Attenuated Access to Emotions in Obsessive-Compulsive Disorder

The Seeking Proxies for Internal States (SPIS) model of obsessive-compulsive disorder (OCD) posits that OCD is associated with attenuated access to internal states. Here we explored the implications of this model in the realm of emotions. Participants with OCD, anxiety disorders, and nonclinical control participants completed the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT), assessing two domains of emotional intelligence: Experiential emotional intelligence (EI), reflecting the ability to perceive and feel emotions accurately, and Strategic EI, reflecting the ability to understand and manage emotions correctly. As only Experiential EI requires accurate perception of one’s emotions for adequate performance, we predicted an interaction between group and EI area. Specifically, we predicted that compared to both anxiety disorders and healthy control participants, OCD participants would show a larger deficit in Experiential area of the MSCEIT relative to the Strategic area. Results were fully in line with this prediction. Moreover, supporting the specificity of the hypothesized deficit to OCD, participants with anxiety disorders did not differ from nonclinical control participants in their performance, and findings were not attributable to anxiety or depression levels. These results replicate and extend previous findings obtained with analogue samples and suggest that OCD is associated with attenuated access to emotional states, which may be partially compensated for by reliance on semantic knowledge of emotion.     

The analysand and analyst team practicing reciprocal free association: Defenders and deniers

Abstract

By 1900, Freud had formulated an original and operational method of psychoanalytic treatment and research: the technique of free association. In 1912–1915 and later writings, he recommended it as a fundamental procedure and process, called the fundamental rule, in psychoanalytic therapy. In recent years, free association as a method has been variously misrepresented, misunderstood, and denied by some schools of psychoanalysis. This paper reviews the history of free associations and argues for upholding the continuity and relevance of Freud's fundamental methodology and for a renewal of interest in reciprocal, i.e., interactive and interpersonal, free association.     

Exact ferromagnetic ground state of pentagon chains

We model conducting pentagon chains with a multi-orbital Hubbard model and prove that well below half filling, exact ferromagnetic ground states appear. The rigorous method we use is based on the transformation of original hamiltonian into positive semidefinite form. This technique is independent of the spatial dimension and does not require integrability of the model. The obtained ferromagnetism is connected to dispersionless bands but in a much broader sense than flat-band ferromagnetism requires, where on every site a Hubbard term is present. In our case, only a small percentage of, even randomly distributed, sites are only interacting.     

The Causal Closure of Physics: An Explanation and Critique

Bistable, autonomously growing and self‐maintaining dynamical systems possess a new mathematical and applicational aspect: they can switch toward (physical) existence. Larger dynamical systems containing such flip‐flops as subsystems are frequent. The mathematical prototype is a special type of Z₂‐networks, termed a competence automaton. A chemical implementation is the ‘magic soup.’ It constitutes a general model for life‐type evolution processes including economic evolution.     

‘I'm beyond caring’, a response to the Francis Report: the failure of social systems in health care to adequately support nurses and nursing in the clinical care of their patients

Lord Francis was commissioned to look at why the serious problems (between January 2005 and March 2009) at Mid Staffs Foundation Trust were not identified sooner and the appropriate action taken. Lord Francis was also asked to outline what lessons could be learned to enhance patient care. The report was delivered on 5 February 2013 and contained 290 recommendations. The key message was that the National Health Service needed to put the patient first and everything else should flow from that principle. Poor standards of care should not be tolerated and staff would be expected to speak out when they felt patient care was being compromised. Lord Francis also recommended that there should be one regulatory body and that the role of the Care Quality Commission was to be reviewed.     

Understanding coexistence of internal states in children and adults

We investigated the conceptualization of suffering and well-being states pertaining to physical and psychological domains by examining children's and adults’ acceptance of coexistence of two co-occurring internal states. Children and adults decided whether pairs of states may coexist, justified their answers, and reported whether they had personal experience of that. The pairs of states could involve same valence and different domain, different valence and different domain, and different valence and same domain. The results showed that acceptance, plausibility, complexity, and causality of justifications vary depending on age and/or type of state co-occurrence. The role of factors like cognitive processing, personal experience, and asymmetric organization of the constructs of valence and domain is discussed, in light of the applied relevance of the findings.     

Flat intentions – crazy dispositions?

Future-directed intentions, it is widely held, involve behavioral dispositions. But of what kind? Suppose you now intend to Φ at future time t. Are you thereby now disposed to Φ at t no matter what? If so, your intention disposes you to Φ even if around t you will come to believe that Φ-ing would be crazy. And would not that be a crazy intention to have? – Like considerations have led Luca Ferrero and others to believe that only intentions with strong internal conditions are capable of rationality. This paper explores in how far a broadly dispositional view of intention supports their claims. Its first point will come as a surprise: Intentions indeed involve dispositions toward follies in plenty. Natural objections against this bizarre-sounding claim are shown to fail, and standard counterfactual analyses of disposition locutions are shown to underpin it further. However, since the dispositions at issue are pro tanto dispositions, the consequences are not as odd as might be expected: When hedged by reasonable habits to reconsider one’s intentions, dispositions toward follies do not entail any actual crazy behavior. On balance, unconditional intention is therefore found rational after all. Dispositions toward crazy actions need not be crazy dispositions.     

Mentoring for Mental Health within a University: A psychodynamic approach

This paper explores the role of mentoring in a British University for students with mental health issues and is written from the perspective of the Mentor who is also a Psychodynamic Psychotherapist. Psychodynamic theory is applied to two case studies in order to understand the conscious and unconscious factors when considering these students’ particular learning difficulties and motivation for entering a learning environment. In the first case study, it is suggested that the student hopes to find his lost father within the containing bricks of the institution. When confronted with frustration and disappointment, he mobilises schizoid defences, precipitating a psychotic episode. The second case study formulates the student’s chronic procrastination, which verges on academic sabotage, as a defence against the unbearable guilt concerning his abilities and achievements in contrast with his unsuccessful and disabled siblings. The challenge of helping these students is explored, including the approaches taken by the Mentor, given her remit and the particular issues presented by the students.     

Subjective distress associated with chronic stuttering

Stuttering is a chronic condition involving involuntary disruption to speech fluency. While elevated social anxiety has been found to be a risk factor for adults who have stuttered all their lives, it is unclear how stuttering influences other negative mood states such as interpersonal sensitivity and depressive mood. Consequently, controlled research was conducted that investigated negative affectivity across a number of domains in adults who stutter. Participants included 200 adults who have stuttered since childhood, with comparisons made to 200 non-stuttering controls of similar age and sex. The adults who stuttered were found to have significantly elevated levels of distress and negative mood states compared to the controls. As expected, significant differences were found for anxiety, however, significant and substantial differences were also found across a broad range of negative affect, including dimensions such as somatization, interpersonal sensitivity, depressive mood, hostility and paranoia. The implications of these findings for the better management of stuttering are discussed.Educational objectives: The reader will be able to describe: (a) the negative impact of a chronic disorder like stuttering on people who have stuttered all their life; (b) the factor structure of the SCL-90-R; (c) the negative affectivity construct, and (d) the difference between psychogenic theories of stuttering and neurological theories of stuttering.     

Within- and between individual variability of personality characteristics and physical exercise

Using two independent samples, the study investigated links of within- and between-individual variability in personality states in three personality domains—Neuroticism, Extraversion, and Conscientiousness—with physical activity. Activity was defined as self-reported quantity of exercising or walking/cycling. More physical activity was associated with people reporting higher levels of Extraversion and Conscientiousness than they usually did, with the associations clearly replicating across samples and generalizing to all items of these domains. This pattern tended to reflect associations at the level of between-individual differences. When the three domains simultaneously predicted activity, within-individual variance in Neuroticism also emerged as a positive predictor, whereas between-individual level associations waned. The findings are consistent with within-individual differences in personality ratings reflecting meaningful, context-relevant variability.