Toward Development of a Projective Set

An exploration of the possibility of developing a projective set in a client that will allow for lowering of his defenses and thus possibly eliciting “richer projective materials.” A “anxious tension” set was produced in one group of Ss by means of an intelligence type test and “playful tension” was produced in another group by means of a fantasy task. A projective technique (Part A of the Rosenzweig F-Battery) was then given to both groups. The results indicate that this projective technique was taken at a more implicit (or deeper) level following the “playful tension” than following the “anxious tension.” Implications for the pre-test environment of projective techniques are given.     

Sex of Free Choice Figure Drawings by Homosexual and Heterosexual Subjects

This article reports the findings from studies investigating the relationship between: (a) sex of free choice figure drawings and sexual inversion and (b) sex of free choice figure drawings and gender identity. Both relationships were found to be statistically nonsignificant.     

Occupationally Embedded Exercise Versus Rote Exercise and Psychosocial Response in College-Aged Females

Community integration through occupational engagement is an integral tenet of occupational therapy. However, little is known about how pets may assist this process. This study explores community integration through pet ownership as a meaningful, lifelong, occupation for one person with bipolar illness receiving Assertive Community Treatment. Using a case study approach, eight qualitative interviews, as well as observation and analysis of pet photos, were conducted with the mental health consumer and also with members of her social network. Data were analyzed inductively according to the constant comparative approach. The findings reveal that pet ownership assisted the person to counterbalance and move beyond stigma through pets as enablers of: “continuity,” “belonging,” “action and self-construction,” “acceptance,” and “participation.” This process was influenced by the “severity of illness,” “view of community,” and “supports and resources.” The results contribute to our understanding of pet ownership as a means to community integration. The study indicates that to enable persons with a mental illness to engage in pet ownership, occupational scientists need to examine and understand this occupation in the broader context of recovery, health, and well-being. A perspective of pet ownership as meaningful occupation challenges occupational therapists to develop strategies to actively engage clients and their pets in their community.     

Disavowal and assessment for psychotherapy

The concept of disavowal is described and its part in the pathology of a certain group of patients is discussed. Particular emphasis is placed upon the difficulties posed by the pervasive use of this defence mechanism during the assessment of such patients. Clinical vignettes from assessment interviews are presented. The longer-term psychotherapeutic management of these patients is discussed and this is illustrated by clinical material.     

The Gnostic Syndrome: Anorexia nervosa

‘The Gnostic Syndrome’ discusses anorexia nervosa in terms of its poetics and in the context of a developmental object-relations theory. One case is used to illustrate the problems of therapy and the antecedents of the anorexia in childhood and adolescence. The paper forms an investigation into pre-moral states and the interaction of anorexia with character structure.     

Promoting psychoanalytic understanding in the core professions: The case against establishing a new profession of adult psychotherapist

Currently there is much enthusiastic talk about the possibility of establishing a new National Health Service profession of Adult Psychotherapist. This paper questions the assumption that such a development would be rational and advantageous. Four main points are discussed here: there are problems arising from training in a uni-dimensional context when returning to work in amulti-dimensional context; there are dangers in taking a method-oriented stance rather than one which is service-oriented; there is something peculiar about the notion of a profession based on a single method or mode of treatment; one of the most important contributions of psychoanalysis to the core professions is the creation of an analytic space for thinking.     

Blurring of emotional and non-emotional memories by taxing working memory during recall

Memories that are recalled while working memory (WM) is taxed, e.g., by making eye movements (EM), become blurred during the recall + EM and later recall, without EM. This may help to explain the effects of Eye Movement and Desensitisation and Reprocessing (EMDR) in the treatment of post-traumatic stress disorder (PTSD) in which patients make EM during trauma recall. Earlier experimental studies on recall + EM have focused on emotional memories. WM theory suggests that recall + EM is superior to recall only but is silent about effects of memory emotionality. Based on the emotion and memory literature, we examined whether recall + EM has superior effects in blurring emotional memories relative to neutral memories. Healthy volunteers recalled negative or neutral memories, matched for vividness, while visually tracking a dot that moved horizontally (“recall + EM”) or remained stationary (“recall only”). Compared to a pre-test, a post-test (without concentrating on the dot) replicated earlier findings: negative memories are rated as less vivid after “recall + EM” but not after “recall only”. This was not found for neutral memories. Emotional memories are more taxing than neutral memories, which may explain the findings. Alternatively, transient arousal induced by recall of aversive memories may promote reconsolidation of the blurred memory image that is provoked by EM.     

Perceived Intrafamilial Connectedness and Autonomy in Families With and Without an Anxious Family Member: A Multiple Informant Approach

Perceived intrafamilial “emotional connectedness” and “autonomy” were investigated within families with and without an anxious family member using a multiple informant approach. The sample consisted of 32 mothers with a current anxiety disorder and 56 controls, their partners, and their anxious and nonanxious teenage children. No differences were found with respect to the perceived family relationships of family members with versus without anxious mothers. However, compared with nonanxious adolescents, anxious adolescents perceived less autonomy in relation to both parents. Mothers of anxious adolescents also perceived their children to be less autonomous toward them and their partners, than mothers of nonanxious adolescents. In contrast with “autonomy,” “emotional connectedness” was not reported to be different between families with and without an anxious adolescent. Agreement among family members and the importance of perceived individual autonomy in the development of anxiety are discussed.