Fire at the theatre: (Un)reality of/in the transference and interpretation1

Only in Bion's extended idea of ‘waking dream thought’ is the oneiric paradigm of the cure (already an obvious Freudian principle) completely applicable. The author's basic hypothesis is that, by adopting this paradigm thoroughly, one can combine the radical antirealism which is expressed in the postulate by which all the patient's communications are transference‐connected (here meaning ‘false connection’‐i.e. as projection/displacement of elements of the patient's inner psychic world) with the ‘reality’ of the transference, that is to say with the conviction that the facts of the analysis are co‐determined by the patient‐analyst dyad and actually rooted in how they interact. The Freudian metaphor of the fi re at the theatre is reintroduced here to suggest the crisis of the therapist's internal setting and capacity for reverie, which occurs when the irreducible ambiguity of the transference is resolved defensively, either in the patient's external reality or in his unconscious fantasy constellation. The author gives three clinical examples. The fi rst shows some of the not necessarily negative effects of this temporary crisis. The other two vignettes show a way of listening to the traumatic events of the patient's life from a perspective (that of the ‘analytic fi eld’) which is thought to be potentially the most transformative and vital to the analytical relationship.     

Using Sand Tray Therapy With Juveniles in Correctional Settings

The authors propose sand tray therapy as a developmentally appropriate, trauma‐sensitive, engaging intervention in counseling juvenile offenders as an aid in rehabilitation. The authors present a fictional case study to demonstrate the use of sand tray therapy with a juvenile offender in a correctional setting.     

Age differences in self-set goal effects for memory

Research has shown that goal setting leads to gains in memory performance and memory self-efficacy across adulthood when goals are set by experimenters and accompanied by positive feedback. However, self-set memory goals have had less consistent impact. This research extended past studies on aging and memory goals to examine the impact of self-set goals using anchors to guide goal selection. Two trials of name, text, and list recall were administered to younger and older adults, comparing goal and no-goal groups. After baseline, participants assigned to the goal group set personal goals for memory gain on a second, post-goal trial for each of the three tasks. Anchoring for goal-setting was used to encourage the selection of realistic, yet challenging goals. Younger and older participants set comparable goals. Only younger adults showed a motivational response (higher gains across trials for goals than no goals), even though older adults reported being just as committed to their personal goals. Older adults may have failed to show reliable goal-related gains because no positive feedback was offered or because they were unable to activate effective strategies for improved performance.     

Being, thinking, creating: when war attacks the setting and the transference counter-attacks

When trauma enters into the reality of the analyst and of the analysand, when it attacks the setting, what becomes of the analyst’s role? How can transformations be brought about? With reference to three clinical situations, the author attempts to explore how the articulation between transference and countertransference – the inter‐relation – structures the situation; the analyst must remain in his or her role as analyst through managing to create and to reflect upon the clinical aspects of that situation when faced with the unpredictability of what war brings in its wake. It then becomes possible to see how the work of the negative can be confined to the outer limits of the setting.     

情绪失调如何引起情绪枯竭？

当服务行业员工内心情感与工作所期望情绪不一致时,如何调节更容易陷入情绪枯竭？该研究抽取服务业员工352名,采用问卷法测量工作环境中的情绪失调、情绪劳动策略及情绪枯竭程度,并探究三者的关系。结果表明,负情绪失调通过较多的表层扮演和失调扮演,导致更多的情绪枯竭;正情绪失调则通过较少的表层扮演和失调扮演,引起较少情绪枯竭。研究对服务业员工招聘、心理培训及人性化管理有一定指导意义。     

医学院校专业设置功利化倾向研究

扩招以来,医学院校新增专业大量增加,其增加量主要集中在投入相对较少的非医学学科门类,突显医学院校专业设置的功利化倾向,急功近利,追求大而全,脱离办学条件,淡化行业特色.这种发展趋势导致医学院校规模迅速扩大,基本办学条件不足,师资队伍结构失衡,教学基本建设滞后,医学教育发展受到冲击,毕业生竞争力不足.     

用安戈夫(Angoff)方法对网络成瘾的标准设定

本研究旨在探讨网络成瘾的界定问题。本文采用标准没定中最为广泛使用的安戈夫(angoff)方法对网络成瘾进行评定,并分析量表的信度和效度。结果表明：网络成瘾的界定分数为7,即受试者在量表的12个项目中,有7个做出肯定回答即被界定为网络成瘾。用Angoff方法产生的测验分界分数则有79．25％的受试者与外在效标划分一致。     

Some Questions Raised by the Practice of Online Analysis1

In this paper the author explores some of the issues raised by the practice of online analysis. In particular, he emphasizes the difference between the setting and the frame and proposes a theoretical approach of the latter as emerging within the transferential dynamic.     

Clinical psychology in medical settings: Psychology's role in health care

The number of clinical psychologists working in medical settings has grown along with the range of services provided by psychologists to patients with a multitude of medical problems across the lifespan. Medical care cost savings brought about by these psychological interventions is highlighted along with issues of public policy and specialization of training. The opportunity for ongoing development of clinical psychology in medical settings is described as unlimited and the mission of the newJournal of Clinical Psychology in Medical Settings is presented as supporting that growth.