The 'black hole' in the inner universe

Summary The metaphor of the 'black hole' has been borrowed from astronomy in order to describe certain phenomena occurring in work with autistic and psychotic children. This metaphor is different from Tustin's concept of the 'black hole'. I shall attempt to describe another phenomenon: not that of the hole in the self, resulting from premature separation, but the hole in the object that the autistic or psychotic child is relating to - or, rather, turning away from. I describe an autistic boy's need to protect himself against the catastrophic experience of relating to an object with such a hole in its mind. That is a particular kind of a depressed object which emits deadness, instead of the lively, responsive affect that the child should get in communication. It is not an intrusive object, but it sucks in and drowns energy. If the experience of relating to the 'black hole' in the object happens early and in such a powerful way that the child's energy feels insufficient to defend against it in any way, then the fear of annihilation becomes so strong that it may lead to the wiping out of the whole internal universe in order to escape its deadly gravitational pull. Only when a different kind of relationship gets internalized, through therapy, with an object that contains and returns life and energy, can the mind grow enough to be able to communicate the other, darker side of the relationship from which it has closed itself away.     

Training in health psychology: An international look

With the progression of health psychology as a new field in psychology specific training programs are more and more needed. A survey of the training situation of health psychology in Northern America, Europe, Australia, and New Zealand highlighted a lack of formalized training programs in most countries except the United States and Canada, as well as an enormous variety between countries on standards of training, and on the differentiation of health psychologists from clinical psychologists.

For the qualification of health psychology as an independent psychological discipline a plea is made for international standardization of quality control and suggestions for the content of formalized training programs in health psychology are given.     

Issues in training clinical health psychologists

The author describes general issues in the training of clinical health psychologists and provides an overview of specific content needed in core health psychology and clinical health psychology assessment and intervention. Special attention is given to training in professional, personal, ethical and legal issues of practice.     

Smoking,self-regulation and moral positioning: A focus group study with British smokers from a disadvantaged community

Smoking in many Western societies has become a both moral aand health issue in recent years, but little is known about how smokers position themselves and regulate their behaviour in this context. In this article, we report the findings from a study investigating how smokers from an economically disadvantaged community in the East Midlands (UK) respond to concerns about the health impact of smoking on others. We conducted ten focus group (FG) discussions with mixed groups (by smoking status and gender; N?=?58 participants) covering a range of topics, including smoking norms, self-regulation, and smoking in diverse contexts. We transcribed all FG discussions before analysing the data using techniques from discourse anlysis. Smokers in general positioned themselves as socially responsible smokers and morally upstanding citizens. This position was bolstered in two main ways: ‘everyday accommodation’, whereby everyday efforts to accommodate the needs of non-smokers were referenced, and ‘taking a stand’, whereby proactive interventions to prevent smoking in (young) others were cited. We suggest that smoking cessation campaigns could usefully be informed by this ethic of care for others.     

Psychobiography in psychology: Past,present, and future

The present article reviews the history and emerging trends in the field of psychobiography. Five historical periods are highlighted: hagiography and pre-19th century study of lives; Freud and applied psychoanalysis; psychodynamic extensions and personology; modern multi-theoretical models; and psychobiography as interdisciplinary science. The author advocates for a science of psychobiography manifested in expanded and empirically validated theoretical models anchoring research. Further, attention is drawn to the need for more rigorous historiographic research methods weighting first-person sources and incorporating mixed methods designs. Increased attention to ethical and legal issues in the conduct and reporting of psychobiographical studies is also highlighted. Finally, emerging trends in psychobiography related to research production, academic training, and organisational initiatives are presented.     

Internet Infidelity

SUMMARY

We used a multi-phase Delphi methodology to identify and explore critical issues, interventions, and gender differences in the treatment of Internet infidelity. We developed three representative vignettes related to Internet infidelity and asked twenty experts in extramarital affairs and/or sex addiction to respond to them, both through ratings and open-ended comments. We found little agreement among the experts. We discuss the unique features of Internet relationships, the areas of agreement and disagreement that we found among the experts, and the implications of our findings and the nature of Internet infidelity for both practice and training in marriage and family therapy.     

Testing Cognitive and Emotion-Focused Models of Worry in Black and White Samples

Several models have been proposed to conceptualize worry. Broadly, the models can be classified as cognitive (including the Avoidance Model, the Intolerance of Uncertainty Model, and the Metacognitive Model) and emotion-focused (including Emotion Dysregulation and Acceptance-Based models). Although these models have received strong empirical investigation in primarily non-Hispanic White samples, no known study has examined the applicability to racial and ethnic minority groups. The current study compared the proportion of variance explained by cognitive and emotion-focused models of worry in White and Black samples. Results indicated that cognitive and emotion-focused models significantly predicted worry in both Black and White samples. However, the overall amount of variance in worry explained by the models was less for Black samples. Specifically, controlling for gender, the cognitive models explained 53% of the variance in worry in the White sample compared with 19% in the Black sample. Similarly, the emotion-focused models explained 34% of the variance in worry in the White sample but only 13% in the Black sample. These findings suggest that well-established conceptual frameworks for worry failed to explain the bulk of the variance in worry in Black samples, leaving much unknown. Additional research is needed to identify key variables that may further explain worry in ethnic minority samples.     

Vicarious Trauma in Social Workers: The Role of Trauma History,Social Support,and Years of Experience

Vicarious trauma, a disruption in schemas and worldview often accompanied by symptoms similar to those of posttraumatic stress disorder, occurs as a result of chronic secondary exposure to traumatic material. The aim of this study was to examine the role of personal trauma history, social support, and experience level in the development of vicarious trauma among licensed social workers in Maryland (N = 160). Results indicated an increase in social support and in experience level of social workers predicted less severe vicarious trauma. In addition, an interaction effect between trauma history and social support trending on significance indicated higher levels of social support might help protect those without a trauma history but not those with a trauma history against vicarious trauma. Research and clinical implications are discussed.     

The Universality of Childhood Emotional Abuse: A Meta-Analysis of Worldwide Prevalence

This comprehensive meta-analysis combined prevalence figures of child emotional abuse reported in 29 studies, including 46 independent samples with a total of 7,082,279 participants. The overall estimated prevalence was 3/1,000 for studies using informants and 363/1,000 for studies using self-report measures of child emotional abuse. Procedural factors seem to exert a greater influence on the prevalence of childhood emotional abuse than sample characteristics and definitional issues, without fully explaining the vast variation of prevalence rates reported in individual studies. We conclude that child emotional abuse is a universal problem affecting the lives of millions of children all over the world, which is in sharp contrast with the United Nation's Convention on the Rights of the Child.