Training analysis in the dutch society for psychoanalytic psychotherapy: A survey of attitudes and feasibility

SUMMARY

As is the case in many training courses in psychoanalytic psychotherapy, one of the training requirements of the Dutch Society for Psychoanalytical Psychotherapy (NVPP) is a training analysis, currently a minimum duration of 700 hours. During the last few years, this requirement has become somewhat controversial. Because the NVPP does not have information about the current interest in NVPP membership, the Board of the NVPP decided to do a survey. Of 995 psychiatrists, clinical psychologists and psychotherapists, who had recently completed their training, or were still in training, 623 filled in a questionnaire. Of those who are interested in the NVPP training, 39 per cent judged the training analysis as not feasible in terms of time, and 61 per cent in terms of money. Forms of personal treatment thought desirable for anyone who wishes to become a psychoanalytic psychotherapist at a specialist level are, in descending order, psychoanalytic psychotherapy (63%), psychoanalysis (39%), psychoanalytic group psychotherapy (25%), and psychoanalytic marital or family therapy (6%). Respondents who judge personal analysis as not feasible, also tend to judge psychoanalysis to be equivalent to other forms of psychoanalytic psychotherapy, whereas those who judge personal analysis as feasible, tend to think that personal analysis is essential for a psychoanalytic psychotherapist at the specialist level.     

The spider does not always win the fight for attention: Disengagement from threat is modulated by goal set

Stimulus-driven preferential attention to threat can be modulated by goal-driven attention. However, it remains unclear how this goal-driven modulation affects specific attentional components implied in threat interference. We hypothesise that goal-driven modulation most strongly impacts delayed disengagement from threat. A spatial cueing task was used that disentangles delayed disengagement from attentional capture by tightly manipulating the locus of attention at the time of target onset. Different top-down goals were induced by instructing participants to identify bird/fish targets (Experiment 1) or spider/cat targets (Experiment 2) among animal non-targets. Delayed disengagement from a non-target spider was observed only when the spider was part of the target set, not when it was task-irrelevant. This corroborates evidence that threat stimuli do not necessarily override goal-driven attentional control and that extended processing of threatening distractors is not obligatory.     

What determines saccade timing in sequences of coordinated eye and hand movements?

In action sequences, the eyes are generally fixated ahead of the stimulus being responded to, overlapping the processing of adjacent stimuli. What determines when the saccade to the next item is initiated and what processing is overlapped remain controversial. Saccade initiation has been linked directly to the difficulty of the underlying processing on the fixated item or to a rhythmic timer whose period is adjusted to the difficulty of the context. We compared the effects of item and context difficulty when subjects made speeded choice responses to five visual stimuli arrayed linearly. Item difficulty was manipulated by varying stimulus-response compatibility, creating contexts (sequences) whose average item difficulty differed. Results showed that saccade initiation time reflected item difficulty, not context difficulty, with evidence that saccade initiation was delayed until central processing was completed. We discuss the implications of these results for the control of saccades and processing in action sequences.     

Acceptance and Commitment Therapy for a Heterogeneous Group of Treatment-Resistant Clients: A Treatment Development Study

Acceptance and commitment therapy (ACT) has been shown to have broad applicability to different diagnostic groups, and there are theoretical reasons to consider its use with clients with chronic mental health problems. We report an innovative treatment development evaluation of ACT for a heterogeneous group of ”treatment-resistant clients” (N = 10) who had attended a mean of 3.5 previous psychological interventions. All clients had Axis I presentations and half met diagnostic criteria for Axis II disorders. Functioning, assessed at pre- and postintervention, and at 6- and 12-month follow-up, showed improvements over time on all primary outcome measures, driven largely by significant changes occurring between baseline and 6-month follow-up. Improvements were associated with ACT processes of change. The data thus suggest that a broad range of clients who had not benefited from standard care may benefit from ACT.     

AN EVALUATION OF THE RELATIONSHIP BETWEEN RECEPTIVE SPEECH SKILLS AND EXPRESSIVE SIGNING

We examined the effects of receptive speech on the acquisition of manual signing among three mentally retarded children. In an alternating treatments design, we compared the acquisition of expressive signs that were, versus were not, in a child's receptive vocabulary. The children were trained via total communication in which pictorial referents were named during sign training. Signs corresponding to known words were generally acquired faster and retained better than signs corresponding to unknown words. We conducted posttests to assess the stimulus control of signing and any changes in expressive and receptive signing and speech. Observed changes in performance could be accounted for by attention to aspects of the stimulus complex during training and functional equivalence of stimuli established by training.     

ACQUISITION OF EXPRESSIVE SIGNING BY AUTISTIC CHILDREN: AN EVALUATION OF THE RELATIVE EFFECTS OF SIMULTANEOUS COMMUNICATION AND SIGN-ALONE TRAINING

Two methods of training autistic children to use manual signs were compared. Two children, one mute and one capable of some verbal imitation, were taught to use signs as expressive labels for pictures of objects. Using an alternating treatments design, speed of sign acquisition was compared across two training conditions in which signs were presented either accompanied by, or without, the corresponding verbal label. In both conditions, the training procedure incorporated reinforcement, modeling, prompting, fading, and stimulus rotation. The efficacy of training in both treatment conditions was demonstrated by the use of a multiple baseline control across signs, but no clear differences in acquisition speed across conditions were apparent. Posttests conducted to assess stimulus control of signing, and learning of verbal labels when these were present in training, showed that the behavior of the imitative, but not the mute, child was controlled by the verbal stimuli. The implications of the results both for understanding deficits characteristic of autistic children and for developing appropriate language training procedures are discussed.     

CHRONOMETRIC EVIDENCE FOR TWO TYPES OF ATTENTION

Abstract— Parallel processing in the human brain is subject to severe attention limits, but it is unclear whether such limits arise from a single intentional process or multiple distinct attention processes. We provide new evidence that two candidates, input attention and central attention, operate at different temporal stages of processing. This conclusion is supported by chronometric analyses showing that the same reference stage (letter identification) operates after the stage at which input attention operates, but prior to the stage at which central attention operates. The finding that attention operates at different temporal loci provides new support for the existence of distinct attentional processes.     

Involuntary attentional capture by abrupt onsets

The extent to which brief abrupt-onset visual stimuli involuntarily capture spatial attention was examined in five experiments. The paradigm used was intended to maximize the opportunity and incentive for subjects to ignore abrupt-onset distractor stimuli in nontarget locations. Subjects made a speeded two-choice response to a target letter appearing in one of four boxes. An abrupt-onset visual stimulus, easily discriminable from the target, was flashed briefly prior to the presentation of a target. In separate blocks, the flash stimulus marked the box in which the target would subsequently appear (SAME), a different box (DIFF), fixation (CENTER), or all four boxes (ALL). Prior to each block, subjects were informed of the flash-target relationship. In all five experiments, response time was elevated in the DIFF, CENTER, and ALL conditions. The interference effect was larger for the DIFF condition and persisted for longer flash-target SOAs. These results suggest that, under appropriate conditions, spatial attention can be involuntarily drawn to abrupt-onset events despite the intention of subjects’ to ignore them.