Healing Rituals for Couples Recovering from Adultery

Recovery from the trauma of adultery is a process that is full of points where the couple can get stuck. We describe an experiential model that utilizes healing rituals. We start with a general exploration of the use of rituals in marriage and family therapy. The key elements of effective rituals are described. We describe stuck points in these relationships including: 1) knowing the details, 2) releasing the anger, 3) showing commitment, 4) rebuilding trust, and 5) rebuilding the relationship. Ritualized interventions are described for each of these stuck points.     

Medical student dreams about medical school: The unconscious developmental process of becoming a physician

This paper is a report on a collection of almost four hundred dreams of medical students and postgraduate trainees with the manifest content about medical training. It is a unique dream collection from a defined population that experiences a developmental sequence of observable, reality events. The reality events appear in the manifest content of the dreams along with their symbolic alterations. The dreams are used as a psychodynamic database. The data may illustrate which reality experiences seem psychologically formative, their emotional developmental sequences and their specific emotional content. This is a pilot project exploring whether dream material collected from a discrete task group might give information about a group's emotional adaptation. The dreams seem to show an unconscious developmental process in response to medical training and becoming a physician that unfolds in overlapping stages as trainees learn to master skills and tolerate care-giving responsibility for human life. A progressive, unconscious hero-healer fantasy seems to form. It becomes elaborated in masochistic and then sadistic fantasies. These fantasies are evoked by, and used as a defense against, inevitable but painful anxieties of emotional adaptation to medical education experiences.     

An Integrative View of Conflict Adaptation and Active Maintenance

The conflict adaptation (CA) effect refers to the reduction in the interference effect observed in conflict tasks that follow incongruent compared to congruent trials. It has been suggested that CA is caused by the exertion of flexible cognitive control, supported by many behavioral and neuroimaging studies; however, it remains unclear how conflict‐related features of the preceding trial are conveyed to subsequent trials for following adaptation. This review aims to summarize evidence supporting the top‐down modulation of the dorsolateral prefrontal cortex and passive short‐term maintenance in the posterior brain areas as mechanisms underlying CA, respectively, and to suggest a new integrated view of CA, including active maintenance in working memory. We review empirical evidences suggesting that both dorsolateral prefrontal cortex and posterior brain regions play critical roles in CA, rather than either top‐down modulation or passive maintenance alone. Although the active maintenance view of CA appears to explain many existing findings, empirical studies are required to directly test this view.     

Symbolic Representation by Pigeons

The capacity for symbolic representation is a prerequisite for the development of human language because words, the basic units of language, are symbols that represent things. But symbolic representation may also serve a nonlinguistic role of organizing events into categories having the same meaning, and such a capacity could have considerable survival value for many species. In a number of experiments, my co-workers and I have found that pigeons that are trained to treat two different stimuli similarly also learn that those stimuli are commonly represented and, thus, that they have the same meaning. We have demonstrated evidence for such common representations in a number of ways, but perhaps the most convincing is when pigeons learn a new association involving one of the presumed commonly represented stimuli, and without further training demonstrate that they have learned a similar association involving the other stimulus. Furthermore, we have found that when pigeons are trained to treat two stimuli similarly, one of those stimuli is represented in terms of the other. These results have implications not only for the generality of cognitive processes across species, but also for the generality of symbolic representation beyond language use.     

Effect of Concurrent Visual Feedback Frequency on Postural Control Learning in Adolescents

The purpose was to find better augmented visual feedback frequency (100% or 67%) for learning a balance task in adolescents. Thirty subjects were divided randomly into a control group, and 100% and 67% feedback groups. The three groups performed pretest (3 trials), practice (12 trials), posttest (3 trials) and retention (3 trials, 24 hours later). The reduced feedback group showed lower RMS in the posttest than in the pretest (p = 0.04). The control and reduced feedback groups showed significant lower median frequency in the posttest than in the pretest (p < 0.05). Both feedback groups showed lower values in retention than in the pretest (p < 0.05). Even when the effect of feedback frequency could not be detected in motor learning, 67% of the feedback was recommended for motor adaptation.     

Contextual Adaptation of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Victims of the Armed Conflict in Colombia: A Case Study

The delivery of a contextually adapted version of the Unified Protocol for transdiagnostic treatment of emotional disorders is illustrated through a case study of an internally displaced female victim of armed conflict in Colombia. A detailed account of how her history of continuous traumatic events and her forced displacement resulted in multiple emotional disorders and behaviors which hindered her ability to react to daily stressors illustrates the particular conditions of individuals exposed to extreme violence. Emphasis is placed on how her culture and context required adaptations of evidence-based interventions. The contextually adapted UP (CXA-UP) is described in “slow-motion,” through a session-by-session account of the procedure along with the specific changes in each module. Outcome measures showed four positive diagnoses at pretreatment, but none at posttreatment, 3-month, or 2-year follow-up. Implications for global applications with individuals in similar contexts and for widening access to such interventions are discussed.     

Studying the role of cognitive control in reasoning: evidence for the congruency sequence effect in the ratio-bias task

In this study, we investigated whether control of the conflict between incongruent heuristic and analytical answer options in a reasoning task is modulated by the presence of conflict on previous trials. In two experiments, we found that the incongruency of the previous trial has a significant effect on the control exhibited on the current trial. Our data also showed that this adaptation effect is modulated by the incongruency of the previous series of trials. These results demonstrate the same control adaptation effects for a reasoning task as observed for standard response interference tasks. Coinciding control effects in the two research areas suggest that cognitive control might be an important mechanism underlying performance on reasoning tasks. Based on these results we argue that the study of cognitive control in reasoning could potentially facilitate the refinement of empirical predictions and provide a new tool to explore the exertion of top-down control in human thinking.     

Two sides of the career resources coin: Career adaptability resources and the impostor phenomenon

Considering the impostor phenomenon (IP) as an important psychological construct in the context of career development requires a theoretical grounding. Using the career construction model of adaptation as a guiding framework, we investigated how the IP is related to adaptive readiness (represented by core self-evaluations), career adaptability resources, and adapting responses, namely, career planning, career decision-making difficulties, career exploration, and occupational self-efficacy. We used parallel multiple mediation modeling to investigate specific indirect effects through concern, control, curiosity, confidence, and the IP. We conducted an online study with 289 university students. Results indicated a positive effect of core self-evaluations on career planning, career exploration, and occupational self-efficacy and a negative effect on career decision-making difficulties through adaptability resources. The IP emerged as a “maladaptability” resource: That is, it might be a hindrance to adaptive coping and behavior and consequently promote maladaptive coping and behavior by decreasing career planning and occupational self-efficacy and increasing career decision-making difficulties. Supplementary negative effects of the IP on adaptability resources are discussed.