Reading and Writing: Psychoanalytical Treatment in a Case of Paranoia

Difficulties encountered in clinical work with psychoses require psychoanalytical approaches different from those used for treating neurosis. The authors use a clinical case of a paranoiac patient to highlight the role played by writing, drawing, and painting in the psychoanalytical treatment of psychosis. They also discuss the role of the reader-analyst in this patient’s transferential process, which led to the emergence of a new subjectivity.     

Diminutives in child-directed speech supplement metric with distributional word segmentation cues

In two experiments, we explored whether diminutives (e.g.,birdie, Patty, bootie), which are characteristic of child-directed speech in many languages, aid word segmentation by regularizing stress patterns and word endings. In an implicit learning task, adult native speakers of English were exposed to a continuous stream of synthesized Dutch nonsense input comprising 300 randomized repetitions of six bisyllabic target nonwords. After exposure, the participants were given a forced choice recognition test to judge which strings had been present in the input. Experiment 1 demonstrated that English speakers used trochaic stress to isolate strings, despite being unfamiliar with Dutch phonotactics. Experiment 2 showed benefits from invariance introduced by affricates, which are typically found at onsets of final syllables in Dutch diminutives. Together, the results demonstrate that diminutives contain prosodic and distributional features that are beneficial for word segmentation.     

Perceptions of present, ideal, and future lives among Chinese adolescents experiencing economic disadvantage

Perceptions of present, ideal, and future lives among 12 Chinese adolescents experiencing economic disadvantage were examined via qualitative interviews. Results showed that most of the adolescents evaluated their present lives positively. In general, they also had positive perceptions of their future lives, although there also were some negative feelings. Although money did not play an important role in their perceptions of present lives, future lives, life goals, and ideal careers, economic sufficiency emerged as a major theme from the perspective of their ideal lives. While adolescents with better psychosocial adjustment appeared to evaluate their present lives more positively than did adolescents with relatively poorer psychosocial adjustment, no differences were found between the two groups in terms of their views on ideal and future lives.     

A delay timer for presenting auditory and visual probes

A circuit designed to present auditory or visual probes is described. The circuit allows the probes to be delayed by a specified amount of time, and the volume (for auditory probes) or intensity (for visual probes) may also be adjusted. The circuit may be triggered by any device capable of emitting an electronic pulse-such as a computer or a tachistoscope.     

Wenn ja,wie lange? – Dauer antiandrogener Behandlung von Sexualstraftätern mit paraphilen Störungen

Background

Since 2010 a total of 15 individually justified, therapeutically accompanied treatment-free intervals from antiandrogenic treatment (ADT) have been carried out in the Forensic Therapeutic Outpatient (FTA) department in Berlin.

Material and methods

This article describes the conditions under which a responsible and legally justifiable cessation of ADT can be carried out.

Results

In all 15 of the investigated stable, forensically rehabilitated patients who had been on long-term psychotherapeutic treatment, no criminally prognostic or clinically relevant destabilization has so far occurred, which would have necessitated cessation of the treatment-free interval with resumption of the antiandrogenic depot medication.

Conclusion

The short-term experiences from the clinical aftercare practice have so far shown that in a strictly structered aftercare setting with continuous clinical monitoring, it is possible to withdraw even long-standing antiandrogenic medication. This is important not least to attest the argumentation for a removal of supervision of conduct in case destabilization does occur. Further long-term longitudinal investigations will be the subject of later publications.

     

Obsessive-Compulsive Disorder: The Process of Parental Adaptation and Implications for Genetic Counseling

Obsessive-compulsive disorder (OCD) has primarily pediatric onset and well-documented unique impacts on family functioning. Limited research has assessed the understanding that parents of children with OCD have of the etiology of the condition, and there are no data regarding potential applications of genetic counseling for this population. We recruited 13 parents of 13 children diagnosed with OCD from the OCD Registry at British Columbia Children’s Hospital, and conducted qualitative semi-structured telephone interviews to explore participants’ experiences with their child’s OCD, causal attributions of OCD, and perceptions of two genetic counseling vignettes. Interviews were audio-recorded, transcribed, and analyzed using elements of grounded theory qualitative methodology. Analysis revealed key components and contextual elements of the process through which parents adapt to their child’s OCD. This adaptation process involved conceptualizing the meaning of OCD, navigating its impact on family dynamics, and developing effective illness management strategies. Adaptation took place against a backdrop of stigmatization and was shaped by participants’ family history of mental illness and their child’s specific manifestations of OCD. Parents perceived genetic counseling, as described in the vignettes, as being empowering, alleviating guilt and blame, and positively impacting treatment orientation. These data provide insight into the process of parental adaptation to pediatric OCD, and suggest that genetic counseling services for families affected by OCD may help facilitate adaptation to this illness.