躯体形式障碍的社会心理学分析

本研究对躯体形式障碍患者的社会心理特点进行调查分析.按照中国精神障碍分类与诊断标准第3版（CCMD-3）,试验组躯体形式障碍患者51例,在社区分层抽样51人作为对照组,用防御方式问卷、多伦多述情障碍量表进行测量.试验组不成熟型防御方式明显高于对照组,成熟型防御方式低于对照组,差异有统计学意义;述情障碍总分高于对照组,差异有统计学意义.情绪表达障碍、不成熟心理防御方式和社会文化因素共同作用形成了躯体形式障碍发病机制中的社会心理原因.在预防与治疗中需加强心理干预,以有效预防疾病的发生和提高治疗效果.     

Operational Psychology Post-9/11: A Decade of Evolution

Operational psychology continues to expand at a rapid rate. Over the course of the last decade, it has emerged from relative obscurity and developed into an exciting, and somewhat controversial, professional subdiscipline within psychology. As the community of operational psychologists has increased and matured, it has reached a tipping point, creating the need for practice guidelines, training programs, and a greater emphasis on operationally relevant empirical research. The starting point for these developments is an integrative definition of operational psychology. In this article, we revisit previous definitions, relevant research literature, and recent developments in this specialty. We propose a definition that emphasizes consultation to an operational decision maker concerning issues of national security and defense.     

Curse and consequence: King Lear's destructive narcissism

Shock, pain and antipathy are common audience responses to King Lear's violent abuse of Cordelia in Scene 1 of King Lear; however, the play then shifts so rapidly to other dramatic relationships and events that it tends to push these feelings out of mind. This shift is here regarded as a seduction to repress the fear and antipathy aroused by Lear. This effect opens the way to sympathetic identification with him in his subsequent humiliation, suffering and madness. These contrasting responses help build a tragic structure in which a more complex Lear becomes the victim of his curse on Cordelia. The seductive design resembles efforts by analytic patients to induce the analyst into repressively neglecting significant aspects of transference that require analytic attention. And Lear's bearing the consequences of his curse is likened to aspects of the decompensations of severely narcissistic patients. Additionally, to the extent that the audience has unconsciously identified with Lear's violence and participated emotionally in other painful scenes, as is likely to be the case, it has been unconsciously reacting as well with guilt and depressive anxiety. These reactions increase readiness to be diverted from destructive narcissism and responses to it.     

Self-criticism and unconscious grandiosity: transference-countertransference dimensions

The problems posed in understanding and working through the patient's layers of self-criticism are challenging for both patient and analyst. In particular, this paper explores some countertransference phenomena related to underlying grandiosity embedded in self-criticism. For patients who are self-critical, analyzing grandiose elements may create further grounds for self-reproach or open up new modes of self-experience and freedom. The paper tries to focus on how the analyst's experience of the patient's self-criticism often shifts over the course of analytic work. It is important for the analyst to not be crippled by a fear of considering the relevance of underlying grandiosity in relation to self-reproach. Understanding this dimension of self-reproach can help elucidate why it is so durable and refractory to interpretation. The patient has a stake in holding on to this self-punishment because it perpetuates self-regulatory fantasies. These fantasies sometimes relate to the feeling that the patient will be more successful or better loved by holding on to aspects of self-reproach. Sometimes these fantasies are based in competitive or dominant strategies related to winning out or retaliating over parents or siblings.     

Guest Editorial: The Resistance to Belief

William James's essay The Will to Believe proposed that we are sometimes justified, even obligated, to believe from our strong emotional or passional nature that something is true, even though there may not be total logical, evidential proof—which he also wrote is not to be found in this world. This essay explores situations, using a recent dear-death experience (NDE) example, in which there are reasonable evidence and logic, and yet belief seems to be withheld. I postulate and discuss nonrational influences producing resistance to belief, including the fear of being in error, the fear of rejection from the scientific community, irrational requirements of logicality, avoidance of consequences, and paradigm fixation. I also discuss issues in philosophy of science and epistemology in regard to proof.     

Sibling rivalry,separation, and change in Austen's Sense and Sensibility

The paper explores a process of growth represented in the interplay of Jane Austen's characterizations of Marianne and Elinor Dashwood in Sense and Sensibility, approaching the text through the lens of psychoanalytic theories on oedipal sibling rivalry, separation, and processes of change. A close reading of Sense and Sensibility tracks Marianne Dashwood's repudiation of any ‘second attachment’ as the surface of an unconscious fantasy, denying a rival for the mother's love. A psychoanalytic view contrasts Marianne's lack of separation from her mother, her use of denial and projection, and her near death after losing the man she loves, with her older sister Elinor Dashwood's capacities for depression, reflection, and greater acceptance of loss and separation. The narrative portrays Mrs. Dashwood's identification with and idealization of her daughter Marianne, which contribute to her oedipal sibling ‘victory’. In the language and structure of the novel, the projections, identifications, aggressions, and separations (conscious and unconscious) of the sisters in the vicissitudes of their adolescent loves and rivalries constitute a process of growth. Austen's novel brings to life, with the vividness and coherence of great literature, forces and fantasies in oedipal sibling rivalries, inspiring renewed attention to their subtle presence in the transference and countertransference of the psychoanalytic process.     

The CODE: A revised battery for coping and defense and its relations to subjective health

A condensed test battery (the CODE) based on the Utrecht Coping List (UCL) and part of the Defense Mechanisms Inventory (DMI) has been developed to assess coping and defense in large population studies. It was tested for reliability and validity in students and back pain patients. Principal components factor analysis of the subscales of the UCL and DMI in the student sample revealed two coping clusters: “Instrumental mastery-oriented coping” and “Emotion-focused coping” and two defensive clusters: “Cognitive defense” and “Defensive hostility”. “Instrumental mastery-oriented coping” was negatively related to subjective health complaints measured with Ursins Health Inventory (UHI). The back pain patients were clearly different from the students, using less coping and more defensive strategies. They had more subjective health complaints that showed negative correlations with “Instrumental mastery-oriented coping”. The CODE is a comprehensive battery that may be valid for large population studies of psychological determinants of muscle pain and other subjective health problems.     

PLS model building: A multivariate approach to personality test data

The aim of this study was to demonstrate how personality test data can be plotted with a multivariate method known as Partial Least Squares of Latent Structures (PLS). The basic methodology behind PLS modeling is presented and the example demonstrates how a PLS model of personality test data can be used for diagnostic prediction. Principles for validating the models are also presented. The conclusion is that PLS modeling appears to be a powerful method for extracting clinically relevant information from complex personality test data matrixes. It could be used as a complement to more hard modeling methods in the process of examining a new area of interest.     

师范院校贫困生与非贫困生防御方式比较

本研究采用防御方式问卷（DSQ）中译本,对师范院校168名在校本科生进行问卷调查。分析结果显示：1.师范院校贫困生与非贫困生一样,都能较多地使用成熟的防御方式,表现出整体较高的成熟倾向,他们之间没有明显的差异;2.师范院校贫困生与非贫困生使用的防御方式在各年级间的差异并不显著;3.师范院校贫困生对三种防御方式的使用存在着非常显著的差异,成熟防御方式高于中间型防御方式,不成熟防御方式使用得最少。