Object relational disturbances that may underlie the diagnosis of attention-deficit disorder in adults

Extensive case material is used to show how some adult patients who have been diagnosed with and medicated for attention-deficit disorder (ADD) may be actually suffering from underlying unconscious object relational conflicts that interfere with their ego-functioning, creating an inhibition of basic concentration, focus, expression, and learning. Early childhood experiences of trauma and neglect can create destructive patterns of projective identification based paranoia, guilt, and intense anxiety. The author proposes that these patients have to sacrifice their own identity, psychological organization, and ability to learn or teach in order to keep the peace with others. In order to avoid conflict, difference, and uncertainty, these patients do whatever they can to placate, please, and not disturb the object. However, they often end up extremely resentful, oppositional, and passive-aggressive in reaction. The overwhelming anxiety these patients experience in relationship to the object and to their own internalized demanding critic blocks their ability to learn and grow. In addition, new knowledge, mastery, and creativity are seen as dangerous, forced upon them, or bringing unsafe attention to them. So, in defense, they adapt an inert, scattered, or formless way of living to keep under the radar. This paper advocates the psychoanalytic treatment of such internal conflicts over the popular diagnosis of ADD. Difficulties of learning, attention, concentration, and organization can be better understood and treated as a set of core psychological issues open to gradual working through and healing rather than neurological defects that can only be controlled or managed with strong medication and behavioral exercises.     

How Norms (Might) Guide Belief

Abstract

Belief normativism is roughly the view that judgments about beliefs are normative judgments. Kathrin Glüer and Åsa Wikforss (G&W) suggest that there are two ways one could defend this view: by appeal to what might be called ‘truth-norms’, or by appeal to what might be called ‘norms of rationality’ or ‘epistemic norms’. According to G&W, whichever way the normativist takes, she ends up being unable to account for the idea that the norms in question would guide belief formation. Plausibly, if belief normativism were true, the relevant norms would have to offer such guidance. I argue that G&W’s case against belief normativism is not successful. In section 1, I defend the idea that truth-norms can guide belief formation indirectly via epistemic norms. In section 2, I outline an account of how the epistemic norms might guide belief. Interestingly, this account may involve a commitment to a certain kind of expressivist view concerning judgments about epistemic norms.     

Beware of friends: The cultural psychology of relational mobility and cautious intimacy

Previous research has contrasted patterns of cautious or prevention‐oriented relationality in various West African settings with patterns of growth or promotion‐oriented relationality in many North American settings. The present research draws upon the concept of relational mobility to test the hypothesis that different patterns of relationality have their source in respective affordances for embedded interdependence or abstracted independence. Study 1 investigated the relationship between cautious intimacy and perception of relational mobility among a sample of Hong Kong students. Study 2 compared students in Hong Kong and North American settings to test whether differences in perception of relational mobility mediated the hypothesized differences in caution about friends. Study 3 used an experimental manipulation among a sample of Hong Kong students to test the hypothesis that increased perception of relational mobility reduces caution about friends. Results reveal broad support for the hypotheses. Whether as a measured variable or as an experimental treatment, the perception of relational mobility was negatively related to caution about friends. Moreover, this relationship mediated hypothesized cross‐national differences in caution about friendship. A discussion of the results considers intersections of cultural and ecological approaches to psychology and implications for theoretical conceptions of interdependence.     

Children’s prayers from a Hospital Chapel

Children’s prayers, from prayer books left in the Chapel of a Children’s Hospital between 1998 and 2002, were studied for what the children’s God-talk would reveal about their perceptions of God. Of the 3893 prayers written during this period, 346 were confidently identified as being authored by children. The sample of 346 prayers, which gave rise to 558 expressions of prayer, was explored through a content analysis, used quantitatively to summarise and describe the data, and a thematic analysis, informed by methods from Grounded Theory. The psychological and spiritual significance of the prayers is drawn out, demonstrating the richness and relationality of children’s spirituality. The predominance of prayers written by female writers, suggests that the extent to which relationality is present is related to gender. Questions concerning possible gender-related differences in girls’ and boys’ spirituality are raised and implications for practice are considered.     

Children's Theory of Mind,Self‐Perceptions,and Peer Relations: A Longitudinal Study

This longitudinal study explored Theory of Mind (ToM), self‐perceptions, and teacher ratings of peer relations of 91 children (52 females, ages 6–8 years) drawn from two schools situated in a mainly Euro‐Canadian, middle socioeconomic status, semi‐rural central Canadian context. ToM, self‐perceptions, and teacher ratings of peer relations were assessed at Time 1 (T1, M = 6 y 2 m) and 2 years later at Time 2 (T2, M = 8 y 5 m). Findings showed that ToM scores and perceptions of global self‐worth and physical appearance significantly increased with time across both genders. Positive longitudinal associations were found between teacher ratings of sociable peer relations at T1 and children's T2 moral self‐perceptions. A positive longitudinal correlation was found between T1 ToM and T2 teacher ratings of anxious/fearful peer relations. Individual variation in ToM at age 6 predicted teacher ratings of anxious and fearful behaviours in 8 year olds. In contrast, teacher ratings at age 6 did not predict ToM ability in 8 year olds. Educational implications for social and emotional competencies are discussed. Copyright © 2014 John Wiley & Sons, Ltd.     

Analytic change: Assessing ways of being in a psychoanalytic follow‐up interview

The article argues that the concepts of relational scenario, structuralized affect and actualized affect are proposed candidates for observation of changes in relational ways of being as it is expressed in transference. A psychoanalytic follow‐up interview of a former analytic patient is presented in order to illustrate how change in relational ways of being may be registered and studied. By triangulating the patient's verbal report of change with nonverbal information and transference–countertransference dynamics, one may grasp qualitative changes in relational ways of being. The case presented illustrates a former patient's on‐going process of working towards representing aggression in a more direct manner and how this process is made observable with the aid of the proposed concepts in the interview situation. The proposed concepts of relational scenario, structuralized and actualized affect discussed are compared to the concept of transference used in studies of core conflictual relationship theme (CCRT).     

Exercise can improve physical self perceptions in adolescents with low motor competence

Adolescents with low motor competence have diminished perceptions of their physical self and tend to avoid physical activities. This study examined the outcomes of an exercise intervention that focused on improving aerobic fitness, strength, and self-perceptions in the physical domain in adolescents with poor motor coordination. The sample included 35 adolescents with low motor competence, comprising boys (n = 25) and girls (n = 10) ranging in age from 13 to 17 years, who attended two sessions per week in the 13 week exercise intervention study (AMP it up). Physical self-perceptions were measured before and after the intervention using the Physical Self Perception Profile and Perceived Importance Profile. Significant improvements in perceived Physical Condition, Attractive Body and Physical Strength sub domain scores were identified between pre and post-test. Adjusting for age, gender, BMI and attendance, regression analyses revealed that Attractive Body was the strongest predictor of Physical Self Worth at pre-test, joined by Physical Condition at post-test. This exercise intervention had a positive impact on adolescent physical self-perceptions, in particular males, with improvements in those sub domains specifically related to the exercise program. Changes in specific aspects of Physical Self Worth can be facilitated by exercise interventions, after a relatively short period of time, in adolescents with poor motor coordination.     

A Longitudinal Study of Relational Aggression, Physical Aggression, and Children's Social–Psychological Adjustment

Although great strides have recently been made in our understanding of relational aggression and its consequences, one significant limitation has been the lack of prospective studies. The present research addressed this issue by identifying and assessing groups of relationally aggressive, physically aggressive, relationally plus physically aggressive (co-morbid), and nonaggressive children during their third grade year in elementary school and then reassessing them a year later, during fourth-grade (N = 224, 113 girls). Two aspects of social–psychological adjustment were assessed during both assessment periods including internalizing difficulties (i.e., withdrawal, depression/anxiety, and somatic complaints) and externalizing problems (i.e., aggressive behavior, delinquency). It was revealed that the strongest predictor of future social–psychological adjustment problems and increases in these problems from third to fourth was the combination of relational and physical aggression. Relational aggression also contributed unique information, relative to physical aggression, in the prediction of future maladjustment. Implications of these findings for future research and prevention efforts, particularly for aggressive girls, are discussed.