Disillusionment and Devaluation in Winnicott's Analysis of Masud Khan

Biographical references to Winnicott's analysis of Masud Khan provide the background for this exploration of Winnicott's and Khan's conflicts about disillusionment. On the basis of historical data, speculative hypotheses are presented about possible sources of Winnicott's difficulty engaging Khan's hate and destructiveness. Winnicott's feelings about Khan may have been influenced not only by his denied disillusionment with his own father and his analysts, James Strachey and Joan Riviere, but also by the impact of Strachey's covert anti-Semitism.     

Psychopathology of incarcerated sex offenders

The psychopathology and particularly the personality disorders of sex offenders were compared to general inmates of the Colorado Department of Corrections. Using the MCMI-III (Millon, 1994, 1997), sex offenders in general were found to have more varied types of personalities than general population inmates. Specifically, they were more schizoid, avoidant, depressive, dependent, self-defeating, and schizotypal. General population inmates had the more classically criminal personality characteristics of antisocial, narcissistic, and sadistic. Multivariate analysis showed the Dependent, Narcissistic, Antisocial, and Schizotypal scales to be the most differentiating. Sex offenders were also found to have more affective psychopathology such as anxiety, dysthymia, PTSD, and major depression. A similar trend was found when comparing child molesters to rapists. The child molesters were more neurotic, affective, and socially impaired than the rapists. Multivariate analysis showed the Dependent scale to be the most important in differentiating these two types of sex offenders.     

Measuring Memory Span

This study, conducted on a sample of 403 adult subjects, set out to explore the relationships between measures of digit span (forward and reversed), motor and spatial span, and their dependence on a broad range of measures of cognitive function. The results revealed that measures of digit span are closely related, as are measures of motor and spatial span, but these pairs of memory span measures are relatively independent of each other. Furthermore, reverse digit span, motor span, and spatial span appear to rely on what might be regarded as intellectual or executive cognitive functions. As such, the results provide little support for accounts of serial recall, which suggest that order and/or item information are more adequately modelled in a modality-independent form.     

Intrusive memories and depression in cancer patients

Matched samples of depressed and nondepressed cancer patients were interviewed about past life events, particularly experiences of death and illness. They identified and described any spontaneous intrusive visual memories they had experienced in the past week corresponding to these events. About one quarter reported such memories and, as predicted, the majority of intrusive memories concerned illness, injury and death. The mean levels of intrusion and avoidance were equivalent to patients with post-traumatic stress disorder. Consistent with prediction, depressed patients reported significantly more intrusive memories than controls, and described the memories as typically beginning with or being exacerbated by the onset of depression. Greater numbers of intrusive memories were associated with more maladaptive coping, and greater avoidance with deficits in autobiographical memory functioning.     

THE UTILITY OF CURRICULUM-BASED MEASUREMENT FOR EVALUATING THE EFFECTS OF METHYLPHENIDATE ON ACADEMIC PERFORMANCE

Two case studies were conducted to investigate the utility of curriculum-based measurement of math and reading for evaluating the effects of methylphenidate on the academic performance of 2 students diagnosed with attention deficit hyperactivity disorder. Following baseline measurement, double-blind placebo-controlled procedures were employed to evaluate each student's response to three levels (5 mg, 10 mg, and 15 mg) of the medication. Results of the first study suggest that the curriculum-based measures were sensitive indicators of the student's response to medication. This finding was replicated in the second study. In the second study, when the student's follow-up dose of medication was based on trial-phase data, follow-up performance was improved compared to baseline performance. These case studies suggest that further research is warranted on the utility of curriculum-based measurements for monitoring and evaluating stimulant medication interventions with children with this disorder.     

Who Benefits From Computerized Career Counseling?

The Adaptive Counseling and Therapy (ACT: Howard, Nance, & Myers, 1986) model was used to predict who would benefit from computerized career counseling. Specifically, clients who had more stable goals and aspirations and more defensive independence were expected to derive more benefit from computerized career counseling, an intervention that provides low levels of direction and support. A total of 54 clients who came to the Career Planning and Placement Center seeking career assistance were referred to the System for Interactive Guidance and Information PLUS (SIGI-PLUS). As hypothesized, clients with more stable goals had the greatest gains in vocational identity. Additionally, clients who showed more defensive independence were more satisfied with the SIGI-PLUS treatment. Implications, limitations, and suggestions for future research are discussed.     

Perceived exertion and the field-independence--dependence dimension

Perceived exertion responses were compared between field-independent and field-dependent perceivers at three cycle-ergometer pedalling rates. 50 male subjects were classified according to mode of field approach on the basis of their performance on an embedded-figures test. Power output was held constant at 840 kpm/min., while pedalling rate was randomly set at 40, 60, or 80 rpm. Significant differences between the field-independent and -dependent groups were not found at the three pedalling rates for any of the physiological variables or for over-all, legs and chest ratings of perceived exertion. The extent of differentiated psychological functioning did not account for individual differences in perceptual reactance during muscular exertion.     

Mechanisms underlying corruption of working memory in Parkinson's disease

Working memory (WM) impairments are reported to occur in patients with Parkinson's disease (PD). However, the mechanisms are unclear. Here, we investigate several putative factors that might drive poor performance, by examining the precision of recall, the order in which items are recalled and whether memories are corrupted by random guessing (attentional lapses). We used two separate tasks that examined the quality of WM recall under different loads and retention periods, as well as a traditional digit span test. Firstly, on a simple measure of WM recall, where patients were asked to reproduce the orientation of a centrally presented arrow, overall recall was not significantly impaired. However, there was some evidence for increased guessing (attentional lapses). On a new analogue version of the Corsi-span task, where participants had to reproduce on a touchscreen the exact spatial pattern of presented stimuli in the order and locations in which they appeared, there was a reduction in the precision of spatial WM at higher loads. This deficit was due to misremembering item order. At the highest load, there was reduced recall precision, whereas increased guessing was only observed at intermediate set sizes. Finally, PD patients had impaired backward, but not forward, digit spans. Overall, these results reveal the task- and load-dependent nature of WM deficits in PD. On simple low-load tasks, attentional lapses predominate, whereas at higher loads, in the spatial domain, the corruption of mnemonic information—both order item and precision—emerge as the main driver of impairment.