A view of aggression in phobic states

This article attempts to apply a theory of aggression as motivation to overcome obstacles to the understanding of phobic states and their formation. The role of aggression in the genesis of phobic conditions is discussed, and the traditional analytic view of aggression as instinctual drive is contrasted with a motivational approach. The motivational view offers the advantage of a clearer understanding of the stimulus contexts, representational connections, and both real and imaginary object connections that are lacking in the more traditional understanding of aggression as a biological drive.     

HELPLESSNESS AND THE ANALYST’S WAR AGAINST FEELING IT

In our view helplessness is a primal, often intolerable feeling. It underlies and intensifies other feelings that are also hard to bear. Both analyst and patients face helplessness, and both resort to defenses, often intensely, in order to avoid it. The intensity of this battle can merit calling it a war. The analyst’s war is conducted using distancing, anger, blaming and disparaging as well as by intellectualizing the patient’s struggles. Patients then find themselves abandoned and helplessly alone. We analysts, of course, want not to fall into the trap of war, and we try to free ourselves from waging it. A major way we accomplish this is through continuously working, often with the help of analysis and self-analysis, to increase our capacity to maintain our emotional stability in the face of these intensities. We learn to find new forms of awareness, beyond words and ideas. It requires a new understanding of what is threatening to us, which fosters a deeper capacity to empathize with the patient. This helps us to find the psychic, physical and emotional space within ourselves in which to hold our helplessness and other profound affective experiences. In this way we become an increasingly steady resource for our patients as well as for ourselves.     

Testing the GRIP: An Empirical Examination of the Gender Roles Inhibiting Prosociality Model

Although men and women help others, there are systematic gender differences in the type of helping they perform. Consistent with traditional gender roles and stereotypes, men typically help in agentic ways, and women typically help in communal ways. Drawing on the Theory of Planned Behavior, the Gender Roles Inhibiting Prosociality model predicts that gender stereotypes about gender-inconsistent helping create negative attitudes, restrictive subjective norms, and low self-efficacy that undermine helping intentions, which, in turn, reduce engagement in gender-inconsistent helping contexts. Across three studies (N?=?1,355), we find empirical support for the hypothesized model: When asked to imagine engaging in a gender-inconsistent (vs. gender-consistent) helping scenario, participants anticipated feeling worse, expected others to judge them more negatively, and reported decreased self-efficacy beliefs, and these factors predicted lower intentions to engage in gender-inconsistent helping. Critically, behavioral intentions explained some of the variance in gender-inconsistent helping during the following month. Internal meta-analyses of the differences between gender-consistent and -inconsistent helping on attitudes, subjective norms, self-efficacy, and behavioral intentions across studies revealed small-to-medium average effect sizes (ds?=?0.16—0.47). These results have the potential to inform interventions aimed at increasing helping in all its forms.

     

Aloneness and borderline psychopathology: the possible relevance of child development issues.

The experience of intense painful aloneness is a common event in the lives of borderline patients, especially those closer to the psychotic spectrum. This experience is defined as an intrinsic aspect of the borderline personality defect and consists of a relative or total inability to remember positive images or fantasies of sustaining people in the patient's present or past life, or being overwhelmed by negative memories and images of these people. The development of borderline aloneness is related to a possible developmental failure, defined by Piaget, Fraiberg, and A.-M. Sandler. These workers describe the child's development of object permanence and evocative memory capacity (Piaget's sensori-motor stage VI). We postulate that a major borderline vulnerability is the tenuous achievement of the capacity for affective object permanence and its regressive loss to recognition memory or earlier when under specific stresses. We relate our hypotheses to possible empathic parental failures during the substages of separation-individuation, especially the rapprochement sub-phase. The treatment implications of our formulations are discussed, with an emphasis on the clarification of the need for the therapist's availability and the use of transitional objects during times of the patient's loss of his affective cognitive capacities. These regressive experiences often emerge as a core transference manifestation during psychoanalytic therapy with borderline patients, and often become the basis of significant therapeutic work.