Traumatized mothers can change their minds about their toddlers: Understanding how a novel use of videofeedback supports positive change of maternal attributions

This study explored the use of a brief experimental intervention that integrates principles of infant-parent psychotherapy, videofeedback, controlled exposure to child distress in the context of parental posttraumatic stress disorder (PTSD), and stimulation of parental reflective functioning (RF). The Clinician Assisted Videofeedback Exposure Session (CAVES) was applied to 32 interpersonal violence-exposed mothers of very young children (8-50 months) with respect to change of maternal perception of her child. While we found no significant reduction over two videotaped assessment visits with a mental health professional, we did find a significant reduction in the degree of negativity of maternal attributions towards her child following the videotaped visit focused on the CAVES (p<.01). Maternal RF, a mother's capacity to think about mental states in herself and her child, accounted for 11% of the variance in reduction of maternal negativity after accounting for baseline levels of negativity. Clinician-assisted videofeedback appears to support emotional self-regulation of mothers with violence-related PTSD. Focusing with a therapist on videofeedback of child separation distress exposes mothers to avoided mental states of helplessness and perceived loss of protection. Negative maternal attributions may mark violent trauma-associated emotion dysregulation and projected self-representations of the maltreated mother.     

Patients’ Tests and Clinicians’ Emotions: A Clinical Illustration

Journal of Contemporary Psychotherapy - Psychotherapists can experience various kinds of emotions in response to their patients’ communications and behaviors over the course of therapy. These...     

Employees' Well-being in Greater China: The Direct and Moderating Effects of General Self-efficacy

This study investigated the direct and moderating effect of general self-efficacy on the relationship between stressors and well-being in Chinese societies. Survey data were collected from 386 and 306 employees in Hong Kong and Beijing, respectively. The results consistently showed that general self-efficacy was positively related to mental well-being and physical well-being. A series of hierarchical regressions revealed that general self-efficacy moderated the relationship between stressors and mental well-being, yet did not moderate the relationship between stressors and physical well-being. Results verified that general self-efficacy plays an important role in employees' well-being in the collectivist society of China.
Cette recherche porte sur l'effet direct et régulateur de l'auto-efficience générale sur la relation entre les facteurs de stress et le bien-être dans les sociétés chinoises. Les données d'enquête ont été obtenues auprès de 386 salariés de Hong-Kong et 306 de Pékin. Les résultats montrent régulièrement que l'auto-efficience générale est positivement corrélée avec le bien-être physique et mental. Une succession de régressions hiérarchiques a révélé que l'auto-efficience générale régulait la relation entre les facteurs de stress et le bien-être mental, mais pas celle entre les facteurs de stress et le bien-être physique. Les résultats vérifient l'hypothèse selon laquelle l'auto-efficience générale joue un rôle important pour le bien-être des salariés dans la société collectiviste chinoise.     

Rorschach test findings at the beginning of treatment and 2 years later, with a 30-year follow-up

In this article, I report a case containing 2 Rorschach assessments-the first (R1) 30 years ago at the beginning of a 4-year period of psychotherapy and the second (R2) 2 years later. I also recently contacted the patient to obtain information about his life during the 26 years since termination. This report examines the 2 Rorschach protocols-combining the Comprehensive System (CS; Exner, 2003) structural summaries with thematic content analysis-in relation to the patient's history, treatment, and 30-year outcome. I focus on the change between R1 and R2, particularly the shift from an introversive to an ambitent EB and a corresponding shift from 6 Y responses on R1 to 6 m responses on R2. In the clinical interpretation, I considered these shifts in a context of the patient's patterns of managing destabilization and overstimulation.     

Questioning nuclear waste substitution: a case study

This article looks at the ethical quandaries, and their social and political context, which emerge as a result of international nuclear waste substitution. In particular it addresses the dilemmas inherent within the proposed return of nuclear waste owned by Japanese nuclear companies and currently stored in the United Kingdom. The UK company responsible for this waste, British Nuclear Fuels Limited (BNFL), wish to substitute this high volume intermediate-level Japanese-owned radioactive waste for a much lower volume of much more highly radioactive waste. Special focus is given to ethical problems that they, and the UK government, have not wished to address as they move forward with waste substitution. The conclusion is that waste substitution can only be considered an ethical practice if a set of moderating conditions are observed by all parties. These conditions are listed and, as of yet, they are not being observed.     

The embodied self: thinking psychoanalytically in a time of 'science'

Abstract :  In order to be relevant in our 'scientific' times, it is necessary that we psychoanalysts situate our ideas in thoughtful and respectful relationship to neighbouring disciplines such as genetics, cultural studies, and neuro-anatomy. In this paper I suggest that, although psychoanalysis still continues to have valuable contributions to make to the understanding of human sexual experience and behaviour, in order to make these contributions relevant we must tune in with openness to the challenges posed by the unfolding discoveries in the other disciplines that grapple with the arena of human sexuality.
I will suggest ways in which research on sexual desire and gender identity may be assimilated into psychoanalytic thinking and give some examples of its use in analytic practice.     

Electrophysiological responses to auditory novelty in temperamentally different 9‐month‐old infants

Behavioral reactivity to novel stimuli in the first half‐year of life has been identified as a key aspect of early temperament and a significant precursor of approach and withdrawal tendencies to novelty in later infancy and early childhood. The current study examines the neural signatures of reactivity to novel auditory stimuli in 9‐month‐old infants in relation to prior temperamental reactivity. On the basis of the assessment of behavioral reactivity scores at 4 months of age, infants were classified into groups of high negatively reactive and high positively reactive infants. Along with an unselected control group, these groups of temperamentally different infants were given a three‐stimulus auditory oddball task at 9 months of age which employed frequent standard and infrequent deviant tones as well as a set of complex novel sounds. In comparison to high positively reactive and control infants, high negatively reactive infants displayed increased amplitude of a positive slow wave in the ERP response to deviant tones compared to standard tones. In contrast, high positively reactive infants showed a larger novelty P3 to the complex novel sounds. Results are discussed in terms of optimal levels of novelty for temperamentally different infants.     

An International Study of the Psychometric Properties of the Hofstede Values Survey Module 1994: A Comparison of Individual and Country/Province Level Results

Hofstede's Values Survey Module has been the basis for much cross‐cultural and cross‐national research in the workplace, but little information about its psychometric properties has been available. This study provides internal consistency (coefficient alpha) statistics from samples representing 23 nations/provinces. Across both English and translated versions, internal consistencies tended to be poor, and in the majority of cases failed to achieve even a liberal criterion of 0.60. Even when data were aggregated by sample coefficient alphas were poor for all but long‐term orientation. At the participant level, long‐term orientation and individualism had marginal internal consistencies, whereas power distance, masculinity, and uncertainty avoidance subscales had inadequate internal consistencies. A replication of Hofstede's ecological factor analysis failed to support the five subscales. It is suggested that the construct validity of these scales is suspect, and that they should be used with caution.