The stalking of psychotherapists by current or former clients: Beware of the insecurely attached!

Abstract

A survey of psychological therapists who worked in primary care showed that the incidence of psychotherapists being harassed or stalked by their current or former clients was more than twice the national average at 24%. The stalkers fell into three broad categories: those clients who were needy and made early attachments to their therapists; those experiencing erotic transference; and those with personality disorders, especially those with a narcissistic style. All of these are disorders of attachment. This paper discusses the neurobiological development of an insecure attachment and how that manifests during therapy in stalking behaviour. Psychotherapists who are aware of the dynamics within the therapeutic relationship can take preventative steps to inhibit the automatic fear response of a client who is insecurely attached and which may lead to stalking behaviour.

A survey of psychological therapists who worked in primary care showed that the incidence of psychotherapists being harassed or stalked by their current or former clients was more than twice the national average at 24%. The stalkers fell into three broad categories: those clients who were needy and made early attachments to their therapists; those experiencing erotic transference; and those with personality disorders, especially those with a narcissistic style. All of these are disorders of attachment. This paper discusses the neurobiological development of an insecure attachment and how that manifests during therapy in stalking behaviour. Psychotherapists who are aware of the dynamics within the therapeutic relationship can take preventative steps to inhibit the automatic fear response of a client who is insecurely attached and which may lead to stalking behaviour.     

Toward a Reconstruction of Medical Morality

At the center of medical morality is the healing relationship. It is defined by three phenomena: the fact of illness, the act of profession, and the act of medicine. The first puts the patient in a vulnerable and dependent position; it results in an unequal relationship. The second implies a promise to help. The third involves those actions that will lead to a medically competent healing decision. But it must also be good for the patient in the fullest possible sense. The physician cannot fully heal without giving the patient an understanding of alternatives such that he or she can freely arrive—together with the physician—at a decision in keeping with his or her personal morality and values. In today's pluralistic society, universal agreement on moral issues between physicians and patients is no longer possible. Nevertheless, a reconstruction of professional ethics based on a new appreciation of what makes for a true healing relationship between patient and physician is both possible and necessary.     

Social skills and sex‐role functioning in borderline personality disorder: relationship to self‐mutilating behavior

This study compared the social skills functioning and sex role affiliation of female inpatients diagnosed with borderline personality disorder who engaged in self‐mutilating behavior (n?=?30) with female patients with borderline personality disorder who did not engage in such behavior (n?=?18). Patients with borderline personality disorder who engaged in self‐mutilating behavior were found to have relatively poorer skills in communicating non‐verbal emotional information to others and in receiving and interpreting such information from others. In terms of sex role orientation, patients who engaged in self‐mutilating behavior were significantly more likely than non‐mutilators to be typed as undifferentiated using the Bem Sex Role Inventory. These participants were less likely to identify with either masculine or feminine sex roles. Patients who did not self‐mutilate were found to be significantly more likely than those who did self‐mutilate to identify with the masculine sex role.     

人格判断的准确性:特质特性的作用

特质特性是影响人格判断准确性的重要调节变量。已有的研究表明,可观察性高的特质容易判断,判断的准确性和一致性也更高;特质的可评估性干扰了自我知觉的准确性,与中性特质相比,可评估性特质的自我—他人一致性更低;与清晰特质相比,模糊特质的自我—同伴判断间的一致性更低,且随特质模糊性的增加而递减。不仅如此,特质特性经常与其他因素如熟悉度交互作用于人格判断的准确性,在考查特质特性的作用时,必须提高研究的生态效度,将该变量与特性匹配、特质分类、个体差异及文化差异等因素综合起来考虑。     

智慧:结构、类型、测量及与相关变量的关系

智慧是个体在其智力与知识的基础上,经由经验与练习习得的一种德才兼备的综合心理素质,包括聪明才智与良好品德两大成份.智慧可分为常规智慧与应变智慧、群体智慧与组织智慧、个人智慧与一般智慧、德慧与物慧等,可用三维智慧量表、自我评估智慧量表以及智慧发展量表等进行测量,并与年龄、性别、文化、教育、人格、思维方式、智力等存在重要关联.今后应该深入探究智慧的概念与结构,拓展其研究方法、测量工具与教育策略以及开展中国化研究.     

Fear response to dissociation challenge

Abstract

Participants (N = 101) scoring high or low on a new scale for assessing fear of dissociative sensations (Dissociation Sensitivity Index) underwent an audio/visual sensory challenge using a device called the D.A.V.I.D. Participants' report of subjective fear and level of dissociation were measured before and after completing the audio/visual sensory challenge. Consistent with prediction, participants scoring high on the DSI responded to the challenge with significantly greater increases in subjective fear and dissociative symptoms relative to those scoring low on the DSI. Contrary to prediction, the DSI performed poorer than the Anxiety Sensitivity Index in predicting participants' response to the audio/visual sensory challenge. Theoretical and clinical implications of the findings are discussed.     

The Role of Rape Myth Acceptance and Psychopathy in Sexual Assault Perpetration

Perpetrators of sexual aggression consistently report higher scores on measures of psychopathy and acceptance of rape myths relative to nonperpetrators. However, less is known about psychopathy among nonincarcerated individuals and the relation between the two constructs has not been empirically examined among college perpetrators. To address this gap, both constructs were measured in a sample (N?=?308) of college men. Rape myth acceptance was positively correlated with psychopathy, and perpetrators scored higher on both constructs. Myths transferring responsibility to victims were related to Factor 1 psychopathy (i.e., callous and manipulative traits). The myth that “rape is trivial” was associated with Factor 1 and Factor 2 (i.e., impulsive and antisocial behavior), possibly suggesting that this myth is related to a larger tendency to excuse aggressive behavior. Although both constructs distinguished perpetrators when considered individually, rape myth acceptance did not explain unique variance in the presence of psychopathy.     

History and Analysis of Delayed Discovery Statutes of Limitations in Adult Survivor Litigation

Summary

In this chapter, attorney Mary R. Williams examines how while Childhood Sexual Abuse (CSA) cases share many of the types of facts for which delayed discovery, mental incapacity, equitable estoppel and other legal statutes of limitations doctrines were created, the combination of factors of CSA cases, including unusual social dynamics and long-term psychological effects, does not fit exactly with any of these legal doctrines. She explores the historical development of delayed discovery statutes of limitations, evaluates the different types of statutes and case law, and analyzes the problematic use of the concept of repression in legislation. This chapter interprets her ground-breaking state-by-state tabulations of delayed discovery statutes of limitations and reported appellate decisions on limitations in CSA actions, published in this volume as appendices A, B, and C.     

Predictors of Relational Aggression and the Moderating Role of Religiousness

Predictors of relational aggression and the moderating role of religiousness on associations between relevant predictors and relational aggression were examined in a sample of 244 university students. Increased childhood relational aggression, increased adult relational victimization, lower agreeableness, and lower emotional stability significantly predicted increased adult relational aggression. Prayer moderated the relationship between agreeableness and adult relational aggression and the association between relational victimization and aggression, and religious service attendance moderated the relationship between emotional stability and relational aggression. Results are discussed in terms of the higher level latent personality constructs of self-regulation and communion, which suggest a potential protective function for religiousness in association with relational aggression.