Orientations of psychotic activity in defensive pathological organizations

The author reviews some clinical experiences of the treatment of personality disordered patients suffering from internal domination of ego functioning by a defensive pathological organization. In particular, the function and purpose of perverse, sadistic attacks by the organization on the ego are considered and questions pertaining to technique are raised. It is suggested that different forms of sadistic, subjugating activity by pathological organizations may denote differences in intent borne of the type and severity of the psychopathology of the individual. Patients with severe narcissistic psychopathology for whom object contact has become associated with the arousal of intense psychotic anxieties seem more likely to be subjected to an invasive, annihilatory imperative by the pathological organization, the purpose of which appears to be to obliterate the experience of contact with any differentiated object, to avoid emotion and to use coercion to enforce a primitive identification by the ego with the psychotic organization in the mind. Certain patients with less severe narcissistic psychopathology, yet for whom object contact can also be associated with the arousal of psychotic anxieties due to intense or persistent conflict with the object, sometimes expressed as organized sadomasochistic clinging to a punishing and punished object (for example, in certain borderline or depressed patients) exhibit sadistic attacks that serve less to annihilate object contact and more to intrusively control and punish the object. Observations of these phenomena have been made by a number of psychoanalysts in recent decades and these contributions are discussed. This paper is addressed primarily to the implications for technique with such patients, particularly a need for triangulation of their experiences of oppression in order to loosen the controls over the ego by the pathological organization.     

Perceived self-efficacy by Under-10 tennis players when scaling the equipment and play area

The modification of child-sports aims to develop an optimal learning environment that facilitates the emergence of desirable psychological outcomes (e.g., self-efficacy). The aim of the study was to assess the effect of reducing net height and court size on self-efficacy and shot-efficacy of U-10 tennis players in a real-game context. Twenty U-10 tennis players (M = 9.46, SD = 0.66 years of age; M = 3.65, SD = 1.53 years of tennis experience) played two round-robin tournaments one week apart in the same order and schedule. The first tournament was played under the International Tennis Federation’s Tennis 10s regulation at green stage (GT). Afterwards, the modified tournament (MT) was played with the same regulation GT, however, net height (0.91 m–0.80 m) and court size (23.77 m × 8.23 m–18.00 m × 8.23 m) were reduced. Results accomplished using Bayesian and Frequentist inferences showed an increase in players’ self-efficacy when serving in MT than GT (BF₁₀ = 4.796; δ = −0.576; and p = .011). This is increase may be due to a reduction in their serving faults in MT (BF₁₀ = 6.169; δ = −0.591; and p = .010). Therefore, reducing net height and court size enhances the serve performance and self-efficacy and thus promotes positive tennis experiences.     

Prevalence and predictors of benevolent childhood experiences among a representative sample of young people

Emerging research evidence suggests that benevolent childhood experiences (BCEs) may partly explain more favourable mental health outcomes among individuals affected by adverse childhood experiences (ACEs). However, much of this research has focused on adult populations. Consequently, this study sought to provide the first rigorous assessment of the prevalence and predictors of BCEs using a nationally representative sample of young people from Northern Ireland (NI). Participants were 11–19-years-olds (N = 1293) who participated in the NI Youth Wellbeing Prevalence Survey (NI-YWS, 2020). Prevalence rates, gender differences and predictors of BCEs were investigated. Results revealed how most of the sample experienced multiple BCEs (95%, n = 1084), with females reporting higher levels of BCEs. Significant positive predictors of BCEs were female gender, parental education, living with both biological parents, and living in areas with lower deprivation, while significant negative predictors of BCEs included family being in receipt of social welfare and older age. Overall, this study highlights how BCEs are common, while the identification of factors associated with likelihood of having positive experiences during early development provides novel insights into those young people who may be at greater risk for maladaptive psychological outcomes.     

The association between adverse childhood experiences and personality,emotions and affect: Does number and type of experiences matter?

BackgroundThere is strong evidence that adverse childhood experiences (ACEs) negatively impact mental health. However, the association between ACEs and personality, emotions and affect are poorly understood. Therefore, we examined the association between composite ACE score and ACE type and personality, emotions and positive and negative affect.MethodsThree waves of data from the Midlife Development in the United States (MIDUS) study were used. ACE was the primary independent correlate. Covariates included demographic variables and survey wave. Outcome variables included generativity, personality traits (agreeableness, conscientiousness, extraversion, neuroticism, openness, agency), and affect (positive, negative). Statistical analyses included 3 approaches: (1) treatment of ACE as dichotomous, (2) ordinal composite of ACE score, and (3) three individual ACE type components to assess the association between ACE and psychological constructs.ResultsOf 6323 adults in the sample, 53% were female, and 56% had a past ACE. In the adjusted analyses, dichotomized ACE was significantly associated with neuroticism (β = 0.10; 95% CI 0.07, 0.13) and conscientiousness (β = −0.03; 95% CI −0.05, −0.01). All ACE scores were significantly and positively associated with neuroticism and negatively associated with conscientiousness. Abuse was significantly associated with neuroticism (β = 0.20; 95% CI 0.16, 0.24), openness (β = 0.08; 95% CI 0.05, 0.11), conscientiousness (β = −0.05; 95% CI −0.08, −0.02), and agency (β = 0.06; 95% CI 0.02, 0.10). All ACE categories, except financial strain, were significantly associated with affect.ConclusionACEs are significantly associated with personality, emotions, and affect, with greater effect seen at higher ACE scores and with ACE abuse type, which helps support the cumulative risk hypothesis and our study hypothesis. There is a need for continued research to understand the mechanistic processes and the directionality of the association between ACEs, emotions, and behaviors to help continue to drive biopsychosocial interventions.     

Creative Potential and Multicultural Experiences: The Mediating Role of Creative Self-Efficacy

In two studies, one in Mexico and another one in Germany, we examined the indirect influence of self-reported multicultural experience on creative potential, through its influence on creative self-efficacy, and its direct influence on creative personal identity. In both studies, business students from Mexico and Germany completed a battery of questionnaires assessing creative self-efficacy (with two different operationalizations), creative personal identity, multicultural experiences, and a divergent thinking task designed to generate ideas to solve two different business problems. Structural equation modeling was used to test our hypotheses. Results from both studies found a positive relationship between self-reported multicultural experiences and creative personal identity. Similarly, multicultural experiences had an indirect, positive relationship with originality scores from a divergent thinking task, through its influence on creative self-efficacy. Hence, the positive influence of multicultural experience on creative potential, through creative self-efficacy, was established in two countries and with different operationalizations, trait like versus state like, of creative self-efficacy. The implications of the results were discussed.     

催眠诱导下电击性厌恶试治同性恋3例

用催眠诱导情景下的电击厌恶试治同性恋３例均获成功。认为同性恋是情绪体验记忆的结果。单纯的认知治疗不可以消除情绪记,而单纯的行为治疗仅可消除对同性的性欲却无法重建对异性的性欲。认为要根治同性弯需用对异性的性欲代替对同性的性欲。催眠诱导情景下的电击厌恶既可消除对同性的性体验,又可建立对异性的性体验。     

Clients' experiences of online therapy in the early stages of a COVID-19 world: A scoping review

The emergence of the COVID-19 pandemic in 2019 forced an abrupt shift in the modality through which psychotherapy was delivered and online therapy became the only viable option for clients. Research regarding experiences of online therapy during the early stages of the COVID-19 pandemic is minimal, however, and has largely focussed on therapists' experiences of delivering online treatment, as opposed to clients' experiences of receiving it. A scoping review was undertaken to establish what is known from the existing literature about clients' experiences of online therapy during the initial stages of the COVID-19 pandemic and identify gaps in the current knowledge. Searches were conducted across four academic databases: Scopus, EBSCO CINAHL Complete, EBSCO MEDLINE and OVID PsycInfo; the literature was excluded based on established PICOS criteria. Data were summarised through data charting and synthesised by way of inductive content analysis. A total of five articles were identified. All articles focussed on online therapy using video or audio conferencing, and four of the five studies examined clients with eating disorders. Inductive content analysis identified seven categories, as follows: preference for face-to-face therapy; appreciation of accessibility and convenience; online format hindered connection; positive experience of online therapy; individual client differences impacted experience; strong therapeutic alliance indicative of positive experience; and gratitude for continuation of treatment. Future research could explore clients' experiences of online therapy in a “post-pandemic” world and include a broader range of client populations and online therapy approaches in the COVID-19 context.     

What Are Some Promising Developments in Psychotherapy with “Psychosis”? Introduction and Preview

A review indicates that there are some promising new developments in the aims and goals, and in the actual working methods, of doing psychotherapy with clients or patients considered as psychotic. Some of these new developments are rooted in the significant developments of the 1950s and 1960s, and some are recent developments in their own right. Capsule previews are provided of the subsequent papers of the special series.     

儿童的孤独感及与同伴交往的关系

孤独感是当一个人的社会关系网络比预期的更小或更不满意时产生的一种不愉快的情绪体验,儿童长期处于此状态会导致适应不良。孤独感的社交需要理论认为孤独感是对社交需要未满足的反应,强调孤独感的情感或感受层面;认知加工观主张孤独感的产生是因为个体对觉知到的人际关系现状不满意,强调孤独感的认知成分。同伴交往4个水平上的变量会影响到孤独感的产生,而孤独感作为一种消极的情绪体验,也会对同伴交往产生不良影响。未来研究应该多从家庭功能与同伴交往相结合的角度探讨孤独感的产生机制,对孤独儿童的干预研究也有待开展