Cognitive Insight in Inpatients with Psychotic, Bipolar, and Major Depressive Disorders

The Beck Cognitive Insight Scale (BCIS; Beck, Baruch, Balter, Steer, & Warman, 2004) was administered to 42 (28%) inpatients with psychotic disorders, 52 (35%) with a bipolar disorder, and 56 (37%) with a major depressive disorder (MDD). The hypotheses were (a) that the mean level of cognitive insight in a psychotic or a bipolar disorder is lower than that in a MDD, (b) that the mean levels of cognitive insight in psychotic and bipolar disorders were comparable, and (c) that the mean BCIS index score for a bipolar disorder in which the most recent episode had been mania is lower than the mean BCIS index score for a bipolar disorder in which the most recent episode had been mixed or depressed. All three hypotheses were supported. The results were discussed as supporting cognitive insight as a psychological construct that varies predictably according to the nature of a psychiatric disorder.     

顿悟认知机制的研究述评与理论构想

顿悟是创造性思维的主要形式,它一直以来都是心理学家感兴趣的研究课题。该文对有关顿悟认知机制的现象学描述作了介绍,比较了表征转变与进程监控两种认知观点,探讨了初级加工与顿悟认知机制间的关系。初步提出了顿悟问题解决中原型激活及其启发信息质量的理论假说,对未来研究做出了设想,以期能最终揭示出顿悟的内部发生机制。     

Experiential self‐understanding

The notion of insight is at one and the same time central to psychoanalysis and to the self‐understanding that is part of everyday life. Through clinical material and critical engagement with contemporary philosophical work on self‐knowledge, this paper clarifies one crucial aspect of this key notion. Self‐understanding of the sort we have in mind, while of course involving cognitive elements, is not sufficiently accounted for by cognition about one's affects, motivations, or other aspects of the psyche, nor by the simple conjunction of such cognition with felt affect, motivational urges, etc. Nor is it best modelled in terms of internal self‐observation. Rather, it is the product of an ongoing process of the unfolding articulation of one's psychic life. The notion of experience is important here in three ways. First, lived experience is that out of which the self‐understanding arises. Second, this self‐understanding is a development and articulation of these aspects of our inner lives; it is a part of that same lived perspective. And third, this understanding in turn shapes one's experience of one's inner world: as it is attained, one's experience of oneself thereby changes. Central here is the emphasis upon a developing process involving the ability to speak from one's subjective perspective while experiencing one's subjective perspective as the perspective that it is.     

安全依恋对人际信任的影响:依恋焦虑的调节效应

采用两个实验探讨了安全依恋启动对人际信任的影响,并考察了特质依恋风格的调节效应。实验1采用回忆书写任务启动安全依恋,采用3(启动分组:安全依恋启动,积极情绪启动,中性启动)×3(目标词类型:信任相关词,信任无关词,非词)混合实验设计考察了不同启动分组对信任词汇反应时的影响。结果发现,与积极情绪启动组和中性启动组相比,安全依恋启动能显著提高信任的词汇决策反应时,特质依恋焦虑起调节效应。实验2采用被试间设计,考察安全依恋启动对信任博弈任务中信任决策的影响,结果发现,安全依恋启动组被试在信任决策中分配的金额显著高于中性组被试,特质依恋焦虑起调节效应。研究结果验证了安全依恋对人际信任的"拓延–建构环"效应,对于促进社会信任的提升具有积极的现实意义。     

CONFESSIONS OF A LATE‐BLOOMING, “MISEDUCATED” PHILOSOPHER OF SCIENCE

This article provides a survey of Walker Percy's criticism of what Pope Benedict XVI calls “scientificity,” which entails a constriction of the dynamic interaction of faith and reason. The process can result in the diminishment of ethical considerations raised by science's impact on public policy. Beginning in the 1950s, Percy begins speculating about the negative influence of scientificity. The threat of a political regime using weapons of mass destruction is only one of several menacing developments. The desacrilization of human life from cradle to grave leads Percy to assert that modern science's impact is often radically incoherent. In The Moviegoer, Percy finds his existential and theistic voice that would enable him to advance his critique of science.     

Systemic insight in family therapy

Systemic epistemology calls for a concept of Systemic Insight, a restructuring insight that has to do with truly grasping systemic reality. Systemic Insight is action and change-oriented, grounded in the direct systemic experience of the client, and based on the how instead of the why of the relationship problem. Its results affect the whole system. The author elucidates the definition and therapeutic application of this concept, expanding on five major ingredients and illustrating in a verbatim case and commentary specific guidelines for designing interventions which procure Systemic Insight.The concept of Systemic Insight was first presented by the author as a workshop at the European Family Therapy Association International Congress: Feelings and Systems, Sorrento, Italy, November, 1992. I would like to thank Ms. Sara Iwanir, Dr. Haviva Ayal, my co-directors, and especially my husband Ron for his unending support and the helpful out of the profession fresh views.     

Effects of alcohol and frustration on experimental graffiti

This study aimed to examine effects between alcohol and frustration in regard to graffiti. Forty-two subjects, 21 men and 21 women were randomly assigned in equal numbers to each of the three experimental groups, namely a Control group, an Alcohol group, and an Alcohol+Frustration group (alcohol dose: 1 ml 100% alcohol/kg body weight). For the purposes of this experiment, a test (AET) was constructed that provided scores of "scrawling-graffiti" (i.e., the amount of scrawling on pictures), "destruction", "aggression", and "sexuality". An elaboration test and a test measuring the "dispositional optimism" were also applied. The primary results indicated that (a) the Alcohol+Frustration group scored significantly higher on scrawling-graffiti compared to the Control group, (b) female subjects performed graffiti-scrawling to a greater extent than male subjects in all three groups, (c) women scored significantly higher on elaboration as compared to men. These results were interpreted as supporting the hypothesis that alcohol intake by itself is unlikely to induce destructive behavior unless accompanied by a "provocative" factor (e.g. frustration) that precipitates the putative expressions of aggressiveness.     

知识经验与顿悟：来自认知神经科学的证据

知识经验对于顿悟问题解决是一把双刃剑,强势知识会阻碍顿悟问题解决,弱势知识才是顿悟问题解决的关键。强势知识引导的组块效应、约束效应和固着效应等心理定势现象,“帮助”问题解决者以惯用方案来理解、思考和解决问题。之所以会这样,可能是因为大脑内存在一套具有优先级差的层级加工系统,赋予惯用方案的优先级最高。不过,惯用方案不仅不能够解决顿悟问题,而且还会通过注意竞争和注意失灵方式来阻碍新异方案的探索和执行,所以,问题解决者往往都会进入思维僵局。僵局的打破和顿悟的实现,需要抑制住强势知识及其相关的惯用方案、激活弱势知识和新异方案,这违反了大脑的认知加工惯性,是很难以自发发生的。但是,可以通过激活扩散来增强弱势知识的激活水平,或者是拓宽注意范围、提高注意灵活性来增加弱势知识激活的可能性,从而促进顿悟问题解决。     

Uh‐Oh! What Have We Missed? A Qualitative Investigation into Everyday Insight Experience

This study takes a novel qualitative approach to the investigation of everyday insight experience. It offers ecological validation to findings principally rendered, prior to this research, from a quantitative, cognitive standpoint. In addition, it considers emotional as well as cognitive components of insight. Participants were given different (or no) definitions of insight to ensure experiences collected did not simply mirror the examples of insight provided. This avoided the circularity problem of previous insight research. With the use of an open‐ended questionnaire (online or hardcopy), first‐hand textual accounts of insight instances were recorded. Data collected from 76 participants were analyzed using an adapted qualitative methodology, Integrative Thematic Analysis. This enabled the researchers to identify themes from the data, building a new typology of insight: Content (Personal, Intellectual, Practical), Process (Social Facilitation, Time Away, Active Search) and Feelings (Positive Feelings, Negative Feelings) aspects of insight. The findings suggest everyday experience of insight reaches beyond cognitive problem solving to include elements related to applied psychology, namely Personal (counseling psychology) and Social Facilitation (occupational psychology). Notably, this study offers examples of negative insight, Uh‐oh moments, for the first time. Future research should focus on the interaction of cognitive and affective components in insight moments.     

The analytic situation as a dynamic field. 1969

This paper discusses the consequences of the importance that recent ³ papers assign to the countertransference. When the latter acquires a theoretical and technical value equal to that of the transference, the analytic situation is configured as a dynamic bi‐personal field, and the phenomena occurring in it need to be formulated in bi‐personal terms. First, the field of the analytic situation is described, in its spatial, temporal and functional structure, and its triangular character (the present–absent third party in the bi‐personal field) is underlined. Then, the ambiguity of this field is emphasized, with special weight given to its bodily aspect (the bodily experiences of the analyst and the patient being particularly revealing of the unconscious situation in the field). The different dynamic structures or lines of orientation of the field are examined: the analytic contract, the configuration of the manifest material, the unconscious configuration – the unconscious bi‐personal phantasy manifesting itself in an interpretable point of urgency – that produces the structure of the field and its modifications. The authors describe the characteristics of this unconscious couple phantasy: its mobility and lack of definition, the importance of the phenomena of projective and introjective identification in its structuring. The authors go on to study the functioning of this field, which oscillates between mobilisation and stagnation, integration and splitting. Special reference is made to the concept of the split off unconscious ‘bastion’ as an extremely important technical problem. The analyst’s work is described as allowing oneself to be partially involved in the transference–countertransference micro‐neurosis or micro‐psychosis, and interpretation as a means of simultaneous recovery of parts of the analyst and the patient involved in the field. Finally, the authors describe the bi‐personal aspect of the act of insight that we experience in the analytic process.