Between Wonder and Doubt: Psychoanalysis in the Goal-Free Zone

This paper examines the experiential dimensions of wonder and doubt as one way to articulate the creative and growth-promoting tensions between the medical/scientific model and the spiritual/mystical model. Both forms of experience, it is argued, function as necessary elements in a psychotherapy that integrates psychoanalysis and spiritual praxes. Fundamental differences between the medical/scientific model and the spiritual/mystical models are examined. The notion of the gap serves to illustrate these diametrically opposed, albeit compatible and necessary, points of view. The multifaceted layers of movement between Buddhism and psychoanalysis typify interacting dynamics between the two disciplines and provide a focal point for discussion. The paper then explores parallels between the Zen Buddhist notion of Satori as explicated in the writings of D. T. Suzuki and Wilfred Bion's notion of O. Theoretical aspects of the discussion provide a backdrop for exploring clinical experience regarding the relationship between acceptance and change, the clinical relevance of the Buddhist notions of gaining idea and basic goodness. The author also explores relationships between presence as actuality and ideal; knowing and not knowing; wonder and doubt. Clinical material supports the theoretical aspects of the discussion.     

Predictive Genetic Testing for Hereditary Breast and Ovarian Cancer: Psychological Distress and Illness Representations 1 Year Following Disclosure

This prospective study evaluates emotional functioning and illness representations in 68 unaffected women (34 carriers/34 noncarriers) 1 year after predictive testing for BRCA1/2 mutations when offered within a multidisciplinary approach. Carriers had higher subjective risk perception of breast cancer than noncarriers. Carriers who did not have prophylactic oophorectomy had the highest risk perception of ovarian cancer. No differences were found between carriers and noncarriers regarding perceived seriousness and perceived control of breast and ovarian cancer. Mean levels of distress were within normal ranges. Only few women showed an overall pattern of clinically elevated distress. Cancer-specific distress and state-anxiety significantly decreased in noncarriers from pre- to posttest while general distress remained about the same. There were no significant changes in distress in the group of carriers except for ovarian cancer distress which significantly decreased from pre- to posttest. Our study did not reveal adverse effects of predictive testing when offered in the context of a multidisciplinary approach.     

The history of Russian psychoanalysis and the problem of its periodisation

The formation and spread of the psychoanalytic teaching of Sigmund Freud and his followers is one of the most significant events in the life of the spirit in the twentieth century. The recognition of this as an historical fact--irrespective of its relation to Freud and his ideas--assumes of course and need to gain a proper understanding and appropriate interpretation of psychoanalysis in all its dimensions. Generally speaking, the history of psychoanalysis and the psychoanalytic movement has been researched quite fully, although for a variety of reasons and circumstances there are a number of gaps in it. Perhaps the most important of these is the history of Russian psychoanalysis, which has developed within a country where, at the beginning of the century, Freud's works were translated and published in a most effective and representative way, and where psychoanalytic ideas drew a response both from specialists and among the public at large, although in content and inclination the Russian mentality did not at heart suit a psychoanalytical treatment of man and his culture.     

Slow brain potentials in the CNV-paradigm

Slow brain potentials were recorded during the foreperiod of a reaction time task, and the effects of instructions governing the trade-off between speed and accuracy were investigated. One brain potential, a slow negative shift preceding S₂, was largely attenuated under accuracy instructions. It is suggested that this shift is dependent on a motor response and that its amplitude reflects the level of motor preparation. Two other brain potentials, a slow positive and a slow negative wave, seem to depend on the psychological properties of S₁. Enhanced amplitudes were found, when S₁ provides information, besides its warning function.     

Career stages: A partial test of Levinson's model of life/career stages

This study purports to test a theory of life and career stages developed by Daniel Levinson and his associates. The theory suggests four distinct stages between ages 20 and 45 each with their own developmental tasks and related behaviors and attitudes. Subjects (759 managerial, professional, and technical employees) were selected randomly from levels and departments of a major public sector employer in the midwest United States. The measure of career stage asked respondents to indicate whether they had passed through, were still in, or had not yet reached each stage as operationalized by a short vignette. Attitudinal and behavioral measures were abstracted from previously developed instruments. Only moderate support for the theory was found with little or no evidence to support the age-linked notion of these stages. Stages were found to be discriminable in terms of certain attitudes (upward mobility, career and overall job satisfaction, and job commitment) as predicted. Suggestions are given for improvements in measurement, research design, and theory refinement.