Mirror mirror on the ward: who is the unfairest of them all? Reflections on reflective practice groups in acute psychiatric settings

Consultant psychiatrists in medical psychotherapy, adult psychotherapists, child and adolescent psychotherapists and clinical psychologists increasingly complement their direct therapeutic activity with applications of their psychotherapeutic thinking in acute mental health work through facilitating reflective practice groups for staff working in mental health teams. The authors offer their reflections on facilitating National Health Service reflective practice groups using the metaphor of a mirrored dialogue between patient and professional, and professional and institution as a basis for informing the development of reflective practice for colleagues. Their reflections are based on working on three acute in-patient wards, in a crisis resolution team and in community mental health teams. They describe the practicalities of setting up and facilitating reflective practice groups, and offer insights into some of the issues that arise in reflective practice groups. They conclude that these groups are mutually beneficial in forging links between psychotherapy professionals and professionals working in other disciplines and areas of mental health. Facilitating these groups often requires a challenging adaptation of technique, which will not suit all psychotherapists, as well as a wider understanding of organisational dynamics and the interplay between clinicians and management.     

经颅直流电刺激右侧颞顶联合区对道德意图加工的影响*

对行为意图的理解是人类进行道德判断的重要依据,大量研究表明,右侧颞顶联合区是意图加工的关键脑区。为考察该脑区在道德判断中的重要作用,采用经颅直流电刺激技术阳极刺激右侧颞顶联合区,探讨促进该脑区的活动对被试在道德判断中意图及相关信息加工的影响。结果发现与假刺激条件相比,阳极刺激后道德判断反应时显著延长,在伤人未遂和意外伤人条件下差异显著,证明促进右侧颞顶联合区的激活能影响道德判断中的意图加工,尤其在意图与结果产生冲突的条件下效应更加显著。     

Psychoanalysis is a two‐way street

The paper discusses psychoanalysis as a mutual exchange between the analyst and analysand. A number of questions are raised: What was Ferenczi's and the early psychoanalysts' contribution to the interpersonal relational dynamics of psychoanalytic treatment? Why did countertransference become an indispensable tool in relationship‐based psychoanalysis? Why is the transference‐countertransference dynamic seen as a special dialogue between the analyst and analysand? What was Ferenczi's paradigm shift in the trauma theory? How did he combine the object relation approach with Freud's original trauma theory? The paper illustrates through some case study vignettes the intersubjective and intrapsychic dynamic in the process of traumatization. We can look at countertransference as an indicator of the patient's basic interpersonal experiences and traumas. Finally the paper discusses countertransference in the light of attachment theory, connecting the early initiatives of inter‐relational approaches in psychoanalysis with recent research.     

Aspects of the Early Life Histories of Social Workers in Private Practice

Abstract

From 1993 until 1999 the author undertook a qualitative doctoral research project into the transition of New Zealand social workers from salaried agency employment to private practice (van Heugten, 1999). This private practice was almost exclusively in psychotherapy and coun seling. During semi-structured interviews in which a range of topics was covered, respondents were asked what part they thought their life history had played in their decision to become social workers and to become pri vate practitioners. Respondents talked about their parents' political per spectives, their own educational experiences, religion and spirituality, and immigrant status. Many respondents disclosed traumatic early life experi ences. Analysis of narratives revealed the prevalence of a perception of be ing outsiders; of viewing and responding to significant situations differently from other people. Whilst respondents struggled with a perva sive sense of personal and occupational marginalization, they also recognized that their capacity to adopt an outsider perspective made a positive contribution to their practice as social workers and as psychotherapists or counselors.     

青少年负性情绪事件性质判断偏向的情绪弹性和性别效应

研究以青少年学生为被试,采用测验和实验的方法考察了情绪弹性和性别变量对青少年在四类负性情绪事件性质的判断偏向上可能产生的影响。结果表明：（1）情绪弹性对青少年加工负性情绪事件信息时的判断偏向产生一定影响,低情绪弹性个体在面对与一般生活情境相关的负性情绪事件时,更倾向于从消极方面对事件的性质加以判断。（2）性别对青少年加工负性情绪事件信息时的判断偏向不产生实质性影响。     

The schema provokes a disparity of false recollection between actions and objects in an everyday scene

We explored the effect of the schema on recognition memories and subjective experiences for actions and objects in an everyday scene. At first, participants watched slides of a man cooking in a kitchen. The man performed schema‐consistent actions, and schema‐consistent objects were left. After watching the slides, participants completed a recognition test, a remember/know test, and a Perception/Thought/Emotion/Context questionnaire. We confirmed three main results. First, participants made more false recognitions for schema‐consistent distracters than for schema‐inconsistent distracters with more “remember” judgments accompanied by perceptual, thought, and contextual details, and with more “know” judgments. Second, participants made more false recognitions for schema‐consistent object distracters than for schema‐consistent action distracters. Third, participants more frequently recognized schema‐consistent action targets than schema‐consistent object targets with more “remember” judgments. Both action memory and object memory were reconstructed under the schema, provoking false recognitions for schema‐consistent distracters. However, the memories of schema‐consistent action targets were so recollective that they could prevent false recognitions for schema‐consistent action distracters.     

Social judgment of aggressive language: Effects of target and sender sex on the evaluation of slurs

We investigated the influence of the sex of the target and the sex of the sender on the judgment of slurs (verbal derogation). From previous research, we selected and clustered slurs into seven categories and respondents rated their degree of perceived insult in two consecutive questionnaire surveys (N = 281 and N = 224, respectively). Results confirm that slurs are generally judged as being more insulting when directed towards females than towards males. In comparison, differences in sex of sender were small. When directed towards females, slurs referring to “being loose” were rated as the most insulting. For both target sexes, remarks referring to homosexuality and physical unattractiveness were among those rated as the most insulting. Least insulting were slurs referring to unethical acts, lack of intelligence and cowardliness. A sex of respondent effect was found, suggesting that women rated slurs generally more insulting than men. The pattern of results showed considerable stability across surveys attesting for the reliability of the method for measuring the social evaluation of slurs.     

Character Disposition and Behavior Type: Influences of Valence on Preschool Children's Social Judgments

The authors studied the influences of valence information on preschool children's (n = 47) moral (good or bad), liking (liked or disliked by a friend), and consequence-of-behavior (reward or punishment) judgments. The authors presented 8 scenarios describing the behavior valence, positive valence (help, share), negative valence (verbal insult, physical aggression), and disposition valence (nice or mean) of characters in social interaction with a friend. Overall, character disposition and behavior valence significantly influenced children's judgments. Moral, liking, and consequence-of-behavior judgments varied significantly by character disposition for both positive behavior scenarios. In contrast, there were fewer significant findings as a function of character disposition for negative behavior scenarios, suggesting that the negative behavior cue somewhat diminished the effect of character disposition on children's judgments. The authors discuss preschool students’ coordination of information about valence of behavior and character disposition and the students’ reluctance to judge that misbehavior warrants punitive consequence.     

Incorrect understanding and concept possession

Tyler Burge has argued that an incorrect understanding of a word can be sufficient for possessing the concept the word literally expresses. His well-known ‘arthritis’ case involves a patient who understands ‘arthritis’ incorrectly, but who nevertheless, according to Burge, possesses the concept arthritis. Critics of Burge have objected that there is an alternative concept that best matches the patient's understanding and that this, therefore, is the patient's concept. The paper first argues that Burge's response to this objection is unconvincing. A better response is then developed. It is argued that there is no alternative concept that matches the incorrect understanding, since the patient thinks he has a partial understanding. This, together with points about ordinary psychological explanation and modes of presentations of concepts, establish that it is impossible to undermine Burge's social externalism by appealing to the idea that an alternative concept matches the incorrect understanding.     

反馈干预对学习判断的影响

将反馈干预作为外部线索引入元记忆研究,采用重复学习任务,在第一轮次学习-测验之后插入反馈干预,用两个实验分别考查任务反馈和能力反馈两种形式下的反馈效价对第二轮次即时学习判断的影响.结果表明：①在学习过程中,学习者会进行自我监测;②在任务反馈形式下,反馈信息与自我监测信息冲突,导致反馈干预对元认知监测和认知过程没有影响;③在能力反馈形式下,反馈信息与自我监测信息的冲突消失,结果消极反馈影响了元认知监测.由此得出结论：只有在不与自我监测信息冲突的情况下,反馈干预才对学习判断产生影响.此外,在有反馈干预的情况下,两个实验中都出现了显著的练习伴随低估效应.