Mourning’s dissonance; who am I who mourns and whom do I mourn?

In this article I explore how a relational psychoanalytic and phenomenological perspective can open out new possibilities for interpretations of experiences of bereavement. I critically discuss Freud’s acclaimed paper, ‘Mourning and melancholia’ in the light of work by philosophers Merleau-Ponty (a phenomenologist) and Judith Butler (a contemporary post-modern feminist philosopher). I reflect on how questions of identity, language, and embodiment, crucial themes in Merleau-Ponty’s and Butler’s theorising of human subjectivities, emerge in two literary/autobiographical accounts of mourning: Nora Webster, by the contemporary Irish writer, Colm Tóibín, and Mourning Diary by the French philosopher, Roland Barthes. Through my discussion of these philosophical and literary texts I argue for a psychoanalytic perspective which is attuned to the conscious and unconscious subtleties and complexities of mourning and engages with the ways in which the identities of the mourner and the mourned and the relations between them are, for the mourner, constantly in flux. I emphasize the importance of attending in the psychoanalytic relationship to the specificity and uniqueness of individuals’ languages of mourning and to the effects on experiences of bereavement of gender, race, class, sexuality, age, and physical ability within particular socio-historical and cultural contexts.     

Use of the Sleep Assessment Device (Kelley and Lichstein, 1980) to validate insomniacs' self-report of sleep pattern

A comparison is presented of insomniacs' self-reported sleep pattern and objectively monitored sleep using the Sleep Assessment Device (SAD; Kelley & Lichstein, 1980). Analysis of 110 subject nights revealed modest but significant subjective overestimates of both sleep latency and sleep duration which were accounted for by the demands of the task (i.e., longer time periods are harder to estimate accurately). Correlations between self-report and SAD measures were, however, consistently high, suggesting that self-report may be a valid index of sleep disturbance. Results are discussed with reference to the clinician's task in evaluating sleep complaints.This research stury was supported by a grant from the Research Fund of Lanarkshire Health Board, Scotland.     

Community treatment of severe, refractory obsessive-compulsive disorder

Despite the existence of effective psychological and pharmacological interventions for obsessive-compulsive disorder (OCD), there are a large proportion of individuals for whom intervention is not effective. The study reports on the results of a community treatment service for individuals with treatment-refractory OCD who have not benefitted from previous cognitive behavioural or pharmacological treatment by community mental health services. A total of 205 individuals accepted for treatment by a specialist community OCD treatment service in London were provided with a combination of behavioural, cognitive, and pharmacological treatment within a specialist OCD service, with 158 completing treatment. Treatment was associated with significant reduction in clinician-rated and self-reported OCD symptoms after 12 weeks, with further reductions in OCD symptoms over a subsequent 12-week period. A significant reduction in symptoms of depression was also observed after 12 and 24 weeks. Approximately 40% of individuals treated experienced clinically significant improvement in their symptoms, with approximately 10% deemed to have recovered by the end of treatment. Our results add to previous research into refractory OCD, and provide support for the existence of specialist community treatment services which may provide assistance to individuals who have not responded to previous treatment.     

Proficiency and Workload in Simultaneous and Successive Proofreading Tasks

The prevalence of video display terminals (VDTs) in data processing settings has encouraged research into the factors affecting proofreading performance in electronic and hard copy formats. The present study undertook the initial investigation of the effect of side-to-side head movements on proofreading from hard copy to VDT. Subjects proofread by visually comparing two lines of alphanumeric code, which simulated original and keyed-in (processed) data, in two display configurations. Speed and accuracy were degraded in the successive (side-to-side) condition, relative to performance with a simultaneous (head-on) VDT display. Subjects' ratings of mental workload mirrored these findings, with workload rated higher in the successive condition. The results are congruent with a taxonomy of sustained attention tasks developed by Davies and Parasuraman (1982), which emphasizes a distinction between tasks requiring working memory and those that do not. Additional implications of the present results for a resource allocation model of proofreading are discussed.     

Winnicott: A research perspective

This paper describes research conducted over the past twenty years that was informed by Winnicott's thinking on the importance for child development of the early mother-infant relationship.     

Book Reviews

Books reviewed
Jeremy Begbie, Theology, Music, and Time (Cambridge Studies in Christian Doctrine)
Sharon E. Preves, Intersex and Identity: The Contested Self
Leanne McCall Tigert, Coming Out Through Fire: Surviving the Trauma of Homophobia     

Perceptual mechanisms that characterize gender differences in decoding women's sexual intent

Men and women often disagree about the meaning of women's nonverbal cues, particularly those conveying dating-relevant information. Men perceive more sexual intent in women's behavior than women perceive or report intending to convey. Although this finding has been attributed to gender differences in the threshold for labeling ambiguous cues as sexual in nature, little research has been conducted to determine etiology. Using a model that differentiates perceptual sensitivity from decisional bias, we found no evidence that men have lenient thresholds for perceiving women's nonverbal behavior as indicating sexual interest. Rather, gender differences were captured by a relative perceptual insensitivity among men. Just as in previous studies, men were more likely than women to misperceive friendliness as sexual interest, but they also were quite likely to misperceive sexual interest as friendliness. The results point to the promise of computational models of perception in increasing the understanding of clinically relevant social processes.