Commentary on ‘The arms of the chimeras’ by Béatrice Ithier

In this Commentary I will first of all summarise my understanding of the proposal set out by Béatrice Ithier concerning her concept of the ‘chimera’. The main part of my essay will focus on Ithier's claim that her concept of the chimera could be described as a ‘mental squiggle’ because it corresponds to Winnicott's work illustrated in his book ‘Therapeutic Consultations’ (1971). At the core of Ithier's chimera is the notion of a traumatic link between analyst and patient, which is the reason she enlists the work of Winnicott. I will argue, however, that Ithier's claim is based on a misperception of the theory that underpins Winnicott's therapeutic consultations because, different from Ithier's clinical examples of work with traumatised patients, Winnicott is careful to select cases who are from an ‘average expectable environment’ i.e. a good enough family. Moreover, Winnicott does not refer to any traumatic affinity with his patients, or to experiencing a quasi‐hallucinatory state of mind during the course of the consultations. These aspects are not incorporated into his theory. In contrast (to the concept Ithier attempts to advance), Winnicott's squiggle game constitutes an application of psychoanalysis intended as a diagnostic consultation. In that sense Winnicott's therapeutic consultations are comparable with the ordinary everyday work between analyst and analysand in a psychoanalytic treatment. My Commentary concludes with a question concerning the distinction between the ordinary countertransference in working with patients who are thinking symbolically in contrast to an extraordinary countertransference that I suggest is more likely to arise with patients who are traumatised and thus functioning at a borderline or psychotic level.     

Roots and vicissitudes of psychic bisexuality

Sigmund Freud considered the difficulty in defining masculinity and femininity from a psychic point of view as a hiatus in psychoanalytic theory. I contend that masculinity pertains to the centrifugal (to that which goes out, and ultimately to that which one loses), and femininity to the centripetal (to the appetency for taking the object into one's own internal space), whether one is considering their archaic roots or their genitalized culmination. The masculine/feminine pair draws support from the body (and, through anaclisis, from the subjective space), identified with a container that is liable already in the first psychic stages of life to empty itself of its own content and to be filled by a foreign content: the content is subjective in the masculine and object‐related in the feminine. The conflicts of ambivalence related to these two movements (desire/anxieties linked to active and passive penetration) lead to the setting up of the rigid and labile poles of the personality, and they are liable to give rise to obsessional and hysterical solutions respectively. My hypotheses will be examined in the light of the two key cases of hysteria and obsessional neurosis in Freud's work: Dora (1905e) and the Rat Man (1909d).     

Babbling development as seen in canonical babbling ratios: A naturalistic evaluation of all-day recordings

Canonical babbling (CB) is critical in forming foundations for speech. Research has shown that the emergence of CB precedes first words, predicts language outcomes, and is delayed in infants with several communicative disorders. We seek a naturalistic portrayal of CB development, using all-day home recordings to evaluate the influences of age, language, and social circumstances on infant CB production. Thus we address the nature of very early language foundations and how they can be modulated. This is the first study to evaluate possible interactions of language and social circumstance in the development of babbling. We examined the effects of age (6 and 11 months), language/culture (English and Chinese), and social circumstances (during infant-directed speech [IDS], during infant overhearing of adult-directed speech [ADS], or when infants were alone) on canonical babbling ratios (CBR = canonical syllables/total syllables). The results showed a three-way interaction of infant age by infant language/culture by social circumstance. The complexity of the results forces us to recognize that a variety of factors can interact in the development of foundations for language, and that both the infant vocal response to the language/culture environment and the language/culture environment of the infant may change across age.     

Indications of Resilience Factors in Families Who have Lost a Home in a Shack Fire

The aim of this study was to explore the presence of resilience factors in families living in an informal settlement on the outskirts of a rural town that have lost their homes in a shack fire. A mixed methods research design was utilised. Qualitative data were obtained through responses to an open‐ended question, and quantitative data were obtained through the completion of questionnaires by an adult representative of each of the 38 African families that were identified through convenience sampling. To identify resilience factors, content analyses (on the qualitative data) were performed and Spearman correlations (for the quantitative data) were calculated. The results show that supportive communication, a sense of being in control and having internal strengths and dependability, while working together as a family, are vital to the resilience of the families that took part in this study. Furthermore, material support from the municipality and extended family, shelter provided by members of the extended family, and financial support from the extended family were also indicated as essential in overcoming the crisis and being resilient. Copyright © 2011 John Wiley & Sons, Ltd.     

Mens sana in corpore sano: Psychotherapy with a cerebral palsy child aged nine months

This paper is the acount of the psychoanalytic understanding and treatment of a nine-month-old cerebral-palsy infant and her mother. When first seen, Abigail hung over her mother's arm, and would scream unceasingly if moved from this position. The mother-child relationship seemed to involve their sticking to each other without looking or losing contact. The mother's hidden hate, anger and resentment were communicated non-verbally and Abigail showed signs of finding it difficult or impossible to integrate experiences, given the amount of trauma she had suffered from an attempted abortion and the lack of enough experience of being loved to enable her to grow internally.

The process of assessing the internal world of the infant and her mother, and the thinking and planning of the psychotherapy that followed, are described. In order to promote the secure attachment of the mother-child dyad, and the emotional growth of both, the helping process focused on understanding both the baby's and mother's states in order to make sense of the child's inner world to the mother. Because of the acute pain this process involved for the mother, she was treated individually too, by a different therapist.     

Facilitators and Barriers to Engagement in Home Visitation

Abstract

Given previous findings indicating a positive association between home visitation participation rates and family outcomes, the present study explored reasons for and barriers to engagement in the first six months of these parenting programs. Social support, psychoeducation, and tangible assistance emerged as consistent themes across informants as reasons for participation. Perceived invasiveness of the assessments, maternal concerns about being reported to child protective services, and mismatches between maternal needs and home visitor attributes emerged as recurrent themes regarding barriers to participation. Results of these qualitative analyses converge with previous quantitative research regarding factors associated with home visitation delivery and suggest new areas in need of further inquiry by researchers and practitioners to increase engagement.     

Switching on and off … : Does smartphone use obstruct the possibility to engage in recovery activities?

This study examines the impact of work-related smartphone use on daily recovery from work-related efforts. The literature shows that work–home interference (WHI) is an important inhibitor of the recovery process. We propose that the extensive use of smartphones with its implicit request of 24/7 availability inhibits the process of engaging in activities that are required for daily recovery. A total of 80 employees (40 smartphone users, 40 controls) completed a 6-day diary questionnaire over a time period of 2 weeks. Contrary to our hypothesis, smartphone users did not experience more overall WHI than nonusers. Furthermore, four activities aimed at recovery were examined. We predicted that daily WHI would increase employees’ engagement in recovery activities, but only if they did not use a smartphone. Results showed that, for the control group, WHI was positively related to psychological detachment, relaxation, mastery, and control activities, whereas smartphone users facing high WHI did not succeed in engaging in these recovery activities. This implies that being connected to work in the evening hours through smartphones has consequences for the extent to which employees succeed in undertaking recovery activities.     

Analysis of responses to work-home interaction as measured by the SWING

The primary objective of this study was to analyse the responses of the Survey Work-home Interaction-Nijmegen – (SWING) using the Rasch measurement model. A quantitative, cross-sectional research design was used. Paper-and-pencil copies of the SWING were distributed to heterosexual working couples that lived in the greater Gauteng region in South Africa (n?=?318; females?=?50%; age range 25 to 65, Black Africans?=?35%, various work sectors). The main findings of this study indicate that work-home interaction is a multidimensional construct that can validly be measured by the four SWING subscales: (1) negative work-home interaction; (2) positive work-home interaction; (3) negative home-work interaction; and (4) positive work-home interaction. Further validation work should seek to develop shorter and more efficient measures of SWING subscales.