The analyst's anxieties in the first interview: Barriers against analytic presence

To answer the questions: why don't more people enter analysis and how do we get more people to do so? Attention is drawn to anxieties in the analyst that become obstacles to the initiation of analysis. The main focus of the paper is how to understand why analysts, irrespective of patient characteristics, seem to have resistances against embarking on analysis. Being a meeting between strangers the consultation activates strong emotional reactions in both parties. One way of coping is defensively to diagnose, assess and exclude instead of being present as an analyst. The analytic frame of a consultation is ambiguous, and a secure analytic function is needed in order to meet the openness and unpredictability of this frame. A fragile psychoanalytic identity is seen as central to analysts' failure to create an analytic practice; it takes years to develop and maintain a robust analytic function, and analytic work continues to cause disturbing emotional reactions in the analyst. Analysts' vulnerable identity is also linked to the history of psychoanalysis that has fostered an ideal of analytic practice that is omnipotent and impossible to reach. Therefore it is no wonder that attempts to reach a convinced recommendation of analysis can become diverted in the process of consultation. Confronting these inner impediments in order to strengthen the analytic identity is suggested as a better way to get more analytic patients than to keep looking for so‐called analysability in patients.     

Selecting a patient or initiating a psychoanalytic process?

The defences provoked in the analyst by the anxieties associated with the difficult tasks of ‘assessment’ and ‘selection’ for psychoanalysis can result in a tendency to think in terms of ‘hurdles to be cleared’ by potential psychoanalytic patients, rather than ‘opening the gates’. This can result in a diminution of the analyst's capacity to enlist and sustain a psychoanalytic stance. Only within a psychoanalytic frame can a meaningful psychoanalytic process unfold, at all stages of a potential patient's movement from their first contact through to, possibly, entering into an analysis. The author illustrates the value of this thinking by describing the work of the London Clinic of Psychoanalysis where there has been a shift of emphasis in psychoanalytic consultation towards working with individuals on their potential to initiate a psychoanalytic process, and away from the sole aim of ‘selection of a suitable patient’. In this paper, the author notes that when institutional culture and practice supports psychoanalytic identity, this makes it more possible to recognize and articulate the anxieties provoked by the ‘emotional storm’ inevitable in psychoanalytic consultation, and the draw towards unhelpful enactment that may otherwise obscure the initiation of a psychoanalytic process that may or may not result in analytic treatment. Illustrative case material from the Clinic is presented.     

Process‐orientated psychoanalytic work in initial interviews and the importance of the opening scene

From the very first moment of the initial interview to the end of a long course of psychoanalysis, the unconscious exchange between analysand and analyst, and the analysis of the relationship between transference and countertransference, are at the heart of psychoanalytic work. Drawing on initial interviews with a psychosomatically and depressively ill student, a psychoanalytic understanding of initial encounters is worked out. The opening scene of the first interview already condenses the central psychopathology – a clinging to the primary object because it was never securely experienced as present by the patient. The author outlines the development of some psychoanalytic theories concerning the initial interview and demonstrates their specific importance as background knowledge for the clinical situation in the following domains: the ‘diagnostic position’, the ‘therapeutic position’, the ‘opening scene’, the ‘countertransference’ and the ‘analyst's free‐floating introspectiveness’. More recent investigations refer to ‘process qualities’ of the analytic relationship, such as ‘synchronization’ and ‘self‐efficacy’. The latter seeks to describe after how much time between the interview sessions constructive or destructive inner processes gain ground in the patient and what significance this may have for the decision about the treatment that follows. All these factors combined can lead to establishing a differential process‐orientated indication that also takes account of the fact that being confronted with the fear of unconscious processes of exchange is specific to the psychoanalytic profession.     

大学生性别角色形成研究——双性化与未分化个案的对比

采用刘电芝编制的中国大学生性别角色量表(CSRI-50),甄别出双性化、未分化和单性化被试。在此基础上,对双性化和未分化个案进行深度访谈,以探究影响大学生性别角色形成的主要因素。结果表明父母教养方式、父母个性特点、父母期待、亲子关系、玩伴和自我期待是性别角色的六大影响因素。其中家庭因素最为重要,在家庭因素中父母处于核心地位。通过双性化和未分化个案的比较研究,表明教养者的温柔、鼓励,民主型教养方式,良好的家庭气氛,兄弟姐妹间友好关爱,积极的自我调节有利于双性化的发展;反之,则加剧未分化的形成。     

The Friends and Family Interview: Measurement invariance across Belgium and Romania

The Friends and Family Interview (FFI; Steele & Steele, 2005 Steele, H. and Steele, M. 2005. The construct of coherence as an indicator of attachment security in middle childhood: The Friends and Family Interview, New York, NY: Guilford Press.  [Google Scholar]), a semi-structured interview assessing attachment representations, is used in the context of an international research project. In the current study, the first step in the validation process of the FFI was to check whether this instrument measures coherence in the same way across countries. Coherence in attachment narratives is a central marker of secure and organized attachment representations in childhood and adulthood. Analysis were conducted on the data from Belgian (n = 35) and Romanian (n = 43) adopted adolescents and revealed that the FFI coherence is similar across the two samples. Correlations between coherence and attachment categories were also computed, confirming the relation between both these variables. Empirical implications of these analyses on the FFI are discussed.     

Functional cerebral changes in multiple sclerosis patients during an autobiographical memory test

Our aim was to investigate the functional underpinnings of autobiographical memory (AM) impairment in multiple sclerosis (MS) patients. To that end, 18 patients and 18 controls underwent the autobiographical interview (AI). Subsequently, the 36 participants underwent a functional magnetic resonance imaging (fMRI) session designed to assess the construction and elaboration of AMs. A categorical control task was also presented. Patients were trained in the fMRI procedure to optimise the procedural aspects accompanying the task itself. Although the patients obtained significantly poorer AI scores (p < .001), their performance on the easier AM fMRI task was efficiently carried out, allowing relevant comparisons with healthy controls. Relatively to healthy controls, the patients showed increased and bilateral cerebral activations (p < .005) during the construction and elaboration phases. The prefrontal, temporal and posterior cerebral region activations were located within the core network sustaining AM, with the bilateral prefrontal region being centrally involved. The parametric neural responses to the difficulty of access and amount of details of memories were also significantly different for the two groups, with the right hippocampal region showing a particularly increased recruitment (p < .005). The findings suggested the presence of functional cerebral changes during AM performance and supported the presence of AM retrieval deficit in MS patients.     

Evidence that an episodic mode of thinking facilitates encoding of perceptually rich memories for naturalistic events relative to a gist-based mode of thinking

ABSTRACT

Several studies have demonstrated that an episodic specificity induction (ESI) can influence cognitive abilities that involve episodic processes at retrieval. To better understand the downstream implications of an “episodic mode of thinking,” we investigate whether an ESI influences encoding of new events. In a between-subjects design, participants were given an ESI or gist (control) induction. In an ostensibly unrelated task, participants then were shown film clips of naturalistic events. After a filled delay, participants were given a surprise memory test, which required narrative recollection of the film clips. Participants who received the ESI generated narratives that contained more perceptual details specifically. Relative to gist thinking, an episodic mode of thinking appears to facilitate encoding of perceptually rich memories for naturalistic events.     

提高教师课堂教学能力方法的实验研究

从教师课堂教学能力、教师能力自我概念、学生对教师课堂教学能力的评价及学生的思维品质等方面探讨了角色改变、摄象自我评价、现场指导三种方法对提高教师课堂教学能力的有效性、结果表明：角色改变、摄象自我评价、现场指导三种方法的合理结合是提高教师课堂教学能力的较好方法;教师课堂能力的不同维度其发展速度不同,依次为：认知能力、操作能力和监控能力;教师课堂教学能力的发展是受其自我概念发展水平影响的;教师课堂教学能力的提高促进了学生思维的深刻性、灵活性、独创性、批判性等思维品质的发展。     

Methods and aims of investigative interviewing of adult witnesses: An analysis of professional practices

Eyewitnesses provide crucial evidence for the investigation of criminal cases. We analysed professional police interviewers’ behaviour by conducting a literature review. Our results indicate that the interviewing techniques used by untrained and trained investigators are predominantly inappropriate and harmful to memory recall. The way investigators curtail and select witnesses’ responses suggests that they look for specific information. As a subsequent step, we analysed investigative interviewing in terms of professional objectives, identifying the types of information that the police inquire about during the interview. Based on our results, we conclude future research should perform a fine-grained analysis of professional interviewing procedures with the aim of producing effective interviewing techniques that meet investigators’ real-world objectives.