Promoting psychoanalytic understanding in the core professions: The case against establishing a new profession of adult psychotherapist

Currently there is much enthusiastic talk about the possibility of establishing a new National Health Service profession of Adult Psychotherapist. This paper questions the assumption that such a development would be rational and advantageous. Four main points are discussed here: there are problems arising from training in a uni-dimensional context when returning to work in amulti-dimensional context; there are dangers in taking a method-oriented stance rather than one which is service-oriented; there is something peculiar about the notion of a profession based on a single method or mode of treatment; one of the most important contributions of psychoanalysis to the core professions is the creation of an analytic space for thinking.     

The NICE guidelines are misleading,unscientific, and potentially impede good psychological care and help

NICE guidelines have been given the authority to determine what psychological therapies can be provided within the UK National Health Service. This also has implications for private practice. The guidelines are based on a medical model and consider psychotherapy as analogous to a drug. Psychological thinking is discouraged by this approach. A large amount of psychotherapy research evidence is ignored by NICE, particularly the persistent finding that differences in effectiveness between therapies are minimal and elusive. Differences between the skills of therapists are a more significant factor. Practice-based evidence, and learning from the patient's feedback (both conscious and unconscious) may be a better approach. For most forms of psychological distress, none of the main psychological therapies studied in randomized controlled trials can be considered to be clinically effective, even though they facilitate some degree of statistically significant change.     

From research to practice: The first tentative steps

This article traces the history of the Somerset Spirituality Project as it moved from the research findings of Foskett et al. (2003) and Macmin and Foskett (2003) to the application of their findings in practice. It summarizes the results of the research, the attempts to publicize these and to promote better practice within the mental health services and local religious groups. It records the developments already undertaken or planned, the resistance to these encountered along the way and the sacrifices made by those most intimately involved. This is set within a Christian Liberation Theology's analysis of social and political systems, its bias to the poor and their understanding of the human drive to health of mind and soul.     

Perceptual learning and perceptual search are altered in male university students with higher Autism Quotient scores

Two experiments investigated the validity of the Autism Quotient (AQ) scale for measuring traits associated with Autism Spectrum Disorders (ASD) in a population of male university students. Both studies found evidence that individuals who scored higher on the AQ questionnaire performed in a similar way to individuals with ASD on tasks with a perceptual component. Experiment 1 demonstrated a difference in the degree to which higher scoring AQ individuals performed on a perceptual learning task; with higher AQ scorers showing no advantage for familiar over novel items less. In Experiment 2, higher scorers showed fewer errors when judging the elements, as opposed to the global configuration, of a Navon task letter. Both of these patterns of results had previously been noted in individuals with ASD. These results suggest that the AQ may have some validity in identifying individuals in the nonclinical population with similar performance profiles to those with ASD.     

Bias in the Reporting of Family History: Implications for Clinical Care

Family history of cancer is critical for identifying and managing patients at risk for cancer. However, the quality of family history data is dependent on the accuracy of patient self reporting. Therefore, the validity of family history reporting is crucial to the quality of clinical care. A retrospective review of family history data collected at a community hospital between 2005 and 2009 was performed in 43,257 women presenting for screening mammography. Reported numbers of breast, colon, prostate, lung, and ovarian cancer were compared in maternal relatives vs. paternal relatives and in first vs. second degree relatives. Significant reporting differences were found between maternal and paternal family history of cancer, in addition to degree of relative. The number of paternal family histories of cancer was significantly lower than that of maternal family histories of cancer. Similarly, the percentage of grandparents' family histories of cancer was significantly lower than the percentage of parents' family histories of cancer. This trend was found in all cancers except prostate cancer. Self-reported family history in the community setting is often influenced by both bloodline of the cancer history and the degree of relative affected. This is evident by the underreporting of paternal family histories of cancer, and also, though to a lesser extent, by degree. These discrepancies in reporting family history of cancer imply we need to take more care in collecting accurate family histories and also in the clinical management of individuals in relation to hereditary risk.     

South Korean culture and history: The implications for workplace bullying

This paper began by suggesting that culture might influence how people construe workplace bullying. Referring back to the studies of cultural differences in cognition, it was suggested that people of the Far East might construe workplace bullying differently from the people of Western countries. Taking South Korean culture as an example, this paper explained how historical background and culture shaped Korean's psyche in relation to workplace bullying. Currently available evidence was discussed including the way Koreans construed workplace bullying and how close social bonding might act as a buffer against a conflict escalating into bullying.     

Stout,Rawls, and the Idea of Public Reason

Jeffrey Stout claims that John Rawls's idea of public reason (IPR) has contributed to a Christian backlash against liberalism. This essay argues that those whom Stout calls “antiliberal traditionalists” have misunderstood Rawls in important ways, and goes on to consider Stout's own critiques of the IPR. While Rawls's idea is often interpreted as a blanket prohibition on religious reasoning outside church and home, the essay will show that the very viability of the IPR depends upon a rich culture of deliberation in which all forms of reasoning can be put forth for consideration. This clarification addresses the perception that the IPR imposes an “asymmetrical burden” upon believers. In fact, the essay suggests that there are good reasons why believers, qua believers, might endorse the IPR.     

Enhanced Latent Inhibition Following Compound Pre-exposure

The influence of non-reinforced exposure to compound stimuli on subsequent appetitive classical conditioning was examined in five experiments with rats as the subjects. Non-reinforced exposure to a visual stimulus retarded subsequent acquisition of conditioned responding relative to a non-pre-exposed condition (latent inhibition). If the target stimulus was pre-exposed in compound with a second (non-target) stimulus, then latent inhibition was abolished. Exposure to the non-target stimulus prior to compound exposure had varying effects on subsequent conditioning to the target: 40 exposures to the non-target stimulus resulted in latent inhibition to the target stimulus that was comparable in magnitude to that observed when the target stimulus was exposed in isolation; 120 exposures to the non-target stimulus enhanced latent inhibition to the target stimulus.