To be in touch

This study examined the constellation of interaction structures – repetitive patterns of interactions between patient and therapist over the course of treatment – that emerged in the psychodynamic therapy (PDT) of a child diagnosed with borderline personality disorder and treated by two doctoral student therapists. Identification of these interaction structures can inform therapists of what might be expected from patients with particular symptom or behaviour patterns and how interactions change over time. This study also examined each session’s adherence to three session prototypes: PDT, cognitive-behavioural therapy (CBT) and reflective functioning (RF) process. The Child Psychotherapy Q-Set (CPQ) is a 100-item instrument that assesses the processes within a single psychotherapy session. Items reflect a wide range of therapist attitudes and behaviours, patient attitudes and behaviours and interactions between therapist and patient. Experts used the CPQ to define PDT, CBT and RF process session prototypes. The results suggested that four distinct interaction structures could be identified and that their constellations differed between the two therapists and also differed over time within each treatment. Therapists were more structured and accommodating early on in their treatments and more interpretive later. Prototypical PDT process was more prominent in the sessions than RF process, which in turn was more prominent than CBT process. Unique therapeutic processes are at work in every dyad, despite holding the patient and theoretical orientation constant. An effective treatment in one dyad might not work in another due to therapist-specific and dyad-specific effects.     

Adolescents’ movement towards cessation of smoking: Role and relative value of the processes of change and nicotine dependence

The present study addresses the applicability of the Transtheoretical Model's processes of change in explaining adolescents’ readiness to quit smoking. Furthermore, the association between nicotine dependence and readiness to quit was assessed both directly, as well as indirectly through the processes of change. A cross-sectional survey was conducted, identifying 1547 weekly smokers aged 14–18 years. Structural equation modelling showed that the processes of change were only marginally associated with readiness to quit. Adding nicotine dependence to the model showed a direct association between nicotine dependence and readiness to quit. Only one process of change, self-liberation (i.e. choice/commitment to change and belief in the ability to change), was found to mediate this association. Nicotine dependence appeared to be highly important in adolescents’ readiness to quit.     

Risk perceptions,worry, and attitudes about genetic testing for breast cancer susceptibility

This study assessed the unique associations of risk perceptions and worry with attitudes about genetic testing for breast cancer susceptibility. Women (general practitioner clinic attenders, university students, and first-degree relatives of breast cancer survivors; N?=?303) read information about genetic testing and completed measures assessing perceived cancer risk, cancer worry, and genetic testing attitudes and beliefs. Worry was associated with greater interest in genetic testing, stronger beliefs that testing has detrimental emotional consequences, and positive beliefs about benefits of testing and risk-reducing surgeries. Perceived risk was unrelated to interest and associated with more skeptical beliefs about emotional consequences and benefits of testing and risk-reducing surgeries. At low worry levels, testing interest increased with more positive beliefs about testing benefits; at high worry levels, interest was high regardless of benefits beliefs. The findings support Leventhal's Common-Sense Model of self-regulation delineating interactive influences of risk-related cognitions and emotions on information processing and behavior.     

Reconsidering the aims of analysis in a probabilistic universe: Containment and coniunctio

Abstract

This paper explores the relationship between our attempts to define the aims of analysis and the acceptance of probability in New Physics. It draws attention to the influence of physicists on both Jung and Bion, which is well documented. It presents an argument for process-based aims rather than the recognition of innate knowledge as an aim. Two processes from different traditions (Jungian and Kleinian) are suggested as central to the aims of analysis: containment and coniunctio. The coniunctio/disiunctio axis in Jung's writing is paralleled with the axis PS<->D of the post-Kleinians. Clinical material is presented supporting the necessity of differential aims and illustrating development/stasis along this axis. A case is made for analysis to embrace the reality of uncertainty and to work with the psychic obstacles in patients, and in analysts, that result from coming to terms with probability.     

A behavioural experiment in virtual reality to verify the role of action function in space coding

Neurophysiological data indicate that the reachable peripersonal space and the unreachable extrapersonal space are represented in segregated parietofrontal circuits and that when the unreachable space becomes reachable because of tool use, it is automatically coded by the network selective for peripersonal space. Here we directly tested the role of action's consequences in space coding. Thirty-eight participants bisected lines at either a reachable distance (60 cm) or unreachable distance (120 cm) using either a laser pointer or laser cutter. The laser cutter but not the laser pointer had an action consequence; the line broke into two pieces. The results showed that distance moderated the effect of action. At an unreachable distance, the mean bisection point was closer to the centre when participants used the laser cutter compared to when they used the laser pointer. There were no differences at a reachable distance (60 cm). This result suggests that the space in which the individual may determine a physical consequence is categorized as peripersonal space, independently from its actual distance from the individual's body.     

How people think “if only …” about reasons for actions

When people think about how a situation might have turned out differently, they tend to imagine counterfactual alternatives to their actions. We report the results of three experiments which show that people imagine alternatives to actions differently when they know about a reason for the action. The first experiment (n = 36) compared reason – action sequences to cause – effect sequences. It showed that people do not imagine alternatives to reasons in the way they imagine alternatives to causes: they imagine an alternative to an action more than an effect, and to a cause more than a reason. The second experiment (n = 214) and the third experiment (n = 190) both show that different sorts of reasons have different sorts of effects on how people imagine alternatives to actions. People imagine an alternative to an action (the protagonist went to a ball) less often when they know the reason for the action was an obligation (he had to participate in fundraising) compared to when they know about a weaker reason (he wanted to meet a famous violinist) or no reason. The second experiment shows the effect for a social obligation and the third experiment replicates and extends it to a health obligation. We interpret the results in terms of the possibilities that people keep in mind about actions and their reasons.     

Towards an Understanding of Nurturing and Restraining Relational Patterns in School Communities

This study aimed to understand the nature of nurturing and restraining relationships in a school communiy. The inquiry entailed a single instrumental case study of a selected school community in a semi-urban context in South Africa. Participants were learners (n=720), teachers (n=33) and administrative and terrain staff members (N=8) as well as two parents. Data on participants' perceptions of relationships in the school community were collected using work sessions/nominal group techniques, visual representations, and focus group interviews. Thematic analysis of the data revealed connectedness, respect, care and transparent communication as aspects that nurture relationships. Limited connectedness between people, the abuse of power, shifting of responsibility and disrespect for one another were revealed as aspects that restrain relationships.     

Differences in target monitoring in a prospective memory task

The goal of the present study was to examine individual differences in the degree to which controlled attention is allocated towards a prospective memory (PM) task. Using a PM task that should require high levels of controlled attention in a sample of 138 young, middle-aged, and older adults, two subgroups of participants could be identified, i.e., participants who clearly demonstrated evidence for monitoring and those for whom no clear evidence for monitoring was revealed. A control group (n=95) was tested to control for practice effects in the ongoing task. Differences between subgroups were examined in terms of age, PM accuracy, baseline ongoing task performance, and general negative mood. Nonmonitorers and monitorers differed in age (more older adults being nonmonitorers), ongoing task accuracy (a nonsignificant trend was observed here), PM task accuracy (both young and middle-aged/older monitorers were more accurate than nonmonitorers), and the number of reported depressive symptoms (nonmonitorers > monitorers). Moreover, results showed that even in nonmonitorers PM accuracy was above floor level, indicating that noticing and reacting to some of PM cues is possible without strongly investing in resource demanding monitoring processes.     

Solving distant analogies reduces belief-based responding in transitive inference

ABSTRACT

Previous research demonstrated that relational processing in transitive inference problems can be disrupted by belief-based content. Given the premises, The horse is larger than the goat, and The goat is larger than the elephant, accepting the valid conclusion, The horse is larger than the elephant suggests use of relational processing whereas accepting the invalid conclusion The elephant is larger than the horse indicates belief-based responding. This research examined whether solving analogies influenced participants’ reliance on belief-based or relational processing. Participants generated solutions to either distant analogies (e.g. nose:scent::antenna: ______) or near analogies (e.g. nose:scent::tongue:______) before evaluating the conclusions of transitive inference problems that were valid (V) or invalid (I) and believable (B), unbelievable (U) or neutral (N). Solving distant analogies eliminated belief-based responding (possibly reflecting improved inhibitory control) and facilitated relational responding on VU problems.     

Thought suppression: specificity in agoraphobia versus broad impairment in social phobia?

The paradoxical effects of intended thought suppression have been linked to psychological disorders, specifically anxiety disorders. So far, the evidence for thought suppression playing a major role in the disorder is mixed. One important issue is whether thought suppression is impaired only for thoughts related to the disorder, or if the ability for mental control is generally impaired in anxiety patients. This study compared groups of agoraphobics and social phobics with a healthy control group. All subjects were asked to suppress two topics related to the respective central fear of the two disorders and one nonspecific topic. We found a rather specific deficit in thought suppression for the agoraphobics; that is, when compared with the control group, we found the biggest differences for the agoraphobic fear. The social phobics seem to be characterized by a general impairment of mental control, affecting specific and nonspecific stimuli. In addition, among several psychopathological variables, social anxiety proved to be the strongest predictor for problems with thought suppression. Taken together, there are several indicators that generally impaired thought suppression may be an important feature of social phobia.