Growth in emotional intelligence. Psychotherapy with a learning disabled girl

This paper describes the once-weekly psychoanalytic psychotherapy of a girl, called Ellie, aged eight at the start of her treatment. Ellie had a learning disability and displayed difficult behaviour at school and at home. In her therapy, Ellie grew in emotional intelligence, more in touch with and able to express her feelings. Her behaviour improved and so did her capacity to learn. In the therapy there were certain limitations to progress and this is discussed in terms of how Ellie's disability affected the basic achievements of emotional development, including a mind with a solid ‘reality ego’, able to contain anxiety, and able to maintain depressive functioning. The importance of parallel parent work, to share observations and understanding of the child's functioning is discussed. Difficulties for both child and parents in dealing with the pain of difference and how this limits emotional intelligence are discussed. The author hopes that this paper will encourage the offering of psychoanalytic psychotherapy to children and young people with learning disabilities, who are significantly more likely to suffer from mental health problems than their peers.     

‘It's not supposed to be this way’: Psychological aspects of a premature menopause

Background: Premature menopause (menopause diagnosed at 40 years or under) is a challenging condition with no prevention or cure. Causes can be the result of surgical intervention or spontaneous and largely unknown. It affects 1–6% of women aged 14–40. Aim: This study investigated women's experience of diagnosis, perception of cause, treatment received, main concerns, perceived long‐term consequences and impact on psychological wellbeing. Method: A cross‐sectional single group design questionnaire study that included both quantitative and qualitative measures was used. It was distributed to women on the database of two specialist London clinics and an internet‐based patient support group. A thematic analysis was undertaken. Findings: The response rate was 62%. Women's experiences varied but showed common themes regardless of timing of diagnosis and services accessed. Improved understanding by health professionals could help this group accept and adjust to the condition more effectively as could psychological support. Fertility was a primary concern regardless of parity and there were several secondary impacts both physiological and psychological. Discussion: A clear need for the offer of emotional support was indicated for all, but particularly for teenage girls and single women who tended not to access support from their own social network. Conclusion: Young women with this diagnosis could benefit from the offer of counselling, though uptake may be influenced by individual factors and vary according to age and circumstances. A good understanding of the physical aspects of this condition is important in the counselling of this group.     

Breaking the Solid Ground of Common Sense: Undoing “Structure” with Michael Balint

Balint's great merit was to question what, in the classical perspective, was assumed as a prerequisite for analysis and thus located beyond analysis: the maturity of the ego. A fundamental premise of his work was Ferenczi's distrust for the structural model, which praised the maturity of the ego and its verbal, social, and adaptive abilities. Ferenczi's view of ego maturation as a trauma derivative was strikingly different from the theories of all other psychoanalytic schools and seems to be responsible for Balint's understanding of regression as a sort of inverted process that enables the undoing of the sheltering structures of the mature mind. Balint's understanding of the relation between mature ego and regression diverged not only from the ego psychologists, who emphasized the idea of therapeutic alliance, but also from most of the authors who embraced the object-relational view, like Klein (who considered regression a manifestation of the patient's craving for oral gratification), Fairbairn (who gave up the notion of regression), and Guntrip (who viewed regression as a schizoid phenomenon related to the ego weakness). According to Balint, the clinical appearance of a regression would depend also on the way the regression is recognized, is accepted, and is responded to by the analyst. In this respect, his position was close to Winnicott's reformulation of the therapeutic action. Yet, the work of Balint reflects the persuasion that the progressive fluidification of the solid structure could be enabled only by the analyst's capacity for becoming himself or herself [unsolid].     

自我损耗降低决策理性:心理机制与边界条件

处于自我损耗状态时, 个体在意愿上偏好即时利益和目标, 并且会做出许多非理性决策行为。在梳理自我损耗对行为决策的影响基础上, 指出自我损耗降低决策理性的注意机制和执行机制:一方面, 损耗使个体注意力更容易为即时利益所捕获, 进而重视短期利益而忽视长远利益, 即降低个体关注未来的能力; 另一方面, 损耗导致个体缺少计划性和行为实施的执行力, 即降低个体坚守未来的能力。此外, 损耗对决策理性的影响存在个体和情境两个方面的重要边界。未来可结合眼动技术验证损耗降低决策理性的注意机制, 进一步探究潜在边界条件以及寻找助推理性决策的方法。     

The Strength Model of Self-Control

ABSTRACT— Self-control is a central function of the self and an important key to success in life. The exertion of self-control appears to depend on a limited resource. Just as a muscle gets tired from exertion, acts of self-control cause short-term impairments (ego depletion) in subsequent self-control, even on unrelated tasks. Research has supported the strength model in the domains of eating, drinking, spending, sexuality, intelligent thought, making choices, and interpersonal behavior. Motivational or framing factors can temporarily block the deleterious effects of being in a state of ego depletion. Blood glucose is an important component of the energy.     

国内外心理健康素质研究综述

“心理健康素质”是个新概念。本文就国内和国外与心理健康素质有关的若干概念、观点,以及部分研究进行了整理。侧重于两个主题：（1）心理健康素质及其相关概念;（2）心理健康素质的构成要素或影响心理健康的个体因素。     

A depleted mind feels inefficacious: Ego‐depletion reduces self‐efficacy to exert further self‐control

Recent research has found that ego‐depletion undermines self‐control by motivating cognition that justifies conservation of mental resource. One potential cognitive mechanism is reduction of self‐efficacy. Specifically, we propose that ego‐depletion might demotivate self‐control by making people believe that they are inefficacious in exerting self‐control in subsequent tasks. Three experiments support the proposal. First, we demonstrated that (a) ego‐depletion can reduce self‐efficacy to exert further control (Experiments 1 to 3) and (b) the temporary reduction of self‐efficacy mediates the effect of depletion on self‐control performance (Experiment 2). Finally, we found that (c) these effects are only observed among participants who endorse a limited (versus non‐limited) theory of willpower and are, hence, more motivated to conserve mental resources (Experiment 3). Taken together, the present findings show that decrease in self‐efficacy to exert further self‐control is an important cognitive process that explains how ego‐depletion demotivates self‐control. This research also contributes to the recent discussion of the psychological processes underlying ego‐depletion.     

精神的结构：阴阳与弗洛伊德人格理论

随着临床实践的深入,弗洛伊德在后期对人格结构进行了调整,提出了精神的动力结构,但他在其精神结构中过分强调个体的生物性本能,忽略了矛盾既相互对立又相成相济。事实上,处于“自然-道德”中间状态的人的精神结构,可以用中国哲学中的“阴阳”来理解,即在结构上注重阴阳的对立与平等,在发展上强调阴阳在不同时期的发展和变化。阴阳太极图与弗洛伊德后期的人格理论的中西互补,能够加深对徘徊在自然-道德之间的人的认识,从而为重新审视中国传统思想之于现代和当代精神结构的建设有着重要的启示和价值。     

Ethnic Speech and Ethnic Action as Ethnic Behavior: Part 2. Validation of the Brunel Ethnic Behavior Inventory

This study sought to validate the Brunel Ethnic Behavior Inventory (BEBI) as a measure of two aspects of “doing” (i.e., ethnic speech and ethnic action) among the “ways of ethnicity” identified by Verkuyten. It also evaluates the construct validity of the BEBI alongside the Multigroup Ethnic Identity Measure-Revised (MEIM-R) and evaluates the BEBI and the MEIM-R (the latter of which measures exploration as “thinking” and commitment as “feeling” among ways of ethnicity) regarding criterion-related validity. Across two samples (n = 120 for Sample 1 and n = 148 for Sample 2), the BEBI and the MEIM-R performed suitably with regard to construct validity. However, the BEBI arguably performed better with regard to criterion-related validity (i.e., in predicting scores on life satisfaction, flourishing, positive and negative moods, and positive and negative emotions). Implications for validation studies on ways of ethnicity are discussed.     

自我控制的能量模型:证据、质疑和展望

自我控制的能量模型是解释自我控制的一个重要理论模型。该模型认为,所有的自我控制行为依赖一种共同且有限的能量,执行自我控制会消耗这种能量,导致自我损耗效应的产生,但能量也可以通过一些方法得以恢复和提升。该模型得到大量行为和生理层面研究的支持,但也有研究者从疲劳、情绪、动机、血糖指标、时间知觉等方面提出质疑。未来研究可从自我能量的性质、总量等角度进一步完善能量模型,同时结合我国文化探讨理想、信念、价值观对提升我国国民意志力的作用。