dynamics of what is actually being reenacted and using this information to convert somatic language to psychic process is the central focus of this paper. Acting out is defined and what places it apart from other pathological symptoms is described, along with associated ego functions, triggering mechanisms, affects, narcissistic and preoedipal factors, speech and symbolization, and stability and quality of mental representations. Acting out has been linked to somatization in recent years, and is understood as a defense against hostile wishes and impulses in an attempt to eliminate internal dangers from awareness. Treatment focuses on moving acting out into the realm of talking out, free association, dream interpretation, and interpretation in general with the proper timing in assessing the patient's ability to transfer experiences with early objects onto the analyst.     

The addiction to negativity.

In this paper, we have described a type of resistance that has attracted increasing psychoanalytic attention in recent years. Patients exposed to intense negativity during early life may develop an addiction to negative experience as adolescents and adults, and this may constitute a central organizing feature of their personality. In almost all patients, however, some moments of negativity may be observed. We have traced the developmental origins of an attachment to negativity, drawing especially on psychoanalytic investigations of preoedipal pathology. Manifestations and derivatives of early negativity include anhedonia, attachment to physical pain, fear of success, masochism, deprivation of self and others, and negative voyeurism. In discussing the dynamic functions of negativity, we place particular emphasis on two motives: the patient's desires for revenge against early objects that have been a source of deprivation and frustration; and the defensive function of negativity in helping to express as well as ward off dangerous wishes to merge with the object. Deviant forms of autoerotism are likely to be used by these patients to deal with the reactivation of early experiences of neglect and rejection. When negativity is used as a defense or method of relating to others it can lead to a severe disruption of the psychotherapeutic relationship. We have reviewed suggestions for the management of extreme negativity in treatment. Resolution of the therapist's countertransference reactions, especially induced feelings of frustration, rage, and helplessness, is crucial. Emphasis also has been placed on the patient's desires for revenge against self and object, and the manner in which these may be understood and eventually resolved. Only when patient and therapist begin to investigate the adaptive functions of extreme negativity can this pathological symptom be resolved and the patient's awareness of self and sense of autonomy be enhanced.     

Time congruity in the organization: A proposed quality-of-life framework

The present paper examines the importance of matching thetime styles of individuals with thetime styles established by organizations. The authors introduce the notion oftime congruity to represent such a matching process. While time use has been studied in both organizational and individual contexts, lesser attention has been given to such multi-level analysis. When the individual's self time preferences are matched to the time use methods of the organization, a fit is thought to exist, potentially leading to satisfactory performance and enhancement of quality of work and general life. A framework is proposed for identifying and exploring such congruity, leading to several research propositions. Managerial implications are developed for human resource issues and business combinations, such as joint ventures, mergers, and acquisitions.     

医疗纠纷处理中若干伦理问题的思考

医疗纠纷的增势和处理难已成为众所周知的事实。但是,在医疗纠纷处理中存在着医患关系的信任性、医疗事故鉴定的公正性和经济裣的合理笥是思考的伦理问题。只要医患双方、乃至社会对诸如医疗行为是否等同于一般的服务行为、病人权益是否等同于消费者权益、医疗事故鉴定是不是医医相护、经济裣能不能实行等价赔偿原则、医疗差错要不要给予经济补偿等有效为统一的认识,就会有利于医疗纠纷的处理,有利于维护医患双方的合法权益,有利     

Cerebral asymmetry for American Sign Language: The effects of moving stimuli

Previous studies of cerebral asymmetry for the perception of American Sign Language (ASL) have used only static representations of signs; in this study we present moving signs. Congenitally deaf, native ASL signers identified moving signs, static representations of signs, and English words. The stimuli were presented rapidly by motion picture to each visual hemifield. Normally hearing English speakers also identified the English words. Consistent with previous findings, both the deaf and the hearing subjects showed a left-hemisphere advantage to the English words; likewise, the deaf subjects showed a right hemisphere advantage to the statically presented signs. With the moving signs, the deaf showed no lateral asymmetry. The shift from right dominance to a more balanced hemispheric involvement with the change from static to moving signs is consistent with Kimura's position that the left hemisphere predominates in the analysis of skilled motor sequencing (Kimura 1976). The results also indicate that ASL may be more bilaterally represented than is English and that the spatial component of language stimuli can greatly influence lateral asymmetries.     

Spatial visualization and sex differences in quantitative ability

The hypothesis that sex differences in spatial visualization ability might account for sex differences in mathematical ability was supported for a group of 183 male and 81 female college students. With spatial visualization statistically controlled, no significant sex differences in Quantitative Scholastic Aptitude Test (QSAT) scores was found; including sex as a predictor variable increased the variance explained by less than 1%. Although the slope of the regression of mathematics on spatial visualization did not differ as a function of sex, males were somewhat more predictable than females. As the OSAT of both males and females high on spatial visualization was more predictable than the QSAT of those scoring less well, it appears that the sex difference in predictability is due to males having higher spatial ability than females.     

Gradients of auditory generalization for blind, retarded children

Severely retarded, blind children were conditioned to respond differentially to two intensities of a pure tone. Gradients of auditory generalization were obtained that were reliable and similar to those for normal adults, but often asymmetric and non-monotonic.     

Political Philosophy: The View from Cambridge

This article reports on a conversation convened by Quentin Skinner at the invitation of the Editors of The Journal of Political Philosophy and held in Cambridge on 13 February 2001.     

Facilitative interactions of model- and experiencebased processes: Implications for type and flexibility of representation

People are often taught using a combination of instruction and practice. In prior research, we have distinguished between model-based knowledge (i.e., acquired from explicit instruction) and experience-based knowledge (i.e., acquired from practice), and have argued that the issue of how these types of knowledge (and associated learning processes) interact has been largely neglected. Two experiments explore this issue using a dynamic control task. Results demonstrate the utility of providing model-based knowledge before practice with the task, but more importantly, suggest how this information improves learning. Results also show that learning in this manner can lead to "costs" such as slowed retrieval, and that this knowledge may not always transfer to new task situations as well as experientially acquired knowledge. Our findings also question the assumption that participants always acquire a highly specific "lookup" table representation while learning this task. We provide an alternate view and discuss the implications for theories of learning.