The stalking of psychotherapists by current or former clients: Beware of the insecurely attached!

Abstract

A survey of psychological therapists who worked in primary care showed that the incidence of psychotherapists being harassed or stalked by their current or former clients was more than twice the national average at 24%. The stalkers fell into three broad categories: those clients who were needy and made early attachments to their therapists; those experiencing erotic transference; and those with personality disorders, especially those with a narcissistic style. All of these are disorders of attachment. This paper discusses the neurobiological development of an insecure attachment and how that manifests during therapy in stalking behaviour. Psychotherapists who are aware of the dynamics within the therapeutic relationship can take preventative steps to inhibit the automatic fear response of a client who is insecurely attached and which may lead to stalking behaviour.

A survey of psychological therapists who worked in primary care showed that the incidence of psychotherapists being harassed or stalked by their current or former clients was more than twice the national average at 24%. The stalkers fell into three broad categories: those clients who were needy and made early attachments to their therapists; those experiencing erotic transference; and those with personality disorders, especially those with a narcissistic style. All of these are disorders of attachment. This paper discusses the neurobiological development of an insecure attachment and how that manifests during therapy in stalking behaviour. Psychotherapists who are aware of the dynamics within the therapeutic relationship can take preventative steps to inhibit the automatic fear response of a client who is insecurely attached and which may lead to stalking behaviour.     

The im-possibility of secular critique: The future of religion's memory

The legacy of secular critique, with its Greek, Christian, Kantian, modernist traces, constitutes an aporetic law (or contradiction). That law is this: a critical legacy, if it is critical, can affirm and sustain itself only by trying to separate it from itself (from the very crisis that it is). The legacy or history of ‘religion’ is always a history of such critique. Such a legacy always anticipates critiquing itself, its memory (of whatever kind – racist, sexist, colonialist, nationalist). Such a legacy of critique is always a legacy of crisis. However, the crisis of such a legacy cannot be resolved, because critique, as kairos/krisis (critical/decisive moment), can admit of no resolution. Yet the (secular) history of religion, if it is ever historical, can only be a history of such aporetic critique. Such an aporetic critique will be the heritage of religion's im-possible ¹ ?1. I write the word impossible/impossibility with and without a hyphen. When I hyphenate im-possible, I do so to remain true to Derrida's use of it. The im-possible is irreducible to either possibility or impossibility. Sometimes Derrida also writes the word without hyphenating it, but he still implies such irreducibility. future. It is an im-possible future because it will always be a promise, a promise to separate it from itself, a promise that will remain always deferred, always to come. Today, the promise of this secular critique is (in) democracy with its sovereign ‘decisive’ politics. We can no longer simply critique the (future) legacy of religion, understood this way. To do so is to fulfil that legacy's own messianic wish. This is the aporetic limit of secular critique. To think at the limits of the legacy of the critique of religion is to think the very question of the (secular) history of ‘religion’ and its others, that is, ‘religions’.     

The influence of a salient distractor in object-substitution masking

It remains unclear whether a salient distractor directly affects performance accuracy and the perceptual resolution of a target. In order to investigate this issue, the present study employed object substitution masking (OSM) to index perceptual hypothesis testing of a target. Trailing-mask duration of the four-dot mask was varied to investigate how the representation of the masked target decayed over time. Participants responded to the presence of a vertical line on a target ring that was isolated by a four-dot mask while an irrelevant salient distractor was presented in a subset of trials. The results revealed that the salient distractor only impacted performance when the mask and target offset concurrently (Experiment 1) or at short mask durations (Experiment 2). At longer mask durations performance in the distractor present condition was identical to performance in the distractor absent condition, suggesting that involuntary capture of attention did not affect OSM. These results show that the perceptual resolution of a masked target can operate independently of involuntary attentional selection.     

Two facets of cognitive control in analogical mapping: The role of semantic interference resolution andgoal-driven structure selection

The study used scene analogies to investigate two component processes of analogical thinking: resolution of semantic interference, which emerges when the proper mapping between analogically matching objects is incoherent with their categorical features (e.g., stereotypical functions), and goal-driven selection of the key relational structure, by directing attention to the most promising objects which constitute that structure among many other candidate objects. We manipulated interference by placing in corresponding scenes the objects from one category in different relational roles. Selection was loaded by including additional, relationally irrelevant objects in a scene. We also manipulated relational complexity and the presence of salient objects (people) in relations. Increased load on both interference resolution and selection decreased the accuracy of analogical mapping, but these factors did not interact. Moreover, the factors yielded opposite patterns of interaction with relational complexity. Finally, salience eased selection, but tended to negatively influence interference resolution. In summary, inference resolution and selection seem to constitute two relatively independent facets of cognitive control involved in analogical thinking. Selection may act before mapping occurs, while interference influences analogy making only if an interfering object takes part in mapping.     

Interpersonal Conflicts of Women in Nursing Homes: An Administrative Perspective

Older women may respond to conflicts by suppressing anger. Suppressed anger is associated with depression and hypertension. Research on the everyday conflicts of community-dwelling older women has begun to emerge. Such information is not available for women in nursing homes, and is necessary for developing interventions that can help protect women in nursing homes against anger-related illness. Nursing home administrators were surveyed to evaluate women's health promotion programming in general, and the incidence of and institutional response to conflicts of women residents. About 74% of residents were women; yet, women's health promotion programs were rare (offered in 1 out of 25 facilities, or 4%). Ninety percent of administrators identified depression as the most significant women's health problem, but tended to see it as warranting medical rather than programmatic attention. Eighty percent identified strained interpersonal relationships as a significant health problem for women, requiring programmatic attention. In particular, administrators identified the need for programming to help women residents resolve conflicts with roommates and family members. Formal mechanisms for managing conflicts of residents did not exist in sample nursing homes.     

汉语词类歧义解决初探

采用自定步速移动窗口阅读实验范式,考察汉语词类歧义解决过程。阅渎材料为含有单字词类歧义词的句子,歧义词前面的语境不提供明确的偏向性信息．后语境提供解歧信息。结果发现,主要用法和次要用法的句子都在解歧区比控制句阅读时间加长,表明汉语词类歧义解决没有即时受到歧义词两种用法的相对频率影响,而是在歧义词处暂时不进行完全的句法分配,延迟到获得充分解歧信息的时候才分配句法角色。这一结果支持词类歧义解决的延迟模型。     

Erna and Melanie Klein

Erna was one of the child patients treated by Melanie Klein in Berlin, employing her recently discovered play technique. Since Erna died in Chile, the authors considered the IPA Congress in Santiago an opportunity to present a paper as a homage both to Erna and, especially, to Klein. She learned much from that very disturbed child, which she later used to sustain the ongoing development of her theories. The paper explores biographic data relevant to understanding both the case and the theories. It analyses the case material to follow Klein in the discovery and the handling of the child's transference and the harsh expressions of hate, jealousy and envy, which are brought in, with sad consequences, by strong persecutory feelings. Klein's comparison of this case with that of Freud's Wolf-man is also considered, mostly to show that the similarities were less than originally claimed, and that Klein, perhaps, was introducing a theoretic shift which led her technique to gradually change from ' Nachträglichkeit ' to the 'signification-resignification' pair, akin to Strachey's concept of the mutative interpretation. Lastly, the comprehension of Erna's strong psychotic traits and the links with later developments of the theory on psychosis are studied.     

Practice makes perfect: Repeatedly dealing with response conflict facilitates its identification and speed of resolution

People repeatedly encounter response conflicts (i.e., self-control dilemmas between long-term and short-term goals). A longitudinal study was conducted to investigate how resolution of response conflict develops over time. Participants pursued a long-term goal. The design entailed pre- and post-measurements, as well as daily/weekly measures using a mobile application over a range of 10–110 days. Of the 180 people participating in the pre-measurement, 90 also completed the post-measurement. Over time, people became faster at successfully resolving response conflicts. The same response conflicts became bigger over time. Repeatedly being confronted with response conflicts facilitates resolution of these conflicts, by improving the identification of these conflicts, resulting in faster resolution.     

On the Meaning of Words and Dinosaur Bones: Lexical Knowledge Without a Lexicon

Although for many years a sharp distinction has been made in language research between rules and words—with primary interest on rules—this distinction is now blurred in many theories. If anything, the focus of attention has shifted in recent years in favor of words. Results from many different areas of language research suggest that the lexicon is representationally rich, that it is the source of much productive behavior, and that lexically specific information plays a critical and early role in the interpretation of grammatical structure. But how much information can or should be placed in the lexicon? This is the question I address here. I review a set of studies whose results indicate that event knowledge plays a significant role in early stages of sentence processing and structural analysis. This poses a conundrum for traditional views of the lexicon. Either the lexicon must be expanded to include factors that do not plausibly seem to belong there; or else virtually all information about word meaning is removed, leaving the lexicon impoverished. I suggest a third alternative, which provides a way to account for lexical knowledge without a mental lexicon.     

THE USE OF THE ANALYST AND THE SENSE OF BEING REAL: THE CLINICAL MEANING OF WINNICOTT'S “THE USE OF AN OBJECT”

“The Use of an Object and Relating through Identifications” (1968) represents Donald Winnicott's theoretical and clinical legacy. The author develops this concept from a clinical point of view, through the analysis of a woman with psychotic functioning. He reflects upon the dramatic quality of risks inherent in the processes linked to the use of the object with seriously disturbed patients. He explores different meanings of the analyst's survival, linking it to the analyst's response. The processes of the use of the object—that is, the encounter between the patient's potential destructiveness and the analyst's capacity to respond through his own judicious subjectivity—let the patient experience the analyst's capacity to keep his own subjectivity, authenticity, and creativity alive. It is starting from the traces of this live object that patients gradually form their own personal sense of being real.