Pentheus rather than Oedipus: On perversion,survival and analytic ‘presencing’1

Following an introductory review of the main developments in the psychoanalytic thinking on perversion, the author focuses on her own understanding of perversion and its treatment, based on the psychoanalytic treatment of patients with severe sexual perversions. This paper uses the term ‘autotomy’ (borrowed from the fi eld of biology) to describe perversion formation as an ‘autotomous’ defence solution involving massive dissociative splitting in the service of psychic survival within a violent, traumatic early childhood situation; thus, a compulsively enacted ‘desire for ritualised trauma’ ensues. The specifi c nature of the perverse scenario embodies the specifi c experiential core quality of the traumatic situation. It is an actual repetition in the present of the imprint of a past destructive experience which is pre‐arranged and stage‐managed; it thus encounters haunting scenes of dread or psychic annihilation while, at the same time, controlling, sanitising and disavowing them. Hence, the world of severe perversion is no longer oedipal, but rather the world of Pentheus, Euripides's most tragic hero‐a world dominated by a mixture of a mother's madness, devourment, destruction and rituals of desire. According to this view, the (diffi cult) psychoanalytic treatment of perversion focuses on patient‐analyst interconnectedness‐brought about by the analyst's ‘givenness to being present’ or ‘presencing’‐at a deep, primary level of contact and impact (the emphasis being on the ontological dimension of experience). This evolving therapeutic entity creates and actualises a new, alternative experiential‐emotional reality within the pervert's alienated world, eventually generating a change in the perverse essence. The author illustrate this approach with three clinical vignettes.     

EXPLICATING THE IMPLICIT: THE LOCAL LEVEL AND THE MICROPROCESS OF CHANGE IN THE ANALYTIC SITUATION

This paper proposes a method of examining the micro-events of the analytic process that borrows heavily from developmental research. The increasing importance of illuminating the microprocess of interaction to understanding the process of change in analytic treatment is emphasised. A set of constructs and terminology is proposed for the study of the moment-to-moment interactive process in psychoanalytic therapy referred to as the local level. A theory of therapeutic action based on 'local-level' process is then explicated. Its central element involves a step-by-step process of 'fitting together', which leads to changes in implicit knowing through alteration of emotional procedures.     

反事实思维与后悔的关系：调节模式的调节作用

已有研究表明反事实思维越多则后悔越强烈。本研究试图通过两项实验分别探讨特质性、情境性调节模式是否影响反事实思维与后悔之间的关系。结果表明：特质性调节模式及情境性调节模式均对反事实思维与后悔之间的关系具有调节作用,具体来说,针对情境性调节模式而言,运动模式下加法式思维越多则后悔越轻微,评估模式下加法式思维越多则后悔越强烈;针对特质性调节模式而言,运动模式下加法式思维越多则后悔越轻微。     

“医+X”复合型医学人才培养模式创新实验区

人才培养模式是一个变化发展的范畴。交叉学科的发展与复合型人才培养已成为当代科学与教育的主流。医学人才培养模式改革势在必行。创建复合型医学人才培养模式是一项系统工程,只有在人才培养目标、培养内容和培养方式等方面大胆改革与创新,才能培养出适合当代社会文明发展的医学人才。     

临床麻醉中常用中效肌肉松弛剂的比较

为了更准确在临床麻醉过程中使用中效肌肉松弛剂,用比较治疗学的理念及方法对目前国内报道的中效肌肉松弛剂阿曲库铵、顺式阿曲库铵、维库溴铵、罗库溴铵的应用方法进行比较和分析。结果发现：插管起效时间罗库溴铵最短,临床时效顺式阿曲库铵最长,阿曲库铵有组胺释放的作用,阿曲库铵和顺式阿曲库铵药物代谢主要是霍夫曼消除。比较治疗学方法有助于临床麻醉肌松剂的抉择。     

材料呈现方式对不同音乐训练经验的汉语儿童英语言语记忆的影响

选取受过音乐训练和未受过音乐训练的汉语儿童为被试,在同一呈现速率条件下以歌曲、韵律和朗读三种方式呈现一段英文材料,从单词、句子和篇章三个层面探讨音乐训练经验和材料呈现方式对第二语言言语记忆的影响。结果发现：1）音乐组的记忆成绩高于非音乐组;2）相比于朗读材料,儿童对于歌曲和韵律材料的记忆效果更好;3）在单词和句子层面,音乐组和非音乐组的差异主要体现在歌曲材料上,而篇章层面没有类似发现。该结果表明音乐训练和材料呈现方式均能影响儿童的第二语言言语记忆,并且音乐训练效应对材料呈现方式表现出选择性     

Let there be no mistake! On assessment mode and the transference effect in social perception

We examined the possibility that assessment regulatory mode orientation affects the tendency to exhibit transference effects in social perception. Based on a social cognitive methodological paradigm devised by Andersen and colleagues [e.g., Andersen, Glassman, Chen, & Cole, 1996], we find that the transference effect is more pronounced when individuals’ (chronic) assessment orientation is low (vs. high). These results suggest that transference is more likely to occur when less attention is directed towards the target of perception.     

Life story research: A relevant methodology for counsellors and psychotherapists

Aims: This paper introduces, describes and proposes life story research as an important, relevant and appropriate contribution to counselling and psychotherapy research. It shows how narrative knowledge is created and constructed through the stories people tell about their lived experiences and explores the concept of ‘narrative knowing’ (Bruner, 1986). Methods: Drawing on life story research with people who linked their history of problematic drug use with experiences of historic trauma/abuse, the paper contributes to the ongoing discussion related to the similarities/differences between therapy and research and what we might learn from each that informs the other. Implications for practice: The paper offers narrative ideas and practices as ways of researching matters of social and psychological importance. It suggests that therapists (and counselling researchers) could learn from what participants tell us about the therapeutic value of using life story methods which one participant described as helping him to face ‘out into the world, without unduly or specifically delving into, or focusing on [my] emotional state’. This learning may be particularly relevant for therapists working with traumatised clients.     

教育本质新探

教育不仅是社会文化传承的活动,而且是一种唤醒人的生命意识、启迪人的精神世界,建构人的生存方式,以实现人的价值生命(人生价值)的特殊活动。人的"生存方式"就是人之生活和实践所表现出来的一切样态,是促进教育本身不断生长的元点。正走向"创建和建构生活"。