Projective identification: Pros and cons. An essay review of Samuel Slipp,the technique and practice of Object Relations Family Therapy

This paper is a critical appraisal of Samuel Slipp's book on Object Relations Family Therapy (ORFT), which uses the concept of projective identification as a central thesis in explaining interpersonal influence. Slipp's book is praised for its excellent review of the literature of object relations theory and the major schools of family therapy, classification of families according to complementary projections, and revealing case material. Interpersonal-Systemic (I-S) theory and methodology with its use of the concepts of empathy, interpersonal influences, search for intimacy, maintenance of self-esteem, selective inattention, and reflected appraisals is offered as an alternative view to projective identification.     

Looking for reconciliations between anecdotes and causalities: The stoical model

Our bias in establishing causality ties which attribute to one consequence a unique cause make circular causality difficult as a way of thinking. Philosophy shows many theories about causality which all are ways to reduce anxiety. Our experiences sometimes require us to go farther than the instrumental (causal) level and to discover a place where disorder may be reestablished in the movement and contradiction. The Stoical model of expressive causality gives a different meaning to our work. In practice the anecdote becomes the essential element in a chair of expressive causalities. A clinical example shows how the anecdote can be the intersection between the family and therapist, offering a new dimension to circular causality and helps the therapist to understand and create another way of thinking about disorder and confusion.     

Comprehension by learning-disabled and nondisabled adolescents of personal/social problems presented in text.

Four groups of 14-year-olds, differing in reading level, learning disability status, and socioeconomic status, read and retold short problem narratives and answered questions. The pattern of reporting components of the problem schema (goal/obstacles/choices) differed for problems presented with or without a statement of the character's priority for action, suggesting that including priorities adds another level of information to the problem text and changes its macrostructure. Even the poorest readers showed this sensitivity to text structure. Three of the four measures of problem representation (idea units recalled, problem-schema components reported, and error rate) reflected overall reading ability. However, the degree to which extraneous information was incorporated into problem representations did not. Learning-disabled students made more importations, and more implausible importations, than did non-disabled students. Moreover, this pattern was associated with poor problem solving. Only proficient readers showed awareness of the source of the information (text or extratext) on which their predictions were based.     

Primary prevention of acculturative stress among refugees. Application of psychological theory and practice

Primary prevention in refugee mental health requires information from clinical, health, and cross-cultural psychology. Primary prevention's roots are in public health, which is distinguished by a communitywide perspective for addressing mental health concerns. This article summarizes research suggesting that refugees are an at-risk population, making them especially suitable for public health interventions. Research on stress and acculturation is highlighted, given its importance to prevention in refugee mental health. The opportunities for primary prevention programs and policies at 3 levels (i.e., local community, national, and international) are illustrated with case examples from both the United States and Canada. Prevention at the international level is highlighted by a World Health Organization Mental Health Mission to camps on the Thai-Cambodian border.     

PEER-MEDIATED PROCEDURES TO INDUCE SWALLOWING AND FOOD ACCEPTANCE IN YOUNG CHILDREN

Two studies demonstrated a functional relationship between a peer modeling procedure and the treatment of feeding disorders with 2 young children. In the first experiment, the use of a peer model treatment package was shown to induce swallowing in a child with dysphagia who had never swallowed food or liquid. In the second experiment, a child who consistently declined food was induced to increase food acceptance as a function of the same peer modeling package. In the latter experiment, a peer-mediated procedure, consisting of rotated opportunities to consume food with a peer, was found to increase consumption more than did modeling alone. The first experiment used a multiple baseline design across solids and liquids, and the second used a multiple treatment design. The results of both experiments are discussed as new and nonaversive treatments for feeding disorders of young children who are imitative.     

Ontogenetic dissociation of two classes of habituation.

The rates of decrement of two classes of response (an elicited startle reflex and emitted exploratory behavior) were determined in rats of two different ages (15 and 36 days). The rate of decrement in the startle reflex was not clearly differentiated as a function of age. In contrast, there was no evidence of habituation of exploration in the younger animals, whereas the older rats uniformly showed profound response decrements. This ontogenetic dissociation of the two instances of response decrement indicates that accounts of both instances in terms of a common process called habituation may be unwarranted. In addition, these data, in conjunction with earlier findings, indirectly support the possibility that reflex decrements may be relatively more dependent on brain serotonin whereas decrements in exploration may be more dependent on normal cholinergic activity in brain.     

Resistance to continuous delay of reinforcement or extinction following partial delay or partial reinforcement in acquisition: A direct comparison

Rats received either partial reward (PR) or partial delay (PD) in acquisition with one, two, or three delay or nonreward trials followed by an immediately rewarded trial or one delay or nonreward trial followed by an immediately rewarded trial. These four groups were then split in half and given either continuous delay or continuous nonreward (extinction) in a “response persistence” phase. In addition, two continuously reinforced groups, one experiencing continuous delay, and the other experiencing extinction were included. The results showed that response persistence was greater when PD groups were given continuous delay rather than extinction, but the opposite was true for PR groups. The “length” (1, 2, or 3 versus 1 nonreward or delay trial) also transferred to the response persistence phase with the length 1, 2, and 3 conditions being more persistent than the 1 length conditions. The results were discussed with respect to theoretical notions of response persistence.     

A re-examination of local contrast in multiple schedules

Pigeons were presented with multiple schedules of alternating 90-sec components. When components in which grain was never presented alternated with components in which grain was presented on a variable-interval schedule, the average rate of responding in the variable-interval components increased, showing overall positive behavioral contrast. Unlike previous reports, this study found that the response rates for all birds increased toward the end of the variable-interval components as training proceeded. This increase in local response rate disappeared when the multiple schedule was composed solely of variable-interval components and reappeared when the variable-interval components were again alternated with extinction. This finding cannot be predicted or explained by recent theories of behavioral contrast based on autoshaping, and thus questions their sufficiency. We suggest that this local response-rate increase results from the predictable change from high to low density of reinforcement at the end of the fixed-duration component. Thus, the present effect apparently illustrates a different type of interaction between components of a multiple schedule than that described by previous theories of contrast. In a given procedure, either or both types of interaction may occur; neither provides a complete account of behavioral contrast.