Virtual Reality Based Treatments in Eating Disorders and Obesity: A Review

Since the late 1990s the use of virtual reality (VR) has expanded in the field of mental disorders. During this time, several VR-based applications have been developed for the treatment of eating disorders (ED) and obesity. Both these pathologies involve disturbances related to eating behavior, weight, and body image. Although effective and well-established protocols are now available for the treatment of ED and obesity, relapses are frequent and a proportion of patients do not improve after intervention. In this context, VR has been shown to be a useful technology for enhancing traditional cognitive-oriented therapies. The main objective of this review was therefore to examine the evidence regarding the efficacy of VR-based treatments as a component of therapeutic interventions for ED and obesity. To this end, three databases (PsycInfo, Medline, and PsycArticles) were searched for the period 1986–2012. Only research articles and case studies were selected. Although several methodological deficiencies were detected in the reviewed studies, there is fair evidence for the effectiveness of VR-based treatments in ED and obesity. VR-based interventions usually combine exposure to VR environments with cognitive therapies. The VR component seems to be especially suitable for reducing body image disturbances, such as body image dissatisfaction, and for increasing self-esteem and self-efficacy. The rationale for the use of VR in these areas is also presented and discussed.     

Kinesthetic Aftereffects and Individual Differences in Carryover effects

There is disagreement among researchers about the distinction between dynamic and static spatial performance. Given that dynamic spatial performance is supposed to be important for some occupations, such as air traffic control (ATC), it is germane to have evidence about the likelihood of that distinction. In the present study, a battery of printed static spatial and reasoning tests were applied to 480 applicants for an ATC training course. Two dynamic spatial tests were also applied. Confirmatory factor analyses were performed for testing three models. In Model A, static and dynamic spatial tests were grouped, whereas in Model B, spatial tests were separated according to their static or dynamic character, and in Model C, spatial tests were segregated according to the construct they tapped (visualization or spatial relations). The authors found that Model B, which distinguished static and dynamic spatial tests, showed the best fit. They also discuss some implications of the findings.     

Job Stressors,Organizational Innovation Climate,and Employees’ Innovative Behavior

This study attempted to examine the influence of job stressors and organizational innovation climate on employees’ innovative behavior. Data were obtained from 282 employees in 4 cities of China. Results indicated that the nature of stressors matters in predicting employees’ idea generation. Specifically, stressors that employees tend to appraise as challenges were positively related to idea generation, whereas stressors that employees tend to appraise as hindrances were negatively related to idea generation. In addition, hindrance stressors moderated the relationship between organizational innovation climate and innovative behavior. The beneficial effect of organizational innovation climate on innovative behavior became weaker for idea implementation and totally disappeared for idea generation when confronting with high hindrance stressors. Implications of this study are also discussed.     

A Story of Losses and the Creation of an Alternate World

The author presents a clinical case to illustrate the consequences of a history of loss, beginning with the early death of the mother. The creation of a complex defensive system based on internal division and manifested through the existence of an alternate world is analyzed. The author stresses the importance for the patient of re-experiencing the sense of emptiness within an analytical setting and learning to tolerate it thanks to dependence on the auxiliary self of the analyst. D. W. Winnicott?s suggestion of a relationship between the experience of emptiness and the fear of breakdown are also discussed.     

Trauma and healing: from ‘furor sanandi’ to ‘animus sanandi’

In his last period (1928–33), Ferenczi tried to complement the ‘negative’ technical principles first introduced by Freud in the 1910s. He introduced diverse and successive ‘positive instructions’, and specific techniques known as ‘elastic’ of ‘relaxation and neocatharsis’, and also made an unsucessful attempt to introduce ‘mutual analysis’. These techniques are implemented around a series of new technical principles including ‘tact’, ‘empathy’, ‘indulgence’, ‘intense sympathy’. All of these positive technical principles and innovations demonstrate the importance of considering the dimension of ‘healing’ in all analytic experiences and the importance of the analyst's functioning as the ‘healer’. The emphasis on the use of these new technical principles is consistent with the emphasis Ferenczi places upon countertransference and traumatic factors in psychopathogenesis.     

Trauma,perversion and marital bond

Abstract

The purpose of this article is to study in the clinic the incidence of so-called perverse phenomena in relationships, in order to find out when these phenomena depend on a perverse organization and when they are only a kind of erotic game between the couple, in both hetero- and homosexual aspects. The first difficulty was to find a definition of “perversion” shared by the authors who have carried out research on the subject and consequently to determine what characterizes a perverse marital bond. In contrast to neurosis, which can be defined by the use of the repression mechanism, the mechanism of disavowal is not exclusive for perversion since it can be found even in other psychical arrangements. Is it, then, a structure or a psychological organization? It is also considered to be a “truth” in psychoanalysis that the pervert cannot be analyzed. But is it the pervert who cannot be analyzed, or is it the analyst who cannot bear listening to him? Do the theoretical references of the analyst not give sufficient theoretical support to maintain his listening? This paper presents the hypothesis that perversion is an attempt – always a frustrated one, and for this reason indefinitely repeated – to elaborate a trauma in which the pervert, identified with the traumatic agent, touches a point equally traumatic for his partner, turning the partner into an object of enjoyment. This arrangement allows the pervert, at least in his imagination, to leave the suffered trauma behind, adopting towards the object a position of activity and domination. Identifying with the aggressor, he leaves his partner paralyzed in the traumatic point, a situation that he knows all too well.

dos Reis Filho JT, et al Trauma, Perversion und eheliche Bande

Der Artikel untersucht klinische Fällen von sogenannter Perversion in Beziehungen, mit dem Ziel herauszufinden, wann es sich um eine perverse Organisation und wann es sich lediglich um eine spezielle Art von erotischem Spiel zwischen dem Paar handelt, dies sowohl in hetero- wie in homosexuellen Beziehungen. Die erste Schwierigkeit war, eine für alle Autoren akzeptable Definition von Perversion zu finden. Alle hatten Erfahrung in Forschung in diesem Gebiet und mussten sich auf Vorstellungen einigen, wodurch eine perverse eheliche Beziehung gekennzeichnet ist. Im Gegensatz zur Neurose, gekennzeichnet ausschliesslich von Verdrängungsmechanismen, kommt Ablehnung nicht ausschliesslich bei der Perversion vor sondern auch bei anderen psychischen Strukturen. Ist Perversion demnach eine psychische Struktur oder eine psychologische Organisation? Es wird auch als erwiesen betrachtet, dass ein Perverser nicht analysiert werden kann. Aber, ist es wirklich der Perverse, der nicht analysiert werden kann? Ist es nicht vielleicht der Analytiker, der es nicht ertragen kann, dem Perversen zuzuhören? Gibt der theoretische analytische Hintergrund des Analytikers ihm möglicherweise nicht genug Unterstützung, um das Zuhören aufrechterhalten zu können? Dieser Aufsatz vertritt die Hypothese, dass die Perversion ein unaufhörlich wiederholter, immer misslingender Versuch ist, ein Trauma aufzuarbeiten. Der Perverse ist identifiziert mit dem Täter im damaligen Trauma. Er trifft einen traumatisierten Punkt beim Partner und macht aus ihm ein Objekt seiner Lusterfüllung. Dieses Arrangement erlaubt dem Perversen-wenigstens in seiner Phantasie – das von ihm erlittene Trauma hinter sich zu lassen, indem er gegenüber dem Objekt eine Position der Aktivität und Dominanz einnimmt. Identifiziert mit dem Aggressor belässt er seinen Partner gelähmt am traumatischen Punkt-eine Situation, die er nur allzu gut an sich selbst kennt.

dos Reis Filho JT et al. Trauma, perversión y el vínculo marital

El propósito del presente trabajo es estudiar en la clínica la incidencia de los cada vez más llamados fenómenos perversos en las relaciones, para descubrir cuando este fenómeno depende de una organización perversa y cuando se trata de un tipo de juego erótico en las parejas, tanto en sus aspectos homosexuales como heterosexuales. La primera dificultad fue encontrar una definición de perversión compartida por los autores estudiosos de este tema y consecuentemente determinar las características de un vínculo marital perverso. En contraste con la neurosis que puede ser definida por el uso del mecanismo de la represión, el mecanismo de la negación no es característico de la perversión únicamente sino que se puede también encontrar en otras organizaciones psíquicas. ¿Se trata entonces de una estructura o de una organización psicológica? Se considera también que en psicoanálisis, es cierto que se trata al perverso como inanalizable. Bueno, ¿es el perverso el que no es analizable o es el psicoanalista que no puede soportar escucharlo? Acaso las referencias teóricas del analista no ofrecen suficientes soportes teóricos para mantener la escucha? Este trabajo presenta la hipótesis de que la perversión es un intento – siempre frustrado, y por lo mismo indefinidamente repetido- para elaborar un trauma en el que el perverso está identificado con el agente traumático, tocando un punto igualmente traumático en su pareja, convirtiendo a su pareja en objeto de su disfrute. Este arreglo permite al perverso, al menos en su imaginación, dejar atrás el trauma sufrido, adoptando con su objeto una posición de actividad y dominación. Identificándose con el agresor, deja a su pareja paralizada en el punto traumático, situación que el perverso sabe muy bien.     

Histrionic Managers Wreak Havoc in the Workplace: Identifying the Phenomenon

Histrionic thinking and behavior derive more from emotion than from reason, creating a condition that causes problems for both those who display this emotional style and those they interact with. When histrionic people “manage” others in the workplace, a destructive dynamic often supervenes as employee and manager pursue the goals of work, frequently at cross purposes. In a naturalistic study, three incidents from my experience with histrionic managers are described and the underlying phenomenon of the histrionic manager is identified. This phenomenon is postulated to be universal, which is to say that managers with a histrionic style will be found wherever work is done.     

Fine Tuning Explained? Multiverses and Cellular Automata

The objective of this paper is analyzing to which extent the multiverse hypothesis provides a real explanation of the peculiarities of the laws and constants in our universe. First we argue in favor of the thesis that all multiverses except Tegmark’s “mathematical multiverse” are too small to explain the fine tuning, so that they merely shift the problem up one level. But the “mathematical multiverse" is surely too large. To prove this assessment, we have performed a number of experiments with cellular automata of complex behavior, which can be considered as universes in the mathematical multiverse. The analogy between what happens in some automata (in particular Conway’s “Game of Life") and the real world is very strong. But if the results of our experiments can be extrapolated to our universe, we should expect to inhabit—in the context of the multiverse—a world in which at least some of the laws and constants of nature should show a certain time dependence. Actually, the probability of our existence in a world such as ours would be mathematically equal to zero. In consequence, the results presented in this paper can be considered as an inkling that the hypothesis of the multiverse, whatever its type, does not offer an adequate explanation for the peculiarities of the physical laws in our world.     

Selective and sustained attention in children with spina bifida myelomeningocele

This study examined memory functioning in children and adolescents with 22q11.2 Deletion Syndrome (DS; velocardiofacial syndrome). An overall verbal better than nonverbal memory pattern was evident on the Test of Memory and Learning (TOMAL), with children with 22q11.2 DS performing significantly below their siblings and children with low average IQ but similar to children with autism on facial memory. Children with 22q11 DS also performed significantly below their siblings on tests of verbal working memory. Children with autism performed significantly poorer than the siblings of children with 22q11.2 DS only on their recall of stories. Delayed recall was significantly poorer in children with 22q11.2 DS and children with autism, compared to sibling controls. Although there were no significant group differences on tests of multiple trial verbal or visual learning, a relative weakness was noted with multiple trial visual learning in children with 22q11.2 DS and their siblings, suggesting that an alternative or interactive factor other than the deletion may account for the relatively better verbal compared to nonverbal memory abilities. Deficits in facial memory in children with both 22q11.2 DS and autism suggest disruptions in ventral temporal pathways such as between fusiform gyrus and parahippocampal/hippocampal regions whereas deficits in verbal working memory in children with 22q11.2 DS implicates dorsolateral prefrontal regions, both intimating aberrant white matter pathways.     

Neuropsychological Findings in Two Children Diagnosed with Hamartoses: Evidence of a NLD Phenotypic Profile

Hamartoses (HM) are defined as disorders involving nonneoplastic tissue overgrowth. Studies have examined the neuropsychological profiles of children with common HM, such as neurofibromatosis type 1. Limited information is known regarding neuropsychological profiles of rare HM such as Osteochondromatosis Syndrome (OS) and Klippel-Trenaunay Syndrome (KTS). The current investigation is, to our knowledge, the first attempt to define the cognitive phenotypes in two boys with OS and KTS. Results revealed significantly greater impairments involving sensorimotor and visuospatial skills, while verbal memory and language skills appeared relatively preserved. Significant neurobehavioral problems and marked social difficulties were evident. These findings suggest that these syndromes are on a Nonverbal Learning Disorder (NLD) continuum, with varying degrees of severity.