A Guide to Women in Management

The majority of occupational therapists are female clinicians who tend to be motivated by human service. They do not tend to be motivated by administrative or managerial responsibilities beyond those essential to local disciplines functions. More occupational therapists may become interested in management once they are aware of sociocultural assumptions and prejudices as well as the specific qualifications and competencies involved. Sex role stereotyping and some roles are reviewed. Assertiveness training and basic management competencies are listed as pertinent skill acquisitions.     

Post-Traumatic Stress Disorder,Sensory Integration,and Aquatic Therapy: A Scoping Review

The prevalence of post-traumatic stress disorder (PTSD) continues to increase. Symptomology of PTSD include sensory deficits much like those displayed in children with sensory integration (SI) disorder. The aim of this scoping review is to review symptoms of PTSD and SI, and make a case of how aquatic therapy may be an effective modality in treating clients with PTSD. Eighteen articles were selected for review. From this review, it is suggested that aquatic therapy can be an effective modality in reducing symptoms of PTSD; however, future research is essential in determining its effectiveness.     

Parental Choices and the Prospect of Regret: An Alternative Account

Is the question ‘will you regret it if you do (not do) this?’ helpful when people face difficult life decisions, such as terminating a pregnancy if a disability is detected or deciding to become a parent? Despite the commonness of the question in daily life, several philosophers have argued lately against its usefulness. We reconstruct four arguments from recent literature on regret, transformative experience and the use of imagination in deliberation. After analysis of these arguments we conclude that the prospect of regret remains a useful deliberative heuristic, provided four conditions are fulfilled. If the prospect of (the absence of) regret is arrived at via reflection on one’s values, in a non-coercive context, when well-informed about factual circumstances, and in a process of self-commitment, the question of what one will regret is a helpful device to get in touch with one’s deepest concerns that give reasons to act in a particular way.     

Associative dreaming: reverie and active imagination

The idea of countertransference has expanded beyond its original meaning of a neurotic reaction to include all reactions of the therapist: affective, bodily, and imaginal. Additionally, Jung's fundamental insight in 'The psychology of the transference' was that a 'third thing' is created in the analysis, but he failed to demonstrate how this third is experienced and utilized in analysis. This 'analytic third', as Ogden names it, is co-created by analyst and analysand in depth work and becomes the object of analysis. Reverie, as developed by Bion and clinically utilized by Ogden, provides a means of access to the unconscious nature of this third. Reverie will be placed on a continuum of contents of mind, ranging from indirect to direct associative forms described as associative dreaming. Active imagination, as developed by Jung, provides the paradigm for a mode of interaction with these contents within the analytic encounter itself. Whether the analyst speaks from or about these contents depends on the capacity of the patient to dream. Classical amplification can be understood as an instance of speaking about inner contents. As the ego of the analyst, the conscious component, relates to unconscious contents emerging from the analytic third, micro-activations of the transcendent function constellate creating an analytic compass.     

September 11th,an attack at the limits of thought

The paper deals with imagination and its failures from a psychoanalytic perspective. We offer a definition of imagination failures and suggest how they can be interpreted as an opportunity to learn from experience. In order to show that the topic has a concrete and not only speculative significance we consider the public report on September 11 as a case study. The report was published by the National Commission on Terrorist Attacks Upon the United States after a long investigation of the facts and circumstances relating to the September 11 attacks. The document has been the object of strong criticisms, as we argue in the paper. Both the document and some of the critiques that it received focus, however, on significant aspects of the debate about imagination, such us the fragility of imaginative thought, its dependence on unconscious desires and its plurality of outcomes: a plethora of imaginaries can in fact be developed at any time, from the same set of information about reality. We comment on these aspects and reinterpret them from a Bionian perspective. The concepts of ‘unthinkability’, ‘imagination failure’ and ‘depressive position’ are used to inform the necessity of dealing with an evolving and conflictual geopolitical scenario. Particular attention is paid to the proposal of ‘routinizing, even bureaucratizing, the exercise of imagination’ within the institutions that deal with National Defense. This possibility is discussed in depth in order to suggest how it may be concretely implemented. In conclusion, a strong case is made for the usefulness of psychoanalytic reflection in the arena of relationships among countries, with particular emphasis on the new terrorist challenges.     

Silicon in ‘pure gold’? Theoretical contributions and observations on teleanalysis by videoconference

Ideas about psychoanalysis via videoconference—videoconference teleanalysis (VT)—are presented with the general understanding that these settings produce a twofold split between various degrees of recognition/negativisation of the absence of the other, on one hand, and the expectation of physical co‐presence, on the other. This split has been put forward as dismantling the here, now, with me pre‐reflexive unity of the analytic experience. This article suggests that both members of the analytic dyad will seek to reappropriate the experience through a forced ego integration that interferes with accessing states of unintegration in the analytic treatment and produces subtle alterations to symbolisation work. The effort to overcome this condition is illustrated with clinical vignettes and therapists’ comments about feelings of inauthenticity and discontent when trying to sustain evenly‐suspended attention, as well as in the perception of a form of flattening of the alive nature of speech. However, this is not a constant for all VT, and mutual understanding can be an important mitigating feature. The focus of the discussion should be on the capacity of the analytic dyad to overcome such a split and not on a direct extrapolation of the perceptual limitations of VT to possible effects on transference / countertransference.     

Poor Imitative Performance of Unlearned Gestures in Children with Probable Developmental Coordination Disorder

It has been hypothesized that deficits in imitation, linked to abnormal functioning of the mirror neuron system (MNS), may contribute to the motor impairments associated with developmental coordination disorder (DCD). The authors aimed to examine imitation of complex novel postures and sequences of gestures in children with and without probable DCD (pDCD), using the postural praxis and sequencing praxis subtests of the Sensory Integration and Praxis Tests (Ayres, 1989 Ayres, A. J. (1989). Sensory Integration and Praxis Tests: SIPT manual. Los Angeles, CA: Western Psychological Services. [Google Scholar]). Participants were 29 boys with pDCD between 6.08 and 13.33 years old, and 29 group age-matched typically developing boys between 6.08 and 13.83 years old. Responses of children with pDCD on both imitation tasks were less accurate than controls, with group differences more apparent with increasing task complexity. Furthermore, as a group, children with pDCD were slower and had a higher number of non–mirror-imitated responses. There was considerable variability within the pDCD group, with some children displaying imitation scores within the normative range. Given the importance of imitation and visual learning for motor development, the difficulties in imitation displayed by some children with pDCD have the potential to impact on movement acquisition. Interventions to target imitation may be beneficial for these children. The results show that children with pDCD had difficulty imitating complex novel postures, children with pDCD had difficulty imitating gesture sequences, children with pDCD had slower responses than controls, group differences in imitation performance increased with task complexity, and not all children with pDCD displayed imitation deficits.     

The Effects of Sensory Manipulations on Motor Behavior: From Basic Science to Clinical Rehabilitation

Modifying sensory aspects of the learning environment can influence motor behavior. Although the effects of sensory manipulations on motor behavior have been widely studied, there still remains a great deal of variability across the field in terms of how sensory information has been manipulated or applied. Here, the authors briefly review and integrate the literature from each sensory modality to gain a better understanding of how sensory manipulations can best be used to enhance motor behavior. Then, they discuss 2 emerging themes from this literature that are important for translating sensory manipulation research into effective interventions. Finally, the authors provide future research directions that may lead to enhanced efficacy of sensory manipulations for motor learning and rehabilitation.     

Not Just Right Experiences: Association with Obsessive Compulsive Symptoms and Sensory Over-Responsivity

Individuals with obsessive-compulsive disorder describe “not just right experiences” as a constant uncomfortable feeling of imperfection toward sensory stimuli. This study examined the relation between “not just right experiences,” obsessive-compulsive disorder and sensory over-responsivity symptoms. Sixty college students participated in the in vivo “not just right experiences” assessment. This included four tasks for which participants rated pre-task discomfort, post-task discomfort, and urge to counteract auditory, visual, and tactile stimuli. “Not just right experiences” scores significantly correlated with obsessive-compulsive disorder scores. Tactile, auditory, and visual sensory over-responsivity scores were correlated with specific “not just right experiences” scores. Sensory over-responsivity is rarely addressed in obsessive-compulsive disorder while it contributes to symptomatology and participation.