Clinical applications of Matte Blanco's thinking

Ignacio Matte Blanco (1908–1995) left very few specific indications about the applications of his theoretical notions to his interpretative style. The author shows how he uses Matte Blanco to formulate some of his own interpretations. The first part of the paper uses clinical vignettes to illustrate some of Matte‐Blanco's concepts. Their theoretical vocabulary is thus made explicit. Then two psychoanalytic sessions are discussed at greater length, together with one from a therapy, so that the use of Matte‐Blanco's notions can be seen clearly, allowing for a fresh perspective on areas of psychoanalytic theory, particularly dreams, psychopathology viewed according to the proportions of asymmetrical and symmetrical functioning in the patient's bi‐logical mental system, the multidimensionality of the unconscious, the structural unconscious, the emotion‐thought relationship, projective identification, resistance, and negative therapeutic reaction. The practical consequences of all this are elaborated, particularly the ensuing possibility of ‘thinking with the patient' in the session. This enables the patient to introject a form of mental functioning in which the asymmetrical mode is not invaded by the symmetric mode (a parallel can be seen here with the Bionian concept of dialogue between the psychotic and non‐psychotic parts of the mind).     

The case of Peter: reflections on applied ethics in a neonatal intensive care unit

The case of Peter is reflected upon in order to highlight some of the moral theorising that could be brought to bear in the process of providing palliative care for sick neonates. The situation will be discussed using the theoretical lenses of deontological and virtue ethics. Nursing practice is considered as engaged moral reasoning where the nurse brings his/her beliefs, knowledge and experience into the situation and engages in reflexivity to provide appropriate ongoing patient care. The care should be provided in culturally sensitive manner and tailored to the needs of the newborn and their family. Nurses should initiate early consultations with colleagues, medical staff and families to address concerns about patient well-being in order to enhance the well-being of patients and families and to improve the work environment making it more conducive to care.     

Developing a reflective practice model for engineering leadership

This paper advances discourse pertaining to the development of a reflective practice model in engineering leadership. It is based on reflective experiences over a four-year period that were developed as part of a Doctoral in Business Administration module. It is contextualised within an engineering consultancy and the narrative is described from an Engineering Leadership perspective; the narrative is also woven with theory and there is the inclusion of a DBA Practitioner lens on the findings. The paper identifies the model developed for reflective practice and presents evidence of personal learning and thinking styles as its outcome. The paper concludes that reflective practice is a personal journey of learning and that model development is a choice of what suits the individual.     

Teaching and learning the esoteric: an insight into how reflection may be internalised with reference to the occupational therapy profession

This paper is concerned with the ways in which reflective practice is learnt, taught and assessed within the profession of occupational therapy. It utilises individual experiences of reflection of both students and staff members in university and practice placement settings. The discussion places reflection within learning a profession’s way of being and individual learner’s relation to this ‘sense of being’. It concludes that the ‘rote’ way in which reflection is currently used to demonstrate evidence of reflective practice is detrimental to the development of a reflective professional, in this instance, an occupational therapist.     

The practice of humanitarian work psychology

Humanitarian work psychology (HWP) seeks to improve the welfare of workers who provide a broad range of support to survivors of calamities both natural and man-made. It is an emerging interdisciplinary field of practice spanning expertise from many psychological fields to promote decent work and safe work conditions for those at the forefront of acute disasters of any kind. Personnel functions and health and safety issues are critical to humanitarian service roles. Research is needed to best inform the practice of humanitarian work in a globalised world culture, including strategies to support the well-being of individuals that are involved in humanitarian work.     

Is the benefit of retrieval practice modulated by motivation?

Retrieval practice tends to produce better long-term learning than rereading, but laboratory studies have typically used arbitrary material that subjects may not care to learn. The observed advantage of retrieval practice may be exaggerated because low motivation may result in deficient processing during (usually passive) rereading. Thus, when subjects are motivated to learn the material, the type of study strategy (whether retrieval practice or rereading) might be less important. To test this hypothesis, we conducted 3 experiments in which we manipulated the incentives (using monetary bonuses or time savings) for learning Swahili–English word pairs. Items that had undergone retrieval practice were better recalled than reread items on a final test 2 days later, but this effect did not interact with incentive level. These results provide some reassurance that lab findings from the testing effects literature likely generalize to real-world situations in which motivation to learn may be greater.     

Experiences of Countertransference: Reports of Clinical Psychology Students

While historically linked with psychoanalysis, countertransference is recognised as an important component of the experience of therapists, regardless of the therapeutic modality. This study considers the implications of this for the training of psychologists. Fifty‐five clinical psychology trainees from four university training programmes completed an anonymous questionnaire that collected written reports of countertransference experiences, ratings of confidence in managing these responses, and supervision in this regard. The reports were analysed using a process of thematic analysis. Several themes emerged including a desire to protect or rescue clients, feeling criticised or controlled by clients, feeling helpless, and feeling disengaged. Trainees varied in their reports of awareness of countertransference and the regularity of supervision in this regard. The majority reported a lack of confidence in managing their responses, and all reported interest in learning about countertransference. The implications for reflective practice in postgraduate psychology training are discussed.     

Religio‐Spiritual Participation in Two American Indian Populations

Following a previous investigation of religio‐spiritual beliefs in American Indians, this article examined prevalence and correlates of religio‐spiritual participation in two tribes in the Southwest and Northern Plains (N = 3,084). Analysis suggested a “religious profile” characterized by strong participation across three traditions: aboriginal, Christian, and Native American Church. However, sociodemographic variables that have reliably predicted participation in the general American population, notably gender and age, frequently failed to achieve significance in multivariate analyses for each tradition. Religio‐spiritual participation was strongly and significantly related to belief salience for all traditions. Findings suggest that correlates of religious participation may be unique among American Indians, consistent with their distinctive religious profile. Results promise to inform researchers’ efforts to understand and theorize about religio‐spiritual behavior. They also provide tribal communities with practical information that might assist them in harnessing social networks to confront collective challenges through community‐based participatory research collaborations.