Problems of collegial learning in psychoanalysis: Narcissism and curiosity1

Despite clinical sensitivity when listening to patients, analysts have not fared well in hearing and talking to each other with respectful open‐mindedness. Underlying factors are considered with particular focus on the interplay between self‐aimed forces of narcissism and outward‐aimed forces of curiosity. Included in examination of problems of collegial communication are limitations structurally inherent to the human mind (such as the need to abstract aspects of experience in order to focus attention plus the mind’s tendency to categorical thinking), those derived from individual psychology (such as vulnerability of self‐esteem), and those related to group dynamics (such as the problems attendant to new ideas and the allegiances they stir, parochialism and the development of radical schools, the competitiveness between schools). The contribution of cultural influences and the multiply determined uses of language are also highlighted. The core sense of smallness in the strangeness of the universe and in the presence of others is seen as a common thread.     

Evaluation of a Congressionally Mandated Wraparound Demonstration

In order to determine whether expenditures for mental health could be reduced and quality improved, Congress mandated that the Department of Defense conduct a demonstration project utilizing a wraparound mental health service system for child and adolescent military dependents. A longitudinal quasiexperimental design was used to evaluate the cost-effectiveness of the demonstration. The results showed that children in the Wraparound Group received more wraparound services than those in the treatment as usual (TAU) Comparison Group. These services included case management, in-home treatment, and other nontraditional services. The Demonstration also provided better continuity of care. Multiple methods were used to investigate the impact of wraparound. Both groups showed some improvement on some measures but there were no differences between the groups in functioning, symptoms, life satisfaction, positive functioning, or sentinel events. Regardless of which statistical model was used to estimate costs, the Demonstration was also more expensive. The higher level of expenditures for the Wraparound group was a result of some expensive traditional care and the addition of nontraditional services. Several possible explanations of these results are provided.     

The Viability of Organizational Wellness Programs: An Examination of Promotion and Results

Wellness programs in contemporary organizations are increasing in number, but attendance is low and results often are difficult to track. We examined participant and program characteristics in 2 organizations that offered extensive wellness activities. One organization considered its program successful and had been in operation for 10 years, while the other organization's program ran for 2 years and ended because of a lack of funding. In the successful program, wellness program attendance showed a relationship to time employees took off for sick days, and improved fitness produced similar results. In the less successful operation, interviews were held with mangers and employees regarding promotion and program support. Suggestions are provided for future wellness programs.     

Patterns of maternal responding in postpartum mothers with schizophrenia

Little is known about how schizophrenia might affect how a mother responds to her infant, such as whether responding is reduced or impaired. The aim was to identify, from brief videotaped interactions, whether the responses of mothers with schizophrenia were fewer, less positive, more negative, and more ‘abnormal’ than mothers with affective disorder, and whether their infants (mean age: 15 weeks) lacked activity or initiation to which mothers could respond. Mothers with schizophrenia (N = 14) were as responsive as mothers with affective disorder (N = 31), but they showed markedly low positive responsiveness. Only the schizophrenia group exhibited non-responses as a result of being psychologically withdrawn from the interaction, and abnormal behaviors. Inconsistent to our hypothesis, infants in both groups showed similar levels of activity, initiative and negativity. The findings highlight the need for further research to examine the contribution of maternal response impairments to the developmental vulnerability of this genetically high-risk group.     

An inferential confidence interval method of establishing statistical equivalence that corrects Tryon's (2001) reduction factor

Evidence of group matching frequently takes the form of a nonsignificant test of statistical difference. Theoretical hypotheses of no difference are also tested in this way. These practices are flawed in that null hypothesis statistical testing provides evidence against the null hypothesis and failing to reject H-sub-0 is not evidence supportive of it. Tests of statistical equivalence are needed. This article corrects the inferential confidence interval (ICI) reduction factor introduced by W. W. Tryon (2001) and uses it to extend his discussion of statistical equivalence. This method is shown to be algebraically equivalent with D. J. Schuirmann's (1987) use of 2 one-sided t tests, a highly regarded and accepted method of testing for statistical equivalence. The ICI method provides an intuitive graphic method for inferring statistical difference as well as equivalence. Trivial difference occurs when a test of difference and a test of equivalence are both passed. Statistical indeterminacy results when both tests are failed. Hybrid confidence intervals are introduced that impose ICI limits on standard confidence intervals. These intervals are recommended as replacements for error bars because they facilitate inferences.     

A qualitative analysis of young people's experiences of receiving a novel,client‐led,psychological therapy in school

Mental health problems often arise in adolescence. Schools have been recognised as a potential hub for support; however, delivering targeted interventions in schools can be difficult due to impracticalities. Subsequently, students have little or no say in the support process. Given the importance of control in well‐being, the current study explored how adolescents experienced Method of Levels, a therapy that allowed them to choose if and when to attend therapy. Interviews with 14 adolescents were conducted and then analysed using thematic analysis. Three main themes were identified; therapy style, therapy experience and exploring problems. An additional overarching theme was generated, regarding choice and control. Findings indicate that adolescents value having choice and control. This made the therapy style accessible, enhanced the therapeutic experience and ultimately facilitated the process of exploring problems.     

Using Wordle in Addictions Education

The authors of this article present a creative teaching strategy which illustrates how Wordle can be used in the addiction courses in counselor education programs. Wordle creates a representation of text where the more frequently the word is used, the larger the word appears in the form of a “word-cloud.” This method of graphically using words can illustrate meaning, perception, and change.     

Examining interrelationships between the Cigarette Purchase Task and delay discounting among pregnant women

Two common behavioral economic simulation tasks used to study cigarette smoking are the Cigarette Purchase Task, a measure of cigarette demand, and delay discounting, a measure of the subjective value of rewards as a function of delays to delivery. Few studies have evaluated whether combining these tasks enhances understanding of smoking beyond either alone. The current study represents an initial evaluation of the intersection between cigarette demand indices and delay discounting among pregnant smokers by examining associations between these measures and whether a woman makes antepartum quit attempts before entering prenatal care (a reliable predictor of eventual quitting). Participants were 159 pregnant women enrolled in a smoking‐cessation trial. Low O _max and shallow discounting were each associated with antepartum quit attempts. Participants were next categorized into four subgroups (low O _max, shallow discounting; low O _max, steep discounting; high O _max, shallow discounting; high O _max, steep discounting) using median splits. Those with shallow discounting and low O _max were more likely to have made quit attempts than each of the other three subgroups. That is, steep discounting appears to undermine the association of low O _max and efforts to quit smoking during pregnancy while high O _max overshadows any protective influence associated with shallow discounting.