Who is who in dissociation?: A plea for psychodynamics in a time of trauma1

Contemporary theories of dissociation and trauma for the most part have evolved outside of psychoanalysis. Psychoanalytic writings have also been regarded as being in opposition to trauma‐based notions of human psychopathology. The specific psychoanalytic contribution—the emphasis on unconscious conflict and meaning—is for the most part excluded from the discourse on dissociation, often resulting in a mechanic conceptualisation of trauma. In this paper, based on clinical material, the author argues in favour of including conflict, unconscious intention and personal meaning in understanding the kind of dissociation we see in cases of multiple personality pathology. Textual analysis of letters written to the analyst illustrates how events of abuse are defensively elaborated. The author demonstrates that patterns of affect regulation and dominant object–relational strategies can be captured through analysis of the discourse structure. She focuses on how an organised character pattern, revealed mainly through narrative style and the analyst's countertransference, serves protective purposes as well as wishfulfillment. She argues that dissociation in the form of multiple personalities may imply an active, strategic agent.     

Minding the Dreamer Within: An Experimental Study on the Effects of Enhanced Dream Recall on Creative Thinking

Several studies have found an association between frequency of dream recall and creativity. We tested the hypothesis that training individuals to increase dream recall by means of a daily dream log would increase scores on the Torrance Test of Creative Thinking (TTCT). One hundred twenty‐five participants completed a baseline measure of creativity (TTCT, figural version) as well as of dream recall, dissociation, thinness of psychological boundaries, mindful‐attention awareness, and well‐being. Participants were randomly allocated to two groups: the experimental group (n = 55) received a daily dream log; while the control group (n = 32) received a similarly phrased log registering memories of a vivid episode from the previous day. After 27 days, all participants completed follow‐up measurements identical to those at baseline. A non‐randomized non‐intervention group (n = 35) was used to test for practice effects on the TTCT. There was significant selective increase for the “creative strengths” component, which was only observed in the experimental group. There were significant correlations between creativity and dissociation as well as between creativity and thinness of psychological boundaries. Enhanced dream recall through daily dream logging fosters aspects of creativity. Associations between creativity, dissociation, and thinness of boundaries, suggest that increased awareness to dreams increases creativity through a “loosening” of stereotyped thinking pattern.     

基层医院病理诊断工作中的矛盾及解决对策

通过对目前地市级及以下医院病理诊断工作处于艰难处境,严重制约临床各科发展的现状进行分析。提出了四个方面突出的矛盾,临床技术飞速发展与病理工作条件滞后的矛盾;病理、临床医师间信息不对称的矛盾;日益升温的冰冻切片需求与其固有局限性的矛盾;临床对诊断高准确性要求与病理诊断高复杂性现实的矛盾。探讨了相应解决对策。     

The impact of trauma on the psyche of the individual using the film Belleville Rendez-vous as an illustrative vehicle

Using the film Belleville Rendez-vous as a vehicle for discussion, this paper argues that whilst a traumatic complex may bring about dissociation of the psyche, this is not the only possibility, nor is dissociation necessarily to be seen solely as a difficulty to be overcome. If trauma is experienced within the context of support and validation, the experience of trauma may generate integration not only of the trauma but also of the growth potential that the trauma has previously inhibited.     

片段再认任务在内隐序列学习研究中的有效性检验

内隐序列学习到底能习得何种知识呢？已有研究从任务分离范式发展到加工分离程序试图来捕获习得的知识。本研究根据信号检测论原理把三元素再认测验的成绩离析成击中率和虚报率, 再试图运用加工分离程序的思想来分离习得的意识知识和无意识知识, 为示区别将这种测验命名为片段再认任务, 并以序列生成任务为效标, 通过两个实验来检验片段再认任务的效度和敏感性。实验1以反应–刺激间隔(RSI)为自变量来检验片段再认任务和序列生成任务在测量习得知识上的效度, 结果显示前者的效度高于后者; 实验2进行测验的敏感性分析, 以参与度为自变量, 结果表明前者更为灵敏所以测量效度高。总之, 与序列生成任务相比, 片段再认任务是一种高效而灵敏的测量工具。     

病理性攻击行为的心理基础及其哲学本质

病理性攻击行为主要指心理、社会与生物因素导致的心理障碍或心理疾病所产生的对他人、物体与社会规范的侵犯行为.病理性攻击行为的病理基础是心理疾病(人格障碍和精神分裂症),心理基础是主体性格的多重性和矛盾性以及自我意识障碍,而病理性攻击行为的哲学本质是价值内容的紊乱和价值结构的整体性破坏.     

内隐推理的实验研究

采用加工分离程序和多重分离程序,以瑞文高级推理测验为实验材料,对内隐推理进行了实验研究。实验1对包含测验与排除测验中正确猜测的期望概率进行了估计;实验2采用公式P1=Pc∪PA∪R1和PE=PC^－∩(PA∪RE)对外显推理和内隐推理的贡献进行了计算。结果发现存在显著的外显推理和内隐推理效应。     

从系统论视角看全身炎症反应综合征

全身炎症反应综合征已经成为当前危重病医学所面临重大挑战。本文从系统论的角度出发,通过阐述全身炎症反应综合征的发病机制、病理过程及治疗进展,浅谈系统论在全身炎症反应综合征基础研究和临床治疗中的指导作用。     

强迫症的元认知研究:进展与趋势

该文分析了强迫症患者在现实监控、知道感、元认知信念和责任控制等方面的研究,发现缺乏对不同类型强迫症元认知差异的研究、被试选取的典型性和代表型有待提高,现实监控障碍的身心原因尚不明确、责任-控制障碍形成的机制研究不足.指出元认知干预的强迫症治疗范式、强迫症与其他精神症元认知障碍的比较、强迫症元认知的认知神经科学探索和强迫性网络使用的元认知机制等是未来研究的趋势.     

内隐态度实验研究:加工水平与黄,白,黑情感态度

研究使用肯定词和否定词分别与黄、白、黑三字搭配的实验卡片。随机抽取医学院本科生34名,采用2种加工水平×3种测量目标的混合设计来考察态度情感特征的无意识性。结果发现：1）加工水平对被试的自我报告和线索提取有不同的影响,即自我报告受加工水平影响,线索提取不受加工水平影响,发生实验性分离;2）加工水平对被试态度的实验性分离也有不同影响,即概念加工下出现高度分离,数据加工下则低度分离,3）经过改造的语义线索法是测量内除态度的有效方法。