Countertransference—Transference seen from the Point of View of Child Psychoanalysis

This paper explores the ‘point of interaction’, that interface where the psyches of the patient and analyst meet. The author examines what is activated in the analytic pair at the point of interaction, with a particular focus on the mental activity of the patient and analyst. This exploration of the mental activity of the patient and analyst is from a theoretical position that combines contemporary Freudian and Kleinian perspectives on the therapeutic process. The author concludes that the capacity for mutuality in both the patient and analyst rests upon a part of the mind that is connected to a certain aspect of the Oedipus complex. Finally, the point of interaction is also discussed as a place where there is a potential meeting of minds around divergent methods and applications of psychoanalytic treatment. Clinical material is presented to illustrate these points.     

Mother–infant interaction improves with a developmental intervention for mother–preterm infant dyads

While premature infants have a high need for positive interactions, both infants and their mothers are challenged by the infant‘s biological immaturity. This randomized clinical trial of 198 premature infants born at 29–34 weeks gestation and their mothers examined the impact of the H-HOPE (Hospital to Home: Optimizing the Infant's Environment) intervention on mother–premature infant interaction patterns at 6-weeks corrected age (CA). Mothers had at least 2 social environmental risk factors such as minority status or less than high school education. Mother–infant dyads were randomly assigned to the H-HOPE intervention group or an attention control group. H-HOPE is an integrated intervention that included (1) twice-daily infant stimulation using the ATVV (auditory, tactile, visual, and vestibular-rocking stimulation) and (2) four maternal participatory guidance sessions plus two telephone calls by a nurse-community advocate team. Mother–infant interaction was assessed at 6-weeks CA using the Nursing Child Assessment Satellite Training–Feeding Scale (NCAST, 76 items) and the Dyadic Mutuality Code (DMC, 6-item contingency scale during a 5-min play session). NCAST and DMC scores for the Control and H-HOPE groups were compared using t-tests, chi-square tests and multivariable analysis. Compared with the Control group (n = 76), the H-HOPE group (n = 66) had higher overall NCAST scores and higher maternal Social-Emotional Growth Fostering Subscale scores. The H-HOPE group also had significantly higher scores for the overall infant subscale and the Infant Clarity of Cues Subscale (p < 0.05). H-HOPE dyads were also more likely to have high responsiveness during play as measured by the DMC (67.6% versus 58.1% of controls). After adjustment for significant maternal and infant characteristics, H-HOPE dyads had marginally higher scores during feeding on overall mother–infant interaction (β = 2.03, p = 0.06) and significantly higher scores on the infant subscale (β = 0.75, p = 0.05) when compared to controls. In the adjusted analysis, H-HOPE dyads had increased odds of high versus low mutual responsiveness during play (OR = 2.37, 95% CI = 0.97, 5.80). Intervening with both mother and infant is a promising approach to help premature infants achieve the social interaction patterns essential for optimal development.     

Chapter 10. Despite False Hopes,Forced Transition Creates Growth

SUMMARY

In this chapter, I discuss how each of six stages applied to the reported experiences of the volunteers, drawing examples from field logs and interviews and the data reflected in the previous chapters.     

Exploring What Was Missing in One Parent-Child Activity Group

Abstract

Barriers to parent-child interaction that arose in the parent-child activity group studied by the author are discussed. An analysis of what factors within the group may have led to the barriers is provided so that readers can consider how to minimize barriers to parent-child interaction in similar groups.     

Individual differences in children’s private speech: The role of imaginary companions

Relations between children’s imaginary companion status and their engagement in private speech during free play were investigated in a socially diverse sample of 5-year-olds (N = 148). Controlling for socioeconomic status, receptive verbal ability, total number of utterances, and duration of observation, there was a main effect of imaginary companion status on type of private speech. Children who had imaginary companions were more likely to engage in covert private speech compared with their peers who did not have imaginary companions. These results suggest that the private speech of children with imaginary companions is more internalized than that of their peers who do not have imaginary companions and that social engagement with imaginary beings may fulfill a similar role to social engagement with real-life partners in the developmental progression of private speech.     

Relational trauma in infancy. Psychoanalytic,attachment and neuropsychological contributions to parent–infant psychotherapy

Abstract

The paper argues that residential projects working mainly with those diagnosed schizophrenic are specialized work groups, in Bion's terms, operating upon the assumption of pairing, and illustrates this with reference to a period of organizational change at one such project. The reasons why this might be so are discussed, and are related to the central issue of hope and despair in work with those who are unlikely to recover.     

Introducing educators to a psychodynamically informed teaching practice

Abstract

Prompted by the observation that many recently trained teachers find themselves unprepared to cope with many aspects of classroom life despite considerable subject matter competence and technical proficiency, this paper proposes and describes a brief instructional programme designed to enhance teachers' understanding of classroom interactions from a psychodynamic perspective. Published autobiographical accounts of gifted teachers serve as texts for reading and discussion. These personal narratives are conceptualized within psychodynamic frameworks illuminating in meaningful fashion mundane as well dramatic moments in classroom interaction. The course is intended to enhance teacher competence and morale, to stimulate further reflection and to facilitate professional discourse about children and teaching.     

Evolutionary Perspectives and Transdisciplinary Intersections: A Roadmap to Generative Areas of Overlap in Discussing Human Nature

This essay assesses a subset of approaches to the topic of human nature(s) and endeavors to identify generative areas of overlap for transdisciplinary conversation. Rather than pursue a resolution to the problem of potentially incompatible frameworks across perspectives, I seek to provide a template, or a roadmap, for a better conversation. My conclusions derive from a targeted literature assessment of subareas within the disciplines of philosophy, biology, anthropology, psychology, and theology, emphasizing those open to evolutionary contexts. I highlight eighteen core elements/themes and propose a few central thematic clusters as foci for moving the exchange on human nature between theology and science forward.     

Ripples in mental space caused by dark matters and twisted tales: Some reflections on memory,memoirs and therapeutic work

In this paper, the author reflects on the issues of memory and the writing of personal memoirs, and how this impinges on our professional work. Her title is drawn in part from the work of theoretical physicists who can hypothesise about the existence of dark matter by measuring the deformations it causes in surrounding stars and galaxies. What she suggests is that there may be limitations in keeping strictly to disciplinary boundaries, and our professional lives may defy our efforts to box them in. The opening of doors to a more extensive world of ideas is often helpful, both for psychoanalysis and for the fields which it can illuminate and by which it can also be illuminated. She uses the example of the publication and critical reception of her own memoir, Pieces of Molly to make links with our professional selves and our clinical work. She draws on the work of Freud, and other seminal thinkers in the field, as well as her own clinical work to illustrate the ways in which mental space and the memories within it can be contained and transformed over time, but also can be beset by both internal and external saboteurs.     

Religions in the modern world: Traditions and transformations

The global trafficking in women and children (primarily girls) for prostitution and sex work has become a multi-billion dollar industry in recent decades, especially in parts of South and Southeast Asia. Despite their common goal to eliminate or diminish the sex trafficking industry and assist the victims, the various entities engaged in anti-sex trafficking efforts have sharply disagreed about a variety of issues, including a basic definition of sex trafficking and the appropriate strategies for combating it. In this article, I examine one central area of disagreement, which revolves around the issue of the morality of prostitution and other forms of commercial sex work. This issue brings with it divergent, even antithetical, views regarding women's gender roles, self-identity and moral agency in relation to sex work. I show how the religious dimensions of this issue have been inadequately attended to by demonstrating how anti-trafficking discourse is devoid of non-Western religious perspectives. Since Thailand has been the centre for sex trafficking and the commercial sex industry in the Asia-Pacific region, where the greatest percentage of sex trafficking takes place, this article will discuss Thai Buddhist perspectives to illustrate how the anti-sex trafficking discourse has ignored cultural differences in its analysis.