Christopher Bollas: Catch Them Before They Fall: The Psychoanalysis of Breakdown

The American Journal of Psychoanalysis -     

Application of The APA Practice Guidelines on Suicide to Clinical Practice

This article presents charts from The American Psychiatric Association Practice Guideline for the Assessment and Treatment of Patients with Suicidal Behaviors, part of the Practice Guidelines for the Treatment of Psychiatric Disorders Compendium, and a summary of the assessment information in a format that can be used in routine clinical practice. Four steps in the assessment process are presented: the use of a thorough psychiatric examination to obtain information about the patient's current presentation, history, diagnosis, and to recognize suicide risk factors therein; the necessity of asking very specific questions about suicidal ideation, intent, plans, and attempts; the process of making an estimation of the patient's level of suicide risk is explained; and the use of modifiable risk and protective factors as the basis for treatment planning is demonstrated. Case reports are used to clarify use of each step in this process.     

Romantic love and sexual desire in close relationships

Drawing on recent claims in the study of relationships, attachment, and emotion, the authors hypothesized that romantic love serves a commitment-related function and sexual desire a reproduction-related function. Consistent with these claims, in Study 1, brief experiences of romantic love and sexual desire observed in a 3-min interaction between romantic partners were related to distinct feeling states, distinct nonverbal displays, and commitment- and reproductive-related relationship outcomes, respectively. In Study 2, the nonverbal display of romantic love was related to the release of oxytocin. Discussion focuses on the place of romantic love and sexual desire in the literature on emotion.     

Implicit memory for novel conceptual associations in amnesia

In two experiments, we evaluated the status of implicit memory for novel associations in amnesia. Experiment 1 assessed priming in a category exemplar generation task in which contextual information associated with a target could increase the likelihood of target generation. Control participants, but not amnesic patients, showed associative priming. Amnesics’ impairment was not due to the use of explicit memory by control subjects but reflected a genuine impairment in implicit memory for novel conceptual associations. Experiment 2 assessed priming in a relatedness judgment task, in which associative priming was manifest as longer latencies for old than for recombined pairs of unrelated words. Amnesic patients showed intact associative priming in this task. We discuss differences in the status of implicit memory for novel conceptual associations in amnesia, with reference to the nature of the representation that supports priming in the two tasks and the type of processing that is required at test.     

Mutually responsive orientation between parents and their young children: toward methodological advances in the science of relationships

The authors captured mother-child and father-child relationships when children were 7 and 15 months old by coding 4 explicitly dyadic components of mutually responsive orientation (MRO): coordinated routines, harmonious communication, mutual cooperation, and emotional ambiance. These components were coded in 102 families in naturalistic contexts at home and in the laboratory. Using confirmatory factor analytic methods, the authors demonstrated that MRO (a) is a unidimensional latent construct, (b) can be distinguished from and is not reducible to the 2 interacting individuals' qualities (responsiveness and positive affect), and (c) has remarkable measurement equivalence from ages 7 to 15 months for both mother-child and father-child relationships and has remarkable measurement equivalence across both parent-child relationships at both child ages. This study represents an effort to advance the science of relationships by moving away from individual-based measures to dyadic measures and by using contemporary data analytic strategies.     

Numerosity and rhythmicity in stimulus-response compatibility

When people must respond discriminatively to 1 or 2 stimuli by making 1 or 2 taps of a response key, they initiate the response more rapidly when the correct number of taps matches the number of stimuli (compatible condition) than when it mismatches (incompatible condition; J. O. Miller, S. G. Atkins, & F. Van Nes, 2005). Miller et al. sometimes found an effect of compatibility on response execution time, as reflected in the interresponse intervals between successive taps. The authors report 2 further experiments (N = 8 participants) in which they generalized the numerosity compatibility effects on response-initiation time and interresponse intervals to 2- versus 3-stimulus sequences. In addition, they varied gap length between stimuli to see whether the rhythm of the stimulus would influence that of the response. Weak rhythmicity effects were repeatedly found, but those were too small to suggest a plausible alternative explanation for the numerosity compatibility effect on response-initiation time.