Case Report: Object Relations Family Therapy as a Model for Genetic Counseling

Object relations family therapy (ORFT) is a psychoanalytically based approach for the treatment of couples and families which stresses the importance of past relationships. The therapist assumes a parentlike role and provides a holding environment in which clients can explore unconscious motivations. This paper will discuss the applicability of this method to genetic counseling. The case of a couple seen for recurrent trisomies will be presented and used as an example to discuss how ORFT might serve as a framework in a genetic counseling session.     

Psychoanalysis and Diplomacy: Part I. Individual and Large Group Identity

Starting with Sigmund Freud, psychoanalysts have written on a variety of topics relating to the diplomatic and political realms; but thus far their contributions primarily have been theoretical in nature, and have offered little of practical use to most diplomats and politicians. Various psychoanalytic theories have been applied, resulting in diverse conceptualizations: Wars are inevitable because of our inherent aggressive drives; a nation-state serves a maternal function for its members; certain large groups exhibit behaviors similar to those of adolescents. Yet these ideas do not significantly help us understand day-to-day events around the world, practical political issues, or international relations and diplomatic decisions.     

On the relation between object manipulation and stereotypic self-injurious behavior

Results from a number of studies have shown an inverse relationship between stereotypic behavior and object manipulation. The purposes of this study were to determine whether techniques similar to those used previously (prompting and reinforcement) would be effective in increasing object manipulation under both prompted and unprompted conditions, and to ascertain whether increases in object manipulation would result in decreases in stereotypic self-injurious behavior (SIB). Two individuals with developmental disabilities who engaged in SIB maintained by automatic reinforcement participated. Results showed that object manipulation increased from baseline levels when experimenters prompted participants to manipulate leisure items, but that object manipulation was not maintained under unprompted conditions, and rates of SIB stayed within baseline levels. We then attempted to increase object manipulation further by (a) reinforcing object manipulation, (b) blocking SIB while reinforcing manipulation, and (c) preventing SIB by applying protective equipment while reinforcing object manipulation. Reinforcing object manipulation alone did not affect levels of object manipulation. Blocking effectively reduced attempts to engage in SIB for 1 participant but produced no increase in object manipulation. When the 2nd participant was prevented from engaging in SIB through the use of protective equipment, rates of object manipulation increased dramatically but were not maintained when the equipment was removed. These results suggest that stimulation derived from object manipulation, even when supplemented with arbitrary reinforcement, may not compete with stimulation produced by stereotypic SIB; therefore, direct interventions to reduce SIB are required.     

动态非注意盲中的分心物加工机制：是否存在抑制

系统考察在控制目标与非目标颜色特征属性的条件下, 动态非注意盲中视觉系统是否存在对分心物的抑制机制。实验一为基线实验, 将目标与非目标设置为相同的白色圆形, 考察被试对不同颜色特征(白色或者黑色)新异刺激的觉察情况; 实验二和实验三通过改变目标与非目标的颜色特征, 进一步探讨视觉系统对分心物(包括非目标和新异刺激)的抑制机制。结果发现, 视觉系统对干扰目标追踪(并计数)任务的分心物均产生抑制作用, 并且不同颜色特征的分心物受到的抑制作用不同, 与目标颜色特征相同的分心物受到的抑制作用较大, 相应新异刺激的觉察率低; 与目标颜色特征区分明显的分心物受到的抑制作用较小, 相应新异刺激的觉察率较高。     

言语工作记忆对视觉工作记忆的影响

工作记忆是当前认知心理学中的一个研究热点,而其言语子系统与视觉子系统之间的关系又是一个颇具争论性的问题。实验1、2采用双任务范式考察了言语工作记忆对视觉工作记忆的影响。结果发现,满负荷言语负载条件下的视觉记忆的成绩显著低于无言语负载条件。这表明,言语工作记忆影响了视觉工作记忆任务的完成。     

BEFORE BABEL: REFLECTIONS ON READING AND TRANSLATING FREUD

The author offers some thoughts on reading and teaching Freud, on translating Freud, on translation in general, and on a possible kinship between translation and the psychoanalytic process. His reading of Freud's works, and the years he spent translating them into Hebrew and editing Hebrew editions of his writings, have made a deep and salient impression on his personal psychoanalytic palimpsest. The author began this labor prior to his psychoanalytic training and has no doubt that, to this day, the experience greatly shapes not only his attitude toward Freud himself, but also the nature of how he listens to patients and the way he thinks and writes about psychoanalysis.     

直觉和分析在不同信息获取与呈现方式下对多特征目标判断质量的影响

采用多特征目标判断任务,考察了不同信息获取方式与信息呈现方式条件下,直觉和分析思维模式对判断质量的影响。结果发现：（1）在多特征目标判断任务中,直觉思维比分析思维更有效;（2）直觉型决策者运用直觉思维的判断质量比感觉型决策者更高;（3）归类组块的信息呈现方式能够有效提升决策者运用直觉思维的判断质量;（4）思维模式、信息获取方式与信息呈现方式对多特征目标的判断质量存在三阶交互作用,归类组块的信息呈现方式使直觉型决策者运用直觉思维的判断质量最高,而运用分析思维的判断质量低于感觉型决策者;归类组块排列信息时,直觉型决策者运用分析思维的判断质量低于信息随机排列时的水平。     

Brain activation during spatial updating and attentive tracking of moving targets

Keeping aware of the locations of objects while one is moving requires the updating of spatial representations. As long as the objects are visible, attentional tracking is sufficient, but knowing where objects out of view went in relation to one's own body involves an updating of spatial working memory. Here, multiple object tracking was employed to study spatial updating and its neural correlates. In a dynamic 3D-scene, targets moved among visually indistinguishable distractors. The targets and distractors either stayed visible during continuous viewpoint changes or they turned invisible. The parametric variation of tracking load revealed load-dependent activations of the intraparietal sulcus, the superior parietal lobule, and the lateral occipital cortex in response to the attentive tracking task. Viewpoint changes with invisible objects that demanded retention and updating produced load-dependent activation only in the precuneus in line with its presumed involvement in updating spatial working memory.     

现实场景典型空间位置关系客体的解码效应

通过探讨典型空间关系客体对中单个客体的视觉工作记忆,考察空间位置关系的解码特征和主动客体记忆优势。结果发现：（1）当客体以符合空间位置关系方式呈现时,记忆更准确;（2）符合空间位置关系条件下单个客体提取反应时更长,上方客体反应时更短,记忆更准确;（3）兼具空间位置关系与动作关系客体对中的主动客体记忆正确率更高。结果表明,现实场景客体空间分组中单个客体提取时存在解码现象和顺序效应,对现实中的上方与主动客体存在加工偏好。     

ANALYTIC MIND USE AND INTERPSYCHIC COMMUNICATION: DRIVING FORCE IN ANALYTIC TECHNIQUE,PATHWAY TO UNCONSCIOUS MENTAL LIFE

Developed from established psychoanalytic knowledge among different psychoanalytic cultures concerning unconscious interpsychic communication, analysts' use of their receptive mental experience—their analytic mind use, including the somatic, unconscious, and less accessible derivatives—represents a significant investigative road to patients' unconscious mental life, particularly with poorly symbolized mental states. The author expands upon this tradition, exploring what happens when patients unconsciously experience and identify with the analyst's psychic functioning. The technical implications of the analyst's “instrument” are described, including the analyst's ego regression, creation of inner space, taking mind as object, bearing uncertainty and intense affect, and self‐analysis. Brief case vignettes illustrate the structure and obstacles to this work.