Mirroring patients – or not. A study of general practitioners and psychiatrists and their interactions with patients with depression

For mentalization theorists, implicit mentalization is a key component of all forms of therapy. However, it has been difficult to grasp and to describe precisely how implicit mentalization works. It is said to take place partly by mirroring others in posture, facial expression and vocal tone. Based on studies of imitative behaviour within linguistics and psychology, we argue that interactional mirroring is an important aspect of displaying implicit mentalization. We aimed to explore if, and in that case how, mirroring is displayed by general practitioners (GPs) and psychiatrists in consultations with patients with depression. We wanted to see how implicit mentalizing unfolds in physician–patient interactions. Consultations were video-recorded and analysed within the framework of conversation analysis. GPs and psychiatrists differed substantially in their propensity to mirror body movements and verbal and acoustic features of speech. GPs mirrored their patients more than psychiatrists in all modalities and were more flexible in their interactional behaviour. Psychiatrists seemed more static, regardless of the emotionality displayed by patients. Implicitly mirroring and attuning to patients could signify enactment of implicit mentalization, according to how it is described by mentalization theorists. We discuss reasons for the differences between GPs and psychiatrists, and their implications.     

Do People Use Their Implicit Theories of Creativity as General Theories?

This study examines whether people use the general implicit theories of creativity or not when applying them to themselves and others. On the basis of the actor–observer asymmetry theory, the authors propose that conception of creativity would be differently constructed depending on the targets of attention: general, self, and other. Three studies attempted to examine this hypothesis. In the preliminary study, a measure was developed to assess the characteristics that describe general creativity. In Study 1, exploratory and confirmatory factor analyses found the conceptual factors of general creativity. In Study 2, the common and specific factors of general, self, and others’ creativity concepts were compared through invariance tests. As a result, it was revealed that the invariance test failed, which means that the general conception of creativity may not be applicable to monitor self and others’ creativity in a consistent way. Implications and limitations of this study are discussed at the end of the study.     

The body, adolescence, and psychosis

This article explores aspects of the clinical development of a male 17 year-old patient who had four weekly sessions of psychoanalysis during an acute psychotic crisis. In the context of arrested adolescent development, a psychotic crisis can present an opportunity to set the process of maturation in motion again. Adolescent psychosis is examined in the light of Bion's theories of catastrophic change - in which the container/contained relationship becomes explosive and overwhelming - as well as of Ferrari's and Matte Blanco's hypotheses on the mind-body relationship. The authors emphasize the role of denial of the body and its changes in the genesis of adolescent psychotic conflict, and show how the analytic relationship can offer crucial reverie conditions for promoting recognition of the body, bodily sensations and affects, as a prerequisite for the activation of an autonomous mental system. This clinical approach entails recognizing the urgent need to make room for the elaboration of intrasubjective relationships and for mind-body dialogue, transference interpretations being postponed. Clinical material and fragments of analytic dialogue illustrate the authors' hypotheses and demonstrate the patient's development towards recognition of his body and an incipient capacity to think associated with the perception of the limits set by time and reality.     

大学生良知内隐观的调查研究

本研究采用社会效度的方法,对346名大学生的良知内隐观进行了调查研究,结果显示:1.大学生良知内隐观所涉及的范围广泛,经因素分析可以把大学生的良知内隐观概括为9个因素;2.大学生认为良知的诸特征中较重要和具有一致性的有:孝敬父母、有责任心、守信、善良、自爱、诚实、真诚、感恩、明辨是非和自尊等;3.年龄对大学生良知内隐观的影响显著,性别和专业对大学生良知内隐观的影响不显著。     

Continuum modeling of the reverse Hall–Petch effect in nanocrystalline metals under uniaxial tension: how many grains in a finite element model?

Owing to their very high strength, nanocrystalline metals have been extensively studied over the recent years. The direct Hall–Petch law, empirically proportioning the material strength to the inverse square root of its grain size has been shown to break down below a grain size of the order of tenths of nanometers. This phenomenon has been widely rationalized as a gradual switch from intragrain mediated deformation mechanisms to grain boundary mediated deformation mechanisms. This transition has been observed in many finite element simulations, despite the intrinsic restriction of necessarily limiting the nanocrystalline representative assembly to only a few grains. Such a limitation is generally overlooked, and its influence on an uniaxial tension test – when compared to a complete sample of millions of grains – ignored. We propose here to quantify the approximation done by considering a finite number of grains by means of a simple analytical model based on the early work of Stevens [R.N. Stevens, Philos. Mag. 23 (1971) p. 265]. The finite element approximation is demonstrated to be relatively good, even down to only three grains in width, and a method to “correct” the stress-strain curves of small representative volumes is proposed.     

Becoming a philosopher: What Heidegger learned from Dilthey, 1919–25

Wilhelm Dilthey is, famously, an epistemological pioneer for a second, ‘human’ kind of science that ‘understands’ life as we live it, instead of ‘explaining’ things as we observe them. Even today, he is usually cited for his role in the Erklären–Verstehen debate. My article, however, follows Heidegger's suggestion that we make the existence of the debate itself the problem. Whether there are different sorts of entity, different reasons for studying them and different means for doing so – such issues raise questions about science itself, not just about how to do it better. Moreover, what sort of philosopher is competent to address such questions? Heidegger argues that Dilthey's later writings intimate that it must be one who thinks from the ‘standpoint of (historical) life itself.’ This issue, says Heidegger, is ‘alive’ in Dilthey but is continually short-circuited by his very traditional plan for a ‘Critique of Historical Reason.’ Dilthey's unsuccessful struggles to produce this Critique are his gift to us, however. They encourage us to explicitly reconsider, as Heidegger does not only in Being and Time but throughout his life, what Dilthey cannot: If philosophy, like all human practices, is historical to the core, what is it to ‘be’ philosophical, about science or anything else?     

Lost in Translation? The Need for ‘Upstream Engagement’ with Nanotechnology on Trial

Nowadays, the criticism of the so-called ‘deficit model’ and the need for ‘upstream engagement’ in science and technology are becoming part of the master narratives of public policies in many countries, especially concerning nanotechnology. This may be considered as a major success for STS scholars, whose research results have largely contributed to this change, especially those concerning the GMO controversies. Some STS scholars thus move from a position of distant and critical observers to the role of experts in social engineering or advisers of policy-makers. However, in their enthusiasm concerning the expected benefits of upstream engagement, institutions, TA practitioners and social scientists seem to ignore some important limitations as well as the implicit framing assumptions of the concept. Based on an experience made by a group of social scientists in the Grenoble area—one of the major ‘nanodistricts’ in Europe—our paper shows that the ‘upstream engagement’ concept is still embedded in a linear model of innovation and is not very useful to anyone pursuing the co-production of innovations. It is especially true when socio-technical networks are already aligned by powerful actors and a worldwide agenda as in the case of nanotechnology. In order to give an opportunity for public engagement to have a larger impact on decision-making, we propose an alternative approach, which combines Actor–Network Theory (ANT), as an analytical tool, with the reflexive and ongoing implementation of public participation. Public engagement is probably one of the critical loci where STS scholars must reflect on the articulation between the knowledge they produce and public policies in action.