An Independent Theory of Clinical Technique

The history of Independent analysis in the British Psychoanalytical Society is reviewed. The Independent Tradition, as an approach to psychoanalysis, is distinguished from the organisational grouping in the British Society that is the Independent Group. The Independent Tradition emphasises what differentiates human beings rather than how they exemplify general principles. This derives from Freud through Ferenczi. Ferenczi's stress on the quality of the patient's experience, on the need for analysts to be aware of the effect on themselves of the analytic process, and on the need for restraint in interpretation are all characteristically Independent aspects of analytic technique. Later Independent thinkers have developed these themes further. Especially important is Enid Balint's idea that theory mediates the analyst's creative imagination. The analytic setting infuses ordinary human interaction with psychoanalytic awareness, and another function of theory is to imbue with psychoanalytic understanding the use of everyday language. Independent clinical technique is primarily a way of listening. Regression is accepted, and free association valued as being in itself a vehicle of psychic growth. A central idea is that the analyst is an analytic object to be made use of by the patient. Several clinical examples illustrate the functioning in practice of these concepts.     

Command and consequence

Philosophical Studies - An argument is usually said to be valid iff it is truth-preserving—iff it cannot be that all its premises are true and its conclusion false. But imperatives (it is...     

The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis

Neuropsychology Review - Mindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This...     

Neuropsychological Impairments Associated with Resolution of Cortical Blindness Following Cyclosporine Neurotoxicity in Childhood

A reversible posterior leukoencephalopathy, associated with cortical blindness, has been reported in both adults and children treated with Cyclosporine. The present study reports neuropsychological findings in a 6-year-old male, who received an allogenic bone marrow transplant and Cyclosporine treatment. Although visual acuity and neuro-opthalmological findings were normal 6 days after the onset of cortical blindness, neuropsychological findings indicated residual deficits suggestive of achromatopsia, and impairments in visuospatial perception, visual memory, resolution of figure-ground relationships, facial recognition, and visual cognitive functions requiring imagery. Thirty days after the onset of symptoms, neuropsychological findings continued to demonstrate abnormalities in the use of color to resolve form, and impaired performance on measures which required visual imagery to provide figural closure.     

Integrating cognitive psychology, neurology and neuroimaging

In the last decade, there has been a dramatic increase in research effectively integrating cognitive psychology, functional neuroimaging, and behavioral neurology. This new work is typically conducting basic research into aspects of the human mind and brain. The present review features as examples of such integrations two series of studies by the author and his colleagues. One series, employing object recognition, mental motor imagery, and mental rotation paradigms, clarifies the nature of a cognitive process, imagined spatial transformations used in shape recognition. Among other implications, it suggests that when recognizing a hand's handedness, imagining one's body movement depends on cerebrally lateralized sensory-motor structures and deciding upon handedness depends on exact match shape confirmation. The other series, using cutaneous, tactile, and auditory pitch discrimination paradigms, elucidates the function of a brain structure, the cerebellum. It suggests that the cerebellum has non-motor sensory support functions upon which optimally fine sensory discriminations depend. In addition, six key issues for this integrative approach are reviewed. These include arguments for the value and greater use of: rigorous quantitative meta-analyses of neuroimaging studies; stereotactic coordinate-based data, as opposed to surface landmark-based data; standardized vocabularies capturing the elementary component operations of cognitive and behavioral tasks; functional hypotheses about brain areas that are consistent with underlying microcircuitry; an awareness that not all brain areas implicated by neuroimaging or neurology are necessarily directly involved in the associated cognitive or behavioral task; and systematic approaches to integrations of this kind.     

A test of the generality of perceptually based categories found in infants: attentional differences toward natural kinds by New World monkeys

A preference to novelty paradigm used to study human infants (Quinn, 2002) examined attention to novel animal pictures at subordinate, basic and superordinate levels in tamarins. First, pairs of pictures were presented in phases, starting with a monkey species (subordinate level) and ending with mammal and dinosaur sets (superordinate levels). After each phase, tests paired novel pictures from the familiarized set with a novel broader category. Look rates toward each picture were coded. Tamarins looked significantly longer at a novel species after being familiarized with a monkey species, a species-specific effect. Subjects attended equivalently to novel primate species after habituation to four monkey species, but looked significantly longer at pictures of mammals, marking a more global-level inclusion and exclusion. Superordinate testing revealed that more novel and diverse sets were differentiated attentionally. The evidence implies that natural categorical representation occurs at an attentional level in primates in ways similar to human infants, and is affected by recent exposure and category variability.     

Factor structure of the brief symptom inventory--18 in adult survivors of childhood cancer: results from the childhood cancer survivor study

The factor structure of the Brief Symptom Inventory--18 (BSI-18; L. R. Derogatis, 2000) was investigated in a sample of adult survivors of childhood cancer enrolled in the Childhood Cancer Survivor Study (CCSS; N = 8,945). An exploratory factor analysis with a randomly chosen subsample supported a 3-factor structure closely corresponding to the 3 BSI-18 subscales: Depression, Anxiety, and Somatization. Confirmatory factor analysis with structural equation modeling validated this 3-dimensional structure in a separate subsample, though an alternative 4-factor model also fit the data. Analysis of the 3-factor model showed consistent fit in male and female participants. Compared with available community-based norms, survivors reported fewer symptoms of psychological distress. Together, results support the hypothesized 3-dimensional structure of the BSI-18 and indicate the measure may be useful in assessing psychological distress in this growing population of cancer survivors.