Anxiety: the importunate companion. Psychoanalytic theory of castration and separation anxieties and implications for clinical technique

In this article I consider the implications of our differing psychoanalytic theories of anxiety on clinical technique. Drawing on differentiations between the focus on separation or castration anxiety and the relative neglect of the latter in contemporary writing, I look in detail at two clinical examples of psychoanalysis in borderline young adults to exemplify the issue. 1     

Reasons for Action and Psychological Capacities

Most moral philosophers agree that if a moral agent is incapable of performing some act ф because of a physical incapacity, then they do not have a reason to ф. Most also claim that if an agent is incapable of ф-ing due to a psychological incapacity, brought about by, for example, an obsession or phobia, then this does not preclude them from having a reason to ф. This is because the ‘ought implies can’ principle is usually interpreted as a claim about physical, rather than psychological, capacities. In this paper I argue for an opposing view: if we don’t have reasons to do things that we are physically incapable of doing, then neither do we have reasons to do things we are psychologically incapable of doing. I also argue that extending the ‘ought implies can’ principle to psychological capacities makes the principle more attractive.     

Establishing the Validity of the Spirituality in Clinical Training Scale: Measuring the Level of Integration of Spirituality and Religion in Family Therapy Training

The existing literature suggests that family therapy training programs are not adequately preparing students to address spiritual and/or religious beliefs as a resource for change in therapy. Therefore, this study sought to validate the Spirituality in Clinical Training Scale (SCTS) as a measure of the level of integration of spirituality and/or religion in family therapy training. Additionally, this study examined the latent associations among the subscales of the SCTS and measures of personal importance of spirituality, spiritual clinical competence, and spiritual self-exploration. Finally, given that the type of educational institution (i.e., religious compared to non-religious schools) may influence the extent to which spirituality is addressed in training, this study examined whether attending a religious or non-religious institution moderated the associations among the SCTS and constructs used to assess validity. A sample of 341 master’s and doctoral family therapy students completed an on-line survey for this study. The results suggest that the SCTS is a reliable and valid measure for assessing integration of spirituality into family therapy training. The establishment of this measure is important given that no previous scale measuring the integration of spirituality into therapy training exists. The results also suggest that spiritual self-exploration is associated with increased use of interventions that integrate spirituality into therapy. Implications for clinical training are discussed.     

Random Thoughts on Couple Therapy in a Postmodern Society

The postmodern period in psychoanalysis has had a considerable impact and influence on the psychotherapeutic process in both psychoanalysis and psychotherapy. The paradigm shift, reflected in the work of the intersubjectivists, rationalists, and social constructivists, has shifted emphasis from a one-person psychology to a two-person psychology. Implications for treatment are numerous. The change in emphasis affects not only how individual treatment is conducted but also couple therapy and group therapy. In considering the impact of these recent changes, the author notes the wide range of influences that inform her couple and group therapy. Although the current paradigm shift offers much, it seems to be an extension of earlier influences from self psychology, motivational systems, and attachment theory and of findings from neuropsychology. The author concludes that her couple work has also been intuitively informed by the implicit experience of the intersubjective field of group therapy.     

Visual Perspective Taking in Children: Further Ramifications of an Information-Processing Model

Forty children between ages 6 and 8 were administered a set of spatial perspective tasks. On half of the items, children responded by rotating a duplicate of the target display; on the remainder, children reconstructed the displays to correspond to a perspective view. The displays differed as to whether they contained marked or unmarked objects. On the basis of an information-processing analysis of these tasks, we predicted that the response-type variables and stimulus variables would interact in known ways. Analysis of variance results revealed a good fit with the hypothesized outcomes. Main effects were detected for age, which favored older children, and for display, which favored unmarked objects; the rotation task proved easier. Significant interactions revealed that task demands increasing task difficulty were more problematic in the construction task than in the rotation task, as predicted.     

Detection of Malingering of Psychiatric Disorder With the Personality Assessment Inventory: An Investigation of Criminal Defendants

582 Ss in 8 experiments viewed 1 of 9 films portraying models involved in achievement (Ach), affiliation (Aff), or neutral (Neu) activity. Ss who viewed Ach models after an interval of adaptation to the setting produced more TAT n Ach immediately after the film than other adapted Ss. Under other conditions, Ss who viewed Ach models produced significantly less n Ach than Ss who viewed non-Ach models. Results were ordered to a “subself” conception of personality organization and three theoretical propositions: (a) Models elicit fantasy thematically similar to their activity unless S is incompatibly preoccupied, (b) in which case models cause suppression of similar fantasy; but (c) in fantasy both elicitation and suppression are short-lived.     

The research couple: a psychoanalytic perspective on dilemmas in the qualitative research interview

The relational, collaborative values of the qualitative research paradigm frequently require us to consider sharing the ongoing analysis of data with our research participants for comment and feedback. However, qualitative researchers may experience some tension between balancing participants' narrative accounts with their own analytic perspective and use of psychological theory. In using a psychoanalytic framework to explore this predicament, this paper adopts the notion of the ‘research couple', analogous to the psychotherapeutic ‘analytic couple', to consider possible oedipal dynamics within the qualitative research interview. The paper explores some of the emotional and ethical tensions in analysing and presenting research results and briefly discusses some implications for research training.