Medical student dreams about medical school: The unconscious developmental process of becoming a physician

This paper is a report on a collection of almost four hundred dreams of medical students and postgraduate trainees with the manifest content about medical training. It is a unique dream collection from a defined population that experiences a developmental sequence of observable, reality events. The reality events appear in the manifest content of the dreams along with their symbolic alterations. The dreams are used as a psychodynamic database. The data may illustrate which reality experiences seem psychologically formative, their emotional developmental sequences and their specific emotional content. This is a pilot project exploring whether dream material collected from a discrete task group might give information about a group's emotional adaptation. The dreams seem to show an unconscious developmental process in response to medical training and becoming a physician that unfolds in overlapping stages as trainees learn to master skills and tolerate care-giving responsibility for human life. A progressive, unconscious hero-healer fantasy seems to form. It becomes elaborated in masochistic and then sadistic fantasies. These fantasies are evoked by, and used as a defense against, inevitable but painful anxieties of emotional adaptation to medical education experiences.     

Journal Reviews

Covington, Coline. 'Learning how to forget – repeating the past as a defence against the present'.
Grotstein, James. 'Bion, the Pariah of O'.
Hinshelwood, R. D. 'The elusive concept of "internal objects" (1934–1943): its role in the formation of the Klein Group'.
Lippmann, Paul. 'On dreams and interpersonal psychoanalysis'.
Renik, Owen. 'Conscious and unconscious use of the self'.
Schaverien, Joy. 'Men who leave too soon: reflections on the erotic transference and countertransference'.
Williams, Gianna, 'Reflections on some dynamics of eating disorders: "no entry" defences and foreign bodies'.
Slavin, Malcolm & Kriegman, D. 'Why the analyst needs to change: towards a theory of conflict, negotiation, and mutual influence in the therapeutic process'.     

Group choice: competition, travel, and the ideal free distribution

If a group of foragers distributes among resource patches according to the ideal free distribution, the relative number of foragers in each patch should match the relative amount of resource obtained there, unless deviations arise from factors such as incomplete information or interforager interference. In analogy to individual choice, such effects may produce undermatching—group distribution falling short of resource distribution—or overmatching—group distribution overshooting resource distribution. In the present experiments, a flock of about 30 pigeons distributed between two patches with continuous inputs of green peas. Competition was varied by changing the size or extent of the patches. When the patches were areas or troughs, some undermatching occurred. When the patches were small bowls, strong undermatching occurred. When travel was required to switch patches, undermatching decreased slightly. A visual barrier that prevented pigeons from seeing one patch from the other had no effect. Overall rate of food delivery, varied over a wide range, had no effect. It appeared that the mechanism of flock distribution depended on comparisons between patches that were successive rather than simultaneous. Although most pigeons participated in the experiments, and different pigeons participated to different extents, individual pigeons tended to be consistent in the extent of participation from session to session, suggesting the possibility that participation might reflect competitive ability. Examination of the preferences and switching of individual pigeons revealed no consistency within or across individuals. It appeared that the flock's distribution was a truly emergent phenomenon, in the sense that results at the level of the flock in no way paralleled behavior at the level of the individual.     

Temporal control in rats: analysis of nonlocalized effects from short interfood intervals.

The present experiment analyzed temporal control of postreinforcement pause duration during within-session changes in the criterion for reinforcement (interfood interval, IFI). Analysis of interval-by-interval changes in the pause revealed localized and nonlocalized effects from short intervals that caused specific changes in performance. In Phase 1, rats were presented with five consecutive 15-s IFIs intercalated into a series of 60-s IFIs. The 15-s set decreased the pause in adjacent and more remote 60-s intervals. In Phase 2, two sets of 15-s intervals were intercalated. The spacing between the two sets varied so that 0, 5, 10, or 15 60-s IFIs separated the sets. The postreinforcement pause tracked all changes in the IFI duration, and the localized effect from a short set extended beyond the next interval to the next few 60-s IFIs. Effects from one set, however, did not combine with a second set: Changes in the pause after two sets were the same regardless of the spacing between sets.     

Antecedents of intra/intergroup friendships and stress levels among ethnic and religious minority members

Two studies tested a model, whereby, identification with the minority group was predicted to impact on acculturation preferences, which in turn were proposed to impact involvement in intragroup friendships with other minority members, intergroup friendships with majority members and stress experienced by minority members. A direct path from minority identification to stress was also included in the model. The model was tested using structural equation modelling on survey data collected from Muslim women (N = 250) and from Somali minority members (N = 198) in Britain. Results supported predictions and revealed that identification was associated with more culture maintenance preference and less culture adoption preference. Culture maintenance preference was associated with involvement in intragroup friendships, and culture adoption preference was associated with involvement in intergroup friendships and increased stress. Practical applications of the findings are discussed.     

Dealing with Multiple Solutions in Structural Vector Autoregressive Models

Structural vector autoregressive models (VARs) hold great potential for psychological science, particularly for time series data analysis. They capture the magnitude, direction of influence, and temporal (lagged and contemporaneous) nature of relations among variables. Unified structural equation modeling (uSEM) is an optimal structural VAR instantiation, according to large-scale simulation studies, and it is implemented within an SEM framework. However, little is known about the uniqueness of uSEM results. Thus, the goal of this study was to investigate whether multiple solutions result from uSEM analysis and, if so, to demonstrate ways to select an optimal solution. This was accomplished with two simulated data sets, an empirical data set concerning children's dyadic play, and modifications to the group iterative multiple model estimation (GIMME) program, which implements uSEMs with group- and individual-level relations in a data-driven manner. Results revealed multiple solutions when there were large contemporaneous relations among variables. Results also verified several ways to select the correct solution when the complete solution set was generated, such as the use of cross-validation, maximum standardized residuals, and information criteria. This work has immediate and direct implications for the analysis of time series data and for the inferences drawn from those data concerning human behavior.     

Forum: Crafting the Introductory Course in Religious Studies

This series of short essays considers the complex choices and decision‐making processes of instructors preparing to teach, and continuing to teach, introductory courses in religious studies. In a paper originally presented in the University of Chicago's “The Craft of Teaching in the Academic Study of Religion” series, Russell McCutcheon explores a “baker's dozen” of such choices and the larger pedagogical problems with which they are entwined, ranging from classic questions of skill development and content coverage to philosophical concerns around students' identification with their topics of study and institutional concerns around governance and assessment. Aaron Hollander provides a brief introduction and four doctoral students at the University of Chicago Divinity School respond to McCutcheon's essay, widening its scope, testing its applicability, and interrogating its undergirding suppositions from the perspective of early‐career educators in the field.     

The perceived value of team players: a longitudinal study of how group identification affects status in work groups

Theory and research on status attainment in work groups primarily focuses on members’ abilities and characteristics that make them appear competent as predictors of their status in the group. We complement the abilities perspective with a social identity perspective by arguing that another important determinant of a member’s status is based on the extent to which the member serves the group’s interests. Specifically, we assert that a member’s identification with the group affects performance on behalf of the group, which in turn affects other members’ assessment of the member’s status. We test this social identity perspective on status attainment by studying the influence of members’ group identification on their performance and status in the group, while controlling for the members’ abilities and status characteristics. In a three-wave longitudinal field study following 33 work groups during a six-month group project, we find that members’ identification enhances their performance on behalf of the group, which in turn increases their status within the group. As such, our study advances insights in the determinants of status attainment in work groups and points to the relevance of the social identity approach for research on the antecedents of status in work groups.     

Building therapeutic relationship in schizophrenic and alcohol-related disorder cases

Current literature on the dual diagnosis in cases of schizophrenia and alcohol dependence has reported how pharmacological treatment has positive effects on the reduction of both disorders. Nevertheless, patients have considerable difficulties in following the prescribed medication. This work aims to build an engagement stage and therapeutic relationship in seven patients with schizophrenic and alcohol-related disorder cases. This result was achieved through the use of the vignette technique and narrative psychodynamic approach during group counselling sessions. Positive and Negative Symptoms Scale (PANSS) and Munich Alcoholism Test (MALT) were applied before and after treatment. A follow-up session was organized. The PANSS and MALT scores indicated there was no reduction of the psychiatric symptoms after treatment. The follow-up session showed positive outcomes in terms of increasing the level of socialisation as well as awareness of their own condition; at the same, an adherence to pharmacological treatment and psychotherapy for all the subjects.     

A prospective multilevel examination of the relationship between cohesion and team performance in elite youth sport

The purpose of the current research was to (a) develop and establish the factor structure of the Czech and Slovak versions of the Youth Sport Environment Questionnaire (YSEQ; Eys, Loughead, Bray, & Carron, 2009) and (b) examine the relationship between team performance and cohesion with a sample of European elite youth sport teams. At time point one, with 352 elite youth athletes from 22 teams, support was obtained for a two factor structure underlying the YSEQ. Based on data collected at the second (N = 291) and third (N = 246) time points, multilevel analyses revealed that, when controlling for midseason cohesion, midseason team performance significantly and positively predicted task and social cohesion later in the season. Neither task nor social cohesion predicted team performance. In addition to adapting the YSEQ for use in a unique context, these findings reveal the nature of the cohesion-performance relationship in elite youth sport.