Acting,feeling and thinking: psychoanalytic psychotherapy with Tracey

This paper consists of a case study and commentary which formed a part of the inaugural lecture in a series entitled ‘Working with Psychosomatic Issues’*. The audience consisted of psychoanalytic, body psychotherapy and integrative practitioners. The presentation was divided into three parts, (1) an outline of philosophical themes that inform perspectives on health, illness and psychosomatic phenomena, (2) the case study reproduced below and (3) a summary of Winnicott's work (1960, 1966, 1988) on ‘the indwelling of the psyche in the soma’. The case study describes work with a young woman who harms herself through self-hitting and, in addition, expresses other physical manifestations of psychological distress. The core approach of the practitioner is psychoanalytic. The work is informed also by postmodern sensibilities and phenomenological themes.     

Process or protocol,hearts or minds?

This paper looks at the split between affective/experiential and cognitive/theoretical learning in therapeutic trainings and how trainings linked to either educational or independent institutes are in danger of not only mirroring this split, but acting it out. It is suggested that this dichotomy goes to the heart of the profession not least in the issue of how therapeutic change comes about. It is suggested that an integration of ‘knowledge’ and ‘experience’ is required in the training of reflective practitioners and that this can only be achieved through an ongoing dialogue between those involved in training clinicians.     

Student essay competition prize winner a study of the breaking and remaking of affectional bonds

Abstract

This essay was originally presented as the author's final clinical essay for the Advanced Diploma in Psychodynamic Counselling run by the WPF (North) in conjunction with the Tuke Centre, York. It is a reflection on a year's counselling undertaken with a young man struggling with angry and violent impulses which threatened to wreck his relationship with his partner and their children. The work draws on psychoanalytic and attachment theories and examines the process involving client and counsellor as two men working together on issues of loss, relationship and intimacy.     

Childhood depression: A place for psychotherapy

Pharmacotherapy and psychotherapy are the two dominant mental health treatment modalities, but they are often taught and practised very separately leading to polarisation which may fragment treatment delivery. This paper presents results from a small qualitative study of interfaces between these modalities as described by medical and non-medical professionals practising in the National Health Service (NHS) and explores whether this polarisation maps to the Kleinian ‘P/S’ (paranoid/schizoid) and ‘D’ (depressive) positions, the ‘P/S’ position of omnipotence and dominance of one model over the other shifting the attention away from a more realistic ‘D’ position of integration and concern for the patient. The challenges to the integration of pharmacology and psychotherapy are examined in reference to cultural, organisational, relational and intrapsychic issues. Finally, clinical implications of an integrative approach are considered.     

Thought processes,Loneliness and Anxiety. Experimental and psychoanalytical investigations into creative thinking

The author questions whether Kernberg's suggestion that the interaction between splitting and other defence mechanisms—such as primitive idealization, omnipotence, devaluation and denial [disavowal]—gives an adequate psychodynamic explanation of borderline personality structures. The author shows that the assumption of a splitting mechanism provokes contradictions and that primitive idealization, omnipotence, devaluation and disavowal cannot be seen as genuine defence mechanisms. He argues that primitive idealization is a type of reaction formation and that the omnipotence of these patients can be put down to identification with the idealized ego-functions of their objects. He also maintains that the clinical phenomena can be understood as the outcome of a combination of an “equiparant” and “disequiparant” isolation, displacement, projection and primitive idealization, making the concept of splitting as an explanatory device superfluous.     

汉字字形关联对错误记忆的影响

采用DRM范式,研究汉字字形关联对错误记忆的影响。实验以占汉字主体的形声字为材料。学习阶段使用了两类字表:在一半字表中,各字表内汉字及相应的关键诱饵具有相同形旁;另一半字表中,各字表内汉字及相应关键诱饵具有相同声旁。再认测试中,被试对两类关键诱饵均表现出了明显的错误记忆,并且其效应大小与字表汉字相似度成正比。这些结果说明,汉字的字形关联可以诱发错误记忆现象,并且这种错误记忆效应由汉字间字形相似度决定。     

Good Workers and Crooked Bosses: The Effect of Voice Suppression by Supervisors on Employees’ Populist Attitudes and Voting

This study is the first to explore the effect of political socialization in the workplace on populist attitudes. We investigate the effect of workplace voice suppression on employees' populist attitudes and voting. We expect employees who were suppressed by supervisors to hold more populist attitudes and to be more likely to vote for a populist party than employees who were not. We argue that some employees experience voice suppression by supervisors as stressful, so splitting is likely to be employed as a defense mechanism. Splitting is achieved through cognitive distinction and antagonism between “the good workers” and “the crooked bosses.” Such a split mental framework can generalize into a worldview that contrasts “the pure people” and “the corrupt elite,” a core characteristic of populism. We predict that the extent to which suppression triggers splitting and consequentially incites populist attitudes and voting depends on employees' acceptance of power distance. We test our hypotheses using SEM on survey data from 2990 members of the Dutch labor force. Our results show that experiences of voice suppression are positively related to populist attitudes and populist voting. As expected, this effect is stronger for employees who are less accepting of power distance.