The role of psychoanalytic assessment in the management and care of a psychotic patient

The pressure on mental health services to move patients on quickly, and the emphasis on the recovery model, can encourage a superficial assessment of the patient's difficulties. The author argues that a narrow definition of the medical model based on the presence or absence of symptoms ignores the deeper psychic structures that govern thinking and behaviour over time. A psychoanalytic assessment can offer a dynamic picture of deeper psychic structures in the patient's internal world. This is particularly important with psychotic patients who may successfully use denial and rationalization to cover up their underlying psychopathology. The developmental perspective inherent in the psychoanalytic view can also give a picture of the patient's propensity to repeat certain aspects of his/her psychopathology. In addition, a psychoanalytic approach may shine some light on the relationship between relapse and risk behaviour.     

Tuning into the psychotic wavelength: Psychoanalytic supervision for mental health professionals

In this paper, material is presented from supervision groups run for mental health professionals in different mental health settings. I will argue that a psychoanalytic framework, which puts the transference and countertransference at the centre of clinical practice, offers an important model for thinking about psychosis and psychotic means of communication. When staff are able to ‘tune in’ to their patients' communications it can help to change a patient's monologue about his/her delusional world into a meaningful dialogue about their emotional world.     

Merleau-Ponty’s Responses to Skepticism: A Critical Appraisal

Abstract

In this article, I reconstruct and evaluate Merleau-Ponty’s main responses to philosophical skepticism in the relevant parts of his work. To begin with, I introduce the skeptical argument that Merleau-Ponty most often tried to refute, namely, the dream argument. Secondly, I show how Merleau-Ponty, in his initial works, excludes the skeptical problem by appealing to a general contact with the world guaranteed by perception. Finally, I analyze how in his last texts Merleau-Ponty considers at least some uses of the skeptical arguments as tools to make our opaque contact with being explicit.     

The influence of calibration method and eye physiology on eyetracking data quality

Recording eye movement data with high quality is often a prerequisite for producing valid and replicable results and for drawing well-founded conclusions about the oculomotor system. Today, many aspects of data quality are often informally discussed among researchers but are very seldom measured, quantified, and reported. Here we systematically investigated how the calibration method, aspects of participants’ eye physiologies, the influences of recording time and gaze direction, and the experience of operators affect the quality of data recorded with a common tower-mounted, video-based eyetracker. We quantified accuracy, precision, and the amount of valid data, and found an increase in data quality when the participant indicated that he or she was looking at a calibration target, as compared to leaving this decision to the operator or the eyetracker software. Moreover, our results provide statistical evidence of how factors such as glasses, contact lenses, eye color, eyelashes, and mascara influence data quality. This method and the results provide eye movement researchers with an understanding of what is required to record high-quality data, as well as providing manufacturers with the knowledge to build better eyetrackers.     

Do hands attract attention?

Social stimuli, like faces (Kanwisher, McDermott, & Chun, 1997) or bodies (Downing, Jiang, Shuman, & Kanwisher, 2001), engage specific areas within the visual cortex. Behavioural research reveals an attentional bias to these same stimuli (Ro, Friggel, & Lavie, 2007). The current study examined whether there is an attentional bias towards hands, and whether such a bias is distinct from any bias towards human bodies. In a two-alternative, forced-choice dot-probe task, participants saw two side-by-side pictures for 500 ms. A probe dot then appeared on either side and participants indicated where the dot appeared. Participants were significantly faster to respond when the probe location coincided with the location of pictures of bodies, hands, or feet, compared to dogs, starfish, hand tools, toaster ovens, inverted hands, or inverted bodies. Results suggest an attentional bias to bodies and body parts but found no evidence of a difference in attentional advantage of hands over bodies or feet.     

On individual differences in person perception: raters' personality traits relate to their psychopathy checklist-revised scoring tendencies

This study investigated raters' personality traits in relation to scores they assigned to offenders using the Psychopathy Checklist-Revised (PCL-R). A total of 22 participants, including graduate students and faculty members in clinical psychology programs, completed a PCL-R training session, independently scored four criminal offenders using the PCL-R, and completed a comprehensive measure of their own personality traits. A priori hypotheses specified that raters' personality traits, and their similarity to psychopathy characteristics, would relate to raters' PCL-R scoring tendencies. As hypothesized, some raters assigned consistently higher scores on the PCL-R than others, especially on PCL-R Facets 1 and 2. Also as hypothesized, raters' scoring tendencies related to their own personality traits (e.g., higher rater Agreeableness was associated with lower PCL-R Interpersonal facet scoring). Overall, findings underscore the need for future research to examine the role of evaluator characteristics on evaluation results and the need for clinical training to address evaluators' personality influences on their ostensibly objective evaluations.     

Does attention-deficit/hyperactivity disorder have a dimensional latent structure? A taxometric analysis

An understanding of the latent structure of attention-deficit/hyperactivity disorder (ADHD) is essential for developing causal models of this disorder. Although some researchers have presumed that ADHD is dimensional and others have assumed that it is taxonic, there has been relatively little research directly examining the latent structure of ADHD. The authors conducted a set of taxometric analyses using data from the NICHD Study of Early Child Care and Youth Development (ns between 667 and 1,078). The results revealed a dimensional latent structure across a variety of different analyses and sets of indicators for inattention, hyperactivity/impulsivity, and ADHD. Furthermore, analyses of correlations with associated features indicated that dimensional models demonstrated stronger validity coefficients with these criterion measures than dichotomous models. These findings jibe with recent research on the genetic basis of ADHD and with contemporary models of ADHD.