Involving the family in the evaluation and treatment of the child patient: A psychodynamic approach

The purpose of this article is to provide psychotherapists with a tool for family evaluation using the basic principles of psychodynamic work; and to introduce a transitional format for therapists who have practiced family evaluations in their training institutions and now need to adapt this model to the private practitioner's office. A case example illustrates: (1) Use of the therapist's unconscious for diagnosis of the child and its family, (2) joining the family's intersubjective space, and (3) use of play and therapist's neutrality as ways that the psychodynamically oriented clinician involves the family in the evaluation and treatment of the child.     

Perceptual alternation induced by visual transients

When our visual system is confronted with ambiguous stimuli, the perceptual interpretation spontaneously alternates between the competing incompatible interpretations. The timing of such perceptual alternations is highly stochastic and the underlying neural mechanisms are poorly understood. We show that perceptual alternations can be triggered by a transient stimulus presented nearby. The induction was tested for four types of bistable stimuli: structure-from-motion, binocular rivalry, Necker cube, and ambiguous apparent motion. While underlying mechanisms may vary among them, a transient flash induced time-locked perceptual alternations in all cases. The effect showed a dependence on the adaptation to the dominant percept prior to the presentation of a flash. These perceptual alternations show many similarities to perceptual disappearances induced by transient stimuli (Kanai and Kamitani, 2003 Journal of Cognitive Neuroscience 15 664-672; Moradi and Shimojo, 2004 Vision Research 44 449-460). Mechanisms linking these two transient-induced phenomena are discussed.     

Body image and eating disorder symptoms in sexual minority men: A test and extension of objectification theory

On the basis of integrating objectification theory research with research on body image and eating problems among sexual minority men, the present study examined relations among sociocultural and psychological correlates of eating disorder symptoms with a sample of 231 sexual minority men. Results of a path analysis supported tenets of objectification theory with the sample. Specifically, findings were consistent with relations posited in objectification theory among sexual objectification experiences, internalization of cultural standards of attractiveness, body surveillance, body shame, and eating disorder symptoms. Within this set of positive relations, internalization of cultural standards of attractiveness partially mediated the link of sexual objectification experiences with body surveillance; body surveillance partially mediated the relation of internalization with body shame; and body shame partially mediated the relation of body surveillance with eating disorder symptoms. In addition to these relations, internalized homophobia was related to greater eating disorder symptoms through body shame, and recalled childhood harassment for gender nonconformity was linked with eating disorder symptoms through a positive series of relations involving internalization of cultural standards of attractiveness, body surveillance, and body shame.     

Influence of affective distractors on working memory capacity in relation to symptoms of posttraumatic stress disorder

Symptoms evoked in individuals with posttraumatic stress disorder (PTSD) when processing trauma‐relevant material arguably impair higher order cognitive functions. An example is working memory capacity (WMC), which has been shown to be disrupted by affective distractors. However, it is unknown whether this association varies across different types of PTSD symptoms. This study explored the association between WMC performed in affective (relative to neutral) contexts in relation to different symptoms of PTSD (avoidance, re‐experiencing, hyperarousal). Motor vehicle accident survivors with PTSD and without PTSD completed a delayed‐match‐to‐sample task including trauma‐related, neutral, and scrambled distractors in the interval between the presentation of the memoranda and the recognition target. The results showed that there was support for an indirect pathway between PTSD diagnosis and WMC performed in affective (versus neutral) contexts through re‐experiencing and avoidance symptoms. The findings suggest that avoidance symptoms in particular may benefit from interventions directed at improving WMC.     

In‐group relevance facilitates learning across existing and new associations

Studies have shown that attention prioritizes stimuli associated with the in‐group. However, the extent to which this so‐called in‐group favoritism is driven by relevance is not clear. Here, we investigated this issue in a group of university rowers using a novel perceptual matching task based on the team label–color associations. Across three experiments, participants showed enhanced performance for the in‐group stimulus regardless of its familiarity level. These findings confirmed the role of relevance in in‐group favoritism. In a further control study, the advantage for certain stimuli was not found in an independent sample of participants who were not identified with the teams but were familiar with the label–color associations, indicating that in‐group relevance was necessary for the in‐group favoritism. Together, these findings suggest that in‐group relevance facilitates learning across existing and new associations. The consequences of these findings for understanding in‐group effects on perceptual processing are discussed.     

Specificity of episodic and semantic aspects of autobiographical memory in relation to symptoms of posttraumatic stress disorder (PTSD)

Two studies examined the relationship between the ability to access specific autobiographical material in memory and presence/symptoms of posttraumatic stress. In Study 1, a sample of refugees with a diagnosis of posttraumatic stress disorder (PTSD) completed the Autobiographical Memory Test (AMT) in which they had to generate specific episodic autobiographical memories in response to emotion-related cue words. Results showed that reduced specificity of memories on the AMT was associated with an increased frequency of trauma-related flashbacks but with reduced use of effortful avoidance to deal with trauma-related intrusions in the day-to-day. Study 2 examined retrieval of semantic autobiographical information from previous lifetime periods in groups of cancer survivors with posttraumatic stress and healthy controls. The cancer survivors were able to generate fewer specific semantic details about the personal past compared to the controls. The more symptomatic survivors showed the greatest memory impairment. The data from both studies are discussed in terms of compromised access to specific autobiographical material in distressed trauma survivors reflecting a process of affect regulation.     

False memory,attentional bias and future thinking among people living with HIV with posttraumatic stress disorder

People living with HIV can experience posttraumatic stress disorder (PTSD). Complex relationships exist between HIV, PTSD and cognitive impairments. This cross-sectional study compared three cognitive impairments (false memory, attentional bias, deficits in future thinking) among people living with HIV with and without PTSD in Iran. People living with HIV with PTSD (n = 20) and without PTSD (n = 20) completed measures of psychological symptomatology, dot-probe task, Deese Roediger McDermott paradigm and future thinking task at Razavi Khorasan Health Center. The PTSD group, when compared to the non-PTSD group, recognised a significantly greater number of false memories (p < .001; η² = .58), had an attentional bias toward threat-related words (p < .001; η² = .35) and imagined fewer specific future events (p < .001; η² = .31). People living with HIV with PTSD may have difficulties with false memory, attentional biases, and generating future events. Since psychological treatments are limited in Iran, this research highlighted some potential cognitive targets for people living with HIV.     

Overgeneral autobiographical memory recollection in Iranian combat veterans with posttraumatic stress disorder

This study examined the recollection of autobiographical material in memory among Iranian military veterans with and without posttraumatic stress disorder (PTSD), and healthy non-trauma-exposed control subjects. Participants completed the Autobiographical Memory Test, Autobiographical Memory Interview (counterbalanced), Impact of Event Scale-Revised, Beck Depression Inventory-II, Wechsler Memory Scale-III and Wechsler Adult Intelligence Scale-Revised. The PTSD group generated fewer specific episodic and semantic details of autobiographical memory compared to the non-PTSD and control groups. Working memory did not significantly moderate the relationship between PTSD diagnosis and reduced autobiographical memory specificity but did moderate the relationship between PTSD diagnosis and semantic recall; semantic memory recall was not significantly related to working memory ability for those with PTSD but was related to working memory ability for trauma survivors without PTSD. While the data provide some support for the expectation that higher working memory ability is associated with an increased ability to retrieve specific memories (i.e. semantic memory recall in those without PTSD), the findings are also consistent with the view that for those with PTSD the demands on working memory required for affect regulation cancel out this influence of working memory in augmenting access to specific memories.     

Approaches to Research on Intersectionality: Perspectives on Gender, LGBT, and Racial/Ethnic Identities

Intersectionality theories, or the recognition of multiple interlocking identities, defined by relative sociocultural power and privilege, constitute a vital step forward in research across multiple domains of inquiry. This special issue, which extends Shields (2008) contribution in Sex Roles, provides an opportunity to reflect on past, present, and future promise in intersectionality scholarship. To provide a common ground for this work, each paper in this special issue addresses the intersections of gender; lesbian, gay, bisexual, and transgender (LGBT); and racial/ethnic identities and related experiences. In this introduction, we (1) provide an overview of definitions and conceptualizations of intersectionality, (2) discuss the various approaches utilized in this issue to conceptualize and assess gender, LGBT, and racial/ethnic identities, (3) describe how these conceptualizations and assessments were translated into analyses of intersectionality, and (4) close with a discussion of some additional approaches and considerations intended to advance intersectionality research.