Disintegration of the self and the regeneration of ‘psychic skin’ in the treatment of traumatized refugees

This paper presents a tentative understanding of the characteristics of the extreme traumas, elsewhere called ‘complex PTSD’, that some refugees and asylum‐seekers bring into therapy. It suggests that these kinds of traumas suffered during adulthood may involve a disintegration of the self and a loss of ‘psychic skin’. This conceptualization is derived from the treatment of a refugee who survived multiple extreme traumas and with whom efforts were made in therapy to identify a complex methodology making use of supplementary therapeutic tools in addition to individual psychotherapy. The case demonstrates how the disintegration of self implies not only a deep somato‐psychic dissociation, but also a loss of intrapsychic and interpersonal space. In the treatment this was worked through via repetition of the victim‐aggressor dynamics at multiple levels. In the end, the therapeutic context was structured like a set of concentric layers, creating a ‘bandage’ over the patient's wounds whilst his ‘psychic skin’ was able to regenerate. The conditions triggered by extreme traumas in refugees challenge some of the cornerstones of individual psychoanalytic technique, as well as the idea that individual therapy may be thought of as existing in an environmental vacuum.     

Unformulated experience,dissociation, and Nachträglichkeit

The paper is divided into two parts. The first part is an interpersonal/relational psychoanalytic account of some relationships between dissociation, time, and unformulated experience. Trauma, and the dissociation to which trauma leads, freezes time, which makes it impossible to formulate certain kinds of new experience. Instead, potential new meanings remain unformulated. The route of clinical access to frozen time is the interpersonal field: to thaw time and allow new experience, the ways in which the interpersonal field is itself frozen need to be addressed. A clinical illustration of these ideas is offered. The second part of the paper presents and explores a point of confluence between the views in Part 1 and certain aspects of French psychoanalysis, with particular reference to the concept of Nachträglichkeit in the work of Jean Laplanche and Haydée Faimberg.     

‘Clemency on the way to the gallows’: death,dreams and dissociation

The survivor of a decade of childhood sexual trauma and violence, perpetrated by a monstrous father, produced a series of dreams in the final year of a ten‐year analysis. They illuminated the ‘death drive’ beneath a lifelong preoccupation with dying and fantasies of submission to death, perpetuated by the promise of hoped‐for freedom from pain and release from a life of suffering. The initial dream involved the collapse of a team of white horses drawing him in a pillory cart to his own hanging for a crime he did not commit. It signified the collapse of a fragile psychological system based on his role as the ‘sacrificial lamb,’ protecting a (not so) innocent mother. The raw truth was now unconcealed: primal, violent, and terrifying dreams and affects emerged where he was now the murderous aggressor. His dreams would become primary agents for an instinctive, life‐giving authenticity to emerge, offering him clemency from the shattering repetitions of persecution and dissociation.     

Amplitude and Width Manipulations in Fitts' Paradigm: Comment on Heath et al. (2011) and Heath et al. (2016)

Heath, Weiler, Marriott, Elliott, and Binstead (2011 Heath, M., Weiler, J., Marriott, K. A., Elliott, D., &; Binstead, G. (2011). Revisiting Fitts and Peterson (1964): Width and Amplitude manipulations to the reaching environment elicit dissociable movement times. Canadian Journal of Experimental Psychology, 65, 259–268.1.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and Heath, Samani, Tremblay, and Elliott (2016 Heath, M., Samani, A., Tremblay, L., &; Elliott, D. (2016). Fitts' theorem in oculomotor control: Dissociable movement times for amplitude and width manipulations. Journal of Motor Behavior, 48, 489–499.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) have claimed that there are dissociable movement times for amplitude and width manipulations in the Fitts' paradigm. This may to some extent be true, but the Heath et al. (2011 Heath, M., Weiler, J., Marriott, K. A., Elliott, D., &; Binstead, G. (2011). Revisiting Fitts and Peterson (1964): Width and Amplitude manipulations to the reaching environment elicit dissociable movement times. Canadian Journal of Experimental Psychology, 65, 259–268.1.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and Heath et al. (2016 Heath, M., Samani, A., Tremblay, L., &; Elliott, D. (2016). Fitts' theorem in oculomotor control: Dissociable movement times for amplitude and width manipulations. Journal of Motor Behavior, 48, 489–499.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) data do not support that contention, as shown in this comment. It is shown that data from the research of Heath et al. is not in the range of index of difficulty where ongoing visual control would be used and hence their fits of data to Fitts' law are spurious. The data of Heath et al. (2011 Heath, M., Weiler, J., Marriott, K. A., Elliott, D., &; Binstead, G. (2011). Revisiting Fitts and Peterson (1964): Width and Amplitude manipulations to the reaching environment elicit dissociable movement times. Canadian Journal of Experimental Psychology, 65, 259–268.1.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) for arm movements and for the primary eye saccade submovements of Heath et al. (2016 Heath, M., Samani, A., Tremblay, L., &; Elliott, D. (2016). Fitts' theorem in oculomotor control: Dissociable movement times for amplitude and width manipulations. Journal of Motor Behavior, 48, 489–499.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) are well correlated by the ballistic movement time equation of Hoffmann (1981 Hoffmann, E. R. (1981). An ergonomic approach to predetermined motion time systems. Proceedings of the 9th National Conference of the Institute of Industrial Engineers, Australia, 30–47. [Google Scholar]) and Gan and Hoffmann (1988 Gan, K.-C. &; Hoffmann, E. R. (1988). Geometrical conditions for ballistic and visually controlled movements. Ergonomics, 31, 829–839.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). When the ballistic equation is used to model data for constant amplitude and constant target width conditions, the effects of the amplitude and width manipulations disappear. Other research indicates that the independent effects of movement amplitude occur due to changes in the time for the distance-covering phase of the movement.     

Descartes' dreams

Abstract: René Descartes is often regarded as the ‘father of modern philosophy’. He was a key figure in instigating the scientific revolution that has been so influential in shaping our modern world. He has been revered and reviled in almost equal measure for this role; on the one hand seen as liberating science from religion, on the other as splitting soul from body and man from nature. He dates the founding of his philosophical methods to the night of 10^th November 1619 and in particular to three powerful dreams he had that night. This article utilizes Descartes' own interpretations of the dreams, supported by biographical material, as well as contemporary neuroscientific and psychoanalytic theory, to reach a new understanding of them. It is argued that the dreams can be understood as depicting Descartes' personal journey from a state of mind‐body dissociation to one of mind‐body deintegration. This personal journey may have implications for a parallel journey from Renaissance to modern culture and from modernity to post‐modern culture.     

Memory abilities in Williams syndrome: Dissociation or developmental delay hypothesis?

Williams syndrome (WS) is a neurodevelopmental genetic disorder often described as being characterized by a dissociative cognitive architecture, in which profound impairments of visuo-spatial cognition contrast with relative preservation of linguistic, face recognition and auditory short-memory abilities. This asymmetric and dissociative cognition has been also proposed to characterize WS memory ability, with sparing of auditory short-term memory and impairment of spatial and long-term memory abilities. In this study, we explored the possibility of a double memory dissociation in WS (short- versus long-term memory; verbal versus visual memory). Thus, verbal memory abilities were assessed using California Verbal Learning Test and Digit Span and Rey-Osterrieth Complex Figure and Corsi Blocks was used to assess visual-spatial memory abilities. Overall, WS subjects were found to present a generalized significant impairment in verbal and visuo-spatial components either in short- or long-term memory. In sum, data from this study brings support for a developmental delay hypothesis, rather than a double dissociation within memory systems in WS.     

Neuroscientific Evidence About the Distinction Between Short- and Long-Term Memory

ABSTRACT— What have neuroscientific techniques contributed to the development of psychological theory about short- and long-term memory? We argue that the contributions have been varied: In some cases, data about brain mechanisms have been vital to the advancement of psychological theory; in other cases, neuroscientific data and behavioral data from normal participants have made equal contributions; and in yet other cases, the data from neuroscientific approaches have actually led psychological theory astray. We illustrate these various contributions by focusing on the relationship of short- to long-term memory.     

网络成瘾研究现状及展望

随着人们对互联网的广泛使用,网络成瘾成为近年来日益突出的一个社会问题,引起了广大研究者的关注和重视。本文根据十多年来国内外对网络成瘾的研究,首先介绍了网络成瘾的概念及其鉴别的主要标准和方法,然后对网络成瘾的心理机制,网络成瘾者的心理特征、生理机制及其干预和治疗的相关研究进行了较为全面和系统的综述。最后,本文提出了网络成瘾研究未来发展的方向。     

网络成瘾的社会-心理-生理模型及研究展望

对于网络成瘾,目前还没有统一的诊断量表,相应的研究手段和研究方法也不够成熟,有关的理论解释更有待于进一步探讨。以众多实验和理论研究成果为基础提出的“社会-心理-生理”整合模型也许能更好地解释这一现象。网络成瘾者的大脑活动变化规律,网络虚拟情境的特征及其与上网行为、个性特征等的交互影响,以及网络交互过程中的情感交流和情感识别等问题,将是今后网络成瘾研究的重要课题。