Trauma and healing: from ‘furor sanandi’ to ‘animus sanandi’

In his last period (1928–33), Ferenczi tried to complement the ‘negative’ technical principles first introduced by Freud in the 1910s. He introduced diverse and successive ‘positive instructions’, and specific techniques known as ‘elastic’ of ‘relaxation and neocatharsis’, and also made an unsucessful attempt to introduce ‘mutual analysis’. These techniques are implemented around a series of new technical principles including ‘tact’, ‘empathy’, ‘indulgence’, ‘intense sympathy’. All of these positive technical principles and innovations demonstrate the importance of considering the dimension of ‘healing’ in all analytic experiences and the importance of the analyst's functioning as the ‘healer’. The emphasis on the use of these new technical principles is consistent with the emphasis Ferenczi places upon countertransference and traumatic factors in psychopathogenesis.     

Enhancing the effects of a narrative message through experiential information processing: An experimental study

First-person narratives are becoming a popular means to communicate health risk information. Although studies show they can increase risk perception and motivate health behaviours compared to statistical messages, more research on the conditions in which they are particularly likely to have effects is needed. In this study, we tested a moderator related to how information is processed. Specifically, we hypothesised that thinking in terms of emotions and personal experiences – known as experiential information processing – would increase people’s responsiveness to a narrative. Female college students (N = 138) who reported indoor tanning were randomly assigned to read a first-person narrative message or a statistical message about the risks of skin cancer. Prior to reading the message, the women received instructions that would activate either experiential or rational information processing. Participants then reported their risk perceptions of skin cancer, worry about skin cancer and behaviour intentions related to skin cancer. Analyses showed that message type and information processing interacted to influence risk perceptions and worry. Consistent with hypotheses, participants reported the highest risk perception and worry when they used an experiential information system prior to reading the narrative message. There were no effects on behaviour intentions. Implications of these findings are discussed.     

A longitudinal application of three health behaviour models in the context of skin protection behaviour in individuals with occupational skin disease

Occupational skin disease (OSD) is common, associated with poor prognosis and poses a significant burden to the individual and society. We applied the theory of planned behaviour (TPB), the prototype-willingness model (PWM) and the health action process approach (HAPA) to the prediction and explanation of occupationally relevant skin protection behaviour in individuals with OSD. We used a longitudinal design. In this study, 150 individuals participating in a 3-week inpatient tertiary prevention programme completed measures assessing the constructs of the TPB, PWM and HAPA at admission (T?0), discharge (T?1) and once the individual had returned to work and worked for 4 consecutive weeks (T?2) (n?=?117). Intention was measured at T?0 and skin protection behaviour at T?2. Path analysis was used to assess the longitudinal associations of the models’ constructs with intention and skin protection behaviour. TPB as well as PWM variables accounted for 30% of variance in behaviour, HAPA variables for 33%. While not all predictions were confirmed by the data, all three models are able to inform us about the formation of skin protection intention and behaviour in individuals with OSD. The findings are discussed in light of future interventions and research.     

Dreaming up the patient in supervision: from the concrete to the symbolic*

This paper discusses the importance of parallel processes within the therapeutic and the supervisory context of therapy with an eight-year-old boy diagnosed with Asperger’s syndrome. During the first months of the therapy, through powerful projective identification, the therapist found herself in the ‘clothes’ of the ‘dead mother’. She was unable to think and feel in the sessions. Deadness could not be symbolised – it was enacted in the sessions. The therapeutic encounter had to start elsewhere: the supervisor’s reverie brought to life the patient’s material in the context of the supervision, allowing thinking to occur, first within the supervisory relationship and only then in the therapeutic relationship. In the context of supervision, the encounter of two mentally alive people could contain anxieties, metabolise them and open the way to mental connections. This encounter facilitated the development of creative thinking of both the therapist and the young patient in the consulting room, which allowed the child to become the subject of his existence and to evolve.     

THE ELUSIVENESS OF MASCULINITY: PRIMORDIAL VULNERABILITY,LACK, AND THE CHALLENGES OF MALE DEVELOPMENT

Reaching beyond the Oedipus prototype to address the unrepresentable vulnerability founded on the boy's infantile helplessness in contact with the mother's body, the author aims to identify the inherent tensions and enigmas of being male. He proposes that both the repudiation of femininity and the overvaluation of phallicity are unconsciously constructed to withstand the fundamental deficiency grounded in the asymmetry of the boy's prephallic relation with his primary object. This bodily based primordial vulnerability, marked by absence and lack, remains elusive—an unsymbolizable experience that provides the archaic matrix for adaptive and defensive phallicism, the oedipal complex, and genital progression. A clinical vignette is presented to illustrate these concepts.     

Introduction: The role of shame in psychoanalytic theory and practice

Introducing three papers by Leon Wurmser, Claude Janin and John Steiner the author gives an overview of the development of the concept of shame in psychoanalytic theory and practice. Different aspects of the phenomenon of shame are being discussed including its relation to guilt, object relations and identity as well as the role of gaze when emerging from a psychic retreat.     

Physiological Arousal and Political Beliefs

It is by now well known that political attitudes can be affected by emotions. Most earlier studies have focused on emotions generated by some political event (e.g., terrorism or increased immigration). However, the methods used in previous efforts have made it difficult to untangle the various causal pathways that might link emotions to political beliefs. In contrast, we focus on emotions incidental (i.e., irrelevant) to the decision process, allowing us to cleanly trace and estimate the effect of experimentally induced anxiety on political beliefs. Further, we build upon innovative new work that links physiological reactivity (Hatemi, McDermott, Eaves, Kendler, & Neale, 2013; Oxley et al., 2008a) to attitudes by using skin conductance reactivity as a measure of emotional arousal. We found that anxiety—generated by a video stimulus—significantly affected physiological arousal as measured by tonic skin‐conductance levels, and that higher physiological reactivity predicted more anti‐immigration attitudes. We show that physiological reactivity mediated the relationship between anxiety and political attitudes.     

The influence of skin tone, hair length, and hair colour on ratings of women's physical attractiveness, health and fertility

The present study investigated the role of skin tone, hair colour and hair length in perceptions of women's physical attractiveness, health and fertility. One-hundred and thirty men and 112 women rated a series of 12 line drawings that varied in three levels of skin tone, two levels of hair colour and two levels of hair length. Results showed a number of interactions between the three variables, suggesting that these phenotypes are highly intercorrelated. However, there were also significant main effects of each of the variables, with hair colour generally explaining the greatest amount of variance. In general, light-toned figures were rated the most positively. Contrary to expectations, however, brunettes were rated more positively than blondes, and hair length had only a weak effect on ratings of attractiveness. Implications of these findings and the limitations of the use of line drawings are discussed in conclusion.