The case for neuropsychoanalysis: Why a dialogue with neuroscience is necessary but not sufficient for psychoanalysis

Recent advances in the cognitive, affective and social neurosciences have enabled these fields to study aspects of the mind that are central to psychoanalysis. These developments raise a number of possibilities for psychoanalysis. Can it engage the neurosciences in a productive and mutually enriching dialogue without compromising its own integrity and unique perspective? While many analysts welcome interdisciplinary exchanges with the neurosciences, termed neuropsychoanalysis, some have voiced concerns about their potentially deleterious effects on psychoanalytic theory and practice. In this paper we outline the development and aims of neuropsychoanalysis, and consider its reception in psychoanalysis and in the neurosciences. We then discuss some of the concerns raised within psychoanalysis, with particular emphasis on the epistemological foundations of neuropsychoanalysis. While this paper does not attempt to fully address the clinical applications of neuropsychoanalysis, we offer and discuss a brief case illustration in order to demonstrate that neuroscientific research findings can be used to enrich our models of the mind in ways that, in turn, may influence how analysts work with their patients. We will conclude that neuropsychoanalysis is grounded in the history of psychoanalysis, that it is part of the psychoanalytic worldview, and that it is necessary, albeit not sufficient, for the future viability of psychoanalysis.     

The Effect on Coping of Monitoring,Blunting, and the Ability to Achieve Cognitive Structure

The effects of monitoring and blunting on individuals' choices of coping strategies and their effectiveness were examined. In addition, the authors explored the effect of the ability to achieve cognitive structure (AACS), defined as either or both of the following: (a) the ability to avoid information that either cannot be categorized or clashes with the individual's existing knowledge; (b) the ability to organize knowledge to fit an already existing cognitive structure. The results showed that in addition to the main effects of monitoring on problem-focused coping and social support seeking behaviors and of blunting on the use of wishful thinking, AACS was found to moderate blunting's influence on problem-focused coping as well as the effectiveness of distancing and avoidance coping. Finally, the results showed that the combination of high monitoring and high blunting sometimes contributes to coping effectiveness.     

Happiness and Personal Growth are Attainable in Interferon-Beta-1a Treated Multiple Sclerosis Patients

Multiple sclerosis (MS) is a chronic debilitating disease. MS is associated with high rates of depression and dissatisfaction with life. “Positive psychology,” (PoP) has endeavored to better understand happiness, meaning in life and how these can be developed. There is a growing interest amongst clinicians and consumers in happiness and personal growth as indicators of patients’ well-being. To evaluate happiness and personal growth in treated relapsing-remitting (RR) MS patients compared with age and gender matched healthy subjects. The Oxford Happiness Inventory (OHI), the Satisfaction with Life Scale (SLS) and the Personal Growth Initiative Scale (PGIS) were completed by 105 RR-MS patients [70 females, mean age 44.4 ± 13.3 years, Expanded Disability Status Scale (EDSS) 3.6 ± 2.3] and 87 healthy subjects (66 females, mean age 39.7 ± 11.5 years). Scores were correlated with disease and treatment related parameters. All patients were treated for at least 6 months with interferon-beta-1a (Rebif). Mean happiness scores in MS patients for the OHI (103.1 ± 17.0), the SLS (23.9 ± 6.8) and the PGIS (40.1 ± 7.6) were not statistically different from those of healthy subjects. Categorical analysis of the SLS demonstrated a different distribution wherein more MS patients were in the “dissatisfied” subgroup (SLS score < 20) as compared to healthy subjects (24.8% vs. 12.6%, p = 0.045), while rates were similar in the extremely satisfied subgroup (SLS ≥ 30). Happiness was scored similarly in treated RR-MS patients and healthy subjects despite a greater percentage of patients reporting being dissatisfied with their lives. These findings may reflect positive treatment effects, hedonic adaptation or their combination.     

Gender Schema and Social Judgments: A Developmental Study of Children from Hong Kong

The purpose of the study was to examine inferences and judgments of gender schematic and aschematic children. Kindergarten, third grade, and sixth grade Hong Kong Chinese children (n = 196) were categorized into schematic and aschematic groups on the basis of their reaction times to gender-stereotypic and counterstereotypic items. The children were then asked to make several inferences and judgments about four male and female targets behaving gender-stereotypically or counterstereotypically. Both age and gender schematicity were related to the children's inferences. Older children and gender-schematic children relied more on individuating information and younger children relied more on the gender label. The results are discussed within the framework of gender-schema theories.     

Monitoring,blunting, and the ability to achieve cognitive structure

It has often been suggested that vigilant information-seeking helps reduce uncertainty and coping with stress. The present paper argues that additional information can resolve uncertainty only to the extent that it is adequately structured or categorized. However, people may differ in their ability to achieve cognitive structure (AACS) and therefore in their ability to achieve certainty. This postulate may shed new light on Miller's (1987) findings that high monitors suffer from greater distress than low monitors. It is suggested that when high monitors have high AACS they will suffer from less psychological distress than low monitors. This interaction will not be found when blunting is involved. To examine these hypotheses, both AACS and information-seeking behavior of 77 rheumatoid arthritis patients were assessed. The two hypotheses were confirmed even after discounting the effect of subjective health perception and number of years subjects suffered from the disease.     

The influence of aging on poststroke depression using a rat model via middle cerebral artery occlusion

Poststroke depression (PSD) is the most frequent psychological sequela following stroke. While previous studies describe the impact of age on brain infarct volume, brain edema, and blood–brain barrier (BBB) breakdown following ischemia, the role of age on PSD has yet to be described. Here, we examine the influence of age on PSD progression in a rat model of PSD by middle cerebral artery occlusion (MCAO). One hundred forty-three rats were divided into three groups. 48 rats 20 weeks of age underwent a sham procedure, 51 rats 20 weeks of age had MCAO, and 44 rats 22–26 months of age had MCAO. Groups were further divided into two subgroups. The first subgroup was used to measure infarct lesion volume, brain edema, and BBB breakdown at 24 h. In the second subgroup at 3 weeks after MCAO, rats were subjected to a sucrose preference test, two-way shuttle avoidance task, forced swimming test, and a brain-derived neurotrophic factor (BDNF) protein level measurement. Total and striatal infarct volume, brain edema, and BBB breakdown in the striatum were increased in older rats, as compared with younger rats. While both old and young rats exhibited depressive-like behaviors on each of the behavioral tests and lower BDNF levels post-MCAO, as compared with control rats, there were no differences between old and young rats. Although older rats suffered from larger infarct volumes, increased brain edema and more BBB disruption following MCAO, the lack of behavioral differences between young and old rats suggests that there was no effect of rat age on the incidence of PSD.     

Retaliatory aggression in individuals and groups

Retaliatory aggression in individuals and groups was compared. Physically and verbally attacked males in group or individual conditions were given the opportunity to retaliate against their tormentor by administering him electric shocks in the context of a bogus learning experiment. Groups retaliated much more severely than did individuals. Analysis of the group decision-making dynamics suggested the process of social modelling as a mediator of group aggression. Additional data suggested the mediating influence of diffusion of responsibility as well.     

Experimental tests of the mean-variance model for portfolio selection

Statistically knowledgeable male and female undergraduate students participated in 40 portfolio selection problems with monetary payoff contingent on performance. The portfolio selection task included two independent risky assets with normally distributed returns. It provided access to information about previous returns, allowed borrowing and lending at a fixed interest rate, and forced on each decision period a choice between the two risky assets. The findings show a high percentage of inefficient mean-variance portfolios which does not decrease with practice, a high rate of requests for useless information, a large frequency of switches between the two risky assets, and sequential dependencies. Theoretical and practical implications of the findings are briefly discussed.     

The predicament of masculinity: Towards understanding the male's experience of infertility treatments

Sex Roles - The commonsense notions that associate fertility and femininity are shared by the medical establishment, and have led to the concentration of research on women in the area of fertility....