Delving into the ‘emotional storms’: A thematic analysis of psychoanalysts’ initial consultation reports

Psychoanalysts’ written reports on initial consultations are a window into the complexities of a crucial aspect of psychoanalytic work. However, systematic research in this area has largely focused on patients’ demographic factors or standardized measures. The present study looked at reports of all the consultations taking place at the London Clinic of Psychoanalysis over one calendar year (N = 100). The aim was to explore psychoanalysts’ different explicit styles of working and reporting as well as further understanding implicit processes used in thinking and writing about each particular consultation experience. A thematic analysis revealed a set of themes that related to a style of working and thinking about the consultation process as a dyadic experience, where the interaction, affective reactions and contact made between the two are the focus when thinking of making a recommendation for psychoanalysis. The majority of the reports had an open, exploratory quality. The writing of reports appears to give the analyst an opportunity to process the consultation experience and arrive at a more triangular position. Writing reports is a more valuable part of the consultation process than has formally been recognized and acknowledged. The limitations of this study as well as the relevance of these findings for future research are discussed.     

Effects of a School‐Based Life Skills and HIV‐Prevention Program for Adolescents in Mexican High Schools1

A school‐based life skills and sexuality education HIV/AIDS program for adolescents was evaluated in Toluca, Mexico, through a quasi‐experimental pre–post design with 1,566 cases, divided over a control group and an experimental group. Based on a previously tested path model, 3 levels of variables were included as a guide for the contents of the program: personal variables (self‐knowledge, self‐efficacy regarding condom use, and decision making), intervening variables (subjective norms about, knowledge about HIV/AIDS, and attitudes toward condoms), and outcome variables (communication on sexuality and intentions to use condoms). Evaluation was conducted following these categories. Significant increases in all of these variables recognized as precursors of safer sex were found in the experimental group.     

Strength and vulnerability integration: a model of emotional well-being across adulthood

The following article presents the theoretical model of strength and vulnerability integration (SAVI) to explain factors that influence emotion regulation and emotional well-being across adulthood. The model posits that trajectories of adult development are marked by age-related enhancement in the use of strategies that serve to avoid or limit exposure to negative stimuli but by age-related vulnerabilities in situations that elicit high levels of sustained emotional arousal. When older adults avoid or reduce exposure to emotional distress, they often respond better than younger adults; when they experience high levels of sustained emotional arousal, however, age-related advantages in emotional well-being are attenuated, and older adults are hypothesized to have greater difficulties returning to homeostasis. SAVI provides a testable model to understand the literature on emotion and aging and to predict trajectories of emotional experience across the adult life span.     

Narrative skill in children with early unilateral brain injury: a possible limit to functional plasticity

Children with pre‐ or perinatal brain injury (PL) exhibit marked plasticity for language learning. Previous work has focused mostly on the emergence of earlier‐developing skills, such as vocabulary and syntax. Here we ask whether this plasticity for earlier‐developing aspects of language extends to more complex, later‐developing language functions by examining the narrative production of children with PL. Using an elicitation technique that involves asking children to create stories de novo in response to a story stem, we collected narratives from 11 children with PL and 20 typically developing (TD) children. Narratives were analysed for length, diversity of the vocabulary used, use of complex syntax, complexity of the macro‐level narrative structure and use of narrative evaluation. Children’s language performance on vocabulary and syntax tasks outside the narrative context was also measured. Findings show that children with PL produced shorter stories, used less diverse vocabulary, produced structurally less complex stories at the macro‐level, and made fewer inferences regarding the cognitive states of the story characters. These differences in the narrative task emerged even though children with PL did not differ from TD children on vocabulary and syntax tasks outside the narrative context. Thus, findings suggest that there may be limitations to the plasticity for language functions displayed by children with PL, and that these limitations may be most apparent in complex, decontextualized language tasks such as narrative production.     

A Conceptual Framework for Understanding the Stigmatization of Children of Incarcerated Parents

Stigmatization is often listed as one of the adverse consequences of parental incarceration; yet, there is very little research on this phenomenon. We address this knowledge deficit by providing a conceptual model of stigmatization and describing how it may apply to children with parents in jail or prison. This model helps to explain why families conceal the fact that a child’s parent is incarcerated; the potentially protective function of social withdrawal; possible links between stigmatization and childhood emotional and behavioral problems; how fear of stigmatization may impede help seeking; and the possibility for research and advocacy to contribute to the stigmatization of children who experience parental incarceration. It also helps to define specific aspects of stigmatization requiring further study.     

Beliefs,personality, and person perception: A theory of individual differences

The hypothesis tested was that we attend to aspects of our interpersonal environment that correspond to prominent features of our own personality. One hundred fifty-four men and women rated the way in which they typically communicate and interact with significant other people (e.g., mother, father, lover) on 11 bipolar adjective scales and the way in which those other people interact with them. An individual differences multidimensional scaling analysis of interstimulus distances among the significant other people based on the ratings of the subject's interaction with those other people indicated that subjects who weighted a particular dimension tended to think they possessed a personality trait corresponding to the dimension. Reasons for the individual difference hypothesis were given.     

Eating Disorders—The Regulation of Positive as well as Negative Emotion Experience

Disordered eating behaviors are often conceptualized as maladaptive emotion regulation strategies. The present study investigated links between emotional experience, schematic belief systems, and psychological themes associated with eating disorders. In contrast to the majority of studies, which focus on just one or two emotions and use nonclinical samples, this study compared the full range of emotional experience in women with eating disorders to a control group. Measures used include the Differential Emotional Scale-IV, Youngs Early Maladaptive Schema Questionnaire, and Eating Disorder Inventory-2. The study provides the first empirical evidence that women diagnosed with eating disorders report experiencing pleasant as well as unpleasant emotions more frequently than do controls. A surprising finding was that pleasant emotions (joy, interest, surprise) correlated with eating disorder themes (EDI-2 subscales) more consistently than unpleasant emotions in the eating disorder group, while the reverse was true of the control group. Also of note, eating-disordered women reported significantly less anger and similar levels of fear vs. controls. While eating-disordered women scored more highly than do controls on all maladaptive schema (suggesting high levels of distress in women with eating disorders), the pattern of correlations between schema and emotion experience was distinctly different for each group and counterintuitive for the eating disorder group. In particular, pleasant emotion was highly correlated with maladaptive schema in the eating-disordered group but not in the control group. These marked group differences in the pattern of relationships between emotion experience, eating disorder themes, and belief systems suggest that it is not valid to draw conclusions about eating disorders from research that employs only nonclinical samples. The authors discuss these findings, and suggest that women with eating disorders are proficient at using disordered eating behaviors to manipulate their experience of both positive and negative emotional states, and that this dynamic should be recognized as an important maintenance factor.     

Working memory skills and educational attainment: evidence from national curriculum assessments at 7 and 14 years of age

The relationship between working memory skills and performance on national curriculum assessments in English, mathematics and science was explored in groups of children aged 7 and 14 years. At 7 years, children's levels of attainment in both English and mathematics were significantly associated with working memory scores, and in particular with performance on complex span tasks. At 14 years, strong links persisted between the complex working memory test scores and attainments levels in both mathematics and science, although ability in the English assessments showed no strong association with working memory skill. The results suggest that the intellectual operations required in the curriculum areas of mathematics and science are constrained by the general capacity of working memory across the childhood years. However, whereas success in the acquisition in literacy (tapped by the English assessments at the youngest age) was also linked with working memory capacity, achievements in the higher‐level skills of comprehension and analysis of English literature assessed at 14 years were independent of working memory capacity. Copyright © 2003 John Wiley & Sons, Ltd.     

Cognitive appraisal of daily hassles in college students displaying high or low irrational beliefs

It is argued that Lazarus' construct of cognitive appraisal in life stress might usefully be related to Ellis' ABC model. To test the hypothesized role of cognitive appraisal in Lazarus' model of life stress, 240 male and female undergraduate students completed the Hassles Scale and the Irrational Beliefs Test (IBT). Based upon their scores on the IBT, subjects displaying high irrational beliefs differed significantly from subjects displaying low irrational beliefs in reported hassles frequency (higher for high irrational belief subjects) and reported hassles intensity (greater for high irrational belief subjects). Results are interpreted specifically as supportive of the cognitive appraisal construct in Lazarus' life stress model and generally as quite consistent with RET theory. An attempt is made to relate the cognitive appraisal construct to the ABC model in RET theory.Susan Mills Harran is a graduate of the M.S. Psychology program at Villanova University and is currently a Ph.D. candidate in clinical psychology at Hahneman University.Daniel J. Ziegler is Professor of Psychology, former Chair of the Psychology Department, and current Dean of the Graduate School at Villanova University.