Working Through Countertransference: Navigating Between Safety and Paranoia for a Client With Complex Trauma History and Borderline Personality Organization

The aftermath of complex trauma deeply impacts one's self-organization and interpersonal relationships, often resulting in clients who present to therapy with borderline characteristics and are typically labeled as difficult to treat. Further clinical complications with paranoid features may quickly place the therapist at a loss with respect to managing perceived and/or actual threats to client safety. Using psychodynamic theories, especially Kleinian understandings of psychosis and Winnicottian approaches to early disturbance and its impact on the emergence of self, this article provides a detailed case illustration that explores how a critical reflection of countertransference as “enactment,” “communication,” and “imagination” can help the therapist to understand the client's unconscious symbolic psychic struggles and to guide treatment selections in the therapy process.     

自我损耗对工作场所安全的影响及缓解途径

员工安全行为是工作场所安全的重要保障,而自我控制资源损耗会对安全行为产生负面影响。研究拟借鉴自我控制资源有限模型,结合行为和生理指标,探讨工作要求和辱虐管理通过损耗个体自我控制资源对安全行为的影响,并从特质自我控制和自动化安全趋近倾向两个角度探索上述效应的缓解机制。此外,研究拟采用心率变异性作为自我损耗的生理测量。研究有助于从自我控制资源的角度理解员工不安全行为的影响因素、发生机制和缓解方法。     

Self-concept clarity buffers the impact of societal threat to safety on right-wing authoritarianism

Exposure to societal threat can elicit an increase in right-wing authoritarianism (RWA). In this study, using a quasi-experimental vignette design (Italian community sample, N = 86), we tested the moderating role of self-concept clarity (SCC). A moderated regression showed that manipulated societal threat to safety fostered RWA only among low SCC scorers. It is concluded that SCC is an important resource for individuals facing threat conditions.     

医学实验室安全问题及其防范对策

提出了具有专业特殊性与复杂性的医学实验室安全问题,并据医学实验室的多种功用、自身特点,阐述了医学实验室安全问题的范畴,同时对可能发生的安全问题作了初步的分类,并着眼于多方位、多层面,较系统地论述了医学实验室安全问题的防范对策.     

到底路有多长--对干细胞移植治疗研究的一点思考

目前干细胞研究的争论主要集中于干细胞研究的过程和方式,诸如干细胞来源以及被提取干细胞的胚胎的权利与地位等伦理问题是争论的焦点所在,而对于研究的最终目的是治病而非克隆人则少有争议.然而在伦理问题等争论相对较小的干细胞应用研究领域,就应用于人的技术层面而言还有很多问题有待解决.安全性(safety)和有效性(efficacy)原则是目前公认的干细胞临床应用研究的基准.干细胞移植治疗最终应用于临床可能还有相当一段路程要走,无论是研究者还是伦理学家以及社会舆论和普通百姓在其中都应当并可以发挥积极的作用.     

Judgments of mean speed and predictions of route choice

How are driving speeds integrated when speeds vary along a route? In a first study, we examined heuristic processes used in judgments of mean speed when the mean speeds on parts of the trip varied. The judgments deviated systematically from objective mean speeds because the distances driven at different speeds were given more weight than travel time spent on the different distances. The second study showed that when there was a 10–15 min pause during a travel the effect on the mean speed decrease was underestimated for driving speeds of 90 km/h and higher. In the third study, the objective mean speeds and the subjective biased mean speed judgments were used to predict choices between routes with different speed limits. The results showed that subjective judgments predicted decisions to maximize mean speed significantly better than objective mean speeds. Finally, some applied and basic research implications of the results were discussed.     

Rethinking safety behaviors in insomnia: examining the perceived utility of sleep-related safety behaviors

Harvey's cognitive model of insomnia (2002a) proposes that sleep-related safety behaviors play a central role in the maintenance of insomnia because such maladaptive coping strategies are thought to reinforce threat-based appraisals of the likelihood and consequences of poor sleep. Research to date has assessed the frequency of safety behavior use in those with insomnia only; however, in addition to the frequency of occurrence, the function of safety behaviors (i.e., a belief that they will prevent a feared outcome from occurring), may be an important consideration. The purpose of this study was to examine sleep-related safety behaviors based on an expanded theoretical understanding of such behaviors across psychological disorders; that is, by examining both their frequency and perceived utility. Undergraduate students (N = 376) completed an online survey about their sleep, mood, and use of sleep-related safety behaviors. Insomnia severity was associated with a greater perceived need to use safety behaviors (i.e., utility) but not with frequency of safety behavior use. Higher perceived utility of safety behaviors was also associated with unhelpful beliefs about sleep, fear and avoidance of fatigue, and both general and sleep-specific helplessness. These results suggest that these behaviors and the associated underlying maladaptive beliefs may be important targets in cognitive behavioral therapy for insomnia. The current study extends the existing literature and refines the concept of safety behaviors in insomnia to include both the function and frequency of these behaviors.     

The effects of prompting and reinforcement on safe behavior of bicycle and motorcycle riders

A reversal design was used to evaluate the effects of vocal and written prompts as well as reinforcement on safe behavior (dismounting and walking bicycles or motorcycles on a sidewalk) on a university campus. Results indicated that an intervention that consisted of vocal and written prompts and reinforcement delivered by security guards was effective at increasing safe behavior exhibited by bicycle and motorcycle riders. No differences were observed between vehicle type or gender with regard to engagement in safe behavior.     

The effects of a rectangular rapid-flashing beacon on vehicle speed

In 2008, nearly 31% of vehicle fatalities were related to failure to adhere to safe vehicle speeds (National Highway Traffic Safety Administration [NHTSA], 2009). The current study evaluated the effect of a rectangular rapid-flashing beacon (RRFB) triggered by excessive speed on vehicle speed using a combined alternating treatments and reversal design. The percentage of vehicles traveling above 41 mph (66 km per hour) decreased by 20%, and speed distributions showed a shift toward lower speeds during the RRFB condition.