Discussion of “Visions of the Future: The Analyst's Expectations and their Impact on the Analytic Process” By Kenneth Winarick

The American Journal of Psychoanalysis -     

Sex differences in self- and teachers' reports of self-esteem in preadolescents

The short form of the Coopersmith Self-Esteem Inventory was administered to 952 fourth- and fifth-grade children (482 males, 470 females) from 41 classes. The children's teachers completed Coopersmith's Behavior Rating Form, a measure of self-esteem-related behavior. In the self-ratings, girls were significantly lower than boys; in the teachers' ratings, girls were significantly higher. In 32 of the 41 classes, boys ranked higher in their self-ratings than in the teacher ratings; the reverse was true for girls — a highly significant difference. This pattern of findings did not occur in the 8 classes which had male teachers. Issues concerning the measurement and conceptualization of self-esteem are discussed.This research was supported by Lehigh University, using Institutional Grant funds from the National Science Foundation. The authors wish to express their appreciation to Patricia Horton for her assistance in the collection of the data.     

The Coronary Health Improvement Project (CHIP) for lowering weight and improving psychosocial health

This study extends previous research evaluating the association between the CHIP intervention, change in body weight, and change in psychological health. A randomized controlled health intervention study lasting 4 wk. was used with 348 participants from metropolitan Rockford, Illinois; ages ranged from 24 to 81 yr. Participants were assessed at baseline, 6 wk., and 6 mo. The Beck Depression Inventory (BDI) and three selected psychosocial measures from the SF-36 Health Survey were used. Significantly greater decreases in Body Mass Index (BMI) occurred after 6 wk. and 6 mo. follow-up for the intervention group compared with the control group, with greater decreases for participants in the overweight and obese categories. Significantly greater improvements were observed in BDI scores, role-emotional and social functioning, and mental health throughout follow-up for the intervention group. The greater the decrease in BMI through 6 wk., the better the chance of improved BDI score, role-emotional score, social functioning score, and mental health score, with odds ratios of 1.3 to 1.9. Similar results occurred through 6 mo., except the mental health variable became nonsignificant. These results indicate that the CHIP intervention significantly improved psychological health for at least six months afterwards, in part through its influence on lowering BMI.