Uprooted minds: displacement,trauma and dissociation

The author, English born and living in Sydney, Australia, presents an argument for the usefulness of the recognition of the implicit simultaneous links between the following:

• development of psychic skin and the establishment of the body schema
• development of a sense of identity
• relationship with place

such that the formulation psychic skin< > mind < > body < > self < > place < > world can be thought of as an organising gestalt or implicit continuum of ‘skin’ experience and process upon which the explicit always depends. This constitutes a taken‐for‐granted ground‐plan of the self‐in‐place . The author follows this with an exploration of the consequences for psychic health of a traumatic rupture of this gestalt for both individual and group. Material from two cases is presented: first, a young woman whose family fled the Balkan wars which splintered the former Yugoslavia; second, the transmission of displacement trauma into the third generation of a family who arrived in Australia after WW II from the former Yugoslavia. For the purposes of this paper I will not make a distinction between migrants/exiles/refugees and instead refer to either displacement or dislocation.     

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.     

Emotional turbulence during the ending of psychotherapy with an anorexic adolescent

In this paper I reflect on the phase of the analytic process which precedes the termination of a psychoanalysis and describe my work with an adolescent girl. Adolescents with serious eating disorders relive in a particularly violent way, in the final phase of their analysis, the catastrophic anxiety of separation and the fear of annihilation connected with this. The perception of the final date, felt to be irrevocable, reactivates in these patients the psychotic part of their personality, which tries through a phantasy of omnipotent possession (expressed through pathological projective identification) to obscure the reality of separateness and loss. It is useful with these patients to set a date for ending at least a year in advance to enable the working through of these psychotic anxieties. Clinical material illustrates how in the final year of treatment all phases of the analytic process are relived in a violent way, and how this emotional turbulence manifests id as a battle between omnipotent phantasy and an increasing insight into psychic reality.     

Freud's view of hysteria in light of modern trauma research

Freud's earliest notion of the aetiology of hysterical symptoms was based on his hypothesis on the importance of trauma dissociation, upon which he began to construct his first theory of neurosis. Soon, his conception of trauma narrowed to apply only to sexual trauma, and later only to childhood experiences of sexual abuse by the father. He substituted these earliest variations on a theory of neurosis with the libido theory due to his discovery of infantile sexuality, the poor treatment results he had with hysteric patients, the frequency of hysteria symptoms, the difficulties he had in distinguishing between his patients' internal and external realities and the ambiguous nature of the reasons behind the patients' problems, presumably due to repression. Recent trauma research, however, has rediscovered trauma dissociation, which is separate from repression. This has led to a new theoretical understanding of trauma-originated dynamics and the development of corresponding treatment interventions. In this paper, the author analyzes the development of Freud's conceptions of hysteria in the social-clinical cultural context of his period, as well as the reasons which led Freud to abandon the notion that trauma dissociation was an underlying cause of hysteria symptoms.     

An ironic effect of monitoring closeness

Most theories of goal pursuit underscore the beneficial consequences of monitoring progress towards goals. However, effects of affect labelling and dissociations between experience and meta-consciousness suggest that monitoring may not always facilitate goal pursuit. We predicted that in the case of pursuing interpersonal closeness, intense monitoring of progress would have a detrimental effect. We tested this hypothesis with the intimate conversation procedure, adapted from Aron, Melinat, Aron, Vallone, and Bator (1997). Participants in the closeness-monitoring condition asked themselves every five minutes in the course of a 45-minute interaction with a partner whether they felt any closer to their partner, whereas participants in the control condition monitored the room temperature. As predicted, intense monitoring interfered with achieving a feeling of closeness, as measured by sitting distance between pair members following the intimate conversation procedure. We discuss the possibility that monitoring would also be detrimental for achieving other goals that are internal states.     

Assessing Dissociative Symptoms and Dissociative Disorders in College Students in the Philippines

Experiences of childhood emotional maltreatment exert powerful yet heterogeneous effects on individuals, suggesting that other factors play a significant role in determining long-term adaptation. This study examined whether childhood emotional maltreatment, parental alcoholism, and gender predicted endorsement of early maladaptive schema domains. College students (N = 301) completed questionnaires assessing trauma exposure, parental alcoholism, maladaptive schemas, and posttraumatic symptoms. Analyses revealed that experiences of childhood emotional maltreatment predicted each of the four schema domains (i.e., disconnection, impaired autonomy, impaired limits, and exaggerated standards). Parental alcoholism moderated the relationship between childhood emotional maltreatment and the impaired autonomy schema domain. Gender moderated the relationships between childhood emotional maltreatment and the impaired autonomy and impaired limits schema domains. These findings support Young, Klosko, and Weishaar's (2003) Young, J. E., Klosko, J. S. and Weishaar, M. E. 2003. Schema therapy: A practitioner's guide, New York: Guilford.  [Google Scholar] hypotheses regarding early childhood trauma and early maladaptive schemas, and offer guidance to therapists working with survivors of childhood maltreatment.     

Treating the Lesbian Batterer

Summary

The phenomenon of lesbian battering challenges mainstream assumptions about battering and defies traditional ways of defining and understanding domestic violence. This article identifies and illuminates variables critical to understanding and treating lesbian batterers. In particular, intrapsychic factors in the treatment of lesbian batterers are considered via an integration of the theoretical constructs of personality development with attachment theory, state and affect regulation, shame, pathological vindictiveness, and variables specific to lesbian domestic violence. Finally, two case examples and treatment considerations are discussed.     

记忆源检测的加工分离

同一个记忆源检测任务是否可以依赖两种不同的加工——无意识启发式加工和有意识系统式加工,是源检测加工机制研究探索的一个重要问题。本研究拟借助加工分离程序来分离同一个源检测任务中的启发式和系统式加工,并进一步考察了启发式和系统式加工受刺激呈现时间的影响。结果发现:位置源检测任务依赖于启发式和系统式两种加工,且随着刺激呈现时间的增长,系统式加工的贡献显著地提高,启发式加工的贡献却无显著提升。这一结果既验证了记忆源检测的双加工机制,也暗示了两种加工在加工深度上的差异。     

Coping strategies of Ethiopian immigrants in Israel: Association with PTSD and dissociation

Finklestein, M., Laufer, A. & Solomon, Z. (2012). Coping strategies of Ethiopian immigrants in Israel: Association with PTSD and dissociation. Scandinavian Journal of Psychology 53, 490–498. The aim of this study was to examine the relations between coping strategies, posttraumatic stress disorder (PTSD), and dissociation among Jewish Ethiopian refugees in Israel (following exposure to pre‐, peri‐ and post‐migration stressful events). Method: A random sample (N = 478) of three waves of refugees took part in the research (N = 165; N = 169; N = 144). Religiosity, coping strategies, stressful and traumatic events, pre‐ and peri‐ migration, post‐migration difficulties, posttraumatic symptoms, and dissociation were assessed. Results: A significant relationship was found between PTSD symptoms and avoidance coping over and above immigration wave and traumatic events. Dissociation was positively associated with passivity and antisocial coping and negatively associated with social joining and level of religiosity, over and above immigration wave and traumatic events. The findings are discussed in the light of the coping strategies employed by Ethiopian refugees.