Projective identification: A theoretical investigation of the concept starting from ’Notes on some schizoid mechanisms’1

This paper submits passages from four papers‐‘Notes on some schizoid mechanisms’ (Klein); ‘On identification’ (Klein); ‘Analysis of a schizophrenic state with depersonalization’ (Rosenfeld); and ‘Remarks on the relation of male homosexuality to paranoia, paranoid anxiety and narcissism’ (Rosenfeld)‐to a critical reading, enabling the theoretical premises which have produced the current, differing views on projective identification to be traced. These views revolve both around the role assigned to identification in the process and around the meaning of the expression‘to identify oneself with’ which in ‘On identification’ goes from ‘to feel similar to, or identical to the other’ to ‘to take another person as a model’. This legitimizes the inclusion of very different phenomena into the concept of projective identification. The author describes some uses of the term ‘projective identification’ and proposes the hypothesis that the process constitutes a way for managing otherness and the separateness of the object (be it external or internal, real or imaginary) that can compromise its reality to a greater or lesser degree. Covering a large set of phenomena, the author poses the question of whether it is useful to retain the term ‘projective identification’. She proposes an answer in the last part of the paper.     

Casper or 'the cabinet of horrors'

This paper is an account of a four-times-a-week analysis with a very deprived, feral-like child. The author, who has come to understand feral children as very deprived children, turns to an historical account written in 1826 by Anselm von Feuerbach, the jurist who was asked to make enquiries into the identity of a savage and mysterious boy, Kaspar Hauser. The author describes how she has made use of the observations and thoughts of Anselm von Feurbach in her attempts to process her own thoughts and reflections around the unfolding clinical material and how the exploration of the differences and similarities between Casper and Kaspar Hauser helped her to gradually grasp the psychological essence of the patient. The question of an appropriate reading of the clinical material for theoretical purposes remains open.     

从对框架效应的分析看风险决策的神经基础

对风险决策的研究近年来一直是微观经济学和心理学的热门,但是从传统的决策理论到主张有限理性的预期理论大多是对决策行为的研究,决策的心理机制一直是无法解释的黑箱子。令人兴奋的是近几年来神经科学家及其他领域的学者开始用先进的神经心理学的方法来研究风险决策,试图理解神经过程调节风险决策行为的方式。文章从分析违背“不变性”原则的框架效应入手,从正反框架、确定选择和风险选择、风险规避和风险寻求、高估小概率事件几个方面,全面分析风险决策可能的神经基础。在总结已有研究的基础上提出了把风险决策研究扩展到不确定决策,把风险决策中的一次决策研究扩展到多次决策的研究思路     

视觉搜索过程中的眼跳及其机制

该文对视觉搜索过程中的眼跳及其时间进程、神经机制及相关的理论与模型等方面研究进行了回顾。发现内外源性眼跳得到了研究者的普遍关注,对眼运动记忆、返回抑制及眼跳时间进程的研究尚存在分歧。关于眼跳的神经机制,额叶眼动区与上丘分别被认为是眼跳的关键区与指令发出者。尽管不同的眼跳理论与模型对眼跳现象给出了各自的解释,但都不尽完善,尚需对这些理论进行整合或者提出新的解释模型。文章还对未来的研究进行了展望     

失眠症患者压力应对特征的调查分析及对临床干预的启示

本研究对失眠症患者的压力应对特征进行调查与分析。按照CCMD-3诊断标准,试验组失眠患者52例,在社区分层抽样52人作为对照组,用匹茨堡睡眠指数量表、防御方式问卷、应对方式问卷、社会支持评定量表进行测量。试验组不成熟型防御方式明显高于对照组,成熟型防御方式低于对照组;应对方式试验组以消极应对为主;试验组社会支持总体高于对照组,其中客观支持较高而主观支持和社会支持利用度较低。这些因素共同作用形成了失眠症迁延不愈的主要病理心理机制。心理治疗中要运用恰当的心理治疗方法,引导患者用成熟的、积极的应对方式应对各种压力源。     

医疗保险与基层医疗卫生资源配置机制转型

基层医疗卫生事业的健康发展取决于医疗卫生资源的均衡配置。要促进医疗卫生资源的均衡配置,必须重构医疗卫生资源的配置机制。由于基层医疗机构缺乏较高的行政级别和较厚的盈利空间,所以医疗卫生资源的市场配置机制和计划配置机制均会陷入失灵。基于这个观点,提出以计划与市场联手为途径配置基层医疗卫生资源的思路,即让医疗保险承担对基层医疗卫生资源的配置功能。医疗保险配置基层医疗卫生资源主要通过三种途径：设立门诊统筹账户、建构购买服务机制、采取按人头预付费方式。     

一般心理能力(GMA)预测绩效:现状、机制及趋势

一般心理能力(General Mental Ability,GMA)是人事选拔领域应用最为普遍的预测源,百年来的研究证实,GMA不仅直接影响工作知识的获得与技能习得,还通过学习和问题解决间接影响个体的工作绩效,是工作绩效的最佳预测源。未来对GMA本质以及GMA与绩效关系的探讨,除了经典测量学视角外,还应借鉴认知神经研究范式,深入揭示GMA预测工作绩效的脑认知机制,同时进一步收集GMA的预测效度以及中国情境下的概化效度证据。     

词汇飞跃的本质:命名洞察力的实证研究

通过个案跟踪和控制实验探讨了词汇飞跃的本质。研究结果表明命名洞察力具有现实性,且词汇飞跃与命名洞察力的出现紧密相关,这在一定程度上解释了儿童词汇量快速增长的原因。命名洞察力的获得促进了词汇的快速增长,标志着儿童建立起词汇与指称之间的匹配关系。词汇飞跃之后,儿童很快建立起词语间的符号关系,并最终促进了儿童语法的发展。基于此实证结果,本研究还建构了诠释词汇飞跃本质的理论模型。     

A Primer on Psychotherapy Process Research: A Review of Cognitive Therapy of Depression

Researchers conducting psychotherapy process research aim to understand the process by which efficacious psychotherapies achieve therapeutic benefits. A key challenge in this research is how to maximise what can be learned from naturalistic longitudinal data. We provide a selective overview of research examining the process of change in cognitive therapy of depression. While the efficacy of this treatment is widely recognised, a consensus regarding how the treatment reduces depressive symptoms and provides protection from relapse and recurrence has yet to be reached. We review the current state of the research addressing the process of change in cognitive therapy, highlighting how specific methodological features can be used to better understand the process by which this treatment achieves its effects. We highlight the importance of two key challenges to making causal inferences from a process–outcome relation: (a) establishing the temporal precedence of predictors to outcome variables, and (b) evaluating whether any relations identified could be spurious. We argue that methodologically rigorous studies tend to support key claims of the model underlying cognitive therapy of depression. We conclude by considering future directions. For example, we highlight the importance of efforts to understand patient characteristics that may moderate process–outcome relations and could ultimately prove useful in tailoring treatment to best suit individual patients.