Revised Diagnostic Profile 2016: Revisions,Rationale, and Further Thoughts

ABSTRACT

In 2001, a working party at the Anna Freud Centre undertook the task of looking at Anna Freud’s original Provisional Diagnostic Profile and seeing if, in the light of current knowledge, modifications should be made. A broad view of the mind as a complex dynamic system sculpted out of biopsychosocial forces underpins the chapter with reference to allied disciplines and research. The chapter considers the rationale for adding certain features and highlighting and/or reframing others. In shifting the emphases from the original drive theory perspective to an explicitly object relational one, the authors acknowledge the altered metapsychology while arguing that the revisions preserve the original psychoanalytic and developmental template, including the importance of the psychosexual organization. The authors offer their suggestions to the question in 2015: would yet further revisions need to be made and if so which? The working party reconvened in 2016 to further revise the Provisional Diagnostic Profile.     

Acutely induced anxiety increases negative interpretations of events in a closed-circuit television monitoring task

In two experiments we measured the effects of 7.5% CO₂ inhalation on the interpretation of video footage recorded on closed circuit television (CCTV). As predicted, inhalation of 7.5% CO₂ was associated with increases in physiological and subjective correlates of anxiety compared with inhalation of medical air (placebo). Importantly, when in the 7.5% CO₂ condition, participants reported the increased presence of suspicious activity compared with placebo (Experiment 1), a finding that was replicated and extended (Experiment 2) with no concomitant increase in the reporting of the presence of positive activity. These findings support previous work on interpretative bias in anxiety but are novel in terms of how the anxiety was elicited, the nature of the interpretative bias, and the ecological validity of the task.     

Commentaries on 'The symbolism of the story of Lot and his wife'

In this article, four child and adolescent psychotherapists discuss their responses, within a psychoanalytic framework, to the theoretical and technical questions raised by Monica Lanyado in her paper 'The symbolism of Lot and his wife'.     

Grief in two guises: ‘Mourning and melancholia’ revisited

¹ 1. A version of this paper was given at the Institute of Psychoanalysis Conference: ‘Mourning and Melancholia through the Life Cycle’, London, 1998. This paper is a re-reading of Freud’s classic paper. The themes of mourning and melancholia are viewed in relation to children and adolescents with illustrations from case histories. Mourning is interpreted in a broader sense: not only as grief (both expectable and traumatic) but as a response to the developmental process itself as phases of childhood are shed and an emerging newer identity is assumed. The author argues that Freud’s paper left the way open to make a number of further distinctions of the processes involved within melancholia.     

A critique of the microcounselling approach to problem understanding

Microcounselling approaches involve teaching the component behaviours of effective counselling or interviewing within a problem-solving framework. Egan, Ivey and Carkhuff, as proponents of this view, stress that later action stages of the problem-solving cycle should be based on an adequate understanding of the client's problem. The relationship between the skills which comprise the microcounselling approach and the goal of problem understanding is examined. It is argued that the approach lacks any explanation of how problem understanding is reached, and that it concentrates instead on the communication techniques involved in the discovery and modification of the client's understanding. This omission leaves counsellors without a rationale for the modification of their clients' views and without a means to regulate their use of the various microskills. Information theory and recent research on complex problem-solving are introduced to explain the skills involved in reaching a high-quality understanding of a client's problem. Given that these complex cognitive processes are not addressed in the microcounselling approach, suggestions are made for its modification.     

Apparent size and duration of a movement after-effect

Four experiments were performed to study the relationship between Emmert's law and the duration of the movement after-effect (MAE). The duration of the MAE increased with increased distance of the test field; this result was shown to be produced by the correlative change in apparent size of the after image. The effect did not occur when cues for distance judgments were reduced. Reducing the duration of the MAE suppressed the variation in its duration at varying distances of the test field. Some implications for the mechanism of the MAE are discussed.     

Effects of cognitive training on academic and on-task behavior of hyperactive children

A cognitive training program that taught both self-instructional and self-management skills was used with three 7-to 8-year-old hyperactive children. A multiple baseline across individuals design was used to evaluate the effects of training on on- task behavior and math accuracy. There were significant changes in math accuracy for all subjects, and two subjects showed significant improvements in on- task behavior. Evidence suggesting generalization to untrained behaviors was shown by an increase in self-correction of oral reading for all subjects. The results suggest that cognitive training specifically designed to promote generalization to classroom tasks can improve the classroom behavior and academic achievement of hyperactive children.The study was supported by a scholarship to the first author from the Specific Learning Difficulties Association (SPELD, Auckland). The authors would like to thank Mr. T. F. Walbran, deputy district senior inspector of primary schools, and Mrs. S. Gribben and the staff of Dominion Road Primary School; Mrs. F. Donovan helped with the collection of reading data and Dr. G. Arvidson gave assistance with data analysis. Special thanks also go to the graduate students who served as trainers or observers.