Destruction reconceived: On Winnicott's ‘The Use of an Object and Relating through Identifications’

‘The Use of an Object and Relating through Identifications’ is a landmark contribution that I find very difficult to write about because so much of what lies at its core is merely suggested. It is necessary for the reader not only to read the paper, but also to write it. In my reading/writing of the paper, the mother becomes real for the infant in the process of his actually destroying her as an external object (destroying her sense of herself as an adequate mother), and his perceiving that destruction. She also becomes a real external object for the infant in the process of his experiencing the psychological work involved in surviving destruction, a form of work that does not occur in the world of fantasied objects. The analyst or mother may not be able to survive destruction. It is essential that the analyst be able to acknowledge to himself his inability to survive and, if necessary, to end the analysis because of the very damaging effects for both patient and analyst of prolonged experience of this sort. The author presents clinical discussions of analyses in which the analyst survives destruction and is unable to survive destruction.     

Finding Sunshine on a Cloudy Day: A Positive Affect Intervention for Co-Occurring Methamphetamine Use and HIV

Among sexual minority men (i.e., gay, bisexual, and other men who have sex with men) living with HIV, those who use methamphetamine experience profound health disparities. Affect Regulation Treatment to Enhance Methamphetamine Intervention Success (ARTEMIS) is an evidence-based, 5-session, individually delivered positive affect intervention adapted for sexual minority men living with HIV who use methamphetamine. ARTEMIS was designed to amplify the benefits of evidence-based substance use interventions such as contingency management (CM) with this high-priority population. Delivering ARTEMIS during CM has been shown to assist participants in reducing stimulant use, increasing positive affect, and achieving durable reductions in HIV viral load. We describe the theoretical underpinnings of the ARTEMIS intervention, provide details of the training and session protocols with a case example, and discuss implications for future applications in research and clinical settings.     

Nothing But Stereotypes? Negligible Sex Differences Across Creativity Measures in Science,Arts, and Sports Adolescent High Achievers

Previous research has focused on understanding when, why, and how sex differences in creativity occur, as results vary across samples, measures, and methodologies. In the current study we investigated sex differences in creativity among 984 high achieving adolescents in three expertise areas: Sciences, Arts, and Sports. Eight creativity indicators were analyzed: Alternative uses task (AUT) fluency; creative self-efficacy (CSE); intraindividual strengths (difference between CSE and AUT Fluency); five self-reported creativity scales: Self/everyday, scholarly, performance, mechanical/scientific, artistic. The results showed negligible sex differences ( $n_{\mathrm{p}}^2$ = .01), with females performing better in AUT Fluency and males self-rating their CSE higher. No sex differences were found in self/everyday, scholarly and performance creativity. Males self-rated their mechanical/scientific creativity ( $n_{\mathrm{p}}^2$ = .06) higher than females; while females self-rated their artistic creativity ( $n_{\mathrm{p}}^2$ = .02) higher in comparison to males. Our results extend the existing literature by finding negligible sex differences in adolescent expert groups. However, some stereotypical differences emerged, for example, females with Sciences expertise rated their mechanical/scientific creativity lower than males with and even without Sciences expertise. Results call for further investigation into the links between sex differences, expertise, and specific creativity domains.     

浅谈肝移植术后患者长期随诊的临床意义

回顾性分析肝移植术后随访中的临床与非临床因素对移植物和受体长期存活的影响。选择术后3年以上病例,在并发症的诊断处理、患者各种非医疗不良因素（依从性）方面调查分析和总结。结果多数术后患者均能有良好的依从性,配合移植医师的术后治疗、随访及心理健康指导,但有些患者因为个人、医院等原因不能很好地得到随访,发生并发症及不能及时处...     

Identifying and explaining apparent universal sex differences in cognition and behavior

With growing recognition that there are universal sex differences in cognition and behavior, four theories have been proposed to account for these differences: the founder effect theory, the social structuralist theory, the evolutionary theory, and the evolutionary neuroandrogenic (ENA) theory. The latter of these theories is described in considerable detail as offering an explanation for most of 65 recently identified apparent universal sex differences (AUSDs) in cognition and behavior. Regarding “ultimate causes” (why), ENA theory asserts that (a) evolutionary-genetic factors incline females to bias their mate choices toward males who are loyal and competent provisioners of resources and (b) males are merely a genetic variant on the female sex selected for responding to female mating biases. In terms of “proximate causes” (how), the theory maintains that high exposure to androgens has evolved to alter the male brain functioning in two specific ways relative to most female brains: (a) suboptimal arousal and (b) a rightward shift in neocortical functioning. These two functional patterns are described and hypothesized to incline males and females to learn differently in many respects. The most fundamental differences involve males learning ways of either complying with or circumventing female mate preferences. Numerous universal sex differences in cognition and behavior are hypothesized to result from these evolved neurohormonal factors, including most of the 65 AUSDs herein summarized in seven categorical tables.     

Sexual arousal and the pursuit of attractive mating opportunities

From an evolutionary perspective, sexual arousal may function, in part, to motivate the pursuit of attractive mating opportunities. We designed a study to test three aspects of this hypothesis. Several hundred heterosexual men and women completed a short survey about sexual arousal in response to a casual sex mating opportunity. We replicated previous research documenting that men report greater sexual arousal than women in response to a short-term mating opportunity. We argue that it is unlikely that a “downplaying of alternatives” psychology evolved, whereby mated individuals rate opposite-sex targets as less attractive than do unmated individuals, but instead that men and women have a relationship-seeking psychology, motivating them to pursue attractive mating opportunities. The results supported this relationship-seeking psychology rather than a downplaying alternatives psychology. Discussion addresses directions for future research on the motivational properties of sexual arousal.     

Investigating the Role of Religion‐Supported Secular Programs for Explaining Initiation into First Sex

Research finds that religious youth, compared to less religious youth, are more likely to delay their sexual debut (sometimes until marriage). This study is one of the first to examine the influence of involvement in religion‐supported secular activities for shaping initiation into vaginal sex. Does involvement in religion‐sponsored secular programs produce any health‐related benefits for youth? Using two waves of data from the National Study of Youth and Religion this study finds that among teens who have engaged in some of the precursors to first sex, namely, sexual touching, involvement in religion‐sponsored secular activities is associated with lower odds of having first sex between W1 and W2. Conservative attitudes about sex outside of marriage explain, in part, the relationship. Conversely, network overlap, the number of friends who belong to a youth group, and pressure from friends and partners to have sex do not significantly mediate the relationship.     

The Influence of Sex,Gender, Self-Discrepancies,and Self-Awareness on Anger and Verbal Aggressiveness Among U.S. College Students

Abstract

Among a sample of 445 U.S. college students, the authors examined the extent to which individual differences (e.g., sex, gender, self-discrepancies, self-awareness) explained anger tendencies and verbal aggressiveness. Regression analyses showed that (a) the tendency to repress anger (anger-in) was explained by masculinity, desire to be masculine, and public self-awareness, R ² = .19, F(11, 433) = 8.44, p < .001; (b) the tendency to express anger (anger-out) was explained by sex, masculinity, and public self-awareness, R ² = .17, F(11, 433) = 7.38, p < .001; and (c) willingness to be verbally aggressive was explained by sex, femininity, and private self-awareness, R ² = .32, F(11, 433) = 16.94, p < .001. In addition, different types of individual difference variables accounted for anger tendencies and verbal aggressiveness across sex and gender categories, suggesting that anger and verbal aggressiveness may be driven by different psychological processes across types of participants.