Discussion of Presentation by Joseph Newirth

Discussing Joseph Newirth's case from a modern Freudian perspective, I explore possible sources of the patient's degraded view of herself, her ambivalent feelings toward men, and her fears of sexuality. I also discuss the course of the treatment, noting that both the patient's progress and the core of her resistance centers on her complex relationship with her analyst. This has been the source of healing and of avoidance of her inner world of imagination and fantasy. I further suggest that active confrontation of the patient's defensive use of her relationship with her analyst would enhance the substantial gains that she has already made.     

An evaluative study of the role of the grandparent in the best interests of the child

Abstract

Most custody decisions are made in courts hewing to the concept “the best interests of the child. “Most professionals agree that children suffer from a fractured family situation; they disagree on the degree to which children suffer at various stages of growth and development. There is a lack of agreement as to what constitutes a child's best interests. Recent research suggests that grandparents may play a very significant role in the entire life cycle of children. The legal position of grandparents in custodial matters remains somewhat ambiguous. Recently legislation has granted grandparents the right to seek visitation. This represents an awareness on the part of the court that grandparents and grandparenting may be a significant factor in actualizing the best interests of the child.     

Protection of Children from Physical Maltreatment in Canada: An Evaluation of the Supreme Court's Definition of Reasonable Force

In 2004, the Supreme Court of Canada set out seven criteria to distinguish reasonable from abusive corrective force with children. We tested the validity of those criteria by mapping them onto a nationally representative data set of substantiated cases of physical abuse. The court's criteria defining reasonable force actually characterized the majority of cases of child physical maltreatment in Canada. These cases were more likely to be characterized by the use of spanking in the family than by each of the criteria set out by the Supreme Court. One in five cases was not characterized by any of the court's criteria, and virtually none were characterized by all of them. The findings provide stronger support for abolishing physical punishment than for legal attempts to narrow its definition.     

A Qualitative Study of Faith Leaders’ Perceptions of Health and Wellness

The effectiveness of faith-based health and wellness interventions is moderated by the attitudes, perceptions, and participation of key leaders within faith-based organizations. This qualitative study examined perceptions about the link between health, spirituality, and religion among a volunteer sample of faith leaders (n = 413) from different denominations. The major themes included: influences on health and wellness promotion and a relationship between spirituality and health. The results indicated that perceptions about the link among health, spirituality, and religion vary among faith leaders, regardless of denomination. Future faith-based interventions should be developed with consideration for denomination as a socially and culturally relevant factor.     

Factors Influencing the Selection of Toys for Handicapped and Normally Developing Preschool Children

Factors influencing the selection and purchase of toys for children's use were investigated. Subjects were 73 parents or adult friends of normally developing or handicapped preschool children. In addition to providing demographic information about themselves, the subjects rated the importance of 17 factors influencing their selection and purchase of toys. Contrary to previous research, the sex of the child was reported to be of only minor importance in toy selection, as was the picture on the toy package. Two factors, safety and teaching new skills, were rated as extremely important. There were no significant differences in ratings as a result of sex, ethnicity, or whether or not the subjects were parents of a handicapped child. The findings suggest a substantial degree of agreement among parents about what they consider important when choosing toys for children.     

Gender,Race, and Delinquent Behavior: An Extension of Power-Control Theory to American Indian Adolescents

Research testing Hagan’s power-control theory has largely been tested with samples of non-Hispanic whites. We extend prior research by testing the theory’s merits with a sample of American Indian (AI) adolescents. Overall, we find mixed support for the theory’s merits. However, we find that our measure of patriarchy is a robust predictor of AI female delinquent activity. We also find that a grandparent in the household serves to greatly reduce involvement in violent behavior among AI females. Compared to a sample of non-Hispanic whites, these results reveal the importance of testing explanations of deviant behavior across racial and ethnic groups.     

Simultaneous Semipermeable Groups for Mothers and Their Early Latency-Age Boys

Abstract

Bonding is an ongoing aspect of intersubjective experience, a type of mental relationship to oneself and others. As a behavioral mode, bonding utilizes verbal and nonverbal communication primarily to establish a basic feeling of connection between individuals. Bonding is the floor, a cognitive-affective state that precedes and prepares the way for the complex processes underlying identification. The concept relates to Bion’s early theory of basic assumptions, and takes on new and different meanings according to his later ideas regarding social communication. Bonding is also a therapeutic posture or technique, an element in the establishment of group cohesion, the positive transference, and therapeutic and group alliance. Case examples illustrate how the therapist and other group members bring a complex of bonding needs and anxieties that must be negotiated to establish and maintain bonding, which is a necessary condition for successful therapeutic work.     

Body satisfaction is associated with Transtheoretical Model constructs for physical activity behavior change

Despite advancements in health behavior theory and practice, less than half of the United States population meets physical activity recommendations. Two cross-sectional studies (n = 432; n = 1455) were conducted to explore associations between body satisfaction and Transtheoretical Model (TTM) constructs proposed to explain the physical activity behavior change process. A series of regression analyses were conducted, controlling for demographic and TTM variables, as appropriate. Results indicate that body satisfaction significantly explains 2–8% of variance in the TTM constructs responsible for promoting stage movement. Furthermore, body satisfaction was significantly associated with stages of change representing short (>6 months) and long-term (>5 years) maintenance of physical activity. Future research should continue to examine these construct relationships using more rigorous research designs, with the ultimate goal of implementing body satisfaction components alongside traditionally effective TTM interventions to improve physical activity maintenance.     

Infant Predictors of Toddler Effortful Control: A Multi‐method Developmentally Sensitive Approach

Effortful control (EC) is a form of self‐regulation characterized by inhibition of dominant responses in favour of more adaptive subdominant responses. In the present study, temperamental antecedents in infancy were examined in relationship to toddler EC. Parents reported on infant temperament at 6, 8, 10, and 12 months, using the regulatory capacity/orienting (RCO) factor of the Infant Behavior Questionnaire‐Revised. Laboratory indicators of this temperamental construct were also collected at each time point via the Temperament Laboratory Assessment. Relations between changes in temperament across the first year of life and toddler EC (mean age = 22 months) were examined using multilevel modelling. Parent‐reported RCO and the component subscale of cuddliness more specifically were the only temperamental variables that prospectively predicted toddler EC. Copyright © 2016 John Wiley & Sons, Ltd.     

The relationship between alliance ruptures and hope for change through counseling: A mixed methods study

The negative impact of alliance ruptures on clients’ experiences within the therapeutic process is well documented. One such negative influence may include clients’ hope for counseling as a helpful process. This study used a mixed methods design to explore how alliance ruptures are related to hope for change through counseling. Quantitative data (N = 105) indicated that those who experienced ruptures reported lower levels of the components of hope for change through counseling, (a) pathways and agency, and (b) goal identification. More frequent ruptures and rupture repairs were significantly related to participants’ (n = 35) pathways and agency. Phenomenological analysis of qualitative participants’ (N = 5) experiences elicited 218 meaning units grouped into four themes: disengagement and mistrust in therapy, deepened distress, questioning one’s hope for and belief in therapy, and resilience for therapy. Qualitative and quantitative data indicate that alliance ruptures are related to lower degrees of hope for change through counseling. Results suggest that clients’ perceptions of ruptures fostered disengagement and mistrust of therapists. However, when therapists act to repair ruptures, they may effectively re-engage some degree of hope for change through counseling in clients. Lastly, the role of clients’ persistence in therapy despite experiencing ruptures is discussed.