Distinction between mental pain and psychic suffering as separate entities in the patient's experience

Abstract

Mental pain and psychic suffering are herein defined as two separate concepts in psychoanalysis. The concept of mental pain lies at the core of psychoanalysis; it was introduced by Freud and was further elaborated by a number of investigators, mostly by Bion. Mental pain refers to a pain that the patient reports as being impossible to describe in words, and lacking any associations, whereas psychic suffering can be both named and described by the patient. Mental pain is derived from non-tolerance on the part of the psychic apparatus when it is harmed by very painful emotions. In contrast to psychic suffering, mental pain resists elaboration and transformation by dream-work. How to address and transform the patient's mental pain is a major challenge facing the analyst in his clinical work because mental pain may halt or slow the progression of the analytical process. To overcome this hindrance, the work of the analyst is focused on helping patients to modify their mental pain into psychic suffering, that is, to reactivate in the patient the chain of transformations that generates thought. The analyst is also challanged with the mental pain of the patients because he has himself to tolerate the mental patient induced by counter transference. Suggestions for the analyst on how to deal with the mental pain of the patient during psychoanalytic therapy are proposed.     

The Psychosomatic Relationship As A Symbolic Circular Communication: Subjective And Transgenerational Dreams

The human being can be divided into body and mind, two inextricably linked aspects influencing each other. From birth, the body is the site of emotional experiences thanks to cellular memory. The transgenerational and the oneiric imaginary are two themes closely related to the body. Many families express their emotional experiences through bodily symptoms and, in dreams, body icons are used to “talk” about the subject’s identity. The body expresses itself and “speaks” through dreams, which can even become predictors of diseases.     

Accessing source information in analogical problem-solving

Several studies showed that people presented with source information fail to apply it to an analogous target problem unless they are instructed to use the source. Seven experiments were carried out to assess whether such a lack of spontaneous transfer occurs because individuals do not activate the source during the target task or because they do not realize the source-target relationship. Experiment 1 compared a condition in which the source was activated with no cue about the source-target connection to conditions in which subjects were informed about this connection. Results suggested that the lack of spontaneous transfer does not depend on failure in activating source information. Experiments 2, 3, and 4 were devised to falsify this finding by activating the source closer and closer to the target and by focusing participants' attention toward the relevant aspects of the source. Experiments 5, 6, and 7 were aimed at stressing source-target correspondences by introducing surface similarities. All experiments showed that the mere activation of the source does not facilitate analogical transfer. Results suggested that two processes should be distinguished in the access phase of analogical problem-solving: Source retrieval and identification of the source-target connection.     

Measuring illness perceptions in the family context: psychometric properties of the IPQ-R adapted for adolescent–caregiver dyads

Objectives: Given the lack of validated measures assessing illness perceptions in families, the aim of our study was the development and psychometric testing of an adapted version of the Illness Perceptions Questionnaire-Revised (IPQ-R) allowing for Common Sense Model-based dyadic assessment of adolescents’ and caregivers’ perceptions of a chronic illness in adolescence.

Methods: Using a cross-sectional survey design, factor structure, reliability and validity of the adapted measure You-IPQ-R were tested in a sample of adolescents with asthma (N?=?155) and their primary caregivers (N?=?132). Analysis included a dyadic methodology (dyadic confirmatory factor analyses) and examination of the suitability of the measure for different age groups.

Results: Both the adolescent and the caregiver versions of the You-IPQ-R revealed good overall validity and reliability. For all Common Sense Model dimensions except for timeline cyclical in the caregiver version, unidimensional scales aligning with the original IPQ-R structure could be confirmed. Age-specific analyses revealed good to excellent measurement properties in adolescents aged 14 years or older, but considerably poorer indices in younger adolescents.

Conclusion: The dyadically validated You-IPQ-R will enable researchers and clinicians to compare illness perceptions in adolescent–caregiver dyads and to assess the effects of family illness perceptions’ congruence upon medical, psychosocial and behavioural outcomes.     

Number sense at 12 months predicts 4-year-olds’ maths skills

Preverbal infants spontaneously represent the number of objects in collections. Is this ‘sense of number’ (also referred to as Approximate Number System, ANS) part of the cognitive foundations of mathematical skills? Multiple studies reported a correlation between the ANS and mathematical achievement in children. However, some have suggested that such correlation might be mediated by general-purpose inhibitory skills. We addressed the question using a longitudinal approach: we tested the ANS of 60 12 months old infants and, when they were 4 years old (final N = 40), their symbolic math achievement as well as general intelligence and inhibitory skills. Results showed that the ANS at 12 months is a specific predictor of later maths skills independent from general intelligence or inhibitory skills. The correlation between ANS and maths persists when both abilities are measured at four years. These results confirm that the ANS has an early, specific and longstanding relation with mathematical abilities in childhood.

Research Highlights

• In the literature there is a lively debate about the correlation between the ANS and maths skills.
• We longitudinally tested a sample of 60 preverbal infants at 12 months and rested them at 4 years (final sample of 40 infants).
• The ANS tested at 12 months predicted later symbolic mathematical skills at 4 years, even when controlling for inhibition, general intelligence and perceptual skills.
• The ANS tested at 4 years remained linked with symbolic maths skills, confirming this early and longstanding relation in childhood.