This art of psychoanalysis

It is the art of psychoanalysis in the making, a process inventing itself as it goes, that is the subject of this paper. The author articulates succinctly how he conceives of psychoanalysis, and offers a detailed clinical illustration. He suggests that each analysand unconsciously (and ambivalently) is seeking help in dreaming his 'night terrors' (his undreamt and undreamable dreams) and his 'nightmares' (his dreams that are interrupted when the pain of the emotional experience being dreamt exceeds his capacity for dreaming). Undreamable dreams are understood as manifestations of psychotic and psychically foreclosed aspects of the personality; interrupted dreams are viewed as reflections of neurotic and other non-psychotic parts of the personality. The analyst's task is to generate conditions that may allow the analysand-with the analyst's participation-to dream the patient's previously undreamable and interrupted dreams. A significant part of the analyst's participation in the patient's dreaming takes the form of the analyst's reverie experience. In the course of this conjoint work of dreaming in the analytic setting, the analyst may get to know the analysand sufficiently well for the analyst to be able to say something that is true to what is occurring at an unconscious level in the analytic relationship. The analyst's use of language contributes significantly to the possibility that the patient will be able to make use of what the analyst has said for purposes of dreaming his own experience, thereby dreaming himself more fully into existence.     

On not being able to dream

In this paper, the author explores the phenomenon of not being able to dream (as opposed to not being able to remember one's dreams) from three different vantage points. First, from the point of view of psychoanalytic theory, he discusses Bion's idea that the work of dreaming creates the conscious and unconscious mind (and not the other way around). A person who cannot dream is unable to generate differentiable conscious and unconscious experience and, consequently, lives in a psychic state in which he is unable to differentiate waking from sleeping, dreaming from perceiving. The author then approaches the problem of the inability to dream from the perspective achieved by a literary work. He discusses a Borges fiction that creates, in a singularly artful way, the experience of not being able to dream. Finally, the author utilises the vantage point of a detailed account of a clinical experience to explore what it means not to be able to dream. He describes an initial state characterised by the patient's proliferation of unutilisable 'psychic noise' which, over a period of years, led to the analyst's experiencing 'reverie-deprivation' and brief periods of countertransference psychosis. Two analytic sessions are presented and discussed in which psychological work was done that contributed to an enhanced capacity on the part of both patient and analyst for genuine dreaming - both in sleep and in analytic reverie states.     

“When I’d Dealt with My Issues,I Was Ready to Give Back”: Peer Leader’s Perspectives of Support Groups for Women Abused by Intimate Partners

The serious nature of the abuse of women by intimate partners has garnered worldwide concern. Victims are often assisted through support groups; however, little is known about how the groups work or how leaders perceive the group process and the women’s response to the intervention. This qualitative process evaluation presents the perspectives of 14 trained peers who led weekly Growth Circle groups to provide support to abused women. The article describes the leader’s backgrounds, perceptions of the group process, and coleadership, in addition to reflections on the value and challenges in offering the program. Implications for community agencies and group leaders are offered.     

Vibrotactile timing: Are vibrotactile judgements of duration affected by repetitive stimulation?

Timing in the vibrotactile modality was explored. Previous research has shown that repetitive auditory stimulation (in the form of click-trains) and visual stimulation (in the form of flickers) can alter duration judgements in a manner consistent with a “speeding up” of an internal clock. In Experiments 1 and 2 we investigated whether repetitive vibrotactile stimulation in the form of vibration trains would also alter duration judgements of either vibrotactile stimuli or visual stimuli. Participants gave verbal estimates of the duration of vibrotactile and visual stimuli that were preceded either by five seconds of 5-Hz vibration trains, or, by a five-second period of no vibrotactile stimulation, the end of which was signalled by a single vibration pulse (control condition). The results showed that durations were overestimated in the vibrotactile train conditions relative to the control condition; however, the effects were not multiplicative (did not increase with increasing stimulus duration) and as such were not consistent with a speeding up of the internal clock, but rather with an additive attentional effect. An additional finding was that the slope of the vibrotactile psychometric (control condition) function was not significantly different from that of the visual (control condition) function, which replicates a finding from a previous cross-modal comparison of timing.     

Modality effects in memory for basic stimulus attributes: a temporal and nontemporal comparison

Previous research suggests that there are significant differences in the operation of reference memory for stimuli of different modalities, with visual temporal entries appearing to be more durable than auditory entries (Ogden, Wearden, & Jones, 2008 , 2010). Ogden et al. ( 2008 , 2010 ) demonstrated that when participants were required to store multiple auditory temporal standards over a period of delay there was significant systematic interference to the representation of the standard characterized by shifts in the location of peak responding. No such performance deterioration was observed when multiple visually presented durations were encoded and maintained. The current article explored whether this apparent modality-based difference in reference memory operation is unique to temporal stimuli or whether similar characteristics are also apparent when nontemporal stimuli are encoded and maintained. The modified temporal generalization method developed in Ogden et al. (2008) was employed; however, standards and comparisons varied by pitch (auditory) and physical line length (visual) rather than duration. Pitch and line length generalization results indicated that increasing memory load led to more variable responding and reduced recognition of the standard; however, there was no systematic shift in the location of peak responding. Comparison of the results of this study with those of Ogden et al. (2008, 2010) suggests that although performance deterioration as a consequence of increases in memory load is common to auditory temporal and nontemporal stimuli and visual nontemporal stimuli, systematic interference is unique to auditory temporal processing.