THE USE OF THE ANALYST AND THE SENSE OF BEING REAL: THE CLINICAL MEANING OF WINNICOTT'S “THE USE OF AN OBJECT”

“The Use of an Object and Relating through Identifications” (1968) represents Donald Winnicott's theoretical and clinical legacy. The author develops this concept from a clinical point of view, through the analysis of a woman with psychotic functioning. He reflects upon the dramatic quality of risks inherent in the processes linked to the use of the object with seriously disturbed patients. He explores different meanings of the analyst's survival, linking it to the analyst's response. The processes of the use of the object—that is, the encounter between the patient's potential destructiveness and the analyst's capacity to respond through his own judicious subjectivity—let the patient experience the analyst's capacity to keep his own subjectivity, authenticity, and creativity alive. It is starting from the traces of this live object that patients gradually form their own personal sense of being real.     

Herbert Rosenfeld in Italy, 1978–1985

Abstract

In this paper, the author attempts to shed some light on Herbert Rosenfeld’s thought and his way of working when was in Italy during 1978–1985. In particular, the author would like to show, in a sketchy way, the evolution of his thought, with specific regard for the new way in which he looked at clinical practice at that time. In the author’s opinion, the Rosenfeld that he and his group met and got to know in Italy was able to open new horizons in clinical practice, implicitly questioning some of his own or his circle’s previous viewpoints.     

Changes over time in head and neck cancer patients’ and caregivers’ illness perceptions and relationships with quality of life

Objective: This study investigated changes in illness perceptions from diagnosis to six months later in patients with head and neck cancer (HNC) and their caregivers. The study also examined whether discrepancy in patient and caregiver perceptions at diagnosis predicted patient health-related quality of life (HRQL) at six months.

Design: Forty-two patient–caregiver dyads completed the Brief Illness Perception Questionnaire (Brief IPQ) at diagnosis and again six months later. Patients also completed a HRQL questionnaire at both time points. Analyses were performed using the Actor–Partner Interdependence Model.

Main Outcome Measure: Total patient HRQL assessed by the Functional Assessment of Cancer Therapy (FACT-H&N).

Results: Perceptions of emotional impact and illness concern reduced over time in patients and caregivers. Perceptions of treatment control and identity increased in caregivers only. After controlling for the effects of baseline HRQL, and the individual contribution of patient and caregiver illness perceptions, greater discrepancy in perceptions of timeline, personal control, and illness identity among dyads at diagnosis predicted lower patient HRQL at six-month follow-up.

Conclusion: Patients’ and their caregivers’ perceptions of HNC are dynamic over time. Greater discrepancy between patients’ and caregivers’ illness perceptions at diagnosis predict poorer subsequent patient HRQL.     

Book Reviews

Jung, C. G. Visions. Notes on the Seminar Given in 1930–34.
Edinger, Edward F. The Psyche in Antiquity. Book 1. Early Greek Philosophy. Book 2. Gnosticism and Early Christianity.
Margaret Arden. Midwifery of the Soul: A Holistic Perspective on Psychoanalysis. Collected Papers of Margaret Arden.
Rodriguez, Leonardo S. Psychoanalysis with Children: History, Theory and Practice.     

Contributors to this issue

Geoffrey Blowers
Francis X. Charet
Terence Dawson
David Hewison
John Izod
William E. Kotsch
Patricia Michán
Joe Redfearn
Julieta Besquin Rubinstein
Mara Sidoli     

Time complexity and consistency issues in using the AHP for making group decisions

Two different ways of using the AHP in making group decisions are compared and evaluated. The first method combines different experts’ opinions before applying an eigenvalue method to obtain final weights for decision alternatives. The second, in contrast, derives each expert's rating for the decision alternatives before combining them. Both methods take into account the relative importance of different experts in making decisions. Comparison and evaluation of these two methods are made by using two criteria: time complexity and consistency indices. A numerical example is provided to illustrate the use of these two methods, and results of a mathematical simulation are presented for comparing the time complexity in different-sized problems. © 1998 John Wiley & Sons, Ltd.     

Euclid: Strategic alternative assessment matrix

The vast amount of information that must be considered to solve inherently ill‐structured and complex strategic problems creates a need for tools to help decision makers (DMs) recognize the complexity of this process and develop a rational model for strategy evaluation. Over the last several decades, a philosophy and a body of intuitive and analytical methods have been developed to assist DMs in the evaluation of strategic alternatives. However, the intuitive methods lack a structured framework for the systematic evaluation of strategic alternatives while the analytical methods are not intended to capture intuitive preferences. Euclid is a simple and yet sophisticated multiobjective value analysis model that attempts to uncover some of the complexities inherent in the evaluation of strategic alternatives. The proposed model uses a series of intuitive and analytical methods including environmental scanning, the analytic hierarchy process (AHP), subjective probabilities, and the theory of displaced ideal, to plot strategic alternatives on a matrix based on their Euclidean distance from the ideal alternative. Euclid is further compared to the quantitative strategic planning matrix (QSPM) in a real world application. The information provided by the users shows that Euclid can significantly enhance decision quality and the DM's confidence. Euclid is not intended to replace the DMs, rather, it provides a systematic approach to support, supplement, and ensure the internal consistency of their judgments through a series of logically sound techniques. Copyright © 2003 John Wiley & Sons, Ltd.     

A Field Experiment Comparing Anchored and Unanchored Criteria Weights in the Analytic Hierarchy Process

This study reports the results of a field experiment comparing the predictive validity of two approaches to multicriteria assessments: the absolute measurement mode of AHP and the absolute measurement mode of linking pin AHP. The questioning procedures of the two differ only in that the former employs unanchored criteria weight assessments and the latter anchored criteria weight assessments. The decision task required insurance agents to respond to a mailed questionnaire in which they evaluated non-monetary incentives (contests) according to (1) the public recognition received from winning, (2) the criteria for winning and (3) the nature of the reward. There were four levels for each dimension. A between subjects design was used, with each subject receiving one of the two methods. In addition, all subjects divided 100 points among four contests and these hold-out assignments were employed as a validity check. Linking pin AHP was found to be superior to conventional AHP in this experiment, lending weight to the argument that the use of unanchored criteria weights is problematic. © 1997 by John Wiley & Sons, Ltd. J. Multi-Crit. Decis. Anal. 6 : 140–149 (1997) No. of Figures: 3. No. of Tables: 5. No. of References: 24.     

Differences between follower and dyadic measures of LMX as mediators of emotional intelligence and employee performance,well-being,and turnover intention

Both leader and follower emotional intelligence (EI) have been posited in the literature to influence leader–member exchange (LMX). We collected data from 203 independent leader–follower dyads working in the insurance industry in Malaysia and examined relationships between leader and follower trait-EI and follower outcomes mediated through LMX. We added a further dimension to our study by comparing results using follower and then a dyadic measure of LMX. We found that leader EI predicted a dyadic measure of LMX, whilst only follower EI predicted a follower measure of LMX. As hypothesized, leader EI had both direct and indirect effects on follower job performance. By contrast, follower EI demonstrated both direct and indirect effects on follower well-being. We found a dyadic measure of LMX to be a stronger predictor of follower job performance, well-being, and turnover intention than a follower only measure. Our results suggest that significant relationships between leader and follower trait EI and LMX depend on whether follower or dyadic measures of LMX are used. The study draws attention to the importance of emphasizing the level at which EI effects are expected to operate in LMX.     

Gathering a few thoughts on ‘Neo‐Confucian epistemology and Chinese philosophy’

In Neo‐Confucian Epistemology and Chinese Philosophy: Practical Postulates for Actioning Psychology as a Human Science, Professor Liu offers a critique of the Cartesian underpinnings of psychology as a natural science. Drawing on Chinese cultural postulates, Professor Liu offers a vision for a global psychology more orientated towards the morally centered person and which developed a culturally‐informed ethics. This commentary explores the implications of this rethinking of psychology for indigenous and applied social psychologies in Aotearoa/New Zealand.