Immigrant Sex: the Transport of Affection and Sensuality across Cultures

This paper outlines the ways in which an individual’s notions of sexuality are challenged by immigration. It describes four basic facets of sexuality and the ways in which each are rooted in culture. These include (1) the relative importance of sexuality in daily life; (2) potential or overt homosexuality; (3) marriage—whether based on arrangement or love; and (4) cross-cultural romantic and marital relationships. Immigration can stir up conflicts in each of these realms and lead to defensive retreat into familiar customs or a counterphasic plunge into new cultural avenues. Ideally, it would lead to a working-through of these conflicts and subsequent growth in the immigrant’s understanding of his or her sexual self.     

A case study of borderline anxiety andthe process of analytic transformation

Borderline patients present particular treatment problems and require close, devoted understanding of their often chaotic and shifting intrapsychic conflicts. Many of these patients act out, making it difficult to maintain an analytic process. In fact, many terminate early on. When they do stay for longer periods, they exhibit particular constellations of defense, anxiety, and conflict. One extensive case report is used to examine the overlapping cycles of treatment with this population. Frequently, self-destructive acting-out is present in the transference and extratransference. This acting-out is often followed by the self-destructive, antichange attitude of the death instinct. These ways of relating to the self and the object are mobilized within the vehicle of projective identification and are best understood as primitive defenses against core fantasies of loss and persecution. These issues of loss and fear are the final and vital phase of treatment with borderline patients, who are often able to make major fundamental changes in their internal sphere, but only if patient and analyst can tolerate and understand these three levels of intrapsychic experience.     

Intergenerational transmission of marital quality across the transition to parenthood

One of the most frequently reported changes across the transition to parenthood is a decline in marital quality after the birth of a first baby. Experiences in the family of origin may influence the trajectory of marital quality. Our study aimed to investigate the impact of recollections of family-of-origin marriage on marital quality (self-reports and clinical evaluation) from pregnancy to 1 year after the birth of a first child. A total of 62 first-time parents completed questionnaires (self-reported marital satisfaction) and clinical interviews (clinical evaluation of couples' dialogue quality). Although self-reported marital satisfaction and observed dialogue quality were highly associated, only self-reported marital satisfaction declined from pregnancy to 1 year after birth. This decrease was partly due to very high marital satisfaction during pregnancy. Different trajectories for self-reported marital satisfaction and observed dialogue quality were found for participants with recollections of low-, average-, and high-quality family-of-origin marriage. A structural equation model showed that participants who recollected a negative quality in their parents' relationship reported more negative changes in the quality of their own marriages. There seems to be an intergenerational transmission of marital quality that comes to light when couples are challenged by the birth and rearing of a baby.     

Tailoring Cognitive Behavioral Therapy for Individuals Diagnosed with Bulimia Nervosa

There is a wealth of data indicating the effectiveness of cognitive behavioral therapy in the treatment of bulimia nervosa. However, the best evidence indicates a treatment success rate of 50%. The purpose of this paper is to briefly describe cognitive behavioral treatment of bulimia nervosa and to offer suggestions on how this therapy approach may be tailored to best serve the needs of individual clients. Such tailoring should ultimately lead to even greater treatment success.