The effect of pain and the anticipation of pain on temporal perception: A role for attention and arousal

The overestimation of the duration of fear-inducing stimuli relative to neutral stimuli is a robust finding within the temporal perception literature. Whilst this effect is consistently reported with auditory and visual stimuli, there has been little examination of whether it can be replicated using painful stimulation. The aim of the current study was, therefore, to explore how pain and the anticipation of pain affected perceived duration of time. A modified verbal estimation paradigm was developed in which participants estimated the duration of shapes previously conditioned to be associated with pain, compared to those not associated with pain. Duration estimates were significantly longer on trials in which pain was received or anticipated than on control trials. Slope and intercept analysis revealed that the anticipation of pain resulted in steeper slopes and greater intercept values than for control trials. The results suggest that increased arousal and attention, when anticipating and experiencing pain, result in longer perceived durations. The results are discussed in relation to internal clock theory and neurocognitive models of time perception.     

Negotiating control: Patients’ experiences of unsuccessful weight-loss surgery

Interviews were carried out with 10 men and women who had undergone weight-loss surgery (WLS) up to 10 years ago and felt that it had failed. Seven had had a further successful procedure. Data were analysed using Interpretative Phenomenological Analysis. Weight regain following surgery was explained in terms of either the mechanics of the operation or with participants describing ways to ‘cheat’ as food continued to be used for emotional regulation. Everyone spoke of how surgery neglected their mind. Following the second successful surgery, participants described changes in both their eating behaviour and cognitions emphasising how their mind had been brought ‘in gear’ through the investment of two invasive procedures. Transcending all accounts was the mind/body relationship and the issue of control with attributions for both failed and successful surgery shifting from the self to the surgical mechanism as the participants negotiated the pathway between self-blame and responsibility and utilised conflicting frameworks in which the mind and body were either divided or united. Whereas failed surgery is characterised by a battle for control, successful surgery involves handing control over to their restricted stomachs or considering WLS as a tool to be worked with.     

Constructing useful connections? A matter of metaphor or reality?

Abstract

Eiser (1996) proposes a set of unifying principles which integrate the social and the individual and acknowledge the role of social reality. Yet he uses a connectionist model. This paper argues that his approach is neither new nor consistent and suggests that by confounding the metaphor of a system with the reality of neutral networks, Eiser's model is inherently incapable of achieving its aims and both maintains the psyche / social divide and privileges physical reality. It concludes that Eiser leaves us with a model which is neither metaphorically creative nor empirically useful.     

Why read Fairbairn?

The author offers a close reading of portions of Fairbairn's work in which he not only explicates and clarifies Fairbairn's thinking, but generates ideas of his own by developing concepts that he believes to be implicit in, or logical extensions of, Fairbairn's work. Among the unstated or underdeveloped aspects of Fairbairn's contribution that the author discusses are (1) the idea that the formation of the internal object world is always, in part, a response to trauma (actual failure on the part of the mother to convey to her infant a sense that she loves him and accepts his love); (2) the notion that the infant's unceasing efforts to transform the internalized relationship with the unloving mother into a loving relationship – thus reversing the effect on his mother of his (imagined) 'toxic love'– is the single most important motivation sustaining the structure of the internal object world; and (3) the idea that attacks on oneself for the way one loves, while self-destructive, contain a glimmer of insight into one's own self-hatred and shame regarding one's endless, futile attempts to change oneself (or the rejecting object) into a different person. The author, using his own clinical work, illustrates the way he makes use of his understanding of the 'emotional life' of internal objects to facilitate the patient's emotional growth.     

Information processing bias against emotional facial expressions in social anxiety

The present study examined whether information processing bias against emotional facial expressions is present among individuals with social anxiety. College students with high (high social anxiety group; n  = 26) and low social anxiety (low social anxiety group; n  = 26) performed three different types of working memory tasks: (a) ordering positive and negative facial expressions according to the intensity of emotion; (b) ordering pictures of faces according to age; and (c) ordering geometric shapes according to size. The high social anxiety group performed significantly more poorly than the low social anxiety group on the facial expression task, but not on the other two tasks with the nonemotional stimuli. These results suggest that high social anxiety interferes with processing of emotionally charged facial expressions.     

Children With Conduct Problems and Co-occurring ADHD: Behavioral Improvements Following Parent Management Training

To scale up evidence-based treatment of conduct problems, parent management training, Oregon model (PMTO) has been disseminated throughout Norway. This study examined whether Attention Deficit Hyperactivity Disorder (ADHD) predicted the outcomes of PMTO. Of 253 children and families, 97 were reported to have an ADHD diagnosis. Although different at intake, the groups with and without ADHD had close to an equal change in behavioral status following treatment. Maternal depression and family income predicted the combined group's behavior following PMTO. The study indicates that reductions in conduct problems following PMTO are of the same magnitude in children with or without ADHD. However, some characteristics may differentially predict outcomes for children with combined problems.     

Review Essay: The Fate of Romance Over Time

Can Love Last? The Fate of Romance Over Time by Stephen A. Mitchell (New York, NY: W.W. Norton, 2002, 224 pp.)

This review of Stephen Mitchell's posthumously published book details the intelligence, vitality, and emotional depth that so many found in Mitchell as writer, teacher, colleague, analyst, friend, and family member. The review also notes the loss that Mitchell's death brought to the lives of individuals and to the life of the psychoanalytic movement.     

An Elegy,a Love Song,and a Lullaby

In the course of the past decade, I have found himself looking as much to poets and the experience of reading poetry as to the work of other analysts in my ongoing effort to become a psychoanalyst. Both the poet and the psychoanalyst are individuals whose life's work is that of making “raid[s] [on] the inarticulate” (Eliot, 1940, p. 128) in their effort to delve as deeply as possible into what it is to be human and to render that experience in the medium of language. To this end, I offer a reading of Seamus Heaney's (1987) “Clearances,” an elegy Heaney wrote for his mother soon after her death. I explore the ways in which the experience of mourning—whether in a poem or in an analytic experience—is not simply “conveyed” (as if illuminating something already there) but created in the very act of writing/saying the poem or of bringing feelings to life in words in an analytic session.

I begin by presenting a brief biographical account of Heaney not to “explain” his poetry in analytic terms but to allow the reader to create a more imaginative, more human reading of the poem as he or she enters into the conversation between the life of the man and the life of the poetry. Then I discuss the ways in which “Clearances” comes to life as a variety of coexisting forms of love that together shape an experience of grief.