Paranoia and narcissism in psychoanalytic theory. Contributions of self psychology to the theory and therapy of the paranoid disorders

Many factors go into a choice of a therapeutic focus: the patient's psychopathology; the therapist's training, countertransference reactions, and ideological beliefs; and, importantly, a decision about what seems most amenable to treatment and change. As a theory, self psychology describes one aspect of the paranoid process; as such, it is an incomplete theory that complements rather than invalidates more classical theories. As a technique, however, it suggests a style and focus conducive to working with paranoid patients, one that is markedly supportive, nonconfrontational, yet also interpretive. In this context, it must be remembered how difficult it is to treat paranoid patients psychotherapeutically, much less to keep them in treatment. The strategies discussed above do not wholly replace other dynamic approaches (e.g., counterprojective techniques), nor are they universally applicable. Some patients may be more amenable than others. However, the techniques provide a very supportive framework that may help the therapist to be more available to and in contact with the paranoid patient. More broadly, this paper's application of self psychology to the theory and therapy of the paranoid disorders further illustrates the practical utility of this approach. Attention to the narcissistic developmental line, interpersonal selfobject relationships, intrapsychic conflicts and deficits, and empathic immersion in the patients's world are important adjuncts to the psychotherapy of paranoid patients. Rather than an either/or dichotomy, the principle of overdetermination suggests a both/and relationship between self psychology and traditional theory, such that the self psychological approach complements rather than contradicts the classical psychoanalytic theory. The vicissitudes of the self simply add another perspective or vantage point from which to understand and respond to the patient, one which has perhaps more applicability for preoedipally disordered patients.     

Coping strategies and diastolic blood pressure

An organizational field study involving 95 civil service employees examined the ways these individuals coped with the stressful events of their daily living. Lazarus' cognitive-phenomenological analysis of psychological stress provided the theoretical framework. Subjects indicated on Lazarus' Ways of Coping Checklist those coping thoughts and actions used in the specific encounter described as stressful. As hypothesized, individuals experiencing higher diastolic blood pressure were more likely to cope using strategies characterized by wishful thinking, avoidance, and minimization of threat than were individuals exhibiting lower blood pressure. Implications from both an individual and organizational perspective are discussed.     

Hair mineral analysis: biochemical imbalances and violent criminal behavior

Trace mineral analysis of human hair was utilized to determine whether violent and nonviolent criminals could be differentiated on the basis of concentrations of levels of major and trace minerals. 40 violent and 40 nonviolent inmates from a prison population were selected for study. 27 mineral levels were analyzed and a discriminant function analysis correctly classified 86% of the violent and 78% of the nonviolent inmates. The results lent support to the hypothesis that significantly different levels of trace minerals could be found between the two groups.     

Cognition and olfaction: a review

Examines research in cognitive psychology, which has in the past paid little attention to the olfactory modality. But there is now a significant body of literature on the role of the olfactory system in memory and cognition. Human beings possess an excellent ability to detect and discriminate odors, but they typically have great difficulty in identifying particular odorants. This results partly from the use of an improverished and idiosyncratic language to describe olfactory experiences, which are normally encoded either in a rudimentary sensory form or as part of a complex but highly specific biographical episode. Consequently, linguistic processes play only a very limited role in olfactory processing, whereas hedonic factors seem to be of considerable importance.     

Blocking Effects in Two-Choice Discrimination Tasks in Rhesus Monkeys Macaca Mulatta

The Psychological Record - The present experiments investigated blocking effects in rhesus monkeys (Macaca mulatta) in a discrimination learning paradigm using a single stimulus modality. Two...     

Examination of apparent extent as an explanation of the Poggendorff effect

The explanation of apparent misalignment in the Poggendorff figure, based on underestimation of the intertransversal distance, was investigated in two experiments. In Experiment 1, subjects judged the intertransversal distance in the traditional Poggendorff figure and two of its variants. The size of the acute angle and the intertransversal distance were manipulated. Half of the subjects made the judgments with the method used by Wilson and Pressey (1976) and the other half made their judgments with the method used by Greist-Bousquet and Schiffman (1981). The results indicated that perceived intertransversal distance was greater with the former method. In Experiment 2, subjects adjusted the transversals to apparent collinearity in the same displays as were used in Experiment 1. The collinearity judgments were transformed to allow comparison with the results of Experiment 1. Comparison of the collinearity judgments with the distance judgments indicated that they did not follow similar trends. For each Poggendorff variant, proportional distance judgments increased as the size of the acute angle increased, and decreased as the intertransversal distance increased. Collinearity judgments did not vary as a function of intertransversal distance. As the size of the acute angle increased, collinearity judgments increased for two of the Poggendorff variants but decreased for the third. It was concluded that the findings did not support the explanation of apparent misalignment based on underestimation of the intertransversal distance.     

Counseling: A conversion experience

In this article, the experience of conversion, which is usually delegated to the realm of spiritual studies, is applied to the counseling experience. It is posited that a person who goes through a successful counseling process will experience a turning around, will cease leading life in a dysfunctional way, and will move forward in a manner by which the person experiences life in a new perspective. This new perspective brings the person wholeness and balance.     

Carl Rogers and Martin Luther—A “reformation” in the helping professions

The 16th century schism in Christian thought leading to the Reformation has an interesting analogy in Carl Rogers' attempt to reform the helping professions. An exploration of this analogy clarifies much of the theoretical tension in the contemporary arena of pastoral counseling.     

Relationship between two nontraditional procedures for assessing speech-sound discrimination

Test of speech-sound discrimination are used by special educators, reading specialists and speech-language pathologists in assessing children's ability to differentiate between speech sounds occurring in standard English. Such tests are important in determining if speech-sound articulation errors are caused by difficulty in making such differentiations. However, during the past 10 years, these tests have been criticized on the basis of their reliability and validity. The purpose of this study was to examine the use of two alternative methods of assessing speech-sound discrimination with a school-aged population to determine if they elicited responses in a similar manner.