Clinical encounters with children in the Trump era

There is an emerging research and conceptual literature on the impact of the 2016 United States election of Donald Trump on the psychoanalytic psychotherapy process; however, the focus of this growing body of literature has been primarily with adults. Issues related to the election of Donald Trump, and the current political climate, also continue to arise in clinical encounters with children. These moments highlight the complexities of intersectionality, intersubjectivity, power dynamics, and self-disclosure. This article describes several clinical scenarios with American youth – reports from the front lines of a new political reality – drawn from the perspectives of trainees learning psychodynamic therapy, a private practitioner conducting an assessment for a young asylum seeker, and a school psychologist working in a private school for children with learning disabilities. We consider the fears and preoccupations that arise among children and their caregivers and the feelings that are provoked in the clinician, both in response to their clients and to the election itself. Traditional psychoanalytic paradigms of limiting self-disclosure and maintaining the therapeutic frame are challenged by the intensely personal nature of contemporary politics. This paper explores a contemporary phenomenon – the tension between therapeutic attending to internal experience and symbolisation, repression, and integration, while also considering a harsh, political external reality – through the lens of centuries of psychoanalytic work conducted in the face of war, trauma, and oppression. Children and adolescents who present for treatment or other forms of clinical intervention require a flexible therapeutic approach that acknowledges their unique position in history and the ways in which their distress is exacerbated by real and perceived political threats.     

The development of an evidence-based treatment: Regulation-Focused Psychotherapy for Children with externalising behaviours (RFP-C)

There is a critical need for the development, evaluation and implementation of evidence-based psychodynamic treatments for children and adolescents. Currently, there are no empirically supported, manualised psychodynamic treatments for children and adolescents with disruptive behaviour problems. The field of manualised psychodynamic treatments with measurable equivalence or superiority to other established forms of psychotherapy is in its nascent stage. This paper details a novel, manualised, time-limited psychodynamic treatment approach for children who manifest disruptive behaviours and emotional dysregulation. Regulation-Focused Psychotherapy for Children (RFP-C) conceptualises children’s disruptive and acting out behaviours as expressions of maladaptive emotion regulation. Externalising symptoms are conceptualised as attempts to defend against painful emotions and thus protect the child from disturbing feelings such as sadness, shame and guilt. This paper provides the theoretical basis for the treatment approach and through the use of a clinical example demonstrates the systematic application of RFP-C in a single case.     

Students Aggress Against Professors in Reaction to Receiving Poor Grades: An Effect Moderated by Student Narcissism and Self‐Esteem

Laboratory evidence about whether students’ evaluations of teaching (SETs) are valid is lacking. Results from three (3) independent studies strongly confirm that "professors" who were generous with their grades were rewarded for their favor with higher SETs, while professors who were frugal were punished with lower SETs (Study 1, d = 1.51; Study 2, d = 1.59; Study 3, partial η² = .26). This result was found even when the feedback was manipulated to be more or less insulting (Study 3). Consistent with laboratory findings on direct aggression, results also indicated that, when participants were given a poorer feedback, higher self‐esteem (Study 1 and Study 2) and higher narcissism (Study 1) were associated with them giving lower (more aggressive) evaluations of the "professor." Moreover, consistent with findings on self‐serving biases, participants higher in self‐esteem who were in the positive grade/feedback condition exhibited a self‐enhancing bias by giving their "professor" higher evaluations (Study 1 and Study 2). The aforementioned relationships were not moderated by the professor's sex or rank (teaching assistant vs.professor). Results provide evidence that (1) students do aggress against professors through poor teaching evaluations, (2) threatened egotism among individuals with high self‐esteem is associated with more aggression, especially when coupled with high narcissism, and (3) self‐enhancing biases are robust among those with high self‐esteem. Aggr. Behav. 39:71‐84, 2013. © 2012 Wiley Periodicals, Inc.     

There's more to emotion than meets the eye: A processing bias for neutral content in the domain of emotional prosody

Research on emotion processing in the visual modality suggests a processing advantage for emotionally salient stimuli, even at early sensory stages; however, results concerning the auditory correlates are inconsistent. We present two experiments that employed a gating paradigm to investigate emotional prosody. In Experiment 1, participants heard successively building segments of Jabberwocky “sentences” spoken with happy, angry, or neutral intonation. After each segment, participants indicated the emotion conveyed and rated their confidence in their decision. Participants in Experiment 2 also heard Jabberwocky “sentences” in successive increments, with half discriminating happy from neutral prosody, and half discriminating angry from neutral prosody. Participants in both experiments identified neutral prosody more rapidly and accurately than happy or angry prosody. Confidence ratings were greater for neutral sentences, and error patterns also indicated a bias for recognising neutral prosody. Taken together, results suggest that enhanced processing of emotional content may be constrained by stimulus modality.     

Quality of Life in the U.S. Navy: Impact on Performance and Career Continuance

Previous research has shown the importance of quality of life (QOL) for critical organizational outcomes such as the retention of U.S. Navy personnel (Wilcove, Schwerin, &; Wolosin, 2003 Wilcove, G., Schwerin, M. and Wolosin, D. 2003. An exploratory model of quality of life in the U.S. Navy.. Military Psychology, 15(2): 133–152. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) and Marines (Hindelang, Schwerin, &; Farmer, 2004 Hindelang, R. L., Schwerin, M. J. and Farmer, W. L. 2004. Quality of life (QOL) in the U.S. Marine Corps: The validation of a QOL model for predicting reenlistment intentions.. Military Psychology, 16(2): 115–134. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). These studies employed a life domains approach addressing a full range of work and non-work life needs as well as specific aspects of each life domain. In contrast, most other research exploring outcomes critical to military organizations focused only on work life needs of personnel (e.g., job satisfaction, organizational commitment, command climate). This study extends previous research by (a) including both performance and career-continuance plans of personnel as outcomes of interest, (b) exploring the contribution of an additional life need—spiritual well-being—to the measurement of QOL, and (c) examining changes in perceptions of QOL over time between 1999 and 2002 among U.S. Navy personnel. Implications of findings to military personnel, families, and manpower and personnel policy as well as future directions for research are discussed.     

Is the future always brighter than the past? Anticipation of changes in the personal future after recall of past experiences

People tend to hold an optimistic view of their futures. Using a novel paradigm to examine the anticipated change from the personal past to the personal future, we found that the future was not always perceived as brighter than the past. College students (N = 156) recalled positive and negative personal events of various situations. Following each recall, they imagined a future personal event involving the same situation. Participants expected over half of the events to change in either upward or downward directions, depending on the valence of the past events. In addition, participants anticipated greater changes in domains of less stability, and Asians anticipated greater changes than European Americans. Anticipated future changes were further associated with psychological well-being. The findings shed new light on future event simulation.     

Evolutionary Theologies and Divine Action1

Abstract

Two challenges loom large for efforts to develop a theology of evolution. The first is the problem of purpose: can evolutionary processes, in which chance plays so prominent a role, be understood as the context of God's purposive action? The second is the problem of the pervasiveness of suffering and death in evolution. To the extent that we succeed in responding to the first difficulty by giving an account of how God's purposes are enacted in the history of life, we deepen the conundrum about God's relation to natural evils. In particular, if we embrace evolution as God's clever way of making life make itself, we will find it difficult to sustain the classical theological claim that death is a disruptive interloper in God's good creation.     

Elicited Imitation Performance at 20 Months Predicts Memory Abilities in School-Aged Children

During the first decade of life, there are marked improvements in mnemonic abilities. An important question from both a theoretical and applied perspective is the extent of continuity in the nature of memory during this period. The present longitudinal investigation examined declarative memory during the transition from toddlerhood to school age using both experimental and standardized assessments. Results indicate significant associations between immediate nonverbal recall at 20 months (measured by elicited imitation) and immediate verbal and nonverbal memory (measured by standardized and laboratory-based tasks) at 6 years in typically developing children. Regression models revealed this association was specific, as measures of language abilities and temperament were not predictive of later memory performance. These findings suggest both continuity and specificity within the declarative memory system during the first years of life. Theoretical and applied implications of these findings are discussed.     

Accounting for Time Preference in Management Decisions: An Application to Invasive Species

Managers of invasive species seek to prevent and mitigate their impact, which vary in the time horizon over which they are realized. Likewise, stakeholders vary in the time horizons they consider relevant. Agricultural impacts might reasonably be considered over two or three decades, although ecologists typically consider environmental impacts over much longer time frames. Although time preference plays a critical role in decision making, it has largely been ignored in multicriteria analyses. In this study, we examine how time has been treated in previous decision analyses of invasive species management, focusing on the differences between multicriteria and economic cost–benefit analyses. We then outline a method for incorporating time preference information into multicriteria decision analyses to ensure that criteria weights remain a faithful representation of the decision maker's preferences. To illustrate how time preference can be elicited for invasive species problems involving both monetary and nonmonetary consequences, we describe a small empirical study we conducted with a small group of experts and managers. By outlining a way to consider time preference information in multicriteria analyses of invasive species management, we hope to facilitate better decision making that is reflective of the decision maker's true preferences. Copyright © 2013 John Wiley & Sons, Ltd.     

Genetic Risk Assessment for Women with Epithelial Ovarian Cancer: Referral Patterns and Outcomes in a University Gynecologic Oncology Clinic

Little is known about genetic service utilization and ovarian cancer. We identified the frequency and outcome of genetic counseling referral, predictors of referral, and referral uptake for ovarian cancer patients. Using pathology reports, we identified all epithelial ovarian cancer patients seen in a university gynecologic oncology clinic (1/04–8/06). Electronic medical records (EMR) were used to document genetic service referral, time from diagnosis-to-referral, point-in-treatment at referral, personal/family cancer history, demographics, and genetic test results. Groups were compared using chi-squared and Fisher’s exact test for categorical variables and t-tests for continuous variables. The study population consisted of 376 women with ovarian cancer, 72 (19 %) of who were referred for genetic counseling/testing, primarily during surveillance. Of those referred, 42 (58 %) had personal or family genetic counseling and 34 (47 %) were ultimately tested or identified due to known family mutation. Family history and prior cancer were associated with referral. Family history, living in a larger community, higher-stage disease, and serous histology were associated with undergoing genetic counseling. Risk assessment identified 20 BRCA1/2 (5.3 %) and 1 HNPCC (0.3 %) mutation carriers. Based on recent estimates that 11.7–16.6 % of women with ovarian cancer are BRCA carriers and 2 % are HNPCC carriers, results suggest under-identification of carriers and under-utilization of genetic services by providers and patients. Interventions to increase medical providers’ referrals, even in a specialized oncology clinic, are necessary and may include innovations in educating these providers using web-based methods. Ease of referral by the introduction of an electronic cancer genetic referral form represents another new direction that may increase genetic risk assessment for high-risk women with ovarian cancer.