Containment lost: the challenge to child psychotherapists posed by modern CAMHS

The paper is an examination of some emotional challenges facing child psychotherapists working in modern CAMHS following the introduction of the NHS internal market for commissioning and providing services. Its introduction has brought the loss of organisational containment for all CAMHS clinicians. The meaninglessness in work reported by clinicians is a clue to this loss. This loss is especially difficult for child psychotherapists because of their particular investment in the apprehension of meaning in symptoms and other presentations by patients. The paper proposes that meaninglessness is itself a clue to the ascendancy of what Freud called the death instinct, and that this is inherent within the internal market model. Because service design and delivery is predicated upon it, the internal market model structurally determines that clinicians are bound to senior management in a way that leaves child psychotherapists open to professional life-threatening dynamics associated with the death instinct. The ?K (Bion) world of CAMHS is thus deathly, leaving child psychotherapists vulnerable to self-destruction. We have lost a workplace in which our approach flourished conferring on us the identity of a discipline structurally favoured, because of the help we provided through this approach to patient and clinic work. This loss of identity brings the dangers of containment lost. This situation leaves child psychotherapists emotionally vulnerable and is akin to Satan’s loss in Milton’s Paradise Lost.     

视觉工作记忆回溯线索效应的产生机制：认知阶段分离

以往研究关于视觉工作记忆回溯线索效应的产生机制主要存在5种假设,目前依然存在争议。本研究通过改进前人研究实验范式,采用包含内源性回溯线索的颜色回忆报告范式,进一步对这5种假设进行检验。在实验1中,我们调控了线索与探测阵列之间的时间间隔,发现不同时间间隔不影响无线索条件的行为表现,而在正常线索条件中被试的记忆精度以及能记住的项目数量均优于无线索条件;在实验2中,我们对回溯线索伴随的干扰刺激类型进行控制,结果显示,在不同条件下记忆精度不存在差别,但当回溯线索伴随干扰刺激呈现时,被试能记住的项目数量会被降低,降低程度受干扰刺激的类型调制;在实验3中,我们对伴随回溯线索的干扰刺激的呈现时间进行控制,发现虽然回溯线索效应仍然存在,但干扰刺激的呈现时间不会影响效应程度。研究结果表明,回溯线索的出现使得被试能够在决策加工前完成内部注意资源的再分配,从而避免了同时进行这两种认知加工与记忆表征维持本身竞争认知资源。本研究为认知阶段分离假设提供了支持证据,对解决回溯线索效应产生机制的争议以及理解内部注意与视觉工作记忆的关系有重要意义。     

You can't miss what you've never had: Can you?: The challenges and struggles of single parenthood from a psychoanalytic perspective

The issue of the growth of single-parent families has been in the forefront of political, social and moral debate in recent years. Children from single-parent families tend to be over-represented in clinic populations. Yet this state of My being may be no more potentially pathological than the nuclear family, which can become conceptually idealized The aim of this paper is to look behind the statistics and examine the impact on children of life in a single-parent family, to explore how this may be managed, and to look for potentiating factors which can enable good-enough development to unfold. Case material is used to illustrate the theme.     

Mirroring,imitation, identification: the sense of self in relation to the mother's internal world

The phenomenon of neonatal imitation, and the use of mutual imitation by mother and baby in the service of attunement, are considered in relation to psychoanalytic theories of mirroring, imitation and identification. Material from infant observation and from the treatment of two children on the autistic spectrum is discussed in terms of the suggestion that developmental imitation implies a perceived position of balance between the external baby and the mother's supposed internal occupant. This is seen as making possible introjective identification and assimilation, with the enrichment of the sense of identity, in contrast to the kind of imitation involving mimicry, in which adhesive or projective identification may be operative.     

Social support and cardiovascular responding to laboratory stress: Moderating effects of gender role identification,sex, and type of support

The objective of the present study was to examine moderating effects of gender role identification, sex, and type of support on the buffering role of social support on cardiovascular responses. We hypothesized that (a) gender role identification, more than sex, would moderate the effect of social support and (b) to obtain optimal attenuating effects of social support, type of support provided should match type of support preferred in terms of one's gender role identification. That is, feminine participants would benefit more from relatively direct support, whereas masculine participants would benefit more from indirect support. Healthy participants (N = 100) performed a psychological stressor in the presence of a friend, after mental activation of a friend, or alone. Results revealed no moderating effects of gender role identification whether or not in combination with type of support. Nevertheless, results demonstrated an attenuating effect of mental support on heart rate and cardiac output in men. It is concluded that pathways linking social relationships and health may differ between women and men.     

Cronbach's Alpha: Review of Limitations and Associated Recommendations

This paper discusses the limitations of Cronbach's alpha as a sole index of reliability, showing how Cronbach's alpha is analytically handicapped to capture important measurement errors and scale dimensionality, and how it is not invariant under variations of scale length, interitem correlation, and sample characteristics. In addition, the limitations and strengths of several recommendations on how to ameliorate these problems were critically reviewed. It was shown that the reliance on Cronbach's alpha as a sole index of reliability is no longer sufficiently warranted. This requires that other indices of internal consistency be reported along with alpha coefficient, and that when a scale is composed of large number of items, factor analysis should be performed, and appropriate internal consistency estimation method applied. This approach, if adopted, will largely minimize and guard against uncritical use of Cronbach's alpha coefficient.     

Causal Attribution: Analysis of Patterns and Influencing Factors Among Learners at a Higher Education Institution

The study explored the academic patterns and implications of academic attributions made by students who had been given test feedback at a higher learning institution in Zimbabwe. A random sample of 8 (female = 4; male= 4; mean age = 21.9, passed a test = 4; failed the test = 4) participants was purposefully selected from a class of second year students majoring in psychology and human resources management. Audio-taped semi-structured interviews were conducted to collect data. Thematic content analysis was used to analyse data. Results indicate that culture and gender moderate academic causal attributions.     

‘Rehabilitation' in schizophrenia: A psychoanalytic viewpoint

This is a study which investigates some difficulties people with schizophrenia have in the long term; looks at some of the psychoanalytical theories concerning the difficulties they have in keeping an internal caring maternal imago; the consequences for them; how the NHS can help by providing an external caring maternal imago.     

Children's Resilience as Assets for Safe Schools

In this article I argue that employing positive psychology conceptions in research allows for a continuum of findings for educational psychology. I illustrate my contention by means of a participatory action research (PAR) survey-based case study in which methodological decisions were informed by an asset-focused resilience conceptual framework. First I provide a rationale, as well as contextual information for the article. Then I explicate asset-focused resilience as a conceptual framework. Subsequently, I present the methodological background of the PAR survey-based case study, after which I align the scope of the findings to the contention of my article. I conclude that the choice of a positive psychology theoretical stance enriched the scope of the findings.