Offering a ‘therapeutic presence’ in schools and education settings

Abstract

In this essay I present the clinical work with a client that I have been working with for 9 months now. The essay is divided into sections, each one indicative of one phase of the counselling relationship. In each of them I present the therapeutic process (my client's and myself) by highlighting some newly-acquired psychodynamic concepts, sharing some difficulties encountered, the learning gained though supervision and the progress of the client.     

Dissociation,the true self and the notion of the frozen baby

Abstract

The widespread ‘trauma talk’ that is prevalent in the social sciences, has, in recent years, become increasingly commonplace in psychoanalytic writings, especially in attachment theory and relational psychoanalysis. This paper examines dissociation, a key concept in ‘trauma theory’, in conjunction with the Winnicottian term ‘true self’, in the context of a particular discursive and theoretical combination of the two. This discursive formation is named ‘the frozen baby discourse’, and it is presented and analysed. A critique is offered of the way ‘true self’, understood as a humanistic concept, is often used together with dissociation, in order to create a theoretical construct that is far removed from Winnicottian theory. This paper begins by exploring definitional issues, both around dissociation and ‘true self’. It is subsequently argued that this contemporary usage of ‘true self’ in combination with dissociation has important implications for psychoanalytic practice.     

Learning the Relevance of Relevance and the Trouble with Truth: Evaluating Explanatory Relevance across Childhood

ABSTRACT

In four experiments, we investigate how the ability to detect irrelevant explanations develops. In Experiments 1 and 2, 4- to 8-year-olds and adults rated different types of explanations about “what makes cars go” individually, in the absence of a direct contrast. Each explanation was true and relevant (e.g., “Cars have engines that turn gasoline into power”), true and irrelevant (e.g., “Cars have radios that play music”), or a false statement that would be relevant if it were true (e.g., “Cars have rockets that speed them up”). Participants of all ages spontaneously indicated that false explanations were less helpful than relevant explanations. However, there was a developmental shift for irrelevant explanations: 4-year-olds only detected irrelevant explanations that did not involve internal features of cars (e.g., “Cars have parking lots that they park in”). Crucially, this shift between age 4 and 5 cannot be explained by 4-year-olds’ lack of knowledge since 4-year-olds correctly indicated that relevant explanations were more helpful than irrelevant feature explanations when given a direct contrast in Experiment 3. These results are further clarified in Experiment 4, in which we provided a different explanatory goal (“where to find cars”) and found that even young children have a nuanced understanding of explanatory relevance that is sensitive to differing explanatory goals. Together, these four experiments suggest an early-emerging ability to understand relevance, but a shift between age 4 and 5 in the ability to spontaneously use this understanding when evaluating individual explanations in isolation.     

Ambiguous emotion recognition in temporal lobe epilepsy: The role of expression intensity

The lateralization of emotion processing is currently debated and may be further explored by examining facial expression recognition (FER) impairments in temporal lobe epilepsy (TLE). Furthermore, there is also debate in the literature whether FER deficits in individuals with TLE are more pronounced in the right than in the left hemisphere. Individuals with TLE were tested with an FER task designed to be more sensitive than those classically used to shed light on this issue. A total of 25 right- and 32 left-TLE patients, candidates for surgery, along with controls, underwent an FER task composed of stimuli shown not only at full-blown intensities (100 %), but also morphed to lower-intensity display levels (35 %, 50 %, and 75 %). The results showed that, as compared to controls, right-TLE patients showed deficits in the recognition of all emotional categories. Furthermore, when considering valence, right-TLE patients were impaired only in negative emotion recognition, but no deficits for positive emotions were highlighted in left-TLE patients. Finally, only the right-TLE patients’ impairment was found to be related to the age of epilepsy onset. Our work demonstrates that the FER deficits in TLE span multiple emotional categories and show manifestations dependent on the laterality of the epileptic focus. Taken together, our findings provide the strongest evidence for the right-hemisphere model, but they also partially support the valence model. We suggest that current models are not exhaustive at explaining emotional-processing cerebral control, and further that multistep models should be developed.     

A two-wave cross-lagged study of business travel,work–family conflict,emotional exhaustion,and psychological health complaints

By using a two-wave panel design, the present study aimed at studying longitudinally the relation between business travel and work–family conflict (WFC) as well as the reciprocal relationships among WFC, emotional exhaustion, and psychological health complaints. The study was conducted in a large Norwegian oil and gas company (n = 1702), and the company’s business travel database was utilized to examine business travel. The results showed a positive cross-lagged relation between business travel and WFC. In addition, WFC predicted emotional exhaustion over time, whereas emotional exhaustion predicted psychological health complaints over time. Reversed influences also existed, supporting our hypotheses on reciprocal relations. The longitudinal design of the current study makes an important contribution to the research on business travel and employees’ psychological health.     

Illness representations,knowledge and motivation to perform presymptomatic testing for late-onset genetic diseases

This study addresses the relation between illness representations, knowledge and motivation to perform the presymptomatic testing (PST) of subjects at-risk for Familial Amyloydotic Polyneuropathy (FAP), Huntington’s disease (HD) and Machado–Joseph disease (MJD), compared with subjects at-risk for Hereditary Hemochromatosis (HH). The sample comprised a clinical group of 213 subjects at genetic risk for FAP, HD and MJD, and a comparison group of 31 subjects at genetic risk for HH, that answered three open-ended questions relating illness representations, knowledge about the disease, and motivation to perform PST. People at-risk for FAP, HD and MJD use more metaphors, make more references to the family, are more concerned with the future and feel more out of curiosity and to learn, than for HH. These subjects at-risk correspond to the profile of somatic individual or personhood, wherein the unsubjectivation of the disease can function as a coping mechanism.     

Little Bayesians or little Einsteins? Probability and explanatory virtue in children's inferences

Like scientists, children seek ways to explain causal systems in the world. But are children scientists in the strict Bayesian tradition of maximizing posterior probability? Or do they attend to other explanatory considerations, as laypeople and scientists – such as Einstein – do? Four experiments support the latter possibility. In particular, we demonstrate in four experiments that 4‐ to 8‐year‐old children, like adults, have a robust latent scope bias that leads to inferences that do not maximize posterior probability. When faced with two explanations equally consistent with observed data, where one explanation makes an unverified prediction, children consistently preferred the explanation that does not make this prediction (Experiment 1), even if the prior probabilities are identical (Experiment 3). Additional evidence suggests that this latent scope bias may result from the same explanatory strategies used by adults (Experiments 1 and 2), and can be attenuated by strong prior odds (Experiment 4). We argue that children, like adults, rely on ‘explanatory virtues’ in inference – a strategy that often leads to normative responses, but can also lead to systematic error.     

The relationship between face recognition ability and socioemotional functioning throughout adulthood

The relationship between face recognition ability and socioemotional functioning has been widely explored. However, how aging modulates this association regarding both objective performance and subjective-perception is still neglected. Participants, aged between 18 and 81 years, performed a face memory test and completed subjective face recognition and socioemotional questionnaires. General and social anxiety, and neuroticism traits account for the individual variation in face recognition abilities during adulthood. Aging modulates these relationships because as they age, individuals that present a higher level of these traits also show low-level face recognition ability. Intriguingly, the association between depression and face recognition abilities is evident with increasing age. Overall, the present results emphasize the importance of embedding face metacognition measurement into the context of these studies and suggest that aging is an important factor to be considered, which seems to contribute to the relationship between socioemotional and face-cognitive functioning.