Residues in the analyst of the patient's symbiotic connection at a somatic level: unrepresented states in the patient and analyst

This paper discusses the residues of a somatic countertransference that revealed its meaning several years after apparently successful analytic work had ended. Psychoanalytic and Jungian analytic ideas on primitive communication, dissociation and enactment are explored in the working through of a shared respiratory symptom between patient and analyst. Growth in the analyst was necessary so that the patient's communication at a somatic level could be understood. Bleger's concept that both the patient's and analyst's body are part of the setting was central in the working through.     

The Management of Risk in the Global Service Economy 1

The effects of the transformation to a service economy on the management of vulnerability and uncertainty are discussed. After discussing the notion and role of risks in different kinds of cultural and economic environments, he closes with a plea for closer cooperation between entrepreneurs, engineers and economists: together they can transform the risks and vulnerabilities of the modern service economy into a challenge for progress.     

Les effets de l’ingestion aiguë d’alcool sur le jugement d’expressions faciales émotionnelles spontanées et dynamiques

This study is interested in the link between acute alcohol consumption and the perception of dynamic and spontaneous emotional facial expressions (EFE). The noxious effects of alcohol on EFE recognition are now well demonstrated (Attwood et al., 2009a). Studies showed that alcohol drinking impairs the judgment of facial expressions, especially of negative ones (EFE of anger and disgust notably). However, such effects have been observed for the judgment of artificial material (static/posed/morphed/EFE). Yet, everyday EFE are far from the archetypes used in the lab. Therefore, the present study aims at completing previous observations, this time for the identification of dynamic and spontaneous EFE. Dynamic and spontaneous EFE of amusement, interest, irritation, anxiety, and neutral were judged by 63 normal male drinkers. Buck et al.’s (1972) paradigm was adopted since it is recommended for the study of nonverbal behavior in the process of communication ( [Buck, 1990] , [Wagner, 1990] , [Wagner et al., 1986] and [Zuckerman et al., 1976] ). The emotion to be identified is the one self-reported by the EFE sender. On the pretext of tasting drinks, participants were randomly assigned to one out of six experimental conditions. Two conditions are concerned with the nature of the drink (alcohol or non-alcohol drink). Three other conditions relate to the participant's experimentally manipulated belief regarding the nature of the drink (non-alcohol drink, slight alcohol drink, hard alcohol drink). Results confirm the emotion identification impairment due to alcohol usually noted, thus showing that the effects of alcohol are also observed for the perception of spontaneous and natural facial expressions. Indeed, the comparison of participants who drank alcoholic drinks versus those who did not drink alcohol shows that the formers identify less well emotions than the latter. Moreover, results show that beliefs do not play a role in this deficit since participants’ identification errors are not linked to the belief they hold regarding the nature of the drink (with/without alcohol). Finally, the confusion matrix analysis brings to light the existence of recurrent confusions amongst alcoholized participants, confusions that do not appear amongst sober participants. Thus, results show that, to the exception of EFE of amusement, participants who drank alcohol recurrently assess stimuli as displaying anxiety. To conclude, it comes out that acute alcohol drinking alters the capacity to accurately identify spontaneous emotions expressed by faces, which capacity is essential to the smooth unfolding of human interactions.     

Somatosensory amplification as a possible source of subjective symptoms behind modern health worries

The theoretically hypothesized connection between modern health worries (MHWs) and somatosensory amplification (SSA), as well as the factor structure of the Hungarian version of the MHW scale were investigated in a cross-sectional questionnaire study. A total of 163 university students (mean age = 21.3± 2.70 yrs; 44.2% male) and 145 patients (mean age = 49.4±17.51 yrs; 31.7% male) visiting their general practitioners (GPs) completed questionnaires assessing MHWs, SSA, subjective somatic symptoms (PHQ-15), and trait anxiety (STAI-T). The previously described four-factor structure of the MHW scale was confirmed using confirmatory factor analysis (CFA). In the linear regression analysis, participants' age and SSA scores were positively related to MHWs even after controlling for gender, anxiety, and subjective somatic symptom scores. The conclusions are that: MHWs are indicators of cognitive, behavioral and social level of sensitization for health-related concerns; SSA can provide the somatic background process for generation and/or misattribution of subjective somatic symptoms; better understanding of the cognitive-emotional background of MHWs could help to determine possible interventions.     

On the construction of thinking

In this study the author attempts to widen our understanding of language and thought construction by using Chinese ideograms as a model. This allows us to understand how concrete internal objects can coalesce to form abstract internal objects, e.g. concepts, ideas, symbols, and metaphors. One can establish a pictorial language that antedates verbal language. This is the case in the dream work that we routinely study. Thus, this study delves into the physiology of the alpha function. To this end the author not only relies on psychoanalytic concepts but also on concepts from philosophy and from language itself. The author presents the ideograms not only for discussion but also for their visual impact. If we really want to understand pictorial images, they must be seen and not just discussed from a theoretical point of view. Based on this understanding the author advances a proposal for the technique used in treating patients who cannot establish mental representations for their affect. And the technical proposal is illustrated in two clinical cases.     

Leader‐driven distortion of probability and payoff information affects choices between risky prospects

Research indicating that decision makers often distort new information to favor nascent preferences has focused primarily on riskless choice rather than risky choice. In addition, the critical assumption that information distortion mediates the link between the initially preferred alternative and the final choice has not been tested in a compelling manner. In an experiment designed to fill these gaps, participants made six choices involving pairs of hypothetical three‐outcome monetary gambles. We manipulated initial preferences by varying the order in which gamble features were presented. Multilevel regressions indicated that participants distorted their evaluations of precise probabilities and payoffs in the direction of their emerging preferences and that they used their biased evaluations to update those preferences. As expected, information distortion mediated the effect of initial preferences on final choices and final preference strength. In a follow‐up experiment, we compared a standard measure of information distortion (based on comparisons to mean ratings in a no‐choice control task) to a more personalized measure (based on participants' own ratings in the control task) and found the mean‐based measure to be superior for the probability and payoff information in question. Other findings in Experiment 2 corroborated the results of Experiment 1. In both studies, the distortion of quantitative inputs in a simple task highlights the non‐normative circularity of the choice process. Copyright © 2010 John Wiley & Sons, Ltd.     

Can low Behavioral Activation System predict depressive mood?: An application of non‐normal structural equation modeling

Previous studies have reported a negative correlation between the Behavioral Activation System (BAS) and the depressive mood. However, which is the cause and which is the effect cannot be determined simply by evaluating the correlation coefficients. In a series of this study, we used non‐normal structural equation modeling, which could provide a statistically plausible answer to the question on the path direction. We tested for the path direction between the variables of interest by statistically comparing all possible models. The models assuming a unidirectional path from the BAS to the depressive mood were consistently supported. This suggested that low BAS could be a predisposition to developing the depressive mood. These findings could enhance our understanding of the mechanism underlying the development of the depressive mood.     

Modern Regression Methods that can Substantially Increase Power and Provide a more Accurate Understanding of Associations

During the last half century, hundreds of papers published in statistical journals have documented general conditions where reliance on least squares regression and Pearson's correlation can result in missing even strong associations between variables. Moreover, highly misleading conclusions can be made, even when the sample size is large. There are, in fact, several fundamental concerns related to non‐normality, outliers, heteroscedasticity, and curvature that can result in missing a strong association. Simultaneously, a vast array of new methods has been derived for effectively dealing with these concerns. The paper (i) reviews why least squares regression and classic inferential methods can fail, (ii) provides an overview of the many modern strategies for dealing with known problems, including some recent advances, and (iii) illustrates that modern robust methods can make a practical difference in our understanding of data. Included are some general recommendations regarding how modern methods might be used. Copyright © 2011 John Wiley & Sons, Ltd.     

L'impact des schémas non analogiques conceptuels dans la compréhension de textes expositifs : stratégies visuelles selon l'expertise

The main objectives of this study are: 1) to determine the contribution of a conceptual not-analogical schema in an expositive text's comprehension and memorizing according to the reader's previous knowledge level in the field approached in the text; 2) to identify the differentiated reading strategies according to the reader's previous knowledge level in the field when it is about understanding expositive schematized texts via ocular movements recording on one hand and the score given on the comprehension questions on the other hand. The results highlight a reading strategy with more Text/Schema transitions accompanied by longer fixations on the textual zone for the items for which the subjects are novice in the field than for those whose contents relate to their expertise field.     

Nonparticipation in Huntington's Disease Predictive Testing: Reasons for Caution in Interpreting Findings

When given the opportunity to clarify their genetic status, most individuals at risk for Huntington's disease (HD) currently show a preference not to know. Our understanding of the characteristics of those who do not request HD predictive testing, and the factors influencing their decision, lags behind our knowledge of test applicants. In the light of our experience with interviewing a random sample of nonparticipants in an ongoing study, we critically analyze research concerning the differences between participants and nonparticipants in HD predictive testing programs and the interpretive characterization of these two groups. The findings concerning nonparticipants are limited to a small sample of the at-risk population, with the problems of biased samples and low response rates. We discuss this and other aspects of research in this area, notably the context and timing of data collection and the predominantly questionnaire-based methodology, that lead us to interpret the conclusions drawn about these two groups with caution.