Aaron T. Beck's drawings and the psychoanalytic origin story of cognitive therapy

In this essay the author challenges the standard origin story of cognitive therapy, namely, that its founder Aaron T. Beck broke with psychoanalysis to pursue a more pragmatic, parsimonious, and experimentalist cognitive model. It is true that Beck broke with psychoanalysis in large measure as a result of his experimental disconfirmation of key psychoanalytic ideas. His new school of cognitive therapy brought the experimental ethos into every corner of psychological life, extending outward into the largest multisite randomized controlled studies of psychotherapy ever attempted and inward into the deepest recesses of our private worlds. But newly discovered hand-sketched drawings from 1964 of the schema, a conceptual centerpiece of cognitive therapy, as well as unpublished personal correspondence show that Beck continued to think psychoanalytically even after he broke with psychoanalysis. The drawings urge us to consider an origin story much more complex than the one of inherited tradition. This new, multifaceted origin story of cognitive therapy reaches beyond sectarian disagreements and speaks to a broader understanding of the theoretical underpinnings of cognitive therapy.     

Cluster Analysis Examination of Serial Killer Profiling Categories: A Bottom‐Up Approach

Two studies explored the validity of dichotomous classification of organised/disorganised serial killers and the four typologies (visionary, mission, hedonistic, and power/control) adopted by the Federal Bureau of Investigation (FBI). Tables documenting crime scene criteria were devised consisting of 50 typifying different crime scenes (Study 1) and 48 crime scenes (taken from the 50 crime scene criteria) with a further 10 motive‐based crime scene criteria (Study 2). Adopting content analysis, crime scenes depicted for 40 (Study 1) and 40 (Study 2) serial killers using secondary sources of data were dichotomously coded for the presence or absence of the crime scene criteria. These data were inputted for agglomerative hierarchical cluster using Ward's method as the clustering algorithm. Differences in the nature of clusters were found for male and female serial killers; however, there was no empirical support for the organised/disorganised classifications or the four typologies. The ‘bottom‐up’ approach resulted in clusters from the different crime scene criteria that helped to understand how these criteria were associated within the serial killer cohort considered. It is concluded that the resulting clusters in both studies support the notion of there being an underlying organised element to most serial murder and that serial murders differ according to the nature of disorganised crime scene criteria present. Copyright © 2011 John Wiley & Sons, Ltd.     

The effects of negative affectivity on self-reported activity limitations in stroke patients: Testing the Symptom Perception,Disability and Psychosomatic Hypotheses

This study investigated whether Negative Affectivity (NA) causes bias in self-report measures of activity limitations or whether NA has a real, non-artifactual association with activity limitations. The Symptom Perception Hypothesis (NA negatively biases self-reporting), Disability Hypothesis (activity limitations cause NA) and Psychosomatic Hypothesis (NA causes activity limitations) were examined longitudinally using both self-report and objective activity limitations measures. Participants were 101 stroke patients and their caregivers interviewed within two weeks of discharge, six weeks later and six months post-discharge. NA and self-report, proxy-report and observed performance activity (walking) limitations were assessed at each interview. NA was associated with activity limitations across measures. Both the Disability and Psychosomatic Hypotheses were supported: initial NA predicted objective activity limitations at six weeks but, additionally, activity limitations at six weeks predicted NA at six months. These results suggest that NA both affects and is affected by activity limitations and does not simply influence reporting.     

Note-taking habits of 21st Century college students: implications for student learning,memory, and achievement

ABSTRACT

Students rely on their notes to memorise and learn critical course content, and recent studies of note-taking state that most students take notes, citing a survey published in 1974. Over the past four decades, classrooms and note-taking technologies have evolved: students can take notes on electronic devices, and some classes are entirely online. Despite these changes, few studies have investigated their impact on note-taking habits. Given that note-taking is critical for student learning, the purpose of the present study was to update the literature on students’ general note-taking behaviour and investigate the impact of these newer technological advances on note-taking. We surveyed 577 college students, using questions from prior surveys and new questions relevant to technology. As per prior studies, students still reported taking notes in classrooms, and as important, students reported flexibility in their note-taking by (a) using a notebook or a laptop depending on course demands and (b) often deciding not to take notes in online courses. Thus, students are flexible in their note-taking behaviour, but may not always make the best decisions about how and when to take notes.     

Culture and facial expressions of emotion

With over a century of theoretical developments and empirical investigation in broad fields (e.g., anthropology, psychology, evolutionary biology), the universality of facial expressions of emotion remains a central debate in psychology. How near or far, then, is this debate from being resolved? Here, I will address this question by highlighting and synthesizing the significant advances in the field that have elevated knowledge of facial expression recognition across cultures. Specifically, I will discuss the impact of early major theoretical and empirical contributions in parallel fields and their later integration in modern research. With illustrative examples, I will show that the debate on the universality of facial expressions has arrived at a new juncture and faces a new generation of exciting questions.     

Learning From History: An Interview With Robert Jay Lifton

On April 10, 2008, Rachael Peltz conducted an interview with psycho-historian, psychiatrist, and political activist Robert Jay Lifton. Dr. Lifton is best known for his creative and profound studies of both the extreme and ordinary psychological effects of the rapid, destabilizing, the sometimes catastrophic social changes of our times—including Chinese thought reform, the Nazi concentration camps, the atomic bombing of Japan, Japanese cult groups, the Vietnam War, and recently, the war in Iraq. All of these offer invaluable conceptual tools for clinicians to approach the inner effects of traumatic historical events in everyday life as well as in those who have suffered extraordinary duress. Here, Lifton discusses the positions of the American Psychological Association regarding the role of psychologists in military interrogations and detention sites. The interview also offers a strong introduction to many of his specific concepts, including “atrocity-producing situations,” “the Protean self,” “symbolic immortality,” and many others. Taken together, these offer an exemplary model to understand the interweaving of history and the psyche.     

Ideology Springs Eternal: Reply to Commentaries

Empathy has come to occupy a central place in much discourse on psychoanalytic theory and practice. Since empathy is fundamental to how data are obtained and interpreted within psychoanalysis, it is essential to understand its relationship to the assumptions underlying any psychoanalytic epistemology. This paper examines some of the epistemological issues involved in Kohut's view of empathy as a mode of inquiry. The Kohutian view of empathy is contrasted with the understanding of empathy employed by Harry Stack Sullivan and the epistemology of American pragmatism. The epistemology inherent in empathy as a mode of inquiry is then clarified in relation to hermeneutics, phenomenology, structuralism, and deconstruction. The paper concludes with a case example to illustrate the clinical implications of the particular meaning of empathy as a mode of inquiry.     

‘If I knew where the enemy,or even Germany was,we could have fired in that direction’: Bion's experience of war

The role of a child psychotherapist's gender is not often considered in terms of treatment outcome. This paper discusses how aspects of being a male child psychotherapist influenced the successful treatment of a very young boy with Asperger's Syndrome. The paper highlights how the nature of his very early relationship with his mother and the absence of his father were the basis of his difficulties resulting in that diagnosis. It shows that his desire to seize the opportunity of working with a male enabled him to understand his feelings about his father, why it was so difficult to want to be with him and not his mother, and why he could not be without her.

Le rôle joué par le sexe du psychothérapeute d'enfants dans les effets du traitement est rarement pris en compte. Dans cet article, l'auteur montre qu'à un certain niveau le fait d'être un psychothérapeute homme eut une influence sur la réussite de la thérapie d'un très jeune garçon présentant un syndrome d'Asperger. Selon l'auteur, la nature de la relation précoce entre ce petit garçon et sa mère, ainsi que l'absence de son père, étaient à l'origine des difficultés qui conduisirent à ce diagnostic. Il montre que le désir de l'enfant de se saisir de l'occasion ainsi offerte de travailler avec un homme lui permit de comprendre trois éléments essentiels : ses sentiments à l'égard de son père, la raison pour laquelle il lui était tellement difficile de vouloir être avec lui plutôt que de rester avec sa mère, et ce qui faisait qu'il ne pouvait pas se passer de celle-ci.

Die Rolle des Geschlechts des Kindertherapeuten wird nicht oft bezüglich des Behandlungsergebnis in Betracht bezogen. Dieser Artikel diskutiert, wie Aspekte dessen, ein männlicher Kindertherapeut zu sein, die erfolgreiche Behandlung eines sehr kleinen Jungen mit Asperger Syndrom beeinflussten. Der Artikel unterstreicht, wie die Art seiner frühen Beziehung zu seiner Mutter und die Abwesenheit seines Vaters die Grundlage seiner Schwierigkeiten bildeten, die zu dieser Diagnose führten. Es zeigt, dass sein Wunsch, die Gelegenheit zu ergreifen, mit einem Mann zu arbeiten, ihm ermöglichte, seine Gefühle seinem Vater gegenüber zu verstehen, warum es so schwierig war, mit ihm und nicht seiner Mutter sein zu wollen und warum er nicht ohne sie sein konnnte.

Riassunto: Il ruolo che gioca il sesso dello psicoterapeuta infantile non è solitamente considerato in relazione al risultato del trattamento. In questo articolo si discute come il fatto di avere un terapeuta maschile abbia influenzato per certi aspetti il risultato positivo del trattamento di un bambino molto piccolo che soffriva della Sindrome di Asperger. L'articolo illustra come la natura della sua primissima relazione con la madre e l'assenza del padre furono alla base delle sue difficoltà che portarono alla diagnosi. L'articolo mostra come il desiderio del bambino di lavorare con un terapeuta maschile gli ha permesso di capire i suoi sentimenti verso il padre, perché era così difficile voler restare con lui e lo stesso non succedeva con sua madre, e perché non poteva restare senza di lei.     

Psychoanalytic witnessing as a prerequisite to psychotherapy with a severely sexually abused young adolescent male ex-inner city gang member

This paper discusses psychoanalytic witnessing as the prerequisite for psychoanalytic psychotherapy with a severely sexually traumatised young adolescent boy, Dean. This form of witnessing acted as a prior stage for treatment through the psychotherapist acknowledging Dean’s trauma, without seeking to symbolise its registration in the psychotherapeutic relationship. As sexual abuse is about something done to the person, this acknowledging crucially conveys belief in the truth of what has happened to the patient at the hands of the external world. My work with Dean taught me that such acknowledgment allows for such traumatised patients to then feel more able to accept interpretations based upon what they are doing to the external world, encapsulated in the transference to their psychotherapist. Because trauma is often so deeply felt, and leaves patients dissociated or fragmented, seeking evidence of its presence needs keen observation. Here the paper discusses an experience of bodily countertransference that alerted me to the location of Dean’s trauma’s registration in our relationship. Overall, the paper seeks to demonstrate the importance of psychoanalytic witnessing as a form of containment in itself, and the essential basis for psychotherapeutic work using symbolisation and the transference.     

“Anxious” and “reckless” drivers

This paper presents personality profiles of two types of recidivist traffic offenders. One is the “anxious” traffic offender who imputes legitimacy to traffic norms, yet due to innate structural personality defects, he tends to enter into a state of anxiety, when confronted with risky traffic situations or a traffic jam. The other type is the “reckless” driver, who does not impute legitimacy to traffic norms nor to other legal norms. From this personality theory a number of hypotheses were derived and tested by means of multiple regression. Our ability to predict the number of traffic offenses suggests that similar tools may be used by the traffic authorities and traffic courts.