Disintegration of the self and the regeneration of ‘psychic skin’ in the treatment of traumatized refugees

This paper presents a tentative understanding of the characteristics of the extreme traumas, elsewhere called ‘complex PTSD’, that some refugees and asylum‐seekers bring into therapy. It suggests that these kinds of traumas suffered during adulthood may involve a disintegration of the self and a loss of ‘psychic skin’. This conceptualization is derived from the treatment of a refugee who survived multiple extreme traumas and with whom efforts were made in therapy to identify a complex methodology making use of supplementary therapeutic tools in addition to individual psychotherapy. The case demonstrates how the disintegration of self implies not only a deep somato‐psychic dissociation, but also a loss of intrapsychic and interpersonal space. In the treatment this was worked through via repetition of the victim‐aggressor dynamics at multiple levels. In the end, the therapeutic context was structured like a set of concentric layers, creating a ‘bandage’ over the patient's wounds whilst his ‘psychic skin’ was able to regenerate. The conditions triggered by extreme traumas in refugees challenge some of the cornerstones of individual psychoanalytic technique, as well as the idea that individual therapy may be thought of as existing in an environmental vacuum.     

Putting down roots: the significance of technical adaptations in the therapeutic process with fostered and adopted children‡

Severely neglected and traumatised children have also suffered from a lack of the parental nurturing which is needed for ordinary emotional development to take place. Often their past experiences make them unable to utilise the nurturing that foster and adoptive families try to give them and they are delayed or stuck in their development. In therapy, when the early small signs of new emotional development start to emerge, they may be heralded by technical challenges to the therapist. Two examples are given in this paper, which are discussed in the context of Stern et al.’s ideas about moments of meeting, Winnicott’s concepts about transitional phenomena and playing, and Hurry and her colleagues’ thoughts about the therapist as a developmental object. It is argued that it is important for the therapist to be alert to the possible significance of these technical adaptations in terms of the child’s capacity for new emotional development. These often indicate that a watershed in the treatment has been reached and if positively responded to, that the patient is in the process of ‘putting down roots’ in the ground of the therapeutic relationship and starting to grow across a spectrum of developmental pathways.     

All in the first glance: first fixation predicts individual differences in valence bias*

Surprised expressions are interpreted as negative by some people, and as positive by others. When compared to fearful expressions, which are consistently rated as negative, surprise and fear share similar morphological structures (e.g. widened eyes), but these similarities are primarily in the upper part of the face (eyes). We hypothesised, then, that individuals would be more likely to interpret surprise positively when fixating faster to the lower part of the face (mouth). Participants rated surprised and fearful faces as either positive or negative while eye movements were recorded. Positive ratings of surprise were associated with longer fixation on the mouth than negative ratings. There were also individual differences in fixation patterns, with individuals who fixated the mouth earlier exhibiting increased positive ratings. These findings suggest that there are meaningful individual differences in how people process faces.     

Maternal Emotion Socialization and the Development of Inhibitory Control in an Emotional Condition

Although several studies have implicated parental socialization in children's development of multiple executive functions, little is known about how parenting may predict inhibitory control when emotion is involved. In this study, 42 children completed two tasks with their mothers at 3.5 years. Maternal emotion language was coded during a storybook task, and maternal scaffolding was coded during a puzzle task. At 3.5 and 4 years, children's inhibitory control was assessed with Day–Night and Happy–Sad card games, Stroop‐like tasks that differ in that the latter contains emotion content. Accuracy and latency on Happy–Sad were predicted by maternal emotion language but not scaffolding. In contrast, latency on Day–Night was predicted by scaffolding but not emotion language. This shows context‐specificity in the links between parenting and cognitive control, such that emotion socialization predicted children's performance in an emotional context only, while more general scaffolding behaviours predicted inhibitory control in the non‐emotional condition. Copyright © 2016 John Wiley & Sons, Ltd.     

Autonomy,Force and Cultural Plurality

Within now prolific debates surrounding the compatibility of feminism and multiculturalism in liberal societies, the need arises for a normative conception of women’s self-determination that does not violate the self-understandings or values of women of different backgrounds and forms of life. With reference to the recent British debate about forced marriage, this article proposes an innovative approach to this problem in terms of the idea of ‘plural autonomy’. While the capacity for autonomy is plural, in the sense of varying across cultures, autonomy in any world-view involves a capacity to ‘endorse’ one’s decisions in certain crucial spheres of life. Non-endorsement, coercion or force occurs if one risks being alienated from the (cultural) goods and relationships that structure one’s capacity to act in the world. This approach counsels more caution than prominent liberal approaches with respect to negotiating the contested boundary between freedom and force in a diverse society.

Examining cultural socialization within African American and European American households

This preliminary study explored the cultural socialization processes of 227 African American and European American parents of elementary schoolchildren. The Cultural Value Socialization Scales (K. M. Tyler, A. W. Boykin, C. M. Boelter, & M. L. Dillihunt, 2005) were used to garner parents' reports of their cultural value socialization activities at home. The scales contained written vignettes depicting persons involved in activity that reflected a specific cultural value. Ethnocultural values examined were communalism, verve, movement, and affect, and mainstream cultural values included individualism, competition, bureaucracy, and materialism. Regression analyses reveal that being an African American parent was predictive of competition and materialism scores. Race was not a significant predictor of the remaining cultural value socialization scores. Limitations to the study are discussed.     

Stereotype content model explains prejudice for an envied outgroup: Scale of anti-Asian American Stereotypes

The Stereotype Content Model hypothesizes anti-Asian American stereotypes differentiating two dimensions: (excessive) competence and (deficient) sociability. The Scale of Anti-Asian American Stereotypes (SAAAS) shows this envious mixed prejudice in six studies. Study 1 began with 131 racial attitude items. Studies 2 and 3 tested 684 respondents on a focused 25-item version. Studies 4 and 5 tested the final 25-item SAAAS on 222 respondents at three campuses; scores predicted outgroup friendships, cultural experiences, and (over)estimated campus presence. Study 6 showed that allegedly low sociability, rather than excessively high competence, drives rejection of Asian Americans, consistent with system justification theory. The SAAAS demonstrates mixed, envious anti-Asian American prejudice, contrasting with more-often-studied contemptuous racial prejudices (i.e., against Blacks).     

Probability matching in the right hemisphere

Previously it has been shown that the left hemisphere, but not the right, of split-brain patients tends to match the frequency of previous occurrences in probability-guessing paradigms (Wolford, Miller, & Gazzaniga, 2000). This phenomenon has been attributed to an "interpreter," a mechanism for making interpretations and forming hypotheses, thought to reside exclusively in the left hemisphere. In this study with a split-brain patient, we had him guess one of two types of faces, stimuli known to be preferentially processed in the right hemisphere of this patient. Unlike previous studies using other kinds of stimuli, the right hemisphere matched the frequency of the previous occurrences of a face-type, but the left hemisphere did not.     

Stable individual differences across images in human saccadic eye movements.

Individual differences in eye movements during picture viewing were examined across image format, content, and foveal quality in 3 experiments. Experiment 1 demonstrated that an individual's fixation durations were strongly related across 3 types of scene formats and that saccade amplitudes followed the same pattern. In Experiment 2, a similar relationship was observed for fixation durations across faces and scenes, although the amplitude relationship did not hold as strongly. In Experiment 3, the duration and amplitude relationships were observed when foveal information was degraded and even removed. Eye movement characteristics differ across individuals, but there is a great deal of consistency within individuals when viewing different types of images.     

Public awareness and knowledge of stuttering in Rio de Janeiro

This study reports the results of an investigation of public awareness and knowledge of stuttering in Rio de Janeiro, Brazil. A total number of 606 street recruited respondents answered questions on various aspects of stuttering, including prevalence, onset, gender distribution, occurrence in different cultures, cause, treatment, intelligence, and hereditariness. The questionnaire used was a Portuguese version of the one by [Van Borsel, J., Verniers, I. & Bouvry, S. (1999). Public awareness of stuttering. Folia Phoniatrica et Logopaedica, 51, 124–132]. Although, stuttering is a disorder which is known to a majority of the participants, knowledge appears to be limited for certain aspects. Knowledge also differs among subgroups of participants according to gender, age and educational level. Comparison of the results of the current study with similar studies conducted in Belgium and in Shanghai, China shows several similarities but also some differences.

Educational objectives: The reader will be able to: (1) discuss public awareness and knowledge of stuttering in Rio de Janeiro, Brazil; (2) discuss the differences in knowledge according to gender, age and educational level and; (3) discuss similarities and differences with comparable studies run in Belgium and Shanghai, China.