Uncanny Communication and the Porous Mind

In this paper I examine the phenomenon of “uncanny” unconscious communication and the plausibility of “telepathic” interconnectivity between patient and therapist. While reexamining long-standing psychoanalytic reluctance to engage with the topic of the “uncanny,” I present clinical examples of seeming anomalous transmission, followed by discussion from contrasting perspectives of psychoanalysis, neuroscience, quantum physics, and parapsychology. The patient’s and analyst’s reactions to these uncanny moments are explored, along with the potential clinical value of nurturing receptivity to this “frequency” of unconscious attunement.     

“Presence” and “Absence”: Kaleidoscopic Hide and Seek: Reply to Commentaries

In this reply I respond to Cambray’s introduction of the “self-organizing” and “emergent” qualities of telepathic communication, looking more closely at the relationship between dissociation and the emergence of telepathic phenomena. I highlight the creative aspect of such telepathic “intrusions,” viewing the clinician’s capacity for intuitive imagination as key to the emergence of telepathic material. In response to Eshel’s connection between the analyst’s “presence,” “absence,” and the patient’s unmet need for recognition, I examine the roles of co-construction and mutual dissociation in transference-countertransference enactments that generate uncanny phenomena. Verbal interpretation not always being the most viable mode of communication, “absence” can sometimes serve as a co-constructed, unconscious “solution” to the problem of multiple conflicting needs, holding a space for telepathic emergence to express the inexpressable.     

Emotional Reactions and Moral Judgment: The Effects of Morally Challenging Interactions in Military Operations

This study explores the association between different types of morally challenging interactions during military deployment and response strategies (e.g., moral justification), as well as the mediating role of moral emotions. Interviews with Dutch servicemen who participated in military operations (e.g., in Afghanistan, Angola; N = 45) were content coded. We found a relationship between local-cultural and team-related interactions and moral justification; these effects were mediated by other-condemning emotions. Similarly, other-condemning emotions mediated the relationship between local-cultural interactions and relativism. This study points at the importance of other-condemning emotions in shaping military reactions to frequently occurring morally challenging interactions.     

Intelligence and Creativity: Over the Threshold Together?

Threshold theory predicts a positive correlation between IQ and creativity scores up to an IQ level of 120 and no correlation above this threshold. Primary school children were tested at beginning (N = 98) and ending (N = 70) of the school year. Participants performed the standard progressive matrices (SPM) and the Test of Creative Thinking—Drawing Production (TCT-DP). Each child with IQ ≥ 120 was grade-and-gender matched to a child with IQ < 120. Results in accordance with the threshold theory were found only for female children in the highest grade level (Grade 4). Longitudinal analysis implies that a subgroup of children goes down in IQ and creativity simultaneously, possibly due to motivational issues. Their correlated scores may be a source of evidence for the threshold theory. The relationship between intelligence and creativity is not straightforward and depends on a combination of factors including grade level and gender.     

Multisensory Stimulation to Improve Low- and Higher-Level Sensory Deficits after Stroke: A Systematic Review

The aim of this systematic review was to integrate and assess evidence for the effectiveness of multisensory stimulation (i.e., stimulating at least two of the following sensory systems: visual, auditory, and somatosensory) as a possible rehabilitation method after stroke. Evidence was considered with a focus on low-level, perceptual (visual, auditory and somatosensory deficits), as well as higher-level, cognitive, sensory deficits. We referred to the electronic databases Scopus and PubMed to search for articles that were published before May 2015. Studies were included which evaluated the effects of multisensory stimulation on patients with low- or higher-level sensory deficits caused by stroke. Twenty-one studies were included in this review and the quality of these studies was assessed (based on eight elements: randomization, inclusion of control patient group, blinding of participants, blinding of researchers, follow-up, group size, reporting effect sizes, and reporting time post-stroke). Twenty of the twenty-one included studies demonstrate beneficial effects on low- and/or higher-level sensory deficits after stroke. Notwithstanding these beneficial effects, the quality of the studies is insufficient for valid conclusion that multisensory stimulation can be successfully applied as an effective intervention. A valuable and necessary next step would be to set up well-designed randomized controlled trials to examine the effectiveness of multisensory stimulation as an intervention for low- and/or higher-level sensory deficits after stroke. Finally, we consider the potential mechanisms of multisensory stimulation for rehabilitation to guide this future research.     

Counselees’ Expressed Level of Understanding of the Risk Estimate and Surveillance Recommendation are Not Associated with Breast Cancer Surveillance Adherence

We studied counselees’ expressed understanding of the risk estimate and surveillance recommendation in the final consultation for breast cancer genetic counseling in relation with their risk perception, worry and cancer surveillance adherence 1 year post-counseling. Consecutive counselees were included from 2008 to 2010. Counselees with an indication for diagnostic DNA-testing for themselves or a breast cancer affected relative were requested to complete online questionnaires before and after counseling and one year after counseling (N?=?152–124). Self-reported surveillance was compared to surveillance recommendations. Consultations were videotaped. Counselees’ reactions to the risks and recommendations were coded. Statements about the risk perception and surveillance intentions of breast cancer unaffected counselees were transcribed. Associations with outcomes were explored. Almost all breast cancer unaffected counselees (>90 %) reacted to their risk estimate with an utterance indicating understanding and this reaction was not significantly associated with their post-visit risk perception alignment. Over one-third (38.6 %) overestimated their risk post-counseling. Few counselees (5.8 %) expressed surveillance intentions. One year after counseling, about three-quarters (74.0 %) of the breast cancer unaffected counselees had adhered to the surveillance recommendation. Almost one-quarter (23.3 %) had performed more mammograms/MRI scans than recommended, which was associated with prior mammography uptake (n?=?47; X ² ?=?5.2; p?=?.02). Counselees’ post-counseling overestimation of their risk, high levels of worry and high surveillance uptake were not reflected in their reactions to the counselor’s information during the final visit.