Evaluation of the Recognizing and Responding to Suicide Risk Training

Changes in attitudes, confidence, and practice behaviors were assessed among 452 clinicians who completed the training, Recognizing and Responding to Suicide Risk, and who work with clients at risk for suicide. Data were collected at three time points. Scores on measures of attitudes toward suicide prevention and confidence to work with clients at risk for suicide improved over time. Clinical practice behaviors improved for assessing and formulating suicide risk, developing suicide prevention treatment plans, and responding to vignettes. Results suggest training can improve clinicians’ attitudes toward suicide, confidence to work with clients at risk for suicide, and, most importantly, clinical practice skills.     

ON “POLYGAMOUS ANALYSIS”

The close relationships among Ferenczi’s analysands at the time the Clinical Diary was written are explored, and their potential influences on their analyses are discussed. It is suggested that the fact that “a virtual group” emerged in this context may have sabotaged to some extent Ferenczi’s clinical work, because this setting did not allow the open joint exploration possible in an actual analytic group, and at the same time stood in the way of achieving “a background of safety” fostered by the privacy and confidentiality of a fully individual analysis. Several examples are given of situations that may have made analysands feel betrayed or abandoned by the divided loyalties of their analyst, and may have created painful splits in Ferenczi’s own countertransferences.     

Identifying with the Other—A Conflictual,Vital Necessity: Commentary on Paper by Jay Frankel

Frankel's paper is related to issues in the study of multiple personality, as well as to the dilemmas of identification in psychoanalytic training. The main point raised in this discussion is that the generalization that all identification is related to fear is untenable and that a continuum should be recognized between identification with the other in a close relationship as a constructive building block of one's identity and a traumatic identification with the aggressor that results in alienation.     

Thalamic pathways for active vision

Active vision requires the integration of information coming from the retina with that generated internally within the brain, especially by saccadic eye movements. Just as visual information reaches cortex via the lateral geniculate nucleus of the thalamus, this internal information reaches the cerebral cortex through other higher-order nuclei of the thalamus. This review summarizes recent work on four of these thalamic nuclei. The first two pathways convey internal information about upcoming saccades (a corollary discharge) and probably contribute to the neuronal mechanisms that underlie stable visual perception. The second two pathways might contribute to the neuronal mechanisms underlying visual spatial attention in cortex and in the thalamus itself.