An application of bi‐logical theory to the study of psychic change and mourning4

The authors propose that the process of psychic change involves the ‘working through’ of mourning for the loss of ‘theories of life’ that are based on narcissistic omnipotent beliefs. These theories need to be changed by other more realistic ones regarding how to resolve the inherent and natural problems of existence. Questioning the ‘truth’ of these theories of life, as well as the acquisition of the perception of the existence of time, makes up part of the process referred to, and this applies to the analyst in a certain way as much as to the patient. Such problems are lived, re‐edited and revised in the transference/countertransference relationship. The authors present a clinical illustration. They explore the concepts of symmetry, asymmetry, homogenization and differentiation in MatteBlanco's bi‐logical theory and propose that these are important to the comprehension of the dynamic of the psychic changes which occur in a non‐static analytic process.     

Less negative=more positive? Social discrimination as avoidance or approach

A motivational approach to ingroup favoritism based on regulatory focus theory (RFT; Higgins, 1997) is introduced. RFT suggests that individual self-regulation is either more concerned with approaching positive events (promotion focus) or with avoiding negative events (prevention focus). It is suggested that if an individual self-categorizes as a group member, resource allocations to one’s group will be based on these mechanisms of self-regulation. Thus, a promotion focus should engender ingroup favoritism during the distribution of positive resources but not during the distribution of negative resources, whereas a prevention focus should engender ingroup favoritism for negative but not for positive resources. The results of two studies support this prediction based on momentary and chronic regulatory focus. The self-regulation approach to ingroup favoritism provides an explanation for social discrimination in the distribution of positive and negative resources.     

Reconstructing Paul Tillich's Anthropology: Multidimensional Life in Dialogue with Feminist Process Theology

Abstract: Influenced by feminist process theology, this article offers a difference‐oriented reconstruction of Paul Tillich's anthropology. The first section analyzes Tillich's anthropological reductionism at the “basis”(Grund ) of his unity‐oriented binary ontology and epistemology. The second section discloses Tillich's “reverse‐dynamics,” co‐present beside and despite of his anthropological “basis.” This concept of reverse‐dynamics prepares a new, pneumatologically and christologically deepened, “ground”(Grund ) for personhood and life as multidimensional.     

What Makes Crohn's Disease Patients Difficult to Manage? The Role of Psychosocial Factors

Most GI clinicians face the problem of a small group Crohn's Disease (CD) patients who function poorly and consume inordinate amounts of service with poor outcome. This study examines the hypothesis that psychosocial factors differentiate the CD patients who function poorly from the typical CD patient. A prototypal sample of CD patients with problems functioning, more typical CD patients (not selected for having problems in functioning), and healthy controls each completed a battery of validated psychosocial measures of disease-specific quality of life, coping skills, social support and life stress, perceived medical symptoms and life history factors. Chart data on hospital admissions, ER, GI, Surgeon, and GP visits were also collected. The CD patients with problems functioning reported more symptoms (GI and non-GI) and had many more ER, GI, and GP visits than the typical group. Psychologically, those with problems functioning had poorer quality of life and were more likely to cope using emotional discharge and support seeking. They experienced significantly more stress and reported a more chaotic family history. No differences on an experimental method of information processing biases were found between the CD groups, however. These results indicated that patients with problems functioning, selected by GI staff because they were best-case examples of functional difficulties, shared little with a matched group of typical CD patients. These patients likely require psychological as well as medical intervention to best manage their illness.     

Regrets and Subjective Well-Being: A Life Course Approach

The aim of the study was to examine age and gender differences in the contents of regrets, and the association between regrets and subjective well-being. The sample consisted of 176 participants ranging in age from 19 to 82 years. The results showed that young adults (19–29 years) named regrets related to relationships and leisure more often than middle-aged (30–54 years) and older adults (55–82 years), whereas regrets related to work and family were more salient among middle-aged and older adults. Furthermore, gender comparison revealed that regrets concerning relationships and family were more frequent among women than among men. Related to subjective well-being, results showed that regrets concerning education and work were negatively associated with life satisfaction, and depressive symptoms associated with self-related regrets.     

Accessing the multitude within: A psychoanalytic perspective on the transformation of masculinity at mid‐life1

This paper reflects upon the essential components of male identity that commonly are reworked in middle age. The author argues that healthy masculine gender identity involves an ongoing, plastic process of destabilization and reconstruction at various pivotal developmental stages, particularly during middle adulthood. In essence, a man's mature transformation of his sense of masculinity results when finite concepts of gender identity are superseded by an awareness of the complexity of one's multiple, early and diverse gender identifications. A clinical case provides insight into how psychoanalytic treatment can contribute to a new experience of masculinity. The case illustrates how a maturing man, meeting an altered sense of identity in mid‐life, relies less on gender splitting and more on reuniting previously antithetical intrapsychic elements. Why this more pluralistic, polythreaded masculinity frequently must wait until mid‐life is further clarified. Specific importance is attached to the early development of male gender identity as it is founded on the boy's unique struggles in separating from his mother. The foundation for male gender identity formation is reconsidered as the author questions the ‘dis‐identification’ model while explicating how the boy's striving for narcissistic completion shapes the gendered masculine ego ideal. Classically termed ‘phallicism’ is understood both to facilitate and obstruct a man's adult development, while the concept of ‘genitality’ is augmented by the postclassical notion of ‘interiority’. At mid‐life, ‘phallic’ ego ideals (resting on omnipotence, desires for narcissistic completion and gender splitting) are transformed into more realistic, ‘genital’ ego ideals (synthesizing autonomy and connection). The achievement of a mature, less sharply gendered ‘masculine’ ego ideal (revitalizing the foreclosed dimensions of both the early maternal and paternal imagos) occurs as the balance of forces shifts in the direction of true genitality rather than defensive phallicism.     

The psychopathology of everyday Vienna: Psychoanalysis and Freud's familiars

This paper examines the parapraxes made by, to or about Jewish-identifi ed individuals discussed by Freud in Psychopathology of everyday life. Each of these errors and slips is occasioned by what he terms a 'mésalliance' between a Jew and a Gentile. Such incidents of distorted language betray unresolved ambivalences and unformulated anxieties endemic to Jewish-Gentile interaction in Freud's Vienna. First, the disturbed relationships between German-speaking Gentiles and their threatening Doppelgänger, the Jews, are analyzed by means of Freud's analysis of the 'uncanny' and an examination of the particular restrictions placed upon the 'offi cially' emancipated Jews in the Habsburg Empire, especially with regard to intermarriage. Then, the paper turns to Freud's discussions of explicitly Jewish-identifi ed individuals and their limitation to illustrating parapraxes associated with what should be the most pleasurable and intimate relationships between Jew and Gentile, namely sexual and connubial relations. His focus upon this confl icted conjunction diagnosed the intrinsically problematic character of Jew-Gentile interaction in his Vienna.     

Measuring superstitious belief: why lucky charms matter

A large body of research has attempted to develop theories about the function and origin of superstitious beliefs on the basis of the psychological correlates of such beliefs. Most of this work has measured superstitious belief using the Paranormal Belief Scale (PBS). However, this scale refers solely to negative superstitions (e.g., breaking a mirror will cause bad luck) and omits items referring to positive superstitions (e.g., carrying a lucky charm will bring good luck). The two studies reported here found significant interactions between belief in negative and positive superstitions, and several individual difference measures. These findings have important implications for theory development, demonstrate that the PBS is an incomplete measure of superstitious belief, and highlight the need for future measures to include items referring to positive superstitions.     

Banding Together: New Horizons in Lifelong Music Making

New Horizons Bands are wind and percussion bands designed for both novice and former musicians over the age of 50. This article describes the Iowa City, Iowa, program from the director's observations and from excerpted comments by participants. Not only does the band program fulfill musical aspirations, but it also provides meaningful interpersonal relationships for the adult learners and their families, the college-aged instructors, and the director.     

Factors Related to the Long-Term Course of PTSD in Older Ex–Prisoners of War

This study examined relationships between socioenvironmental factors occurring in later-life and current and changing PTSD symptom levels in a sample of 177 community-dwelling World War II and Korean era ex–prisoners of war. Factors examined included negative life events, negative health events, social support, and death acceptance. PTSD was assessed at Time 1. PTSD and the later-life factors were then assessed 4 years later (Time 2). Cross-sectional analysis examined the relationship of the later-life factors to current PTSD symptomatology. Longitudinal analysis examined their relationship to changing PTSD symptomatology over the 4-year interval. Negative health changes, social support, and death acceptance were significantly related to current and changing PTSD symptomatology, but negative life events were not. The authors conclude that health and psychosocial factors that may occur in later-life can be related to PTSD symptom levels even many decades after a traumatic experience.