Psychoanalysis, marital therapy, and object-relations theory

This paper attempts to indicate why psychoanalysts should be interested in marital therapy. It discusses the clinical advantages and disadvantages of marital therapy as compared to psychoanalysis, describes the contributions of the classical psychoanalytic viewpoint to marital therapy, and finally, attempts to complement the classical psychoanalytic viewpoint with an object-relations viewpoint which can illuminate marital dynamics and provide interpretive content during the course of marital therapy.     

Religious integration in a residential treatment center

Summary After many years of service to the community, the Children's Home of Baltimore recently admitted its first Jewish child. While the basic content of the youngster's feelings and behavior, both prior and subsequent to placement, has been no different from that of a number of other children with similar backgrounds, it has been expressed in a fashion colored by the history of the agency and the child's religion. The psychological phenomena that have been witnessed have been no different from those seen in a host of other children; only the choice of a mode of expression has been altered. Some of this behavior, as well as verbalizations during the treatment sessions, has been characterized by unconscious feelings focused on the issue of religion. On other occasions, the boy has made conscious attempts to use this to his own advantage, to curry favor or to gain privileges denied others.The history of the home, with its beginnings rooted in Christian charitable endeavors, has provided a background against which may be viewed the chameleon-like quality of these psychological processes as they take on the coloration of the environment.     

Threats to the Internal Validity of Spinal Surgery Outcome Assessment: Recalibration Response Shift or Implicit Theories of Change?

A recalibration response shift will cause the patient to think about a self-report measure’s response options differently after a health state change. Commonly assessed using the retrospective-pretest design (“then-test”), recent guidelines suggest adjusting then-test estimates for competing explanations. This prospective longitudinal study investigated recalibration response shift after adjusting for implicit theories of change in patients undergoing spinal surgery. The Oswestry Disability Index (ODI) and Short Form-36 (SF-36) were collected before surgery and at 6 weeks and 3 months after spinal decompression surgery. Then-tests of the measures were also collected at all post-tests. Recalibration response shift was operationalized as the then-minus-pre difference score on the evaluative SF-36. Implicit theories of change were operationalized as the then-minus-pre difference score on the perception-based ODI. Improved vs. No-Effect patient groups were compared using the Minimally Important Difference (±15 points) as a cut-off on the Visual Analogue Scale (VAS) items for back and leg pain. Logistic regression analyses investigated whether recalibration response shift had an independent effect distinguishing patient groups, after adjusting for implicit theories of change. The sample (baseline n?=?169, mean age 52, 39 % female) was well-educated, and 1/3 were working. All then-minus-pre difference scores were non-zero at each time point and were stable over time. In the adjusted models distinguishing Improved versus No Effect groups, then-minus-pre ODI difference scores were significant in the majority of the adjusted models at all timepoints, but only one then-minus-pre SF-36 difference score—for physical functioning recalibration—was significant and only at 6-weeks post-surgery. This suggests that implicit theories of change bias the estimation of post-surgical outcomes, but that recalibration response shift biased only the estimation of physical functioning and only at 6 weeks post-surgery. Recalibration response shift and implicit theories of change can both be sources of bias in patient-reported outcome assessment. Our findings suggest that implicit theories of change are a greater threat to validity in this patient sample. Future research using the then-test should control for implicit theories of change to minimize misspecification of effects.     

Age Differences in Proactive Newcomer Socialization Strategies in Two Populations

We investigated the role of age as a predictor of newcomer socialization behaviors, and documented relationships between specific strategies and subsequent role-relevant outcomes. Academic and retail newcomer populations were each surveyed over three time periods. A negative relationship was found between age and covert forms of information seeking in both samples. Further, the use of covert information seeking was related to lower subsequent levels of role clarity and job satisfaction.     

Perceptual comparisons with laterally presented pictures and environmental sounds

Two experiments studied perceptual comparisons with cues that vary in one of four ways (picture, sound, spoken word, or printed word) and with targets that are either pictures or environmental sounds. The basic question probed whether modality or differences in format were factors that would influence picture and sound perception. Also of interest were cue effect differences when targets are presented on either the right or left side. Students responded to a same-different reaction time task that entailed matching cue-target pairs to determine whether the successive stimulus events represented features drawn from the same basic item. Cue type influenced reaction times to pictures and environmental sounds, but the effects were qualified by response type and with picture targets by presentation side. These results provide some additional evidence of processing asymmetry when pictures are directed to either the right or left hemisphere, as well as for some asymmetries in cross-modality cuing. Implications of these findings for theories of multisensory processing and models of object recognition are discussed.     

The role of subordinate authoritarianism in cross-level extra-role relationships

This study is an investigation of the moderating role of subordinate authoritarianism in the relationship between cross-level (i.e., supervisor and subordinate) extrarole (i.e., outside of work) activities and job satisfaction and organizational citizenship behaviors. Low authoritarian subordinates reported greater job satisfaction than high authoritarian subordinates when they participated in off-the-job activities with supervisors. The implications of this research are discussed.     

Adherence to HAART: perspectives from clients in treatment support programs

The development of highly active antiretroviral therapy (HAART) has resulted in dramatic decreases in morbidity and mortality for HIV-infected individuals. Because the long-term efficacy of HAART is dependent on near perfect adherence, many providers offer services to support adherence, including education, regimen review, counseling, and reminder tools. Little is known regarding the utilization or efficacy of these services. In this paper, we report on data collected during 32 open-ended interviews conducted with individuals receiving services through the New York State Treatment Adherence Demonstration Project. Participants in the project reported deriving benefits from a broad range of project activities. Educational efforts helped clients to recognize HIV as a manageable, rather than terminal, illness. Information and tools focused on specific regimens provided clients with concrete knowledge and skills. Effective communication with medical providers and pharmacists was facilitated by adherence staff who proactively advocated for client needs. Program-based social support was particularly valuable for many participants, helping them to retain needed motivation and strength. Educational, practical, and supportive services were all considered valuable to clients participating in adherence support programs. A mix of services may best meet the range of needs found among persons taking HAART.     

The Leibniz project

A language for quantum physics is derived from set theory by replacing the classical predicate algebra (Boolean) by a certain quantum predicate algebra (rational projective), time space and the Hamilton-Schroedinger dynamics by a Feynman-like graph dynamics, and the Dirac spin operators by topological switching operators on the graph. The development is described from the basic level of elementary monadic processes to the level of the free Dirac equation. Young Men's Philanthropic League Professor of Physics. Supported by the est Foundation and the National Science Foundation.