Sorrow: A Therapist's Reflection on the Inevitable and the Unknowable

People who live with a painful gap between who they have been and who they are now, of who they dreamt themselves to be and who they still long to be, are living with chronic sorrow. Chronic sorrow is a normal, nonpathological state of pervasive, continuing, periodic, and resurgent sadness related to the ongoing losses associated with illness and disability, in this case not loss of an other, but loss of self (Roos, 2002). Focusing on the lives of four women, one of whom committed suicide, I explore the macroprocesses that invade the experience of even so personal an experience as self‐loss. The role of the therapist is made transparent through anecdotes and by discussing implications for clinical practice.     

A narrative evaluation of a psychoeducation and a therapeutic alliance intervention for parents of persons with a severe mental illness

Most attempts to study the impact of psychosocial interventions on parents of persons with severe mental illness (SMI) are quantitative. The purpose of the present study was to investigate the subjective experience of parents of persons with SMI who participated in either a psychoeducational intervention which emphasized providing information on the illness and support, or a therapeutic alliance focused intervention (TAFI) which emphasized the alliance between the group members and group leaders. Ninety-three parents, who participated in either one of these two interventions, were interviewed using the Narrative Evaluation of Intervention Interview. Results show that participants found both interventions to be beneficial with no statistical differences in the level of perceived change. Themes describing change in relating to illness were significantly more frequently mentioned by participants in the TAFI group, whereas significantly more participants in the family psychoeducation interventions reported that implementation and information provided contributed to positive change. Also participants in the TAFI reported significantly more often that group regulation contributed to change. As both interventions were perceived as contributing, the findings support the relationship orientation to psychosocial interventions, which stresses the quality of the social support and interpersonal interaction as the source of positive outcomes of intervention.     

Défis et contraintes des recherches sur les familles recomposées : l'exemple de la relation belle-mère-belle-fille

Research accomplished in this field indicates clearly that of all the members of the stepfamily, it is the stepmother that encounters the most difficulties in adapting to the stepfamily situation. Furthermore, the same research also shows that the stepmother/stepdaughter relationship appears to be the most challenging of all dyads. This analysis also enables us to identify the results that appear most significant and to propose different hypotheses for future research.     

Opinion leadership in a computer‐mediated environment

This paper investigates the characteristics of opinion leaders within the computer‐mediated environment, analyses the differences between online opinion leaders and online non‐leaders and examines the implications of opinion leadership theory for e‐commerce. This study finds that opinion leaders in computer‐mediated environments possess significantly higher levels of enduring involvement, innovativeness, exploratory behaviour and self‐perceived knowledge than non‐leaders. Online opinion leaders also possess greater computer skills, have used the internet for a longer period of time and use the internet more frequently for longer sessions than non‐leaders. Copyright © 2005 John Wiley & Sons, Ltd.     

Effects of consumer perceptions of brand experience on the web: brand familiarity,satisfaction and brand trust

Creating a customer experience that is synonymous with a particular (website) brand is becoming increasingly recognised as a vital driver of e‐performance. E‐tailors are just as likely to try to influence consumers' shopping behaviour, through atmospherics and service, as brick‐and‐mortar stores. This study investigates several questions that have been left unanswered in recent studies of consumer behaviour in the context of internet‐based marketing. Its focus lies in addressing the issue of whether there is a direct relationship between brand experience and brand trust or whether there is an indirect relationship via satisfaction or brand familiarity. The results of an empirical study of e‐consumer behaviour show that brand trust is achieved through the following dimensions operating and interrelating as antecedent constructs: first, various brand experiences and the search for information, secondly, a high level of brand familiarity, and thirdly, customer satisfaction based on cognitive and emotional factors. These findings should assist marketers and academics in their understanding of the development of brand trust in an internet‐based environment. Copyright © 2005 John Wiley & Sons, Ltd.     

Playing with unreality: transference and computer

In this paper I describe the impact of cyberspace on the analytical relationship. My reflections will move from two clinical histories. In the first history, I describe the case of Melania, a patient who, at a certain moment of her analysis, started sending me e-mails, almost building a 'parallel setting'. I describe the relational dynamics linked to the irruption of the electronic mail into the boundaries of our psychoanalytic relationship. The second case is Louis, a 25 year-old young man with a schizoid personality who uses cyberspace as a psychic retreat. Over the years Louis told me, initially from a sidereal distance, of his necessity to create dissociative moments. The entrance to these retreats procures for Louis an immobile pacification, which may assume the characteristics of a trance: life comes to a halt in a state of 'suspended animation'. We can see the use that Louis makes of the computer as an attempt to live into a non-human object and to protect himself from relational anguish, but also to warm up a mechanical mother. Melania used technology to communicate with me, albeit in a roundabout way; for Louis, virtual space was a 'dissociative retreat' located on the border between sleeping and waking, which for years went untouched by our analytical discourse. For both patients, the computer was a tool for emotional regulation, and the analytical relationship aimed to give this tool some relational meaning, facilitating the shift from compulsive usage to a transformative use of the object.     

Le renversement de préférence… renversé !

Preference reversal (PR) occurs when pairs of lottery gambles are evaluated under two different conditions: to choose the gamble preferred to play and assign minimum selling price to each gamble. The preference order is then reversed from one condition to another: while it receives the lowest selling price, the gamble less risked is preferred in condition of play. Many times replicated, this result is considered as a cognitive bias. Recent research suggests that it could be related only to the procedure used to present the gambles (i.e., the evaluation mode): either by pair (joint evaluation or JE) in condition of play, or one by one (separate evaluation or SE) in the pricing task. Then, by reversing the evaluation mode in each condition, PR should be reversed, as it is shown in this study: although the phenomenon still occurs when subjects evaluate gambles in the classical paradigm, we observe an inversion of PR when they have, on the one hand, to play in SE, and on the other hand, to sell in JE. Furthermore, an analysis not often used in this literature provides new elements, which can attest to the cognitive mechanisms underlying the phenomenon: by recording the online information (self-paced display time paradigm) we show the effect of an anchoring and adjustment process when riskiest gambles are preferred.