Hostile/Helpless maternal representations in pregnancy and later child removal: A pilot study

This article presents the results of a small pilot study examining links between Hostile/Helpless (HH) representations of caregiving in pregnancy and later child removal by child protective services. The sample was drawn from a replication study of the Minding the Baby^® attachment‐based home‐visiting intervention conducted in the United Kingdom, serving young first‐time mothers in under resourced communities. The HH classification system (Lyons‐Ruth et al.) was adapted for use with the Pregnancy Interview (PI) (Slade); 26 PIs were assessed (coders blinded) in a sample that included 13 mothers whose infants were removed from custody due to anticipated or documented maltreatment within 2 years of childbirth, and 13 mothers who did not have their infants removed. Mothers whose infants were removed from their custody had significantly higher HH scores than mothers of infants who were not removed from their care (F(1, 24) = 14.500, p < .001), and the relation between overall HH classification and infant removal status was also significant (χ²(1, N = 26) = 12.462, p < .001). Results suggest that prenatal maternal caregiving representations may predict postnatal relationship disruptions, and indicate the need for larger studies further testing this prenatal approach to maltreatment risk assessment in at‐risk populations.     

Lacan's Theory of Self and the Story of the Last Cookie

The American Journal of Psychoanalysis -     

An Exercise in Psychological Growth*

The author presents a case report followed by a self- assessment exercise which was generated spontaneously in collaboration with the patient herself during the treatment process. The lists of questions, designed to provoke thought and stimulate maturation, were found to be quite helpful especially in making important life decisions. It is proposed as a learning tool and template for use by those confronting similar issues. Lois Gerby, MA, is a psychologist and family therapist in private practice, 32 Hapalmach St., Suite 32/7, Jerusalem, Israel 92542 (jack.friedman@mail.mcgill.ca). *Translation by Yacov Friedman and Haim Sherrf.     

The role of stranger harassment experiences in college women's perceived possibility of gender crimes happening to them

The present study examined the relation between stranger harassment experiences and college women's perceived possibility of gender and nongender crimes happening to them. Undergraduate women attending a British university completed self‐report measures of stranger harassment and self‐objectification (i.e., self‐surveillance and body shame), and then evaluated four vignettes of various crimes on the severity of the crime and the likelihood of the crime happening to them. Results indicated that stranger harassment is a common experience for these British university women. Serial mediation analyses revealed a direct effect of stranger harassment on perceived likelihood of rape and perceived likelihood of intimate partner violence, and an indirect effect of stranger harassment on rape through self‐surveillance, whereas stranger harassment and indices of self‐objectification were unrelated to perceived likelihood of human trafficking and burglary. Discussion is centered on the role of objectifying experiences in perceptions of gender crimes where sexual and physical harm to women's bodies is emphasized, and the potential impact for those women on the receiving end of unwanted sexual objectification.     

A PREOCCUPATION WITH OBJECT-REPRESENTATION: THE BECKETT-BION CASE REVISITED

Taking issue with the notion of a profound reciprocal influence of Samuel Beckett and his analyst, Wilfred Bion, based on supposition all too often passed as fact, the author refutes the idea that Bion's ‘Attacks on linking’ was based on his later‐to‐be famous patient. Choosing, rather, to apply Bion's concepts of transformation and assaults on verbal thought to Beckett's remarkably visual and highly dissociative writing, she finds in the analyst's work a means of exploring a startling preoccupation with object representation and an anxiety of remembrance constant throughout the writer's texts. Is this fixation attributable only to aesthetic strategy or does it say something about the writer's own inner representational world? Relating the writer's obsession to Bion's concepts and, moreover, its dissociative expression to the decathexis and blank mourning explored by Green, she uncovers within it a reflection of the kind of evocative memory disturbance identified with primary dyadic dysfunction. This application of Bion and Green to Beckett veers distinctly less towards psychohistory, however, than to how sublimation has rendered this object‐relational failure an aesthetic success.     

Impaired conditional task performance in a high schizotypy population: relation to cognitive deficits

Cognitive impairments in schizophrenia have been characterized as reflecting a core deficit in the maintenance or use of task-setting cues to mediate appropriate ongoing behaviour. This analysis suggests that cognitive deficits in schizophrenia will be particularly evident when different task-setting cues dictate when different responses are required by the same stimuli. One simple task in which task-setting cues are required is a biconditional discrimination. Here we examined the performance of participants with high and low schizotypy scores (Mason, Claridge, & Jackson, 1995) on a biconditional discrimination and an otherwise equivalent, control discrimination that did not require the use of task-setting cues. Participants scoring highly on the Introvertive Anhedonia subscale (which has been allied to the negative and cognitive symptoms of schizophrenia) performed poorly on the biconditional, but not on the control, discrimination. No other subscales demonstrated a significant influence on either biconditional or control performance.     

Exploring the Role of Religiosity and Spirituality in Amniocentesis Decision-Making Among Latinas

Given the complex array of emotional and medical issues that may arise when making a decision about amniocentesis, women may find that their spiritual and/or religious beliefs can comfort and assist their decision-making process. Prior research has suggested that Latinas’ spiritual and/or religious beliefs directly influence their amniocentesis decision. A more intimate look into whether Latinas utilize their beliefs during amniocentesis decision-making may provide an opportunity to better understand their experience. The overall goal of this study was to describe the role structured religion and spirituality plays in Latinas’ daily lives and to evaluate how religiosity and spirituality influences health care decisions, specifically in prenatal diagnosis. Semi-structured interviews were conducted with eleven women who were invited to describe their religious beliefs and thoughts while considering the option of amniocentesis. All participants acknowledged the influence of religious and/or spiritual beliefs in their everyday lives. Although the women sought comfort and found validation in their beliefs and in their faith in God’s will during their amniocentesis decision-making process, results suggest the risk of procedure-related complications played more of a concrete role than their beliefs.