'I noticed': The emergence of self-observation in relationship to pathological attractor sites

The author highlights self-observation as an important goal of psychoanalysis, separate from other concepts with which it is often confounded. To support this position, he presents clinical and developmental data, as well as observations by psychoanalysts on recent findings by cognitive neuroscientists. He introduces the term 'pathological attractor sites' to capture the challenge in moving from the belief in the reality of one's own thoughts to self-observation. Clinical techniques to deal with this specific challenge are presented.     

植物状态的残存脑功能和意识研究

综述了有关植物状态患者对外加刺激脑反应的功能成像研究文献,着重讨论了研究发现的非典型激活的临床价值以及植物状态患者是否存在意识的功能脑成像证据。     

“Tell me more about this…”: An examination of the efficacy of follow-up open questions following an initial account

In information gathering interviews, follow-up questions are asked to clarify and extend initial witness accounts. Across two experiments, we examined the efficacy of open-ended questions following an account about a multi-perpetrator event. In Experiment 1, 50 mock-witnesses used the timeline technique or a free recall format to provide an initial account. Although follow-up questions elicited new information (18–22% of the total output) across conditions, the response accuracy (60%) was significantly lower than that of the initial account (83%). In Experiment 2 (N = 60), half of the participants received pre-questioning instructions to monitor accuracy when responding to follow-up questions. New information was reported (21–22% of the total output) across conditions, but despite using pre-questioning instructions, response accuracy (75%) was again lower than the spontaneously reported information (87.5%). Follow-up open-ended questions prompt additional reporting; however, practitioners should be cautious to corroborate the accuracy of new reported details.     

Observations of families in structured interactions: Parenting therapists provide reliable ratings of mothers' parenting

The reliability of observations of parenting by parenting therapists was assessed. An important predictor of externalizing behavior in children is quality of parenting. Data were videotapes of structured interactions in families with a child age 8–12 years referred to the evidence based Parent Management Training Oregon (PMTO) treatment program for child behavior problems. The therapists had clinical PMTO training but no training in systematic observation. PMTO observational coders with specific coder training were included as a reference for the therapists. Five therapists and two coders observed videotapes of 10 families and performed global evaluations of mothers' parenting skills. They used the coder's impression measure used in PMTO research. Scores were analyzed in a generalizability theory framework for the two groups of observers separately. Both observer types reliably rank‐ordered the mothers and assessed the level of parenting skills. PMTO therapists without coder training provided reliable ratings of parenting constructs relevant to the clinical PMTO program in a manner comparable to that of the trained reference coders.     

NARCISSISTIC DEFENSES IN THE DISTORTION OF FREE ASSOCIATION AND THEIR UNDERLYING ANXIETIES

This paper examines particular distortions in the process of free association characteristics of patients with narcissistic personality disorders. The author proposes that the dominant narcissistic transference developments typical of the early and middle phases of the analytic treatment of these patients are reflected in these distortions of free association. This paper gathers the various patterns that these defensive distortions present, along with technical interventions geared to deal with them.     

The Recaptured Scale Technique: A Method for Testing the Structural Robustness of Personality Scales

Tellegen and Waller advocated a complex and time-consuming scale construction method that they called “exploratory test construction.” Scales that are constructed by this method—such as the Multidimensional Personality Questionnaire (MPQ)—are presumed to be more “psychologically coherent” and “robust” than scales constructed by other means. Using a novel procedure that we call the “recaptured scale technique,” we tested this conjecture by conducting a megafactor analysis on data from the 411 adult participants of the Minnesota Study of Twins Reared Apart who completed the MPQ, the MMPI, and the CPI. We extracted and obliquely rotated 21 factors from a matrix of gender-corrected tetrachoric correlations for the 1,102 nonredundant items of the three omnibus inventories. Robustness of the 11 MPQ scales was assessed by the degree to which these factors recaptured the MPQ item groupings. Our results showed that nine factors were clearly recognizable as MPQ scales and two additional factors represented a bifurcation of an MPQ scale. A higher-order factor analysis of all 21 factor scales yielded five factors that clearly resembled the Big Five. Our results provide strong support for (a) the method of exploratory test construction, (b) the structural robustness of most MPQ scales, and (c) the utility of the recaptured scale technique.     

THERAPISTS’ EXPERIENCES OF MOTHER–INFANT PSYCHOANALYTIC TREATMENT: A QUALITATIVE STUDY

As part of a larger research project in Sweden, a qualitative study investigated psychotherapists’ experiences of mother–infant psychoanalysis (MIP). A randomized controlled trial compared two groups of mother–infant dyads with psychological problems. One had received Child Health Center care, and the other received MIP. Previous articles on long‐term effects have found that mothers who had received MIP were less depressed throughout a posttreatment period of 3½ years, and their children showed better global functioning and psychological well‐being. The present study's objectives were to describe the therapist's experiences of MIP and deepen the understanding of the MIP process. Six months after treatment began, all therapists were interviewed. Transcribed interviews with therapists from 10 (of 33 total) MIP treatments were randomly selected and analyzed in detail by thematic analysis. Therapists worked successfully with mother and infant together and found different ways of cooperation during MIP sessions. Therapists reported overall positive experiences; however, in cases where mothers needed more personal attention, it would be important to adapt the method to them.     

Different levels of psychotherapeutic competence

In this article, I argue for a both – and position in regard to manuals. I suggest that manuals are appropriate when describing therapeutic strategizing and technical competence. However, I also argue that they are an inappropriate tool for understanding the contribution of the client's family in family therapy. This argument fuels a further view that manuals cannot capture the dance that occurs between therapist and family. For this type of knowledge, a relational type of competence needs to be developed. We encourage you to listen to the JFT Editor, Mark Rivett, as he interviews the author on Manuals in the Practice and Research of Family Therapy. Available at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-6427/homepage/jft_podcast_series.htm .