Anaesthesia or psychotherapy: Eradicating thoughts or working them through

The author presents two sessions from the analysis of a depressive narcissistic doctor, which are characterised by a mixture of co-operation and pseudo-co-operation. The dialogue is in parts intellectualised, complicated, lifeless and schizoid. Points at which the patient shows surprising insights are then partly denigrated by him, on the basis that change is not to be expected. Semi-lifeless contact assists the defensive claustrophobia that he experiences in meaningful contact. It becomes very clear that he is then afraid of entering into an openly aggressive conflict that entails the existential threat of object loss. However, this has so far been avoided. The secret pleasure in an anal-narcissistic, sadomasochistic addiction to doubt persists in the partial denigration. The patient's artificially maintained self-doubt and doubt of the object reinforce a genuine confusion that consists in never knowing exactly what lies behind the helpful and needed object.     

Malchish‐Kibalchish: cultural factors in a clinical case

In this paper, a Jungian understanding of cultural factors influencing individual analysis is illustrated with the case of a patient suffering from panic attacks. The analysis revealed that, in addition to the patient's personal background, the collectivistic attitudes of the Soviet culture, which had a moulding effect on the patient in his childhood and obstructed his individuation, should be taken into account. The concepts of the totalitarian object and the Russian cultural complex encompassing a grandiosity pole and an inferiority pole are used to explore the patient's condition, and the crucial role of creating mutual language with the patient is outlined.     

Psychotic panic and feared sexual assault – ‘homosexual panic’: the historical role of feared homosexual assault as a contributing factor to self-attack

Some psychotic patients fall into acute persecutory panic, a subjective experience of helpless terror in the face of anticipated imminent annihilation or dismemberment. These states occur in a wide range of psychotic illnesses and are often associated with command hallucinations and fear of homosexual assault. In a desperate attempt to escape from imaginary enemies, such patients often attack themselves and imagine suicide is survivable. This article addresses the dread of homosexual assault, previously referred to as homosexual panic, and its relationship to patients who attack themselves in a state of desperate psychotic persecution.     

Psychiatric Disorders and Childhood Parental Loss in Obesity: Relationship with the Mode of Weight Gain

We assessed the association between psychiatric disorders, childhood parental loss, and weight gain mode in 150 obese patients seeking bariatric surgery and with a history of sudden or gradual weight gain mode. Subjects with sudden weight gain mode (47%) showed significantly higher bipolar II disorder (p < .001), childhood parental death (p < .01), and separation (p < .01), but lower pure hypomania (p < .001) prevalence than subjects with gradual weight gain mode. We found preliminary evidence that lifetime bipolar spectrum disorders and childhood parental loss may influence weight gain mode in obese subjects. These findings may contribute to predict patients’ weight trajectories and implement preventive interventions.     

男性身体意象失调:大众媒体的影响及作用机制

近年来,男性身体意象失调越来越普遍,大众媒体被认为是一种重要的影响因素。大量研究证实了媒体对男性身体意象的消极影响,主要表现在对身体意象的认知、情绪情感和行为调控等方面。研究者基于社会文化理论提出三重影响模型(Thompson,Heinberg,Altabe,Tantleff-Dunn,1999),用以解释媒体影响男性身体意象的作用机制。该模型假设社会文化因素,即家庭、同伴、媒体是身体意象失调的三个最初影响源;外貌比较和"瘦理想"或"肌肉理想"内化是社会文化和身体意象失调之间的中介变量。未来研究应关注被试群体的多样化,将实验室研究和纵向研究相结合,并考虑其他变量的影响作用,对三重影响模型进行丰富和拓展,同时运用脑科学技术探究其神经机制。此外,还应从干预的角度展开研究。     

Age-Related Changes in Distance From Center of Mass to Center of Pressure During One-Leg Standing

ABSTRACT. The purpose of this study was to clarify the age-related effects of distances from the center of pressure (COP) to the center of mass (COM) (COP-COM distances) during one-leg standing (OLS) task. Healthy old and young adults (n = 11 each) participated in this study. The authors divided the task into 3 phases (accelerated, decelerated, and steady) based on the relationship between COM and COP. COP-COM distances in the older group were significantly reduced during the accelerated phase, then significantly increased during the decelerated and steady phases. Furthermore, distances during these phases correlated inversely with OLS time. The authors conclude that OLS time is shortened by the larger braking response to COM shifts just after leg-lifting, and the production of larger inertial forces to maintain COM position during the OLS in older individuals.     

The Relationships Among Sensory Processing Styles,Personality Traits,and Body Mass Index: A Pilot Study

The purpose of the authors in this study is to explore the possible relationships among sensory processing styles, possible sensory processing disorders, personality traits, and body mass index. There is research on the relationship between obesity as defined by body mass index and temperament, and sensory processing and temperament; however, no information could be found on the relationship between body mass index and sensory processing styles, or the role that temperament and personality styles may play in these relationships. The 50 female participants were recruited from the University of New England community. The sample included women between the ages of 19 and 59 years, and of various weights. None of the participants had a history of thyroid problems, diabetes, or any physical disabilities that would limit daily physical activity. None had been diagnosed with sensory processing disorder. All participants filled out two self-reports and a demographic questionnaire. The Adult/Adolescent Sensory Profile (Brown &; Dunn, 2002 Brown , C. E. , &; Dunn , W. ( 2002 ). Adult/Adolescent Sensory Profile . San Antonio , TX : The Psychological Corporation . [Google Scholar]) determines a person's sensory processing style and possible sensory processing disorder, and the Basic Personality Inventory (Jackson, 1996 Jackson , D. N. ( 1996 ). Basic Personality Inventory Manual , (2nd ed.) . Port Huron , MI : Sigma Assessment  [Google Scholar]) focuses on everyday behaviors to describe temperament and “adult behavioral syndromes” (p. 5). Through this study the authors show only tentative relationships between body mass index and sensory processing styles and personality traits. The data could be interpreted to support both discriminant and convergent validity between the Adult/Adolescent Sensory Profile and the Basic Personality Inventory. There were, however, significant correlations between aspects of sensory processing and aspects of personality that appeared to strengthen the idea that differences in sensory processing result in predictable types of behavior, indicating that sensory processing disorders are a separate diagnostic category.     

Confounding of Big Five Personality Assessments in Emotional Disorders by Comorbidity and Current Disorder

Foremost cross‐sectional studies of personality in common mental disorders show similar Big Five trait profiles [i.e. high neuroticism (N), low conscientiousness (C) and low extraversion (E)]. It remains undecided whether this lack of distinct personality profiles is partly due to comorbidity among disorders or contamination by current state. Using data from the Netherlands Study of Depression and Anxiety, we investigated 1046 participants with panic disorder (PD), social anxiety disorder (SAD) and/or major depressive disorder (MDD) and 474 healthy controls. Personality traits at baseline and two‐year follow‐up were assessed with the NEO‐Five Factor Inventory. The Composite International Diagnostic Interview was used to determine the presence of emotional disorders at baseline and at two‐year follow‐up; the Life Chart Interview determined symptom severity in the month prior to baseline and during follow‐up. By analysing pure cases and investigating the effects in remitted cases, PD participants were found to be higher in N, but not lower in E and C than controls. Pure PD participants were also lower in N and higher in E than SAD and MDD participants. Both SAD and MDD participants were characterized by high levels of N and low levels of E, irrespective of comorbidity or current disorder state. Future studies should be more attentive to confounding of personality profiles by comorbidity and state effects. Copyright © 2012 John Wiley & Sons, Ltd.     

Social anxiety and fear of bodily sensations in panic disorder and agoraphobia: A matched comparison

This study tests the hypothesis that social anxiety and fear of bodily sensations are associated with the development of agoraphobic avoidance behavior in panic disorder patients. Twenty patients with panic disorder were compared to 20 patients with panic disorder with agoraphobia, matched by sex and duration of disorder. The two groups did not differ on measures of fear and frequency of assertive social responses. However, the agoraphobics scored higher on measures of interpersonal sensitivity, depression, feelings of inadequacy, and hostility. They also reported higher fear of bodily sensations. Although definitive conclusions need to be postponed until prospective studies have been conducted, there is evidence suggesting that the development of agoraphobia in panic patients is associated with hypersensitivity to bodily sensations and interpersonal situations.This research was supported by Grant 560-268-009 of the Dutch Organization for Scientific Research.     

Female physical attractiveness in Britain and Malaysia: a cross-cultural study

Two purported cues to perceived female physical attractiveness are body mass index (BMI) and body shape as measured by the waist-to-hip ratio (WHR). This study examined the relative contribution of both cues in several culturally socio-economically distinct populations. Six hundred and eighty-two participants from Britain and Malaysia were asked to rate a set of images of real women with known BMI and WHR. The results showed that BMI is the primary determinant of female physical attractiveness, whereas WHR failed to emerge as a significant predictor. The results also showed that there were significant differences in preferences for physical attractiveness along a gradient of socio-economic development, with urban participants preferring images of women with significantly lower BMIs than their rural counterparts. The findings are discussed in terms of evolutionary psychological explanations of mate selection, and sociocultural theory, which emphasises the learning of preferences for body sizes in social and cultural contexts.