“Playful” therapy: working with autism and trauma

This paper proposes that psychoanalytic psychotherapy can be a helpful form of treatment for certain autistic children. Some of the misconceptions surrounding this kind of treatment are discussed. The literature identifying a particular sub‐group of autistic children is then reviewed and the characteristics of this group, and the relationship of their difficulties to early trauma, are described. Using clinical material from work with a child who probably fell within this sub‐group, and who had very marked autistic features, the paper illustrates the importance of the therapist taking an active role in the therapy and how this helped the child to emerge from his withdrawn state. Particular emphasis is placed on the importance of introducing themes of aggression, and of this being done in a playful way. The impact of trauma on children's development, with particular reference to the acquisition of language, is considered. The role of sibling rivalry as a factor is emphasised.     

Girls,their fathers,and their mothers: Patterned links to ambition and prohibition in women

Abstract

This paper explores the dilemmas women face when they strive to achieve. It is about why women have trouble with their own deeply held ambitions, how patterns of interaction with important others are internalized in their childhood years that render their own strivings for power unacceptable to them, and how this early sense of prohibition against achievement is reinforced by the larger social and cultural surround. I contend that these interdictions against success are held by the female both in and out of her awareness, and are evoked in situations that trigger pathogenic memories in ever more complex ways. I explore current concepts about gender and gender formation, in particular the ideas of Adrienne Harris articulated in her book, Gender as Soft Assembly. Two clinical cases are described in order to explore and illustrate these issues, one a child and the other an adult.

Estelle Shane. Mädchen, ihre Väter und Mütter: Verbindende Muster zu Erfolgsstreben und Verboten im Leben von Frauen.

Dieser Aufsatz untersucht das Dilemma von Frauen, die nach Erfolg streben. Es geht Frauen, bei denen die Wünsche nach Erfolg in der Tiefe verborgenen sind. Die Muster von internalisierten Beziehungen mit wichtigen Bezugspersonen aus der Kindheit verhindern, dass sie das eigene Streben nach Macht akzeptieren können. Dieses Verbot von Erfolgsstreben ist verstärkt durch die sozialen und kulturellen Verhältnisse in denen sie leben. Im Hin und Her zwischen Bewusstwerdung und Verdrängung der Konflikthaftigkeit von Erfolgsstreben, können Erinnerungen an frühere pathogenene Konflikte ausgelöst werden. Gängige Konzepte der Entstehung von Geschlechtsidentität werden untersucht, speziell die Ideen von Adrienne Harris aus ihrem Buch: “Gender as soft Assembly”. Zwei klinische Fälle werden zur Illustration untersucht, der eines Kindes und der eines Erwachsenen.

Estelle Shane. Las niñas, sus padres, y sus madres: Patrones ligados a la ambición y la prohibición en las mujeres.

Este trabajo explora los dilemas que las mujeres enfrentan cuando luchan por lograr. Trata del porque las mujeres tienen problemas con sus ambiciones más profundamente sostenidas, cómo los patrones de interacción con otros son internalizadas en sus años de infancia, y dan cuenta de sus propias luchas por el poder, inaceptables para ellas, y cómo esta sensación temprana de prohibición en contra del logro es reforzado por el ambiente social y cultural que les rodea. Estas prohibiciones en contra del éxito son sostenidas por las mujeres tanto con o sin conciencia y son evocadas en situaciones que apuntalan recuerdos patogénicos en formas más complejas. Exploro conceptos actuales sobre la formación del género, en particular las ideas de Adrienne Harris articuladas en su libro, Gender and soft Assembly. Dos casos clínicos son descritos para explorar e ilustrar estos aspectos, uno se trata de una niña y otro de una mujer adulta.     

Racism‐Related Stress,General Life Stress,and Psychological Functioning Among Black American Women

The relationship between general life stress, perceived racism, and psychological functioning was explored in a sample of 118 Black American women. Findings indicate that racism‐related stress was not a significant predictor of psychological functioning when controlling for general life stress. Perceived racism was positively associated with general life stress. Implications for practice and future research are discussed. La relación entre el estrés general de la vida, el racismo percibido y el funcionamiento psicológico se exploraron en una muestra de 118 mujeres afroamericanas. Los resultados indican que el estrés relacionado con el racismo no fue un pronosticador significativo del funcionamiento psicológico cuando se controló estadísticamente para tomar en cuenta el estrés general de la vida. El racismo percibido estuvo asociado positivamente con el estrés general de la vida. Se discuten las implicaciones para la práctica e investigaciones futuras.     

An investigation of salespeople’s nonverbal behaviors and their effect on charismatic appearance and favorable consumer responses

The concept of charisma has gained considerable interest among social scientists in multiple disciplines. Nevertheless, research on charisma in the marketing field is scarce, and little is known about which specific nonverbal behaviors predict perceived charisma and lead to positive consumer responses. Therefore, the aim of this article is to identify nonverbal behaviors that lead to a salesperson’s perceived charisma in a personal selling context by means of high-precision, time-locked coding. This research explores aspects of body language that differentiate salespeople from each other and investigates whether such differences are antecedents of perceived charisma. The findings indicate that certain arm actions, arm postures, and action functions have a significant effect on charismatic appearance and can in turn produce favorable attitudes toward the salesperson.     

How accurate are women's estimates of date of onset of next menses?

Abstract

Because of individual differences in Occurrence of ovulation and patterns of hormonal secretions, one would usually prefer to measure locus in the menstrual cycle using physiological assessment procedures. But such methods are time consuming and costly. When exploring a new domain for possible relations to the menstrual cycle, it would be cost effective to use the simpler procedure of having each women verbally estimate date of onset of next menses. The accuracy of such estimates was studied in two college age samples. Estimated number of days until next onset correlated highly with actual number of days, as verified by follow-up (r = 0.90). As a group, women neither under- nor overestimated number of days. The precision with which these judgments were made was reasonably high. In sum, when a group of women are followed for one cycle, the average accuracy is very high, certainly high enough to support use of such verbal reports for certain scientific purposes.     

‘So many women suffer in silence’: a thematic analysis of women’s written accounts of coping with endometriosis

Abstract

Objective: To understand women’s experiences of coping with endometriosis, and impact on their lives.

Design: Women accessed an online questionnaire through a U.K.-based endometriosis charity website.

Methods: Thirty-four women, aged 22–56 years, with self-reported medically-diagnosed endometriosis, 30 of whom were White, responded to open-ended questions, analysed using inductive thematic analysis.

Results: Participants spoke about their lives being a constant struggle, where they tried to maintain their personal and working lives whilst dealing with long-term pain. Women had to ‘battle’ for an accurate diagnosis, and had limited faith in health professionals. Coping strategies included avoidance of social events to conserve energy (self-pacing), and avoiding taking painkillers to retain alertness. Women did not feel able to be honest with family and friends about their symptoms, and felt socially isolated and misunderstood.

Conclusions: Implications for health professionals are discussed, including the need for earlier diagnosis and taking women’s symptoms more seriously at referral; understanding the need to conserve energy in the context of long-term pain; that not taking pain medication may be an active choice to retain alertness; and that avoiding being honest with friends and family and subsequent feelings of isolation may be common experiences relevant to designing treatment programmes.     

Functional Impairment as a Variable in Adjustment Post-Combat

This study examined how functional impairment relates to postcombat adjustment over time, controlling for the influence of combat exposure. Analyses used sequential random coefficient models to examine 2 hypotheses: a) combat exposure and functional impairment predict the change in posttraumatic stress, depression, and anger/aggression symptoms during the first year postcombat; and b) combat exposure and functional impairment at reintegration predict symptom scores at 1 year postdeployment. A Brigade Combat Team completed surveys at reintegration, 4 months, and 12 months after a 1-year deployment to Iraq. Soldiers reporting high functional impairment at reintegration had higher symptoms at both follow-up periods, and functional impairment was a significant predictor of symptoms at the last time point, even after accounting for the influence of combat exposure. There was also an interaction effect, such that functional impairment exacerbated the impact of combat exposure on posttraumatic stress and anger/aggression symptoms at 12 months postdeployment.     

Psychological Model of Military Aggressive Behavior: Findings From Population-Based Surveys

The U.S. military has expressed concern about the influence of deployment and combat exposure on the criminal behavior of personnel returning from Iraq and Afghanistan. This study examines the role of behavioral health risk and protective factors associated with combat exposure and criminal and aggressive behavior in active duty Army and Naval personnel. Data from this cross-sectional study are based on two large anonymous, population-based health-related behavior surveys. Findings show that the proportion of all active duty Army and Naval service personnel who reported encounters with law enforcement or committed one or more aggressive acts in the past year increased from 19.41% in 2005 to 22.58% in 2008. Substance use, especially illicit drug use, and mental health problems were significant correlates of criminal and aggressive behavior, as were younger age, male sex, high impulsivity, and work/family stress. Path modeling suggested that several variables, notably combat exposure and history of childhood abuse, appeared to manifest their influence on criminal or aggressive behavior through increases in substance use and mental health problems. The potential mediating influence of substance use and mental health on combat and other trauma experiences has significant implications for preventing criminal and aggressive behavior among U.S. active duty military personnel.