A framework and two sketches concerning psychoanalytical training and practice

The author discusses the mode of knowledge production in psychoanalysis based on a reflection on the psychoanalytical education and its relationship to clinical practice. She points out that there is a risk in a form of clinical activity found in our education, which, under the fascination of the analyst's power of operating in the metaphorical domain of words, loses sight of the material dimension of the clinical action. In other words, this form of clinical activity loses sight of the meeting with another human being, of the repertoire of theories and experiences that informs this action and the patient's and the analyst's concrete life situation. The author highlights the role of writing as a privileged way of dealing with the material and immaterial facts that constitute the clinical action and reflects on some of the forces that structure nowadays the reception of knowledge production inside the psychoanalytical field. She uses the notion of 'minor literature', by Franz Kafka, to express the possibility that a live circuit of writings exchanged among psychoanalysts can offer to an interchange of experiences and ideas that is the live expression of the history of the psychoanalytical groups. A clinical session is presented in order to promote considerations about the psychoanalytical education, theory and practice.     

Barriers to evidence-based treatment: developmental psychopathology and the interdisciplinary disconnect in school mental health practice

Reframing the role of school psychologists and related school professionals in a public health and primary prevention model represents a proactive antidote to their more traditional reactive stance to mental health problems. Two additional concepts, developmental psychopathology and complex comorbidity, are suggested as critical to complete this transition, and illustrations of these concepts for more effective school mental health services are provided.     

Advances in designing instruction based on examples

This commentary reviews the evidence for nine principles for how to design effective example-based instruction, drawing from the articles in this special issue.     

The influence of retrieval practice on metacognition: The contribution of analytic and non-analytic processes

People may change their memory predictions after retrieval practice using naïve theories of memory and/or by using subjective experience – analytic and non-analytic processes respectively. The current studies disentangled contributions of each process. In one condition, learners studied paired-associates, made a memory prediction, completed a short-run of retrieval practice and made a second prediction. In another condition, judges read about a yoked learners’ retrieval practice performance but did not participate in retrieval practice and therefore, could not use non-analytic processes for the second prediction. In Study 1, learners reduced their predictions following moderately difficult retrieval practice whereas judges increased their predictions. In Study 2, learners made lower adjusted predictions than judges following both easy and difficult retrieval practice. In Study 3, judge-like participants used analytic processes to report adjusted predictions. Overall, the results suggested non-analytic processes play a key role for participants to reduce their predictions after retrieval practice.     

Learning to Teach: The Acquisition and Maintenance of Teaching Skills

We reviewed 49 studies which used direct observation procedures to provide data on the effects of pre-service and inservice training in practical classroom teaching behaviors and skills. We found stronger effects for training packages which included classroom practice with performance feedback. The research provided conflicting evidence regarding the value of modeling, role-play, cueing systems, and contingency management components in practical skills training. The weakest training effects were those produced by microteaching, Minicourse, and protocol training packages. Twenty of the evaluations also provided follow-up data but the design of these studies did not permit any conclusions to be drawn regarding the training conditions which are necessary for the maintenance of newly acquired classroom teaching skills. We concluded that identification of the training conditions which are necessary for the maintenance of new teaching skills will require more thoughtful conceptualizations of maintenance and its measurement, and more carefully designed component analyses of those factors suggested by basic research as being necessary for maintenance.     

Attention-Deficit Hyperactivity Disorder: The Medicalization of Misbehavior

During the past decade, there has been an increase in the diagnosis and treatment of Attention-Deficit Hyperactivity Disorder (ADHD). This syndrome, typically diagnosed in childhood, is characterized by inattention, hyperactive motor behavior, and distractibility. Current prevalence rates obtained in various countries generally exceed the 3–5% reported by DSM-IV. Reasons for increased ADHD prevalence include changes in diagnostic standards, overlap between ADHD and other externalizing disorders, nonspecific behavioral criteria, and the rapid effects of stimulant medication on cognitive functioning. However, social, cultural, and economic factors may also contribute to increased diagnosis. ADHD has become a common topic in the lay media. Popular discussions of ADHD may serve as a metaphoric expression of social anxieties, particularly with respect to children. At the same time, ADHD has rapidly become incorporated into a medical model, with emphasis on pharmacological treatment. Reductions in mental health and educational services, as well as economic pressures of managed care, may also contribute to medicalization of behavioral problems. Collaboration between psychologists and primary care physicians can lead to more accurate diagnosis and appropriate treatment of ADHD and related disorders.     

Medical semiotics in the 18th century: A theory of practice?

Medical semiotics in the 18th century was more than a premodern form of diagnosis. Its structure allowed for the combination of empirically proven rules of instruction with the theoretical knowledge of the new sciences, employing the relation between the sign and the signified.     

New Philosophies of Science in North America – Twenty Years Later

This survey of major developments in North American philosophy of science begins with the mid-1960s consolidation of the disciplinary synthesis of internalist history and philosophy of science (HPS) as a response to criticisms of logical empiricism. These developments are grouped for discussion under the following headings: historical metamethodologies, scientific realisms, philosophies of the special sciences, revivals of empiricism, cognitivist naturalisms, social epistemologies, feminist theories of science, studies of experiment and the disunity of science, and studies of science as practice and culture. A unifying theme of the survey is the relation between historical metamethodologists and scientific realists, which dominated philosophical work in the late 1970s. I argue that many of the alternative cognitive naturalisms, social epistemologies, and feminist theories that have been proposed can be understood as analogues to the differences between metamethodological theories of scientific rationality and realist accounts of successful reference to real causal processes. Recent work on experiment, scientific practice, and the culture of science may, however, challenge the underlying conception of the field according to which realism and historical rationalism (or their descendants) are the important alternatives available, and thus may take philosophy of science in new directions. This revised version was published online in August 2006 with corrections to the Cover Date.     

Centering prayer’s effects on psycho-spiritual outcomes: a pilot outcome study

Centering prayer is a spiritual and religious form of meditation grounded in the history of Christian contemplative prayer. Despite its popularity, empirical research investigating centering prayer’s effects on psycho-spiritual outcomes is relative sparse. This pilot outcome study explored the effect of a centering prayer workshop on participants’ (N?=?9) depression, anxiety, stress, spiritual transcendence, religious crisis, faith development, and mindfulness. Several significant changes were noted over the course of the six-week study, including decreased anxiety and stress, and increased faith development and mindfulness. Interestingly, we noted that participants likely also experienced a spiritual or religious struggle that follows the established spiritual development paradigm called the Dark Night of the Soul. The study did not include a control group, and so did not account for effects related to history, maturation, or regression to the mean. Nevertheless, the initial results prove promising to develop more sophisticated research programmes that replicate the study’s findings.     

The intersubjectivity of spiritual experience in the art practice of people with histories of mental distress: a phenomenological study

The therapeutic outcomes gained through engaging with the art making process are well documented. Somewhat less probed are the auxiliary and sometimes enigmatic experiences of art making that impact on the sense of mental wellbeing; experiences which, by their nature, can be difficult to capture. This paper discusses such experiences, described by a group of art makers with histories of mental illness, as being spiritual in nature. A phenomenological approach using Interpretative Phenomenological Analysis (IPA) methodology was used, with Heideggerian concepts of ‘Dasein’ (There-being) and ‘Mitsein’ (With-being) informing an interpretation of the intersubjective. Such experiences were felt to be profound, and were often claimed to be accessible exclusively through an art practice that was sustained over a number of years of regular activity. The paper concludes by pointing out the difficulty in capturing evidence of sustained, non-clinical strategies for wellbeing such as those developed as an inherent part of the experiences reported here, due to their nuanced nature and the reluctance with which they may be narrated.