A brief introduction to the work of Jean Laplanche

The author proposes an introduction to the work of Jean Laplanche, a well‐known figure of psychoanalysis who recently passed away. He foregrounds what he views as the three main axes of Laplanche's work: firstly, a critical reading method applied to Freud's texts; secondly, a model of psychic functioning based on translation; and, thirdly, a theory of general seduction. Far from being an abstract superstructure, the theory of general seduction is firmly rooted in the analytic situation, as the provocation of transference by the analyst best illustrates. The analytic situation indeed consists in a revival and a reopening of the ‘fundamental anthropological situation’ which, according to Laplanche, is the lot of every human baby born in a world where he or she is necessarily exposed to the enigmatic and ‘compromised’ messages of the adult other. Thanks to the process of analytic de‐translation, the analysand is therefore granted an opportunity to carry out new translations of the other's enigma – translations or symbolizations that might be more inclusive and less rigid than the pre‐existing ones. Incidentally, such a model brings together the purely psychoanalytic and the psychotherapeutic aspects of the treatment.     

Limitations of the Mnemonic-Keyword Method

The effectiveness of the mnemonic-keyword method was investigated in 4 experiments in which participants were required to learn the lst-language (L₁, Spanish) equivalents of a list of 30 2nd-language words (L₂, Latin). Experiments 1 (adolescents) and 2 (adults) were designed to assess whether the keyword method was more effective than the rote method; the researcher supplied the keyword, and the participants were allowed to pace themselves through the list. Experiments 3 (adolescents) and 4 (adults) were similar to Experiments 1 and 2 except that the participants were also supplied with a drawing that illustrated the relationship between the keyword and the L₁ target word. All the experiments were performed with groups of participants in their classrooms (i.e., not in a laboratory context). In all experiments, the rote method was significantly more effective than was the keyword method.     

Comparing Delay Discounting Rates When Using the Fill-in-the-Blank and Multiple-Choice Methods

Several methods have been devised to measure delay discounting. The present study recruited university students to complete a delay-discounting task involving five different outcomes (finding a dating partner, free cigarettes, winning $100,000, being owed $100,000, and obtaining one's ideal body image) that was administered using either the fill-in-the blank (FITB) or multiple-choice (MC) method. Results showed that the different administration methods sometimes produced significantly different rates of discounting, the direction of which differed by outcome. Hyperbolic discounting and the area under the discounting curve were nearly always significantly correlated when the FITB method was used but were never significantly correlated when the MC method was used. Discounting across the five outcomes produced a two-factor solution when the FITB data were factor analyzed. The MC data were described by a one-factor solution. The present results illustrate that procedural variables have a potentially profound impact on delay-discounting data, and generalizing from studies on delay discounting should be done with caution until those variables are fully understood.     

The Roles of Explanation and Feedback in False Belief Understanding: A Microgenetic Analysis

The authors examined effects of feedback and explanation on false belief performance. Thirty-three children (42–54 months; 15 girls, 18 boys) were randomly assigned to four treatment conditions: explanation, feedback, feedback researcher explains, and feedback child explains. Children completed false belief tasks during pretraining, 8 training sessions, and posttraining across 6 weeks. Language comprehension was assessed at pretraining. The authors hypothesized that children would improve most when training involved feedback and explanation. Generalized estimating equations modeling was used to analyze the data. Children who received feedback and generated explanations for characters’ false beliefs improved across training sessions more so than children in other conditions. Children's explanations for false beliefs also were explored. Implications of the findings are discussed.     

OCCUPATIONAL AND INDUSTRIAL THERAPY

No abstract available for this article.     

Utilization of Individual versus Family Therapy Among Adolescents with Severe Emotional Disturbance

Service utilization patterns among children with severe emotional and/or behavioral disturbances are described for 89 children and families, interviewed at two time points across a 6-month period. Children received a greater number of individual therapy sessions than family therapy sessions, and children significantly decreased their levels of internalizing and externalizing behaviors. Family therapy was associated with decreases in internalizing behaviors when children reported outcomes. Individual therapy was not associated with changes in either internalizing or externalizing behaviors regardless of reporter. Symptom severity did not dictate whether children were provided individual or family therapy. Recommendations for individualized treatment plans are offered.     

Psychophysiological Arousal and Perceived Support during Couple Support Interactions: The Role of Attachment Anxiety and Avoidance

Abstract

Couple support processes—typically occurring in the context of non-relationship distressing issues—are crucial to our understanding of relationships (Pasch, Bradbury, & Sullivan, 1997 Pasch, L. A., Bradbury, T. N., & Sullivan, K. T. (1997). Social support in marriage: An analysis of intraindividual and interpersonal components. In G. R. Pierce, B. Lakey, & I. G. Sarson (Eds.), Sourcebook of social support and personality (pp. 229–256). New York, NY: Plenum Press.[Crossref] , [Google Scholar]). These couple support processes influence important relationship outcomes, including relationship satisfaction and longevity (i.e., Collins & Feeney, 2010 Collins, N. L., & Feeney, B. C. (2010). An attachment theoretical perspective on social support dynamics in couples: Normative processes and individual differences. In K. T. Sullivan, & J. Davila (Eds.), Support processes in intimate relationships (pp. 89–120). New York, NY: Oxford University Press.[Crossref] , [Google Scholar]). In this study, we examined 51 couples’ support perceptions and physiological arousal during individually distressing support conversations. Using dyadic data analysis, results reveal important findings in terms of avoidant attachment and couple support perceptions. Additionally, significant results were found between attachment anxiety and psychophysiological arousal. Implications of the current findings for couple relationships and therapy are discussed.     

Chaotic attractors in the therapeutic system 1

Because little research had been done on the presence and role of latent communication in the context of team‐conducted family therapy, the writers set out to monitor unconscious responses generated under these conditions. Specifically, they investigated an ongoing family treatment situation conducted according to the “reflecting team model.” One team of therapists handles the actual treatment session, while the other observes from behind a one‐way mirror. During the course of a session, the second team makes suggestions to the treatment team either by telephone or by calling the therapists out of the treatment room.

As the project developed, the writers found that the unconscious responses of both family and treatment teams indicated a process at work beyond the conscious intentions of the participants. That is, the therapeutic enterprise was functioning as a dynamical system, whose increasing complexity suggested a self organizing principle at work. This paper traces the development of the system's movement toward greater complexity, identifies the specific interventions that indicate this process, describes how all participants demonstrated a high degree of resonance and synchronization with this overarching‐self organizing pattern. This paper serves to alert therapists to the role of unconscious communication within the therapeutic system and postulates that the generation of form within psychotherapy follows many of the same self organizing processes found in other human and non human systems.     

APP conference summary

This is an account of the extended assessment of a 22-year-old man who was initially sent for a court report, having been accused of setting fires. He had a history both of delinquency and, importantly, of childhood asthma. Although he proved unable to engage in psychotherapy, some management was provided, such as Winnicott advocates in cases of delinquency. This paper explores the symbolic meanings and functions of the patient's delinquent acts, drawing upon theoretical concepts from Freud, Aichhorn, and Deutsch. Of particular importance is the link between this patient's delinquency, his asthma, and the unresolved mourning for his dead mother which he carried not simply for himself but for his whole family.     

The development of a brief group intervention (Dynamic Interpersonal Therapy) for patients with medically unexplained somatic symptoms: a pilot study

The primary aim of this equivalence study was to compare the outcome of a brief group therapeutic intervention, based on the principles of dynamic interpersonal therapy (DIT) with an intervention based on cognitive behavioural therapy (CBT) in patients suffering from medically unexplained somatic symptoms (MUSS). Participants were 89 patients (aged 18 to 62) who were offered 20 sessions of either DIT or CBT, as central part of a treatment package, consisting of art therapy, psychomotor therapy, social therapy and physical therapy. Measurements were conducted at baseline, 10 weeks and 20 weeks, using self-rating scales measuring the level of anxiety and depression, the severity of medically unexplained symptoms and quality of life. Results showed that CBT and DIT were comparable. The conclusion was that it is recommended to design a larger scale randomised controlled trial to further elaborate the short-term and long-term effects of this novel psychodynamic group therapy for MUSS patients.