Working with severely traumatized,chronically depressed analysands

Surprisingly often in the psychoanalyses of chronically depressed patients, depression represents an unconscious attempt to psychically cope with unbearable psychic pain following severe traumatisation: dissociative states, a chronified psychic state of shock, a disappearance of emotions, an emptying of the self and the object relationships, as well as a disappearance of the psyche in the body are among the possible consequences. The treatment of these difficult groups of analysands can also frequently bring analysts to the limits of the endurable. Often related to this is the repeated danger of denying the trauma, and a re‐traumatisation of the analysand in the analytic situation. The lecture discusses the fact that in comparison with other therapeutic approaches, psychoanalysis has a highly differentiated conceptualisation of the psychic determinants and the treatment of chronic depression at his disposal. However, in order to retain its creativity and innovation as a scientific discipline and to be thus perceived in the non‐psychoanalytic world, it must constantly further develop its conceptualization by way of systematic and extra‐clinical research – as is witnessed in the insufficient conceptual account of severe traumatisation during the genesis of chronic depression. In this connection, several exemplary examples from extra‐clinical studies in the sphere of psychotherapeutic research, neurobiology, epigenetics and embodied cognitive science will be accounted for. As will be treated in the final part of this paper, of no less importance are the conceptualizations in clinical research on psychoanalysis, which are based on meticulous, careful analyses of trauma reactivation in the transference, and understanding and working through them in the analytic relationship.     

Exploring the Influence of Culture on Career Through the Career‐in‐Culture Interview

This study sought to understand how culture in general affects career development. Using an adapted version of the Career‐in‐Culture Interview (Ponterotto, Rivera, & Sueyoshi, 2000 ), the authors interviewed 14 adults from a variety of cultural backgrounds. Through a qualitative analysis of the interviews, themes were identified based on 4 of the interview questions and were reported based on occupations the participants were aware of while growing up, their cultural and ethnic backgrounds, religious/spiritual backgrounds, and family influence. These themes promote a developmental consideration of career‐related issues in counseling. The findings can help counselors better work with clients by focusing not just on the individual but also on cultural influences on career development.     

Report on work in progress: “Towards a new science of the human”

A multidisciplinary and global study of the evolutionary process of the universe in general and mankind in particular is proposed, drawing from both modern science, approached by taking into consideration its various interdependent aspects; and the study of western and eastern ancient traditions, which prove to have a common foundation that is the comprehension and the control of the evolutionary process itself.

Such a study will lead to the compilation of a “Corpus Unus” of the new science of the human, a science which does not belong to a race, a culture or an age, but is specific to the human being as such.

Such a science will imply the exploration of mankind and of the evolutionary process, and applying the results in a pragmatic way to the betterment of human beings, society, and universe.     

Psychometric Properties of the Dyadic Parent-Child Interaction Coding System in The Netherlands

Abstract

The current study explored the psychometric properties of a parent-child interaction observation system, the Dyadic Parent-Child Interaction Coding System (DPICS) in the Netherlands. Participants included 31 Dutch mother-child dyads and 86?U.S. mother-child dyads for a community sample (2–7?years; 50% boys). Good one-week test-retest reliability was demonstrated among the Dutch sample. Similarities were found between Dutch and U.S. samples on most interaction codes, but mothers in the U.S. sample used more directive behaviors (e.g., commands) in some situations. Findings suggest that the DPICS is a reliable measure of mother-child interactions in the Dutch population. Cultural issues regarding the use of the DPICS are discussed.     

Are two heuristics better than one? The fluency and distinctiveness heuristics in recognition memory

Four experiments were conducted to test the impact of having multiple heuristics (distinctiveness and fluency) available during a recognition test. Recent work by Gallo, Perlmutter, Moore, and Schacter (Memory & Cognition 36:461–466, 2008) suggested that fluency effects are reduced when the distinctiveness heuristic can be applied to a recognition decision. In Experiment 1, we used a response reversal paradigm (Van Zandt & Maldonado-Molina Journal of Experimental Psychology: Learning, Memory, and Cognition 30:1147–1166, 2004) to demonstrate that participants transitioned from an early response strategy that was largely reliant on fluency to a later strategy in which the influences of fluency and distinctiveness were both observable. Experiments 2a, 2b, and 3 showed no evidence for reduction of the fluency heuristic after picture study when the test required a delayed response (Exp. 2a), confidence ratings (Exp. 2b), or the application of conceptual fluency (Exp. 3). The results are consistent with models of memory that assume that familiarity and recollection influence individual memory decisions Wixted (Psychological Review, 114:152–176, 2007).     

Contributions of dorsal striatal subregions to spatial alternation behavior

Considerable evidence has shown a clear dissociation between the dorsomedial (DMS) and the dorsolateral (DLS) striatum in instrumental conditioning. In particular, DMS activity is necessary to form action-outcome associations, whereas the DLS is required for developing habitual behavior. However, few studies have investigated whether a similar dissociation exists in more complex goal-directed learning processes. The present study examined the role of the two structures in such complex learning by analyzing the effects of excitotoxic DMS and DLS lesions during the acquisition and extinction of spatial alternation behavior, in a continuous alternation T-maze task. We demonstrate that DMS and DLS lesions have opposite effects, the former impairing and the latter improving animal performance during learning and extinction. DMS lesions may impair the acquisition of spatial alternation behavior by disrupting the signal necessary to link a goal with a specific spatial sequence. In contrast, DLS lesions may accelerate goal-driven strategies by minimizing the influence of external stimuli on the response, thus increasing the impact of action-reward contingencies. Taken together, these results suggest that DMS- and DLS-mediated learning strategies develop in parallel and compete for the control of the behavioral response early in learning.     

Understanding voice perception

Voices carry large amounts of socially relevant information on persons, much like 'auditory faces'. Following Bruce and Young (1986)'s seminal model of face perception, we propose that the cerebral processing of vocal information is organized in interacting but functionally dissociable pathways for processing the three main types of vocal information: speech, identity, and affect. The predictions of the 'auditory face' model of voice perception are reviewed in the light of recent clinical, psychological, and neuroimaging evidence.     

Testing a new cognitive behavioural treatment for obesity: A randomized controlled trial with three-year follow-up

It is remarkably difficult for people with obesity to maintain a new lower weight following weight loss. The aim of the present study was to examine the immediate and longer-term effects of a new cognitive behavioural treatment that was explicitly designed to minimise this post-treatment weight regain. One hundred and fifty female participants with obesity were randomized to the new treatment, behaviour therapy (the leading alternative psychological treatment) or guided self-help (a minimal intervention). Both of the main treatments resulted in an average weight loss of about ten percent of initial weight whereas weight loss was more modest with guided self-help. The participants were subsequently followed-up for three years post-treatment. The great majority regained almost all the weight that they had lost with the new treatment being no better than the behavioural treatment in preventing weight regain. These findings lend further support to the notion that obesity is resistant to psychological methods of treatment, if anything other than a short-term perspective is taken. It is suggested that it is ethically questionable to claim that psychological treatments for obesity “work” in the absence of data on their longer-term effects.