Chapter 4 Interpretation in Short-Term Therapy

Abstract

There is much theoretical and clinical literature on the role of interpretation in psychoanalysis, psychoanalytic psychotherapy, and brief dynamic psychotherapy, but little supporting research data. Using 112 audiotaped sessions from 38 patients in supportive-expressive time-limited treatment, the present study hypothesized that therapists would modify the object and temporal content and frequency of their interpretations in relation to the level of patient functioning. The results did not support this hypothesis. Therapists were not less active with more interpretations for higher functioning patients, nor were they more active with fewer interpretations for lower functioning patients. Therapists were more active and made more genetic interpretations with married patients, regardless of level of patient functioning. The findings are discussed in terms of their implications for supportive-expressive psychodynamic therapy.     

汉字识别的时间进程：来自字谜任务的ERP证据

通过“学习-测试-判断”的三阶段实验范型, 采用事件相关电位（ERP）技术探讨了猜谜任务中对谜底答案（单个汉字）识别的脑内时程动态变化。结果发现：语义识别与字形识别下,汉字刺激均诱发了明显的N1、P2和N2成分,其中语义识别下的P2波幅表现为更加正性,可能与汉字语义的早期加工有关;随后,300-400ms内,语义识别比字形识别诱发了一个更加正性的ERP成分,该成分可能属于P300成分,反映了对汉字语义的进一步整合加工;最后,500-600ms内,语义识别比字形识别同样诱发了一个更加正性的ERP成分,可能反     

基于贡献原则的幼儿分配公平性

分配公平性是指个体如何以公平的方式对资源进行分配, 其主要依据3个原则：贡献(equity)、平等(equality)和需要(need)。最新研究表明, 幼儿很早就已经具有基于贡献原则的分配公平性判断与行为, 双加工理论对于该研究结果能够给出更为适当的解释, 心理理论与情境卷入水平分别从认知和情绪方面对幼儿分配公平性的发展有着重要影响。未来研究应注重研究内容的具体化, 对幼儿基于贡献原则的分配公平性发展特点、相关影响因素及其内部动机进行深入探究。     

安全标志词语的风险等级对注意效应的调节作用

安全标志是一种传递潜在风险的方式,在安全管理中有重要地位。安全标志词语在安全标志中应用广泛。本文从新的视角研究安全标志词语的有效性,应用心理学中的线索-靶范式研究安全标志词语的风险等级对目标的注意效应的影响。实验结果发现,词语的风险等级显著调节注意返回抑制（inhibition of return, IOR）效应, 高风险词语相对于中、低风险词语能够减弱IOR效应;但词语的风险等级对IOR的调节作用受到靶子位置的影响,其中,靶子出现在左侧时调节作用显著,而靶子出现在右侧时调节作用不显著,这是由于风险引发的负性情绪刺激处理的偏侧优势产生的。本文为安全标志有效性相关研究提供了新的研究视角和心理学实验证据。     

Psychoanalytic inpatient psychotherapy of depression – Two naturalistic samples throughout the course of a decade

Background: While the general effectiveness of psychodynamic inpatient psychotherapy has been established, very few studies have specifically investigated the effectiveness of psychodynamic inpatient treatment of depression, though depressed patients represent the largest group of inpatients.

Method : This study investigated two naturalistic samples of depressed patients regarding treatment outcome as well as clinical and treatment characteristics. Patients were treated in a psychoanalytical psychosomatic hospital unit. Data was collected from 2000 to 2002 (N=234) and from 2008 to 2010 (N=514). Data was acquired at admission and discharge.

Results: The findings reveal high pre-post effect sizes for symptom reduction (SCL-90-R), general functioning (GAF) and medium changes of interpersonal problems (IIP). The improvement on the IIP was significantly higher for patients with comorbid personality disorder. Based on therapist ratings, the sample treated from 2008-2010 showed higher levels of impairment on several levels: chronic, complex, functional (GAF) and structural (OPD).

Conclusion: Findings indicate that patients show substantial short-term benefit following psychoanalytic inpatient psychotherapy, as practiced under naturalistic conditions. Open questions remain regarding the long-term nature of these benefits and the possible influence of placebo-effects.     

Adam and Eve’s Origin: A Theory Harmonising Scientific Evidence with the Qur’anic Text1

A Muslim scientist engaged in interaction between theology and science needs to remain completely faithful to the Holy Qur’an. This also applies to understanding the historical and spiritual dimensions of Adam and Eve. When Islamic scholars (‘ulama’) differ on subject details, this author chooses the position closest to that suggested by the scientific data. This method, then, allows incorporation of facts drawn from skeletal material of early Homo sapiens who could well have provided our ancestral physical form. This article tenders a parsimonious and probable theory that accommodates all relevant Qur’anic statements in conjunction with the scientific data.     

道德决策的机制及干预研究:自我相关性与风险水平的作用

现有的道德决策脑机制研究更多地关注了认知和情绪的交互作用,较少关注个体对"自我相关性"和"风险水平"信息的整合加工,更是忽视了帮助情境和伤害情境下道德决策的心理与脑机制的异同。因此,有必要通过行为、事件相关电位(ERP)和多模态脑功能成像(f MRI)等多种方法来系统考察帮助和伤害情境下自我相关性和风险水平交互影响道德决策的认知和神经机制,并进一步探讨共情训练对道德决策的干预作用。旨在揭示道德决策的时间进程和神经基础;探寻自我相关性与风险水平对道德决策的影响,及其在不同情境和共情水平下可能存在的变异;共情训练能否有效提升个体的道德决策水平。     

伦理消费者为何“言行不一”:解释水平的视角

伦理消费(Ethical consumption,EC)是指消费者在获取、使用或处置产品时考虑到个人消费行为对社会、环境或动物福祉的影响。虽然伦理消费日渐流行,但在金钱支付时伦理消费的态度却往往难以转化为实际的行为,即言行不一。本文从解释水平理论视角出发,以"心理距离→解释水平→个体反应"为分析框架展开。从时间维度上来说,在态度评价阶段和产品选择阶段两个时间点上,消费者与伦理产品的心理距离远近不同,分别激活了高低解释水平表征;高低解释水平下个体在动机和认知上又存在诸多差异,这种差异导致两个阶段的反应不同,继而出现伦理消费者态度与行为的分离。未来研究应重点关注如何根据解释水平理论有效提高伦理消费行为。     

Improving executive function using transcranial infrared laser stimulation

Transcranial infrared laser stimulation is a new non‐invasive form of low‐level light therapy that may have a wide range of neuropsychological applications. It entails using low‐power and high‐energy‐density infrared light from lasers to increase metabolic energy. Preclinical work showed that this intervention can increase cortical metabolic energy, thereby improving frontal cortex‐based memory function in rats. Barrett and Gonzalez‐Lima (2013, Neuroscience, 230, 13) discovered that transcranial laser stimulation can enhance sustained attention and short‐term memory in humans. We extend this line of work to executive function. Specifically, we ask whether transcranial laser stimulation enhances performance in the Wisconsin Card Sorting Task that is considered the gold standard of executive function and is compromised in normal ageing and a number of neuropsychological disorders. We used a laser of a specific wavelength (1,064 nm) that photostimulates cytochrome oxidase – the enzyme catalysing oxygen consumption for metabolic energy production. Increased cytochrome oxidase activity is considered the primary mechanism of action of this intervention. Participants who received laser treatment made fewer errors and showed improved set‐shifting ability relative to placebo controls. These results suggest that transcranial laser stimulation improves executive function and may have exciting potential for treating or preventing deficits resulting from neuropsychological disorders or normal ageing.