Rorschach variables related to blood glucose control in insulin-dependent diabetes patients

In this article, we explored relations between selected Rorschach variables and blood glucose control in Insulin-Dependent Diabetes Mellitus (IDDM) patients. Three domains of psychological functioning are taken into consideration: emotional distress, coping and problem solving, and cognitive efficiency. Seventy-one IDDM patients (38 men, 33 women; mean age 42.2 +/- 14.9 years) from an outpatient unit took the Rorschach Comprehensive System (Exner, 1986). Nine variables were selected as independent variables. Blood glucose, a dependent variable, was measured by the proportion of glycated hemoglobin. Results of 2 regression analyses show that Y and C' correlate to higher blood glucose. WSum C and the absence of texture related to lower levels of blood glucose. A confounding effect of complications was observed. The findings suggest that emotional factors should be accorded greater attention in behavioral self-regulations in diabetes.     

Organisation and evocation of the semantic knowledge: a non-abstractive approach

The majority of the models which attempt to explain category-specific deficits are based on the assumption that the conceptual knowledge is represented in a permanent way in memory (abstractive view). showed that a non-abstractive view would be more suitable to account for some of these cases. The present study aims to assess the hypotheses on the meaning evocation process as formulated by these authors, using a property verification task conducted on healthy subjects. The data were in agreement with these hypotheses and would be more hardly accounted in the frame of the abstractive view.     

Item learning in cognitive skill training: Effects of item difficulty

Item difficulty effects in skill learning were examined by giving participants extensive training with repeated alphabet arithmetic problems that varied in addend size (e.g., C ? D = ? is easy; C ? J = ? is harder). Recognition memory for the items, as measured by interpolated recognition tests, was acquired early in training and was unaffected by item difficulty. Memory for the solutions to items, as measured by the participants’ strategy reports that they had retrieved, rather than computed, the solution, was acquired later and was affected by item difficulty. Solutions to easier items were learned earlier in training for both young adults (18–24 years) and older adults (60–75 years), superimposed on an overall lower level of solution learning in older participants. The results suggest that the formation of associations between problems and their solutions is effortful and shares limited processing resources with the computational demands of the problem.     

Negotiating Identity: Three Events that Weaken the Maternal Identity of Addicted Law-Breaking Women

This qualitative study aimed to comprehend how mothers experienced and built their maternal identity throughout their lives. Thirty-eight semi-structured interviews were conducted with drug-using and law-breaking mothers. Results showed that three events were significant for participants: pregnancies, loss of custody, and incarceration. As each event challenged their maternal identity, they questioned their substance use and their criminal involvement. Our results suggest that these events represent key moments to encourage their growing awareness and to foster changes in their deviant lifestyle. We conclude this article by discussing interventions possible for each of these important moments in these mothers’ lives.     

Evaluation into the relationship: Reflections on new trends in evaluation,assessment, and classification

From a clinical and psychoanalytically informed point of view, the process of evaluation is mainly concerned with the formation of a working alliance with the infant. Assessment is, therefore, considered as a process that cannot be applied in a systematic way, regardless of the situation. On the contrary, it is based upon transference and countertransference, which guides the clinician, along with the infant's behavior and reactions, during the consultation. From this perspective, evaluation should always have some therapeutic impact. Paradoxically, this therapeutic action is linked with the suspension of diagnostic process for a period of time. The prognosis and treatment planning is mostly based upon the evaluation of change during the expended assessment period. The more serious the situation, the longer the assessment to determine why the infant is at risk, what are the positive aspects of the situation, and what are the ways to reach the infant through the relationship with the parents. © 1997 Michigan Association for Infant Mental Health     

A study of minorities as victims

This article presents the idea that during the 1990s an important change took place in relation between minorities and majorities: the emergence of minorities as victims alongside the formerly predominant active, militant minorities. A hypothesis is raised that these two types of minorities differ in their agenda as well as in the nature of the influence they exert. Active minorities trigger an external conflict with majority and induce conversion (latent rather than overt influence); minorities as victims create an internal conflict, a sense of guilt, within the majority, while they exert an exclusively overt influence. We report two experiments confirming our hypothesis. We discuss the novelty of this phenomenon and its relevance. Copyright © 2006 John Wiley & Sons, Ltd.     

Sex Differences in Self-reported Infidelity and its Correlates

We examined sex differences in the prevalence, incidence, reasons for, and consequences of infidelity. Participants (Study 1, 543 undergraduates in the Northwestern US; Study 2, 313 undergraduates and 233 community members in the Mid-Atlantic US), reported on infidelity by questionnaire. Using a broad definition of cheating, women reported being as unfaithful or more unfaithful than men. Men were more suspicious about cheating and more likely to discover the cheating than women. Women were more likely to break up with their partners, to begin new relationships after cheating, and to report reasons for cheating that may indicate a desire to switch long-term mates, such as being unhappy in the current relationship. Results are discussed in the context of evolutionary theory.     

Supportive interventions and nonsymbolic mental functioning

The author aims to show how supportive interventions are the analyst's most relevant therapeutic means to helping patients with a feeble symbolic system transform nonsymbolic episodes and reestablish symbolic mental functioning. Symbolic and nonsymbolic modes of mental functioning are first outlined. Supportive interventions are redefined as an analyst's effort at improving a patient's nonsymbolic mental functioning, by using principally pragmatic or interactive aspects of communication to deal with her or his patient's nonsymbolic in-session experiences. These interventions are psychoanalytic when transference focused, in so far as they foster the symbolization and transformation of more primitive (nonsymbolic) layers of the transference. Some probable mechanisms underlying the effect of supportive interventions on nonsymbolic functioning include the modification of mental procedures. Supportive interventions also help restore symbolic mental elaboration through the gratification of a basic ego or self-need, bringing about a temporary relief from psychic pain, with increased affect tolerance and a renewed capacity to use symbols. This soothing effect accounts for a missing link in Bion's model of the elaborative effect of the analyst's reverie.     

Self-consciousness in non-communicative patients

The clinical and para-clinical examination of residual self-consciousness in non-communicative severely brain damaged patients (i.e., coma, vegetative state and minimally conscious state) remains exceptionally challenging. Passive presentation of the patient's own name and own face are known to be effective attention-grabbing stimuli when clinically assessing consciousness at the patient's bedside. Event-related potential and functional neuroimaging studies using such self-referential stimuli are currently being used to disentangle the cognitive hierarchy of self-processing. We here review neuropsychological, neuropathological, electrophysiological and neuroimaging studies using the own name and own face paradigm obtained in conscious waking, sleep, pharmacological coma, pathological coma and related disorders of consciousness. Based on these results we discuss what we currently do and do not know about the functional significance of the neural network involved in "automatic" and "conscious" self-referential processing.