Treating chronic worry: Psychological and physiological effects of a training programme based on mindfulness

The present study examines psychological and physiological indices of emotional regulation in non-clinical high worriers after a mindfulness-based training programme aimed at reducing worry. Thirty-six female university students with high Penn State Worry Questionnaire scores were split into two equal intervention groups: (a) mindfulness, and (b) progressive muscle relaxation plus self-instruction to postpone worrying to a specific time of the day. Assessment included clinical questionnaires, daily self-report of number/duration of worry episodes and indices of emotional meta-cognition. A set of somatic and autonomic measures was recorded (a) during resting, mindfulness/relaxation and worrying periods, and (b) during cued and non-cued affective modulation of defence reactions (cardiac defence and eye-blink startle). Both groups showed equal post-treatment improvement in the clinical and daily self-report measures. However, mindfulness participants reported better emotional meta-cognition (emotional comprehension) and showed improved indices of somatic and autonomic regulation (reduced breathing pattern and increased vagal reactivity during evocation of cardiac defense). These findings suggest that mindfulness reduces chronic worry by promoting emotional and physiological regulatory mechanisms contrary to those maintaining chronic worry.     

An empirical look at the Defence Mechanism Test (DMT) Stimulus effects

Based on a sample of non-clinical subjects (N=74) the study examines the Defence Mechanism Test (DMT) by focusing on when perceptual distortions, called ‘signs of defence’ in DMT terminology, occur (distribution in exposure duration), which part of the picture is involved (distribution in localisation), and which ‘signs’ go together (using correlation and factor analyses). The results disclosed that the occurrence of perceptual distortions (‘signs of defence’) was related to exposure duration (some ‘defences’ are more frequent at brief exposures, some others at longer exposure durations), and to localisation on the picture. The location of misperceptions to the central person (hero) or the peripheral person (pp) of the picture was the major explanatory principle for the distribution of ‘signs’ on factors. Rather than capturing psychodynamic defence mechanisms, which is the theoretical basis of the test, the analyses imply that the DMT seems to measure misperceptions which are a function of the localisation of persons on the stimulus picture and of exposure durations.     

Reactions to DMT as related to psychotic and borderline personality organization

Thirty-one inpatients in a psychiatric clinic were assessed with DMT and the Structural Interview. In order to assemble every relevant reaction that an individual might have to a percept-genesis, 130 DMT variables were formed. The results were first subjected to a quality control of the DMT-scores and then subjected to partial least squares in latent variables (PLS) discriminant analysis. The analysis showed that it is possible to separate patients with psychotic PO (PPO) from those with borderline PO (BPO) by means of the 130 variables. The BPO group is characterized by aggressive manifestations, sensitivity to threat, identity lability and various transformations of the Hero gestalt. The PPO group, on the other hand, is characterized by high threshold values for perception, lack of identity, denial and repression of the peripheral person at a late-phase level. There are other perceptual reactions that are important predictors of PO than the defence categories of the manual. These perceptual reactions do not correspond to the traditional psychodynamic defence mechanisms. Our conclusion is that principal component analysis (PCA) and PLS are useful methods of finding discriminating patterns of perceptual reactions to the DMT for patients with different PO.     

In defence of the criticism of the Defence Mechanism Test (DMT): A reply to Kragh (1998)

Kragh ( Scandinavian Journal of Psychology , 1998, 39, 123–124) criticises a recent empirical study of the Defence Mechanism Test (DMT) conducted by the present authors (Zuber & Ekehammar, 1997) concerning methodological and other shortcomings. The present paper reviews and responds to Kragh's critical points. As to the most serious criticism, the methodological, the main conclusion is that Kragh's own published empirical studies of the DMT, and also those of other researchers, can be criticised along similar lines. Furthermore, and surprisingly, in contrast to our study, Kragh's main DMT studies do not employ the DMT picture(s) at all.     

Labels and the Self: Identity Labels as Scaffold

This paper considers how labels may be used: “Neurodiverse,” “genderfluid,” “sex-positive,” “ADHD,” and “highly-sensitive” are just some of the labels that may be offered by patients in introducing themselves. Such labels can be thought of as shortcuts, a way to define identity and sum up a feeling state, attitude, or behaviour. While they may sometimes be “given” in the sense of a diagnosis, they are also “found” and self-adopted. Using scaffolding as a metaphor for allowing growth or development to take place (or compensate for its absence), the phenomenon of self-labelling is presented as fulfilling different functions, namely: Label as mirrored reflection; Label as creative defence; Label as something with which to play; Label as container for that which cannot yet be known; Label as calling something into being; and Label as collective dream image. The article starts with three brief composite clinical sketches, and goes on to explore some of the ways that labels may be used with reference to the presented clinical material.     

Traumatisation,psychological defence style,coping, symptomatology,and social support in HIV-positive: A pilot study

This paper examines degree of traumatisation, defence styles, coping strategies, symptomatology, and social support in a small sample of HIV-positive men and women in an effort to ascertain the psychological implications of living with Human Immunodeficiency Virus (HIV). Traumatisation and the potentially mediating effects of defence styles have only been the subject of a few studies of HIV positives. The study is based on a socio-demographic questionnaire, the Impact of Event Scale, the Defence Style Questionnaire, the Coping Styles Questionnaire, the Trauma Symptom Checklist, and the Crisis Support Scale. A degree of traumatisation that warrants treatment was found together with an association between particular coping strategies and symptomatology, and particular defence styles and symptomatology, respectively. Social support had increased over time, which is contrary to other research findings on social support.     

Freud's psychoanalysis: A moral cure

That psychoanalytical treatment in its classical Freudian sense is primarily a moral or ethical cure is not a very controversial claim. However, it is far from obvious how we are to understand precisely the moral character of psychoanalysis. It has frequently been proposed that this designation is valid because psychoanalysis strives neither to cure psychological symptoms pharmaceutically, nor to superficially modify the behaviour of the analysand, but to lead the analysand through an interpretive process during which he gradually gains knowledge of the unconscious motives that determine his behaviour, a process that might ideally liberate him to obtain, in relation to his inner desires, the status of a moral agent. There resides something appealing in these claims. But it is the author's belief that there is an even deeper moral dimension applying to psychoanalytical theory and praxis. Freudian psychoanalysis is a moral cure due to its way of thematizing psychological suffering as moral suffering. And this means that the moral subject – the being that can experience moral suffering – is not primarily something that the psychoanalytical treatment strives to realize, but rather the presupposition for the way in which psychoanalysis theorizes psychological problems as such.     

Technical Controversy and Ballistic Missile Defence: Disputing Epistemic Authority in the Development of Hit-to-Kill Technology

Public debate about Ballistic Missile Defence (BMD) has long centred on the question of feasibility, particularly as regards the realism of testing. Thus BMD opponents have argued that flight-tests are insufficiently similar to operational use to provide a reliable guide to real-world performance. However, an in-depth account of the development of US hit-to-kill technology—an approach to BMD that relies on the direct impact of an interceptor on the enemy missile warhead—reveals a far less-recognised issue: some BMD supporters have specific technical doubts which centre on the design of the current system rather than on its testing. These concerns hinge on contrasting claims to epistemic authority between two camps of BMD supporters. On the one hand, advocates of space-based BMD oppose the current system on in-principle conceptual grounds. On the other hand, some BMD supporters close to the development of ground-based hit-to-kill technology claim that the empirical evidence from testing shows that the current design is suboptimal because it is the outcome of a bureaucratic politics compromise between the two camps. Although the battle for epistemic authority has swung in favour of the latter hit-to-kill supporters recently, the lack of operational experience with a defence against nuclear-armed ballistic missiles means that further disputes are likely. So long as empirical knowledge claims rest solely on testing, they are unlikely to prove sufficiently politically compelling to silence advocates of space-based defence.     

His mother-tongue: from stuttering to separation, a case history

This paper delineates the transference and countertransference experiences in the analysis of a patient whose presenting symptom and main concern was his stutter. I suggest that oral-sadistic rather than anal-sadistic hostile elements may be identified in this patient's particular stutter. I focus on its significance in terms of object relationship: my patient's struggle to 'get born', to emerge as a separate other. I argue that early symbiotic fusion needs in conflict with the need to separate produce his stutter. Speech and language are seen as the vehicle for separation and the stutter as a flight from separateness back to an illusion of fusion with mother.