Assessing explanatory style: the content analysis of verbatim explanations and the Attributional Style Questionnaire

We compare two methods of assessing explanatory style--the content analysis of verbatim explanations (CAVE) and the Attributional Style Questionnaire (ASQ). The CAVE technique is a method that allows the researcher to analyze any naturally occurring verbatim materials for explanatory style. This technique permits the measurement of various populations that are unwilling or unable to take the ASQ. We administered the ASQ and Beck Depression Inventory (BDI) to 169 undergraduates and content analyzed the written causes on the ASQ for explanatory style by the CAVE technique. The CAVE technique correlated 0.71 with the ASQ (P less than 0.0001, n = 159) and -0.36 with BDI (P less than 0.0001, n = 159). The ASQ correlated -0.51 with the BDI (P less than 0.0001, n = 160). Both the CAVE technique and the ASQ seem to be valid devices for assessing explanatory style.     

Comprehensive soldier fitness: building resilience in a challenging institutional context

The Comprehensive Soldier Fitness (CSF) program is designed to increase psychological strength and positive performance and to reduce the incidence of maladaptive responses of the entire U.S. Army. Based on the principles of positive psychology, CSF is a historically unique approach to behavioral health in a large (1.1 million members) organization. There are four program elements: (a) the assessment of emotional, social, family, and spiritual fitness; (b) individualized learning modules to improve fitness in these domains; (c) formal resilience training; and (d) training of Army master resilience trainers (MRTs) to instill better thinking skills and resilience in their subordinates. In contrast to traditional approaches, CSF is proactive; rather than waiting to see who has a negative outcome following stress, it provides ways of improving resilience for all members of the Army. CSF aims to move the full spectrum of responses to trauma and adversity-ranging from stress-related disorders to ordinary resilience-toward personal growth. This program may provide a model for implementing similar interventions in other very large institutions.     

Is pessimism a risk factor for depressive mood among community-dwelling older adults?

This study examined two senses in which pessimism might be a risk factor for depressive mood among older adults. The first was that a pessimistic explanatory style would predict changes toward depressive mood when combined with stressful life events. The second was that predictive pessimism, or thinking that bad events will happen in the future, would predict changes in depressive symptoms. We found an interaction between explanatory style and life stressors, but it was the optimists who were at higher risk for depressive symptoms after negative life events. We also found support for predictive pessimism, however, as a predictor of depressive symptoms over time.     

Regression,Dissociation, Self-States,and the Developmental Dimension in Therapeutic Action

The concept of regression is at the core of psychoanalytic accounts of what goes on in analysis. It is, however, so “in our bones” that we are tempted to overlook it. In its justifiable enthusiasm of theories of self-states and dissociation, Relational psychoanalysis may be underemphasizing how much regression—both to earlier developmental stages and less organized modes of experiencing—is central in our approach to therapeutic activity and mutative action. In responding to Rina Lazar’s analysis with Sheli, I call for enhanced attention to the most powerful Freudian ideas from the new intersubjective perspectives.     

Mentalization and Metaphor,Acknowledgment and Grief: Forms of Transformation in the Reflective Space

This paper illustrates the clinical application of current theorizing about mentalization and reflective functioning and shows how it can synergize with established analytic concepts. The paper presents a single case, that of a middle-aged woman patient with a moderate but significant history of trauma and presenting with narcissistic/borderline and masochistic dynamics. Unlike some applications of the new concepts, however, this paper does not focus the case presentation around them but instead shows how a number of processes contribute to the development of mentalization. These include corrective engagement in enacted repetitions of the patient's past mistreatment, the development of a central metaphor that allows for proto-reflection and playing with painful affects, and a mourning process precipitated by the death of a family member to whom she is ambivalently attached. In the course of the presentation, then, a variety of psychoanalytic concepts are applied, such that the paper works as a synthesis of mentalization theory with them. Specifically, transference-countertransference dynamics are tracked, projective identifications and containment processes are described, interactions and interpretations lead to progressive change, and fantasies, conflicts, and internal object relations are observed and analyzed. Such direct and detailed clinical application of the concept also makes it more vivid, lucid, and experience near.