The Position of Metapsychology in the Formation of Psychoanalytic Knowledge and the Concept of “I” (Ego)

Psychoanalysis is unique in that competence in the field can be achieved only through applying the method to oneself. Different psychoanalytic schools differ in their understanding of the unconscious, about how to approach it, or how to define the specificity of the psychoanalytic interaction. Consequently, there are differences in the criteria for the definition of the ‘good-enough analysis’. There are many different opinions about how to select candidates, organise the curriculum and length of training. To define psychoanalytic talent is difficult; the uncertainty in the definition of criteria to use for selection is great; the problematic overlap between personal analysis and training is constantly present; to achieve conditions in which learning and creativity can develop is complicated by trainee, supervisor and their relationship to the Institute. Confrontations about training are often heated and divergent, as well as repetitive. Systematic studies about psychoanalytic education are very few. After a short discussion of the different concerns about selection, personal versus training analysis and the ambiguities of the supervisory situation, the author gives a review of three studies on how psychoanalytic education—as viewed by trainers and trainees—is conducted and experienced at the Swedish Psychoanalytic Institute. Training is felt to be well grounded in theory and tradition; nonetheless most do not have a sufficiently clear picture of training as a whole. Both candidates and trainers see the development of a psychoanalytic identity as the goal of training, where the competencies to be acquired are equated with important personality qualities. The candidates have a feeling of “being chosen"; they “wish to belong to a group who share an interest and fascination for psychoanalytic thinking and theory". All praise the warm and open atmosphere, and the mutual and continuous evaluations and the deep involvement of all. The surge to be rooted in an overreaching psychoanalytic ethic, the culture of gratitude within the Institute and the devotion to the task to train psychoanalytic clinicians for the future may preserve an idealised image of psychoanalysis and the fantasy that psychoanalysts are exceptional persons and give a mystifying colour to the psychoanalytic profession. This might also stand in the way of a more radical change in the traditions of training—according to the rather drastically changing climate in which psychoanalysts of the future will have to work.     

Boredom in Recovery for Adult Substance Users With HIV/AIDS Attending an Urban Day Treatment Program

This qualitative dissertation study used grounded theory methods to explore the experience of boredom in recovery from substance use disorder with eight adults who also have HIV/AIDS. Boredom is the pervasive perception of nothingness that gives time to reflect. Boredom was revealed to be more than a seemingly harmless phenomenon that persists decades into recovery, even when meaningful occupation outside of substance use is achieved. Boredom becomes less harmful with the achievement of meaningful occupation, but it is still tenacious and deleterious. Boredom can be useful to an adult with HIV/AIDS, however. Implications for the profession's core value of meaningfulness are discussed.     

The military chaplain: a study in ambiguity

This article looks at the ambiguities in the role of the military chaplain from three points of view. The first considers the nature of the constituency within which the chaplain ministers, paying particular attention to the degree – or otherwise – of secularisation and the reasons for this. The second examines the role of the chaplain in relation to the two institutions which he or she serves (i.e. church and state) and the tensions that emerge as a result. These are articulated in terms of ‘an angle of eschatological tension’. The third is concerned with ‘the roles within the role’ – that is the variety of tasks that make up the role of chaplaincy and the degree to which these are compatible with each other. The significance of theology in the resolution of the ensuing issues is set against diminishing societal resources in terms of religious literacy.     

Caught in the crossfire: A case of mistaken identity among religious revivalists and secularists

The discussion of Islamic and Protestant revivalisms inflames not only believers but secularists as well. This paper is about standpoint and perceived standpoint in relation to carrying out feminist research about why some women in a liberal democracy join revivalist movements. The article also discusses the variegated nature of power relations within the research process. Situated within a Women's Studies Centre the author found herself in the crossfire between secular feminists and religious revivalists—some members of each group insisting she represented the position of the opposing view. This paper explores the conflictual situation and resulting ‘epistemological vertigo’ in circumstances where revivalists and secularists each believed in the stereotype of the other and assumed the researcher embodied it.     

Therapeutic Work with Trauma,Revictimization, and Perpetration: Bearing Witness,Offering Hope,Embracing Despair

ABSTRACT

This paper offers a case study of a survivor of childhood incest who in adulthood has become a victim of violence in her relationships with chosen partners and is concerned that she herself may be a perpetrator of sexual abuse. It examines selected literature on attachment, dissociation, transference/countertransference, role responsiveness and sadomasochistic therapeutic enactments, the two-system superego model, and the triadic self. The paper focuses on long-term treatment dynamics with survivors of cumulative trauma and explores such psychodynamic psychotherapy issues as the therapist as a perpetrator of violence, the development of sacred space, authenticity, and the importance of both offering hope and embracing despair in this work.     

When Words Are No Longer Necessary: The Gift of Ritual

SUMMARY

This study is an exploration of non-verbal forms of communication which have become ritualised, particularly m the care of people with dementia. Rituals, which are culturally determined, may be inclusive or exclusive; they may lose their meaning or send out mixed messages, but m general they uphold the structure of society. There is a strong link between religion and ritual and for people with dementia, ritual may be extremely important m maintaining their sense of belonging within the community of faith. It looks at some of the issues to be addressed when worshipping with people with dementia.     

Spiritual and Religious Implications of Aging with HIV: A Conceptual and Methodological Review

ABSTRACT

Spirituality and religious practices can buffer people from stressful life circumstances and promote positive biopsychosocial outcomes. The beneficial effects of spirituality and religious practices have been documented in aging and HIV. Unfortunately, little is known about spirituality and religious practices in older adults with HIV. As the number of older adults with HIV increases, with an estimated 91,000 adults over 50 being diagnosed with this disease in the United States, spirituality and religious practices may help HIV-positive people to age successfully. Crisis competence and spiritual trajectories are ways of conceptualizing spiritual development when confronting aging with a life-changing event such as a being diagnosed with HIV. Methodological issues in studying spirituality in adults aging with HIV are identified including defining spirituality and religiosity, heterogeneity of the population, timing of diagnosis, mode of transmission, sexual orientation, religious and cultural stigma, and hardiness. Implications for possible interventions are also posited.     

题目因素分析：基于SEM和基于IRT的两类方法

心理和教育测量一般只能达到顺序量表的水平,其测量数据与被测因子间并非简单线性关系。题目因素分析是用来描述测量题目与因子间非线性关系的统计模型。题目因素分析主要有基于结构方程模型和基于项目反应理论两类方法,两类方法之间存在紧密的联系,甚至可以看作是同一模型的两种表现形式。本文详细阐述了该关系,同时对两类方法在参数估计、模型拟合指标、测量一致性检验和支撑软件等方面的特点进行了分析和比较,以便研究者选择最为适合其研究的方法。