The psychodynamic of panic attacks: A useful integration of psychoanalysis and neuroscience1

This article tries to explain, in the light of some neuroscientific and psychoanalytical considerations, the repetitive pattern of panic attacks. Freud considered the panic attack as an ‘actual neurosis’ not involving any conflictual process. Recent neuroscientific findings indicate that psychosomatic reactions, set off by a danger situation, depend on the primitive circuit of fear (including the amygdala) characterised by its speed, but lack accurate responses and may also be activated by harmless stimuli perceived erroneously as dangerous. The traumatic terror is stored in implicit memory and may be set off by a conditioned stimulus linked to a previous danger situation. In the panic attack, the traumatic event is created by the imagination and this construction (a micro‐delusion), built in loneliness and anxiety, has the same power as the real trauma. A mutual psychosomatic short‐circuit between body and psyche, in which terror reinforces the somatic reactions and the psychic construction, is established. Therefore, it is important to highlight these constructions in order to analyse and transform them. In the second part of the article the author reviews the main psychoanalytical theories about panic attacks, stressing how, in his opinion, panic attack is a consequence of the breakdown of the defence organisation at various levels and may appear during periods of life crisis. Two patients suffering from a deficit of personal identity are presented. The various organisations and the different levels (biological, neuroscientific, associative, traumatic) of the panic attack determine different kinds of therapeutic approaches (pharmacological, cognitive and psychoanalytical). While the psychopharmacological treatment is aimed at reducing the neurovegetative reaction and the cognitive method is attempting to correct the associative and perceptive processes of fear signals, psychoanalytical therapy represents both a specific means to free patients from panic attacks as well as an indispensable route for their emotional growth.     

CircE: An R implementation of Browne’s circular stochastic process model

In confirmatory analysis of whether data have a circumplex structure, Browne’s (1992) model has played a major role. However, implementation of this model requires a dedicated program, CIRCUM, because the analysis routine is not integrated in any of the most widely used statistical software packages. Hence, data entry and graphical representation of the results require the use of one or more additional programs. We propose a package for the R statistical environment, termed CircE, that can be used to enter or import data, implement Browne’s confirmatory analysis, and graphically represent the results. Using this new software, we put forward a new approach to assess the sustainability of theoretical models when the analysis is carried out at the level of questionnaire items. The CircE package (for either Mac OS X or Windows) and additional files may be downloaded from http://brm.psychonomic-journals.org/content/supplemental.     

Opicinus de Canistris: some notes from Jung's unpublished Eranos Seminar on the medieval Codex Palatinus Latinus 1993

Abstract: Jung held an informal seminar for a limited number of students after the end of the Eranos Conference in August, 1943. All traces of this seminar were lost until the notes taken on it by one of the students, Alwine von Keller, were found in 2006. Jung's talk consisted of a psychological commentary on a series of images in the medieval Codex Palatinus Latinus 1993, attributed to Opicinus de Canistris (1296‐c.1352), a fourteenth‐century Italian clergyman, mystic, miniaturist, and cartographer. Jung interpreted Opicinus’ images as a series of mandalas in which the Shadow, the dark principle, does not manage to be integrated into a balanced system. Opicinus tried to settle this division into opposites, which constitutes the main problem in modern times, while remaining inside the system of Christian doctrine. However, he did not succeed in his attempt to integrate the principle of the Shadow on the doctrinal level because he was not aware of the very same division in his own unconscious. Our article points out the features in the seminar where Jung seemed to show much more originality in his interpretation than other psychoanalytic studies on Opicinus or other analytical‐psychological readings of medieval Christian art.     

Gastroesophageal reflux disease (GERD) and inflammatory bowel disease (IBD): attachment styles and parental bonding

The attachment styles and parental bonding by 64 patients (M age = 43.2 yr., SD = 13.3) with Gastroesophageal Reflux Disease (GERD) were compared with those of 64 patients (M age = 42.2 yr., SD = 13.5) with Inflammatory Bowel Disease (IBD) and 126 Healthy participants (M age = 42.2 yr., SD = 12.1). Analysis of scores on the Attachment Style Questionnaire indicated insecure attachment in both the patient and control groups. The Parental Bonding scores indicated perceptions of Affectionless Control by parents in both patient groups. In particular, the mean Father-Protection subscale scores were significantly higher for in the GERD group than in the Healthy and IBD groups.     

Essential elements of the work of a supervisor

The supervisor’s prime task is to consider from the very beginning the analytic ability of the analyst presenting the case; this can be assessed by observing how the colleague transcribes the clinical material and describes what is meaningful in the session. It is extremely important to understand whether the patient’s suffering is neurotic, or whether he suffers from an initial psychotic disorder. In this latter case, the analyst will know that he cannot employ the same tools that he uses for the neurotic patient. It is fundamental to draw careful attention to the importance of the patient’s personal history. In the process of reconstructing the past, the patient’s difficulties are gradually understood by the analyst, the patient and the supervisor. Given that a memory may be distorted by present emotions and conflicts, the analyst must form meaningful hypotheses that, through reconstructing interaction with the original objects, help to comprehend the precarious equilibrium of the present. Over the course of supervision, I consistently emphasize the construction of the analytic relationship, which is based on the analyst’s mind and of the patient’s ability to communicate emotionally, so as to promote the analysand’s mental growth.

     

Multiracial Identity,Color‐Blind Racial Ideology,and Discrimination: Professional Counseling Implications

Because of the expansive multiracial population growth in the United States, the authors explored multiracial identity integration (MII), color‐blind racial ideology (CBRI), and discrimination using regression analyses with 288 individuals. CBRI and discrimination significantly correlated and predicted MII, with 15.3% of the variance explained by discrimination and CBRI. Moderation analysis revealed that CBRI did not moderate the relationship between discrimination and MII. Continued research among multiracial individuals is recommended to better understand the CBRI and racial identity link.     

Ramus and Other Renaissance Philosophers on Subjectivity

This paper considers philosophical approaches that are relevant to the intertwinement of logic, metaphysics, and psychology proposed by the Aquinas commentator Tommaso de Vio Cardinal Cajetan, the humanist Petrus Ramus, the pure Aristotelian Cornelius Martini, the Semi-Ramist Bartholomaeus Keckermann, and the lexicographer Rudolf Goclenius. Mostly, however, it is about Ramus and his followers, the Ramists, because of the role they played in exacerbating a discussion on the constitution of objectivity during the Renaissance that was to have an impact on Cartesian andpost-Cartesian theories of subjectivity. Finally, keeping in mind that Kant was familiar with the secunda Petri, i.e., with the second part of Ramus's logic, namely the theory of judgment, some common ground is recognizable between Ramus and Kant as well. This revised version was published online in June 2006 with corrections to the Cover Date.     

On the status of implicit memory bias in anxiety

The present study evaluated the status of mood congruent memory bias in implicit memory tasks for threat related information. A literature review complemented by three experiments on high and low trait anxiety participants found no implicit memory bias for threat-related information in anxious individuals on either word fragment completion or tachistoscopic word identification tasks. The theoretical implications of these results are discussed.