Mutual Vulnerability: Intimacy,Psychic Collisions,and the Shards of Trauma

In this paper, I explore the profound potential, and the challenges, of mutual vulnerability in psychoanalysis. I describe ways in which analysts are penetrated by shards of our patients’ trauma, and how this interpenetrates with our own vulnerabilities and ungrieved losses (Harris, 2009; Levine, 2016). In my patient Lisa’s fierce determination to come into being, and in our mutual efforts to survive each other’s ruthlessness (Winnicott, 1969) we each struggle to recognize and own malignant “not-me” versions of ourselves (Bromberg, 1998), as we reach toward reparation, mutual recognition, and healing.     

Examining the Efficacy of Parent–Child Interaction Therapy with Children on the Autism Spectrum

Externalizing behaviors are a common component of the clinical presentation of autism spectrum disorders. Although traditionally used with typically-developing children, parent–child interaction therapy (PCIT) is one behaviorally-based parent training program that has demonstrated success in increasing child compliance, reducing problem behavior, and improving parent–child communication. The study examined the efficacy of PCIT as a treatment for children with autism spectrum disorders by employing a single subject, non-concurrent multiple baseline design across three subjects. Primary findings revealed increases in child compliance, reductions in child disruptive behavior, and improved parenting skills across participants. In addition, each caregiver reported high levels of satisfaction with the intervention. Results suggested that PCIT may be a treatment option for children on the autism spectrum with co-occurring behavioral difficulties. Although the non-concurrent nature of the multiple baseline design is a limitation, this study replicates and extends previous research investigating the efficacy of PCIT with children with autism and their parents.     

Interactive effects of subjective memory complaints and hypertension on learning and memory performance in the elderly

This study evaluated whether the relation between subjective memory complaints and cognitive performance is influenced by the presence of hypertension in the elderly. One hundred and five healthy older adults, 70–89 years of age, with and without hypertension treatment or diagnosis, completed a scale of subjective memory complaints. Participants were divided into those with mild memory concerns and those with minimal or no complaints. All participants completed a battery of neuropsychological tests including measures of verbal and nonverbal memory. After controlling for differences in age, gender, education, and overall intellectual ability, there were significant main effects for memory concerns and significant interactions for memory complaints and hypertension on several measures of memory performance. There were no main effects for hypertension on memory performance. Simple effects analyses of the interactions showed that the hypertensive complainers demonstrated poorer performance on measures of long-term memory and greater reliance on short-term recall than the hypertensive non-complainers. There were no differences in memory performance for the non-hypertensive groups. Among healthy elderly community-dwelling adults, those with mild subjective memory complaints in the context of hypertension demonstrated greater objective cognitive difficulties than those without hypertension as well as a greater reliance on a less efficient learning strategy. These findings suggest that memory concerns in the presence of hypertension may be important when evaluating treatment efficacy in these individuals and for identifying differences in cognitive aging.     

The experience of receiving scholarship aid and its effect on future giving: a listening guide analysis

Why are there so many people who receive scholarship aid who do not give back to the schools that gave it? Social exchange theories grounded in the assumption of direct reciprocity have long been the framework used within higher education to understand donative behavior. As a result, conventional wisdom within higher education holds that recipients of scholarship aid will later donate money to the institution that provided it. However, the philanthropic data show that most aid recipients do not, in fact, give back. This study probes the underlying factors for this phenomenon by using the Listening Guide, a voice-centered relational method of discovery, to analyze and interpret interviews with 10 scholarship recipients. By providing a more robust understanding of the experience of receiving, the findings challenge some of the most basic psychological and sociological assumptions about giving and generosity within higher education.     

Does effort influence inequity aversion in cotton-top tamarins (Saguinus oedipus)?

The human sense of fairness entails sensitivity not just to equality, the equal division of resources, but also to merit, the relationship between an individual’s share of resources and how hard they worked for their share. Recent evidence suggests that our sensitivity to equality has deep phylogenetic roots: several nonhuman animal species show an aversion to unequal reward distributions. However, the extent to which nonhuman animals share sensitivity to merit remains poorly understood, largely because previous studies have failed to properly manipulate work effort in inequity aversion tasks. Here, we tested whether cotton-top tamarins (Saguinus oedipus) would exhibit a differential response to inequity when acquiring rewards was either (1) effortful or (2) effortless. Subjects engaged in a pulling task in which they had an opportunity to deliver a disadvantageously unequal distribution of food to themselves and a partner (one piece for self, four pieces for partner). We made delivery effortful by adding a weight to the pulling handle. Critically, effort was calibrated to each individual. Results show that individuals varied markedly in their response to effort, highlighting the importance of manipulating work effort at the individual level. Overall, subjects showed little aversion to inequity. However, subjects were slightly less likely to accept inequity when doing so was effortful, although this effect was pronounced in only one individual. Our findings suggest a new method for capturing individual variation in effort and for studying the roots of the concept of merit in nonhuman animals.     

Is pressure stressful? The impact of pressure on the stress response and category learning

We examined the basic question of whether pressure is stressful. We proposed that when examining the role of stress or pressure in cognitive performance, it is important to consider the type of pressure, the stress response, and the aspect of cognition assessed. In Experiment 1, outcome pressure was not experienced as stressful but did lead to impaired performance on a rule-based (RB) category-learning task, but not on a more procedural information-integration (II) task. In Experiment 2, the addition of monitoring pressure resulted in a modest stress response to combined pressure and impairment on both tasks. Across experiments, higher stress appraisals were associated with decreased performance on the RB, but not on the II, task. In turn, higher stress reactivity (i.e., heart rate) was associated with enhanced performance on the II, but not on the RB, task. This work represents an initial step toward integrating the stress cognition and pressure cognition literatures and suggests that integrating these fields may require consideration of the type of pressure, the stress response, and the cognitive system mediating performance.     

Examining the Effects of Incremental Case Presentation and Forecasting Outcomes on Case-Based Ethics Instruction

Case-based reasoning has long been used to facilitate instructional effectiveness. Although much remains to be known concerning the most beneficial way to present case material, recent literature suggests that simplifying case material is favorable. Accordingly, the current study manipulated two instructional techniques, incremental case presentation and forecasting outcomes, in a training environment in an attempt to better understand the utility of simplified versus complicated case presentation for learning. Findings suggest that pairing these two cognitively demanding techniques reduces satisfaction and detracts from the effectiveness of the learning approach. Implications regarding the use of instructional techniques in training programs are discussed.     

Health-Related Hindrance of Personal Goals of Adolescents with Cancer: The Role of the Interaction of Race/Ethnicity and Income

This study examined the interaction of race/ethnicity and income to health-related hindrance (HRH) of personal goals of adolescents with cancer. Adolescents (N = 94) receiving treatment for cancer completed a measure of HRH, (including identification of personal goals, rating the impact of health on goal pursuit, and ratings of goal appraisals). The interaction of race/ethnicity and income on HRH was examined. Goal content and appraisal were compared by race/ethnic groups. The interaction between race/ethnicity and income was significant in predicting HRH, with HRH increasing for minority adolescents as income increases and HRH decreasing for white adolescents as income increases. Higher income minority adolescents reported the most goals. Low income minorities reported the least difficult goals. Goal content did not differ between groups. Sociodemographic factors contribute to HRH in adolescents with cancer. Structural and psychosocial support during treatment to maintain goal pursuit may improve psychosocial outcomes.     

Toward a Phenomenology of Mood

Martin Heidegger's account of attunement [Befindlichkeit] through mood [Stimmung] is unprecedented in the history of philosophy and groundbreaking vis‐à‐vis contemporary accounts of emotion. On his view, moods are not mere mental states that result from, arise out of, or are caused by our situation or context. Rather, moods are fundamental modes of existence that are disclosive of the way one is or finds oneself [sich befinden] in the world. Mood is one of the basic modes through which we experience the world and through which the world is made present to us. Moreover, moods are the lenses through which things, people, animals, events, and aspects in the world matter to us. In this paper, I make the case that Heidegger's insights with respect to mood can and ought to be extended beyond the narrow scope of his fundamental ontology (in Being and Time) in which they were developed. I argue that contemporary accounts of mood within psychology ought to take these Heideggerian insights seriously and use them when defining, studying, evaluating, and drawing conclusions about the nature of moods. There are three sections to my paper. In section 1, I delineate Heidegger's account of mood. In section 2, I turn to some key studies on mood in psychology, and I elaborate upon some of the main shortcomings in this literature. In section 3, I suggest how psychology might benefit from understanding and utilizing a Heideggerian‐inspired phenomenology of mood.     

Children's Sensitivity to Ulterior Motives When Evaluating Prosocial Behavior

Reasoning about ulterior motives was investigated among children ages 6–10 years (total N = 119). In each of two studies, participants were told about children who offered gifts to peers who needed help. Each giver chose to present a gift in either a public setting, which is consistent with having an ulterior motive to enhance one's reputation, or in a private setting, which is not consistent with having an ulterior motive. In each study, the 6‐ to 7‐year olds showed no evidence of understanding that the public givers might have ulterior motives, but the 8‐ to 10‐year olds rated the private givers more favorably. In 3. , the older children were more likely than the younger children to refer to impression management when explaining their judgments of the givers. The younger children who mentioned impression management did so to justify a preference for public givers (e.g., by explaining that public givers are nicer because more of their peers will know that they are nice). Results from 4. suggest that developmental change in children's reasoning about intentions and social outcomes contributes to their understanding of ulterior motives.