“A Failure of Curiosity”

ABSTRACT

This essay discusses the clinician's defense against and resolution of the experience of boredom in the countertransference as an incident of projective identification in the treatment of a woman with dissociative identity disorder. The essay details the inner mind of the therapist as she discovers both her own feelings and judgements of those feelings. As the essay progresses, she begins to grasp the significance of her discomfort in informing the therapeutic process. We watch as this material is made use of to move forward a stalled therapy into new territory.     

Self-Disclosure and Vulnerability

Abstract

Based on the theoretical assumption and clinical observation that projective identification is a natural, constant element in human psychology, clinical material is used to illustrate how projective identification centered transference states create situations where acting out of the patient's phantasies and conflicts by both patient and therapist is both common and unavoidable. Because they are more obvious, some forms of projective identification encountered in clinical practice are easier for the analyst to notice and interpret. Other forms are more subtle and therefore difficult to figure out. Finally, some forms, whether subtle or obvious, seem to create a stronger pull on the analyst to blindly act out.

In some psychoanalytic treatments, one form of projective identification might embody the core transference. In other cases, the patient might shift or evolve from one level of this mechanism to another. Some patients attempt to permanently discharge their projective anxiety, phantasy, or conflict into the analyst. There is a patent resistance to re-own, examine, or recognize this projection. Some of these patients are narcissistic in functioning, others are borderline, and many attempt to find refuge behind a psychic barricade or retreat (Steiner 1993). In other forms of projective identification, the patient enlists the analyst to master their internal struggles for them. This occurs through the combination of interpersonal and intra-psychic object relational dynamics. This “do my dirty work for me” approach within the transference can evoke various degrees of counter-transference enactments and transference/counter-transference acting out.

Another form of projective identification, common in the clinical setting, is when a patient wants to expand the way of relating internally, but is convinced the analyst needs to validate or coach the patient along. This is why such a patient may stimulate transference/counter-transference tests and conduct practice runs of new object relational phantasies within the therapeutic relationship. Over and over, the patient may gently engage the analyst in a test, to see if it is ok to change their core view of reality. Depending on how the analyst reacts or interprets, the patient may feel encouraged to or discouraged from continuing the new method of relating to self and object. The patient's view of the analyst's reactions is, of course, distorted by transference phantasies, so the analyst must be careful to investigate the patient's reasoning and feelings about the so-called encouragement or discouragement. This does not negate the possible counter-transference by the analyst in which he or she may indeed be seduced into becoming a discouraging or encouraging parental figure who actually voices suggestions and judgment.

All these forms of projective identification surface with patients across the diagnostic spectrum, from higher functioning depressive persons to those who are more disturbed paranoid-schizoid cases. Whether immediately obvious or more submerged in the therapeutic relationship, projective identification almost always leads to some degree of acting out on the part of the analyst. Therefore, it is critical to monitor or use the analyst's counter-transference as a map towards understanding the patient's phantasies and conflicts that push them to engage in a particular form of projective identification.     

A direct comparison of infants' use of featural and spatiotemporal information when individuating objects in a non-occlusion event-monitoring design

A central issue within the field of object individuation concerns the kind of information that infants rely on when they succeed in individuating objects. By means of the violation-of-expectation strategy, the present study reports a comparison of 8.0- and 6.5-month-old infants' use of featural and spatiotemporal information in a new non-occlusion event-monitoring design. Using a mirror setup the memory demands were minimized, because all apparent changes in the unexpected test events took place in full view of the infants. The results indicate that the 8.0- and 6.5-month-old infants individuated objects successfully regardless of whether they were provided with featural or spatiotemporal information. The results are discussed in relation to the relevant literature.     

Facing fear-provoking stimuli: The role of courage and influence of task-importance

ABSTRACT

Courage research is emerging, although there is little empirical literature on task-importance, and morality or nobility within courage. This experimental study assessed courage, persistence despite fear, in the relationship between anxiety, behavioral approach and task-importance. Twenty-eight participants with elevated spider fear were randomly assigned to high or low importance conditions. Participants undertook a behavioral approach test where they moved their hand alongside a ruler to as close as they felt comfortable to a non-living spider display. In partial support of the first hypothesis, courage scores predicted behavioral approach distance above-and-beyond spider fear when task-importance was not experimentally augmented. Supporting the second hypothesis, experimentally induced task-importance significantly moderated the relationship between courage and behavioral approach distance such that high importance participants moved closer to the spiders at all levels of courage. This study provides foundational evidence that 1) self-report measures can predict behavioral courage above-and-beyond fear 2) perceived task-importance influences behaviour.     

A comparison of backward and forward spatial spans

The standard Corsi blocks task is frequently used to measure the capacity of visuospatial working memory, but the implications of the use of both forward and backward recall are still unclear. In the present study, we showed that the backward Corsi task is particularly powerful in discriminating between low- and high-spatial-ability individuals and involves different processes from those involved in the forward task. From a sample of 425 participants we selected one group of 20 high-spatial-ability participants and one of 20 low-spatial-ability participants. The results demonstrated that a backward spatial span offers specific information not available from a forward spatial span, and that there was no facilitation due to a descending format. In particular, in the low-spatial-ability group, performance was generally poorer, but backward Corsi recall was lower than forward recall, and participants did not show any advantage following the descending presentation format—which in some contexts is considered to reduce proactive interference. We conclude that the backward Corsi task has specific value and that the assumption of fully parallel verbal and visuospatial working-memory systems can lead to a variety of misunderstandings.     

Detecting objects is easier than categorizing them

Two experiments compared performance in an object detection task, in which participants categorized photographs as objects and nonobject textures, and an object categorization task, in which photographs were categorized into basic-level categories. The basic-level categorization task was either easy (e.g., dogs vs. buses) or difficult (e.g., dogs vs. cats). Participants performed similarly in the detection and the easy-categorization tasks, but response times to the difficult-categorization task were slower. This latter finding is difficult to reconcile with the conclusions of Grill-Spector and Kanwisher (2005) Grill-Spector, G. and Kanwisher, N. 2005. Visual recognition: As soon as you know it is there, you know what it is. Psychological Science, 16: 152–160. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar] who reported equivalent performance on detection and basic-level categorization tasks and took this as evidence that figure–ground segregation and basic-level categorization are mediated by the same mechanism.     

Implicit sequence learning in a search task

This study investigated the effects of selection demands on implicit sequence learning. Participants in a search condition looked for a target among seven distractors and responded on the target identity. The responses followed a deterministic sequence, and sequence learning was compared to that found in two control conditions in which the targets were presented alone, either at a central location or over a series of unpredictable locations. Sequence learning was obtained in all conditions, and it was equivalent for the two variable location conditions, regardless of the perceptual demands. Larger effects of learning were observed in the central location, both on the indirect measures and on the measures taken from a cued-generation task. The expression of learning decreased selectively in this condition when the sequence validity was reduced over a test block. These results are consistent with the claims that implicit and explicit learning are mixed in this central condition and that implicit learning is not affected by selection difficulty.     

Applying an exemplar model to the serial reaction-time task: Anticipating from experience

We present a serial reaction time (SRT) task in which participants identified the location of a target by pressing a key mapped to the location. The location of successive targets was determined by the rules of a grammar, and we varied the redundancy of the grammar. Increasing both practice and the redundancy of the grammar reduced response time, but the participants were unable to describe the grammar. Such results are usually discussed as examples of implicit learning. Instead, we treat performance in terms of retrieval from a multitrace memory. In our account, after each trial, participants store a trace comprising the current stimulus, the response associated with it, and the context provided by the immediately preceding response. When a target is presented, it is used as a prompt to retrieve the response mapped to it. As participants practise the task, the redundancy of the series helps point to the correct response and, thereby, speeds retrieval of the response. The model captured performance in the experiment and in classic SRT studies from the literature. Its success shows that the SRT task can be understood in terms of retrieval from memory without implying implicit learning.     

Elimination of the enhanced Simon effect for older adults in a three-choice situation: Ageing and the Simon effect in a go/no-go Simon task

In a Simon task, participants show better performance when the irrelevant stimulus location corresponds with the response location than when it does not, and this effect is typically greater for older adults than for younger adults. To study the effect of cognitive ageing in the Simon task, we compared young and old adults using two versions of the Simon task: (a) a standard visual Simon task, for which participants respond with left and right key-presses to the red and green colours of stimuli presented in left and right locations; (b) a go/no-go version of the Simon task, which was basically the same, except that the shape of the stimulus in one third of the trials indicates that no response is to be made. In both tasks, both age groups showed the Simon effect. The magnitude of the effect for the standard Simon task was greater for the older adults than for the younger adults. Nevertheless, the two groups showed an equivalent Simon effect in the go/no-go version of the Simon task. Reaction time distribution analyses revealed basically similar functions for both age groups: a decreasing pattern of the Simon effect in the standard task and an increasing pattern of the effect in the go/no-go version of the task. The results suggest that older adults find it more difficult to suppress an automatic activation of the corresponding response, though this automatic activation was reduced in situations where the response was frequently inhibited.     

Left–right holistic integration of human bodies

Holistic integration of faces has been widely studied. More recently, investigations have explored whether similar processing is used for human bodies. Here we show that holistic processing, as measured by the composite task, does occur for bodies but is stronger for left and right halves than for top and bottom halves. We also found composite effects for left–right halves of inverted bodies. Standard composite effects were found for top halves of faces, tested as a control. We argue that our results suggest that holistic processing of faces and bodies might not exclusively occur for identification, but instead may also have evolved to aid communication and/or decisions about mate choice (through judging symmetry).