Psychoanalytic identity and the external world: Interaction between psychoanalysis and health service systems in Sweden

Abstract

This paper continues the exploration of the clinical phenomenon of analytic contact. The author demonstrates, through case material, the essential ingredients of psychoanalysis to be not frequency or use of the couch, but rather the moment-to-moment analysis of the patient's transference state and phantasies of what it means to establish relational contact with their objects and with themselves. The nature of the treatment can be shaped, prevented, perverted, or fostered by the patient's phantasies and unconscious conflicts into something more analytic or less analytic. Interpretation needs to include the exploration of the patient's attempts to change the treatment into something that is often a replica or a repetition of archaic object relations. The typical patient in psychoanalytic treatment is struggling with rather profound pathology and as such tends to create a significant stand-off with the analyst when analytic contact is forming. Analytic contact is often threatening to these patients in very primitive and alarming ways that must be gradually understood and interpreted if the treatment is to survive and remain a primarily analytic journey rather than be transformed into a more supportive counseling or a pathological re-enactment of conflictual phantasy states.     

Applying multiple models to predict clinicians’ behavioural intention and objective behaviour when managing children's teeth

This study used multiple theoretical approaches simultaneously to predict an objectively measured clinical behaviour. The six theoretical approaches were: The Theory of Planned Behaviour (TPB), Social Cognitive Theory (SCT), Common Sense Self-Regulation Model (CS-SRM), Operant Learning Theory (OLT), Action Planning (AP) and the Precaution Adoption Process (PAP), with knowledge as an additional predictor. Data on variables from these models were collected by postal survey. Data on the outcome behaviour, the evidence-based practice of placing fissure sealants, was collected from clinical records. Participants were 133 dentists (64% male) in Scotland. Variables found to predict the behaviour were: intention, attitude, perceived behavioural control, risk perception, outcome expectancies, self efficacy, habit, anticipated consequences, experienced consequences and action planning. The TPB, SCT, AP, OLT and PAP significantly predicted behaviour but the CS-SRM did not. A combined (Stepwise) regression model included only intention and action planning. Post hoc analyses showed action planning mediated effect of intention on behaviour. Taking a theory-based approach creates a replicable methodology for identifying factors predictive of clinical behaviour and for the design and choice of interventions to modify practice as new evidence emerges, increasing current options for improving health outcomes through influencing the implementation of best practice.     

理智德性辨

亚里士多德将灵魂的理性部分分为两个部分,一是科学的部分,一是计算的部分.灵魂的科学的部分是关于不变对象的,形成的是普遍的理论知识,亦即intellect.灵魂的计算部分是关于可变对象的,它主要是实践智慧,亦即intelligence.Intellect与intelligence有着种类的差异,不能混为一谈.但是,近现代认识论流行的教条却忽视两者的差别,正是在理智主义的传奇的影响下,人们使用intellectual virtue翻译亚里士多德所谓的与灵魂的理性部分相对应的德性.理智主义的传奇反映在伦理学中,表现为伦理学忽视实践智慧,道德被简化为理论活动.     

On integrating Jungian and other theories

This paper consists of reflections on some of the processes, subtleties, and ‘eros’ involved in attempting to integrate Jungian and other analytic perspectives. Assimilation of other theoretical viewpoints has a long history in analytical psychology, beginning when Jung met Freud. Since its inception, the Journal of Analytical Psychology has provided a forum for theoretical syntheses and comparative psychoanalysis. Such attempts at synthesizing other theories represent analytical psychology itself trying to individuate.     

The personality systems framework: Current theory and development

The personality systems framework is a fieldwide outline for organizing the contemporary science of personality. I examine the theoretical impact of systems thinking on the discipline and, drawing on ideas from general systems theory, argue that personality psychologists understand individuals’ personalities by studying four topics: (a) personality’s definition, (b) personality’s parts (e.g., traits, schemas, etc.), (c) its organization and (d) development. This framework draws on theories from the field to create a global view of personality including its position and major areas of function. The global view gives rise to new theories such as personal intelligence—the idea that people guide themselves with a broad intelligence they use to reason about personalities.     

Statement Validity Analysis

Summary

All information regarding 103 Dutch sexual abuse cases was analyzed using the Validity Checklist, the second part of the Statement Validity Analysis procedure. The fulfillment of the VC items was compared for four different age groups. Only two VC items differed significantly between the age groups. The systematic summarization of content analysis and validity checks revealed only a weak relationship between the fulfillment of the CBCA criteria and the VC items together and the outcome of the cases. The results suggest that SVA cannot yet be used as a scientifically validated instrument for judging the truthfulness of allegations of child sexual abuse.     

Initial Implementation of the ARC Framework in Juvenile Justice Settings

Virtually all youth in detention have been exposed at least one traumatic event in their family system or in the community, and a vast majority have experienced cumulative traumatic events that led to major dysregulated states. Building on several seminal works on trauma-informed juvenile justice programs and on implementation research, this theoretical research-based paper aims to describe the preparation stage for implementation of the Attachment, Self-Regulation, and Competency framework (ARC) to a population of youth in detention. The ARC framework is well-suited to meet the complex needs of young offenders by focusing on building blocks that promote resiliency, including caregiver affect management and attunement, affect identification and modulation, and executive functions and self-identity. Based on this extensive preparation stage and a case illustration, recommendations and best practice protocols for making a shift towards a trauma-informed youth justice system are highlighted.     

健康人格研究述评

在适应现代生活的同时人们愈来愈重视人格健康问题,个体的健康人格状况一直受到学者们的关注.文章对国内外二十年来健康人格的理论和实证研究进展进行了系统综述.在此基础上,指出了健康人格研究领域存在的问题和将来进一步研究的方向.     

归因取向理论建构及实证

尝试用一种新的视角—— 取向研究视角, 对以往归因理论进行整合研究, 建构一种与社会情境结合更紧密, 更具概括性的归因取向理论。归因取向理论的假设建构模型包括四种归因取向维度：社会取向, 个人取向, 积极取向和消极取向。根据理论模型编制归因取向量表, 以1301名被试为研究对象, 运用探索性因素分析和验证性因素分析方法对该理论模型进行实证研究。结果证明了该理论建构的存在, 理论建构中各维度的因素负荷和拟合指数良好, 归因取向量表具有良好的信度和建构效度。检验归因取向维度和8个社会心理变量的关系, 证明了四种归因取向维度具有概括性、普遍性、稳定性和评估有效性特征。     

和平心理学：历史、模型和展望

和平心理学是近20年在心理学内部兴起的一种以和平心理研究实现世界和平愿景的心理学运动,主要经历了孕育、萌生、形成等三个阶段。目前最具影响力的理论模型主要包括三维和平理论模型、和平自我理论模型、过程式多维积极和平理论模型。和平心理学使心理学的和平研究价值得到回归,扩大了心理学的研究视野。未来的和平心理学理论需要突破资本主义制度内自我改良式的局限,提升到马克思主义和平本质理论的高度,需要加强与积极心理学、社会心理学的跨领域整合、重视多元方法的运用、进行更多的实证研究、考虑跨文化因素的影响。结合我国当前外交、军事、国内社会现状,在我国开展和平外交心理研究、转型期社会和平稳定发展心理研究,将势在必行、大有作为。