Review Essay: Constructivism with a Human Face

Irwin Hoffman's book Ritual and Spontaneity includes, but goes well beyond, his series of seminal papers—written over the past several decades—developing a psychoanalytic, constructivist perspective. A new, existential framework depicts what Hoffman calls the “psychobiological bedrock” at the core of the human process of constructing meaning—the lifelong effort to create a livable, subjective world in face of our ever present sense of loss, suffering, and, ultimately, mortality.

This review describes Hoffman's encompassing, existential perspective and discusses how, within this framework, he uses his dialectical sensibility to frame our understanding of both parenting and analysis as “semisacred” activities. The “dialectic of ritual and spontaneity”—the vital clash between disciplined adherence to the analytic frame and personally expressive deviations from it—represents the creative tension between the “magical” dimension of analytic authority and the healing influence of a genuinely expressive human relationship. Hoffman's perspective on the self-interested, “dark side” of the analytic relationship is compared with Winnicott's views on the vital, therapeutic role of “hate” and the paradoxical process by which the patient comes to “use” the analyst.

Unlike most postmodernist “constructivists,” Hoffman openly reveals his underlying belief in certain “transcultural, transhistorical universals”—his “psychobiological bedrock.” In acknowledging these “essentials” (assumptions about human nature) that in some form are integral, yet often hidden, elements of any system of thought, Hoffman saves his own dialectical constructivism from falling into dichotomous (constructivist vs. essentialist) thinking.     

Forgiveness in Context

Book reviewed:
Fraser Watts and Liz Gulliford (eds). Forgiveness in Context: Theology and Psychology in Creative Dialogue.     

Judgments of average magnitude: Analyses in terms of the functional measurement and two-stage models

Subjects made magnitude estimates of the average loudness of pairs of 1,000-Hz tones varying in sound pressure. A test of fit of an averaging model employing an analysis of variance suggested that the judgments were internally consistent. However, estimates of the parameters of a two-stage model based on the assumption that power transformations were imposed in both input and output implied a nonlinear output function, inconsistent with the averaging model. Additional analyses employing a nonmetric scaling solution also suggested that output was nonlinear, indicating that this implication was not an artifact of the strong assumptions of the two-stage model. Large differences were found among the output functions of individual subjects, and it was suggested that these may have inflated the error term in the analysis of variance, reducing its power to detect violations of the additive model. Similar analyses were performed on data from judgments of average grayness collected by Weiss (1972).     

Maintenance and generalization of a semantic rehearsal strategy in educable mentally retarded children

Two groups of 11- to 12-year-old educable mentally retarded children, equated on the basis of a free recall pretest, were given a series of lists for free recall. Approximately half the subjects were trained in the use of a strategy designed to induce deeper level semantic encoding and the discovery of categorical relationships and half constituted a “no-training” control group with standard free recall instructions. The subjects received either related or unrelated lists during the training phase and related or unrelated lists during two post-tests, immediately following and 1 week after training. There was evidence not only that the semantic strategy was maintained over the 1-week delay, but that it also generalized to word lists unlike those used during training. The degree of generalization was greater for those subjects receiving related lists during training.     

Parents' gender-based attitudes toward marital roles and child rearing: Development and validation of new measures

Factor analysis of 18 Likert-type items dealing with gender stereotypes about family roles was conducted and yielded two measures: one focused on marital roles and one focussed on child rearing. Respondents were parents of children in the third and fourth grades of a large industrialized city in the Midwest. The sample included 364 families equally divided between middle and lower class with 23% African American and 77% European American. For both scales, more stereotyped scores were obtained by parents who were lower in social status, less educated, full-time homemakers, African Americans, and fathers. Parents' scores related to a separate measure of children's stereotypes and the marital-role attitudes related to actual roles reported by family members. Daughters whose parents obtained less stereotyped scores had a more internal locus of control, showed a trend toward more independent coping skills, and—in the middle class—obtained higher scores on achievement tests.This research was supported by Grant No. 91-1437-91 from the William T. Grant Foundation.     

The application of the standard of care doctrine to psychological testing

Malpractice issues surrounding clinical psychologists' misuse of diagnostic testing are examined. Common forms of misuse are contrasted with appropriate standards of use for six frequently administered tests: The WAIS-R, WISC-R, Rorschach, TAT, Bender Gestalt, and MMPI. It is argued that not only negligent and unethical conduct but also intentional malfeasance may be construed when a qualified specialist applies unstandardized procedures which lack scientific authenticity. Suggestions are provided to both psychologists and attorneys to reduce the misuse of psychological tests in clinical and forensic evaluations.     

GPS: A Randomized Controlled Trial of Sexual Health Counseling for Gay and Bisexual Men Living With HIV

Gay, bisexual, and other men who have sex with men (GBM) continue to have high rates of HIV and sexually transmitted infections, including syphilis. GBM have therefore been identified by public health agencies as a high-priority population to reach with prevention initiatives. Despite the importance of mental health in preventing HIV and related infections, there is a shortage of credentialed mental health professionals to deliver behavioral Counseling interventions. The current study evaluated the efficacy of GPS, a community-based and peer-delivered sexual health promotion motivational interviewing–based intervention for HIV-positive GBM who engaged in condomless anal sex (CAS) in the past 2 months. GPS prevention counseling demonstrated a 43% relative reduction at 3-month follow-up in CAS with serodiscordant partners and significant reductions in sexual compulsivity. The study demonstrated that community-based counselors can administer an efficacious motivational interviewing program, and suggests a continued benefit of counseling methods to promote the sexual health of higher risk populations.     

Correspondence

The American Journal of Psychoanalysis -