Teen Dating Abuse: A Paradigm for Mental Health Counselors

Teen dating abuse (TDA) is a serious public health problem affecting almost half of all adolescents in the United States. Because of the developmental characteristics of adolescence such as identity confusion and rejection of adult authority figures, counseling adolescents who are experiencing TDA can be particularly challenging. This article describes the types of abuse, the early warning signs of abuse, and effective strategies that mental health counselors can use to counsel and educate teen victims of TDA and others.     

A forced-attention dichotic listening fMRI study on 113 subjects

We report fMRI and behavioral data from 113 subjects on attention and cognitive control using a variant of the classic dichotic listening paradigm with pairwise presentations of consonant-vowel syllables. The syllable stimuli were presented in a block-design while subjects were in the MR scanner. The subjects were instructed to pay attention to and report either the left or right ear stimulus. The hypothesis was that paying attention to the left ear stimulus (FL condition) induces a cognitive conflict, requiring cognitive control processes, not seen when paying attention to the right ear stimulus (FR condition), due to the perceptual salience of the right ear stimulus in a dichotic situation. The FL condition resulted in distinct activations in the left inferior prefrontal gyrus and caudate nucleus, while the right inferior frontal gyrus and caudate were activated in both the FL and FR conditions, and in a non-instructed (NF) baseline condition.     

The uses of humor in life,neurosis and in psychotherapy: Part 2

Abstract

The first part of the paper focused on the dynamics of wit in life, literature, and psychoanalysis; the second part of this paper is devoted to the use of humor in therapy. The central concept is Freud's psychoanalytic method, as distinguished from Freud's various theories of disorder, or neurosis, with a further elaboration of Freud's inherently interpersonal conception of the analytic process, already present in the cathartic phase of the therapeutic technique. The cathartic, or discharge, function of humor is connected to reciprocal free association (a term coined by the author) to define the mutual and reciprocal free association in analysand and analyst, playing an essential role in the genesis of insight and interpretation. Humor has its role in loosening repression, facilitating the emergence of unconscious emotions and ideas, bringing to light character defenses, and thus driving the process of analysis.     

Some psychoanalytical experiences with the new fertility techniques

Abstract

The contingencies in life histories of one male and two female patients of their wish to engage in new techniques for fertility and procreation are explored. Remarkable denial strategies defending narcissistic vulnerabilities were found in all cases. Although they are in fact quite stressful and at best moderately succesful the new medical-technical solutions can acquire magic qualities warding off unresolved conflicts around omnipotence and gender differentiation. In the treatment-process transference undergoes distinct shifts in quality, intensity as well as object when oedipal and pre-oedipal conflicts tend to be acted out with the administering physician. As to the fate of the psychic development of children begotten in these new forms of procreation and parenting, e.g. lesbian couples, much is yet unclear; though complex and fluid defenses coloured by denial and magical qualities towards the father introject have been observed.     

Using Dichotic Listening to Study Bottom-up and Top-down Processing in Children and Adults

The study examined top-down attention modulation of bottom-up processing in children and adults under conditions of varying bottom-up stimulus demands. Voiced and unvoiced consonant-vowel syllables were used in a dichotic-listening situation to manipulate the strength of the bottom-up stimulus-driven right ear advantage when subjects were instructed to focus attention on, and report, either the left or right ear stimulus. We predicted that children would differ from adults in their ability to use attention to modulate a lateralized ear advantage, and particularly when there was a conflict between the direction of the bottom-up ear advantage and the direction of the top-down attention instruction. Thirty children and 30 adults were presented with dichotic presentations of consonant-vowel syllables. The results showed that the voicing manipulation affected the strength of the ear advantage, and that the children performed significantly below the adults when the voicing parameter caused a strong conflict between bottom-up and top-down processing. Thus, children seem to lack the cognitive flexibility necessary to modulate a stimulus-driven bottom-up ear advantage, particularly in situations where right ear advantage (REA) is enhanced by the acoustic properties of the stimuli and attentional demands require a left ear shift. It is suggested that varying the stimulus demands in a dichotic-listening situation may be a novel way to study cognitive development.     

Proactive and reactive sequential effects on selective attention

Sequences of events can affect selective attention either through proactive mechanisms, through reactive mechanisms, or through a combination of the two. The current study examined electrophysiological responses to both prime and target stimuli in a primed dichotic listening task. Each trial presented a distractor prime syllable followed by two simultaneous syllables, and participants were asked to report one of the simultaneous syllables. Trials where the participant reported the non-primed syllable showed more negative event-related potentials at prime presentation, which may indicate inhibition of the prime representation. Trials where the participant reported the primed syllable showed more negative event-related potentials at target presentation, which may indicate cognitive conflict and effortful response selection. In context of current theories, the data suggest that the interplay of a proactive inhibition bias and a reactive potential for conflict is involved in causing sequential effects on selective attention mechanisms.     

Passive leadership,role stressors,and affective organizational commitment: A time-lagged study among health care employees

IntroductionThis study examines the relationships of passive leadership and role stressors to affective organizational commitment among hospital employees.ObjectiveThis study's objective was to understand the mediating effect of role stressors (conflict, overload, and ambiguity) in the relation between passive leadership and affective organizational commitment.MethodWe used a structural equation modeling approach on a sample of 185 hospital employees and a time-lagged design in which predictor and mediators were assessed at Time 1 and affective organizational commitment was obtained 3 years later.ResultsFindings revealed that passive leadership was positively related to all three role stressors and that role ambiguity fully mediated a negative relationship between passive leadership and affective organizational commitment. Moreover, the relationship between passive leadership and role conflict was stronger when role overload was high.ConclusionThis study suggests organizations should strive to limit the emergence of passive leadership behaviors among supervisors due to their detrimental effects on the long-term development of affective commitment via role ambiguity.     

Stories of crime,stories of suffering: A narrative perspective on ethical issues in criminal justice counselling

Counsellors working with prisoners often listen to stories that are both stories of crime and stories of suffering. From a criminal justice perspective, the suffering of offenders is deliberately inflicted as punishment. From a counselling perspective, however, responding to the suffering of a client and even trying to relieve it is a basic ethical concern. So counsellors, working with offenders, may face the ethical question of how to integrate a response to the suffering of offenders with a response to crime, especially when confronted with stories of cruel, violent crimes. In this paper, it is argued that a narrative perspective on counselling offers a framework in which these responses may be integrated. Here, the principle of recognizing privileged authorship of persons is crucial. The concepts of ‘double listening for implicit others’ and ‘relationally rich stories’ are developed, which are based on concepts and ideas from narrative therapy. These serve as a first step of translating the narrative ethical framework to counselling practice.