CLINICAL WINNICOTT: TRAVELING A REVOLUTIONARY ROAD

The author contends that, contrary to the usual perception that Winnicott followed a linear progression “through pediatrics to psychoanalysis,” Winnicott's vision was always a psychoanalytic one, even during his early pediatric work. His place in the development of psychoanalytic theory is highlighted, and the author discusses such key Winnicottian concepts as transitional space, the false self, and the use of the object. Winnicott's unique approach to the form and value of analytic interpretation is particularly emphasized, and his thoughts on the treatment of depression are also addressed, as well as his distinction between regression and withdrawal. Included is a summary of convergences and divergences between Winnicott's thinking and that of Bion.     

Towards a Psychological Analysis of Anomie

Anomie, as defined by sociologists, refers to a state of society characterized by deregulation and erosion of moral values. In the present conceptual analysis, we bring the concept of anomie under a social psychological spotlight. We explore the conditions under which anomie arises and develop a model outlining various responses to anomie. We define anomie as a shared perception of the state of society and propose that two conditions must be met for anomie to emerge. First, a society's social fabric must be perceived to be breaking down (i.e., lack of trust and erosion of moral standards). Second, a society's leadership must be perceived to be breaking down (i.e., lack of legitimacy and effectiveness of leadership). We highlight two key responses of individuals to an anomic situation: a contraction of the personal self and a contraction of the social self. We discuss how a psychology of anomie can inform and advance broader theorizing on group processes.     

Depression or anxiety: which is best able to predict patterns of lateralisation for the processing of emotional faces?

Previous research has shown that both anxiety and depression are associated with strength of lateralisation for the processing of emotive faces, although these clinical measures have always been considered in separate studies. In the present study, we measure depression and anxiety, within the same non-clinical sample, and consider whether these variables can predict strength of lateralisation, measured using the chimeric faces test. There are two key findings from this study. First, for females only, anxiety is negatively associated with right hemispheric superiority for processing of negative emotional expressions. Second, there was only one finding for depression, showing a relationship with strength of lateralisation for the processing of fearful faces that differed according to sex.     

Emotional variability and clarity in depression and social anxiety

Recent research has underscored the importance of elucidating specific patterns of emotion that characterise mental disorders. We examined two emotion traits, emotional variability and emotional clarity, in relation to both categorical (diagnostic interview) and dimensional (self-report) measures of major depressive disorder (MDD) and social anxiety disorder (SAD) in women diagnosed with MDD only (n?=?35), SAD only (n?=?31), MDD and SAD (n?=?26) or no psychiatric disorder (n?=?38). Results of the categorical analyses suggest that elevated emotional variability and diminished emotional clarity are transdiagnostic of MDD and SAD. More specifically, emotional variability was elevated for MDD and SAD diagnoses compared to no diagnosis, showing an additive effect for co-occurring MDD and SAD. Similarly diminished levels of emotional clarity characterised all three clinical groups compared to the healthy control group. Dimensional findings suggest that although emotional variability is associated more consistently with depression than with social anxiety, emotional clarity is associated more consistently with social anxiety than with depression. Results are interpreted using a threshold and dose–response framework.     

Can the Hopelessness Model of Depression and Response Style Theory Be Integrated?

The Hopelessness Model (Abramson, Alloy, & Metalsky, 1989 ) and response style theory (Nolen‐Hoeksema, Girgus, & Seligman, 1992 ) have been integrated in various ways, but these integrations have not been compared. German college students (N = 311, mean age = 23.27 years, SD = 6.57 years, 80% female) rated their depressive symptoms, negative inferences, and rumination 3 times. Findings supported an integrated model whereby individual inferences predict and interact with the rumination subtype brooding to affect depressive symptoms.     

The relationship of perfectionism with psychological symptoms in cancer patients and the contributing role of hyperarousability and coping

Objective: Significant levels of anxiety, depression and insomnia symptoms are found in cancer patients. Perfectionism, arousability and coping have been associated with these psychological symptoms in the general population but their role among cancer patients remains to be assessed. This study examined the longitudinal relationships between perfectionism and psychological symptoms (anxiety, depression, insomnia), and the intermediate role of the arousability trait and coping strategies.

Design: Participants (N = 853) completed the Multidimensional Perfectionism Scale, the Coping with Health Injuries and Problems questionnaire and the Arousal Predisposition Scale at the perioperative period (T1), and the Hospital Anxiety and Depression Scale and the Insomnia Severity Index two months later (T2).

Results: Higher levels of perfectionism (T1) were correlated with greater symptoms of anxiety, depression and insomnia (T2). Moderated mediation models indicated that arousability contributed to the association of perfectionism with all symptoms, with stronger associations found in men than in women. Coping was a significant pathway between perfectionism and anxiety, with associations of a comparable magnitude across sexes.

Conclusion: If these results are replicated by future longitudinal studies, they would suggest that perfectionist cancer patients are at a higher risk of experiencing psychological symptoms, partly through their hyperarousability and the coping strategies they use.     

Melting point depression method for determining the solid–liquid interfacial energy of metal elements: theoretical validation and updated compilation of data

Comparative analyses of the crystal nucleation method and the melting point depression (MPD) method for measuring the solid–liquid interface energy γ_sl are carried out. The MPD method is found more reliable and has several advantages from experiment through data analysis to theoretical generalisation. The MPD data in use, all reported before the 1970s, are updated with the derived γ_sl re-compiled. Finally, by invoking a melting model that we developed recently, an equation for calculating γ_sl is proposed on basis of the melting point depression method.     

The role of social support on the disclosure of everyday unpleasant emotional events

Talking about unpleasant events has important implications for coping with distress, but the literature has not thoroughly addressed the role of social support on the decision to disclose these events. The authors hypothesized that perceptions of the availability of social support and satisfaction with support received regarding an event would be positively related to the disclosure of the event, and participants’ sex, emotional disclosure tendencies, depression symptoms, and global perceptions of support would moderate these relations. College students (N = 365) reported on 2,001 unpleasant emotional events that they personally experienced in the past week. Multilevel modeling analyses revealed that the perceived availability of support for an event predicted the degree of disclosure of that event, even while controlling for its intensity. Event disclosure predicted satisfaction with the support received for the event, controlling for event intensity and available support. This latter relation was moderated by the participants’ global perceptions of social support, such that the disclosure–satisfaction relation was stronger for individuals who perceived relatively less global social support. These findings suggest that characteristics of the social-support network ought to be considered as an important factor relevant to the decision to disclose everyday unpleasant events.     

Does worry affect adjustment to bereavement? A longitudinal investigation

Background and objectives: Repetitive thought is a trans-diagnostic risk-factor for development of psychopathology. Research on repetitive thought in bereaved individuals has focused primarily on clarifying the role of rumination, repetitive thinking about past negative events and/or negative emotions. While detrimental effects of rumination have been demonstrated following bereavement, surprisingly few studies have aimed to clarify the role of worry, repetitive thinking about potential future negative events, in adjustment to loss. This study sought to fill this gap in knowledge. Methods/Design: One hundred eighty-three bereaved individuals (85.3% women) filled out questionnaires on sociodemographic and loss-related characteristics, worry, and symptom measures of depression, anxiety, and prolonged grief. After six months, 155 participants completed worry and symptom measures again. Using multiple regression analyses, concurrent and longitudinal associations between loss-related variables, worry, and symptoms of psychopathology were examined. Results: Main results were that worry was strongly positively associated with symptoms of anxiety, depression and prolonged grief concurrently and also predicted higher levels of anxiety, depression and prolonged grief longitudinally. Conclusions: Findings suggest that worry influences adjustment to bereavement negatively and may be a potential target in grief therapy, especially when aiming to reduce anxiety.