Transformative Aspects of Our Own Analyses and Their Resonance in Our Work With Our Patients

As psychoanalysts, our own relational stories, our “wounds that must serve as tools” (Harris, 2009 Harris, A. April 2009. “Keynote address at the meeting of the Division of Psychoanalysis, American Psychological Association, Toronto, Canada.”. In You must remember this April,  [Google Scholar]), represent both our greatest liabilities and potential for change, at times facilitating and at times impeding our capacity to engage deeply in the analytic process. Transformative aspects of our personal analysis dwell, often unconsciously or preconsciously, in the analyst, generating unanticipated opportunities in our work with our patients. In this paper, the author describes how a profound piece of work in her own analysis around healing in her relationship with her young son resonated in her work with a long-term patient, enlivening and deepening the treatment. The author explores how she drew on the interpenetrating experiences of analyst, patient, mother, and child, helping her to deconstruct a complex enactment with her patient, and opening up potential space. In the process, her patient discovered new places within herself, which enabled her to reach out to her vulnerable teenage son in new and reparative ways.     

Impaired configural body processing in anorexia nervosa: Evidence from the body inversion effect

Patients with anorexia nervosa (AN) suffer from severe disturbances of body perception. It is unclear, however, whether such disturbances are linked to specific alterations in the processing of body configurations with respect to the local processing of body part details. Here, we compared a consecutive sample of 12 AN patients with a group of 12 age‐, gender‐ and education‐matched controls using an inversion effect paradigm requiring the visual discrimination of upright and inverted pictures of whole bodies, faces and objects. The AN patients presented selective deficits in the discrimination of upright body stimuli, which requires configural processing. Conversely, patients and controls showed comparable abilities in the discrimination of inverted bodies, which involves only detail‐based processing, and in the discrimination of both upright and inverted faces and objects. Importantly, the body inversion effect negatively correlated with the persistence scores at the Temperament and Character Inventory, which evaluates increased tendency to convert a signal of punishment into a signal of reinforcement. These results suggest that the deficits of configural processing in AN patients may be associated with their obsessive worries about body appearance and to the excessive attention to details that characterizes their general perceptual style.     

“Leaving it to God” Religion and Spirituality among Filipina Immigrant Breast Cancer Survivors

Many Filipinos have a powerful adherence to Catholicism. However, little is known about spirituality and religious involvement of Filipina Americans who have been diagnosed with breast cancer. Ten (n = 10) in-depth qualitative interviews with Filipina immigrant breast cancer survivors identified prayer to be the most common religious practice, followed by prayers by others and spiritual support from the Catholic Church. These findings can help clinicians and researchers understand the role of spirituality and religion in providing comfort and support for Filipina immigrant breast cancer patient as they face the stress of diagnosis and treatment.     

Third parties, violence, and conflict resolution: the role of group size and collective action in the microregulation of violence

Although researchers know much about the causes of aggression, they know surprisingly little about how aggression leads to violence or how violence is controlled. To explore the microregulation of violence, we conducted a systematic behavioral analysis of footage from closed-circuit television surveillance of public spaces. Using 42 incidents involving 312 people, we compared aggressive incidents that ended in violence with those that did not. Behaviors of antagonists and third parties were coded as either escalating or conciliatory acts. Results showed that third parties were more likely to take conciliatory actions than to escalate violence and that this tendency increased as group size increased. This analysis revealed a pattern of third-party behaviors that prevent aggression from becoming violent and showed that conciliatory behaviors are more successful when carried out by multiple third parties than when carried out by one person. We conclude by emphasizing the importance of collective third-party dynamics in understanding conflict resolution.     

The memory of two great mental calculators: Charcot and Binet's neglected 1893 experiments

French neurologist Jean Martin Charcot (1825-1893) and French psychologist Alfred Binet (1857-1911) are almost unknown as investigators who conducted original and fascinating studies in the area of memory. In a series of 1893 experiments, they compared the performance of two expert mental calculators, Jacques Inaudi and Périclès Diamandi, in tasks that consisted of recalling digits. Inspired by Ribot's psychological work (1881), they believed in the existence of not one type of memory but several partial, special, and local memories, each devoted to a particular domain. In all arithmetical prodigies, memory for digits is abnormally developed compared with other memories. Inaudi was considered to be an auditory memory-based mental calculator; when memorizing digits, he did not rely onthe appearance of the items or create visual imagery of any kind. Rather, he remembered digits principally by their sounds. Inaudi's methods of calculation and memorization were original and different from those used by Diamandi, who was a typical visual memory-based mental calculator. The experiments presented in the 1893 article were among the first scientific demonstrations of the importance to psychology of studying different types of memory. The present work gives a translation of this pioneering experimental article on expert calculators by Charcot and Binet, instructive for the comprehension of normal memory.     

Unpacking Links between Fathers’ Antisocial Behaviors and Children’s Behavior Problems: Direct,Indirect, and Interactive Effects

Building upon previous evidence for the intergenerational transmission of antisocial behaviors, this research assessed and compared three models seeking to explain links between fathers’ antisocial behaviors and children’s behavior problems. A representative sample of children from low-income families (N?=?261) was followed from age 3 through age 9. Lagged OLS regression models assessed both short-term (1½?years) and longer-term (5½?years) prospective links between fathers’ antisocial behaviors and children’s behavior problems. Results supported a direct effects model: fathers’ antisocial behaviors predicted growth in children’s externalizing and internalizing behavior problems, with links stronger among resident-father families. Limited evidence of indirect effects emerged, with links between fathers’ antisocial behaviors and children’s behavior problems only slightly attenuated controlling for related risk factors and for parenting quality, showing limited evidence of mediation. A new interactive model was proposed and supported, with high levels of harsh discipline exacerbating negative links between fathers’ antisocial behaviors and children’s internalizing problems. Results suggest caution in policies and programs which seek to universally increase marriage or father involvement without attention to fathers’ behaviors.     

A comparison of the construct validity of two alternative approaches to the assessment of psychopathy in the community

This study compared the validity of 2 different self-report approaches to the assessment of psychopathy in nonforensic samples: the Psychopathy Resemblance Index (PRI), derived from a measure of normal personality functioning, and the Self-Report Psychopathy Scale (SRP), developed specifically to assess the maladaptive traits associated with psychopathy. In 2 adult samples (n (1) = 260, n(2) = 250), the PRI and the SRP were positively correlated with each other and with measures of maladaptive personality traits related to Machiavellianism and narcissism. However, unlike the SRP, the PRI was independent of trait empathy and general psychopathology and was positively associated with trait emotional intelligence. These results suggest that the PRI captures a more adaptive variant of psychopathy than does the SRP.     

Loneliness and eating disorders

This article examines the link between loneliness and eating disorders. This concept is evaluated through a systematic review of the literature that links loneliness and eating disorders and through a survey of themes connecting the 2 conditions. Eating disorders-including anorexia nervosa, bulimia nervosa, and eating disorders that are not otherwise specified, which include binge eating disorder-are challenging health issues. Each of these diagnoses specifically relates to loneliness. This negative emotion contributes to and fuels eating disorder symptoms. Negative interpersonal relationships, both real experiences and individuals' skewed perceptions, exacerbate eating disorders and feelings of loneliness. Characteristics that have been associated with loneliness clearly relate to eating disorders. Understanding this relationship is vital, so that we can appreciate our patients' struggles and work to target these intense emotions within the treatment setting. We need to be aware of the power of loneliness as it applies to individuals in general and specifically to those struggling with disordered eating.