Course of Treatment During a Cohort-Based Inpatient Program for Posttraumatic Stress Disorder

This study examined one group of veterans with post-traumatic stress disorder (PTSD) over the course of a four month inpatient treatment program. The aim of the study was to examine treatment process factors that may contribute to the generally poor outcome reported in previous studies. Group members made weekly ratings in the domains of PTSD symptoms, morale, interpersonal relationships, and physical problems. Results contrasted with clinical assumptions usually made regarding the treatment process in these programs. Despite an appearance of cohesion among group members, variation of scores on functional domains was explained largely by individual differences. Progress through the program showed a strongly linear pattern, with no phase effects. Somatic complaints did not increase during the phase when traumatic material was explored. Degree of improvement or worsening was best predicted by level of PTSD symptoms at admission, indicating that more symptomatic veterans did worse in the program. Additional factors of race, combat exposure, childhood abuse, and application for disability had no effect on the process variables measured.     

Coping with Illness and Threat: Why Non-religious Jews Choose to Consult Rabbis on Healthcare Issues

Whereas modern and advanced medical services are available and accessible to all citizens of Israel, the phenomenon of consulting Orthodox rabbis (Jewish clerics) on healthcare issues is gaining ground among populations that do not identify themselves as religious. The objective of the research was to enquire why non-religious Jews choose to consult rabbis on medical issues. Fifty semi-structured open-ended interviews were conducted during 2009–2011 in northern Israel. The article presents the respondents’ main motives, expectations, beliefs, and modes of consulting both physicians and rabbis. This study aims to contribute to discussion about conflating modern medicine with spiritual-religious beliefs in modern-secular society.     

Moderators of Social Power Use for In‐Group/Out‐Group Targets: An Experimental Paradigm1

Studies of social power use have frequently employed self‐report instruments that are prone to response bias. In the present study, an experimental design was conducted in which 100 participants were asked to gain compliance from in‐group and out‐group members. We tested whether harsh tactics—often used for elevating self‐image at the dyadic level—also provide a means for gaining advantage at the group level. For this purpose, self‐esteem and self‐efficacy were examined as possible moderators. Findings indicated that self‐esteem interacted with target group: Low self‐esteem participants used harsh tactics more frequently toward in‐group than out‐group members; and moderate and high self‐esteem participants used harsh tactics more frequently toward out‐group than in‐group members. The process involved in this interaction is discussed.     

Rapid eye movement (REM) in premature neonates and developmental outcome at 6 months

Different aspects of early sleep organization have been associated with subsequent development in premature infants. The aim of the present study was to assess the relations between rapid eye movement (REM) activity in premature neonates and infants' developmental outcomes at 6 months. Participants were 81 premature infants (47 males). Sleep-wake states and REM were observed across 4 consecutive evening hours (7-11 PM) in 10-s frames when infants were between 32 and 36 weeks post-menstrual age. Developmental outcome was assessed at 6 months with the mental development index (MDI) of the Bayley II. Infants with low-REM activity spent more time in less growth-promoting states, including crying and unfocused alert states in the neonatal period and had lower MDI scores at 6 months corrected age compared to infants with high-REM. Differences between the high- and low-REM groups were independent of neonatal medical risk. Low-REM activity may serve as an indicator of developmental risk among premature neonates.     

Parenting among mothers exposed to ongoing military conflict in childhood: An exploratory study

Mothers living in areas exposed to ongoing military conflict are at higher risk for psychological difficulties, such as posttraumatic stress disorder, than those not living in such areas. The aim of this two-part exploratory study was twofold. The first aim was to examine differences between mothers who grew up under ongoing military conflict in childhood and mothers who did not grow up in affected areas in terms of their levels of differentiation of self and parental self-efficacy (PSE). The second aim was to identify and describe the parenting experiences of mothers who were exposed to military conflict in childhood. In Part 1 of the study, the sample included 120 mothers (half of whom reported on being exposed to ongoing military conflict in childhood). Findings showed that mothers exposed to ongoing military conflict in childhood reported lower levels of differentiation of self and PSE than their counterparts. In Part 2, 10 mothers who were exposed to ongoing military conflict as children were interviewed about their experience as parents and their PSE. Results indicated that the mothers felt their childhood experiences affected their parenting and PSE negatively, resulting in anxiety, difficulty dealing with stress and sometimes posttraumatic symptoms as well as parental patterns of overprotectiveness, separation anxiety and intergenerational transmission of anxiety. The results highlight the consequences of exposure to ongoing military conflict during childhood on levels of differentiation of self and parenting practices.     

Women's development through personal knowing

Striking intuitive experiences may influence women to become active in working for social and political change and to pursue nontraditional career goals. These moments of insight, referred to a experiences of personal knowing, are the subject of this qualitative study of 100 excerpts from women's memoirs, journals and autobiographies. Personal knowing in these narratives includes an important personal insight, strong affect, an altered state of consciousness, suddenness and physical sensations. The first person narratives studied demonstrate that women spontaneously write about personal knowing to explain their motivations, life choices and self-development.Personal knowing experiences, which are often considered trivial or exceptional, are discussed as significant developmental events which combine cognition and affect and may occur throughout the life cycle.     

The Evolution of Mutuality in the Resolution of Transference

The American Journal of Psychoanalysis -