Animus and creativity in psychotherapy: a position statement

Calling attention to what the author calls the 'maternalization of our profession', a warning is sounded to psychotherapists, and women practitioners in particular, not to neglect their own creativity in the course of professional development undertaken to take better care of patients. Development of the animus, here reformulated as 'an archetype of the capacity for non-relationship', is seen as a balancing alternative to the usual training in the capacity to contain object relations. A literary parallel can be found in Ibsen's play, The Woman from the Sea. It is hoped, too, that through her own initiation into a creative life, the analyst will be better able to help the analysand find a connection with a 'creative centre'.     

Competing Conceptions of Diagnostic Reasoning – Is There a Way Out?

Diagnostic errors are more frequently a result of the clinician's failure to combine medical knowledge adequately than of data inaccuracy. Diagnostic reasoning studies are valuable to understand and improve diagnostic reasoning. However, most diagnostic reasoning studies are characterized by some limitations which make these studies seem more simple than diagnostic reasoning in real life situations actually is. These limitations are connected both to the failure to acknowledge components of knowledge used in clinical practice as well as to acknowledge the physician-patient relationship's influence on clinical knowledge and on the reasoning process itself. In addition the modes of reasoning described in these studies frequently is oversimplified. In this paper three simplistic and competing models of diagnostic reasoning are analyzed and criticized, followed by an evaluation of two alternative models proposing a combined view.     

Whose Consent is it Anyway? A Poststructuralist framing of the Person in Medical Decision-Making

Theoretical Medicine and Bioethics - This paper explores the value of a Poststructuralist psychoanalytic model of persons, or “Subjects,” as an expanded frame for the question...     

THE SPIRITUAL LIMITS OF NEUROPSYCHOLOGICAL LIFE

Abstract. How neuropsychology is necessary but insufficient for understanding spirituality is explored. Multileveled spiritual requisites are systematically examined in terms of their neuropsychological constituents and limitations. The central “problem of integrity” is articulated via the “modularity” of our neuropsychology, and evidence is presented for disunities of self and consciousness. It is argued that the integrity of self or spirit is a contingent achievement rather than a necessary given. Integrating possibilities include belief, emotion, and relationships. Understanding integrity, and the transformations of self-surrender and sacrifice, may require explicitly stepping beyond neuropsychology and including the self in a larger system.     

On the analysis of studies of choice

In a review of 103 sets of data from 23 different studies of choice, Baum (1979) concluded that whereas undermatching was most commonly observed for responses, the time measure generally conformed to the matching relation. A reexamination of the evidence presented by Baum concludes that undermatching is the most commonly observed finding for both measures. Use of the coefficient of determination by both Baum (1979) and de Villiers (1977) for assessing when matching occurs is criticized on statistical grounds. An alternative to the loss-in-predictability criterion used by Baum (1979) is proposed. This alternative statistic has a simple operational meaning and is related to the usual F-ratio test. It can therefore be used as a formal test of the hypothesis that matching occurs. Baum (1979) also suggests that slope values of between .90 and 1.11 can be considered good approximations to matching. It is argued that the establishment of a fixed interval as a criterion for determining when matching occurs, is inappropriate. A confidence interval based on the data from any given experiment is suggested as a more useful method of assessment.     

Re-Evaluating Professional Autonomy in Health Care

Professional autonomy, as the symbol of the traditional freedom ofdecision-making of medical professionals is criticized. This essayexamines the critique. It analyses the underlying assumption that theautonomy of health professionals is incompatible with the need fororganisation and management in order to control rising health carecosts. It is argued that the concept of professional autonomy should beredefined, not through restricting the decision-making freedom ofindividual health professionals, but through expanding the concept intothe sphere of management, so that managers will take responsibility forpatient care.     

The influence of perceived parental responsiveness on athletes’ goal accomplishment,trait cognitive sport anxiety,and thriving: A semi-longitudinal study

The purpose of this study was to examine temporally distal influence at a three-month interval of perceived parental responsiveness on athletes’ goal accomplishment, trait cognitive sport anxiety, and thriving. Young players (154 males, 51 females, M = 12.50 years, SD = 0.65) involved in rugby, basketball, and handball participated in the study. Initially, participants set three goals to accomplish over the next three months and completed questionnaires assessing their perceptions of their parents’ responsiveness, perceived self-efficacy, and self-esteem. Three months later, participants completed questionnaires assessing their goal accomplishment, worry about sport performance, and thriving. The results showed that athletes’ perceptions of their mother’s/father’s responsiveness, mediated by perceived athletes’ self-efficacy to accomplish their goals, influenced their goal accomplishment and trait cognitive sport anxiety three months later. The results also showed that athletes’ perceptions of their mother’s/father’s responsiveness, mediated by athletes’ self-esteem, influenced athletes’ thriving and trait cognitive sport anxiety three months later. Overall, the present study uniquely contributes to the understanding of parent-athlete relationships by showing that athletes’ perceptions of their mother’s and father’s responsiveness influence certain distal outcomes three months later (i.e., goal accomplishment, sports anxiety, and thriving) while mediated by self-efficacy and self-esteem.     

同胞冲突及其解决:家庭子系统的影响

同胞冲突是指在一个完整的家庭中, 具有相同生身父母的两个或多个人在行为、目标或活动上所表达出的不相容, 其通常表现为争吵和敌对情绪以及相互间的攻击行为。父母干预同胞冲突的方式分为孩子中心策略、控制策略和不干预策略。家庭系统理论指出, 家庭是一个有等级结构的、动态的系统, 这个系统中的子系统(包括父母婚姻关系、亲子关系和同胞关系)是相互联系、相互影响的。基于这一理论, 探讨家庭子系统对同胞冲突的影响, 整合建构同胞冲突的理论假设模型, 以便从多路径的角度去分析同胞冲突的产生机制。未来的研究需要对同胞冲突及其相关概念进行区分或整合, 关注父母干预同胞冲突的方式的影响因素, 并且以发展的眼光去看待同胞冲突。     

社会网络视角的团队情绪智力

据估计, 60%的团队都没有达到它们的目标, 这给学术界提出了重要且具有挑战性的研究课题。情绪智力(emotional intelligence)是在人际关系基础上发展起来的重要概念。研究发现, 基于微观个体或宏观整体的团队情绪智力在团队成功达到目标过程中起到重要作用。然而, 当前尚无研究探讨基于团队局部成员间情绪智力行为交换而产生的团队情绪智力对团队的影响。为此, 本课题从配对层次(一对一关系中两个人, 即actor-target)这一新角度探讨团队情绪智力, 通过把它看做团队过程中一种产生的状态(emergent state), 在整合团队成员交换理论和社会网络方法基础上对它进行研究。具体围绕团队内配对单元存在的交换关系(指目标者感受到行动者对其实施的情绪智力行为)在团队中形成的网络所代表的团队情绪智力开展实证研究, 以期从理论上揭示团队内情绪智力行为交换的特征, 情绪智力自下而上(bottom-up)由个体发展到团队的过程, 以及配对基础的团队情绪智力的影响效应, 从而为团队管理实践提供具体的改善建议。     

老年人的消极交往与心理健康

积极交往和消极交往分别会对老年人的心理健康产生有利和不利影响, 然而, 探讨消极交往的负面作用及其机制的研究相对较少。目前研究主要涉及消极交往的类型(社会隔离、丧偶或离婚)、来源(配偶、子女或朋友)及强度, 并探讨感知评估、自尊的中介作用及性别、婚姻、受教育水平等变量的调节作用。社会情感选择理论、优劣势整合理论、社会交换理论及镜中我理论在一定范围内对消极交往的负面作用做出了合理解释。采取“原谅”或“认知疏远”的应对策略能有效缓解消极交往的负面影响。未来研究应进一步考察不同文化背景及社会网络背景下消极交往对老年人心理健康的影响, 同时加强对消极交往的理论研究和线上研究, 并关注相关的干预研究。