Visual and tactile memory for 2-D patterns: Effects of changes in size and left-right orientation

Visual identification of 3-D objects depends on representations that are invariant across changes in size and left-right orientation. We examined whether this finding reflects the unique demands of processing 3-D objects, or whether it generalizes to 2-D patterns and to the tactile modality. Our findings suggest that object representation for identification is influenced greatly by the processing demands of stimulus materials (e.g., 2-D vs. 3-D objects) and stimulus modality (touch vs. vision). Identification of 2-D patterns in vision is adversely affected by left-right orientation changes, but not size changes. Identification of the same patterns in touch is adversely affected by both changes. Together, the results suggest that the unique processing demands of stimulus materials and modality shape the representation of objects in memory.     

Traumatic Stress Personality Disorder (TrSPD): Intertheoretical Therapy for the PTSD/PD Dissociogenic Organization

This article discusses a new personality disorder entity, traumatic stress personality disorder, conceptualized as a composite organization with transactional properties that mutually structure post-traumatic stress disorder (PTSD) and personality disorders (PDs). The transactional/synergistic view of PTSD/PD comorbidity derives in part from scientific findings that PTSD's enduring biological effects are discernible in the personality of individuals 30 to 50 years or more after the overwhelming event, and from psychodynamic formulations on the development and structuring of personality defenses. An intertheoretical therapy model is also presented, and consists of multiple therapies actively integrated to meet the patient's complex post-trauma needs. This article argues for the development of theoretical, investigatory, and therapeutic measures to address PTSD/PD configurations in traumatized victims. Basically, the position espoused is that PTSD/PD should be measured as one rather than two entities, with neither component being considered as a confounding but integral factor in measurement. The eight components of traumatic stress personality disorder are discussed, along with a case study to demonstrate the model's clinical applications. The integration of cognitive, behavioral, psychodynamic, and existential treatment approaches is geared to assist the victim to developmental progress to survivor status, and then beyond this level of integration to thriver a person whose adaptational learning in therapy created a vital psychological immune system that consistently protects against dissociative regression in response to the daily stresses of life. Transference, countertransference, therapists' self-care and self-monitoring are seen as integral to the treatment of traumatic stress personality disorders.     

Fictions of the internal object

This paper examines internal objects in their role as theoretical constructs which analysts use to make sense of human experience. Object relations theory is based upon a vision that the personality is divided or split into parts. Clinical experience reveals that such splits are commonly expressed in the language of our analysing. However, a lexical reality is not a thing-in-itself, but a way of organizing and understanding experience. Jung's vision of the dynamics of the split self encompass a unique 'object relations theory' that is both similar and yet quite different from the object relations theories of Klein, Fairbairn, Winnicott and Thomas Ogden A clinical example is used to examine the way in which these different theoretical views explain the same clinical phenomenon. The last section of the paper is devoted to a narrational analysis of the place of internal objects in analytic theory. The split self, dynamic is seen as a narrative device - one that makes sense and provides coherence, but is neither the only view of psychic reality nor necessarily an accurate reflection of the nature of the internal world.     

Mass traumatic terror in Oklahoma City and the phases of adaptational coping,part I: Possible effects of intentional injury/harm on victims' post-traumatic responses

The bombing in Oklahoma City shook the entire nation from “sea to shining sea.” This tremendous collective sensation was made even worse when available evidence revealed that this act of terrorism had not been committed by some terrorist from the Middle East but one from Middle America. The blast stunned the nation's sense of collective safety, while it raised serious questions about our ability as a nation to manage violence, and the profound feelings of discontent and narcissistic injuries among distressed Americans. Was it this failure to address chronic discontents that led to this tragedy of mass violence? These larger sociocultural and political issues are being debated in public and private forums throughout the nation, an activity that is likely to continue for some time to come. As these issues are debated in the public arena, victims' levels of psychological distress are expected to rise, as they attempt to process the traumatic shock in their minds and bodies. Specifically, this article has two parts and focuses on acute and post-acute psychophysiological traumatic stress responses in victims, as well as issues pertaining to assessment, prevention, and treatment. Part I addresses the nature of disasters, with a special emphasis on the victim's subjective evaluation (meaning) of the reality of a catastrophe caused by intentional human strategy. The article, additionally, discusses issues of epidemiology of stress reactions, post-traumatic stress disorder, co-morbidity, risk factors, and assessment and diagnostic considerations. Part II, to be published in the next of issue of the Journal, will focus on issues of prevention as well as post-disaster intervention. Prevention of chronic post-traumatic stress disorder after the Oklahoma City bombing is a critical objective by debriefers and mental health professionals. A proposed four-phase model called “self-efficacy adaptational coping” will be presented in Phase II as well. The present article is probably the first major discussion on the traumatic effects of the blast on individuals, families, and the communities of Oklahoma City, and the first to offer some broad guidelines to intervention. Since it predates future empirical studies, the author relies on his almost 20 years of experience in the field of traumatic stress, and on a review and integration of pertinent disaster outcome studies in the national and international literature.