The Case Study of Jacob: Childhood Sexual Abuse and the Limitations of the Holding Environment

Childhood sexual abuse and trauma influence relational development in significant ways. Notable among them are the development of a patient's internal object world, fantasies, and sense of self. Dynamic formulations and holding techniques are used to identify, process, and alter fractured relational dynamics. However, the use of such techniques may also influence a patient's narrative process, pulling them away from the realities of their life as lived. Using the case study method, focusing specifically on the patient's narrative development, this article examines the impact of analytic framing on a patient's experience of child sexual abuse and trauma.     

自传体记忆的开端:最早记忆的诱发与评估

童年期遗忘指人们无法回忆起生命最初几年的事情。最早记忆是童年期遗忘开始消退和自传体记忆发生的标志,诸多研究表明成人的最早记忆一般介于3~4岁间,儿童有更早的最早记忆。最早记忆的诱发方法,包括单一最早记忆法、线索词法、穷举法和生命全程法;最早记忆的评估方法,包括自陈式的记忆现象学问卷测量,以及针对记忆叙述内容的编码分析。未来研究要加强纵向研究,追踪最早记忆随年龄而发生的变化;展开特殊人群的研究;完善测量工具;探究早期记忆保持和遗忘的机制。     

Positive reappraisals after an offense: Event-related potentials and emotional effects of benefit-finding and compassion*

Using a within-subjects design, three emotion regulation strategies (compassion-focused reappraisal, benefit-focused reappraisal, and offense rumination) were tested for their effects on forgiveness, well-being, and event-related potentials. Participants (N = 37) recalled a recent interpersonal offense as the context for each emotion regulation strategy. Both decisional and emotional forgiveness increased significantly for the two reappraisal strategies compared to offense rumination. Compassion-focused reappraisal prompted the greatest increase in both decisional and emotional forgiveness. Furthermore, both reappraisal strategies increased positively oriented well-being measures (e.g. joy, gratitude) compared to offense rumination, with compassion-focused reappraisal demonstrating the largest effect on empathy. Late positive potential (LPP) amplitudes in response to unpleasant affect words were larger following the benefit-focused reappraisal strategy, indicating frontal LPP augmentation due to affective incongruence of the unpleasant stimuli with the positive, silver-lining orientation of the benefit-focused reappraisal emotion regulation strategy.     

Students’ self-regulation and achievement in basic reading and math skills: the role of student–teacher relationships in middle childhood

In this study, we explored both direct and indirect contributions of students’ perceptions of the student–teacher relationship quality (i.e., closeness and conflict) to domains of self-regulation (i.e., task-orientation and metacognition) and basic reading and math skills (i.e., timed word reading and math performance) in middle childhood. Participants were 370 third-to-fifth graders from different regular elementary classrooms across the Netherlands. Using structural equation modelling, evidence was found for positive direct associations between student-perceived closeness and both domains of self-regulation, and a negative direct association between student-perceived conflict and task-orientation. However, indirect associations of closeness and conflict with students’ achievement in basic math and reading skills, through task-orientation and metacognition, could not be established. These results suggest that students’ perceptions of the relationship quality, and closeness in particular, may be especially important for their ability to regulate motivational and cognitive aspects of their own learning.     

The test–retest reliability of the latent construct of executive function depends on whether tasks are represented as formative or reflective indicators

This study investigates the test–retest reliability of a battery of executive function (EF) tasks with a specific interest in testing whether the method that is used to create a battery-wide score would result in differences in the apparent test–retest reliability of children’s performance. A total of 188 4-year-olds completed a battery of computerized EF tasks twice across a period of approximately two weeks. Two different approaches were used to create a score that indexed children’s overall performance on the battery—i.e., (1) the mean score of all completed tasks and (2) a factor score estimate which used confirmatory factor analysis (CFA). Pearson and intra-class correlations were used to investigate the test–retest reliability of individual EF tasks, as well as an overall battery score. Consistent with previous studies, the test–retest reliability of individual tasks was modest (rs ≈ .60). The test–retest reliability of the overall battery scores differed depending on the scoring approach (r_mean = .72; r_{factor_score} = .99). It is concluded that the children’s performance on individual EF tasks exhibit modest levels of test–retest reliability. This underscores the importance of administering multiple tasks and aggregating performance across these tasks in order to improve precision of measurement. However, the specific strategy that is used has a large impact on the apparent test–retest reliability of the overall score. These results replicate our earlier findings and provide additional cautionary evidence against the routine use of factor analytic approaches for representing individual performance across a battery of EF tasks.     

Opening address by the IPA president to the conference on Parent–Infant Disturbance,Paris, November 13–14, 2015

Abstract

In his opening video address, Dr. Stefano Bolognini elaborates on “the social function of psychoanalysis in the field of psychic suffering in childhood and in adolescence.”     

父母早期受虐与子女对立违抗症状的关系:亲子虐待和儿童愤怒管理的作用

本研究探讨了父母的早期受虐经历与子女的对立违抗症状的关系,通过构建一个有调节的中介模型,考察了亲子虐待的中介效应和儿童愤怒管理对该效应的调节作用。采用问卷法对359名来自北京市、山东省和云南省的14所小学一至五年级的儿童及其父母进行调查,研究工具包括儿童对立违抗症状评估表、童年期创伤问卷、儿童愤怒管理量表。结果发现：（1）男孩的ODD症状得分显著高于女孩;男孩受到的躯体虐待、情感忽视和躯体忽视显著多于女孩（2）在控制了儿童性别后,父母在童年期的受虐经历仍可显著正向预测其成年期的家庭中子女的ODD症状;（3）亲子虐待在父母受虐和子女ODD症状之间起完全中介作用,即父母受虐通过亲子虐待间接影响子女ODD症状;（4）父母受虐通过亲子虐待影响子女ODD症状的中介效应后半路径受到子女个体水平愤怒失调（AD）的调节,具体来说,当AD水平较高时,亲子虐待对ODD症状的影响更大;但愤怒应对（AC）和愤怒抑制（AI）对中介效应无显著调节作用。     

Adverse childhood experiences and autonomic regulation in response to acute stress: the role of the sympathetic and parasympathetic nervous systems

Background and objectives: After a previous report demonstrated blunted heart rate (HR) reactivity in association with adverse childhood experiences (ACEs) [Voellmin, A., Winzeler, K., Hug, E., Wilhelm, F. H., Schaefer, V., Gaab, J.,?…?Bader, K. (2015). Blunted endocrine and cardiovascular reactivity in young healthy women reporting a history of childhood adversity. Psychoneuroendocrinology, 51, 58–67. doi:10.1016/j.psyneuen.2014.09.008], the present analysis aimed at clarifying the role of the sympathetic and parasympathetic branches of the autonomic nervous system in this relationship.

Design and Methods: One hundred eighteen healthy young women provided data on ACEs and underwent psychosocial stress testing. Systolic blood pressure (SBP) and respiratory sinus arrhythmia (RSA, quantified by high-frequency HR variability) were assessed as measures of sympathetic and parasympathetic cardiovascular activity, respectively. A mediation model was calculated to test the indirect effects of ACEs on HR via SBP and RSA.

Results: The effect of ACEs on HR reactivity was mediated by SBP reactivity but not by RSA reactivity. ACEs were associated with reduced SBP at rest.

Conclusions: ACEs were associated with down-regulation in a measure of sympathetic but no alteration in a measure of parasympathetic cardiovascular stress reactivity in adulthood. Future research will need to clarify whether this indicates risk or resilience.     

Pathogenic Beliefs Mediate the Relationship Between Perceived Negative Parenting and Psychopathology Symptoms

Negative parenting style, such as abuse, neglect, and intrusiveness, is significantly related to subsequent development of psychopathology. Here we sought to examine pathogenic beliefs as a potential mechanism of change. We explored whether pathogenic beliefs help explain the relationship between perceived negative parenting style and common psychopathology symptoms. This study assessed the psychometric properties of the self-report Pathogenic Beliefs Scale and tested its mediating effect on the relationship between negative parenting and psychopathology. A community sample of 732 adults completed an online survey that included measures of perceived negative parenting style (MOPS), pathogenic beliefs (PBS), and a transdiagnostic measure of common indicators of psychopathology (anxiety, low self-esteem, emotional instability, pessimistic attitude, and depression). Results showed that pathogenic beliefs were significantly associated with negative parenting experiences in childhood and adult psychopathology symptoms. Moreover, pathogenic beliefs mediated the relationship between negative parenting style and psychopathology. Implications for clinical practice are discussed.