1968 – Year of Shame,Year of Grace

They year 1968 was the year of the student protests; the year when the Vietnam War and the Chinese cultural revolution were at their height; the year of the Prague spring and Christian–Marxist dialogue before these movements were suppressed by the Soviet invasion; the year in which Martin Luther King and Bobby Kennedy were assassinated; the year in which Latin American Catholic bishops met in Medellín and broke new theological ground; the year in which the South African Council of Churches issued an anti‐apartheid message to the people of South Africa. Looking back at this patchwork of events 50 years later, so much has changed since then, but so much that was augured in 1968 still remains to be changed.     

Stigma,Expressed Emotion,and Quality of Life in Caregivers of Individuals with Dementia

Expressed emotion (EE) is a measure of a caregiver's critical and emotionally overinvolved (EOI; e.g., intrusive, self‐sacrificing) attitudes and behaviors toward a person with a mental illness. Mounting evidence indicates that high levels of these critical and EOI attitudes and behaviors (collectively termed high EE) in family members are associated with a poorer course of illness for people with a range of disorders, including dementia (Nomura et al., 2005). However, less is known about factors that might trigger high EE and how high EE might impact dementia caregivers’ own mental health. In this study we propose that caregivers who perceive stigma from their relative's illness may be more likely to be critical or intrusive (high EOI) toward their relative in an attempt to control symptomatic behaviors. We further hypothesized that high EE would partially mediate the link between stigma and quality of life (QoL) as there is some evidence that high EE is associated with poorer mental health in caregivers themselves (Safavi et al., 2015). In line with study hypotheses and using a sample of 106 dementia caregivers, we found that greater caregiver stigma was associated with both high EE (for criticism and EOI) and with poorer QoL. Mediational analyses further confirmed that high EE accounts for much of the association between stigma and poorer QoL. Study results suggest that addressing caregiver stigma in therapy could reduce levels of high EE and indirectly therefore improve caregiver QoL. Intervening directly to reduce high EE could also improve caregiver QoL.     

Recoupling in Mid‐Life and Beyond: From Love at Last to Not So Fast

Divorce rates have dropped in the United States, except for couples over 50 where they are rising steeply, along with rates of late‐life recoupling. Both stepcouples and their young adult and adult children in new older stepfamilies are often surprised to find themselves facing many of the same challenges that younger stepfamilies do. Some challenges are even intensified by the decades‐long relationships and additional layers of extended family that come with recoupling after mid‐life. Stepfamilies formed in later life must also negotiate decisions about estate planning and elder care among stakeholders who often have sharply divergent agendas before there is time to establish trusting relationships. This article describes the “normal” challenges facing stepcouples who come together over age 50. It provides evidence‐informed guidance for therapists in meeting these challenges on three levels of clinical work: Psychoeducational, Interpersonal, and Intrapsychic/Intergenerational. As in younger stepfamilies, “family therapy” must usually begin in subsystems—often the adult stepcouple and parent–adult child. The article then describes a particularly fraught subgroup of recouplers: over‐50 fathers and their new partners, where the dad's young adult or adult daughter is very unhappy with his new relationship. In these latter stepfamilies, father–daughter repair must precede stepfamily bonding. Stepfamilies that are preceded by a partner's death and those that begin with affairs are also discussed. Finally, some “easy wrong turns” for therapists are described.     

COGNITIVE AND SOCIOEMOTIONAL FUNCTIONING AT 4½ YEARS IN CHILDREN BORN TO MOTHERS WHO HAVE RECEIVED TREATMENT FOR SUBSTANCE‐ABUSE PROBLEMS WHILE PREGNANT

Cognitive and socioemotional functioning at 4½ years of age were examined in children born to mothers with substance‐abuse problems (n = 22) recruited from residential treatment institutions while pregnant, and then compared to children born to mothers with mental health problems (n = 18) and children from a low‐risk group (n = 26). No significant group differences in cognitive functioning were found, but the children born to mothers with substance‐abuse problems showed more caregiver‐reported socioemotional problems than did the low‐risk children, like the children born to mothers with mental health problems. Birth weight had an effect on internalizing problems at 4½ years and mediated the relation between group and socioemotional problems, although not when controlling for caregiver education, single parenthood, and anxiety and depression. At 4½ years, 7 children born to mothers with substance‐abuse problems were placed in foster care. These children had lower birth weight and higher caregiver‐rated internalizing problems. In addition to emphasizing the importance of the quality of the prenatal environment, this study suggests that families with previous substance abuse are in need of long‐term follow‐up to address socioemotional problems and enhance further positive child cognitive development. The foster‐placed children may be in particular need of long‐term follow‐up.     

Electrodermal orienting responses to verbal and geometrical visual stimuli projected to the left or right retinal half-fields: sex differences

Using the visual half-field technique, verbal and geometrical slides were repeatedly projected to either the left or right visual field in an electrodermal orienting paradigm. Bilateral skin conductance response-magnitudes were recorded continuously over trials. Half the subjects (8 males and 8 females) had a verbal and a geometrical slide repeatedly presented to the right of a central fixation-point, (i.e. initial left hemisphere input) and the other half had the same kinds of stimuli presented to the left (i.e. initial right hemisphere input). There were 32 presentations of each stimulus, i.e. a total of 64 trials. The intertrial interval (ITI) varied between 25 to 40 sec. Results showed significantly larger response-magnitudes in the female group having the stimuli presented in the left visual field and especially to the geometrical slide. The same trend in data was also found for the male subgroup having the stimuli presented in the left visual field. No significant differences between the bilateral left and right hand recordings were foundin the main analysis. However, a closer inspection of the data indicated the left hand recording to be more sensitive than the right hand recording.     

‘Preparedness’ and ‘arousability’ as determinants of electrodermal conditioning

‘Arousability’, as defined through spontaneous electrodermal responses, has been empirically linked to anxiety, phobic symptoms and outcome of systematic desensitization. Previous data from our laboratory indicate that ‘preparedness’, as defined through potentially phobic vs. fear-irrelevant or ‘neutral’ conditioned stimuh, is an important determinant of electrodermal conditioning. The present experiment compared groups selected to be high or low in spontaneous responding during differential conditioning to potentially phobic or neutral stimuh. It was found that the effects of these two factors were essentially additive, i.e. conditioning and resistance to extinction were better for phobic stimuli and for high-arousal groups. The high-aroused group with phobic stimuh showed diffuse responding during acquisition, not differentiating between reinforced and unreinforced cues. However, it was the only group that failed to extinguish during 20 trials, which indicates that high arousal gives superior resistance to extinction particularly for phobic stimuli.     

Synchronicity and meaning

It is usually thought that synchronicity, characterised as ‘meaningful coincidence’, is therefore understandable in relation to the concept of ‘meaning’. I will explore the largely unhelpful symbiotic relationship between ‘coincidence’ and ‘meaning’ by comparing synchronicity with synchoricity ‐ coincidence in space rather than time. These two concepts are often mixed together and I will attempt to describe a ‘pure’ synchronicity in order to sharpen our sense of how meaning is felt to arise from coincidence. It will then be suggested that the standard concept of synchronicity is mostly psychologically irrelevant and, when adjusted to remove elements which are explained quite naturally by evolutionary theory, we are left with a concept which has implications both for the metaphysical foundations of Analytical Psychology and the individualistic emphasis one commonly finds in the field.