fMRI responses to Jung's Word Association Test: implications for theory,treatment and research

Jung's Word Association Test was performed under fMRI conditions by 12 normal subjects. Pooled complexed responses were contrasted against pooled neutral ones. The fMRI activation pattern of this generic ‘complexed response’ was very strong (corrected Z scores ranging from 4.90 to 5.69). The activation pattern in each hemisphere includes mirror neurone areas that track ‘otherness’ (perspectival empathy), anterior insula (both self‐awareness and emotional empathy), and cingulated gyrus (self‐awareness and conflict‐monitoring). These are the sites described by Siegel and colleagues as the ‘resonance circuitry’ in the brain which is central to mindfulness (awareness of self) and empathy (sense of the other), negotiations between self awareness and the ‘internal other’. But there is also an interhemispheric dialogue. Within 3 seconds, the left hemisphere over‐rides the right (at least in our normal subjects). Mindfulness and empathy are central to good psychotherapy, and complexes can be windows of opportunity if left‐brain hegemony is resisted. This study sets foundations for further research: (i) QEEG studies (with their finer temporal resolution) of complexed responses in normal subjects (ii) QEEG and fMRI studies of complexed responses in other conditions, like schizophrenia, PTSD, disorders of self organization.     

时间知觉的脑机制:时钟模型的困境和新导向

长期以来人们认为神经系统是通过类似于时钟的方式来实现对一段时间的知觉的,并认为多巴胺能系统(基地神经节)和时钟的快慢有关。与多巴胺信号有关的药物的动物实验的结果以及帕金森氏症(parkinson’s disease)患者的行为表现被看作是支持以上看法的证据。然而,最近的大量研究对这个理论提出了挑战,结合行为研究和脑机制研究的新成果,研究者提出了知觉信息可以通过神经活动状态或加工中的能量消耗来表达。     

Why read Fairbairn?

The author offers a close reading of portions of Fairbairn's work in which he not only explicates and clarifies Fairbairn's thinking, but generates ideas of his own by developing concepts that he believes to be implicit in, or logical extensions of, Fairbairn's work. Among the unstated or underdeveloped aspects of Fairbairn's contribution that the author discusses are (1) the idea that the formation of the internal object world is always, in part, a response to trauma (actual failure on the part of the mother to convey to her infant a sense that she loves him and accepts his love); (2) the notion that the infant's unceasing efforts to transform the internalized relationship with the unloving mother into a loving relationship – thus reversing the effect on his mother of his (imagined) 'toxic love'– is the single most important motivation sustaining the structure of the internal object world; and (3) the idea that attacks on oneself for the way one loves, while self-destructive, contain a glimmer of insight into one's own self-hatred and shame regarding one's endless, futile attempts to change oneself (or the rejecting object) into a different person. The author, using his own clinical work, illustrates the way he makes use of his understanding of the 'emotional life' of internal objects to facilitate the patient's emotional growth.     

动机对高一学生创造性的科学问题提出能力的影响

选取了360名高一学生,采用直接和间接激发内外动机的方式,通过两个研究考察了内外动机和不同水平的外部动机对中学生创造性的科学问题提出能力的影响,结果发现:(1)直接激发条件下,内部动机能够促进创造性的科学问题提出能力,尤其表现在流畅性以及独创性维度上;(2)直接激发条件下,外部动机能够抑制创造性的科学问题提出能力,尤其表现在独创性维度上;(3)评价情境不同引起的不同的动机水平对于创造性的科学问题提出能力的影响是不同的,期待正性评价不影响创造性的科学问题提出能力,但避免负性评价对创造性的科学问题提出能力有着显著的抑制作用.     

Differential attrition in health behaviour change trials: A systematic review and meta-analysis

Objective: Attrition is a common problem in health behaviour change (HBC) trials. When the degree of attrition differs between treatment conditions, then this is called differential attrition and is regarded as a major threat to internal validity. The primary research question of this study was: how often and to what degree does differential attrition occur in HBC trials?

Design: A systematic review and meta-analysis of a random selection of HBC trials (k = 60). We meta-analysed the relative attrition rates using a random-effects model and examined the relationship between the relative attrition rates and the potential moderators: the amount of human contact in delivery and the intensity of the intervention/control condition, the type of control condition, and the follow-up intensity and duration.

Main outcome measures: Relative attrition rates.

Results: The average attrition rate was 18% (SD = .15; M = .15) in the intervention and 17% (SD = .13; M = .13) in the control conditions. The estimated average relative attrition rate was 1.10 (95% CI: 1.01–1.20, p = .02), suggesting an overall higher attrition rate of 10% in the intervention conditions. This relative attrition rate was not related to any of the potential moderators.

Conclusion: There is indication of a slightly higher amount of attrition on average in the intervention conditions of HBC trials.     

Fire at the theatre: (Un)reality of/in the transference and interpretation1

Only in Bion's extended idea of ‘waking dream thought’ is the oneiric paradigm of the cure (already an obvious Freudian principle) completely applicable. The author's basic hypothesis is that, by adopting this paradigm thoroughly, one can combine the radical antirealism which is expressed in the postulate by which all the patient's communications are transference‐connected (here meaning ‘false connection’‐i.e. as projection/displacement of elements of the patient's inner psychic world) with the ‘reality’ of the transference, that is to say with the conviction that the facts of the analysis are co‐determined by the patient‐analyst dyad and actually rooted in how they interact. The Freudian metaphor of the fi re at the theatre is reintroduced here to suggest the crisis of the therapist's internal setting and capacity for reverie, which occurs when the irreducible ambiguity of the transference is resolved defensively, either in the patient's external reality or in his unconscious fantasy constellation. The author gives three clinical examples. The fi rst shows some of the not necessarily negative effects of this temporary crisis. The other two vignettes show a way of listening to the traumatic events of the patient's life from a perspective (that of the ‘analytic fi eld’) which is thought to be potentially the most transformative and vital to the analytical relationship.     

Mechanics of the animate.

Behavior is treated as basic physics. Dimensions are identified and their transformations from physical specification to axes in behavioral space are suggested. Responses are treated as action patterns arrayed along a continuum of activation energy. Behavior is seen as movement along a trajectory through this behavior space. Incentives or reinforcers are attractors in behavior space, at the centers of basins of lowered potential. Trajectories impinging on such basins may be captured; repeated capture will warp the trajectory toward a geodesic, a process called conditioning. Conditioning is enhanced by contiguity, the proximity between the measured behavior and the incentive at the end of the trajectory, and by contingency, the depth of the trajectory below the average level of the potential energy landscape. Motivation is seen as the potential of an organism for motion under the forces impinging on it. Degree of motivation is characterized by the depth of the potential field, with low motivation corresponding to a flat field and a flat gradient of activation energy. Drives are the forces of incentives propagated through behavior space. Different laws for the attenuation of drive with behavioral distance are discussed, as is the dynamics of action. The basic postulate of behavior mechanics is incentive-tracking in behavior space, the energy for which is provided by decreases in potential. The relation of temporal gradients to response differentiation and temporal discrimination is analyzed. Various two-body problems are sketched to illustrate the application of these ideas to association, choice, scalar timing, self-control, and freedom.     

Clinical theory at the border(s): Emerging and unintended crossings in the development of clinical theory

The author provides some scaffolding for thinking about emerging and unintended integrative developments in clinical theory. The emergent theory to which the author refers works at a different level of theoretical discourse than explicit attempts at comparative translation of psychoanalytic concepts or theories. In contrast, most of the theory that is explored in this paper involves clinical discourse aimed at solving important common clinical problems. The work of a group of authors (Jay Greenberg, John Steiner, Anton Kris, Michael Feldman and Charles Spezzano) is described as simultaneously embedded within a particular orientation while demonstrating a kind of unwitting reach to a broad swathe of analysts. Distinctions are made between this kind of linking of clinical theory versus self‐consciously syncretic and integrative approaches to theory development. The author also discusses the educational implications of this emergent theory for teaching and learning during psychoanalytic training.     

依恋内部工作模式的社会认知研究

社会认知取向的成人依恋研究,在验证依恋理论的核心假设和探索与情绪调节策略、依恋系统活动有关的心理活动过程方面取得了长足的进步。这种把当前社会认知理论特别是心理表征这一重要概念运用到理解依恋的内部工作模式（internalworkingmodel）中去的价值已经逐渐显露。文章概述了关于内部工作模式与心理表征的关系及其在启动效应、可得性与通达性、记忆、情绪、归因等五个重要方面的研究进展,并对将来的研究进行了思考与展望     

The relationship of the inner and the outer in psychoanalysis

What is internal and what is external according to psychoanalytic theory? This is a surprisingly complicated question. The terminology is often ambiguous and inconsistent as, for instance, in the use of terms like ‘object’ and ‘other’. The relationship between internal and external in psychoanalysis is analysed from a philosophical, concept analytical, developmental psychological, methodological and trauma versus internal dynamics point of view. It is argued that psychoanalytical writing is influenced by the authors’ need to create their personal psychoanalytic theory and language. This is seen as one of the main reasons for the terminological variety and ambiguity in psychoanalytic writing. It is also argued that one particular reason for difficulties concerning the internal–external terminology is the existential anxiety awakened by the threat of the essential aloneness of man. The consciousness of this has a tendency to fade and lead to unclear terminology. The importance of the transitional world as a resting place from the hard reality of this essential aloneness is emphasized. The transitional world is also seen as a necessary part of psychoanalytical practice, as an aid in striving for the truth and reality, important goals of psychoanalysis.