Incremental Validity of Cognitions in a Clinical Case Formulation: An Intraindividual Test in a Case Example

Incremental validity, the ability of a measure to predict or explain variance over and above other measures, is an important psychometric characteristic of standardized measures, but has received little attention idiographically. Idiographic assessment may be an important part of developing a clinical case formulation, guiding treatment by developing an individualized understanding of the variables that trigger and maintain distress. This study examined whether the idiosyncratic cognitive schema hypothesized by a clinician in a cognitive case formulation explained distress incrementally over that of situational triggers. Using daily ratings of situational triggers, idiosyncratic cognitions, and distress, the incremental validity of cognitions in predicting each of six distress measures was tested in a case example using dynamic time series regression. The incremental variance explained by cognitions varied across the distress measures, suggesting that, in this case example, targeting thoughts and beliefs for treatment may be important for only certain types of distress.

Dynamic Social Networks in Recovery Homes

Acute treatment aftercare in the form of sober living environments—i.e., recovery houses—provide an inexpensive and effective medium-term treatment alternative for many with substance use disorders. Limited evidence suggests that house-situated social relationships and associated social support are critical determinants of how successful these residential experiences are for their members, but little is known about the mechanisms underlying these relationships. This study explored the feasibility of using dynamic social network modeling to understand house-situated longitudinal associations among individual Alcoholics Anonymous related recovery behaviors, length of residence, dyadic interpersonal trust, and dyadic confidant relationship formation processes. Trust and confidant relationships were measured 3 months apart in U.S. urban-area recovery houses, all of which were part of a network of substance use recovery homes. A stochastic actor-based model was successfully estimated from this data set. Results suggest that confidant relationships are predicted by trust, while trust is affected by recovery behaviors and length of residence. Conceptualizing recovery houses as a set of independent, evolving social networks that can be modeled jointly appears to be a promising direction for research.     

THE ANALYST'S WAY OF BEING: RECOGNIZING SEPARABLE SUBJECTIVITIES AND THE PENDULUM'S SWING

Whether the analyst finds the patient's emerging transference affectively tolerable or intolerable plays an important role in the analytic couple's negotiation of the configuration that the transference‐countertransference relationship ultimately assumes. If the analyst is deeply repelled by transference‐related roles to which he is assigned, patient‐ascribed attributions, or projection‐drenched interactions, he may react in violent protest, engaging in enactments that say more about his separable subjectivity than about the intersubjective situation. While there has been a recent trend to view enactments as a crucial aspect of psychoanalytic technique, this trend risks overlooking the way in which the analyst's way of being comes into play in the treatment.     

基于增强现实和ERPs架构的SNARC效应展望

SNARC效应是人类空间认知的重要组成部分。限于技术手段,现有SNARC研究的理论和技术多以小尺度空间环境为基础,致使其生态效度较低。基于增强现实技术和认知神经科学范式,通过增强现实技术生成的交互情境,从核心加工系统(静态空间SNARC、动态空间SNARC、静态-动态联合SNARC)和加工特性两个方面,研究建立起基于大尺度空间环境的SNARC加工模型。为人类空间认知研究提供了更加完备的知识领域。     

Angels and devils: sadism and violence in children

This paper looks at violence and sadism in child and adolescent patients. Psychoanalytic and developmental ideas are brought together to make sense of these children’s presentations and the clinical challenges of therapeutic work with them. Differences are outlined between cold and hotter forms of aggression. The contribution of Glasser and his concept of the core complex is central to the paper, as is an understanding of addictive processes often seen in aggression, including sexual aggression.     

Effects of short-term fatigue on biomechanical and physiological aspects of double poling in high-level cross-country skiers

The study aim was to evaluate biomechanical and physiological alterations in double poling technique (DP) after a short-term fatiguing exercise. Eight high-level skiers performed a sub-maximal DP trial (20 km h⁻¹, 1°) before (PRE) and after (POST) a DP test to exhaustion while roller skiing on a treadmill. An integrated analysis of DP technique during PRE and POST included measurement of pole, joint, and centre of mass (COM) kinematics, poling forces, cycle timing, and metabolic parameters. Muscle fatigue in three upper-body muscles was assessed by calculating the Dimitrov’ fatigue index (FI_nms5) of specific electromyographic segments. FI_nms5 tended to increase in the latissimus dorsi and teres major muscles (P = 0.023 and P = 0.030, respectively) across consecutive DP cycles, as did blood lactate concentration (P = 0.001) and rating of perceived exertion (P = 0.005). The changes indicated a state of fatigue during POST and coincided with the reduction in poling force exertion capacity (P = 0.020). Pole, joint and COM kinematics did not differ between PRE and POST (P > 0.050), whereas recovery phase and cycle times were shorter at POST (P < 0.001 and P = 0.001, respectively). Short-term fatigue led to a reduction in poling force exertion capacity and cycle time in high-level skiers, without altering body and pole kinematics.     

情绪自旋及其心理健康功能

情绪自旋是度量核心情绪个体内可变性的一种非认知性的人格特质。其通常采用经验取样法或日间重构法来对个体核心情绪状态进行每日动态跟踪, 并根据测评周期内的核心情绪空间位置的矢量角度的跨时间标准差来反映个体核心情绪状态的时间波动特性。基于情绪事件理论, 日常负性事件经历及其评估导致了个体情绪自旋的产生, 而动态情绪模型进一步解释了情绪自旋对心理健康功能的阻碍作用。未来应在情绪自旋的心理健康作用机制方面进行深入研究。     

扎根理论的运用：误区与策略

扎根理论在多学科研究中呈上升趋势,但运用误区和难点制约着研究质量。基于扎根理论的核心原则剖析常见的运用误区：忽视理论生成、将系统方法论窄化为编码程序、将理论抽样混同为目的性抽样或初始抽样;将理论等同于数据;重机械编码轻备忘录写作和持续比较。总结理论抽样、理论、适宜编码、备忘录撰写和持续比较的具体策略。最后提出扎根理论运用研究应秉承扎根、融合创新,注重系统性、规范性和灵活性。     

A History Which Began to Be Told: A Clinical Case

This article aims to reflect on the possible contributions of psychoanalysis in relation to severely disturbed patients by means of the presentation of a clinical case. Beginning with the family history, the evolutionary process of the symptoms and identification movements of the patient are analysed. The observation of the transference dynamics is emphasised, showing how the desire of the analyst and his privileged listening will allow the patient some level of possible subjective structure.     

Transference and relationship: Technical Implications in the psychoanalytic process with a borderline patient

This paper reviews how the bond between the therapeutic relationship and transference is created, illustrates its technical management, and provides a basic methodology for the exploration of both transference and the therapeutic relationship. For this purpose, the current therapeutic relationship, the concept of affective dominance, the object relation triggered by transference, the past and present unconscious, and the relationship pattern (CCRT) applied to dreams will all be considered. The approach in this paper is based on an object relation conceptualization. Highlights of the theory underlying the technique will be illustrated in a succinct discussion of the clinical treatment of a borderline patient in psychoanalysis.