Medical Settings as a Context for Research on Cognitive Development

Medical contexts provide a rich opportunity to study important theoretical questions in cognitive development and to investigate the influence of a range of interacting factors relating to the child, the experience, and the broader social context on children's cognition. In the context of examples of research investigating these issues, we consider several specific advantages of conducting research in medical settings: the diverse range of participants, experiences, and potential research paradigms and the opportunities for student training. We discuss the benefits and challenges of conducting research within medical contexts and consider ways of attempting to maximize the former and of addressing the latter.     

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.     

Using a Self-Management Intervention to Increase Compliance in Children With ASD

This two-study series examined the effectiveness of self-management in increase compliance with parental requests. Three boys diagnosed with Autism Spectrum Disorder and their parents participated. The intervention involved self-monitoring combined with parent-delivered reinforcement. A multiple baseline design was used. The intervention was successful in increasing rates of compliance and reducing problem behavior in training and generalization settings with each participant. Social validity was high and treatment integrity data indicated that the intervention could be readily implemented by parents. Study 2 also provided evidence of a strong treatment effect for the self-management beyond a small effect for effective instructional delivery.     

The Family Environment Scale: Reliability and Normative Data for an Adolescent Sample

The Family Environment Scale has been used extensively in family research since first being published. However, despite its appeal both conceptually and empirically, doubts have been raised over the scale's reliability. This article presents normative and reliability data for the Family Environment Scale from a large, combined sample of adolescents. Means and standard deviations were generally found to be in line with those reported in the scale's manual; however, estimates of internal consistency for most subscales could be considered inadequate for research purposes.     

Diagnose und Therapie der Zwangsstörung

Obsessive-compulsive disorder (OCD) is the fourth common psychiatric disorder with a life-time prevalence of 1–3% world wide. Symptoms of OCD are intrusive, repetitive thoughts (obsessions) with disturbing content. Often, repetitive acts (compulsions) are performed in order to defend oneself or others against suspected threats or evil. Genetic and neurobiological factors are assumed to generate a disorder-specific vulnerability. Cognitive-behavioural models however, may serve to clarify the pathological interplay between dysfunctional thoughts and learning processes. The article offers an actual view on symptoms, diagnostic criteria, aetiology and therapeutic principles, such that OCD no longer stays the “hidden disease” which causes high individual and socioeconomic burden.     

Verelendung psychotherapeutischer Rahmenbedingungen

Relationships of dependence in psychotherapeutic training, its high training costs and the taboo against discussing money and power, result in therapists being unable to adequately deal with their counter-transference with the particularly rich and powerful and vice versa with poor patients. In this article characteristic types of counter-transference and its associated entanglements are discussed. Psychotherapy does not take place beyond social developments nor is it able to compensate for their consequences especially in poor, badly educated and disintegrated patients. The author states that psychotherapy cannot be a substitute for a failed social, family, migration or educational policy.     

Meditation and the unconscious

This paper begins by describing the practice of meditation. It goes on to discuss George Kelly's view of the unconscious and uses meditation to illustrate this view. Some similarities between meditation and psychotherapy are also described within their mainly Kellian perspective. It is concluded, inter alia, that meditation practice sensitizes the world within, which includes subverbal and unconscious material. With increased adeptness its practice may lead to the temporary suspension of our habitual, dualistic, cognitive construing, and thus facilitate the experience of no-thought, tranquility and a sense of oneness or unity. In the long-term, meditation practice may elaborate both subverbal and transverbal construing.