Trauma and the transference‐countertransference: working with the bad object and the wounded self

This paper focuses on the transference‐countertransference dynamics that manifest in work with those individuals who experienced severe early relational trauma and, in particular, childhood sexual abuse. The literature is surveyed from Davies and Frawley's (1992a) seminal paper through to more current trauma‐related and sensorimotor approaches, which deepen our understanding greatly. The rapidly shifting, powerful, conflicting and kaleidoscopic transference‐countertransference dynamics are explored in the light of these views and in relation to a lengthy clinical example. The author elucidates the dual‐aspect of the traumatic complex, whereby the abuser figure, which is disavowed by the patient, becomes manifest in prosecuting the analyst for the ‘wounds’ that the analysis evokes. The paper also explores the particular nature of the splitting processes, whereby pressure is put on the analyst to adopt an idealized role, in particular to act as a self‐object, in order to enable the patient to safely express and ‘be’ themselves in an attempt to make up for what was not possible in childhood; the analyst will necessarily fail in this task. In the context of powerful masochisto‐sadistic dynamics, the analyst's masochism is likely to be called up in the spirit of caring ‘humanity’ (another inevitable enactment), which can impede the progress of the analysis if not addressed. The extreme woundedness, intense affect and moral outrage associated with these dynamics are characteristic and compelling. Issues relating to disclosure, enactment and analytic attitude are also discussed.     

Assessing L2 Lexical Versus Inflectional Accuracy Across Skill Levels

This study measures whether number and type of morphemes in an elicited imitation string results in a greater number of modifications with L2 experience. Rationale is drawn from L2 working memory processing limitations at distinct levels of proficiency. 38 subjects (L2 Spanish university students) comprise three proficiency groups: beginning, undergraduate majors and graduate students. Number of morphemes was varied within each syllable count; and responses were either correct or modified (lexemically/inflectionally as deletions or substitutions). Two way ANOVAs determined significance between mean proportions for each group. Findings indicate that increases in number of morphemes yielded significant differences; and that while the lowest proficiency group produced higher proportions of lexical deletions, the more advanced groups’ modifications were inflectional substitutions.     

Assessment of the relationship of cerebral hemisphere arousal asymmetry to perceptual asymmetry.

This study examined the hypothesis that characteristic individual differences in cerebral hemisphere arousal asymmetry are related to individual differences in perceptual asymmetry observed in verbally based visual half-field tasks. The study used electrophysiological measures of arousal asymmetry rather than behaviorally derived measures (Levy, Heller, Banich, & Burton, 1983). Measures of alpha asymmetry were obtained from 20 right-handed males during a baseline relaxation condition and during a visual half-field version of the lexical decision task. Reaction time measures of perceptual asymmetry were obtained during this task. The results indicated that a basal arousal asymmetry measured at the temporal recording location during the baseline condition was significantly related to individual perceptual asymmetry during the subsequent lexical decision task. This basal arousal asymmetry was relatively stable across different task conditions. A task-related arousal asymmetry measured at the parietal location during the lexical decision task also made a significant contribution in predicting individual perceptual asymmetry. These two measures of individual arousal asymmetry were able to predict 50% of the variance in perceptual asymmetry. The implications of the results for explaining more wide-ranging individual differences in behavioral style and personality are discussed.     

Contempt and the Cultivation of Character

Macalester Bell urges the cultivation of apt contempt as the best response to what she calls “the vices of superiority” (arrogance, hypocrisy, racism, and the like). In this essay, I sketch two character profiles. The first—the ideal contemnor—paradigmatically answers the vices of superiority with contempt. The second—the ideal Christian neighbor—is marked by humility and love, and answers the vices of superiority in non‐contemptuous ways. I argue that the latter character rivals (and may even outshine) the former as a fitting moral response to the vices of superiority. Furthermore, I argue that the two character profiles are incompatible, so one cannot jointly cultivate humble love and contempt. Given contempt's nastiness, and the alternative resources available for answering the vices of superiority, I suggest one should focus one's character‐formation efforts on the cultivation of humility and love.     

The association between ethnic congruence in the supervisor‐subordinate dyad and subordinate organizational position and salary

We used a large field sample (N=32,854) to test popular press claims and propositions from relational demography theory that the ethnic congruence of the supervisor‐subordinate dyad is associated with positive employee outcomes. Results indicate that ethnic congruence was positively associated with subordinates' level in the organization and salary. These relationships were moderated by type of compensation system, such that the effects were stronger in merit‐based than in tenure‐based systems. In addition, the extent of the relationship between supervisor‐subordinate congruence differed by ethnic group, supporting previous research that suggests examining unique outcomes by ethnicity. However, although statistically significant, effect sizes were generally smaller than anticipated and implied in the popular press. Practical implications of these findings are discussed.     

糖尿病与恶性肿瘤

糖尿病伴发恶性肿瘤的患者越来越多,两者并存时,相互作用,加重病情,预后不良,且有其一定的特点。二者都是消耗性疾病,免疫力低下,对化疗耐受性差,糖尿病的饮食控制与恶性肿瘤的营养支持又非常矛盾,因此治疗上有其一定的特殊性．这就要求我们用哲学上的具体问题具体分析的思想来正确认识其特点与治疗,在化疗过程中两者兼顾并注重药物、支持及心理等综合治疗,以达到最大限度的改善病情,提高病人的生存质量。     

Treatment Planning as Collaborative Care Map Construction: Reframing Clinical Practice to Promote Client Involvement

Collaborative care map construction is proposed as an alternative reference to the clinical practice of treatment planning. This reframe is intended to highlight the importance of client–therapist collaboration in “mapping out” care. Six therapist postures or practices are presented and discussed that promote client involvement: (a) speaking tentatively, (b) revisiting role induction, (c) inviting client preferences, (d) determining direction, (e) wondering aloud, and (f) checking for clarity and soliciting feedback. Suggestions are provided for employing these postures within the time constraints and external controls of managed care entities.     

Perry's Legacy: Models of Epistemological Development

This paper compares the different ways that intellectual development has been described by W. Perry (1970) and M. Belenky, B. Clinchy, N. Goldberger, and J. Tarule (1986); M. Baxter Magolda (1992); and P. King and K. Kitchener (1994). The similarities are summarized into a comprehensive, gender-neutral 4-stage model (E. J. West, 1996). The nature of the stages is discussed from both a constructivist-developmental perspective (H. G. Furth, 1981; A. Colby & L. Kohlberg, 1987) and using skill-complexity theory (M. L. Commons, E. J. Trudeau, S. A. Stein, F. A. Richards, & S. R. Krause, 1998; M. L. Commons, D. Danaher-Gilpin, P. M. Miller, & E. A. Goodheart, 2002). Educational implications are proposed.