Multicultural Competence–Focused Peer Supervision: A Multiple Case Study of Clinical and Counseling Psychology Trainees

In this longitudinal, qualitative case study, 21 clinical and counseling psychology trainees met in leaderless peer supervision groups for 1 training year to discuss multicultural aspects of their clinical work. Peer supervision sessions were audio recorded and transcribed, and the content was analyzed using thematic analysis. Results indicated that, despite the absence of experts to facilitate discussions, participants were able to focus on multicultural issues and generally benefited from this type of peer supervision. En este estudio de caso longitudinal y cualitativo, 21 alumnos de psicología clínica y consejería se reunieron en grupos de supervisión entre pares sin líderes durante un año de su formación para discutir aspectos multiculturales de su trabajo clínico. Se grabó y transcribió el audio de las sesiones de supervisión entre pares, y luego se analizó el contenido usando un análisis temático. Los resultados indicaron que, a pesar de la ausencia de expertos para facilitar las discusiones, los participantes fueron capaces de centrarse en los temas multiculturales y generalmente se beneficiaron de este tipo de supervisión entre pares.     

The relationship between childhood abuse and depression in a sample of Chinese people who use methamphetamine

Background/ObjectivePrevious studies have shown that childhood abuse is associated with symptoms of depression. This study aims to examine the prevalence of childhood abuse or neglect and its correlation with depression among a sample of Chinese people who use methamphetamine.MethodPeople who use methamphetamine (MA) (N = 1,173) were recruited from government-operated drug rehabilitation centres in Anhui province, China. Participants were assessed using the short form of Childhood Trauma Questionnaire and the Beck Depression Inventory-II for childhood abuse or neglect and depression symptoms.ResultsA total of 44.6% of people who use MA reported moderate/severe childhood abuse or neglect, and 56.9% of this sample were diagnosed with depression. Emotional abuse, sexual abuse, emotional neglect and physical neglect were revealed to increase the risk of depression. Multivariable regression analyses showed that depression scores were significantly predicted by gender, duration of drug use, sexual abuse and emotional neglect (model R² = .08, p < .001). The interaction between emotional neglect and duration of drug use on the depression was statistically significant.ConclusionsThese analyses indicate that sexual abuse and emotional neglect increase the severity of depression in individuals who use MA in drug rehabilitation centres of China.     

Theoretical foundations of analytical psychology: recent developments and controversies

This article gives an introductory overview of the papers in this volume originally given at the Joint Conference of the IAAP and the University of Basel, Basel, October 18‐20, 2018. The aim of the conference was to bring core concepts of analytical psychology together with theorizing and research from academic sciences, at the very place where Jung started his academic career, the University of Basel. The conference focussed on three fields: the relationship of consciousness and the unconscious and the theory of complexes; the theory of archetypes; and the status of analytical psychotherapy in contemporary psychotherapy research. The aim of the conference was to further the development of theory in analytical psychology in relation to results and insights in contiguous areas of knowledge. In the first area, contributors pointed to the solid evidence especially from the neurosciences for the psychodynamic conceptualizations of the unconscious, and also for the concept of complexes. In contrast to this, the concept of archetypes is controversial, with a majority of contributors questioning Jung’s biological conceptualizations of archetypes, and speaking instead for reformulations from the perspective of cultural theory, dynamic systems theory and other approaches. In the field of psychotherapy research, contributors pointed to the profound need for conducting more empirical studies on the outcome of Jungian psychotherapy, but also for a thorough reconsideration of standard research designs in the field.     

The analyst as a citizen in the world

Beginning with a ‘big dream’ from almost fifty years ago, this paper tracks movement back and forth from an inner/individual adaptation to life to outer/collective adaptations through various stages of a life's journey. The rhythm between more inner orientation at one stage gives way to more outer adaptation at another stage and vice versa. This same movement can be paralleled by an exclusive emphasis on analysis at one stage and more of a mixture of analysis and activism at another stage. At the heart of this narrative is the realization that an inner big dream of decades before, symbolised both an inner path of developing a relationship with life‐promoting energies and an outer path represented by facilitating others’ discovery and participation in those energies. The dream therefore anticipated a more activist future of connecting inner and outer, individual and collective in various professional projects. This has resulted in occasional glimpses of the fact that the ‘spirit of the depths’ and ‘the spirit of the times’ can have a common meeting ground.     

Représentations des pratiques éducatives parentales et estime de soi chez des enfants placés en fratrie versus séparément

Despite abuse, children placed in childcare homes have parental representations which are marked by ambivalence. This ambivalence is characterized by the coexistence of negative and positive representation towards their biological parents. However, the fact that positive representations towards neglecting parents persist can possibly harm self-esteem. Placement aims not only to protect the child, but also to offer him the possibility of reconstructing his self-image with more secure attachment figures. When a placement is decided, the children are entrusted to Child Welfare and are placed either with their siblings or separately. This study aims to examine the parental representations and the self-esteem of 33 children that are placed with siblings and 25 children that are placed alone; all children were between the ages of 10 and 18. Then, the relation between parental representations and self-esteem was examined in each group. Those two dimensions have been respectively measured with the Rosenberg Self-Esteem scale and the Parental Bonding Instrument (PBI). The results show that participants placed with their siblings were less depressed and had a better self-esteem than participants placed separately. Moreover, although the two groups had neglecting parents, the participants placed with their siblings had significantly better parental care representations. This study also put into light that the links between parental representations and self-esteem are significantly different whether the participant is placed with his siblings or not. Among children placed with siblings, the more positive the images of the father and the mother, the lower the self-esteem level. These results confirm the hypothesis according to which a positive parental care representation could reinforce the negative image those children have of themselves. The results also question the effects (positive or negative) of the defensive exclusion process on the evolution of self-representations among placed children. Finally, from a therapeutic point of view, they stress the importance of working on self-esteem with placed children.     

Transfert de la conscience morphologique de l’arabe langue première au français langue seconde au cours des trois premières années d’apprentissage

There is a great deal of evidence to support the role of morphological awareness in reading development. However, towards second language acquisition, transfer of morphological awareness from first to second language (L1 to L2) is still discussed. The underlying question concerns the extent to which morphological awareness is a specific or universal process, and its dependence of linguistic features. The aim of this study is to examine cross-linguistic transfer of morphological awareness from Arabic L1 to French L2 (morphological awareness and word reading) at different level of learning French L2 (F_L2). 106 Tunisian children, whose first language is Arabic, in 1st (n = 29; mean age; 8; 10 years), 2nd (n = 33; mean age; 9; 9 years) or 3rd year (n = 44; mean age; 10; 10 years) of learning F_L2 participated to this study. Their morphological awareness (inflectional or derivational oddity detection tasks) and their performance in word reading (one minute test) were assessed in standard Arabic and French, as well as their vocabulary knowledge in French. A series of fixed-order hierarchical regression analysis was performed on derivational awareness performances, inflectional awareness performances and word reading performances in F_L2, controlling for effects of other important variables (e.g. French vocabulary, French morphological awareness with word reading scores as outcome variable and French inflectional or derivational awareness with French inflectional or derivational awareness scores as outcome variable respectively, Arabic word reading, etc.). Results show significant contributions of L1 morpho-derivational awareness on F_L2 morpho-derivational awareness in 2nd year (12%), and of L1 morphological awareness on reading words F_L2 in 3^rd year (5%). These results confirm the cross-linguistic transfer of morphological awareness, particularly derivational, from L1 to L2 among alphabetic — but orthographically and morphologically distances — languages. They also suggest that such a transfer could be relatively limited. It could appear during learning process after achieving a threshold in F_L2 and before specific L2 skills take place. Thus, beyond the morphological opacity of Arabic (nonlinear morphology) and linguistic distance between Arabic and French, the morphological transfer could appear on rich and important morphological dimension in L1 and suggest dealing with the nature of cross-linguistic abilities in depth.     

Difficult Patients in Group Analysis: The Personification of (ba) I:A/M

Following a discussion of the treatment of difficult patients in group analysis, two theories are proposed concerning a fourth basic assumption in the unconscious life of groups, called Incohesion: Aggregation/Massification or (ba) I:A/M and the personification of basic assumption processes, in particular that of (ba) I:A/M by difficult patients. These theories are illustrated with clinical data. Special attention is given to crustacean and amoeboid forms of encapsulation as a defence against the fear of annihilation within the context of the traumatogenic process. It is suggested that for difficult patients the treatment of choice is dyadic psychotherapy/psychoanalysis followed by group analysis.     

Together – apart: in touch in a time of separation

This paper explores the experience of working as a Jungian analyst through the various phases of the global COVID-19 pandemic, examining the importance of the physical containing space alongside the analyst’s internal mind and how technology can both help and hinder understanding. A number of clinical vignettes illustrate the challenge of communicating over a distance, paying particular attention to the way countertransference phenomena can become re-attuned. Reference is made to mythology and symbols of hope, and consideration given to the meaning and purpose of the pandemic.     

Do patients suffering from chronic diseases retrospectively overestimate how healthy they were before they fell ill?

Background/Objective: To examine the impact of a disease on a person's subjective health state, patients are often asked to assess their current health state and to retrospectively assess how healthy they were before they fell ill. The objective of this study was to test whether patients generally overestimated the quality of their pre-disease health. Method: Six samples of patients with chronic diseases (cancer patients, cardiovascular patients, and patients diagnosed with sarcoidosis, N between 197 and 1,197) were analyzed. The patients assessed their current health states and their health states at the time before diagnosis. The retrospective scores were compared with matched data from general population studies. Results: In three of the six studies, the retrospective health ratings of the patients were significantly higher than the general population norms (effect sizes between 0.24 and 0.46), two studies yielded nonsignificant effects, and in one study there was an opposite trend. The general overestimation of pre-disease health was more pronounced in older patients as compared with younger ones, and it was more pronounced when global health/quality of life was to be assessed. Conclusions: Retrospective assessments of pre-disease health states are not appropriate for assessing disease-related changes in a person's health state.